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Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309040485
Category : Medical
Languages : en
Pages : 321
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Book Description
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: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309040485
Category : Medical
Languages : en
Pages : 321
Get Book Here
Book Description
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: Stefani Daniels
Publisher:
ISBN: 9781556452147
Category : Hospital utilization
Languages : en
Pages : 0
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Book Description
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: Monique Elseviers
Publisher: John Wiley & Sons
ISBN: 1118949781
Category : Medical
Languages : en
Pages : 548
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Book Description
Drug Utilization Research (DUR) is an eclectic scientific discipline, integrating descriptive and analytical methods for the quantification, understanding and evaluation of the processes of prescribing, dispensing and consumption of medicines and for the testing of interventions to enhance the quality of these processes. The discipline is closely related and linked mainly to the broader field of pharmacoepidemiology, but also to health outcomes research, pharmacovigilance and health economics. Drug Utilization Research is a unique, practical guide to the assessment and evaluation of prescribing practices and to interventions to improve the use of medicines in populations. Edited by an international expert team from the International Society for Pharmacoepidemiology (ISPE), DUR is the only title to cover both the methodology and applications of drug utilization research and covers areas such as health policy, specific populations, therapeutics and adherence.
Author: Hrudayanath Thatoi
Publisher: CRC Press
ISBN: 1000094979
Category : Nature
Languages : en
Pages : 497
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Book Description
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.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161
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Book Description
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.
Author: Brent A. Beggs
Publisher: Human Kinetics
ISBN: 1492597635
Category : Business & Economics
Languages : en
Pages : 486
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Book Description
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.
Author: Navarro
Publisher: Jones & Bartlett Publishers
ISBN: 076378883X
Category : Medical
Languages : en
Pages : 659
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Book Description
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: Kent Lewandrowski
Publisher: Springer
ISBN: 3319341995
Category : Medical
Languages : en
Pages : 299
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Book Description
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.
Author: Shaohua Yan
Publisher: CRC Press
ISBN: 1498743900
Category : Nature
Languages : en
Pages : 346
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Book Description
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.
Author: Michael Quinn Patton
Publisher: SAGE Publications, Incorporated
ISBN:
Category : Political Science
Languages : en
Pages : 376
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Book Description
The second edition of Patton's classic text retains the practical advice, based on empirical observation and evaluation theory, of the original. It shows how to conduct an evaluation, from beginning to end, in a way that will be useful -- and actually used. Patton believes that evaluation epitomizes the challenges of producing and using information in the information age. His latest book includes new stories, new examples, new research findings, and more of Patton's evaluation humour. He adds to the original book's insights and analyses of the changes in evaluation during the past decade, including: the emergence of evaluation as a field of professional practice; articulation of standards for evaluation; a methodological synthesis of the qualitative versus quantitative debate; the tremendous growth of 'in-house' evaluations; and the cross-cultural development of evaluation as a profession. This edition also incorporates the considerable research done on utilization during the last ten years. Patton integrates diverse findings into a coherent framework which includes: articulation of utilization-focused evaluation premises; examination of the stakeholder assumption; and clarification of the meaning of utilization. --Publisher description.
