SlideShare a Scribd company logo
1 of 29
Guidelines to the Guidelines  Oct 2, 2009 Kalleen Kreps, RN CCM Care Manager
Objectives: ,[object Object],[object Object],[object Object],[object Object]
Clinical Guidelines  ,[object Object]
Guidelines ,[object Object],[object Object],[object Object],[object Object]
Interqual ,[object Object],[object Object],[object Object]
Interqual ,[object Object],[object Object],[object Object]
Further Breakdown ,[object Object],[object Object],[object Object],[object Object],[object Object]
Severity Of Illness ,[object Object],[object Object],[object Object]
Continued ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intensity of Service ,[object Object],[object Object],[object Object],[object Object],[object Object]
Interqual basics ,[object Object],[object Object],[object Object]
Types of review continued ,[object Object],[object Object],[object Object]
Admission Review Process ,[object Object]
Steps ,[object Object],[object Object],[object Object],[object Object],[object Object]
Admission review findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Continued Stay Review ,[object Object],[object Object],[object Object]
Steps ,[object Object],[object Object],[object Object],[object Object]
Steps continued ,[object Object],[object Object]
Continued stay review actions ,[object Object],[object Object],[object Object]
Discharge Review ,[object Object]
Steps ,[object Object],[object Object]
Discharge Review Actions  ,[object Object],[object Object]
Discharge review actions continued ,[object Object],[object Object],[object Object]
Secondary Review ,[object Object],[object Object],[object Object]
Interqual Tips ,[object Object],[object Object],[object Object],[object Object],[object Object]
Process Tips ,[object Object],[object Object],[object Object],[object Object]
Process Tips continued ,[object Object],[object Object],[object Object]
Tips  ,[object Object],[object Object]
Questions?

More Related Content

What's hot

Patient-Centered Strategies for HCAHPS Improvement
Patient-Centered Strategies for HCAHPS ImprovementPatient-Centered Strategies for HCAHPS Improvement
Patient-Centered Strategies for HCAHPS ImprovementEngagingPatients
 
recent trands in hospital administration
recent trands in hospital administrationrecent trands in hospital administration
recent trands in hospital administrationvikash1983
 
Quality improvement theory and practice in healthcare
Quality improvement theory and practice in healthcareQuality improvement theory and practice in healthcare
Quality improvement theory and practice in healthcareNHS Improving Quality
 
Introduction to Joint Commission International (JCI) - Dr Amrish Kamboj - Dir...
Introduction to Joint Commission International (JCI) - Dr Amrish Kamboj - Dir...Introduction to Joint Commission International (JCI) - Dr Amrish Kamboj - Dir...
Introduction to Joint Commission International (JCI) - Dr Amrish Kamboj - Dir...Amrish Kamboj
 
Outbreak investigation
Outbreak investigationOutbreak investigation
Outbreak investigationismailzai
 
Laws & Guidelines related to occupational Hazards in Hospitals
Laws & Guidelines related to occupational Hazards in HospitalsLaws & Guidelines related to occupational Hazards in Hospitals
Laws & Guidelines related to occupational Hazards in HospitalsDr Jasbeer Singh
 
Clinilal audit
Clinilal auditClinilal audit
Clinilal auditNc Das
 
Health insurance
Health insuranceHealth insurance
Health insurancesaham4
 
Allocation Concealment
Allocation ConcealmentAllocation Concealment
Allocation ConcealmentTulasi Raman
 
Medical audit process
Medical audit processMedical audit process
Medical audit processsopi_1234
 
Universal Health Insurance Coverage in the United States
Universal Health Insurance Coverage in the United StatesUniversal Health Insurance Coverage in the United States
Universal Health Insurance Coverage in the United StatesBrian Wells, MD, MS, MPH
 
Accreditation as a Strategy / Tool for Hospital Quality Service Improvement
Accreditation as a Strategy / Tool for Hospital Quality Service ImprovementAccreditation as a Strategy / Tool for Hospital Quality Service Improvement
Accreditation as a Strategy / Tool for Hospital Quality Service ImprovementReynaldo Joson
 
outpatient satisfaction survey
outpatient satisfaction surveyoutpatient satisfaction survey
outpatient satisfaction surveyAAYUSHI SAHA
 
12. ethics in medical research
12. ethics in medical research12. ethics in medical research
12. ethics in medical researchAshok Kulkarni
 

What's hot (20)

JCIA PRESENTATION
JCIA PRESENTATIONJCIA PRESENTATION
JCIA PRESENTATION
 
Patient-Centered Strategies for HCAHPS Improvement
Patient-Centered Strategies for HCAHPS ImprovementPatient-Centered Strategies for HCAHPS Improvement
Patient-Centered Strategies for HCAHPS Improvement
 
recent trands in hospital administration
recent trands in hospital administrationrecent trands in hospital administration
recent trands in hospital administration
 
Nuremberg code presantation
Nuremberg code presantationNuremberg code presantation
Nuremberg code presantation
 
Quality improvement theory and practice in healthcare
Quality improvement theory and practice in healthcareQuality improvement theory and practice in healthcare
Quality improvement theory and practice in healthcare
 
Introduction to Joint Commission International (JCI) - Dr Amrish Kamboj - Dir...
Introduction to Joint Commission International (JCI) - Dr Amrish Kamboj - Dir...Introduction to Joint Commission International (JCI) - Dr Amrish Kamboj - Dir...
Introduction to Joint Commission International (JCI) - Dr Amrish Kamboj - Dir...
 
Outbreak investigation
Outbreak investigationOutbreak investigation
Outbreak investigation
 
Laws & Guidelines related to occupational Hazards in Hospitals
Laws & Guidelines related to occupational Hazards in HospitalsLaws & Guidelines related to occupational Hazards in Hospitals
Laws & Guidelines related to occupational Hazards in Hospitals
 
Microfinancing in health
Microfinancing in healthMicrofinancing in health
Microfinancing in health
 
Clinilal audit
Clinilal auditClinilal audit
Clinilal audit
 
Primary Health Care Strategy
Primary Health Care StrategyPrimary Health Care Strategy
Primary Health Care Strategy
 
Health insurance
Health insuranceHealth insurance
Health insurance
 
Nabh
NabhNabh
Nabh
 
Ethics in health research
Ethics in health researchEthics in health research
Ethics in health research
 
Allocation Concealment
Allocation ConcealmentAllocation Concealment
Allocation Concealment
 
Medical audit process
Medical audit processMedical audit process
Medical audit process
 
Universal Health Insurance Coverage in the United States
Universal Health Insurance Coverage in the United StatesUniversal Health Insurance Coverage in the United States
Universal Health Insurance Coverage in the United States
 
Accreditation as a Strategy / Tool for Hospital Quality Service Improvement
Accreditation as a Strategy / Tool for Hospital Quality Service ImprovementAccreditation as a Strategy / Tool for Hospital Quality Service Improvement
Accreditation as a Strategy / Tool for Hospital Quality Service Improvement
 
outpatient satisfaction survey
outpatient satisfaction surveyoutpatient satisfaction survey
outpatient satisfaction survey
 
12. ethics in medical research
12. ethics in medical research12. ethics in medical research
12. ethics in medical research
 

Viewers also liked

Utilization Management
Utilization ManagementUtilization Management
Utilization ManagementSlehri
 
Utilization Management
Utilization ManagementUtilization Management
Utilization ManagementCARMEN ALCIVAR
 
Admission Disposition: Inpatient or Outpatient Observation
Admission Disposition:  Inpatient or Outpatient ObservationAdmission Disposition:  Inpatient or Outpatient Observation
Admission Disposition: Inpatient or Outpatient Observationampeterson03
 
Resource Utilization and Economics
Resource Utilization and EconomicsResource Utilization and Economics
Resource Utilization and EconomicsTimothy Atayde
 
The Factors Influencing the Hospital Utilization
The Factors Influencing the Hospital UtilizationThe Factors Influencing the Hospital Utilization
The Factors Influencing the Hospital Utilization9145
 
OT utilization review
OT utilization reviewOT utilization review
OT utilization reviewSugata Pyne
 
Resource utilization.2015
Resource utilization.2015Resource utilization.2015
Resource utilization.2015Peter DeLuca
 
Utilization Management in 2016
Utilization Management in 2016Utilization Management in 2016
Utilization Management in 2016John Raymond
 
121. mckesson 9 m&as
121. mckesson 9 m&as121. mckesson 9 m&as
121. mckesson 9 m&asTim Histalk
 
Cabral_Medicare Compliance Readiness_ACMA 2012
Cabral_Medicare Compliance Readiness_ACMA 2012Cabral_Medicare Compliance Readiness_ACMA 2012
Cabral_Medicare Compliance Readiness_ACMA 2012Lana Cabral
 
Creating Data-driven Strategies to Improve Hospital Outcomes_Oct 16th 2014
Creating Data-driven Strategies to Improve Hospital Outcomes_Oct 16th 2014Creating Data-driven Strategies to Improve Hospital Outcomes_Oct 16th 2014
Creating Data-driven Strategies to Improve Hospital Outcomes_Oct 16th 2014Lana Cabral
 
B. introducing observation medicine for emergency medicine physicians power p...
B. introducing observation medicine for emergency medicine physicians power p...B. introducing observation medicine for emergency medicine physicians power p...
B. introducing observation medicine for emergency medicine physicians power p...Sangil Lee
 
Creating Data-driven Strategies to Improve Hospital Outcomes: A Case Manager'...
Creating Data-driven Strategies to Improve Hospital Outcomes: A Case Manager'...Creating Data-driven Strategies to Improve Hospital Outcomes: A Case Manager'...
Creating Data-driven Strategies to Improve Hospital Outcomes: A Case Manager'...Conifer Health Solutions
 
Time Management: A Day in the Life of a Hospital Case Manager
Time Management: A Day in the Life of a Hospital Case ManagerTime Management: A Day in the Life of a Hospital Case Manager
Time Management: A Day in the Life of a Hospital Case ManagerAudioEducator
 
Observation medicine and clinical decision units
Observation medicine and clinical decision unitsObservation medicine and clinical decision units
Observation medicine and clinical decision unitsPaleenui Jariyakanjana
 
Integrating Behavioral Health into Primary Care – Thought Leaders in Populati...
Integrating Behavioral Health into Primary Care – Thought Leaders in Populati...Integrating Behavioral Health into Primary Care – Thought Leaders in Populati...
Integrating Behavioral Health into Primary Care – Thought Leaders in Populati...Epstein Becker Green
 
Hospital management system business case
Hospital management system business caseHospital management system business case
Hospital management system business caseNeelam Priya
 
Adapting to case management
Adapting to case managementAdapting to case management
Adapting to case managementTom Shepherd
 
Cell the basic unit of life
Cell the basic unit of lifeCell the basic unit of life
Cell the basic unit of lifeCVVMMK Dhaveji
 

Viewers also liked (20)

Utilization Management
Utilization ManagementUtilization Management
Utilization Management
 
Utilization Management
Utilization ManagementUtilization Management
Utilization Management
 
Admission Disposition: Inpatient or Outpatient Observation
Admission Disposition:  Inpatient or Outpatient ObservationAdmission Disposition:  Inpatient or Outpatient Observation
Admission Disposition: Inpatient or Outpatient Observation
 
Resource Utilization and Economics
Resource Utilization and EconomicsResource Utilization and Economics
Resource Utilization and Economics
 
The Factors Influencing the Hospital Utilization
The Factors Influencing the Hospital UtilizationThe Factors Influencing the Hospital Utilization
The Factors Influencing the Hospital Utilization
 
OT utilization review
OT utilization reviewOT utilization review
OT utilization review
 
Resource utilization.2015
Resource utilization.2015Resource utilization.2015
Resource utilization.2015
 
Utilization Management in 2016
Utilization Management in 2016Utilization Management in 2016
Utilization Management in 2016
 
121. mckesson 9 m&as
121. mckesson 9 m&as121. mckesson 9 m&as
121. mckesson 9 m&as
 
Observation What The
Observation   What TheObservation   What The
Observation What The
 
Cabral_Medicare Compliance Readiness_ACMA 2012
Cabral_Medicare Compliance Readiness_ACMA 2012Cabral_Medicare Compliance Readiness_ACMA 2012
Cabral_Medicare Compliance Readiness_ACMA 2012
 
Creating Data-driven Strategies to Improve Hospital Outcomes_Oct 16th 2014
Creating Data-driven Strategies to Improve Hospital Outcomes_Oct 16th 2014Creating Data-driven Strategies to Improve Hospital Outcomes_Oct 16th 2014
Creating Data-driven Strategies to Improve Hospital Outcomes_Oct 16th 2014
 
B. introducing observation medicine for emergency medicine physicians power p...
B. introducing observation medicine for emergency medicine physicians power p...B. introducing observation medicine for emergency medicine physicians power p...
B. introducing observation medicine for emergency medicine physicians power p...
 
Creating Data-driven Strategies to Improve Hospital Outcomes: A Case Manager'...
Creating Data-driven Strategies to Improve Hospital Outcomes: A Case Manager'...Creating Data-driven Strategies to Improve Hospital Outcomes: A Case Manager'...
Creating Data-driven Strategies to Improve Hospital Outcomes: A Case Manager'...
 
Time Management: A Day in the Life of a Hospital Case Manager
Time Management: A Day in the Life of a Hospital Case ManagerTime Management: A Day in the Life of a Hospital Case Manager
Time Management: A Day in the Life of a Hospital Case Manager
 
Observation medicine and clinical decision units
Observation medicine and clinical decision unitsObservation medicine and clinical decision units
Observation medicine and clinical decision units
 
Integrating Behavioral Health into Primary Care – Thought Leaders in Populati...
Integrating Behavioral Health into Primary Care – Thought Leaders in Populati...Integrating Behavioral Health into Primary Care – Thought Leaders in Populati...
Integrating Behavioral Health into Primary Care – Thought Leaders in Populati...
 
Hospital management system business case
Hospital management system business caseHospital management system business case
Hospital management system business case
 
Adapting to case management
Adapting to case managementAdapting to case management
Adapting to case management
 
Cell the basic unit of life
Cell the basic unit of lifeCell the basic unit of life
Cell the basic unit of life
 

Similar to Guidelines To Guidelines

Nursing Audit Dr. Rangappa. S .Ashi SDM Institute of Nursing sciences Shri D...
Nursing Audit Dr. Rangappa. S .Ashi SDM Institute of Nursing  sciences Shri D...Nursing Audit Dr. Rangappa. S .Ashi SDM Institute of Nursing  sciences Shri D...
Nursing Audit Dr. Rangappa. S .Ashi SDM Institute of Nursing sciences Shri D...rangappa
 
Fundamental of nursing FON BSN Second samester of KMU university complete NO...
Fundamental of nursing FON BSN Second samester of  KMU university complete NO...Fundamental of nursing FON BSN Second samester of  KMU university complete NO...
Fundamental of nursing FON BSN Second samester of KMU university complete NO...pakhtonyam999
 
nursing process philippine setting (pdf format)
nursing process philippine setting (pdf format)nursing process philippine setting (pdf format)
nursing process philippine setting (pdf format)DanetteMaeMRoc
 
Geriatric Population. Geriatric Clinician Practice. Your Medicare, Long-Term ...
Geriatric Population. Geriatric Clinician Practice. Your Medicare, Long-Term ...Geriatric Population. Geriatric Clinician Practice. Your Medicare, Long-Term ...
Geriatric Population. Geriatric Clinician Practice. Your Medicare, Long-Term ...Michelle Peck
 
Nursing process, Nursing Diagnosis
Nursing process, Nursing DiagnosisNursing process, Nursing Diagnosis
Nursing process, Nursing DiagnosisBaljinder Singh
 
nursingprocess-160310083958.pptx
nursingprocess-160310083958.pptxnursingprocess-160310083958.pptx
nursingprocess-160310083958.pptxRUTHRosilin
 
2. Scientific Process of Nursing.pptx
2. Scientific Process of Nursing.pptx2. Scientific Process of Nursing.pptx
2. Scientific Process of Nursing.pptxicliftonguyton
 
Nursing Process.pptx
Nursing Process.pptxNursing Process.pptx
Nursing Process.pptxRekhaDehariya
 
Clinical audit by Dr A. K. Khandelwal
Clinical audit  by Dr A. K. KhandelwalClinical audit  by Dr A. K. Khandelwal
Clinical audit by Dr A. K. KhandelwalDr.Ashok Khandelwal
 
nursing process assignment for MSc Nursing
nursing process assignment for MSc Nursingnursing process assignment for MSc Nursing
nursing process assignment for MSc NursingJEEJA3
 
Nursing Process.pptx
Nursing Process.pptxNursing Process.pptx
Nursing Process.pptxRekhaDehariya
 
NRS110Lecture1CarePlanWorkshop.ppt
NRS110Lecture1CarePlanWorkshop.pptNRS110Lecture1CarePlanWorkshop.ppt
NRS110Lecture1CarePlanWorkshop.pptNavyaPS2
 
powerpoint of nursing planning & intervention.ppt
powerpoint of nursing planning & intervention.pptpowerpoint of nursing planning & intervention.ppt
powerpoint of nursing planning & intervention.pptLakechTeshome
 
nursingprocess-160310083958.pdf
nursingprocess-160310083958.pdfnursingprocess-160310083958.pdf
nursingprocess-160310083958.pdfLolakshiBR
 
nursingprocess-160310083958.pdf
nursingprocess-160310083958.pdfnursingprocess-160310083958.pdf
nursingprocess-160310083958.pdfGodwinGadikor
 

Similar to Guidelines To Guidelines (20)

Nursing Audit Dr. Rangappa. S .Ashi SDM Institute of Nursing sciences Shri D...
Nursing Audit Dr. Rangappa. S .Ashi SDM Institute of Nursing  sciences Shri D...Nursing Audit Dr. Rangappa. S .Ashi SDM Institute of Nursing  sciences Shri D...
Nursing Audit Dr. Rangappa. S .Ashi SDM Institute of Nursing sciences Shri D...
 
Fundamental of nursing FON BSN Second samester of KMU university complete NO...
Fundamental of nursing FON BSN Second samester of  KMU university complete NO...Fundamental of nursing FON BSN Second samester of  KMU university complete NO...
Fundamental of nursing FON BSN Second samester of KMU university complete NO...
 
nursing process philippine setting (pdf format)
nursing process philippine setting (pdf format)nursing process philippine setting (pdf format)
nursing process philippine setting (pdf format)
 
Geriatric Population. Geriatric Clinician Practice. Your Medicare, Long-Term ...
Geriatric Population. Geriatric Clinician Practice. Your Medicare, Long-Term ...Geriatric Population. Geriatric Clinician Practice. Your Medicare, Long-Term ...
Geriatric Population. Geriatric Clinician Practice. Your Medicare, Long-Term ...
 
Nursing process, Nursing Diagnosis
Nursing process, Nursing DiagnosisNursing process, Nursing Diagnosis
Nursing process, Nursing Diagnosis
 
nursingprocess-160310083958.pptx
nursingprocess-160310083958.pptxnursingprocess-160310083958.pptx
nursingprocess-160310083958.pptx
 
2. Scientific Process of Nursing.pptx
2. Scientific Process of Nursing.pptx2. Scientific Process of Nursing.pptx
2. Scientific Process of Nursing.pptx
 
Nursing audit
Nursing auditNursing audit
Nursing audit
 
Nursing Process.pptx
Nursing Process.pptxNursing Process.pptx
Nursing Process.pptx
 
Clinical audit by Dr A. K. Khandelwal
Clinical audit  by Dr A. K. KhandelwalClinical audit  by Dr A. K. Khandelwal
Clinical audit by Dr A. K. Khandelwal
 
FUNDA
FUNDAFUNDA
FUNDA
 
nursing process assignment for MSc Nursing
nursing process assignment for MSc Nursingnursing process assignment for MSc Nursing
nursing process assignment for MSc Nursing
 
Nursing Process.pptx
Nursing Process.pptxNursing Process.pptx
Nursing Process.pptx
 
NRS110Lecture1CarePlanWorkshop.ppt
NRS110Lecture1CarePlanWorkshop.pptNRS110Lecture1CarePlanWorkshop.ppt
NRS110Lecture1CarePlanWorkshop.ppt
 
NRS110Lecture1CarePlanWorkshop.ppt
NRS110Lecture1CarePlanWorkshop.pptNRS110Lecture1CarePlanWorkshop.ppt
NRS110Lecture1CarePlanWorkshop.ppt
 
nursing process
nursing process nursing process
nursing process
 
powerpoint of nursing planning & intervention.ppt
powerpoint of nursing planning & intervention.pptpowerpoint of nursing planning & intervention.ppt
powerpoint of nursing planning & intervention.ppt
 
nursingprocess-160310083958.pdf
nursingprocess-160310083958.pdfnursingprocess-160310083958.pdf
nursingprocess-160310083958.pdf
 
nursingprocess-160310083958.pdf
nursingprocess-160310083958.pdfnursingprocess-160310083958.pdf
nursingprocess-160310083958.pdf
 
Nursing process
Nursing processNursing process
Nursing process
 

Recently uploaded

Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...narwatsonia7
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingNehru place Escorts
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknownarwatsonia7
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Gabriel Guevara MD
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceNehru place Escorts
 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxDr.Nusrat Tariq
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...narwatsonia7
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...narwatsonia7
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...saminamagar
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxDr.Nusrat Tariq
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowNehru place Escorts
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 

Recently uploaded (20)

Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptx
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptx
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 

Guidelines To Guidelines

  • 1. Guidelines to the Guidelines Oct 2, 2009 Kalleen Kreps, RN CCM Care Manager
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.