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Category : Medical policy
Languages : en
Pages : 0
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Author:
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ISBN:
Category : Medical policy
Languages : en
Pages : 0
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ISBN:
Category : Drugs
Languages : en
Pages : 0
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Author:
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ISBN:
Category : Drugs
Languages : en
Pages : 47
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Author: Northern Ireland. Department of Health, Social Services, and Public Safety
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Category : Medical care
Languages : en
Pages : 0
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Author:
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ISBN:
Category : Medical policy
Languages : en
Pages : 0
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Author:
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ISBN:
Category : Medical policy
Languages : en
Pages : 4
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Author: Matthew Cherko
Publisher:
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Category :
Languages : en
Pages :
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IntroductionThe Independent Funding Request (IFR) process was introduced by Clinical Commissioning Groups (CCGs) to ensure regulation of Procedures of Limited Clinical Value (PLCV). With regards to ENT procedures, this affects tonsillectomy, adenoidectomy and grommet insertion. The policy is in place in order to increase clinical efficiency and cost-saving within the NHS. The aim of this study was to analyse the impact this process has had on the ENT department at Bucku2019s Healthcare Trust.MethodsA retrospective analysis of IFR applications made by the ENT team in the year of 2016 was performed. Data which was prospectively entered in to a local ENT IFR database and the electronic patient record system was studied.The primary outcome measure the eventual decision made by the IFR team regarding each patientu2019s case. Secondary outcome measures were number of correspondence and time taken for decision. We also analysed the financial impact of the system.Results229 IFR applications across two sites were included. Of all cases, 80% were accepted, 14% rejected, 5% left without final decision being made and 1% no longer required an operation. 52 of the 184 approved, required more correspondence to either supply supportive information to the application or to appeal an initial rejection decision. The IFR panel met their timeline of 15 days to initial response in only 17.5% of cases and the median number of days to final decision was 30 (range 2-322 days). With regards to grommet insertion specifically, only 3 of 103 applications were turned down. ConclusionsThe IFR process has undoubtedly added a huge human resources burden when considering listing patientu2019s for ENT operations. Very few applications are rejected due to disagreement with the interpretation of the ENT surgeon of national guidelines and instead, a lack of supportive evidence of recurrent tonsillitis from GPs to advocate tonsillectomy is the reason for most failed applications.
Author: Amy Ford
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Category :
Languages : en
Pages :
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Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309255201
Category : Medical
Languages : en
Pages : 212
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Ensuring that members of society are healthy and reaching their full potential requires the prevention of disease and injury; the promotion of health and well-being; the assurance of conditions in which people can be healthy; and the provision of timely, effective, and coordinated health care. Achieving substantial and lasting improvements in population health will require a concerted effort from all these entities, aligned with a common goal. The Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) requested that the Institute of Medicine (IOM) examine the integration of primary care and public health. Primary Care and Public Health identifies the best examples of effective public health and primary care integration and the factors that promote and sustain these efforts, examines ways by which HRSA and CDC can use provisions of the Patient Protection and Affordable Care Act to promote the integration of primary care and public health, and discusses how HRSA-supported primary care systems and state and local public health departments can effectively integrate and coordinate to improve efforts directed at disease prevention. This report is essential for all health care centers and providers, state and local policy makers, educators, government agencies, and the public for learning how to integrate and improve population health.
Author: United States. Federal Communications Commission
Publisher:
ISBN:
Category : Telecommunication
Languages : en
Pages : 900
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