Concurrent Review: Review of the medical necessity of hospital or other health facility admissions, upon or within a short time following an admission, and periodic review of services provided during the course of treatment.Job Satisfaction: Personal satisfaction relative to the work situation.Job Description: Statement of the position requirements, qualifications for the position, wage range, and any special conditions expected of the employee.Internet: A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.User-Computer Interface: The portion of an interactive computer program that issues messages to and receives commands from a user.Job Application: Process of applying for employment. It includes written application for employment or personal appearance.Occupational Diseases: Diseases caused by factors involved in one's employment.Workplace: Place or physical location of work or employment.Urethritis: Inflammation involving the URETHRA. Similar to CYSTITIS, clinical symptoms range from vague discomfort to painful urination (DYSURIA), urethral discharge, or both.ConjunctivitisConjunctivitis, Bacterial: Purulent infections of the conjunctiva by several species of gram-negative, gram-positive, or acid-fast organisms. Some of the more commonly found genera causing conjunctival infections are Haemophilus, Streptococcus, Neisseria, and Chlamydia.Adenoviruses, Human: Species of the genus MASTADENOVIRUS, causing a wide range of diseases in humans. Infections are mostly asymptomatic, but can be associated with diseases of the respiratory, ocular, and gastrointestinal systems. Serotypes (named with Arabic numbers) have been grouped into species designated Human adenovirus A-F.Adenovirus Infections, Human: Respiratory and conjunctival infections caused by 33 identified serotypes of human adenoviruses.Adenoviridae Infections: Virus diseases caused by the ADENOVIRIDAE.Conjunctivitis, Allergic: Conjunctivitis due to hypersensitivity to various allergens.Burial: The act or ceremony of putting a corpse into the ground or a vault, or into the sea; or the inurnment of CREMAINS.Th2 Cells: Subset of helper-inducer T-lymphocytes which synthesize and secrete the interleukins IL-4, IL-5, IL-6, and IL-10. These cytokines influence B-cell development and antibody production as well as augmenting humoral responses.Th1 Cells: Subset of helper-inducer T-lymphocytes which synthesize and secrete interleukin-2, gamma-interferon, and interleukin-12. Due to their ability to kill antigen-presenting cells and their lymphokine-mediated effector activity, Th1 cells are associated with vigorous delayed-type hypersensitivity reactions.Consensus: General agreement or collective opinion; the judgment arrived at by most of those concerned.Seizures, Febrile: Seizures that occur during a febrile episode. It is a common condition, affecting 2-5% of children aged 3 months to five years. An autosomal dominant pattern of inheritance has been identified in some families. The majority are simple febrile seizures (generally defined as generalized onset, single seizures with a duration of less than 30 minutes). Complex febrile seizures are characterized by focal onset, duration greater than 30 minutes, and/or more than one seizure in a 24 hour period. The likelihood of developing epilepsy (i.e., a nonfebrile seizure disorder) following simple febrile seizures is low. Complex febrile seizures are associated with a moderately increased incidence of epilepsy. (From Menkes, Textbook of Child Neurology, 5th ed, p784)Th17 Cells: Subset of helper-effector T-lymphocytes which synthesize and secrete IL-17, IL-17F, and IL-22. These cytokines are involved in host defenses and tissue inflammation in autoimmune diseases.Consensus Sequence: A theoretical representative nucleotide or amino acid sequence in which each nucleotide or amino acid is the one which occurs most frequently at that site in the different sequences which occur in nature. The phrase also refers to an actual sequence which approximates the theoretical consensus. A known CONSERVED SEQUENCE set is represented by a consensus sequence. Commonly observed supersecondary protein structures (AMINO ACID MOTIFS) are often formed by conserved sequences.Employment: The state of being engaged in an activity or service for wages or salary.Employment, Supported: Paid work for mentally or physically disabled persons, taking place in regular or normal work settings. It may be competitive employment (work that pays minimum wage) or employment with subminimal wages in individualized or group placement situations. It is intended for persons with severe disabilities who require a range of support services to maintain employment. Supported employment differs from SHELTERED WORKSHOPS in that work in the latter takes place in a controlled working environment. Federal regulations are authorized and administered by the U.S. Department of Education, Office of Special Education and Rehabilitative Services.Career Choice: Selection of a type of occupation or profession.Career Mobility: The upward or downward mobility in an occupation or the change from one occupation to another.Rehabilitation, Vocational: Training of the mentally or physically disabled in work skills so they may be returned to regular employment utilizing these skills.Unemployment: The state of not being engaged in a gainful occupation.Nurse Clinicians: Registered nurses who hold Master's degrees in nursing with an emphasis in clinical nursing and who function independently in coordinating plans for patient care.Nurses: Professionals qualified by graduation from an accredited school of nursing and by passage of a national licensing examination to practice nursing. They provide services to patients requiring assistance in recovering or maintaining their physical or mental health.Specialties, Nursing: Various branches of nursing practice limited to specialized areas.Nursing, Practical: The practice of nursing by licensed, non-registered persons qualified to provide routine care to the sick.Directive Counseling: Counseling during which a professional plays an active role in a client's or patient's decision making by offering advice, guidance, and/or recommendations.Clinical Nursing Research: Research carried out by nurses in the clinical setting and designed to provide information that will help improve patient care. Other professional staff may also participate in the research.Libraries, NursingTheft: Unlawful act of taking property.Eating Disorders: A group of disorders characterized by physiological and psychological disturbances in appetite or food intake.Practice Guidelines as Topic: Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.Critical Pathways: Schedules of medical and nursing procedures, including diagnostic tests, medications, and consultations designed to effect an efficient, coordinated program of treatment. (From Mosby's Medical, Nursing & Allied Health Dictionary, 4th ed)Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Pediatrics: A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.United StatesBuffaloes: Ruminants of the family Bovidae consisting of Bubalus arnee and Syncerus caffer. This concept is differentiated from BISON, which refers to Bison bison and Bison bonasus.Physician Executives: Physicians who serve in a medical and administrative capacity as head of an organized medical staff and who also may serve as liaison for the medical staff with the administration and governing board.Patient Admission: The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.Administrative Personnel: Individuals responsible for the development of policy and supervision of the execution of plans and functional operations.Total Quality Management: The application of industrial management practice to systematically maintain and improve organization-wide performance. Effectiveness and success are determined and assessed by quantitative quality measures.Quality Control: A system for verifying and maintaining a desired level of quality in a product or process by careful planning, use of proper equipment, continued inspection, and corrective action as required. (Random House Unabridged Dictionary, 2d ed)Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Management Quality Circles: Participation of employees with management as a labor-management team, in decisions pertaining to the operational activities of the organization or industry.Laboratories: Facilities equipped to carry out investigative procedures.Hospital Administration: Management of the internal organization of the hospital.Accreditation: Certification as complying with a standard set by non-governmental organizations, applied for by institutions, programs, and facilities on a voluntary basis.

Effects of health care cost-containment programs on patterns of care and readmissions among children and adolescents. (1/21)

OBJECTIVES: This study examined the effects of a utilization management program on patterns of medical care among children and adolescents. METHODS: From 1989 through 1993, the program conducted 8568 reviews of pediatric patients, ranging in age from birth to 18 years. The program used preadmission and concurrent review procedures to review and certify patients' need for care. This study used multivariate analyses to assess changes in the number of days of inpatient care approved by the program and to determine whether limitations imposed on length of stay affected the risk of 60-day readmission. RESULTS: Concurrent review reduced the number of requested days of inpatient care by 3.2 days per patient. Low-birthweight infants and adolescent patients with depression or alcohol or drug dependence accounted for a disproportionate share of the reduction. Patients classified as admitted for medical or mental health care and whose stay was restricted by concurrent review were more likely (P < .05) to be readmitted within 60 days after discharge. CONCLUSIONS: By limiting care through its review procedures, the utilization management program decreased inpatient resource consumption but also increased the risk of readmission for some patients. Continued investigation should be conducted of the effects of cost-containment programs on the quality of care given to children and adolescents, especially in the area of mental health.  (+info)

The impact of utilization management on readmissions among patients with cardiovascular disease. (2/21)

OBJECTIVE: To determine if prospective utilization reviews that lead to reduced hospital length of stay (LOS) relative to days requested by an attending physician affect the likelihood of readmission for privately insured patients with cardiovascular disease. DATA SOURCES: Data obtained from a private insurance company on utilization management decisions from 1989 through 1993. During this five-year period, 39,117 inpatient reviews were conducted, 4,326 (11.1 percent) on patients with cardiovascular disease. We selected for analysis all 4,326 reviews performed on patients with cardiovascular disease. STUDY DESIGN: We used proportional hazard analysis (Cox regression) to investigate the relationship between LOS reductions relative to days requested by a patient's attending physician and the likelihood of readmission within 60 days of discharge. Separate analyses were performed for medical and procedural admissions. PRINCIPAL FINDINGS: There were 2,813 requests for medical admission, and 1,513 requests for procedural admission. Requests for admission were rarely denied. Length of stay was reduced relative to that requested by the treating physician for 17 percent and 19 percent of medical and procedural admissions, respectively. Cumulative 60-day readmission rates were 9.5 percent for medical admissions and 12.3 percent for procedural admissions. We found no relationship between LOS reduction and the likelihood of readmission for medical admissions. However, patients admitted for procedures who had their length of stay reduced by two or more days were 2.6 times as likely to be readmitted within 60 days as those who had no reduction in their length of stay (95% CI: 1.3-5.1; p < .005). CONCLUSIONS: Utilization management (UM) rarely denies requests for inpatient treatment of cardiovascular disease. The association between LOS reduction and the likelihood of readmission for patients admitted for cardiovascular procedures raises concern that UM may adversely affect clinical outcome for some patients. Further research is needed to definitively elucidate any relationship that might exist between utilization review decisions and quality of care.  (+info)

Underutilization of acute care settings in a tertiary care hospital. (3/21)

OBJECTIVE: To estimate underutilization of acute care settings in a tertiary care hospital. DESIGN: A retrospective and concurrent cohort study using chart reviews and the Intensity of service, Severity of illness, Discharge screen for Acute Care (ISD-AC(R)) tool to measure appropriateness of acute care for patients who were receiving care in a less acute setting, as an indicator of underutilization. SETTING: A 450-bed tertiary care teaching hospital. STUDY PARTICIPANTS: Patients discharged from the emergency department, patients discharged from acute care inpatient units and patients in acute, non-critical care settings. INTERVENTIONS: None. MAIN OUTCOME MEASURES: The percentage of patients discharged from the emergency department who did not meet the criteria for acute care discharge screens; the percentage of patients discharged from an acute care inpatient unit who did not meet the criteria for discharge screens; and the percentage of patients who were in acute, non-critical care beds and who met the criteria for critical care. RESULTS: It was found that six out of 168 patients [3.57%; 95% confidence interval (CI), 1.32-7.61%] did not meet the discharge screens at the time of discharge from the emergency department. Four out of 156 patients (2.56%; 95% CI, 0.70-6.43%) did not meet the discharge screens at the time of discharge from an acute care inpatient service and two out of 156 acute care patients (1.33%; 95% CI, 0.02-4.73%) who were in non-critical care beds met the criteria for critical care. CONCLUSION: These findings of underutilization may help to quantitate an unmet need in health care.  (+info)

To stay or not to stay. The assessment of appropriate hospital stay: a Dutch report. (4/21)

OBJECTIVE: To adjust the adult-medical Appropriateness Evaluation Protocol (AEP) into a valid and reliable instrument for use in the Dutch health care system, to assess the appropriateness of hospital stay and to identify the causes of inappropriateness. DESIGN: The appropriateness of hospital stay was assessed in a cross-sectional survey on a sample of over 4500 days of stay using a modified, Dutch version of the Appropriateness Evaluation Protocol (D-AEP). SETTING: The appropriateness of stay was assessed in five internal and surgical departments for adult acute care in the University Hospital of Maastricht, a 700-bed hospital with a teaching and regional function, located in the southern part of the Netherlands. RESULTS: The results showed that over 20% of the hospital stay was inappropriate. Half of the inappropriate hospital stay (45.1%) was due to (internal) hospital procedures. The D-AEP proved to be valid (kappa = 0.76; 95% confidence interval (95% CI) 0.68-0.84), reliable (kappa = 0.84; 95% CI 0.75-0.93) and easy to use. CONCLUSION: A substantial proportion of hospital stay was found to be inappropriate, due to hospital procedures and the inability to refer patients to other care facilities or care providers. The D-AEP can be used for monitoring the appropriate hospital stay and in detecting possible causes of inappropriate stay. Analysis of the causes of inappropriate hospital stay provided useful data for improvement actions.  (+info)

Back to the drawing board: new directions in health plans' care management strategies. (5/21)

The backlash against managed care has pressured health plans to reexamine their approaches to controlling utilization and managing their members' health care needs, but how much has really changed? Interviews with health plans and others in twelve nationally representative markets suggest that the changes are significant. New and refined disease management programs are improving the care experience of participants with certain prevalent chronic illnesses, while utilization management changes are reducing the administrative burden for providers. Still, disease management programs will need to greatly expand in scope and scale if plans are to succeed in addressing the complex health care needs of aging populations and those with chronic diseases.  (+info)

Methodology to improve data quality from chart review in the managed care setting. (6/21)

BACKGROUND: Because inherent variability may exist in data collected by multiple reviewers or from potential difficulties with data abstraction tools, we developed a standardized method of evaluating interrater reliability (IRR) for clinical studies, HEDIS effectiveness of care measures, and onsite/medical record reviews. OBJECTIVE: To demonstrate the ability of our standardized methods of data collection and analysis of results to determine the extent of agreement between multiple reviewers; identify areas for improvement in data collection procedures; and improve data reliability. STUDY DESIGN: A prospective chart review with concurrent IRR. METHODS: A subsample of patient records included in the Highmark Blue Cross Blue Shield/Keystone Health Plan West basic medical review for each HEDIS measure was selected for the IRR study. An experienced nurse ("gold standard") conducted a blinded concurrent review of these records. Using the kappa statistic (kappa) we evaluated interobserver agreement between results of the onsite reviewers and the "gold standard" from 1997 through 2000. Revised data collection methods and enhanced reviewer training were incorporated for measures showing areas for rater improvement. RESULTS: Results across years showed excellent IRR for most measures; however, each year 1 or 2 measures showed areas for rater improvement (1997 Papanicolaou kappa = 0.50; 1998 well-child visits 3 to 6 years kappa = 0.37; 1999 comprehensive diabetes kappa = 0.73; high blood pressure kappa = 0.73). After reevaluating these measures, the results of the kappa showed excellent interrater agreement in subsequent years. CONCLUSIONS: Standardized methods of data collection and evaluation of IRR results provides health plans increased confidence in data collection, statistical analyses, and in reaching conclusions and deriving relevant recommendations.  (+info)

Diagnostic cost groups (DCGs) and concurrent utilization among patients with substance abuse disorders. (7/21)

OBJECTIVE: To assess the performance of Diagnostic Cost Groups (DCGs) in explaining variation in concurrent utilization for a defined subgroup, patients with substance abuse (SA) disorders, within the Department of Veterans Affairs (VA). DATA SOURCES: A 60 percent random sample of veterans who used health care services during Fiscal Year (FY) 1997 was obtained from VA administrative databases. Patients with SA disorders (13.3 percent) were identified from primary and secondary ICD-9-CM diagnosis codes. STUDY DESIGN: Concurrent risk adjustment models were fitted and tested using the DCG/HCC model. Three outcome measures were defined: (1) "service days" (the sum of a patient's inpatient and outpatient visit days), (2) mental health/substance abuse (MH/SA) service days, and (3) ambulatory provider encounters. To improve model performance, we ran three DCG/HCC models with additional indicators for patients with SA disorders. DATA COLLECTION: To create a single file of veterans who used health care services in FY 1997, we merged records from all VA inpatient and outpatient files. PRINCIPAL FINDINGS: Adding indicators for patients with mild/moderate SA disorders did not appreciably improve the R-squares for any of the outcome measures. When indicators were added for patients with severe SA who were in the most costly category, the explanatory ability of the models was modestly improved for all three outcomes. CONCLUSIONS: Modifying the DCG/HCC model with additional markers for SA modestly improved homogeneity and model prediction. Because considerable variation still remained after modeling, we conclude that health care systems should evaluate "off-the-shelf" risk adjustment systems before applying them to their own populations.  (+info)

Profiling resource use: do different outcomes affect assessments of provider efficiency? (8/21)

OBJECTIVES: To examine whether 2 outcome measures result in different assessments of efficiency across 22 service networks within the Department of Veterans Affairs (VA). STUDY DESIGN: A retrospective analysis using VA inpatient and outpatient administrative databases. METHODS: A 60% random sample of veterans who used healthcare services during fiscal year 1997 was split into a 40% sample (n = 1,046,803) for development and a 20% sample (n = 524,461) for validation. Weighted concurrent case-mix models using adjusted clinical groups were developed to explain variation in 2 outcomes: "days of care"--the sum of a patient's inpatient and outpatient annual visit days, and "average accounting costs"--the sum of the average service costs multiplied by the units of service for each patient. Two profiling indicators were calculated for each outcome: an unadjusted efficiency index and an adjusted efficiency index. These indices were compared to examine network efficiency. RESULTS: Although about half the networks were identified as "efficient" before and after case-mix adjustment, assessments of individual network efficiency were affected by the adjustment. The 2 outcomes differed on which networks were efficient. For example, 4 networks that appeared as efficient based on days of care appeared as inefficient based on average costs. CONCLUSIONS: Assessments of provider efficiency across the 22 networks depended on the outcome measure used. Knowledge about the extent to which assessments of provider efficiency depend on the outcome measure used is an important step toward improved and more equitable comparisons across providers.  (+info)

*Utilization management

It also covers proactive processes, such as concurrent clinical reviews and peer reviews as well as appeals introduced by the ... Concurrent review is carried out during and as part of the clinical workflow, and supports point of care decisions. The focus ... Concurrent review may include a case-management function that includes coordinating and planning for a safe discharge or ... O. Olakunle, B. Iskla and K. Williams, "Concurrent Utilization Review: Getting It Right," The Physician Executive Journal, Vols ...

*Roger Williams Medical Center

This approval followed a concurrent review and approval by the Rhode Island Department of Health. CharterCARE Health Partners, ... The Quality Assurance Review Center (QARC) was housed at the RWMC until 2003. In the midst of one of the city's oldest ... Roger Williams Medical Center Quality Assurance Review Center http://www.bumc.bu.edu/busm/BUSM-About.html Coordinates: 41°50′ ...

*Water Resources Reform and Development Act of 2013

... "project delivery by eliminating duplicative studies and requiring concurrent reviews, and streamlining environmental reviews." ... If passed, the bill would set up a Congressional review process for approving projects, instead of letting the Army Corps of ...

*Health insurance

This determination may be made either prior to or after hospital admission (concurrent utilization review). There are different ... If still required, the Fiduciary's decision can be brought to the USDOL to review for ERISA compliance, and then file a lawsuit ... International Social Security Review. 58 (1): 45-64. doi:10.1111/j.1468-246x.2005.00209.x. Retrieved 10 March 2013. Initially ... The services offered are usually at the discretion of a utilization review nurse who is often contracted through the managed ...

*Canadian Senate expenses scandal

The period of review was April 2011 to September 30, 2012 in keeping with the concurrent review of Brazeau's expenses which had ... The Senate chose not to conduct an internal review of Harb's expenses due to "experience in conducting one claims review ... and for Wallin the review period was January 1, 2009 to September 30, 2012. During the Deloitte review periods, the Senate ... The review period was April 2011 when Brazeau began to claim living expenses to September 30, 2012, the last date for which ...

*American Society of Civil Engineers

Its recommendations in this area was for programs to require concurrent reviews by project stakeholders managing design codes ( ... requested that ASCE create an expert review panel to peer review the Corps-sponsored Interagency Performance Evaluation Task ... ASCE provides peer reviews at the request of public agencies and projects as a "means to improve the management and quality of ... The expert panel´s role was to provide an independent technical review of the IPET's activities and findings, as stated at a ...

*Directorate General of Hydrocarbons

Technical and financial evaluation and review of development plans of commercial discoveries Concurrent review of reservoir ... Processing and review of all the PEL and ML cases for the Ministry. Review of work programme and budget of all exploration ... Review exploration programmes of companies for adequacy Half yearly review of work programmes in Petroleum Exploration Licence ...

*List of MeSH codes (N05)

... utilization review MeSH N05.700.900.200 --- concurrent review MeSH N05.700.900.300 --- drug utilization review MeSH N05.715.350 ... ethical review MeSH N05.350.250.200 --- ethics consultation MeSH N05.350.262 --- ethicists MeSH N05.350.268 --- ethics ... professional review organizations MeSH N05.700.685 --- professional staff committees MeSH N05.700.685.149 --- clinical trials ...

*List of MeSH codes (N04)

... utilization review MeSH N04.761.879.200 --- concurrent review MeSH N04.761.879.300 --- drug utilization review. ... peer review, health care MeSH N04.761.673 --- professional review organizations MeSH N04.761.685 --- program evaluation MeSH ... drug utilization review MeSH N04.452.718 --- planning techniques MeSH N04.452.758 --- professional practice MeSH N04.452. ...

*SENER

3D walk-through design review, concurrent engineering), links with production equipment, interfaces to management systems and ... The system runs on Windows workstations connected through LAN or WAN, permitting a fully interactive and concurrent definition ...

*Peerage of Science

Journals participating in Peerage of Science's The Select -option have concurrent access to all peer review processes. Editors ... one for each stage of the peer review process: Deadline for sending peer reviews Deadline for peer-review-of-peer-review, the ... In both cases, the same peer reviews are used by several journals, instead of being discarded at the event of rejection from ... Peerage of Science provides scientific peer review and publishing service. The company was founded in 2011 by the scientists ...

*Judicial review in Canada

The Federal Courts Act, and the concurrent Federal Courts Rules govern any application for judicial review in Federal Court. ... The standard of review is the degree of intensity that the courts use on an application for judicial review. Courts have always ... For information about review of judicial decisions see Appeal. In Canada, judicial review is the process that allows courts to ... Judicial review of administrative actions is a controversial part of Canadian law. Proponents of judicial review argue that it ...

*Appellate jurisdiction

Original jurisdiction Court of last resort Court of first instance Judicial review Exclusive jurisdiction Concurrent ... The appellate court reviews issues of law de novo (anew, no deference) and may reverse or modify the lower court's decision if ... Depending on the type of case and the decision below, appellate review primarily consists of: an entirely new hearing (a non ... Under its standard of review, an appellate court decides the extent of the deference it would give to the lower court's ...

*Attention

Salvucci, D D.; Taatgen, NA (2008). "Threaded cognition: An integrated theory of concurrent multitasking". Psychological Review ... In a 2007 review, Knudsen describes a more general model which identifies four core processes of attention, with working memory ... Posner, M. I.; Petersen, S. E. (1990). "The attention system of the human brain" (PDF). Annual Review of Neuroscience. 13 (1): ... Brown, ID; Tickner, AH; Simmonds, DC (1969). "Interference between concurrent tasks of driving and telephoning". Journal of ...

*Muir-Torre syndrome

... : a case report of a patient with concurrent jejunal and ureteral cancer and a review of the literature. J ... Okan G, Vural P, Ince U, Yazar A, Uras C, Saruc M (August 2012). "Muir-Torre syndrome: a case report and review of the ... A case report and review of the literature". Surg Neurol Int. 4 (52): 52. doi:10.4103/2152-7806.110512. Orta L, Klimstra DS, ...

*ACT-R

Psychological Review, 111(4). 1036-1060 Anderson, J. R. (2007). How can the human mind occur in the physical universe? New York ... Salvucci, D. D., & Taatgen, N. A. (2008). Threaded cognition: An integrated theory of concurrent multitasking. Psychological ... Psychological Review, 1036-1060. Official ACT-R website - with a lot of online material, including the source code, list of ... Psychological Review, 115, 602-639. Sohn, M.-H., & Anderson, J. R. (2001). Task preparation and task repetition: Two-component ...

*Scholarly peer review

Most prominently, these include the judging and scoring of the accuracy and justifiability of peer reviews, and concurrent ... Any researcher who wishes to review an article can do so and reviews are anonymous. Reviews are displayed at the end of each ... Another form of "open peer review" is community-based pre-publication peer-review, where the review process is open for ... Some journals use postpublication peer review as formal review method, instead of prepublication review. This was first ...

*Partial concurrent thinking aloud

Ericsson, K.A., Simon, H.A. (1980). "Verbal reports as data". Psychological Review. 87 (3): 215-251. doi:10.1037/0033-295X.87.3 ... Partial concurrent thinking aloud (or partial concurrent think-aloud, or PCTA) is a method used to gather data in usability ... one concurrent and one retrospective: The first section is a modified concurrent protocol built up according to the three ... In general, in the usability evaluation both retrospective and concurrent TAP could be used according to the aims and goals of ...

*Pick operating system

Alpha Micro Previews Apix Concurrent Pick+Unix V.4. Computer Business Review, March 11, 1990. Retrieved August 4, 2013. "The ...

*Concurrent Euclid

Tunis: a Unix look-alike written in Concurrent Euclid. SIGOPS Operating Systems Review 16, 1 (January 1982), 4-5.. ... Concurrent Euclid (ConEuc) is a concurrent descendant of the Euclid programming language designed by James Cordy and Ric Holt, ... Concurrent Euclid programs that used concurrency could be run on a bare machine (supported by a small assembly language kernel ... Concurrent Euclid, the Unix System and Tunis. Addison-Wesley 1982. 323 pages. R.C. Holt 1982. A short introduction to ...

*David Huron

Empirical Musicology Review, 2(4), 123-139. Huron, D. (2006). Exploring how music works its wonders [book review]. Cerebrum: ... Huron, D. (2006). On the role of embellishment tones in the perceptual segregation of concurrent musical parts. ... Empirical Musicology Review, Vol. 7, Nos. 3-4, pp. 103-117. Huron, D. (2011). Why is sad music pleasurable? A possible role for ... Empirical Musicology Review, 4 (3), 93-100. Huron, D. (2008). A comparison of average pitch height and interval size in major- ...

*Cervical cancer

A systematic review". European Journal of Surgical Oncology. 41 (8): 975-85. doi:10.1016/j.ejso.2015.03.235. PMID 25922209. " ... "Curative pelvic exenteration for recurrent cervical carcinoma in the era of concurrent chemotherapy and radiation therapy. ... A series of 50 pregnancies and review of the literature". Gynecol. Oncol. 98 (1): 3-10. doi:10.1016/j.ygyno.2005.04.014. PMID ... Armstrong EP (April 2010). "Prophylaxis of Cervical Cancer and Related Cervical Disease: A Review of the Cost-Effectiveness of ...

*FlexOS

IBM selects Concurrent DOS-286 for PC AT retail system, Digital Research European Review, March 1986, Issue 18, p. 1 ([1]). ... Concurrent DOS 286 GEM IBM 4683 IBM 4690 OS IBM 4694 pSOS Distributed Data Management Architecture (DDM) Electronic point of ... Named IBM 4680 OS Version 1, IBM originally chose DR Concurrent DOS 286 as the basis of their IBM 4680 computer for IBM Plant ... A filename extension of .68K was reserved for FlexOS 68K, presumably derived from Concurrent DOS 68K as of 1986.) In May 1987, ...

*List of designer drugs

A 2014 systematic review and meta-analysis found that concurrent caffeine and L-theanine use has synergistic[weasel words] ... The studies reviewed here show that single doses of MPH improve cognitive performance in the healthy population in the domains ... A systematic review from 2014 noted that low doses of amphetamine also improve memory consolidation, in turn leading to ... A 2015 review noted that stimulation of the α4β2 nicotinic receptor is responsible for certain improvements in attentional ...

*Twenty-seventh Amendment to the United States Constitution

Bernstein, Richard B. (1992). "The Sleeper Wakes: The History and Legacy of the Twenty-Seventh Amendment". Fordham Law Review. ... each house of the 102nd Congress passed its own version of a concurrent resolution agreeing that the amendment was validly ...
EXPERT NUMBER: 748. STATE: TX. REGION: Central, Southern, Southwestern, Western. COUNTRY: US. Provides Opinion & Testimony In:. Oncology, Women92s Health, Behavioral Health, Telemetry, Med Surg, Case Management, Certified Case Manager Medicare Medicare Advantage Plans, HMO Self Funded Employer TPA UR UM, Focus on Catastrophic Case Management, Complex Case Management, Hospital Case Management, Insurance Telephonic Case Management Minor Telecommute Time, Concurrent Review Organ Transplants, Oncology, Concurrent Review, Medically Complex Patient Care, CM UM, UR, Appeals and Denials, Pre Determinations, Medical Claim Audit, Train Registered Nurses Licensed Vocational Nurses Insurance Clinical Software, Workflow Processes Procedures, Interqual Milliman,. ...
Staff experts review projects that involve structural changes in all Plan Review service levels. Express Plan Review provides concurrent review of plans with all involved City staff (Planning, Building, Public Works, and Fire Prevention) and any professional designers in one meeting for a time-saving review. The fee is 1.5 times the regular plan review fee. For projects on tight deadlines, you can opt for Enhanced Express for a higher fee and obtain even faster service ...
WASHINGTON, Jan. 03, 2014--The U.S. Department of Agricultures (USDAs) Animal and Plant Health Inspection Service (APHIS) released today its Draft Environmental Impact Statement (DEIS) as part of its review to determine whether to deregulate genetically engineered (GE) corn and soybean plants that are resistant to several herbicides, including one known as 2,4-D. APHIS is performing an assessment of these GE plants, while the Environmental Protection Agency (EPA) is conducting a concurrent review of the related herbicides. APHIS DEIS will be available for public review and comment for 45 days from the date of publication in the Federal Register.. Once APHIS receives a petition for regulatory review of certain GE plants, as it has from Dow AgroSciences, it conducts two required analyses before it makes its regulatory determination on whether or not the newly developed GE plants should be deregulated. First, under the Plant Protection Act (PPA), APHIS determines if the GE plants pose a "plant ...
29 Concurrent Review Registered Nurse Milwaukee, WI, USA Do you want to be a part of a team that strives to have the best culture for both those inside and outside of a Fortune 100 Healthcare organization ? Then youve found the right place! We have an ...... Apply Now>> ...
New York (PRWEB) July 10, 2015 -- Epstein Becker Green and EBG Advisors are pleased to announce a webinar titled, Analyzing Trends in Utilization Management:
When prospectively reviewing 3,050 admissions to the two MAUs at our hospital we found that 61.9% of the patients fulfilled the AEP criteria for appropriate admission. Significantly more patients fulfilled the criteria at the general internal MAU than at the cardiologic MAU. The criteria most often fulfilled were need of parenteral treatment (47.6%), electrolyte or blood gas abnormality (12.5%), blood pressure abnormalities (11.9%) and need for checking of vital signs at least every two hours (11.0%). Patients, who fulfilled the AEP criteria were hospitalized significantly longer, more often needed specialized services and had more re-admissions within 30 days after discharge. Patients who fulfilled the AEP criteria had significantly higher in-hospital mortality as well as within 30 days after discharge. Nurses had a 66.3% agreement with the AEP criteria for appropriateness of admission while doctors had a 71.3% agreement.. The overall 61.9% fulfilment of the AEP criteria is not highly abnormal ...
23 Concurrent Review Registered Nurse Milwaukee, WI, USA Do you want to be a part of a team that strives to have the best culture for both those inside and outside of a Fortune 100 Healthcare organization ? Then youve found the right place! We have an ...... Apply Now>> ...
With the concurrent utilization of CFC-12 and HFC-134a A/C systems in the automotive marketplace, and the multitude of different lubricants associated with HFC-134a, the automotive service industry faces a significant challenge in orchestrating and maintaining the correct association among the available chemicals. Until recently it was speculated that catastrophic compressor degradation would result from improper application and/or mixing of available chemicals.The once feared total intolerance of misapplication of specific lubricants to certain compressors and refrigerants has been relaxed with the realization that the mixing of some oils, within reasonable limits, will not significantly affect a compressors durability. Although overall compressor life may be somewhat reduced, the reduction in life expectancy is less than originally anticipated and overall performance proves to be more than adequate considering the deviation from the recommended association of refrigerant/lubricant/compressor ...
UnitedHealth Group - Orthopedic or Spine Medical Director, Utilization Management - Telecommute - White Plains - Orthopedic or Spine Medical Director, Utilization - Black Enterprise
Search Utilization Review Nurse jobs in Memphis, TN with company ratings & salaries. 274 open jobs for Utilization Review Nurse in Memphis.
... is an intensive two-day course focusing on the Medicare regulatory requirements for patient status and the role of the utilization review (UR) committee.
Objectives This study has been based on the implementation of the Obstetric Appropriateness Evaluation Protocol in 7 Italian hospitals to determine inappropriate hospital admissions and days of stay. Design A cross-sectional study. Methods The outcomes examined were: appropriateness/inappropriateness of admission and percentage of inappropriateness. Results A total number of 2196 clinical records were reviewed. The mean percentage of inappropriateness for a hospitalization was 22%. The percentage of inappropriateness for the first ten days of hospitalization peaked in correspondence of the 4th and 5th (42%). The emergency admission was a protective factor of inappropriated admission, OR= 0.23 95%CI (0.16-0.35). To be hospitalized in a Teaching Hospital, in a hospital with ≥30 beds and to be admitted during the Winter/Autumn and in the workweek were risk factors of inappropriateness, respectively with OR=3.50 95%CI(2.30-5.34), OR=2.04 95%CI(1.41-2.97), OR=2.14 95%CI(1.41-2.97), OR=1.85 ...
Preliminary efforts to perform outcome evaluation at 20 outpatient rehabilitation facilities are presented, including utilization review and a patient satisfaction survey. Therapy services assessed in this initial phase ranged from acute care to work
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A medical cost containment system for ensuring that the anticipated cost savings from utilization review (UR) agreements are actually realized. The UR agreements are essentially contractual agreements that specify the type and quantity of medical treatments relating to a specific claim resulting from a specific injury. Each UR agreement comprises a claim number, a procedure code describing the particular medical service authorized, and some indication as to dates or quantity of service authorized. All of the UR agreements are stored in a UR database. When a medical bill is received by the insurance company, the bill is entered in to the computer. The cost containment system searches all UR agreements in the UR database which have the same claim number as the claim number on the bill. For each item in the medical bill, the system finds the UR agreement which most closely matches the procedure code in the line item and various other criteria, such as the dates of treatment. The system then checks to
Utilization review companies must be registered in the state in which the review will be done. Guidelines used for making reviews should be available to those physicians.
The Drug Utilization Review Board (DURB) will meet on February 16 from 9:00 a.m. to 4:00 p.m., Meeting Room 6, Empire State Plaza, Concourse Level, Albany.. For further information contact Anthony Merola at (518) 486-3209 or e-mail [email protected] (Please reference DURB Agenda for February 16, 2017).. ...
Definition of drug utilization review: A process of appraising and reconsidering the usage of drugs to determine the effectiveness of drug treatment.
At this point in time, HSTs are going to play an increasing role in the practice of Sleep Medicine. That is in large part due to the changes in insurance practices around the use of HST. In the northeastern United States, particularly in Massachusetts, prior authorization programs run by utilization management companies have begun to proliferate, shunting many patients from the sleep laboratories and into home testing. Though these programs have not clearly been built exactly on the existing 2007 Practice Parameters from the AASM, it is clear that many patients who are seeking evaluations for OSA will be first evaluated in the home setting; one utilization management companys (American Imaging Management) estimate is as high as 70%.18 Clearly, the view of these insurance companies is that money will be saved in this process as a home sleep study costs about $200-$300, whereas a sleep study may be $800 and up. Other health insurance companies, such as Aetna and United, have begun utilization ...
Participating health plans agree to limit data to HIPAA-permitted uses for payment and health care operations as defined by law. Permitted uses include billing, claims management, utilization review, identifying members for care management and improving the accuracy of HEDIS/STARs measures, plus more.. Contact Peg Eichner, HIE Project Manager, for more information on Health Plan Services at [email protected] ...
11 LPN $70,000 jobs available in Las Vegas, NV on Indeed.com. Registered Nurse, Director of Nursing, Utilization Review Nurse and more!
Investigating Los Angeles County Trends, Patterns and Disparities in Controlled Substance Prescriptions using Prescription Drug Monitoring Program (PDMP)/Controlled Substance Utilization Review & Evaluation System (CURES) Data (LACDPH ...
Successful treatment of tuberculosis (TB) is one of the key indicators of a TB Control Programs performance and essential to containing the emergence of anti-TB drug resistance. Multi-drug resistant TB (MDR-TB) treatment requires medicines that are expensive, involve longer treatment regimens, are toxic, and can cause patients to have severe side effects. However, international guidelines and national regulations for the diagnosis and treatment of MDR-TB seldom provide unbiased sources of information on monitoring drug use, side effects, or indicators to assess the quality of prescribing according to the regulations.. For proper and impartial monitoring of rational drug use, drug utilization reviews (DUR) are used to identify common problems such as inappropriate product selection, incorrect dosing, avoidable adverse drug reactions, and errors in drug dispensing and administration (see Managing Drug Supply 3: Chapter 30, PDF). Under a prior MSH project, an indicator based guide was developed ...
It's common knowledge that osteochondrosis—a developmental orthopedic disease that results from a disruption in the growth of articular cartilage located in specific joints—can cause problems for young horses, but how common is it? How are different breeds affected? Where are the most common lesion sites? And, of course, what’s the m...
April 16, 2009 - The ACR and RBMA have developed best practice guidelines for third-party payors, managed care organizations (MCOs), radiology benefit managers (RBMs), and imaging providers for use when implementing or evaluating a Radiology Benefits Management Program (RBMP). The College does not endorse RBMs or their approach to the marketplace, as there are better alternatives, but recognizes their current role in imaging utilization management and seeks to improve the strategies used by these programs regarding burdens created for providers and their patients.. The ACR is confident that, if implemented, these guidelines will result in a uniform process that would ease the administrative burden on payors/MCOs, ordering physicians and imaging providers. These guidelines could function as benchmarks for RBM performance.. To read the ACR/RBMA guidelines for RBMPs, please go to ...
Our vision is to expand the reputation and services of LNP and to remain the preferred regional provider of choice for comprehensive hypertension and renal care. We would strive to develop a vertically integrated, comprehensive renal practice which provides superior, state of the art care to patients with renal disease and hypertension in Central Virginia. Working in conjunction with a comprehensive network of providers and referring physicians, we would strive to implement CKD education programs to insure early detection and treatment of hypertensive and renal disease. We aim to improve and expand our inpatient renal support services to include CVVH and plasmapheresis. The practice will explore strategic affiliations to engage in clinical research and CKD disease management contracting, and employ the best available options for business information systems, utilization management, and efficient, streamlined business practices... ...
Could diagnosis benefit managers be the answer to todays diagnosis-related costs? Such costs are now managed in haphazard ways in terms of coverage, utilization management, and use of volume discounts, substitutes, and other price management measures.. Diagnosis benefit managers (DBMs) are beginning to emerge, focused on managing the costs of diagnostic tests, using PBM-like strategies. Harnessing data analysis will be essential. However, to deal with the complexities of diagnosis, DBMs will need to adopt some new types of decision support tools for the doctor (not just the office staff) to use at the point of care.. Interestingly, the team that built the extraordinarily successful PBM Merck Medco has just founded a DBM focused on genetic testing, Generation Health. Among its investors is the CEO of D2Hawkeye (now owned by ISO), a risk and outcomes company.. We should expect companies such as Generation Health to find self-insured employers interested in managing this cost category, just as ...
Ultimately, for clinical pathways to be effective, the oncologists have to be using them. With that in mind, health plans are devising a number of ways to incentivize pathway use. According to payers surveyed, higher drug reimbursements and reduced administrative requirements (eg, prior authorization) are the most frequently applied incentives for physicians who adhere to pathways. Less commonly used incentives are expedited utilization reviews and reimbursement processing, in-network requirements, and preferred provider status within network. According to the MCOI, getting doctors on pathway may not be too difficult. The oncologist respondents found pathways influential and were in favor of their use. Of 60 oncologists surveyed, just less than half said they plan on adopting pathways within the next 2 years ...
Collaborator, Responsible of Project 2 - Website and E-Learning Platform. Giuseppe Fico is heading the Health&Wellbeing strategic area of the Life Supporting Technology research group at Universidad Politécnica de Madrid (UPM). He holds a PhD in biomedical engineering at UPM and a M.Sc. in Electronic Engineering at the Universitá degli Studi di Napoli Federico II. He is an expert in creating, managing and exploiting research projects that make use of engineering and ICT methods as catalyst for innovation, to positively impact health care outcomes. He is currently the technical Manager of the MOSAIC (7th Framework Programme) and Big Data 2 Decide (Horizon 2020) research projects, where eHealth solutions are applied to improve decision making in diabetes and head and neck cancer respectively. He is project manager of the MINIQ grant, where a decision support for drug prescribing and drug utilization reviews (EIT for Health) will be adapted and tested in Spanish settings. Since 2012 he is ...
All participants will complete the Evaluation Protocol at baseline, after 3 weeks (PERIOD 1),after 6 weeks (PERIOD 2), and for follow-up at 3, 6, and 12 months post-treatment. During PERIOD 1 (first 3 weeks), participants in ARM 1 will receive Vocal Hygiene Training as well as Airflow Exercise Training and participants in ARM 2 (the Control Arm) will receive only Vocal Hygiene Training. Vocal hygiene training alone has been demonstrated to have minimal impact on voicing32-34. During Period 2 (second 3 weeks), participants in BOTH ARMS will receive Vocal Hygiene Training and Airflow Exercise Training (Fig 3). Thus, participants in Arm 2 will receive no Flow Phonation for initial controlled comparison then 3 weeks of Flow Phonation for dose response comparison to Arm 1 (non-control) participants.. Assessment Protocol. Each participant will receive the Complete Evaluation Protocol at Baseline, after 3 weeks(PERIOD 1), after an additional 3 weeks (PERIOD 2), as well as at 3, 6, and 12 months ...
According to the company, the offering is the first of its kind to provide a comprehensive management solution for the buy-and-bill drug model currently used by physicians - whereby the physician purchases specialty medications, administers them to the patient and directly bills the payer. The payer-centric offering will employ both prospective and retrospective drug utilization management strategies to drugs billed under the medical benefit, while ensuring minimal disruption to the physicians workflow and facilitating the delivery of evidence-based care.. CVS Caremark stated that it will work with New Century Health, a specialty care management company, to offer its clients integrated evidence-based medicine, treatment care pathways, quality improvement programs and peer-to-peer review through an innovative Web-based decision support platform.. This offering broadly will be available to CVS Caremark customers for implementation beginning Jan. 1, 2012.. Management of specialty drugs under the ...
The National Advisory Committee on Blood and Blood Products (NAC) provides medical and technical advice on the utilization management of blood and blood products to Canadas provincial and territorial (PT) Ministries of Health and Canadian Blood Services (CBS) />
If your case management program is like most, it focuses mainly on utilization review and discharge planning. Stefani Daniels, RN, MSNA, CMAC, ACM, says many case managers are getting bogged down by these duties and losing focus of what case management is really about: patient advocacy.
State of New Jersey > Department of Human Services > Division of Medical Assistance and Health Services > Public Advisory Boards, Commissions & Councils > New Jersey Drug Utilization Review Board (DURB) > DURB Educational Newsletters
AN ACT CONCERNING INSURANCE DATA REPORTING REQUIREMENTS, SMALL EMPLOYER HEALTH PLAN AVAILABILITY, AND LICENSING REQUIREMENTS FOR INDIVIDUALS WHO MAKE FINAL UTILIZATION REVIEW DETERMINATIONS.
AAC THE INSURANCE DEPARTMENTS MARKET CONDUCT AUTHORITY AND DATA CALL CONFIDENTIALITY, AUTHORIZING MULTISTATE HEALTH CARE CENTERS IN CONNECTICUT, ELIMINATING A HEALTH CARRIER UTILIZATION REVIEW REPORT FILING REQUIREMENT, AND CONCERNING LICENSURE OF SINGLE PURPOSE DENTAL HEALTH CARE CENTERS ...
Some programs might have delayed effects, meaning that benefit managers wont see the results in the first year of implementation. Delayed results might take the form of cost savings or increased expense. It is even possible to see savings in the first year of implementation followed by a jump in health costs a year or two later.. In some forms of utilization management (the cost-containment process used by many health plans to prevent unnecessary health care expenses), managers might save a large amount during the first year because the health plan denies an expensive diagnostic or treatment procedure. However, if this results in a delayed diagnosis or untreated disease progression, there could be more costly medical bills in subsequent years when the health plan that denied those procedures is no longer the vendor. When outcomes are examined strictly on a fiscal basis, this type of trend might be lost, making it more difficult to identify the program with the best ROI.. Another example might ...
David has spent over 20 years in managed care. His background includes extensive experience in commercial managed care, utilization management and quality with Blue Cross Blue Shield, pharmacy benefit management with CVS Health, retail pharmacy as VP of Clinical Affairs for Walgreens, and Medicare as Medical Director and Chief Medical Officer for two Part D plans.. ...
Relates to utilization review program standards (Part A); relates to providing coverage for immediate access to a five day emergency supply of certain medications and prohibiting prior authorization for a prescription for buprenorphine for opioid addiction detoxification or maintenance treatment (Part B); relates to the heroin and opioid addition wraparound demonstration services program (Part C); relates to emergency services for persons intoxicated, impaired, or incapacitated by alcohol and/or substances (Part D).
This study will be conducted in Spain. This country has made remarkable advances in the development of policies against IPV since 1998. The Gender Based Violence Law, passed in 2004, represents a progressive and comprehensive development from the two previous action plans (for the 1998 to 2000 and the 2001 to 2004 periods, respectively) [21, 22]. On the basis of the law, an array of measures for integral protection against IPV have been implemented, including reforms of the judicial system, extensive training, and the implementation of a comprehensive network of services aimed to protect the rights and safety of women suffering from IPV. Preventive measures directed towards challenging gender inequality at the broader social level have also been established. Despite these noteworthy achievements, IPV remains common, and large differences exist between autonomous regions; e.g., the self-reported one-year-prevalence of IPV ranged from 28.6% in Ceuta and Melilla to 10.7% in Cantabria, Aragon and ...
Behavioral Health Professionals, Inc. (BHPi) was formed to provide behavioral health services on a capitated basis through a network of community-based mental health organizations. BHPi has been in operation since 2002 and currently administers operations for two provider networks-CareLink Network and ConsumerLink Network and offers to these organizations increased management specialization and efficiency; a dedicated quality assurance program for monitoring care provided by BHPis providers; an enhanced utilization management and review program to ensure the provision of medically necessary and appropriate treatment and prevent inappropriate or excessive treatment; skilled member services and provider relations professionals to guide and assist both consumers and providers. CareLink Network provides services for children and adults with mental illness. It offers resources for recovery, independent living, supported housing and employment, youth moving from school to work, and children and their ...
ERS provides Gatekeeper, PPO, Utilization Review, Case Management, and even claims adjudication services related to behavioral health benefits. This means that discounted fee arrangements are established with therapists and treatment programs. Clients then contact the EAP before they access their behavioral health benefits. When long-term treatment is authorized, the EAP works with the in-network provider to establish a treatment plan and ensure that the client receives effective clinical interventions.. Back to Top. ...
Dr. Leo Cooney established the program in Geriatrics at Yale, coming to this institution in 1976 as the Director of the Continuing Care Unit. This unit is now known as the Yale Acute Care for the Elderly Unit. His career at Yale has focused on assisting elderly individuals to attain the highest level of independence possible. His research interests have focused on efforts to ensure that health care resources are applied to those in most need. Along with Dr. Brandt Fries, he developed the Resource Utilization Groups, which is now used as the method of reimbursing Medicare patients in nursing homes throughout the country. He directs the utilization review efforts at Yale-New Haven Hospital, and is a past President of the American Geriatrics Society. He continues to have a very active clinical and teaching role to ensure that medical residents and students are as prepared as possible to care for the multiple problems of the frail elderly.. Specialized Terms: Geriatric medicine; Assistance in ...
Disclaimer: The authors of this article are responsible for its contents, including any clinical or treatment recommendations.. Acknowledgment: The authors thank Michelle Koltov for conducting the initial review of literature and preparing an early draft of the manuscript and Kolton Gustafson for his administrative support to the authors.. Financial Support: Financial support for the development of this guideline comes exclusively from the ACP operating budget.. Disclosures: Mr. Doherty reports the following outside of the manuscript: board membership, consultancy, employment at ACP, expert testimony, grants (or grants pending), payment for lectures (Department of Medicine, Jefferson Hospital, Philadelphia; honoraria [pending]), payment for manuscript preparation, patents, royalties, payment for development of education presentations, stock or stock options, travel (Utilization Review Accreditation Commission [URAC]; no compensation received for board membership but travel expenses to attend ...
Pursuant to California Health & Safety Code Section 11190, and Business & Professions Code Section 1170, all licensees who dispense Schedule II through IV controlled substances must provide the dispensing information to the Department of Justice on a weekly basis. The information is compiled in a database called the Controlled Substance Utilization Review and Evaluation System (CURES) that contains over 100 million entries of controlled substance drugs that have been dispensed in California. Practitioners who register can access the CURES database through the Prescription Drug Monitoring Program (PDMP) to look up clients prior to dispensing or writing prescriptions for controlled substances.. To access the California Department of Justice CURES information page, click here.. To register to become a CURES reporter, click here.. To submit weekly CURES reports, click here.. To access the PDMP, click here.. The CVMA provides more resources for its members which can be accessed in the menu on the ...
6) Confidential information means information maintained by the pharmacist in the patient record or which is communicated to the patient as part of patient counseling or which is communicated by the patient to the pharmacist. This information is privileged and may be released only to the patient or to other members of the health care team and other pharmacists where, in the pharmacists professional judgment, the release is necessary to the patients health and well-being; to other persons or governmental agencies authorized by law to receive the privileged information; as necessary for the limited purpose of peer review and utilization review; as authorized by the patient or required by court order ...
Some services are owned by your insurer/TPA, while others are affiliated with them in "private labeled" arrangements. Have a representative from each service explain the service, how to request the service, when each service is provided, and the cost of each. And, this is a great time to request product examples!. Invite: physical therapy, nurse triage, nurse case managment, bill review, at-home recovery services, intake & reporting, physician advisors, utilization review, disability guidelines, MSA, surveillance, legacy claims management, and others... Everything else you need to know is in Manage Your Workers Compensation Program: Reduce Costs 20-50%, covering how to assess your workers compensation program, design program materials, and roll out a program to your organization. Sneak Peek Here. Order your copy today! ...
... , Vice President of Client Solutions for UniMed Direct, is a strategic leader responsible for the companys software accounts and implementations. Guiding the implementation of innovative technologies to support medical management processes, including utilization review, physician peer review and case management, Stacey is focused on continuous improvement, accuracy and compliance, and the usability of software and technology ...
Dr. Mary Young has recently finished her family medicine residency and joined a small group practice, PrimaryCare. On her first day, she has the following experiences with health care financing: her first patient is insured by Blue Shield; PrimaryCare is paid a fee for the physical examination and for the electrocardiogram (ECG) performed. Dr. Youngs second patient requires the same services, for which PrimaryCare receives no payment but is forwarded $15 for each month that the patient is enrolled in the practice. In the afternoon, a hospital utilization review physician calls Dr. Young, explains the diagnosis-related group (DRG) payment system, and suggests that she send home a patient hospitalized with pneumonia. In the evening, she goes to the emergency department, where she has agreed to work two shifts per week for $100 per hour. She was also delighted to open her mail and find a small check rewarding her for providing high-quality care for her PrimaryCare patients. ...

Torsion of Hydrosalpinx with Concurrent Acute Cholecystitis: Case Report and Review of LiteratureTorsion of Hydrosalpinx with Concurrent Acute Cholecystitis: Case Report and Review of Literature

Case Reports in Surgery is a peer-reviewed, Open Access journal that publishes case reports and case series related to all ... Torsion of Hydrosalpinx with Concurrent Acute Cholecystitis: Case Report and Review of Literature. Preeti R. John1,2 and Amelia ... N. Antoniou, M. Varras, C. Akrivis et al., "Isolated torsion of the fallopian tube: a case report and review of the literature ... F. Coccolini, C. Trana, M. Sartelli et al., "Laparoscopic management of intra-abdominal infections: systematic review of the ...
more infohttps://www.hindawi.com/journals/cris/2016/5424092/ref/

20 Best Nurse jobs in Little Rock, AR (Hiring Now!) | Simply Hired20 Best Nurse jobs in Little Rock, AR (Hiring Now!) | Simply Hired

See salaries, compare reviews, easily apply, and get hired. New Nurse careers in Little Rock, AR are added daily on SimplyHired ... Concurrent Review Nurse I. AR Marketplace - Little Rock, AR3.2. Perform onsite review of emergent/urgent and continued stay ...
more infohttps://www.simplyhired.com/a/jobs/list/q-nurse/l-little%20rock,%20ar/fed-6

20 Best Nursing jobs in Ocoee, FL (Hiring Now!) | Simply Hired20 Best Nursing jobs in Ocoee, FL (Hiring Now!) | Simply Hired

Concurrent Review Nurse I (Sunrise). Centene - Maitland, FL. Bachelors degree in Nursing preferred. 2+ years of clinical ... Manager Utilization Review (Work from home). Central Florida Regional Hospital - Sanford, FL. Masters in Business ...
more infohttps://www.simplyhired.com/a/jobs/list/q-nursing/l-Ocoee,%20FL/fex-6

Adenovirus urethritis and concurrent conjunctivitis: a case series and review of the literature | Sexually Transmitted...Adenovirus urethritis and concurrent conjunctivitis: a case series and review of the literature | Sexually Transmitted...

Adenovirus urethritis and concurrent conjunctivitis: a case series and review of the literature ... Adenovirus urethritis and concurrent conjunctivitis: a case series and review of the literature ... We present eight cases and review the literature of concurrent urethritis and conjunctivitis where adenovirus was identified as ... The focus of this review concerns the identification of specific sexual practices, symptoms, signs and any serotypes that seem ...
more infohttp://sti.bmj.com/content/91/2/87

A systematic review on concurrent aneuploidy screening and preimplantation genetic testing for hereditary disorders: what is...A systematic review on concurrent aneuploidy screening and preimplantation genetic testing for hereditary disorders: what is...

A systematic review on concurrent aneuploidy screening and preimplantation genetic testing for hereditary disorders: what is ... Here, we systematically review the literature to investigate the prevalence of aneuploidy in blastocysts derived from patients ... Aneuploidy screening; Clinical outcomes; Comprehensive chromosome screening; Preimplantation genetic testing; Systematic review ... the use of aneuploidy screening during preimplantation genetic testing for inherited disorders has not previously been reviewed ...
more infohttps://phgkb.cdc.gov/PHGKB/phgHome.action?action=forward&dbsource=phg&id=34482

A systematic review on concurrent aneuploidy screening and preimplantation genetic testing for hereditary disorders: What is...A systematic review on concurrent aneuploidy screening and preimplantation genetic testing for hereditary disorders: What is...

A systematic review on concurrent aneuploidy screening and preimplantation genetic testing for hereditary disorders: What is ... Here, we systematically review the literature to investigate the prevalence of aneuploidy in blastocysts derived from patients ... the use of aneuploidy screening during preimplantation genetic testing for inherited disorders has not previously been reviewed ...
more infohttps://phgkb.cdc.gov/PHGKB/phgHome.action?action=forward&dbsource=phg&id=34356

Analysing concurrent transcranial magnetic stimulation and electroencephalographic data: A review and introduction to the open...Analysing concurrent transcranial magnetic stimulation and electroencephalographic data: A review and introduction to the open...

Analysing concurrent transcranial magnetic stimulation and electroencephalographic data: A review and introduction to the open- ... The concurrent use of transcranial magnetic stimulation with electroencephalography (TMS-EEG) is growing in popularity as a ... In this article, we review the causes of artifacts in EEG recordings resulting from TMS, as well as artifacts introduced during ...
more infohttps://insights.ovid.com/neuima/201702000/00042393-201702000-00080

Text of H.R. 979 (110th): Bipartisan Consensus Managed Care Improvement Act of 2007 (Introduced version) - GovTrack.usText of H.R. 979 (110th): Bipartisan Consensus Managed Care Improvement Act of 2007 (Introduced version) - GovTrack.us

... concurrent review, second opinions, case management, discharge planning, or retrospective review.. (b). Written Policies and ... Utilization review defined. For purposes of this section, the terms utilization review. and utilization review activities. mean ... Subject to subparagraph (B), in the case of a concurrent review of ongoing care (including hospitalization), which results in a ... A utilization review program shall provide for the conduct of utilization review activities only through personnel who are ...
more infohttps://www.govtrack.us/congress/bills/110/hr979/text

Appendices | ASPEAppendices | ASPE

Concurrent review. Retrospective review of claims. Closed or preferred provider panels. Disease management programs. Other ( ... The next set of questions will be based on a review of the attached chart. (A sample chart can be found on page 11 of this ... A copy of the health plans summary matrix will be given back to that plan for review and comment. ... Peer review. Provider profiling. Tracking HEDIS measures. Tracking other performance monitoring. Quality improvement committee ...
more infohttps://aspe.hhs.gov/report/evaluation-parity-federal-employees-health-benefits-fehb-program-final-report/appendices

Appendix B: Site Visit Discussion Guide | ASPEAppendix B: Site Visit Discussion Guide | ASPE

Concurrent review. Retrospective review of claims. Closed or preferred provider panels. Disease management programs. Other ( ... including the time to review instructions, search existing data resources, gather the data needed, and complete and review the ... The next set of questions will be based on a review of the attached chart. (A sample chart can be found on page 11 of this ... A copy of the health plans summary matrix will be given back to that plan for review and comment. ...
more infohttps://aspe.hhs.gov/report/evaluation-parity-federal-employees-health-benefits-fehb-program-final-report/appendix-b-site-visit-discussion-guide

Toxicity of concurrent stereotactic radiotherapy and targeted therapy or immunotherapy: A systematic review  - Zurich Open...Toxicity of concurrent stereotactic radiotherapy and targeted therapy or immunotherapy: A systematic review - Zurich Open...

Concurrent application of both therapies is rapidly expanding in daily clinical practice. In this systematic review we ... Concurrent application of both therapies is rapidly expanding in daily clinical practice. In this systematic review we ... Toxicity of concurrent stereotactic radiotherapy and targeted therapy or immunotherapy: A systematic review ... Toxicity of concurrent stereotactic radiotherapy and targeted therapy or immunotherapy: A systematic review. Cancer Treatment ...
more infohttps://www.zora.uzh.ch/id/eprint/130506/

Asbestos and its effects on health of Icelanders - review.Asbestos and its effects on health of Icelanders - review.

Concurrent Review. Review of the medical necessity of hospital or other health facility admissions, upon or within a short time ... Peer Review, Health Care. The concurrent or retrospective review by practicing physicians or other health professionals of the ... Hypothesis: Medication Review with follow-up can improve clinical, health related quality of life and economic outcomes. To ... Summary of "Asbestos and its effects on health of Icelanders - review.". Asbestos are crystallized silicate minerals that form ...
more infohttps://www.bioportfolio.com/resources/pmarticle/2451808/Asbestos-and-its-effects-on-health-of-Icelanders-review.html

A Review on Bile Acids: Effects of the Gut Microbiome, Interactions with Dietary Fiber, and Alterations in the Bioaccessibility...A Review on Bile Acids: Effects of the Gut Microbiome, Interactions with Dietary Fiber, and Alterations in the Bioaccessibility...

Concurrent Review. Review of the medical necessity of hospital or other health facility admissions, upon or within a short time ... Summary of "A Review on Bile Acids: Effects of the Gut Microbiome, Interactions with Dietary Fiber, and Alterations in the ... In this review, we discuss the interaction of bile acids with dietary fiber, the gut microbiota, and their role in the ... A Review on Bile Acids: Effects of the Gut Microbiome, Interactions with Dietary Fiber, and Alterations in the Bioaccessibility ...
more infohttps://www.bioportfolio.com/resources/pmarticle/2341628/A-Review-on-Bile-Acids-Effects-of-the-Gut-Microbiome-Interactions-with.html

Association between floods and hospital admissions for schizophrenia in Hefei, China: The lag effects of degrees of floods and...Association between floods and hospital admissions for schizophrenia in Hefei, China: The lag effects of degrees of floods and...

Concurrent Review. Review of the medical necessity of hospital or other health facility admissions, upon or within a short time ... following an admission, and periodic review of services provided during the course of treatment. ...
more infohttps://www.bioportfolio.com/resources/pmarticle/2477906/Association-between-floods-and-hospital-admissions-for-schizophrenia-in-Hefei-China-The.html

Safety review of Clopidogrel - IMB interim advice on the concurrent use of Proton Pump Inhibitors in patients treated with...Safety review of Clopidogrel - IMB interim advice on the concurrent use of Proton Pump Inhibitors in patients treated with...

Safety review of Clopidogrel - IMB interim advice on the concurrent use of Proton Pump Inhibitors in patients treated with ... Safety review of Clopidogrel - IMB interim advice on the concurrent use of Proton Pump Inhibitors in patients treated with ... This research reviewed database records for 13,636 patients who were started on treatment with clopidogrel after an acute ... The IMB wishes to communicate interim recommendations relating to an ongoing safety review of clopidogrel. This follows the ...
more infohttp://www.hpra.ie/homepage/medicines/safety-notices/item?t=/safety-review-of-clopidogrel-imb-interim-advice-on-the-concurrent-use-of-proton-pump-inhibitors-in-patients-treated-with-clopidogrel&id=2be2f825-9782-6eee-9b55-ff00008c97d0

Louisiana Revised Statutes | Title 30 | Subtitle II - Environmental QualityLawServerLouisiana Revised Statutes | Title 30 | Subtitle II - Environmental QualityLawServer

Concurrent review: means utilization review conducted during a patients stay or course of treatment in a facility, the office ... Prospective review: means utilization review conducted prior to an admission or the provision of a health care service or a ... Retrospective review: means a utilization review conducted after services have been provided to a patient, but does not include ... Ambulatory review: means utilization review of health care services performed or provided in an outpatient setting. See ...
more infohttps://www.lawserver.com/law/state/louisiana/la-laws/louisiana_revised_statutes_title_30_subtitle_ii

Clinical Nurse LPN Jobs, Employment in Alachua, FL | Indeed.comClinical Nurse LPN Jobs, Employment in Alachua, FL | Indeed.com

Concurrent Review Nurse I (Field-Based) Centene Corporation - 579 reviews - Gainesville, FL 32635 ... 18 reviews - Gainesville, FL 32608 LPN Job Duties:. Licensed Practical Nurse (LPN). LPN conducts cart and chart audits. LPN ... 18 reviews - Gainesville, FL 32608 LPN Job Duties:. Licensed Practical Nurse (LPN). LPN conducts cart and chart audits. LPN ... 50 reviews - Gainesville, FL 32606 LPN. The LPN will monitor. Advanced education for clinical licensure; Being a Hospice LPN is ...
more infohttp://www.indeed.com/q-Clinical-Nurse-LPN-l-Alachua,-FL-jobs.html

Children and Adolescents With Eating Disorders: The State of the Art | ELECTRONIC ARTICLES | PediatricsChildren and Adolescents With Eating Disorders: The State of the Art | ELECTRONIC ARTICLES | Pediatrics

Difficulties with concurrent review and denial of coverage for hospitalization. If hospitalized, payers and/or reviewers have ... A complex array of methods for concurrent review of medical and psychiatric treatment can result in: *. Lack of coordination ... As a guideline, it is a consensus document and as such presents an overall review rather than a specifically tailored approach. ... Dismantling of a myth: review of eating disorders and socioeconomic status. Int J Eat Disord.1996;20 :1- 12. ...
more infohttp://pediatrics.aappublications.org/content/111/1/e98.full

Research designs for studies evaluating the effectiveness of change and improvement strategies | BMJ Quality & SafetyResearch designs for studies evaluating the effectiveness of change and improvement strategies | BMJ Quality & Safety

Computerized concurrent review of prenatal care. Qual Rev Bull1978;4:33-6. ... They identified 45 reviews that reported separately the pooled estimates from controlled and uncontrolled studies, and noted ... The evaluation of a computerised tomography: a review of research methods. In: Culyer AJ, Horisberger B, eds. Economic and ...
more infohttps://qualitysafety.bmj.com/content/12/1/47?ijkey=60550102e3e4ea81206edaff927ef111637c3988&keytype2=tf_ipsecsha

Analysing concurrent transcranial magnetic stimulation and electroencephalographic data: A review and introduction to the open...Analysing concurrent transcranial magnetic stimulation and electroencephalographic data: A review and introduction to the open...

Analysing concurrent transcranial magnetic stimulation and electroencephalographic data: A review and introduction to the open- ... Analysing concurrent transcranial magnetic stimulation and electroencephalographic data: A review and introduction to the open- ... T1 - Analysing concurrent transcranial magnetic stimulation and electroencephalographic data. T2 - A review and introduction to ... Analysing concurrent transcranial magnetic stimulation and electroencephalographic data : A review and introduction to the open ...
more infohttps://research.monash.edu/en/publications/analysing-concurrent-transcranial-magnetic-stimulation-and-electr

Psychosocial interventions to reduce alcohol consumption in concurrent problem alcohol and illicit drug users: Cochrane Reviewa...Psychosocial interventions to reduce alcohol consumption in concurrent problem alcohol and illicit drug users: Cochrane Reviewa...

Four studies (594 participants) were included in this review. Half of the trials were rated as having a high or unclear risk of ... The aim of this systematic review was to assess the effects of psychosocial interventions for problem alcohol use in adult ... illicit drug users with concurrent problem alcohol use (principally, problem drug users of opiates and stimulants). We searched ... Two previous narrative reviews of literature have dealt with the question being asked in this review, to date. The older of ...
more infohttps://systematicreviewsjournal.biomedcentral.com/articles/10.1186/2046-4053-2-3

Silver B[au] - PubMed - NCBISilver B[au] - PubMed - NCBI

Evaluating the Effectiveness of Concurrent Review: Does It Improve Stroke Measure Results? ... Systematic Review of Measures of Impairment and Activity Limitation for Persons With Upper Limb Trauma and Amputation. ... Female infertility, infertility-associated diagnoses, and comorbidities: a review.. Hanson B, Johnstone E, Dorais J, Silver B, ... Effects of Medicare Medical Reviews on Ambiguous Short-Stay Hospital Admissions.. Silver BC, Rahman M, Wright B, Besdine R, ...
more infohttps://www.ncbi.nlm.nih.gov/pubmed?cmd=search&term=Silver+B%5Bau%5D&dispmax=50
  • abstract = "The concurrent use of transcranial magnetic stimulation with electroencephalography (TMS-EEG) is growing in popularity as a method for assessing various cortical properties such as excitability, oscillations and connectivity. (monash.edu)
  • Despite advances in the conduct and reporting of traditional systematic reviews, current evidence suggests that they are used infrequently by health care managers and policy makers in deci. (bioportfolio.com)
  • Prospective review is typically used as a method of reducing medically unnecessary admissions or procedures by denying cases that do not meet criteria, or allocating them to more appropriate care settings before the act. (wikipedia.org)
  • The California Division of Workers' Compensation (DWC) has finalized regulations to ensure that utilization reviews (UR) are conducted in compliance and within specified timeframes (see chart below). (cmanet.org)
  • This research reviewed database records for 13,636 patients who were started on treatment with clopidogrel after an acute myocardial infarction between 2002 and 2007. (hpra.ie)
  • A major advantage of concurrent review is that it provides the opportunity to improve care so that patients benefit from the review and recommended changes in ongoing care. (thefreedictionary.com)
  • The California Medical Association (CMA) encourages physicians experiencing delays in the receipt of workers' compensation UR decisions to be diligent in submitting complaints to DWC to highlight organizations that fail to meet the timely review standards. (cmanet.org)
  • This form of review typically relates to payment or reimbursement according to a medical plan or medical insurance provision. (wikipedia.org)
  • A systematic review on concurrent aneuploidy screening and preimplantation genetic testing for hereditary disorders: what is the prevalence of aneu. (cdc.gov)
  • The prevalence of aneuploidy and the use of aneuploidy screening during preimplantation genetic testing for inherited disorders has not previously been reviewed. (cdc.gov)
  • Cancer Treatment Reviews, 53:25-37. (uzh.ch)
  • In this systematic review we summarize severe toxicity observed after concurrent treatment. (uzh.ch)
  • RESULTS Concurrent treatment is mostly well tolerated in cranial SRT, but high rates of severe toxicity were observed for the combination with BRAF-inhibitors. (uzh.ch)
  • Using a concurrent review process to improve core measurement scores. (hin.com)
  • The focus of this review concerns the identification of specific sexual practices, symptoms, signs and any serotypes that seem more commonly associated with such adenovirus infections. (bmj.com)
  • In this review, we discuss the interaction of bile acids with dietary fiber, the gut microbiota, and their role in the bioaccessibility of bioactive compounds. (bioportfolio.com)
  • Expedited review (within 72 hours of the request) is available when the injured worker faces an imminent and serious health threat or when the normal timeframe for the decision-making process would be detrimental to the injured worker's life or health or could jeopardize the worker's permanent ability to regain maximum function. (cmanet.org)
  • Asbestos and its effects on health of Icelanders - review. (bioportfolio.com)
  • This approval followed a concurrent review and approval by the Rhode Island Department of Health. (wikipedia.org)
  • In this article, we review the causes of artifacts in EEG recordings resulting from TMS, as well as artifacts introduced during analysis (e.g. as the result of filtering over high-frequency, large amplitude artifacts). (ovid.com)
  • A review of documentation to determine whether Alliance procedures were followed, and if any additional information provided warrants a change in a previous determination. (alliancebhc.org)
  • A Review on Bile Acids: Effects of the Gut Microbiome, Interactions with Dietary Fiber, and Alterations in the Bioaccessibility of Bioactive Compounds. (bioportfolio.com)
  • CONCLUSIONS This review gives a best-possible overview of current knowledge and its limitations and underlines the need for a timely generation of stronger evidence in this rapidly expanding field. (uzh.ch)