Bernacki j occ enviro med
•
0 likes•347 views
This article shows that Johns Hopkins Hospital saved 54% on its workers compensation bill by one simple expedient......the workers had to see Johns Hopkins doctors, and couldn't see local doctors.
Report
Share
Report
Share
Download to read offline
Recommended
Burnout concerns for medical professions edited
Burnout is a serious issue that affects many in the medical field, especially nurses. It is characterized by emotional exhaustion, low energy, and frustration. It stems from heavy workloads, understaffing, financial burdens, and inconsistent changes within the profession. Burnout leads to poorer patient outcomes and satisfaction as well as increased medical errors. It also negatively impacts nurses' performance, decision-making, and relationships. If left unaddressed, burnout can result in many medical professionals leaving the field, exacerbating staffing shortages and declining care quality within healthcare systems. Strategies such as improved management, workload distribution, and support for staff well-being are needed to combat the effects of burnout.
Ethical and policy factors in care
This document discusses ethical and policy factors related to care coordination. It addresses how government policies like the Affordable Care Act and HIPAA affect care coordination and can create ethical dilemmas. The American Nurses Association has developed a code of ethics to guide nursing practices related to care coordination and emphasizes patient-centered care and collaborative leadership. Social determinants of health like socioeconomic status, education, and environment influence individuals' health outcomes.
CaseManagement
This document summarizes a presentation on case management. It discusses that while there is no universal definition of case management, core components generally involve locating resources, coordinating services, and monitoring care to meet assessed needs. The key requisites of a case manager are experience, strong communication and problem-solving skills, and the ability to coordinate complex care packages. Effective case management provides an organized long-term care framework that aims to improve patient outcomes by streamlining services and reducing emergency admissions.
Defensive medicine effect on costs, quality, and access to healthcare
This document discusses the practice of defensive medicine and its effects. Defensive medicine occurs when doctors order unnecessary tests or procedures in an attempt to reduce malpractice liability. The document finds that defensive medicine increases healthcare costs and can lower quality by leading doctors to avoid high-risk patients or procedures. It also discusses how defensive medicine practices like unnecessary referrals and extra diagnostic tests can limit access to care. The document examines factors that contribute to defensive medicine and its negative impacts on healthcare systems.
Staffing & infections
The document summarizes research that shows a link between nurse staffing levels and patient outcomes. Several studies are cited that demonstrate higher nurse-to-patient ratios are associated with lower hospital infection rates, fewer complications, decreased mortality rates, and better financial performance. The research indicates specific staffing targets, such as a ratio of 1 nurse for every 4 patients, could prevent tens of thousands of patient deaths annually. The evidence consistently shows improved patient outcomes and safety when there are sufficient nursing staff to care for fewer patients per nurse.
IDIC_Health_And_Wellness_Overview
The document describes a participatory wellness program offered to employees. It includes:
1) A self-funded ERISA qualified group health plan integrated with employer-provided insurance that provides wellness services and benefits to offset medical expenses.
2) An example paycheck that shows how employee contributions to the wellness plan are deducted pre-tax, resulting in savings for both the employer and employee. Benefits paid out include claim payments given as flex credits to the employee.
3) Additional wellness program benefits for employees like health screenings, coaching, activities and supplemental benefits like life insurance and accident coverage.
Improve Employee Health & Control Healthcare Costs with Direct Primary Care
Direct Primary Care is providing employers of all sizes substantial cost savings while improving health outcomes. Learn how telemedicine, occupational health, wholesale medications, direct labs and imagining are working in tandem to create a cost effective and proactive healthcare model for employers.
Effective Patient Mobilization Programs
It's National Nurses week . Acute care nurses and other healthcare staff are at high risk of injuries, particularly musculoskeletal disorders, due to intense physical demands of manually lifting and moving patients. In this white paper We discuss effective patient mobilization programs and more.
Recommended
Burnout concerns for medical professions edited
Burnout is a serious issue that affects many in the medical field, especially nurses. It is characterized by emotional exhaustion, low energy, and frustration. It stems from heavy workloads, understaffing, financial burdens, and inconsistent changes within the profession. Burnout leads to poorer patient outcomes and satisfaction as well as increased medical errors. It also negatively impacts nurses' performance, decision-making, and relationships. If left unaddressed, burnout can result in many medical professionals leaving the field, exacerbating staffing shortages and declining care quality within healthcare systems. Strategies such as improved management, workload distribution, and support for staff well-being are needed to combat the effects of burnout.
Ethical and policy factors in care
This document discusses ethical and policy factors related to care coordination. It addresses how government policies like the Affordable Care Act and HIPAA affect care coordination and can create ethical dilemmas. The American Nurses Association has developed a code of ethics to guide nursing practices related to care coordination and emphasizes patient-centered care and collaborative leadership. Social determinants of health like socioeconomic status, education, and environment influence individuals' health outcomes.
CaseManagement
This document summarizes a presentation on case management. It discusses that while there is no universal definition of case management, core components generally involve locating resources, coordinating services, and monitoring care to meet assessed needs. The key requisites of a case manager are experience, strong communication and problem-solving skills, and the ability to coordinate complex care packages. Effective case management provides an organized long-term care framework that aims to improve patient outcomes by streamlining services and reducing emergency admissions.
Defensive medicine effect on costs, quality, and access to healthcare
This document discusses the practice of defensive medicine and its effects. Defensive medicine occurs when doctors order unnecessary tests or procedures in an attempt to reduce malpractice liability. The document finds that defensive medicine increases healthcare costs and can lower quality by leading doctors to avoid high-risk patients or procedures. It also discusses how defensive medicine practices like unnecessary referrals and extra diagnostic tests can limit access to care. The document examines factors that contribute to defensive medicine and its negative impacts on healthcare systems.
Staffing & infections
The document summarizes research that shows a link between nurse staffing levels and patient outcomes. Several studies are cited that demonstrate higher nurse-to-patient ratios are associated with lower hospital infection rates, fewer complications, decreased mortality rates, and better financial performance. The research indicates specific staffing targets, such as a ratio of 1 nurse for every 4 patients, could prevent tens of thousands of patient deaths annually. The evidence consistently shows improved patient outcomes and safety when there are sufficient nursing staff to care for fewer patients per nurse.
IDIC_Health_And_Wellness_Overview
The document describes a participatory wellness program offered to employees. It includes:
1) A self-funded ERISA qualified group health plan integrated with employer-provided insurance that provides wellness services and benefits to offset medical expenses.
2) An example paycheck that shows how employee contributions to the wellness plan are deducted pre-tax, resulting in savings for both the employer and employee. Benefits paid out include claim payments given as flex credits to the employee.
3) Additional wellness program benefits for employees like health screenings, coaching, activities and supplemental benefits like life insurance and accident coverage.
Improve Employee Health & Control Healthcare Costs with Direct Primary Care
Direct Primary Care is providing employers of all sizes substantial cost savings while improving health outcomes. Learn how telemedicine, occupational health, wholesale medications, direct labs and imagining are working in tandem to create a cost effective and proactive healthcare model for employers.
Effective Patient Mobilization Programs
It's National Nurses week . Acute care nurses and other healthcare staff are at high risk of injuries, particularly musculoskeletal disorders, due to intense physical demands of manually lifting and moving patients. In this white paper We discuss effective patient mobilization programs and more.
Effective patient mobilization programs white paper 0517
Details findings from 20 years of experience partnering with healthcare clients to support progressive mobilization
Busi511dussion5
Outpatient care is defined as any health care services that do not require an overnight hospital stay. Key changes shifting the balance between inpatient and outpatient care include reimbursement policies, technological advances, utilization control factors, and social factors. It is important for hospital administrators to regard outpatient care as a key component of their business strategy because the number of inpatient stays are declining. Outpatient services help reduce costs and the survival of hospitals depends on outpatient care services growing to offset declining inpatient revenues.
Using A Nursing Coordination of Care Model
This document discusses a model for coordinating care for patients traveling long distances to an academic medical center. It proposes assigning each patient a "temporary medical home" based on their condition to coordinate all aspects of care during their episode of care. This includes assigning a dedicated nurse to coordinate appointments, financial clearance, and navigation through intake, treatment, discharge and follow up. The goals are to improve patient and provider experience, increase patient volumes and revenue, and support the institution's research mission.
Careers in Medical Assisting
Medical assisting is a fast-growing occupation with good job prospects for those with formal training or certification. Medical assistants perform administrative and clinical tasks in physicians' offices, clinics, hospitals, and other medical facilities. Duties range from simple office work to patient care. Most employers prefer candidates who have completed a one- or two-year medical assisting program. These programs cover topics like anatomy, medical terminology, clinical and lab procedures, and medical office practices. Medical assistants earn between $16,570 and $56,236 annually depending on experience and typically work full-time in medical facilities.
Mason Reiner PAFP Direct Primary Care Discussion
This document discusses launching direct primary care in Greater Philadelphia. It notes that US healthcare spending is over 2.5 times the OECD average and employers are seeking innovative solutions to improve quality and control costs. The document proposes that primary care physicians are uniquely positioned to direct 95% of healthcare spending by providing most needed care conveniently and affordably. It outlines a vision for a scalable direct primary care solution for employers through contracting with independent, high-performing primary care practices to empower patient-physician relationships and break down barriers to primary care through accessibility, convenience, technology, and affordability.
FMCC 2016 Direct Primary Care Breakout by Jay Keese
Direct Primary Care (DPC) is an alternative payment model that involves a monthly retainer paid by an individual, employer, or health plan directly to a physician for primary care and prevention services, replacing traditional fee-for-service billing. DPC practices have been established in 46 states and have shown better outcomes, patient satisfaction, and savings of approximately 20% for employers, exchanges, and Medicaid. Legislation has been passed in 13 states defining DPC as a medical service outside insurance regulation. Additional legislation has been proposed or passed in several other states and at the federal level to further support DPC.
Co-Located or Embedded Case Management Is a Critical Component of Value-Based...
Co-Located or Embedded Case Management Is a Critical Component of Value-Based...TCS Healthcare Technologies
Co-located or embedded case management is a critical component of value-based care. The role of case managers has changed significantly over the past 25 years as the healthcare system has shifted from fee-for-service to value-based. Case managers are now seen as integral members of care teams in primary care offices, hospitals, and other settings. Having case managers embedded directly in these settings, rather than just co-located, has been shown to lead to more successful programs and better patient outcomes. As value-based programs and medical home models have expanded, the need for embedded case managers has grown substantially.Drhatemelbitar (1)MEDICAL CASE MANAGEMENTد حاتم البيطار
The document summarizes a report about the use of embedded case managers in healthcare organizations. It finds that about half of healthcare organizations embed or co-locate case managers at points of care. The report provides metrics and benchmarks on the prevalence and impact of embedded case management programs. It finds that embedded case management results in more efficient care coordination of high-risk patients and those with chronic illnesses. The metrics are derived from a survey of healthcare organizations that currently embed case managers.
Grady final paper
- Grady Memorial Hospital is a large non-profit hospital in Atlanta, Georgia that provides care regardless of patients' ability to pay. It employs over 5,000 people including registered nurses.
- Registered nurses play a key role by maintaining patient health and records, administering medications, monitoring for side effects, and coordinating with healthcare teams on patient care plans. Their job faces challenges like generational differences, technological changes, ethical dilemmas, and legal issues that can lead to stress and turnover.
- Grady proposes to implement a performance management system for nurses to evaluate development, decision-making, and training needs using measures of nurses' behaviors, adaptability, and teamwork abilities gathered from supervisor reports
The future of primary care and implementing workforce innovations (Wessex AHSN)
The future of primary care and implementing workforce innovations (Wessex AHSN)Robert Varnam Coaching
Presentation at Wessex AHSN event "Lifeline for general practice" event in Southampton. Including updates about the national general practice development programme, and tips on making a success of new ways of working.Drhatemelbitar (1)MEDICAL CASE MANAGEMENTد حاتم البيطار
1. The document discusses issues with the current healthcare system including lack of coordination between institutions, dehumanization of care, and rising costs.
2. It introduces case management as a promising solution, defined as a method that aims for continuity of services and quality clinical outcomes through efficient management of available resources for specific clientele.
3. Case management relies on thorough knowledge of client needs, estimating patient stay lengths, and planning coordinated treatment processes to improve care quality while controlling costs.
Drhatemelbitar (3)MEDICAL CASE MANAGEMENTد حاتم البيطار
This document outlines case management guidelines for workers' compensation cases in Oklahoma. It was developed by the Physician Advisory Committee and adopted by the Administrator of the Oklahoma Workers' Compensation Court. The guidelines define case management, describe the benefits and role of case managers, and outline the case management process. They provide criteria for when a case should be referred to case management, including catastrophic injuries, noncompliance with treatment plans, frequent changes in providers, and issues that require in-person evaluation like language barriers. The guidelines are intended to help case managers provide coordinated, quality care to injured workers.
Medical Office Assistant
The document describes a Medical Office Assistant career major offered by Metro Technology Centers that provides 930 hours of training over 6 courses to prepare students for entry-level jobs in health care facilities. The major covers medical terminology, billing, insurance, and administrative skills needed to multi-task and manage health information in computerized medical offices. Upon completion, graduates can expect to earn an average salary of $11/hour in Oklahoma.
Maryellen Race Resume 81214
Maryellen Race has over 20 years of experience as a registered nurse working in various clinical settings including long term care, home health, case management, and insurance. She is currently a Humana Cares Manager working from home where she assesses member needs, guides members to appropriate resources, and works with an interdisciplinary team. Previously she has held roles such as director of nurses, staff nurse, and case manager. She has a bachelor's degree in nursing and certifications in supervision, orthopedics, and EKG.
Can we solve the adult primary care shortage without more physicians?
Tom Bodenheimer,of the Center for Excellence in Primary Care at UCSF Dep’t of Family and Community Medicine talks about addressing the primary care shortage at the 2014 Weitzman Symposium
Drhatemelbitar (4)MEDICAL CASE MANAGEMENTد حاتم البيطار
This document provides an overview of case management programs and evaluations in long-term care. It defines case management as a collaborative process that assesses, plans, implements, coordinates, monitors and evaluates services to meet individual needs. The goals of case management can be client-oriented, such as improving access to services, administrative, such as improving efficiency, or system-oriented, such as promoting a high-quality service system. Common models of case management include traditional models within long-term care, brokerage models, managed care models, and integrated models. Quality is evaluated based on structure, process, and outcomes. Current ongoing evaluations of case management programs seek to assess outcomes and costs. The document concludes that case management shows promise but more
Linking clinical workforce skill mix planning to health and health care dynamics
Linking clinical workforce skill mix planning to health and health care dynamicsIme Asangansi, MD, PhD
Current health workforce planning methods are inadequate for the complexity of the task. Most approaches treat the workforce supply of individual health professions in isolation and avoid quantifying the impact of changes in skills mix, either planned or unplanned. The causes and consequences of task delegation and task substitution between or within health professions is particularly important in handling workforce shortages in developing countries and understanding and planning possible responses to both rapid catastrophic health demands and slower background trends in their social and political environment. As well as the contextual environment, interactions and delays in supplying and balancing health resources and configuring clinical services are required to address the geographic, profession-specific and quality imbalances. These supply side resources include knowledge and research, skills and attitudes of clinicians, buildings and equipment, medications and medical technologies, information and communications technologies and any other methods and models to improve the provision of clinical services. The interaction between demand
and supply could adjust for feedbacks of health services outcomes, policies and governance on population expectations, funding, political and social supports and explicitly link these to clinical workforce supply in a useful, rigorous and relevant tool. The challenge is capture the relevant essence of the dynamic complexity of health and healthcare for this purpose.
Resource allocation
Resource allocation in healthcare involves effectively distributing limited resources to provide quality care to as many patients as possible. There are two main methods of resource allocation: capitation and diagnosis-related groups (DRGs). Capitation involves setting prospective budgets for healthcare providers based on the needs of their patient population. Key considerations in capitation include the total funds available, personal factors like age and disability that affect patients' needs, and the weights given to different need factors. DRGs involve classifying patients based on diagnoses and estimated costs of treatment to group similar patients and set reimbursement amounts. Resource allocation in public hospitals in Bangladesh is currently based on the number of employees and beds, which may not fully consider equity and efficiency principles.
Luke Jensen Resume (1)
Luke Jensen has over 15 years of experience in emergency rooms and medical-surgical units. He currently works as a Flow Supervisor at Kaiser Hospital in Walnut Creek, where he manages patient transport between the emergency department and imaging services. Previously, he has held roles as an ER Technician, Patient Care Technician, and Unit Assistant. He is skilled in areas such as workflow management, team leadership, safety practices, and performance improvement. Jensen is pursuing a Bachelor of Arts in Healthcare Informatics and holds certifications as a Certified Phlebotomy Technician and in Basic Life Support.
Medical Necessity for Child Case Managers[1]
This document provides an overview of medical necessity requirements for child case management services in Maine. It defines key terms like medical necessity and outlines Maine's six criteria for determining medical necessity. The document also summarizes the core case management services that MaineCare reimburses for - assessment, individual service planning, coordination/advocacy, monitoring, and evaluation. Progress notes and documentation must demonstrate how case management activities directly relate to the individual service plan and assessed needs.
1. Describe the role of finance in the healthcare system. The .docx
1. Describe the role of finance in the healthcare system.
The role of finance in the healthcare industry is a major part of all decisions made for an organization. "Of course, the manner of financing healthcare affects how hospitals and physicians are reimbursed for services and hence has a significant influence on healthcare finance" (Gapenski, 2013, P. 5). Managers in the healthcare industry must have an up-to-date knowledge on the fundamentals of financing and be able to improve the finical wellbeing of their organization. Financing for a healthcare organization needs to include accounting and financial management functions to be successful. This allows for the measurements of an organizations financial performance and allows for an assessment of operations. "The primary role of finance in health services organizations, as in all businesses, is to plan for, acquire, and use resources to maximize the efficiency (and value) of the enterprise" (Gapenski, 2013, P. 6).
2. Describe the Diagnosis codes and how they are used, impacting reimbursement.
The International Classification of Diseases (ICD) is the typical resource for designating diseases, signs, symptoms, and external causes of injury (Gapenski, 2013). This resource was published by the World Health Organization (WHO). The application of these codes to diagnoses is technical. Hospital coders must understand the coding system, medical terminology and abbreviations used by clinicians, they must have proper training and experience. Proper reimbursement from third-party payers depends on accurate coding. Coding errors can greatly impact the reimbursement that the provider will receive for the services provided. Implementing proper coding techniques, training and detailed notes/test results in patients' notes can decrease medical coding mistakes in an organization.
3. Describe the features of third-party payers.
Third-party payers are insurers that reimburse health organizations for the health services provided to a patient. They are the major source of revenues for most providers. These organizations help to reduce the financial burden associated with illness and injury. Third-party payers fall into two categories, private insurers (Blue Cross Blue Shield) and public programs (Medicare and Medicaid). Different payment resources depend on what type of category the insurance falls into, if providers are preferred providers, and what services were provided.
A. Private Insurers: Blue Cross Blue Shield is an example of a private insurer. Coverage for specific provider services are covered by paying a monthly monetary fee through a chosen plan.
B. Public Programs: “Government is both a major insurer and a direct provider of healthcare services” (Gapenski, 2013, P. 65). They provide healthcare services directly to qualifying individuals through organizations such as the Department of Veterans Affairs, Department of Defense, and Public Health Departments. They are one of the major insurers in ...
Wellness Program Cost
This document will explain how a comprehensive wellness program works and how much money you should budget in order to have one. If you are ready to kick start health in your organization this is the right place to start.
More Related Content
What's hot
Effective patient mobilization programs white paper 0517
Details findings from 20 years of experience partnering with healthcare clients to support progressive mobilization
Busi511dussion5
Outpatient care is defined as any health care services that do not require an overnight hospital stay. Key changes shifting the balance between inpatient and outpatient care include reimbursement policies, technological advances, utilization control factors, and social factors. It is important for hospital administrators to regard outpatient care as a key component of their business strategy because the number of inpatient stays are declining. Outpatient services help reduce costs and the survival of hospitals depends on outpatient care services growing to offset declining inpatient revenues.
Using A Nursing Coordination of Care Model
This document discusses a model for coordinating care for patients traveling long distances to an academic medical center. It proposes assigning each patient a "temporary medical home" based on their condition to coordinate all aspects of care during their episode of care. This includes assigning a dedicated nurse to coordinate appointments, financial clearance, and navigation through intake, treatment, discharge and follow up. The goals are to improve patient and provider experience, increase patient volumes and revenue, and support the institution's research mission.
Careers in Medical Assisting
Medical assisting is a fast-growing occupation with good job prospects for those with formal training or certification. Medical assistants perform administrative and clinical tasks in physicians' offices, clinics, hospitals, and other medical facilities. Duties range from simple office work to patient care. Most employers prefer candidates who have completed a one- or two-year medical assisting program. These programs cover topics like anatomy, medical terminology, clinical and lab procedures, and medical office practices. Medical assistants earn between $16,570 and $56,236 annually depending on experience and typically work full-time in medical facilities.
Mason Reiner PAFP Direct Primary Care Discussion
This document discusses launching direct primary care in Greater Philadelphia. It notes that US healthcare spending is over 2.5 times the OECD average and employers are seeking innovative solutions to improve quality and control costs. The document proposes that primary care physicians are uniquely positioned to direct 95% of healthcare spending by providing most needed care conveniently and affordably. It outlines a vision for a scalable direct primary care solution for employers through contracting with independent, high-performing primary care practices to empower patient-physician relationships and break down barriers to primary care through accessibility, convenience, technology, and affordability.
FMCC 2016 Direct Primary Care Breakout by Jay Keese
Direct Primary Care (DPC) is an alternative payment model that involves a monthly retainer paid by an individual, employer, or health plan directly to a physician for primary care and prevention services, replacing traditional fee-for-service billing. DPC practices have been established in 46 states and have shown better outcomes, patient satisfaction, and savings of approximately 20% for employers, exchanges, and Medicaid. Legislation has been passed in 13 states defining DPC as a medical service outside insurance regulation. Additional legislation has been proposed or passed in several other states and at the federal level to further support DPC.
Co-Located or Embedded Case Management Is a Critical Component of Value-Based...
Co-Located or Embedded Case Management Is a Critical Component of Value-Based...TCS Healthcare Technologies
Co-located or embedded case management is a critical component of value-based care. The role of case managers has changed significantly over the past 25 years as the healthcare system has shifted from fee-for-service to value-based. Case managers are now seen as integral members of care teams in primary care offices, hospitals, and other settings. Having case managers embedded directly in these settings, rather than just co-located, has been shown to lead to more successful programs and better patient outcomes. As value-based programs and medical home models have expanded, the need for embedded case managers has grown substantially.Drhatemelbitar (1)MEDICAL CASE MANAGEMENTد حاتم البيطار
The document summarizes a report about the use of embedded case managers in healthcare organizations. It finds that about half of healthcare organizations embed or co-locate case managers at points of care. The report provides metrics and benchmarks on the prevalence and impact of embedded case management programs. It finds that embedded case management results in more efficient care coordination of high-risk patients and those with chronic illnesses. The metrics are derived from a survey of healthcare organizations that currently embed case managers.
Grady final paper
- Grady Memorial Hospital is a large non-profit hospital in Atlanta, Georgia that provides care regardless of patients' ability to pay. It employs over 5,000 people including registered nurses.
- Registered nurses play a key role by maintaining patient health and records, administering medications, monitoring for side effects, and coordinating with healthcare teams on patient care plans. Their job faces challenges like generational differences, technological changes, ethical dilemmas, and legal issues that can lead to stress and turnover.
- Grady proposes to implement a performance management system for nurses to evaluate development, decision-making, and training needs using measures of nurses' behaviors, adaptability, and teamwork abilities gathered from supervisor reports
The future of primary care and implementing workforce innovations (Wessex AHSN)
The future of primary care and implementing workforce innovations (Wessex AHSN)Robert Varnam Coaching
Presentation at Wessex AHSN event "Lifeline for general practice" event in Southampton. Including updates about the national general practice development programme, and tips on making a success of new ways of working.Drhatemelbitar (1)MEDICAL CASE MANAGEMENTد حاتم البيطار
1. The document discusses issues with the current healthcare system including lack of coordination between institutions, dehumanization of care, and rising costs.
2. It introduces case management as a promising solution, defined as a method that aims for continuity of services and quality clinical outcomes through efficient management of available resources for specific clientele.
3. Case management relies on thorough knowledge of client needs, estimating patient stay lengths, and planning coordinated treatment processes to improve care quality while controlling costs.
Drhatemelbitar (3)MEDICAL CASE MANAGEMENTد حاتم البيطار
This document outlines case management guidelines for workers' compensation cases in Oklahoma. It was developed by the Physician Advisory Committee and adopted by the Administrator of the Oklahoma Workers' Compensation Court. The guidelines define case management, describe the benefits and role of case managers, and outline the case management process. They provide criteria for when a case should be referred to case management, including catastrophic injuries, noncompliance with treatment plans, frequent changes in providers, and issues that require in-person evaluation like language barriers. The guidelines are intended to help case managers provide coordinated, quality care to injured workers.
Medical Office Assistant
The document describes a Medical Office Assistant career major offered by Metro Technology Centers that provides 930 hours of training over 6 courses to prepare students for entry-level jobs in health care facilities. The major covers medical terminology, billing, insurance, and administrative skills needed to multi-task and manage health information in computerized medical offices. Upon completion, graduates can expect to earn an average salary of $11/hour in Oklahoma.
Maryellen Race Resume 81214
Maryellen Race has over 20 years of experience as a registered nurse working in various clinical settings including long term care, home health, case management, and insurance. She is currently a Humana Cares Manager working from home where she assesses member needs, guides members to appropriate resources, and works with an interdisciplinary team. Previously she has held roles such as director of nurses, staff nurse, and case manager. She has a bachelor's degree in nursing and certifications in supervision, orthopedics, and EKG.
Can we solve the adult primary care shortage without more physicians?
Tom Bodenheimer,of the Center for Excellence in Primary Care at UCSF Dep’t of Family and Community Medicine talks about addressing the primary care shortage at the 2014 Weitzman Symposium
Drhatemelbitar (4)MEDICAL CASE MANAGEMENTد حاتم البيطار
This document provides an overview of case management programs and evaluations in long-term care. It defines case management as a collaborative process that assesses, plans, implements, coordinates, monitors and evaluates services to meet individual needs. The goals of case management can be client-oriented, such as improving access to services, administrative, such as improving efficiency, or system-oriented, such as promoting a high-quality service system. Common models of case management include traditional models within long-term care, brokerage models, managed care models, and integrated models. Quality is evaluated based on structure, process, and outcomes. Current ongoing evaluations of case management programs seek to assess outcomes and costs. The document concludes that case management shows promise but more
Linking clinical workforce skill mix planning to health and health care dynamics
Linking clinical workforce skill mix planning to health and health care dynamicsIme Asangansi, MD, PhD
Current health workforce planning methods are inadequate for the complexity of the task. Most approaches treat the workforce supply of individual health professions in isolation and avoid quantifying the impact of changes in skills mix, either planned or unplanned. The causes and consequences of task delegation and task substitution between or within health professions is particularly important in handling workforce shortages in developing countries and understanding and planning possible responses to both rapid catastrophic health demands and slower background trends in their social and political environment. As well as the contextual environment, interactions and delays in supplying and balancing health resources and configuring clinical services are required to address the geographic, profession-specific and quality imbalances. These supply side resources include knowledge and research, skills and attitudes of clinicians, buildings and equipment, medications and medical technologies, information and communications technologies and any other methods and models to improve the provision of clinical services. The interaction between demand
and supply could adjust for feedbacks of health services outcomes, policies and governance on population expectations, funding, political and social supports and explicitly link these to clinical workforce supply in a useful, rigorous and relevant tool. The challenge is capture the relevant essence of the dynamic complexity of health and healthcare for this purpose.
Resource allocation
Resource allocation in healthcare involves effectively distributing limited resources to provide quality care to as many patients as possible. There are two main methods of resource allocation: capitation and diagnosis-related groups (DRGs). Capitation involves setting prospective budgets for healthcare providers based on the needs of their patient population. Key considerations in capitation include the total funds available, personal factors like age and disability that affect patients' needs, and the weights given to different need factors. DRGs involve classifying patients based on diagnoses and estimated costs of treatment to group similar patients and set reimbursement amounts. Resource allocation in public hospitals in Bangladesh is currently based on the number of employees and beds, which may not fully consider equity and efficiency principles.
Luke Jensen Resume (1)
Luke Jensen has over 15 years of experience in emergency rooms and medical-surgical units. He currently works as a Flow Supervisor at Kaiser Hospital in Walnut Creek, where he manages patient transport between the emergency department and imaging services. Previously, he has held roles as an ER Technician, Patient Care Technician, and Unit Assistant. He is skilled in areas such as workflow management, team leadership, safety practices, and performance improvement. Jensen is pursuing a Bachelor of Arts in Healthcare Informatics and holds certifications as a Certified Phlebotomy Technician and in Basic Life Support.
Medical Necessity for Child Case Managers[1]
This document provides an overview of medical necessity requirements for child case management services in Maine. It defines key terms like medical necessity and outlines Maine's six criteria for determining medical necessity. The document also summarizes the core case management services that MaineCare reimburses for - assessment, individual service planning, coordination/advocacy, monitoring, and evaluation. Progress notes and documentation must demonstrate how case management activities directly relate to the individual service plan and assessed needs.
What's hot (20)
Effective patient mobilization programs white paper 0517
Effective patient mobilization programs white paper 0517
FMCC 2016 Direct Primary Care Breakout by Jay Keese
FMCC 2016 Direct Primary Care Breakout by Jay Keese
Co-Located or Embedded Case Management Is a Critical Component of Value-Based...
Co-Located or Embedded Case Management Is a Critical Component of Value-Based...
Drhatemelbitar (1)MEDICAL CASE MANAGEMENTد حاتم البيطار
Drhatemelbitar (1)MEDICAL CASE MANAGEMENTد حاتم البيطار
The future of primary care and implementing workforce innovations (Wessex AHSN)
The future of primary care and implementing workforce innovations (Wessex AHSN)
Drhatemelbitar (1)MEDICAL CASE MANAGEMENTد حاتم البيطار
Drhatemelbitar (1)MEDICAL CASE MANAGEMENTد حاتم البيطار
Drhatemelbitar (3)MEDICAL CASE MANAGEMENTد حاتم البيطار
Drhatemelbitar (3)MEDICAL CASE MANAGEMENTد حاتم البيطار
Can we solve the adult primary care shortage without more physicians?
Can we solve the adult primary care shortage without more physicians?
Drhatemelbitar (4)MEDICAL CASE MANAGEMENTد حاتم البيطار
Drhatemelbitar (4)MEDICAL CASE MANAGEMENTد حاتم البيطار
Linking clinical workforce skill mix planning to health and health care dynamics
Linking clinical workforce skill mix planning to health and health care dynamics
Similar to Bernacki j occ enviro med
1. Describe the role of finance in the healthcare system. The .docx
1. Describe the role of finance in the healthcare system.
The role of finance in the healthcare industry is a major part of all decisions made for an organization. "Of course, the manner of financing healthcare affects how hospitals and physicians are reimbursed for services and hence has a significant influence on healthcare finance" (Gapenski, 2013, P. 5). Managers in the healthcare industry must have an up-to-date knowledge on the fundamentals of financing and be able to improve the finical wellbeing of their organization. Financing for a healthcare organization needs to include accounting and financial management functions to be successful. This allows for the measurements of an organizations financial performance and allows for an assessment of operations. "The primary role of finance in health services organizations, as in all businesses, is to plan for, acquire, and use resources to maximize the efficiency (and value) of the enterprise" (Gapenski, 2013, P. 6).
2. Describe the Diagnosis codes and how they are used, impacting reimbursement.
The International Classification of Diseases (ICD) is the typical resource for designating diseases, signs, symptoms, and external causes of injury (Gapenski, 2013). This resource was published by the World Health Organization (WHO). The application of these codes to diagnoses is technical. Hospital coders must understand the coding system, medical terminology and abbreviations used by clinicians, they must have proper training and experience. Proper reimbursement from third-party payers depends on accurate coding. Coding errors can greatly impact the reimbursement that the provider will receive for the services provided. Implementing proper coding techniques, training and detailed notes/test results in patients' notes can decrease medical coding mistakes in an organization.
3. Describe the features of third-party payers.
Third-party payers are insurers that reimburse health organizations for the health services provided to a patient. They are the major source of revenues for most providers. These organizations help to reduce the financial burden associated with illness and injury. Third-party payers fall into two categories, private insurers (Blue Cross Blue Shield) and public programs (Medicare and Medicaid). Different payment resources depend on what type of category the insurance falls into, if providers are preferred providers, and what services were provided.
A. Private Insurers: Blue Cross Blue Shield is an example of a private insurer. Coverage for specific provider services are covered by paying a monthly monetary fee through a chosen plan.
B. Public Programs: “Government is both a major insurer and a direct provider of healthcare services” (Gapenski, 2013, P. 65). They provide healthcare services directly to qualifying individuals through organizations such as the Department of Veterans Affairs, Department of Defense, and Public Health Departments. They are one of the major insurers in ...
Wellness Program Cost
This document will explain how a comprehensive wellness program works and how much money you should budget in order to have one. If you are ready to kick start health in your organization this is the right place to start.
An Investigation of the Factors Affecting Capitation Programme in Provision ...
International Journal of Business and Management Invention (IJBMI) is an international journal intended for professionals and researchers in all fields of Business and Management. IJBMI publishes research articles and reviews within the whole field Business and Management, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online
N720PE Final paper p4 p
The document discusses pay for performance (P4P) incentives in healthcare and their impact on quality, cost, and financing. It provides background on quality improvement efforts and defines key concepts like structure, process, and outcomes. It then outlines current legislation and initiatives like the Affordable Care Act that link reimbursement to quality metrics. P4P aims to change how care is delivered and financed to improve outcomes while reducing waste. However, it also impacts providers' finances as payments may decrease for preventable readmissions or hospital-acquired conditions.
Osha white paper-january2012sm
The document discusses injury and illness prevention programs (IIPPs), which are proactive processes that help employers identify and fix workplace hazards before workers get hurt. The key is management leadership, worker participation, hazard identification and control, training, and program evaluation. Studies show IIPPs can dramatically reduce injuries and illnesses, lower costs from insurance and lost productivity, and improve workplace culture. They are required in many countries and 34 US states due to their effectiveness.
Bertus Van Niekerk: Unlocking the True Potential of Integrated Occupational H...
Bertus Van Niekerk: Unlocking the True Potential of Integrated Occupational H...SAMTRAC International
This presentation argues that the value of occupational health and safety, and corporate wellness programmes, can be increased exponentially through an integrated information system. This is accomplished by integrating data collected from a host of standalone safety technologies with an electronic health record, corporate wellness and ERP systems.[White Paper] Patient Engagement ROI
Still struggling to find the monetary value of a strong patient communications program? This white paper maps the advantages and provides evidence about the ROI of using sustained electronic communications to improve patient satisfaction and outcomes.
Alycia AlbersCTUPhase 4 IPHealing Hands Hospital’s Future.docx
Alycia Albers
CTU
Phase 4 IP
Healing Hands Hospital’s Future
Future Health care Trends
Reform Realities:-Pay-for-performance systems are set to be implemented.
IT upgrades:- better care delivery is accompanied by offering patients technology which supports that care.
Involves the introduction of electronic medical records.
It’s now shifting to ORs.
Introducing patients to personalized medicine.
Reform Realities-Pay-for-performance systems are set to be implemented meaning hospitals along with health systems will have to be more accountable than they have been. Every hospital facility has to come up with better strategies of tracking performance and the manner in which it provides its services.
IT upgrades-making better care delivery is accompanied by offering patients technology which supports that care. This has already begun with the introduction of electronic medical records and it’s now shifting to hybrid ORs. Besides, hospitals have to introduce patients to personalized medicine such as using their smart phones in tracking their heart rate and sending the data to their care providers’ mobile devices (In Geisler, In Krabbendam & In Schuring, 2003).
2
Contd.
Billing will shift to value from volume-in future.
New payment mechanisms:-risk sharing, capitation agreement, bundling agreements.
Health systems super-size- consolidation of various health care units.
Billing will shift to value from volume-in future, healthcare systems will have to focus on high quality, improved outcomes, as well as, greater satisfaction. There will be new payment mechanisms which will include risk sharing along with capitation agreement, as well as, bundling agreements.
Health systems super-size-it is projected that as a result of the lower costs, increased efficiencies and better quality; the hospitals, pharmaceutical suppliers, health systems and other participants within the health care are set to consolidate within the next decade. The resultant mega-sized entities are set to cause the end of stand-alone hospitals (Spekowius & Wendler, 2007).
3
Technologies
Telemedicine-is expected to facilitate the delivery of cost effective health care in the coming future.
This is due to the fact that technology is not only cheaper but also much easier to utilize.
Electronic health data evolution- it is now possible to work with outside apps.
The easy accessibility of medical data makes greater the knowledge depth.
Telemedicine-is expected to facilitate the delivery of cost effective health care in the coming future. This is due to the fact that technology is not only cheaper but also much easier to utilize and various options are becoming available for every patient. Medical staff can connect with their patients through the internet by utilizing webcams.
Electronic health data evolution-as health records become electronic, it is now possible to work with outside apps, which play a significant role in cap.
and Quality for APNs Essay Example Paper.docx
The document discusses access, cost, and quality in healthcare environments and recent quality initiatives. It addresses the relationship between quality measures and the role of advanced practice nurses (APNs). Quality measures are used to evaluate healthcare structures and processes and inform stakeholders about performance. APNs must be aware of quality standards and metrics to properly evaluate outcomes and deliver cost-effective, high-quality care. Without effective quality measures, the role of the APN may need to change to ensure adequate access, affordable costs, and good quality of care.
The healthy employee_2011
This document discusses how integrating injury prevention into wellness programs can reduce healthcare costs and boost productivity. It provides two case studies of companies that successfully implemented injury prevention programs. The first company reduced musculoskeletal disorder costs from $2 million to $160k annually by establishing ergonomics processes and measuring risks. The second company coordinated benefits and saw a 40-45% drop in lost time claims through multidisciplinary teams and a phased approach. Overall, the document argues that risk-based, employee-engaged, and measurable injury prevention programs can significantly benefit organizations' costs and productivity when integrated with wellness.
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION,
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, AND PROJECT INSTRUCTIONS
Page | 1
Quality
Nearly fifteen years ago, the Institute of Medicine published the “To Err Is Human” report, which exposed the substantial impact of medical errors in the US healthcare system and called for a dramatic system change, including an improved understanding of those errors (McCarthy, Tuiskula, Driscoll, & Davis, 2017). Medical errors are considered to be failure to achieve the original goal or plan of action, and these errors may range from a patient falls to a mistake in the operating room. Not only do medical errors cause harm to the patient and jeopardize the patient’s trust, but they also cause a financial strain for the health system (“To Err is Human,” 1999). One of the contributing factors to medical errors is the lack of effective communication between doctors who are treating the same patient. This results in healthcare providers overprescribing medications for patients as well as increases the possibility of a patient having unnecessary tests or procedures performed. The report’s four-tiered approach includes:
· Focusing on creating a stronger foundation of education on patient safety
· Mandating a nationwide reporting system to encourage timely reporting of errors
· Increasing the standards of performance for healthcare providers
· Taking advantage of the security that safety systems offer (“To Err is Human,” 1999)
Creating a strong educational foundation for patient safety is most important. Healthcare personnel are much more likely to actively participate in reporting systems, encourage one another to perform at a higher level, and take advantage of safety systems when they are well educated on patient safety and the implications of medical errors. The reporting system seems to provide the least amount of impact on patient safety as they can result in losing patient trust in certain healthcare systems. The healthcare system as a whole has made progress in establishing a safe environment for patients when they are in need of care.
Challenges for Patient Safety and Steps for Improvement
Despite continuing evidence of problems in patient safety and gaps between the care that patients receive and the evidence about what they should receive, efforts to improve quality in healthcare show mostly inconsistent and patchy results.
Tap each image to know more.
Data Collection and Monitoring Systems
This always takes much more time and energy than anyone anticipates. It is worth investing heavily in data from the outset. Assess local systems, train people, and have quality assurance.
Tribalism and Lack of Staff Engagement
Overcoming a perceived lack of ownership and professional or disciplinary boundaries can be very difficult. Clarify who owns the problem and solution, agree roles and responsibilities at the outset, work to common goals, and use shared language.
Convince People That There's a Problem
Use hard data to secure emotional e ...
Read the scenario that you will use for the Individual Projects in ea.pdf
Read the scenario that you will use for the Individual Projects in each week of the course. The
Centers for Medicare and Medicaid Services (CMS) has taken on a more visible role in health
care delivery. Many changes have transpired to improve patient safety along with the
implementation of additional quality metrics, and these changes impact reimbursement rates
Likewise, the Patient Protection and Affordable Care Act has changed the reimbursement fee
structure of Medicare and Medicaid reimbursement for health care services. Other legislation
including the HITECH Act and the Medicare Authorization and CHIP Reactivation Act of 2015
(MACRA) all impact how healthcare organizations receive reimbursement and demonstrate use
of data to improve quality and delivery of patient care Mr. Magone, CEO of Healing Hands
Hospital, has asked you to join the \"Future of Healing Hands Task Force, and your first
assignment is to work with the Hospital Chief Financial Officer, Mr. Johnson, and provide a
summary of the current regulations regarding Medicare reimbursement including how MACR
impact reimbursement if/when Healing Hands coordinates delivery of services by affiliating with
physician practices For this assignment, write a 2-3 page report that you will deliver to Mr.
Magone on how the new CMS initiatives and regulations impact the organization\'s revenue
structure. In your presentation, address the following questions: Why did CMS become more
involved in the reimbursement component of health care? How does CMS\'s involvement impact
the reimbursement model for Healing Hands Hospital and other health care organizations If
CMS reimbursement regulations for Medicare and Medicaid change, does it follow that other
insurance providers change heir policies on reimbursement? What tools can be implemented to
ensure organizations such as Healing Hands Hospital and physician practices are meeting the
policies and procedures set forth by CMS? Identify 3 tools from the CMS Web site that are
helpful in meeting the requirements for Medicare reimbursement set forth by CMS
Solution
Part-a & part-b:
The physician’s work, practice expense, and malpractice, RVU values, CMS (centers for
Medicare and Medicaid services) is required to control overall expenditures in health care
organization. Therefore, CMS become highly involved in the reimbursement component of
health care to patients as per their \"insurance packages\". The CMS\' involvement in “budget
Neutrality” & the reimbursement model at Healing Hand hospital & other health care
organizations is mainly for physician RVU based payments from Medicare & Medicare that can
control its physician costs by adjusting physician payment rates based on “previous periods in a
calendar year” as per federal acts and regulations. The Medicare is going to control physicians
costs according to “medical procedures and medical visits of their record” in a Jan- 1 ending Dec
31. Conversion Factor is main basis to control the physician costs ac.
What is an "Average" Caseload?
How many times have we all heard (or asked) "What is the ‘average’ caseload?" Sounds like a simple question, doesn't it? However, case management programs have struggled for years trying to determine realistic, standard caseloads. People are looking for "a number" that defines the average caseload, but in reality, there is no "magic" number.
Health Care Facility Managers: How to maximize vendor relationships to reach ...
Health Care Facility Managers: How to maximize vendor relationships to reach ...BrennecoFireProtection
Over the past decade, we have seen the role of the facility manager change across multiple industries, but none so much as in health care. The facility managers working in hospitals, assisted living facilities and other health care venues who partner with Brenneco Fire Protection are playing more critical roles and are fulfilling more demanding responsibilities than they were just a few years ago.
“Health Care Facility Managers: How to maximize vendor relationships to reach goals” offers our perspective on the crucial partnerships between facility managers and the outside service providers they hire.
What's Inside:
-Quality and performance goals for facility managers
-8 Search tactics to find a trusted vendor
-How vendors can help you reach your goals including:
-Fire Protection Services
-Electrical
-Plumbing
-HVAC
-Landscaping
-Commercial Insurance
-Temp Labor Provider
-Suppliers
5 best practices for ongoing evaluation
When to look for a new vendor
- See more at: http://brennecofp.com/health-care-facility-managers-guide#sthash.vXsRHBUO.dpufMedicare and Medicaid relate to my practice area as the number of pa.docx
Medicare and Medicaid relate to my practice area as the number of patients signing up for health insurance continues to rise. Medicare was established to help elderly and disabled aged 65 years and above pay their medical costs. Similarly Medicaid is designed to help low-income elderly patients aged 65 and above pay for medical expenses either in nursing homes or other long-term care facilities (Meyers, Durfey, Gadbois, & Thomas, 2019). Medicare is categorized into either Medicare Part A or Part B where Part A covers hospital insurance and Part B covers medical insurance. Medicare Part A is designed to help patients cover costs that arise during hospitalization either during skilled care, home health nursing or home health care. Part B on the other hand, helps patients over costs such as doctor visits, transportation, lab tests, screenings, clinical research and other services that facilitate effective patient diagnosis. Patient older aged 65 and above are often eligible for Medicare Part A if they have worked and paid their Medicare taxes in their early lives. However, for one to be eligible for Part B, other than the level of their income, their ability to pay monthly premiums is also checked. Given as Part B covers more extensive services, patients must be willing to pay these monthly fees. The higher the income the higher the amount of premiums charged.
Medicaid is a more comprehensive health insurance program as it allows eligible patients access to additional services and durable medical equipment. Although Medicare and Medicaid are government programs, each of these are executed differently depending of each state government. The compensation fees or any fees that may arise as a result of using the program depend of independent states. Eligibility also differs according to state as the age requirement alone is not enough. The income limit of $2,349 a month, for instance, dependents on whether the state is medically needy or not(Elmaleh-Sachs & Schneider, 2020). For medically needy state, even patients with an income above the limit may be eligible for Medicaid. Medicaid is designed to cover for additional services after those cleared by Medicare. A patient can therefore qualify for both Medicare and Medicaid simultaneously.
Although states are still resistant to implement Medicaid expansion, the 28 states that have so far adopted the expansion have seen an increase in the number of insured patients. With the expansion, states have seen a decrease in the average amount spent on healthcare. The expansion has also resulted in an increase in Medicaid revenues and created more opportunities for nurses. There is an increased demand for nurses to strike a balance in the increasing patient-nurse ratio. An increase in nurses guarantees reduce workload and ultimately reduced job stress and burn out for nurses (Elmaleh-Sachs & Schneider, 2020). When nurses work in a conducive work environment they are bound to deliver safe and quality care more.
Health insurance and Labor Market in Bangladesh (Animated)
The document discusses the relationship between health insurance and the labor market. It begins with background on labor markets and health insurance. It then discusses how health is a form of human capital and that poor health can lead to lower wages and productivity. Health insurance may increase labor force participation by reducing healthcare costs and uncertainty. The document also provides an overview of health insurance in Bangladesh, noting low coverage rates but growing demand. It concludes by discussing how employer-provided health insurance can incentivize firms to employ more productive workers and substitute hours for additional workers.
Budget
This document proposes a personnel budget for a home care agency for the upcoming calendar year. It details the projected salaries and staffing needs, including registered nurses, therapists, social workers and clerical staff. The total proposed personnel budget is $3,796,148. Variances from the budget could arise from changes in patient volume, reimbursement rates, or staff overtime and turnover. Strategies to address variances include staff education, marketing to increase referrals, and developing new programs to boost revenue.
Effective patient mobilization programs white paper 5-11-2017
A white paper detailing the justification, return on investment and opportunities with enhancing the care delivery in the acute care market.
Data Analysis ....Stepping Towards Achieving Universal Health Coverage(UHC) b...
The document discusses a study on Shasthya Surokhsha Karmasuchi (SSK), a special health care project in Bangladesh aimed at ensuring quality health services without financial hardship. The study aims to assess if SSK can meet universal health coverage requirements and reduce out-of-pocket health expenditures. Interviews were conducted with SSK patients and health providers. Findings indicate SSK successfully eliminates costs for admitted patients but many still face health costs. SSK coverage and services need expansion to better achieve financial protection goals. Challenges include limited treatments covered, scarce resources, and poor infrastructure.
Business Case For Wellness (S)
This document discusses the business case for implementing worksite wellness programs. It finds that such programs can reduce healthcare costs by 26% and lower worker absenteeism and disability costs by 28-30% by encouraging early detection and treatment of diseases. Employees participating in wellness programs average 1.2 fewer days of lost productivity per year compared to non-participating employees. The document advocates for employers to replace a reactive healthcare payment model with proactive wellness screenings and education to improve employee health and productivity over the long term.
Similar to Bernacki j occ enviro med (20)
1. Describe the role of finance in the healthcare system. The .docx
1. Describe the role of finance in the healthcare system. The .docx
An Investigation of the Factors Affecting Capitation Programme in Provision ...
An Investigation of the Factors Affecting Capitation Programme in Provision ...
Bertus Van Niekerk: Unlocking the True Potential of Integrated Occupational H...
Bertus Van Niekerk: Unlocking the True Potential of Integrated Occupational H...
Alycia AlbersCTUPhase 4 IPHealing Hands Hospital’s Future.docx
Alycia AlbersCTUPhase 4 IPHealing Hands Hospital’s Future.docx
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION,
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION,
Read the scenario that you will use for the Individual Projects in ea.pdf
Read the scenario that you will use for the Individual Projects in ea.pdf
Health Care Facility Managers: How to maximize vendor relationships to reach ...
Health Care Facility Managers: How to maximize vendor relationships to reach ...
Medicare and Medicaid relate to my practice area as the number of pa.docx
Medicare and Medicaid relate to my practice area as the number of pa.docx
Health insurance and Labor Market in Bangladesh (Animated)
Health insurance and Labor Market in Bangladesh (Animated)
Effective patient mobilization programs white paper 5-11-2017
Effective patient mobilization programs white paper 5-11-2017
Data Analysis ....Stepping Towards Achieving Universal Health Coverage(UHC) b...
Data Analysis ....Stepping Towards Achieving Universal Health Coverage(UHC) b...
More from Nelson Hendler
Third Party Reporting of Patient Improvement.docx
Reproting of outcome studies is often subjective. This collection of real leterrs, emails, and Facebook posting provides third party documentation and validation of the efficacy of treatment, without the subjective bias of the party doing the treatment.
GIGO Problems With AI.pdf
Johns Hopkins Hospital doctors report that 40%-80% of chronic pain patient are misdiagnosed, and that MRIs and CTs miss pathology 56%-78% of the time, Therefore, during extensive chart reviews of current medical data will produce a classic case of GIGO-garbage in giving garbage out. The need for accurate diagnoses and testing is critical for AI to work.
Top_Down_or_The_Bottom_Up to Save Money.pdf
The article describes the need for a more "granular:" assessment of workers' compensation claims, rather than the typical approach of insurance carriers which average large numbers, which causes the loss of valuable data.
Walmart HR head tells how to save money
The former head of HR for Burger King, British Petroleum, and Walmart, and former Assist. Prof. of Neurosurgery from Johns Hopkins Hospital describe methods to save 54% on workers' compensation using on-line "expert system" questionnaire from Johns Hopkins Hospital doctors
Overlooked diagnoses after auto accidents
40%-80% of auto accident claimants have overlooked diagnoses. The most commonly overlooked are thoracic outlet syndrome, cervical disc damage mistakenly called sprain or whiplash, post-concussion syndrome, slipping rib syndrome, Tietze syndrome and Tempro-mandibular joint syndrome. This article tells readers the clinical sign and symptoms of each and the correct medical tests to use, which are employed by doctors at Johns Hopkins Hospital. It also described an on-line questionnaire at www.DiagnoseThePains.com which gives diagnoses with a 96% correlation with diagnoses of Johns Hopkins Hospital doctors.
Thermography for psychogenic pain
This paper shows how thermography can be used to disprove the misdiagnosis and over used diagnosis of "psychogenic pain." in a group of chronic pain patients.
Alternative treatment for chronic pain
This paper reviews the efficacy or lack of efficacy of biofeedback, acupuncture, hypnosis, and TENS units from controlling chronic pain
Si joint dx and rx
This article reviews the diagnostic criteria and differential diagnosis of sacroiliac joint disorder versus lumbar disc and radiculopathy.
Anatomy and pharmacology of pain
This article outlines the differences between the anatomical and pharmacological differences between acute and chronic pain. This has significant implications for treatment, since they really are separate disorders.
Memory loss benzodiazepines vs narcotics
This study compares the effect of benzodiazepines to narcotics on EEG, memory quotient, and WAIS testing. Valium, Librium, Dalmane and other benzodiazepines produced EEG and cognitive abnormalities in 70% of the patients, while only 30% of patients on narcotics had cognitive impairment.and EEG abnormalities.
Thoracic outlet diagnosis by team
We discuss the value of a multi-disciplinary evaluation for thoracic outlet syndrome and cervical radiculopathy for patients involved in litigation.
Bipolar control with spironolactone
Bi-polar patients who were having side-effects from lithium were given spironolactone to control mood swings. Five the 6 had good control for 1 year. The mechanism of membrane stabilization compared to lithium are discussed.
Emg vs. thermography to diagnose crps and radiculopthy
This large clinical trial (803) patients compares the accuracy of thermography to EMG studies to see which one was a better diagnostic tool for each disorder and the degree of overlap between testing.
Valuable info for orthopedic and neurosurgeons specializing in spinal injuries
Reports from Johns Hopkins Hospital doctors document that 40%-80% of patients labeled as soft tissue injury, whiplash, sprain or strain are misdiagnosed. Use of an Internet expert system provides diagnoses with a 96% correlation with diagnoses of former Johns Hopkins Hospital doctors, resulting in a 192% increase in interventional testing, and a 50%-63% increase in surgery in previously misdiagnosed patients, 93% of whom report good to excellent improvement after surgery. .
Headache diagnostc paradigm from former Johns Hopkins Hospital staff
The medical literature reports that 35%-70% of patients diagnosed with migraine headache do not have this order. The Internet based "expert system" developed by former Johns Hopkins Hospital staff, including the past president of the American Headache Society and American Academy of Pain Management provides an Internet based "expert system" which gives diagnoses with a 94% correlation with diagnosed of these doctors.
Missed Diagnoses association in Rear end collisions
There are a number of overlooked diagnoses which occur after a rear-end accident. This paper shows an attorney how to convert a misdiagnosed 'soft tissue injury case" into damaged cervical disc,TMJ, thoracic outlet syndrome,and post concussion syndrome using a diagnostic paradigm to get diagnoses with a 96% correlation with diagnoses of Johns Hopkins Hospital doctors. This improves patient care and increases recovery.
Medication for pain without opiods
The paper lists the correct method of diagnosing chronic pain, and matching the proper medication to tissue damage without the use of narcotics or opioids.
List of authors of articles
This list is all of the researchers who have published articles on the Pain Validity Test and Diagnostic Paradigm from www.MarylandClinicalDiagnostics.com
List of Authors of Articles
This document lists the authors of articles on the Pain Validity Test and the Diagnostic Paradigm and Treatment Algorithm. It includes current and former physicians, researchers, and administrators from Johns Hopkins University, Helsinki University, Sapienza University of Rome, and other medical institutions. Some authors held roles like department chairs, professors, and organization presidents.
Proctoring Handbook
This is a simplified instruction manual, with screen shots, which will teach staff members how to administer the on-line questionnaires from www.MarylandClinicalDiagnostics.com. It will take any staff member only 15 minutes to review the handbook. Once they have reviewed the handbook, it will take only 5 minutes of staff time to set up a patient to take the tests from www.MarylandClinicalDiagnostics.com
More from Nelson Hendler (20)
Emg vs. thermography to diagnose crps and radiculopthy
Emg vs. thermography to diagnose crps and radiculopthy
Valuable info for orthopedic and neurosurgeons specializing in spinal injuries
Valuable info for orthopedic and neurosurgeons specializing in spinal injuries
Headache diagnostc paradigm from former Johns Hopkins Hospital staff
Headache diagnostc paradigm from former Johns Hopkins Hospital staff
Missed Diagnoses association in Rear end collisions
Missed Diagnoses association in Rear end collisions
Recently uploaded
How to Control Your Asthma Tips by gokuldas hospital.
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
This quiz was conducted as a promotional event for the 2024 Annual Meet of Kerala Chapter of API.
More than 20 participants took part everyday !
Know the difference between Endodontics and Orthodontics.
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
Top Travel Vaccinations in Manchester
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Pharmacology of 5-hydroxytryptamine and Antagonist
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
learning occurs when a stimulus (unconditioned stimulus) eliciting a response (unconditioned response) • is paired with another stimulus (conditioned stimulus)
DECLARATION OF HELSINKI - History and principles
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
une 2024 Oncology Cartoons By Dr Kanhu Charan Patro
How to choose the best dermatologists in Indore.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
CLEAR ALIGNER THERAPY IN ORTHODONTICS .pptx
Dr. ZANAB FARHEEN FAYAZ ,MDS(ORTHODONTICS & DENTOFACIAL ORTHOPEDICS ).
Cervical Disc Arthroplasty ORSI 2024.pptx
Indication and installation of a mobile cervical disc prosthesis. Benefits of the PRODISC C VIVO mobile disc prosthesis (Centinel Spine)
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Do you have abnormal smell after periods? It may be vaginitis. Do not worry, herbal medicine Fuyan Pill can help you get a cure.
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS). Parc Taulí. Sabadell
Recently uploaded (20)
How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Bernacki j occ enviro med
- 1. J Occup Environ Med. 2003 May;45(5):508-16. Ten years' experience using an integrated workers' compensation management system to control workers' compensation costs. Bernacki EJ, Tsai SP. Source Division of Occupational and Environmental Medicine, Department of Medicine, Johns Hopkins School of Medicine, 600 North Wolfe Street, Billings Administration 129, Baltimore, MD 21287-1629, USA. bernacki@jhmi.edu Abstract This work presents 10 years of experience using an Integrated Workers' Compensation Claims Management System that allows safety professionals, adjusters, and selected medical and nursing providers to collaborate in a process of preventing accidents and expeditiously assessing, treating, and returning individuals to productive work. The hallmarks of the program involve patient advocacy and customer service, steerage of injured employees to a small network of physicians, close follow-up, and the continuous dialogue between parties regarding claims management. The integrated claims management system was instituted in fiscal year 1992 servicing a population of approximately 21,000 individuals. The system was periodically refined and by the 2002 fiscal year, 39,000 individuals were managed under this paradigm. The frequency of lost-time and medical claims rate decreased 73% (from 22 per 1000 employees to 6) and 61% (from 155 per 1000 employees to 61), respectively, between fiscal year 1992 and fiscal year 2002. The number of temporary/total days paid per 100 insureds decreased from 163 in fiscal year 1992 to 37 in fiscal year 2002, or 77%. Total workers' compensation expenses including all medical, indemnity and administrative, decreased from $0.81 per $100 of payroll in fiscal year 1992 to $0.37 per $100 of payroll in fiscal year 2002, a 54% decrease. More specifically, medical costs per $100 of payroll decreased 44% (from $0.27 to $0.15), temporary/total, 61% (from $0.18 to $0.07), permanent/partial, 63% (from $0.19 to $0.07) and administrative costs, 48% ($0.16 to $0.09). These data suggests that workers' compensation costs can be reduced over a multi-year period by using a small network of clinically skilled health care providers who address an individual workers' psychological, as well as physical needs and where communication between all parties (e.g., medical care providers, supervisors, and injured employees) is constantly maintained. Furthermore, these results can be obtained in an environment in which the employer pays the full cost of medical care and the claimant has free choice of medical provider at all times.