Controlling Costs and Changing Patient Care?

Controlling Costs and Changing Patient Care?
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 321
Release: 1989-01-01
Genre: Medical
ISBN: 0309040485

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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.

The Hospital Guide to Contemporary Utilization Review

The Hospital Guide to Contemporary Utilization Review
Author: Stefani Daniels
Publisher:
Total Pages: 0
Release: 2015-04-16
Genre: Hospital utilization
ISBN: 9781556452147

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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

Utilization Management in the Clinical Laboratory and Other Ancillary Services

Utilization Management in the Clinical Laboratory and Other Ancillary Services
Author: Kent Lewandrowski
Publisher: Springer
Total Pages: 299
Release: 2016-11-29
Genre: Medical
ISBN: 3319341995

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This book is the first comprehensive text on utilization management in the clinical laboratory and other ancillary services. It provides a detailed overview on how to establish a successful utilization management program, focusing on such issues as leadership, governance, informatics, and application of utilization management tools. The volume also describes ways to establish utilization management programs for multiple specialties, including anatomic pathology and cytology, hematology, radiology, clinical chemistry, and genetic testing among other specialties. Numerous examples of specific utilization management initiatives are also described that can be imported to other heath care organizations. A chapter on utilization management in Canada is also included. Edited by an established national leader in utilization management, Utilization Management in the Clinical Laboratory and Other Ancillary Services is a valuable resource for physicians, pathologists, laboratory directors, hospital administrators, and medical insurance professionals looking to implement a utilization management program.

Bioresource Utilization and Management

Bioresource Utilization and Management
Author: Hrudayanath Thatoi
Publisher: CRC Press
Total Pages: 497
Release: 2021-10-14
Genre: Nature
ISBN: 1000094979

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The need for exploration, conservation, and sustainable utilization of bioresources is undeniable for the survival and growth of mankind. This new book throws light on new and recent research on and development of effective strategies for sustainable utilization of bioresources using modern tools and techniques to help meet this challenge. This volume addresses the utilization of bioresources in therapeutics, in biofuel, in agriculture, and in environmental protection. Beginning with the diverse potential applications of bioresources in food, medicine, and cosmetics, the volume goes on to address the various different underutilized bioresources and their sustainable uses. It discusses important advances in biofuel and patents that highlight recent developments that address the energy crises and the continuously fluctuating cost of petroleum. It explores new renewable energy sources from bioresources and their sustainable utilization in the bioenergy and biofuel industry. Several chapters focus on the sustainable utilization of bioresources in the agricultural sector. The volume considers that developing countries have huge agricultural resources that could be employed for production of value-added byproducts for the sustainable development of a bio-based economy. The book discusses efficient use of underexploited natural bioresources, new chemical approaches for the generation of novel biochemicals, and the applications of genetics approaches for bioresource conservation and production of value-added products. Further, strategies for the production of biopesticides utilizing bioresources are also discussed.

Managed Care Pharmacy Practice

Managed Care Pharmacy Practice
Author: Navarro
Publisher: Jones & Bartlett Publishers
Total Pages: 659
Release: 2008-12-11
Genre: Medical
ISBN: 076378883X

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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.

Recreation Facility Management

Recreation Facility Management
Author: Brent A. Beggs
Publisher: Human Kinetics
Total Pages: 486
Release: 2023-09-28
Genre: Business & Economics
ISBN: 1492597635

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Recreation Facility Management, Second Edition With HKPropel Access, is the fundamental text for students and new professionals who will manage a recreational facility. It outlines essential responsibilities and prepares readers to perform the duties of a manager for various types of facilities—ranging from recreation and aquatic centers, playgrounds, and parks to fitness centers, golf courses, and sport complexes—each with its own unique set of goals and challenges. Recreation Facility Management begins by defining the characteristics and expectations of the profession. It discusses the facility design and development process, including assessing needs, planning, reading blueprints, and securing funding. Topics such as facility resource management, financial issues, and human resources are explored in depth. The text then tackles strategies for utilizing facilities in a safe and efficient manner, addressing safety and security, maintenance, and emergency preparedness and response plans. Finally, a detailed examination of the operation of common types of recreation facilities is offered alongside coverage of national industry standards and guidelines. Content updates to the second edition include a new chapter on ancillary space design with a focus on sustainability and technology updates as well as accessible design. A chapter was also added to address larger-scale recreational sport events and outdoor facilities. Recreation Facility Management also includes new enhancements to help students apply and retain important information: Learning aids, including chapter objectives, review questions, and summary elements, help to facilitate learning. Case studies provide real scenarios and related discussion questions to help students better understand the material. Sample answers to the questions are provided in the instructor guide. Industry Profile features offer real-world examples from the field. Check It Out elements call out special content to help engage readers. Online materials include learning activities as well as checklists and forms from the files of actual facility managers. Recreation Facility Management offers a practical introduction to facility design, management, and maintenance for practicing recreation professionals or future professionals. It arms readers with the knowledge and skills necessary for becoming a successful facility manager in any recreation setting. Note: A code for accessing HKPropel is included with this ebook.

Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 161
Release: 2018-04-02
Genre: Medical
ISBN: 030946921X

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The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Water Hyacinth

Water Hyacinth
Author: Shaohua Yan
Publisher: CRC Press
Total Pages: 346
Release: 2017-08-09
Genre: Nature
ISBN: 1498743900

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The water hyacinth is a disruptive factor in aquatic ecosystem management and ecosystem services, and causes problems in fisheries, transportation waterways, irrigation, hydropower generation, and water resources. To address these concerns, it is necessary to integrate past studies with current research and innovations to identify where the knowledge gap is and to creatively assess and solve the problems in a global context. This book provides comprehensive coverage of new research and technological innovations for the application of controlling, managing, harvesting, postharvest processing and utilizing the water hyacinth.

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies
Author: OECD
Publisher: OECD Publishing
Total Pages: 447
Release: 2019-10-17
Genre:
ISBN: 9264805907

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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.

Biodiversity

Biodiversity
Author: Surendra Singh
Publisher: Daya Publishing House
Total Pages: 434
Release: 2018
Genre: Science
ISBN: 9789387057555

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Biodiversity includes different animals, plants, micro-organisms and their genes, water ecosystems, terrestrial and marine ecosystems. Conservation of this biological diversity which includes the variety of the whole species present on earth is important for our future, for human food to feed people on Earth. Biodiversity: Monitoring, Management & Utilization has been designed primarily for students studying biodiversity on a range of courses in botany, zoology, biotechnology, microbiology, environment and ecology. It is beneficial for teachers, as well as generalists and amateurs interested in exploring the fundamentals, uses, threats and conservation of biodiversity. It is also essential reading for anyone requiring an overview of the vast literature on this topic. This volume contains several contributions that illustrate the state of the art of the academic research in the field of biological interactions in its widest sense. The purpose is to increase understanding, awareness and appreciation of the diverse values of biodiversity, necessary to create the willingness to undertake the behavioural changes required to conserve and sustainably use biodiversity. The book has managed to present most of the critical issues surrounding debates over and relations between biodiversity, biotechnology, intellectual property and traditional knowledge. It underscores the ways in which our future is tied to that of Earth's threatened species and demonstrates exactly why conservation is so vitally important for us.