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Download or read book Utilization Management, PROs and Quality Assurance written by and published by . This book was released on 1987 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book 1989 Utilization Management, PROs and Quality Assurance: the Legal Challenges written by and published by . This book was released on 1989 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309042380
Total Pages : 472 pages
Book Rating : 4.3/5 (9 download)
Download or read book Medicare written by Institute of Medicine and published by National Academies Press. This book was released on 1990-02-01 with total page 472 pages. Available in PDF, EPUB and Kindle. Book excerpt: Volume II of Medicare: A Strategy for Quality Assurance provides extensive source materials on quality assurance, including results of focus groups with the elderly and practicing physicians, findings from public hearings on quality of care for the elderly, and many exhibits from site visits and the literature on quality measurements and assurance tools. The current Medicare peer review organization program and related hospital accreditation efforts are comprehensively described as background for the recommendations in Volume I of this report. Like the companion volume, this substantial book will be a valuable reference document for all groups concerned with quality of health care and the elderly.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309040485
Total Pages : 321 pages
Book Rating : 4.3/5 (9 download)
Download or read book Controlling Costs and Changing Patient Care? written by Institute of Medicine and published by National Academies Press. This book was released on 1989-01-01 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: Utilization management (UM) has become a strong trend in health care cost containment. Under UM, some decisions are not strictly made by the doctor and patient alone. Instead, they are now checked by a reviewer reporting to an employer or other paying party who asks whether or not the proposed type or location of care is medically necessary or appropriate. This book presents current findings about how UM is faring in practice and how it compares with other cost containment approaches, with recommendations for improving UM program administration and clinical protocols and for conducting further research.
Author : National Health Lawyers Association
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (196 download)
Download or read book 1989 Utilization Management, PROs and Quality Assurance written by National Health Lawyers Association and published by . This book was released on 1989 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264805907
Total Pages : 447 pages
Book Rating : 4.2/5 (648 download)
Download or read book Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Author : Stefani Daniels
Publisher :
ISBN 13 : 9781556452147
Total Pages : 0 pages
Book Rating : 4.4/5 (521 download)
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
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309042305
Total Pages : 462 pages
Book Rating : 4.3/5 (9 download)
Download or read book Medicare written by Institute of Medicine and published by National Academies Press. This book was released on 1990-02-01 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care for the elderly American is among our nation's more pressing social issues. Our society wishes to ensure quality health care for all older people, but there is growing concern about our ability to maintain and improve quality in the face of efforts to contain health care costs. Medicare: A Strategy for Quality Assurance answers the U.S. Congress' call for the Institute of Medicine to design a strategic plan for assessing and assuring the quality of medical care for the elderly. This book presents a proposed strategic plan for improving quality assurance in the Medicare program, along with steps and timetables for implementing the plan by the year 2000 and the 10 recommendations for action by Congress. The book explores quality of careâ€"how it is defined, measured, and improvedâ€"and reviews different types of quality problems. Major issues that affect approaches to assessing and assuring quality are examined. Medicare: A Strategy for Quality Assurance will be immediately useful to a wide audience, including policymakers, health administrators, individual providers, specialists in issues of the older American, researchers, educators, and students.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309043468
Total Pages : 169 pages
Book Rating : 4.3/5 (9 download)
Download or read book Clinical Practice Guidelines written by Institute of Medicine and published by National Academies Press. This book was released on 1990-02-01 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Alberta clinical practice guidelines program is supporting appropriate, effective and quality medical care in Alberta through promotion, development and implementation of evidence-based clinical practice guidelines.
Author : United States. Congress. Pepper Commission
Publisher :
ISBN 13 :
Total Pages : 824 pages
Book Rating : 4.F/5 ( download)
Download or read book A Call for Action written by United States. Congress. Pepper Commission and published by . This book was released on 1990 with total page 824 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :
Publisher :
ISBN 13 : 9781539288381
Total Pages : pages
Book Rating : 4.2/5 (883 download)
Download or read book HEALTH LAW HANDBOOK. written by and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Navarro
Publisher : Jones & Bartlett Publishers
ISBN 13 : 076378883X
Total Pages : 659 pages
Book Rating : 4.7/5 (637 download)
Download or read book Managed Care Pharmacy Practice written by Navarro and published by Jones & Bartlett Publishers. This book was released on 2008-12-11 with total page 659 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed Care Pharmacy Practice, Second Edition offers information critical to the development and operation of a managed care pharmacy program. The text also covers the changes that have taken place within the delivery of pharmacy services, as well as the evolving role of pharmacists.
Author : Alex R. Rodriguez
Publisher : Springer Science & Business Media
ISBN 13 : 1468452363
Total Pages : 503 pages
Book Rating : 4.4/5 (684 download)
Download or read book Handbook of Quality Assurance in Mental Health written by Alex R. Rodriguez and published by Springer Science & Business Media. This book was released on 2013-11-09 with total page 503 pages. Available in PDF, EPUB and Kindle. Book excerpt: professional-standards-review organizations (PSRO) in defining quality of care for the Medicare program; it is a "shared responsibility of health professionals and government to provide a reasonable basis for confidence that action will be taken, both to assess whether services meet professionally recognized standards and to correct any deficiencies that may be found" (p. 14). Similar pronouncements have been made for the quality assurance activities of the Department of Defense's CHAMPUS program and of the 1980s successor to the PSROs, the federally designated peer-review organizations (PROs), established to ensure quality and utilization-efficient care for Medicare. Links between the federal and state gov ernments and between professional associations and private review entities have been developed to make this "shared responsibility" manifest in the delivery and reimbursement of health services. This responsibility is seen in light of both pro fessional and legal accountability, a view noted by Gibson and Singhas (1978) and Alger (1980). Accountability, then, becomes a concentric concept that elaborates on the pure view of quality and reflects the federal government's consumer protection activities during the 1970s. The Joint Commission on Accreditation of Hospitals (JCAH), which has pro vided another primary historical leadership role in defining quality assurance, has promoted the evolution of the concept of resource limitations as a part of the defini tion of quality assurance.
Author : Bryan L. Walser
Publisher :
ISBN 13 : 9783907770313
Total Pages : 142 pages
Book Rating : 4.7/5 (73 download)
Download or read book Pharmaceutical Cost Containment and Quality Assurance written by Bryan L. Walser and published by . This book was released on 1994 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Administrative Conference of the United States
Publisher :
ISBN 13 :
Total Pages : 1032 pages
Book Rating : 4.3/5 (91 download)
Download or read book Recommendations and Reports written by Administrative Conference of the United States and published by . This book was released on 1989 with total page 1032 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Claire Gavin Meisenheimer
Publisher :
ISBN 13 :
Total Pages : 584 pages
Book Rating : 4.3/5 (91 download)
Download or read book Improving Quality written by Claire Gavin Meisenheimer and published by . This book was released on 1992 with total page 584 pages. Available in PDF, EPUB and Kindle. Book excerpt: Upgrade your QA effort into a state-of-the-art program of continuous quality improvement! This practical resource shows you how. Improving Quality provides step-by-step instructions for assessing programs and designing, implementing, and evaluating a new program that meets current standards as well as the needs of individual organizations and patients. it includes models for quality programs in seven practice areas, and dozens of ready-to-use charts, forms, and questionnaires.
Author : Institute of Medicine (U.S.). Division of Health Care Services
Publisher : National Academies Press
ISBN 13 :
Total Pages : 480 pages
Book Rating : 4.1/5 (357 download)
Download or read book Medicare written by Institute of Medicine (U.S.). Division of Health Care Services and published by National Academies Press. This book was released on 1990 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt:
