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Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
The optimal practice model is under discussion at the present time (2013) as is the relevant qualifications for supervision. Outside the US there many different styles of IOM. The evidence-based support for IOM is growing. There is a debate over whether IOM required controlled studies such as randomized trials, [3] or whether expert consensus ...
A medical guideline (also called a clinical guideline, standard treatment guideline, or clinical practice guideline) is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare. Such documents have been in use for thousands of years during the entire history of medicine
David M. Eddy first began to use the term 'evidence-based' in 1987 in workshops and a manual commissioned by the Council of Medical Specialty Societies to teach formal methods for designing clinical practice guidelines. The manual was eventually published by the American College of Physicians.
Based upon the work of the international AGREE Collaboration for the quality of clinical practice guidelines, [3] an organised network for organisations and experts working in the field of evidence-based guidelines was proposed in early 2002 at the first international guideline conference in Berlin, Germany. [4]
The IOM criteria come from the IOM's 2015 report on CFS, and the CDC currently uses this definition. [5] The IOM criteria require the following three symptoms: Severe, disabling fatigue of new onset; Post-exertional malaise (PEM) Unrefreshing sleep. Also, at least one of the following is required: Cognitive impairment; Orthostatic intolerance
Instead of relying only on body mass index (BMI), which has some limitations, the new framework introduces improved ways to identify and understand obesity, for example, by separating early signs ...
The institute was founded in 1970, under the congressional charter of the National Academy of Sciences as the Institute of Medicine. [2]On April 28, 2015, NAS membership voted in favor of reconstituting the membership of the IOM as a new National Academy of Medicine and establishing a new division on health and medicine within the NRC that has the program activities of the IOM at its core.