Communicating Clinical Decision-Making Through Documentation: Coding, Payment, and Patient Categorization

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Publisher : McGraw Hill Professional
ISBN 13 : 1260440672
Total Pages : 518 pages
Book Rating : 4.2/5 (64 download)

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Book Synopsis Communicating Clinical Decision-Making Through Documentation: Coding, Payment, and Patient Categorization by : Eric Shamus

Download or read book Communicating Clinical Decision-Making Through Documentation: Coding, Payment, and Patient Categorization written by Eric Shamus and published by McGraw Hill Professional. This book was released on 2021-02-01 with total page 518 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. Clear, concise, and simple to follow—everything you need to master the documentation process quickly and easily Communicating Clinical Decision Making Through Documentation is the top choice for professionals and students seeking complete coverage of the documentation process including billing and coding. It shows how to ensure every service rendered and billed is supported by showing what to document, how to do it, and why it is so important. This text includes a refreshing student-friendly approach to the topic. You will find an abundance of cases portraying real-life case scenarios and it delivers must-know information on writing patient/client care notes, incorporating document guidelines, documenting clinical decision making (includes evidence-based practice), and performing billing and coding tasks. With Communicating Clinical Decision Making Through Documentation, you’ll effectively maintain and organize records, record appropriate information, and receive proper payment based on the documentation content. A to Z coverage of physical therapy documentation, including: Documentation Standards and Guidelines Medicare Home Health Electronic Medical Records (EMR) International Classification of Functioning (ICF) Model and Application Pediatrics Legal Issue Utilization Review & Management Skilled Nursing Facilities Sample Documentation Content Initial Examination and Evaluation Criteria Continuum of Care Content and Goal Writing Exercises Documentation Aspects of Supervising PTAs Abbreviations Payment ICD-10 and CPT Codes and Application Chapter Review Questions Content Principles

Documentation for Physical Therapist Practice: A Clinical Decision Making Approach

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284105210
Total Pages : 278 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis Documentation for Physical Therapist Practice: A Clinical Decision Making Approach by : Jacqueline A. Osborne

Download or read book Documentation for Physical Therapist Practice: A Clinical Decision Making Approach written by Jacqueline A. Osborne and published by Jones & Bartlett Learning. This book was released on 2015-08-03 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: Documentation for Physical Therapist Practice: A Clinical Decision Making Approach provides the framework for successful documentation. It is synchronous with Medicare standards as well as the American Physical Therapy Association’s recommendations for defensible documentation. It identifies documentation basics which can be readily applied to a broad spectrum of documentation formats including paper-based and electronic systems. This key resource skillfully explains how to document the interpretation of examination findings so that the medical record accurately reflects the evidence. In addition, the results of consultation with legal experts who specialize in physical therapy claims denials will be shared to provide current, meaningful documentation instruction.

Improving Diagnosis in Health Care

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Publisher : National Academies Press
ISBN 13 : 0309377722
Total Pages : 473 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Improving Diagnosis in Health Care by : National Academies of Sciences, Engineering, and Medicine

Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Registries for Evaluating Patient Outcomes

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Publisher : Government Printing Office
ISBN 13 : 1587634333
Total Pages : 385 pages
Book Rating : 4.5/5 (876 download)

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Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ

Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Guide to Pediatric Physical Therapy: A Clinical Approach

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Publisher : McGraw Hill Professional
ISBN 13 : 1264920105
Total Pages : 539 pages
Book Rating : 4.2/5 (649 download)

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Book Synopsis Guide to Pediatric Physical Therapy: A Clinical Approach by : Martha Bloyer

Download or read book Guide to Pediatric Physical Therapy: A Clinical Approach written by Martha Bloyer and published by McGraw Hill Professional. This book was released on 2025-01-10 with total page 539 pages. Available in PDF, EPUB and Kindle. Book excerpt: Everything you need to know to perform safe, effective physical therapy on babies, children, and teens Guide to Pediatric Physical Therapy provides pedagogy from top experts in the field to help you master the practice of PT for kids. This dynamic, easy-to-follow resource is filled with cases that help you apply concepts to real world situations, along with art and illustrations that reinforce what you have learned. Each chapter opens with a case, which is followed by two or three additional cases presented as boxed features. Critical information is presented in tables—particularly effective in helping you quickly digest key concepts. With more than 75 collective years teaching pediatric physical therapy, this author team are masters of the subject matter and know how today’s students prefer to learn. • Key tables highlight high-yield information • Each case study is followed by open-ended questions for to consider • Chapter summaries are presented in bullet form to make learning easy and quick • Q/A following summaries are written in NPTE Exam format

Effective Communication for Health Professionals - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323681328
Total Pages : 259 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Effective Communication for Health Professionals - E-Book by : Elsevier Inc

Download or read book Effective Communication for Health Professionals - E-Book written by Elsevier Inc and published by Elsevier Health Sciences. This book was released on 2019-09-04 with total page 259 pages. Available in PDF, EPUB and Kindle. Book excerpt: - NEW! Chapter devoted to cross-cultural communication promotes understanding of care in a diverse workplace - NEW! Chapter on diseases and disorders discusses communication with patients experiencing specific physical and mental illnesses and disorders. - NEW and UNIQUE! Words at Work dialogue boxes demonstrate actual conversations between healthcare workers and clients. - UPDATED! Content reflects the most current communication tools for the modern healthcare setting. - NEW! Full-color design and art program promote engagement. - NEW and UNIQUE! Communication Guidelines boxes direct you to best practices for the effective exchange of information. - NEW! Additional Taking the Chapter to Work case studies demonstrate real-life communication pitfalls and successes.

Guide to Clinical Documentation

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Publisher : F.A. Davis
ISBN 13 : 0803629974
Total Pages : 301 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Guide to Clinical Documentation by : Debra Sullivan

Download or read book Guide to Clinical Documentation written by Debra Sullivan and published by F.A. Davis. This book was released on 2011-12-22 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.

The Electronic Health Record for the Physician's Office E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323674763
Total Pages : 210 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis The Electronic Health Record for the Physician's Office E-Book by : Julie Pepper

Download or read book The Electronic Health Record for the Physician's Office E-Book written by Julie Pepper and published by Elsevier Health Sciences. This book was released on 2019-06-26 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gain real-world practice with an EHR and realistic, hands-on experience performing EHR tasks! With everything needed to learn the foundations of the EHR process, The Electronic Health Record for the Physician's Office, 3rd Edition, helps you master all the administrative, clinical, and billing/coding skills needed to gain certification — and succeed as a medical office professional. Fully integrated with SimChart for the Medical Office, Elsevier's educational EHR, it walks you through the basics, including implementation, troubleshooting, HIPAA compliance, and claims submissions. This edition contains new and expanded content on patient portals, telehealth, insurance and reimbursement, and data management and analytics, as well as more EHR activities for even more practice. - UNIQUE! Integration with SimChart for the Medical Office, Elsevier's educational EHR (sold separately). - Content and tools prepare you for Certified Electronic Health Records Specialist (CEHRS) certification. - Chapter review activities promote didactic knowledge review and assessment. - Critical thinking exercises threaded within chapters provide thought-provoking questions to enhance learning and stimulate discussion. - EHR exercises with step-by-step instructions are integrated throughout each chapter and build in difficulty to allow for software application. - Trends and Applications boxes help you stay up to date on the industry and the ways in which an EHR can contribute to enhanced health care. - Coverage of paper-based office procedures to aid in transition to EHR. - Application appendices with additional forms allow you to practice applying text content before tackling graded SCMO exercises. - Instructor online resources, including a test bank, TEACH lesson plans and PowerPoint presentations, correlation guides for accreditation and certification, and grading rubrics. - Student online resources with a custom test generator allow for CEHRS exam practice or simulation. - NEW and EXPANDED! New and updated content on telehealth, patient portals, and insurance and reimbursement. - NEW and EXPANDED! EHR activities for hands-on application and practice.

Health Decision Support Systems

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Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834210653
Total Pages : 434 pages
Book Rating : 4.2/5 (16 download)

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Book Synopsis Health Decision Support Systems by : Joseph K. H. Tan

Download or read book Health Decision Support Systems written by Joseph K. H. Tan and published by Jones & Bartlett Learning. This book was released on 1998 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook is a logical continuation of Dr. Tan's first book, Healt h Management Information Systems. For graduate level and upper level u ndergraduate courses, it explains the use of health decision support s ystems throughout the health care industry, citing examples from hospi tals, managed care organizations and long term care facilities. This b ook includes learning objectives, case studies and review questions. A n Instructor's guide is also available.

Documentation for Rehabilitation

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323312330
Total Pages : 289 pages
Book Rating : 4.3/5 (233 download)

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Book Synopsis Documentation for Rehabilitation by : Lori Quinn

Download or read book Documentation for Rehabilitation written by Lori Quinn and published by Elsevier Health Sciences. This book was released on 2015-12-11 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: Better patient management starts with better documentation! Documentation for Rehabilitation: A Guide to Clinical Decision Making in Physical Therapy, 3rd Edition shows how to accurately document treatment progress and patient outcomes. Designed for use by rehabilitation professionals, documentation guidelines are easily adaptable to different practice settings and patient populations. Realistic examples and practice exercises reinforce concepts and encourage you to apply what you've learned. Written by expert physical therapy educators Lori Quinn and James Gordon, this book will improve your skills in both documentation and clinical reasoning. A practical framework shows how to organize and structure PT records, making it easier to document functional outcomes in many practice settings, and is based on the International Classification for Functioning, Disability, and Health (ICF) model - the one adopted by the APTA. Coverage of practice settings includes documentation examples in acute care, rehabilitation, outpatient, home care, and nursing homes, as well as a separate chapter on documentation in pediatric settings. Guidelines to systematic documentation describe how to identify, record, measure, and evaluate treatment and therapies - especially important when insurance companies require evidence of functional progress in order to provide reimbursement. Workbook/textbook format uses examples and exercises in each chapter to reinforce your understanding of concepts. NEW Standardized Outcome Measures chapter leads to better care and patient management by helping you select the right outcome measures for use in evaluations, re-evaluations, and discharge summaries. UPDATED content is based on data from current research, federal policies and APTA guidelines, including incorporation of new terminology from the Guide to Physical Therapist 3.0 and ICD-10 coding. EXPANDED number of case examples covers an even broader range of clinical practice areas.

The Electronic Health Record for the Physician's Office

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 032354777X
Total Pages : 194 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis The Electronic Health Record for the Physician's Office by : Julie Pepper

Download or read book The Electronic Health Record for the Physician's Office written by Julie Pepper and published by Elsevier Health Sciences. This book was released on 2017-02-12 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get hands-on practice with entering data into the Electronic Health Record! The Electronic Health Record for the Physician’s Office, 2nd Edition uses online simulations to walk you through each EHR task. Clear, step-by-step guidelines simplify the exercises in each simulation, so you learn all the EHR skills required of a medical office professional. This edition adds in-depth review and preparation for the Certified Electronic Health Records Specialist (CEHRS) examination. Written by Medical Assisting educator Julie Pepper, this how-to manual helps you master the administrative, clinical, and billing/coding skills you need to gain certification and succeed on the job. Access to SimChart for the Medical Office sold separately. Use of SimChart for the Medical Office (SCMO) for all EHR/practice management applications makes it easier to learn and apply EHR fundamentals. Realistic, hands-on practice helps you develop EHR skills including implementation, HIPAA compliance, troubleshooting, and submitting claims for reimbursement. Safe learning environment allows you to learn and practice tasks without fear of making a mistake affecting real patients. A guided tour through SCMO shows how to use the online simulations and practice EHR tasks. Application exercises in the appendix cover administrative, clinical, and insurance/billing, allowing you to practice the skills learned in the text. Student learning resources on the Evolve companion website include form upload, cases, additional insurance cards, and patient information forms, all providing additional practice. NEW! Enhanced EHR coverage provides in-depth preparation for the CEHRS examination. NEW! CEHRS examination preparation tools are included on Evolve.

Essential Clinical Procedures E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323624685
Total Pages : 465 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Essential Clinical Procedures E-Book by : Richard W. Dehn

Download or read book Essential Clinical Procedures E-Book written by Richard W. Dehn and published by Elsevier Health Sciences. This book was released on 2020-01-10 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provide safe and effective care to every patient with the fully revised 4th Edition of Essential Clinical Procedures. Written by experts in the field, this widely used reference shows you step by step how to perform more than 70 of the most common diagnostic and treatment-related procedures in today's primary care and specialist settings. You'll find clear, concise coverage of the skills you need to know, including new and advanced procedures and new procedure videos. - Covers patient preparation, the proper use of instruments, and potential dangers and complications involved in common procedures, as well as nonprocedural issues such as informed consent, standard precautions, patient education, and procedure documentation. - Includes new chapters on Point-of-Care Ultrasound and Ring Removal, as well as 34 new procedure videos. - Features significantly revised content on cryosurgery • injection techniques • arterial puncture • shoulder/finger subluxations • sterile technique • outpatient coding • casting and splinting • blood cultures • standard precautions • and more. - Contains more than 200 high-quality illustrations, including updated images of office pulmonary function testing and wound closure. - Uses a consistently formatted presentation to help you find information quickly. - Reflects the latest evidence-based protocols and national and international guidelines throughout. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Newman and Carranza's Clinical Periodontology and Implantology E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323878881
Total Pages : 1877 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Newman and Carranza's Clinical Periodontology and Implantology E-Book by : Michael G. Newman

Download or read book Newman and Carranza's Clinical Periodontology and Implantology E-Book written by Michael G. Newman and published by Elsevier Health Sciences. This book was released on 2023-04-28 with total page 1877 pages. Available in PDF, EPUB and Kindle. Book excerpt: **Selected for Doody's Core Titles® 2024 in Dentistry** Learn and master a range of clinical techniques and achieve therapeutic goals with Newman and Carranza's Clinical Periodontology and Implantology, 14th Edition! Unmatched for its comprehensive approach, this resource provides detailed, up-to-date information on the etiology and pathogenesis of periodontal disease. Basic and advanced evidence-based information on the various treatment modalities employed in periodontics and implantology is presented in an easy-to-read format, with callout boxes throughout the text highlighting the clinical relevance of foundational basic science information. Full-color photos and radiographic images depict periodontal conditions and procedures, and the Atlas of Periodontal Pathology is one of the most comprehensive ever compiled in a periodontal textbook. Written by a team of leading experts led by Michael G. Newman, this text not only demonstrates how to perform periodontal procedures but explains the evidence supporting each treatment and provides knowledge on how to achieve the best possible outcomes of periodontal therapy and implant treatment. An eBook version is included with print purchase, providing access to all the text, figures, and references, plus the ability to search, customize content, make notes and highlights, and have content read aloud. The eBook version included with print purchase also includes Periopixel 3D color illustrations, a periodontal classification calculator and interactive learning tool, review questions, case studies, videos, 3D animations, and more! This edition features new chapters on Precision Medicine, Pocket Reduction Therapy, Periodontal Referral, and Digital Implant Workflows, as well as an updated glossary of terms linked to the eBook. It also features first-of-its-kind content on the effects of COVID-19 on treatment from key opinion leaders in this area. Case studies reflect the new format of the Integrated National Board Dental Exam (INBDE). - Full-color photos, illustrations, radiographs, animations, simulations, and videos demonstrate how to perform periodontal and implant procedures. - Current information on clinical techniques in periodontology and the latest advances in basic science. - Evidence-based treatment planning provides knowledge on how to achieve the best possible outcomes of periodontal therapy and implant treatment. - Extensive color atlas of periodontal pathology - Internationally known experts contribute chapters on their areas of specialty. - An eBook version is included with print purchase, providing access to all the text, figures, and references, plus the ability to search, customize content, make notes and highlights, and have content read aloud.

The Electronic Health Record for the Physician's Office for SimChart for the Medical Office - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323447929
Total Pages : 232 pages
Book Rating : 4.3/5 (234 download)

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Book Synopsis The Electronic Health Record for the Physician's Office for SimChart for the Medical Office - E-Book by : Amy DeVore

Download or read book The Electronic Health Record for the Physician's Office for SimChart for the Medical Office - E-Book written by Amy DeVore and published by Elsevier Health Sciences. This book was released on 2015-11-12 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Electronic Health Record for the Physician's Office for SimChart for the Medical Office - E-Book

Health Information Science

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Publisher : Springer Nature
ISBN 13 : 981997108X
Total Pages : 379 pages
Book Rating : 4.8/5 (199 download)

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Book Synopsis Health Information Science by : Yan Li

Download or read book Health Information Science written by Yan Li and published by Springer Nature. This book was released on 2023-11-11 with total page 379 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book constitutes the refereed proceedings of the 12th International Conference on Health Information Science, HIS 2023, held in Melbourne, VIC, Australia, during October 23–24, 2023. The 20 full papers and 9 short papers included in this book were carefully reviewed and selected from 54 submissions. They were organized in topical sections as follows: Depression & Mental Health, Data Security, Privacy & Healthcare Systems, Neurological & Cognitive Disease Studies, COVID-19 Impact Studies, Advanced Medical Data & AI Techniques, Predictive Analysis & Disease Recognition, Medical Imaging & Dataset Exploration, Elderly Care and Knowledge Systems.

Nuclear Medicine and Molecular Imaging - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323763987
Total Pages : 722 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Nuclear Medicine and Molecular Imaging - E-Book by : David Gilmore

Download or read book Nuclear Medicine and Molecular Imaging - E-Book written by David Gilmore and published by Elsevier Health Sciences. This book was released on 2022-08-22 with total page 722 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nuclear Medicine and Molecular Imaging - E-Book

Clinical Anesthesia (SAE)

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Publisher : Wolters Kluwer India Pvt. Ltd.
ISBN 13 : 9389859913
Total Pages : 2056 pages
Book Rating : 4.3/5 (898 download)

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Book Synopsis Clinical Anesthesia (SAE) by : Dr. Nishkarsh Gupta

Download or read book Clinical Anesthesia (SAE) written by Dr. Nishkarsh Gupta and published by Wolters Kluwer India Pvt. Ltd.. This book was released on 2021-06-01 with total page 2056 pages. Available in PDF, EPUB and Kindle. Book excerpt: ###############################################################################################################################################################################################################################################################