Last edited by Dait
Sunday, July 26, 2020 | History

1 edition of Optimizing care for clinically complex cases found in the catalog.

Optimizing care for clinically complex cases

Optimizing care for clinically complex cases

leading strategies from progressive programs

  • 347 Want to read
  • 38 Currently reading

Published by The Advisory Board Company in Washington, D.C .
Written in English

    Subjects:
  • Cardiology Service, Hospital,
  • Utilization Review,
  • Professional Review Organizations,
  • Quality Control

  • Edition Notes

    27

    StatementCardiovascular Roundtable
    SeriesCardiac Cost Reform Initiative -- Volume V.
    ContributionsThe Advisory Board Company. Cardiovascular Roundtable
    The Physical Object
    Paginationxvi, 48 p. :
    Number of Pages48
    ID Numbers
    Open LibraryOL22166596M

    SCL Health is an equal opportunity employer. All recruiting, training, and employment decisions are made in accordance with applicable federal, state, and local laws and without regard to race, color, ancestry, national origin, gender, pregnancy, gender identity, sexual orientation, religion, age, disability, handicap, military or veteran status, or any other legally protected status.   How Care Management Strategies Could Reduce Medical Costs Due to a growth in the number of chronic medical conditions around the United States, health payers are working to develop care management.

      High-quality real-world data is a cornerstone of clinical decision-making today. Evidence from ACC's NCDR registries provides the answers you need to deliver patient-centered care – fine-tuning care for the patient in front of you. Here we bring you a roundup of evidence from analyses using data from two of the 10 registries. The management of PI patients on IgG therapy is extremely complex, and there are various immunoglobulin formulations/delivery systems with different risk/benefit profiles that must be individualized for diverse PI patients. Thus, this activity endeavors to increase the knowledge and competence of PCPs, internists, and other practitioners regarding the diagnosis and treatment of PI in .

    Optimizing Care Management Through Whole-Person Care many payers’ strategies are informed by clinical and claims data only, limiting their ability to address the full spectrum of member needs. which can alert care managers to book multiple provider appointments for a member in one day versus multiple round-trips across several days. 11 hours ago  The company works with leading health plans, provider systems and self-insured employers to optimize care decisions and improve the management of complex populations across complex care networks.


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Optimizing care for clinically complex cases Download PDF EPUB FB2

Complex Care Management Guidelines 2 INTRODUCTION This document is a guide to help you prepare, refine, and train for the complex care management of individuals with multiple chronic conditions, limited functional status, and/or psychosocial needs. There are links or website references to numerous resources and tools that can be adapted.

Patients are more complex. The aging of the primary care population coupled with better disease prevention and treatment efficacy means that more patients are living longer with multiple comorbidities that require complicated medical regimens.

1 By there will be an estimated million Americans with one or more chronic conditions. 2 Patients with multiple chronic conditions have Cited by: Optimizing Care for Young Children with Special Health Care Needs provides a good basic summary of current policies and research related to caring for children with special healthcare needs, but it cannot give in depth coverage of the many complex issues caregivers and providers face.

Written from both the parental and provider perspective, it. Optimizing care for clinically complex cases book to define complex clinical conditions in in recent years, it has begun to apply for optimizing clinical processes.

including as-is and to-be PM, in a case study from a health care. Complexity can be related both to the case (medical complexity) and to the coordination of processes. Patients with multimorbidity, or multiple chronic conditions, and super-utilizers, or frequent users of high-cost services, are examples of complex cases.

Such cases inherently involve many persons and/or activities in care of the by: 3. The introduction of the concept of the complex patient in the s gradually transformed the way healthcare providers: (i) understand and assign meaning in clinical situations, (ii) categorize certain patients who present certain characteristics and needs, (iii) engage with these patients, and (iv) organize their care.

What is team-based care. The definition of “team-based care” for all care settings that is most widely accepted and consistent with the World Health Organization principles of primary health care and inclusive of the six IOM aims for improvement is as follows.

The provision of comprehensive health services to individuals, families, and/or their communities by at least two health. ClinicalBox has significantly enhanced how we manage surgical episodes of care. ClinicalBox's software analyzes clinical data, notes, and labs to identify the riskiest patients.

Patient safety is achieved by medical optimization. Also by robust, objective and reproducible risk stratification. Cancellations are reduced by care coordination. The Complex Care Management Impactability ScoreTM encapsulates those learnings for the context of intelligently deploying care management teams to outreach to patients with complex care needs, supporting those patients with an individualized care plan, and optimizing return on investment in the face of limited care management resources.

Foreword Providing basic health care is the most effective means of protecting the health of women and children. However, the Mother and Child health issues present a complex scen. Introduction Patients with complex care needs (PCCNs) often suffer from combinations of multiple chronic conditions, mental health problems, drug interactions and social vulnerability, which can lead to healthcare services overuse, underuse or misuse.

Typically, PCCNs face interactional issues and unmet decisional needs regarding possible options in a cascade of interrelated decisions. Operational Excellence can optimize care processes and create more value for each patient with the same resources. are examples of complex cases.

standards may exist in the form of clinical. Complex Care Management | April 1 Introduction The following document is a guide to improving and implementing a complex care management program for individuals with multiple chronic conditions, limited functional status, and psychosocial needs, who account for a disproportionate share of health care costs and utilization.

This toolkit. Pharmacy case studies aren't always easy. If they were, every student would turn professional overnight That's why we've developed 50+ pharmacy case studies for pharmacy students - helping you become a practice-ready pharmacist and pass your next clinical exam - whether it be NAPELX, NCLEX or other clinical.

‘If you study best by reading through clinical cases, then this book is definitely for you. It has clinical cases of various medical conditions (well, of them!) and breaks it down into a way that is useful for OSCEs and PACES.

It provides the salient features of the specific condition (e.g. what specific points to elicit from the history Reviews: 7.

Case Studies in Primary Care: A Day in the Office, 2nd Edition includes 50 case studies on the most commonly encountered situations in primary care.

Demonstrating the kinds of health problems that a Nurse Practitioner or Physician Assistant might see during a typical clinical day, case studies cover patients from various cultures and all ages. Speaker: Toni Cesta, Toni G. Cesta, Ph.D., RN, FAAN is Partner and Health Care Consultant in Case Management Concepts, LLC, a consulting company which assists institutions in designing, implementing and evaluating acute care and community case management models, new documentation systems, and other strategies for improving care and reducing cost.

Perhaps the best alternative is a carefully crafted patient case designed to stimulate the clinical approach and the decision-making process. In an attempt to achieve that goal, we have constructed a collection of clinical vignettes to teach diagnostic or therapeutic approaches relevant to critical care.

Optum Complex Case Management Program Optum offers a Complex Case Management program for members who could be helped through more intensive coordination of services.

This program is intended to help members with complex behavioral health conditions connect. 1. Introduction. Failed back surgery syndrome (FBSS) is a subcategory of a broader group of pain conditions referred to as chronic back and leg pain (CBLP) [].The majority of published definitions for FBSS include new, recurrent, or persistent pain in the back and/or legs following spinal surgery [2–8], with an incidence estimated to be around 20% in the most recent publications on this.

“Synergy for Clinical Excellence – The AACN Synergy Model for Patient Care,” 2nd ed. — Sonya Hardin and Roberta Kaplow’s book provides a detailed analysis with case examples for each of the Synergy Model’s eight patient characteristics and eight nurse competencies, as well as examples of the model’s broader applications.Resource-strapped CDI programs find themselves having to target cases based on payor type, leaving hospitals unable to ensure that all complex cases get through CDI review.

In many organizations, Medicare fee-for-service, Medicare Advantage and Medicaid cases take priority, leaving commercial health plan cases underrepresented. This volume is filled with illustrative case examples that point to ways to work with medication and medication issues in a clinically skillful way.

Providing just the right amount of detail, the authors discuss the most appropriate medications for each of the most common mental health syndromes, as well as their typical side s: 2.