The Hospital Guide to Contemporary Utilization Review

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Publisher :
ISBN 13 : 9781683087144
Total Pages : 141 pages
Book Rating : 4.0/5 (871 download)

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Book Synopsis The Hospital Guide to Contemporary Utilization Review by : Stefani Daniels

Download or read book The Hospital Guide to Contemporary Utilization Review written by Stefani Daniels and published by . This book was released on 2018 with total page 141 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Hospital Guide to Contemporary Utilization Review

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Author :
Publisher :
ISBN 13 : 9781556452147
Total Pages : 0 pages
Book Rating : 4.4/5 (521 download)

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Book Synopsis The Hospital Guide to Contemporary Utilization Review by : Stefani Daniels

Download or read book The Hospital Guide to Contemporary Utilization Review written by Stefani Daniels and published by . This book was released on 2015-04-16 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Hospital Guide to Contemporary Utilization Review is a comprehensive resource designed to identify utilization review (UR) best practices and provide guidance on developing and enhancing a contemporary UR committee. This book focuses on the latest UR and patient status requirements to help hospitals perform high-quality reviews and comply with regulations. The book covers a range of topics, including compliance with the UR Condition of Participation, legal obligations of a hospital, contract language, and compliant UR plan language to provide an understanding of the expectations of a UR program. Tips for intradepartmental collaboration are included to guide professionals through the process of selecting a physician advisor and partnering with nurses, case managers, and revenue cycle team members. This book will help you do the following: Identify the components of a best practice hospital utilization review (UR) program Describe the legal obligations of the hospital to comply with chapter 42 CFR 482.30 of the Conditions of Participation (CoP) Use the publication as a tool to assess his or her own hospital's UR processes Summarize the benefits of a dedicated UR team to promote compliance with the CoP Facilitate the development of a contemporary UR committee Assess an organization's opportunities to improve processes to benefit patient care and hospital success Recommend compliant language for the organization's UR plan Construct commercial contract language, in collaboration with the organization's contract manager, that promotes a partnership to ensure appropriate use of acute care resources Seek out operational resources to perform high-quality reviews that fully comply with the CoP Explain the connection between a good utilization review plan and the hospital revenue cycle initiatives

The Hospital Guide to Contemporary Utilization Review, Third Edition

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Publisher :
ISBN 13 : 9781645351382
Total Pages : 194 pages
Book Rating : 4.3/5 (513 download)

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Book Synopsis The Hospital Guide to Contemporary Utilization Review, Third Edition by : Stefani Daniels

Download or read book The Hospital Guide to Contemporary Utilization Review, Third Edition written by Stefani Daniels and published by . This book was released on 2021-10 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Hospital Guide to Contemporary Utilization Review, Third Edition, is a comprehensive resource designed to identify utilization review (UR) best practices and provide guidance on developing and enhancing a contemporary UR committee. This book focuses on the latest UR and patient status requirements to help hospitals perform high-quality reviews and comply with regulations in a value-based world. The book covers a range of topics, including compliance with the UR Conditions of Participation (CoP), legal obligations of a hospital, contract language, and compliant UR plan language, to provide an understanding of the expectations of a UR program. Tips for intradepartmental collaboration are included to guide professionals through the process of selecting a physician advisor and partnering with nurses, case managers, and revenue cycle team members. This book will help you do the following: Identify the components of a best-practice hospital UR program Describe the legal obligations of the hospital to comply with Chapter 42 CFR 482.30 of the CoP Use the publication as a tool to assess your own hospital's UR processes Summarize the benefits of a dedicated UR team to promote compliance with the CoP Differentiate between traditional Medicare and Medicare Advantage Facilitate the development of a contemporary UR committee Discuss the pros and cons of the possible reporting structures for UR activities Examine the role of the physician advisor as a member of the UR team Recognize the crucial role of revenue cycle in the work of the UR specialist Recommend compliant language for your organization's UR plan Describe the components of the revenue cycle pertinent to UR Differentiate inpatient and outpatient payment rules Explain the basics of claim preparation Review physician billing and payment rules Differentiate between national coverage determinations, local coverage determinations, and commercial payer criteria Seek out operational resources to perform high-quality reviews that fully comply with the CoP Explain the connection between a good UR plan and a hospital's revenue cycle initiatives

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.

A Handbook for Student Nurses, third edition

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Publisher : Scion Publishing Ltd
ISBN 13 : 1908625945
Total Pages : 228 pages
Book Rating : 4.9/5 (86 download)

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Book Synopsis A Handbook for Student Nurses, third edition by : Wendy Benbow

Download or read book A Handbook for Student Nurses, third edition written by Wendy Benbow and published by Scion Publishing Ltd. This book was released on 2021-08-09 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Handbook for Student Nurses is widely recommended in institutions across the UK and is essential reading for new students. The book provides an introduction to the essential background knowledge that pre-registration nursing students need as a foundation for their training. This third edition has been thoroughly revised to reflect the new NMC standards of proficiency for registered nurses and the most recent update of the NMC Code. It also features a completely new chapter on health promotion, and incorporates the very latest developments in nurse education and in the health service. A Handbook for Student Nurses covers the core of first-year nursing studies: Practice supervision and assessment Communication Legal and professional issues Values, ethics and cultural awareness Reflection and personal development Quality care and evidence-based practice Study skills Public health and promoting health and wellbeing “An excellent introductory text for student nurses, written in a clear and illuminative style.” Lecturer, Adult Nursing

Health planning reports subject index

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Publisher :
ISBN 13 :
Total Pages : 1184 pages
Book Rating : 4.:/5 (2 download)

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Book Synopsis Health planning reports subject index by : United States. Health Resources Administration

Download or read book Health planning reports subject index written by United States. Health Resources Administration and published by . This book was released on 1979 with total page 1184 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Pain Management and the Opioid Epidemic

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Publisher : National Academies Press
ISBN 13 : 0309459575
Total Pages : 483 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine

Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Fast Facts for Evidence-Based Practice

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Publisher : Springer Publishing Company
ISBN 13 : 0826105688
Total Pages : 237 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Fast Facts for Evidence-Based Practice by : Maryann Godshall, PhD, CNE, CCRN, CPN

Download or read book Fast Facts for Evidence-Based Practice written by Maryann Godshall, PhD, CNE, CCRN, CPN and published by Springer Publishing Company. This book was released on 2009-12-07 with total page 237 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designated a 2014 Doodyís Core Title by Doodyís Medical Reviews Concise and comprehensive, this book covers the basics of nursing research and the essentials of how to implement Evidence Based Practice (EBP). Using the short, reader-friendly, Fast Facts Series 'style,' the book is designed for those RNs studying Evidence Based Practice (EBP) who want quick access core content. Undergraduate nursing students who want a solid review of evidence based practice (& nursing research) will also find this book useful, as well as RN to BSNs student who need to assimilate content on basic nursing research. It is vital for both the practicing RNs and students to know the basics of EBP and understand how EBP can be implemented. Key features covered include: Delivery of a wide scope of EBP content in the abbreviated style of the Fast Facts series Includes coverage of quantitative and qualitative research approaches, defining the 'compelling question', finding and critiquing the evidence, and disseminating the research Unlocks the mystery surrounding systematic reviews and searching a database Class-tested content, used in seated and online course environments

Health Planning Reports: Subject index. 4 v

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Publisher :
ISBN 13 :
Total Pages : 1194 pages
Book Rating : 4.M/5 ( download)

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Book Synopsis Health Planning Reports: Subject index. 4 v by : United States. Health Resources Administration

Download or read book Health Planning Reports: Subject index. 4 v written by United States. Health Resources Administration and published by . This book was released on 1978 with total page 1194 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Leader's Guide to Hospital Case Management

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Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763733544
Total Pages : 356 pages
Book Rating : 4.7/5 (335 download)

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Book Synopsis The Leader's Guide to Hospital Case Management by : Stefani Daniels

Download or read book The Leader's Guide to Hospital Case Management written by Stefani Daniels and published by Jones & Bartlett Learning. This book was released on 2005 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text will address the role of the hospital case manager from a busniess perspective rather than a nursing perspective. Will engage all areas that are involved with the health care system, in pursuit of global objectives on behalf of every stakeholder.

The Future of the Public's Health in the 21st Century

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Publisher : National Academies Press
ISBN 13 : 0309133181
Total Pages : 536 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Future of the Public's Health in the 21st Century by : Institute of Medicine

Download or read book The Future of the Public's Health in the 21st Century written by Institute of Medicine and published by National Academies Press. This book was released on 2003-02-01 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Social Science Research

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Publisher : CreateSpace
ISBN 13 : 9781475146127
Total Pages : 156 pages
Book Rating : 4.1/5 (461 download)

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Book Synopsis Social Science Research by : Anol Bhattacherjee

Download or read book Social Science Research written by Anol Bhattacherjee and published by CreateSpace. This book was released on 2012-04-01 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is designed to introduce doctoral and graduate students to the process of conducting scientific research in the social sciences, business, education, public health, and related disciplines. It is a one-stop, comprehensive, and compact source for foundational concepts in behavioral research, and can serve as a stand-alone text or as a supplement to research readings in any doctoral seminar or research methods class. This book is currently used as a research text at universities on six continents and will shortly be available in nine different languages.

Communities in Action

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Publisher : National Academies Press
ISBN 13 : 0309452961
Total Pages : 583 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Users' Guides to the Medical Literature

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Publisher : McGraw Hill Professional
ISBN 13 : 0071590390
Total Pages : 383 pages
Book Rating : 4.0/5 (715 download)

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Book Synopsis Users' Guides to the Medical Literature by : Gordon Guyatt

Download or read book Users' Guides to the Medical Literature written by Gordon Guyatt and published by McGraw Hill Professional. This book was released on 2008-03-01 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: The “essential” companion to the landmark Users' Guides to the Medical Literature - completely revised and updated! 5 STAR DOODY'S REVIEW! "This second edition is even better than the original. Information is easier to find and the additional resources that will be available at www.JAMAevidence.com will provide readers with a one-stop source for evidence-based medicine."--Doody's Review Service Evidence-based medicine involves the careful interpretation of medical studies and its clinical application. And no resource helps you do it better-and faster-than Users' Guides to the Medical Literature: Essentials of Evidence-Based Clinical Practice. This streamlined reference distills the most clinically-relevant coverage from the parent Users' Guide Manual into one highly-focused, portable resource. Praised for its clear explanations of detailed statistical and mathematical principles, The Essentials concisely covers all the basic concepts of evidence-based medicine--everything you need to deliver optimal patient care. It's a perfect at-a-glance source for busy clinicians and students, helping you distinguish between solid medical evidence and poor medical evidence, tailor evidence-based medicine for each patient, and much more. Now in its second edition, this carry-along quick reference is more clinically relevant--and more essential--than ever! FEATURES Completely revised and updated with all new coverage of the basic issues in evidence-based medicine in patient care Abundant real-world examples drawn from the medical literature are woven throughout, and include important related principles and pitfalls in using clinical research in patient care decisions Edited by over 60 internationally recognized editors and contributors from around the globe Also look for JAMAevidence.com, a new interactive database for the best practice of evidence based medicine.

Maritime Logistics

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Publisher : Kogan Page Publishers
ISBN 13 : 0749472693
Total Pages : 476 pages
Book Rating : 4.7/5 (494 download)

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Book Synopsis Maritime Logistics by : Dong-Wook Song

Download or read book Maritime Logistics written by Dong-Wook Song and published by Kogan Page Publishers. This book was released on 2015-04-03 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt: Globalisation and the rapid increase in world trade in the past decade have contributed to greater demand for international transport and logistics and, consequently, the expansion of the maritime industry. The dramatic changes in the mode of world trade and cargo transportation make it more important than ever to have a clear understanding of the way in which freight is transported by sea and the role of ports in this exchange. At the cutting edge in its assessment of the industry, Maritime Logistics covers the whole scope of maritime logistics and examines latest logistical developments within the port and shipping industry. With a range of new international contributors, this new edition has been thoroughly revised and updated. There are new chapters on port centric logistics, hinterland logistics and global supply chains, maritime transport and logistics as a trade facilitator, and future trends and developments. Written by a team of international experts with over fifty years' experience in the field, Maritime Logistics provides a truly global perspective. The book covers everything that students of logistics, as well as those working within the industry, need to know about maritime logistics, including shipping lines, containers, tankers, dry bulk, port-centric logistics, and much more.

Leadership and Nursing Care Management

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Publisher :
ISBN 13 : 9781416059844
Total Pages : 0 pages
Book Rating : 4.0/5 (598 download)

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Book Synopsis Leadership and Nursing Care Management by : Diane Huber

Download or read book Leadership and Nursing Care Management written by Diane Huber and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition addresses basic issues in nurse management such as law and ethics, staffing and scheduling, delegation, cultural considerations and management of time and stress. It also provides readers with the core concepts that separate adequate and exceptional nurse managers.

Translation of Evidence Into Nursing and Healthcare

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Publisher : Springer Publishing Company
ISBN 13 : 0826147372
Total Pages : 509 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Translation of Evidence Into Nursing and Healthcare by : Kathleen M. White, PhD, RN, NEA-BC, FAAN

Download or read book Translation of Evidence Into Nursing and Healthcare written by Kathleen M. White, PhD, RN, NEA-BC, FAAN and published by Springer Publishing Company. This book was released on 2019-12-19 with total page 509 pages. Available in PDF, EPUB and Kindle. Book excerpt: NAMED A DOODY’S CORE TITLE! Designed as both a text for the DNP curriculum and a practical resource for seasoned health professionals, this acclaimed book demonstrates the importance of using an interprofessional approach to translating evidence into nursing and healthcare practice in both clinical and nonclinical environments. This third edition reflects the continuing evolution of translation frameworks by expanding the Methods and Process for Translation section and providing updated exemplars illustrating actual translation work in population health, specialty practice, and the healthcare delivery system. It incorporates important new information about legal and ethical issues, the institutional review process for quality improvement and research, and teamwork and building teams for translation. In addition, an unfolding case study on translation is threaded throughout the text. Reorganized for greater ease of use, the third edition continues to deliver applicable theory and practical strategies to lead translation efforts and meet DNP core competency requirements. It features a variety of relevant change-management theories and presents strategies for improving healthcare outcomes and quality and safety. It also addresses the use of evidence to improve nursing education, discusses how to reduce the divide between researchers and policy makers, and describes the interprofessional collaboration imperative for our complex healthcare environment. Consistently woven throughout are themes of integration and application of knowledge into practice. NEW TO THE THIRD EDITION: Expands the Methods and Process for Translation section Provides updated exemplars illustrating translation work in population health, specialty practice, and the healthcare delivery system Offers a new, more user-friendly format Includes an entire new section, Enablers of Translation Delivers expanded information on legal and ethical issues Presents new chapter, Ethical Responsibilities of Translation of Evidence and Evaluation of Outcomes Weaves an unfolding case study on translation throughout the text KEY FEATURES: Delivers applicable theories and strategies that meet DNP core requirements Presents a variety of relevant change-management theories Offers strategies for improving outcomes and quality and safety Addresses the use of evidence to improve nursing education Discusses how to reduce the divide between researchers and policy makers Supplies extensive lists of references, web links, and other resources to enhance learning Purchase includes digital access for use on most mobile devices or computers