The use of severity-of-illness measures, such as age, to estimate the risk (measurable or predictable chance of loss, injury or death) to which a patient is subject before receiving some health care intervention. This adjustment allows comparison of performance and quality across organizations, practitioners, and communities. (from JCAHO, Lexikon, 1994)
Adverse or favorable selection bias exhibited by insurers or enrollees resulting in disproportionate enrollment of certain groups of people.
A method of payment for health services in which an individual or institutional provider is paid a fixed, per capita amount without regard to the actual number or nature of services provided to each patient.
Alternative health care delivery mechanisms, such as PREFERRED PROVIDER ORGANIZATIONS or other health insurance services or prepaid plans (other than HEALTH MAINTENANCE ORGANIZATIONS), that meet Medicare qualifications for a risk-sharing contract. (From Facts on File Dictionary of Health Care Management, 1988)
A method of examining and setting levels of payments.
The discipline concerned with using the combination of conventional ALLOPATHIC MEDICINE and ALTERNATIVE MEDICINE to address the biological, psychological, social, and spiritual aspects of health and illness.
A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay. Its purpose is to provide a framework for specifying case mix and to reduce hospital costs and reimbursements and it forms the cornerstone of the prospective payment system.
A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.
Hospital department responsible for the flow of patients and the processing of admissions, discharges, transfers, and also most procedures to be carried out in the event of a patient's death.
A component of the Department of Health and Human Services to oversee and direct the Medicare and Medicaid programs and related Federal medical care quality control staffs. Name was changed effective June 14, 2001.
Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
The assignment, to each of several particular cost-centers, of an equitable proportion of the costs of activities that serve all of them. Cost-center usually refers to institutional departments or services.
A strategy for purchasing health care in a manner which will obtain maximum value for the price for the purchasers of the health care and the recipients. The concept was developed primarily by Alain Enthoven of Stanford University and promulgated by the Jackson Hole Group. The strategy depends on sponsors for groups of the population to be insured. The sponsor, in some cases a health alliance, acts as an intermediary between the group and competing provider groups (accountable health plans). The competition is price-based among annual premiums for a defined, standardized benefit package. (From Slee and Slee, Health Care Reform Terms, 1993)
The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.
Hospitals providing medical care to veterans of wars.
Adaptation of the person to the social environment. Adjustment may take place by adapting the self to the environment or by changing the environment. (From Campbell, Psychiatric Dictionary, 1996)
Method of measuring performance against established standards of best practice.
Statistical formulations or analyses which, when applied to data and found to fit the data, are then used to verify the assumptions and parameters used in the analysis. Examples of statistical models are the linear model, binomial model, polynomial model, two-parameter model, etc.
Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
A system of categories to which morbid entries are assigned according to established criteria. Included is the entire range of conditions in a manageable number of categories, grouped to facilitate mortality reporting. It is produced by the World Health Organization (From ICD-10, p1). The Clinical Modifications, produced by the UNITED STATES DEPT. OF HEALTH AND HUMAN SERVICES, are larger extensions used for morbidity and general epidemiological purposes, primarily in the U.S.
Institutions with an organized medical staff which provide medical care to patients.
Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)
Method of charging whereby a physician or other practitioner bills for each encounter or service rendered. In addition to physicians, other health care professionals are reimbursed via this mechanism. Fee-for-service plans contrast with salary, per capita, and prepayment systems, where the payment does not change with the number of services actually used or if none are used. (From Discursive Dictionary of Health Care, 1976)
Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Health insurance plans for employees, and generally including their dependents, usually on a cost-sharing basis with the employer paying a percentage of the premium.
Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.
The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.
Extraction of the FETUS by means of abdominal HYSTEROTOMY.
Surgery performed on the heart.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.
Maladaptive reactions to identifiable psychosocial stressors occurring within a short time after onset of the stressor. They are manifested by either impairment in social or occupational functioning or by symptoms (depression, anxiety, etc.) that are in excess of a normal and expected reaction to the stressor.
Components of a national health care system which administer specific services, e.g., national health insurance.
The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
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.
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
The period of confinement of a patient to a hospital or other health facility.
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.
An infant during the first month after birth.
Postnatal deaths from BIRTH to 365 days after birth in a given population. Postneonatal mortality represents deaths between 28 days and 365 days after birth (as defined by National Center for Health Statistics). Neonatal mortality represents deaths from birth to 27 days after birth.
The measurement of the health status for a given population using a variety of indices, including morbidity, mortality, and available health resources.
The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.
Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life.
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
Theoretical representations that simulate the behavior or activity of systems, processes, or phenomena. They include the use of mathematical equations, computers, and other electronic equipment.
Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
Elements of limited time intervals, contributing to particular results or situations.
The confinement of a patient in a hospital.
The concept concerned with all aspects of providing and distributing health services to a patient population.

Risk-adjusted capitation based on the Diagnostic Cost Group Model: an empirical evaluation with health survey information. (1/409)

OBJECTIVE: To evaluate the predictive accuracy of the Diagnostic Cost Group (DCG) model using health survey information. DATA SOURCES/STUDY SETTING: Longitudinal data collected for a sample of members of a Dutch sickness fund. In the Netherlands the sickness funds provide compulsory health insurance coverage for the 60 percent of the population in the lowest income brackets. STUDY DESIGN: A demographic model and DCG capitation models are estimated by means of ordinary least squares, with an individual's annual healthcare expenditures in 1994 as the dependent variable. For subgroups based on health survey information, costs predicted by the models are compared with actual costs. Using stepwise regression procedures a subset of relevant survey variables that could improve the predictive accuracy of the three-year DCG model was identified. Capitation models were extended with these variables. DATA COLLECTION/EXTRACTION METHODS: For the empirical analysis, panel data of sickness fund members were used that contained demographic information, annual healthcare expenditures, and diagnostic information from hospitalizations for each member. In 1993, a mailed health survey was conducted among a random sample of 15,000 persons in the panel data set, with a 70 percent response rate. PRINCIPAL FINDINGS: The predictive accuracy of the demographic model improves when it is extended with diagnostic information from prior hospitalizations (DCGs). A subset of survey variables further improves the predictive accuracy of the DCG capitation models. The predictable profits and losses based on survey information for the DCG models are smaller than for the demographic model. Most persons with predictable losses based on health survey information were not hospitalized in the preceding year. CONCLUSIONS: The use of diagnostic information from prior hospitalizations is a promising option for improving the demographic capitation payment formula. This study suggests that diagnostic information from outpatient utilization is complementary to DCGs in predicting future costs.  (+info)

Dissociable deficits in the decision-making cognition of chronic amphetamine abusers, opiate abusers, patients with focal damage to prefrontal cortex, and tryptophan-depleted normal volunteers: evidence for monoaminergic mechanisms. (2/409)

We used a novel computerized decision-making task to compare the decision-making behavior of chronic amphetamine abusers, chronic opiate abusers, and patients with focal lesions of orbital prefrontal cortex (PFC) or dorsolateral/medial PFC. We also assessed the effects of reducing central 5-hydroxytryptamine (5-HT) activity using a tryptophan-depleting amino acid drink in normal volunteers. Chronic amphetamine abusers showed suboptimal decisions (correlated with years of abuse), and deliberated for significantly longer before making their choices. The opiate abusers exhibited only the second of these behavioral changes. Importantly, both sub-optimal choices and increased deliberation times were evident in the patients with damage to orbitofrontal PFC but not other sectors of PFC. Qualitatively, the performance of the subjects with lowered plasma tryptophan was similar to that associated with amphetamine abuse, consistent with recent reports of depleted 5-HT in the orbital regions of PFC of methamphetamine abusers. Overall, these data suggest that chronic amphetamine abusers show similar decision-making deficits to those seen after focal damage to orbitofrontal PFC. These deficits may reflect altered neuromodulation of the orbitofrontal PFC and interconnected limbic-striatal systems by both the ascending 5-HT and mesocortical dopamine (DA) projections.  (+info)

Evaluating and improving the delivery of heart care: the University of Michigan experience. (3/409)

With increasing pressure to curb escalating costs in medical care, there is particular emphasis on the delivery of cardiovascular services, which account for a substantial portion of the current healthcare dollar spent in the United States. A variety of tools were used to improve performance at the University of Michigan Health System, one of the oldest university-affiliated hospitals in the United States. The tools included initiatives to understand outcomes after coronary bypass operations and coronary angioplasty through use of proper risk-adjusted models. Critical pathways and guidelines were implemented to streamline care and improve quality in interventional cardiology, management of myocardial infarction, and preoperative assessment of patients undergoing vascular operations. Strategies to curb unnecessary costs included competitive bidding of vendors for expensive cardiac commodities, pharmacy cost reductions, and changes in nursing staff. Methods were instituted to improve guest services and partnerships with the community in disease prevention and health promotion.  (+info)

Health-based payment and computerized patient record systems. (4/409)

Health care information technology is changing rapidly and dramatically. A small but growing number of clinicians, especially those in staff and group model HMOs and hospital-affiliated practices, are automating their patient medical records in response to pressure to improve quality and reduce costs. Computerized patient record systems in HMOs track risks, diagnoses, patterns of care, and outcomes across large populations. These systems provide access to large amounts of clinical information; as a result, they are very useful for risk-adjusted or health-based payment. The next stage of evolution in health-based payment is to switch from fee-for-service (claims) to HMO technology in calculating risk coefficients. This will occur when HMOs accumulate data sets containing records on provider-defined disease episodes, with every service linked to its appropriate disease episode for millions of patients. Computerized patient record systems support clinically meaningful risk-assessment models and protect patients and medical groups from the effects of adverse selection. They also offer significant potential for improving quality of care.  (+info)

Risk-adjusted outcome models for public mental health outpatient programs. (5/409)

OBJECTIVE: To develop and test risk-adjustment outcome models in publicly funded mental health outpatient settings. We developed prospective risk models that used demographic and diagnostic variables; client-reported functioning, satisfaction, and quality of life; and case manager clinical ratings to predict subsequent client functional status, health-related quality of life, and satisfaction with services. DATA SOURCES/STUDY SETTING: Data collected from 289 adult clients at five- and ten-month intervals, from six community mental health agencies in Washington state located primarily in suburban and rural areas. Data sources included client self-report, case manager ratings, and management information system data. STUDY DESIGN: Model specifications were tested using prospective linear regression analyses. Models were validated in a separate sample and comparative agency performance examined. PRINCIPAL FINDINGS: Presence of severe diagnoses, substance abuse, client age, and baseline functional status and quality of life were predictive of mental health outcomes. Unadjusted versus risk-adjusted scores resulted in differently ranked agency performance. CONCLUSIONS: Risk-adjusted functional status and patient satisfaction outcome models can be developed for public mental health outpatient programs. Research is needed to improve the predictive accuracy of the outcome models developed in this study, and to develop techniques for use in applied settings. The finding that risk adjustment changes comparative agency performance has important consequences for quality monitoring and improvement. Issues in public mental health risk adjustment are discussed, including static versus dynamic risk models, utilization versus outcome models, choice and timing of measures, and access and quality improvement incentives.  (+info)

Anthem Blue Cross and Blue Shield's coronary services network: a managed care organization's approach to improving the quality of cardiac care for its members. (6/409)

OBJECTIVE: To describe a managed care organization's efforts to improve value for its members by forming a coronary services network (CSN). DESIGN: To identify high-quality facilities for its CSN, Anthem Blue Cross and Blue Shield reviewed claims data and clinical data from hospitals that met its general quality standards. An external firm measured and risk-adjusted applicant hospitals' mortality rates. Hospitals that demonstrated superior performance were eligible to join the CSN. In 1996, 2 years after the CSN was formed, clinical outcomes of participants and new applicants were analyzed again by the same external firm. PATIENTS AND METHODS: Data on more than 10,000 consecutive (all-payer) inpatients discharged after coronary bypass surgery in 1993 were collected from 16 applicant hospitals using a uniform format and data definitions. This analysis was expanded to 23 participating and applicant hospitals that discharged more than 13,000 patients who underwent either bypass surgery or coronary revascularization in 1995. We compared risk-adjusted routine length of stay (a measure of efficiency), mortality rates, and adverse outcome rates between CSN and non-CSN facilities. RESULTS: From 1993 to 1995, overall length of stay in the network decreased by 20%, from 12.3 to 9.8 days (P < or = 0.01) and severity-adjusted mortality rates decreased by 7.3%, from 2.9% to 2.7%. Initially, facilities outside the network had comparable efficiency but much higher mortality. However, they improved so much in both measures that their severity-adjusted mortality rate for bypass surgery in 1995 was no more than 10% higher than that of CSN hospitals. CONCLUSION: The creation of a statewide CSN that emphasized and improved the level of performance among providers ultimately benefited the carrier's managed care members. The desirability of participation was evidenced by an increase in the number of applicant hospitals over the 2 years. This may have stimulated quality improvement among competing providers in the region and among CSN facilities themselves.  (+info)

Comparing AMI mortality among hospitals in patients 65 years of age and older: evaluating methods of risk adjustment. (7/409)

BACKGROUND: Interest in the reporting of risk-adjusted outcomes for patients with acute myocardial infarction is growing. A useful risk-adjustment model must balance parsimony and ease of data collection with predictive ability. METHODS AND RESULTS: From our analysis of 82 359 patients >/=65 years of age admitted with acute myocardial infarction to 2401 hospitals, we derived a parsimonious model that predicts 30-day mortality. The model was validated on a similar group of 78 699 patients from 2386 hospitals. Of the 73 candidate predictor variables examined, 7 variables describing patient characteristics on arrival were selected for inclusion in the final model: age, cardiac arrest, anterior or lateral location of myocardial infarction, systolic blood pressure, white blood cell count, serum creatinine, and congestive heart failure. The area under the receiver-operating characteristic curve for the final model was 0.77 in the derivation cohort and 0.77 in the validation cohort. The rankings of hospitals by performance (in deciles) with this model were most similar to a comprehensive 27-variable model based on medical chart review and least similar to models based on administrative billing codes. CONCLUSIONS: A simple 7-variable risk model performs as well as more complex models in comparing hospital outcomes for acute myocardial infarction. Although there is a continuing need to improve methods of risk adjustment, our results provide a basis for hospitals to develop a simple approach to compare outcomes.  (+info)

Case mix adjustment in nursing systems research: the case of resident outcomes in nursing homes. (8/409)

Case mix indicates, for a resident population, the degree of risk for developing favorable or unfavorable outcomes. In a study of 164 nursing homes, we explored two methods for combining resident assessment data into a case mix index (CMI). We compared a facility-level, composite CMI to a prevalence-based CMI comprised of 22 separate resident characteristics for their adequacy in explaining resident outcomes. The prevalence-based CMI consistently explained more variance in outcomes than the facility level, composite CMI. This study indicates a reasonable method for using administrative databases containing resident assessment data to adjust for the influence of case mix on nursing home resident outcomes.  (+info)

* Emotional distress, such as anxiety, sadness, or irritability
* Difficulty sleeping or concentrating
* Changes in appetite or eating habits
* Social withdrawal or avoidance of social situations
* Physical symptoms, such as headaches or muscle tension

Adjustment disorder can be diagnosed by a mental health professional based on the presence of these symptoms and their duration. Treatment for adjustment disorder may involve therapy, such as cognitive-behavioral therapy (CBT) or medication, such as antidepressants.

It is important to note that adjustment disorder is not a sign of weakness, and it is not something that a person can simply "snap out of." It is a real condition that requires professional treatment in order to recover fully. With appropriate treatment and support, individuals with adjustment disorder can learn to cope with the stresses in their life and regain their emotional balance.

There are several types of adjustment disorders, including:

* Adjustment disorder with anxiety: This type of adjustment disorder is characterized by excessive worry or fear about the future, and may include physical symptoms such as rapid heartbeat or shortness of breath.
* Adjustment disorder with depressed mood: This type of adjustment disorder is characterized by persistent feelings of sadness or hopelessness, and may include changes in appetite or sleep patterns.
* Adjustment disorder with mixed anxiety and depressed mood: This type of adjustment disorder is characterized by both anxious and depressed symptoms, such as worrying about the future while also feeling sad or hopeless.

It is important to seek professional help if you are experiencing any of the symptoms of adjustment disorder, especially if they are interfering with your daily life or causing significant distress. With appropriate treatment, individuals with adjustment disorder can learn to cope with stress and regain their emotional balance.

It's important to note that while adjustment disorder is a real condition, it is not the same as depression or anxiety disorders. However, these conditions can often occur at the same time as adjustment disorder, and may need to be treated separately.

Treatment for adjustment disorder typically involves a combination of psychotherapy and medication, such as antidepressants or anti-anxiety drugs. Psychotherapy can help individuals with adjustment disorder learn new coping skills and strategies for managing stress, while medication can help reduce the symptoms of anxiety or depression.

In addition to professional treatment, there are several things that individuals with adjustment disorder can do at home to help manage their symptoms, such as:

* Practicing relaxation techniques, such as deep breathing or yoga
* Engaging in regular exercise, which can help reduce stress and improve mood
* Getting enough sleep and maintaining a healthy diet
* Avoiding alcohol and drugs, which can worsen symptoms of adjustment disorder
* Seeking support from friends, family, or support groups.

It's important to seek professional help if you are experiencing symptoms of adjustment disorder, as early treatment can help improve the chances of a successful recovery.

Types of congenital heart defects include:

1. Ventricular septal defect (VSD): A hole in the wall between the two lower chambers of the heart, allowing abnormal blood flow.
2. Atrial septal defect (ASD): A hole in the wall between the two upper chambers of the heart, also allowing abnormal blood flow.
3. Tetralogy of Fallot: A combination of four heart defects, including VSD, pulmonary stenosis (narrowing of the pulmonary valve), and abnormal development of the infundibulum (a part of the heart that connects the ventricles to the pulmonary artery).
4. Transposition of the great vessels: A condition in which the aorta and/or pulmonary artery are placed in the wrong position, disrupting blood flow.
5. Hypoplastic left heart syndrome (HLHS): A severe defect in which the left side of the heart is underdeveloped, resulting in insufficient blood flow to the body.
6. Pulmonary atresia: A condition in which the pulmonary valve does not form properly, blocking blood flow to the lungs.
7. Truncus arteriosus: A rare defect in which a single artery instead of two (aorta and pulmonary artery) arises from the heart.
8. Double-outlet right ventricle: A condition in which both the aorta and the pulmonary artery arise from the right ventricle instead of the left ventricle.

Causes of congenital heart defects are not fully understood, but genetics, environmental factors, and viral infections during pregnancy may play a role. Diagnosis is typically made through fetal echocardiography or cardiac ultrasound during pregnancy or after birth. Treatment depends on the type and severity of the defect and may include medication, surgery, or heart transplantation. With advances in medical technology and treatment, many children with congenital heart disease can lead active, healthy lives into adulthood.


Her research considered risk adjustment. After earning her Ph.D. there, she enrolled at the University of Minnesota Law School ... Fowler, Elizabeth Jean (1996). Predictive performance of current risk adjustment systems: application to pediatric populations ...
"Risk Adjustment Fraud » Constantine Cannon". Retrieved December 5, 2017. "hhs.gov". hhs.gov. May 7, 2011. Retrieved January 2, ...
"UPMC and Health Fidelity Partnership a Win-Win for Risk Adjustment" (PDF). February 2019. "Project Information - NIH RePORTER ... "Health Fidelity , NLP-Enabled Risk Adjustment Technology". Health Fidelity, Inc. Retrieved 2019-09-03. ""21st Century ... a company which implements artificial intelligence to measure clinical quality and risk for value-based healthcare. As CEO, ...
Smith, S. L., Howard, J.A., & Monroe, A.D. (2000). "Issues underlying behavior problems in at-risk adopted children." Children ... Levy-Shiff, R. (2001). Psychological adjustment of adoptees in adulthood: Family environment and adoption-related correlates. ... Levy-Shiff, R. (2001). "Psychological adjustment of adoptees in adulthood: Family environment and adoption-related correlates ... Brodzinsky, D. M. (1987). "Adjustment to adoption: A psychosocial perspective."Clinical Psychology Review, (7) 25- 47. ...
... the adjustment (increment) to a derivative price due to the institution's own default risk. If the default risk of both ... Capital Valuation Adjustment and Funding Valuation Adjustment. Risk Magazine, May 2016. Brigo, Damiano (November 5, 2011). " ... While the CVA reflects the market value of counterparty credit risk, additional Valuation Adjustments for debit, funding cost, ... John Hull (May 3, 2016). "Valuation Adjustments 1". fincad.com. XVA and Collateral: pricing and managing new liquidity risks. ...
D'Agostino RB, Wolf PA, Belanger AJ, Kannel WB (January 1994). "Stroke risk profile: adjustment for antihypertensive medication ... Major risk factors for cerebral infarction are generally the same as for atherosclerosis. These include high blood pressure, ... It is also possible to calculate the risk of stroke in the next decade based on information gathered through the Framingham ... Hankey GJ (August 2006). "Potential new risk factors for ischemic stroke: what is their potential?". Stroke. 37 (8): 2181-8. ...
"Index Futures and the Adjustment of Risk." The American Banker. October 10, 1983. Richard L. Sandor. "When You're Trading ... Risk Books. September 1999. Richard L. Sandor and Michael J. Walsh. "Some Observations on the Evolution of the International ... Securitized Risk Strategic Opportunities for Insurers and Investors. The Glenlake Publishing Company Ltd. 1998. p. xi Taylor, ... Richard L. Sandor and Howard Sosin, " The Determinants of Mortgage Risk Premiums: A Case Study of the Portfolio of a Savings ...
ISBN 978-0-19-517276-8 Iezzoni, L. I. (2013). Risk adjustment for measuring health care outcomes. Health Administration Press. ...
To achieve its aims, state and federal regulators must construct an effective system of risk adjustment or risk equalization ... Risk Adjustment in Competitive Health Plan Markets. In: Culyer AJ and Newhouse JP (Eds), Handbook of Health Economics, vol.1. ... The system of risk equalization plays a crucial role in order to reduce the incentives for risk selection in this new Dutch ... Discussion of US law "HHS Officials Explain Risk Adjustment Methodology" Regulated competition in the new Dutch health care ...
Bera, Anil K.; Kannan, S. (1986). "An Adjustment Procedure for Predicting Systematic Risk". Journal of Applied Econometrics. 1 ... Bera, Anil K.; Billas, Y.; Dogan, O.; Taspinar, S.; & Yoon, M. (2020). "Adjustment of Rao's Score Test for Distributional and ... Bera, Anil K.; Park, H.Y. (1987). "Interest Rate Volatility, Basis Risk and Heteroscedasticity in Hedging Mortgages". Journal ... Bera, Anil K. and Machado, J. (1992). 'Bayesian Estimation of Systematic Risk Using Hierarchical and Nonnormal Priors'. ...
"A Comprehensive Risk Quantification Score for Deceased Donor Kidneys: The Kidney Donor Risk Index". Transplantation. 88 (2): ... Race adjustment, also known as race-correction, is the calculating of a result which takes into account race. It is commonly ... Adding a race adjustment to kidney algorithms results in higher eGFR values in people identified as black. Reasons for this ... The Kidney Donor Risk Index (KDRI), the United States' official kidney allocation index, was developed in 2014. Race is among ...
"How does Risk Selection Respond to Risk Adjustment? Evidence form the Medicare Advantage Program." American Economic Review 104 ... The study finds that parole boards efficiently set prison time based on a prisoner's recidivism risk, thus reducing recidivism ...
3-4, 145-161 (1996) John Waterbury and Mark Gersovitz, eds., The political economy of risk and choice in Senegal. Frank Cass & ... The Political Economy of Senegal Under Structural Adjustment. School of Advanced International Studies, Johns Hopkins ... and other multilateral and creditors have been supporting the Government of Senegal's structural and sectoral adjustment ...
Perspectives on Adjustment, Risk, and Disorder. Cambridge University Press. p. 123. ISBN 978-0-521-47715-4. Gottfredson, Linda ...
Risk aversion is a kind of trading behavior exhibited by the foreign exchange market when a potentially adverse event happens ... Johnson, G. G. (1985). Formulation of Exchange Rate Policies in Adjustment Programs. ISBN 0939934507. Retrieved 15 November ... In fact, a forex hedger can only hedge such risks with NDFs, as currencies such as the Argentinian peso cannot be traded on ... One way to deal with the foreign exchange risk is to engage in a forward transaction. In this transaction, money does not ...
Brown, Jason; Duggan, Mark; Kuziemko, Ilyana; Woolston, William (2014). "How Does Risk Selection Respond to Risk Adjustment? ... They will be less likely to cover higher-risk populations, which would cause an imbalance in the risk pool for other small ... the risk of disability is greater than the risk of premature death, and the resulting reduction in lifetime earnings can be ... Instead, as Edward Beiser and Jacob Appel have separately argued, health insurers are better thought of as low-risk money ...
... fenofibrate interacts with coumadin anticoagulants to increase the risk of bleeding. Dosage adjustment of vitamin K antagonist ... The FIELD study reported that fenofibrate at doses of 200 mg daily, reduced the risk for any amputation by 37% independent of ... Steiner G (October 2009). "How can we improve the management of vascular risk in type 2 diabetes: insights from FIELD". ... Fenofibrate appears to reduce the risk of below ankle amputations in patients with Type 2 diabetes without microvascular ...
... psychological adjustment of individuals at risk for hereditary disease; and the design and evaluation of interventions in the ... Her work on risk of depression was published in Lab+Life Scientist magazine. The website for family depression and its ... "Your risk of depression may be lower than you think". labonline.com.au. Retrieved 26 July 2019. "Family depression website". ... at increased risk for ovarian cancer Participant in Psychosocial predictors of developing breast cancer in women from high risk ...
TQIP measures multiple variables in its risk-adjustment models. These variables include factors such as age, race, gender, ... Deliverables comprise risk adjusted hospital comparisons in the form of one annual benchmark report as well as two separate ... Its aim is to provide risk-adjusted data for the purpose of reducing variability in adult trauma outcomes and offering best ... The aggregate group had a relative risk-mortality of 3.3, while the single-system trauma cohort had a mortality 5.9 times ...
Finkelstein, Amy; Gentzkow, Matthew; Hull, Peter; Williams, Heidi (2017). "Adjusting Risk Adjustment - Accounting for Variation ...
Eighteen pediatric quality indicators are included in the AHRQ quality measure modules; based on expert input, risk adjustment ... 2007). "Technological iatrogenesis: New risks force heightened management awareness" (PDF). Journal of Healthcare Risk ... this number leads to an increased risk of adverse events that shouldn't happen, anywhere from 26% to 70% higher risk that ... "High risk procedures or medical specialties are responsible for most avoidable adverse events". Although some mistakes, such as ...
Zelviene P, Kazlauskas E, Maercker A (2020-01-10). "Risk factors of ICD-11 adjustment disorder in the Lithuanian general ... One hypothesis about Adjustment disorder is that it may represent a sub-threshold clinical syndrome. Adjustment disorder has ... Adjustment Disorders at eMedicine Powell AD (2015). "Grief, Bereavement, and Adjustment Disorders". In Stern TA, Fava M, Wilens ... "Adjustment Disorders". www.hopkinsmedicine.org. 8 August 2021. Retrieved 2022-04-10. "Adjustment Disorder: All You Need to Know ...
... and third-country risks from the European carbon border adjustment mechanism". Energy Research & Social Science. 80: 102240. ... "The Carbon Border Adjustment Mechanism (CBAM)". www.ey.com. Retrieved 3 October 2021. "Carbon Border Adjustment Mechanism (CBAM ... Carbon Border Adjustment Mechanism proposal Gore, Tim (13 September 2021). "The proposal for a Carbon Border Adjustment ... The Carbon Border Adjustment Mechanism (CBAM) is a proposed carbon tariff on carbon intensive products, such as cement and some ...
Kelly, J. B.; Emery, R. E. (2003). "Children's Adjustment Following Divorce: Risk and Resilience Perspectives". Family ... 3 Risk, Disorder, and Adaptation. Hoboken, NJ: Wiley and Sons. Garmezy, N. (1974, August) The study of children at risk: New ... However, this is not a justification to expose any child to risk. Children do better when not exposed to high levels of risk or ... "Emotional Adjustment of Moving for Young Kids". Moveboxer.com. Wang, Haertel, & Walberg, M.C., G.D., & H.J (Ed.). (1994). ...
Risk adjustment involves transferring funds from plans with lower-risk enrollees to plans with higher-risk enrollees. It was ... Of the three risk management programs, only risk adjustment was permanent. Plans with low actuarial risk compensate plans with ... Semanskee, Ashley; Claxton, Gary (August 17, 2016). "Explaining Health Care Reform: Risk Adjustment, Reinsurance, and Risk ... The risk-corridor program was a temporary risk management device.: 1 It was intended to encourage reluctant insurers into ACA ...
No dose adjustment is required in persons with renal impairment. No dose adjustment is required in persons with mild and ... found no change in all cause mortality while decreasing the risk of cardiac death and increasing the risk of major bleeding, ... If the person has severe hepatic impairment, vorapaxar is not recommended due to the risk of bleeding. Vorapaxar is a new anti- ... Among these patients the drug reduced the relative risk of CV death, heart attack or stroke by 20 percent. There was an ...
Gallo has stated that the related traits of hostility, anger, and aggressiveness have long been suggested as risk factors for ... Gallo, L. C., & Smith, T. W. (2001). Attachment style in marriage: Adjustment and responses to interaction. Journal of Social ... In addition, Gallo focused on developing and testing culturally appropriate interventions to reduce risk and improve outcomes ... Associations with levels and trajectories of cardiovascular risk factors. Health Psychology, 22(5), 453-463. https://clinpsyc. ...
To help prevent adverse selection, the ACA was designed with a risk adjustment program to compensate insurers with sicker ... 6 (1). doi:10.25148/lawrev.6.1.7. Kautter, John; Pope, Gregory; Keenan, Patricia (2014). "Affordable Care Act Risk Adjustment: ... If risk aversion is higher among lower-risk customers, adverse selection can be reduced or even reversed, leading to " ... This occurs when a person is both less likely to engage in risk-increasing behavior are more likely to engage in risk- ...
Risk weighted assets could be €342bn and Tier 1 capital €8bn, with a ratio of 2.2%. However, this analysis looks at the ... NAMA applied statutory adjustment factors to estimate the valuation of €54bn. The document also noted that asset prices would ... Assuming a 1-for-1 write-down of €14bn in the risk weighted assets and the same of the Tier 1 capital, the new ratio would be ... In dealing with the banking crisis, the objective must be to minimise the risk to taxpayers and to get credit flowing to ...
Rear drags, on the other hand, have an adjustment screw on the back of the reel along with a separate lever to activate its use ... There are higher risks of getting backlashes during the cast without proper techniques. One must know about spool tension ... On the outside of the reel there are two levels of knobs these are the spool release and the drag adjustment. Fly reel drag ... Although adequate for smaller fish, these did not possess a wide adjustment range or the power to slow larger fish. At one time ...
The louder the environment, the less time that a person may spend there without the risk of incurring hearing loss. NIOSH has ... If the noise is considerably louder with the adjustment, then the earmuffs are providing at least some degree of noise ... Workers with hearing loss face additional risk factors on the job site such as an inability to hear warning signals or alarms, ... frequency sounds pose greater risk to hearing than low frequency sounds. This frequency dependence is reflected in the use of ...
If the new connection risks creating congestion, permission can be denied. Examples include Contention-Free Transmission ... for the appropriate adjustments. The protocols that avoid congestive collapse generally assume that data loss is caused by ... Bandwidth management - Capacity control on a communications network Cascading failure - Systemic risk of failure Choke exchange ...
Because of this case, the risk levels of some areas of Shanghai were raised from "low risk" to "middle risk". According to ... The adjustments were made to "promote epidemic prevention and control as well as economic and social development, and resume ... On June 3, four neighborhoods in Jing'an and Pudong were put back into "closed" lockdown and designated as "mid-risk" due to ... From May 29, plans were announced to ease the lockdown on June 1. The adjustment entails: People entering public areas and ...
Moreover, he already emphasized in the 1990s the risk that excessive budget deficits in the Eurozone may pressure the European ... or structural adjustment programmes. Curriculum vitae of Jürgen von Hagen from the Bruegel website (status: October 2015). ... Von Hagen, J., Schuknecht, L., Wolswijk, G. (2011). Government bond risk premiums in the EU revisited: The impact of the ... Schuknecht, L., von Hagen, J., Wolswijk, G. (2009). Government risk premiums in the bond market: EMU and Canada. European ...
Checks and adjustments were made the following year, and the inhabitants of five counties-Panyu, Shunde, Xinhui, Dongguan, and ... European countries' trade with China was so extensive that they were forced to risk silver deficits to supply merchants in Asia ...
... and to greater risks of serious injury or death. These risks may be reduced by appropriate skills, knowledge and experience, ... This adjustment is generally in the order of a kilogram (corresponding to a litre of gas), and can be maintained for a moderate ... The most immediate risk associated with scuba diving is drowning due to a failure of the breathing gas supply. This may be ... The highest risk is during charging of cylinders, but injuries have also occurred when cylinders have been stored in ...
At home on disability, he risks adopting a "sick role" that ends up depriving him of the estimable therapeutic value of work. ... This placement is misleading because it appears as if the Rating Formula applies to Chronic Adjustment Disorder only, which is ... An Act To amend and modify the War Risk Insurance Act, ch. 16, 41 Stat. 371, 373 (1919) ("A schedule of ratings of reductions ... You ought to go.' Harbaugh, Ken (June 1, 2015). "The Risk of Over-Thanking Our Veterans". The New York Times. Archived from the ...
Then information on those differences can be used to make the adjustments needed to allow the construct to measure what it is ... For instance, their irresponsibility may be misconstrued by interviewers as risk-taking or entrepreneurial spirit. Their thrill ... A Classification of Score Adjustment Procedures and Review of Research in JCCP". Journal of Cross-Cultural Psychology. 35 (3): ...
Virtual Reality researcher Mark Pesce argues, citing research in Japan, Britain, and America, that there is an adjustment ... and that overconsumption of 3D content could lead to increased risk of accidents or even permanent impairment. Pesce says that ...
Ultimately, however, the Soviet Politburo decided the risk of crew death was unacceptable given the combined poor performance ... the Apollo spacecraft had the necessary rocket power to slip into and out of lunar orbit and to make course adjustments ...
... a C section is not without risks. Having a C section puts the mother at greater risk for uterine rupture and abnormal ... Many women who are experiencing symptoms of PTSD after childbirth are misdiagnosed with postpartum depression or adjustment ... there is strong evidence that prophylactic antibiotics help to reduce the risk of infection. There is a higher risk of blood ... A decreased risk is found with providone-iodine when a cesarean section is to be performed. An assisted delivery is used in ...
Neumann, Peter G. (1987-02-02). "The RISKS Digest, Volume 4 Issue 45". The RISKS Digest, Volume 4 Issue 45. 4 (45). Retrieved ... Nigeria, the Handbook Review 1987: Nigeria Undergoes Structural Adjustment and Prepares for Growth. Patike Communications ...
... and The Last Jedi for its direction and willingness to take risks. In contrast, The Rise of Skywalker received criticism for ... and director Rian Johnson's initial response to the script of The Force Awakens included the suggestion of minor adjustments to ...
The adjustment also permits enough slack to allow a chain to be installed, so there is no need for a "split link" when fitting ... Chisel chains have a high kick-back risk due to missing safety chain elements and are more sensitive against dirt. These chains ... Semi chisel chains have a lower kick-back risk. These chains are available for consumer, semi-pro and professional saws. Low- ...
Women and children are often put at a high risk of being infected by schistosomiasis, which in turn puts them at a higher risk ... Epidemiological Study of the Elderly found that social engagement was associated with lower depression scores after adjustment ... This increased risk of contracting HIV through non-sexual means has social consequences for women as well. Over half of the ... Staying in the home can mean exposure to lead, mold and rodents within that home that can lead to an increased risk of illness ...
In situations where the risk of tunnel vision is high, the best option is to set a learning goal. A learning goal is a ... to include this beneficial domain general effect of superordinate goals and that this inductive process of further adjustments ... distorted risk preferences, damage to organizational culture, and reduced intrinsic motivation. High performance goal seem ...
12 of them had returned with the infection from Northern Italy, one from France, one from Iran and one from undisclosed risk ... The Government acted swiftly and on 22 December, Level 5 lockdown restrictions with a number of adjustments were announced, ... An analysis in Vox hypothesised that the minority government did not want to risk its hold on power by banning large gatherings ... Osadcha, Yana (18 May 2022). "Kuzin told about the risk of a new outbreak of COVID-19 in Ukraine". Ukrayinska Pravda (in ...
COVID advice is updated for England, where people are urged to take a lateral flow test if they expect to be in a "high risk ... "Conservative conference: UK in period of adjustment after Brexit, says PM". BBC News. 3 October 2021. Retrieved 3 October 2021 ... A Bristol study into the side-effects of the Pfizer vaccine in children aged 12-15 at high risk of COVID are minimal and clear ... "Covid unlocking risk for pregnant women, say doctors". BBC News. 14 July 2021. Retrieved 4 August 2021. "Mortgages refused for ...
Small, temporary tuning adjustments can also be made by stretching a string with the hand. A string may be flattened by pulling ... Like any other unwarranted tension, it limits freedom of motion, and increases the risk of discomfort, while decreasing sound ... the amount of adjustment needed may be greatly reduced by training the fingers to fall properly in the first place. The fingers ...
"NFL ready for adjustments if Los Angeles lockdown continues into season". The Orange County Register. May 13, 2020. Retrieved ... "Broncos to face Saints without QB Drew Lock, both backups after all were deemed high-risk contacts". NFL.com. Retrieved ... Eight teams unveiled uniform changes, ranging from minor adjustments to full rebrands. Atlanta: On April 8, the Falcons ...
International Adjustment and the Japanese Firm (editor), Allen & Unwin, 1991, ISBN 1 86373 418X Japanese Firms, Finance, and ... the informational and risk-sharing role of general trading companies (Sogo shosha) as financial intermediaries; and assessing ... "The Japanese general trading company as an aspect of interfirm risk-sharing," Journal of the Japanese and International ...
Neville was vulnerable, chose to help free Neville and risk recapture rather than escape and let the Captain die from ... Kondolojy, Amanda (June 4, 2013). "Monday Final Ratings: 'The Voice' & 'The Goodwin Games' Adjusted Up + No Adjustment for ' ...
"Aquatic Species at Risk - Species Profile - Sea Otter". Fisheries and Oceans Canada. Retrieved 29 November 2007. Lepak, Jesse M ... Marine mammals are adept at thermoregulation using dense fur or blubber, circulatory adjustments (counter-current heat exchange ... Conn, P. B.; Silber, G. K. (2013). "Vessel speed restrictions reduce risk of collision-related mortality for North Atlantic ... Retrieved 18 June 2016.[permanent dead link] World Health Organization (2008). "Guidance for identifying populations at risk ...
Persily drew a least-change map, making only the adjustments necessary to ensure equal population in each congressional ... Rodgers, Bethany; Wood, Benjamin (February 22, 2020). "Utah's new anti-gerrymandering law is at risk, group warns". The Salt ...
The team used player feedback from the first game's systems to make their adjustments. For both games, Atlus received ... the people of the Junkyard must devour their foes to satiate their demonic hunger or risk going berserk. Sera, a so-called ...
The plaque reads: CHALLENGER POINT, 14080+' In Memory of the Crew of Shuttle Challenger Seven who died accepting the risk, ... Point List of mountain peaks of Colorado List of Colorado fourteeners The elevation of Challenger Point includes an adjustment ...
A higher operating margin means that the company has less financial risk. Operating margin can be considered total revenue from ... product sales less all costs before adjustment for taxes, dividends to shareholders, and interest on debt. Efficiency ratio ...
setup A set of adjustments made to the vehicle in order to optimize its behaviour. shakedown The first test of a new vehicle ... Often employed to prevent the risk of an accident resulting in damage to both of a team's cars. The practice was briefly ... Less common today, as racing cars are usually mandated to have a ground clearance that decrases the risk of bottoming out. ... and safety risks (such as spectators or animals) prior to the rally cars running through the course, as well as to notify the ...
On February 15, 2005, the company announced an adjustment related to an increase in the estimate for its allowance for doubtful ... of Career Education's programs would have failed or been at risk of failing the US Department of Education's new "gainful ...
If the prediction fails and a transit is not observed, that is likely to occasion an adjustment in the system, a change in some ... Rosenstock, Linda; Lee, Lore Jackson (January 2002). "Attacks on Science: The Risks to Evidence-Based Policy". American Journal ...
This interaction term was not significant for any of the cardiometabolic risk factors after adjustment for covariates for ... For women, no significant associations between sitting time and cardiometabolic risk factors were observed after adjustment for ... Our study examined the association between sitting time and cardiometabolic risk factors after adjustment for cardiorespiratory ... Study Title: Association Between Sitting Time and Cardiometabolic Risk Factors After Adjustment for Cardiorespiratory Fitness, ...
As examples, adjustment decisions would place more emphasis on comprehensive risk measures than on focused risk measures, would ... Proposed Assessment Rate Adjustment Guidelines for Large Institutions and Insured Foreign Branches in Risk Category I. FIL-19- ... Magnitude of Adjustments: When material inconsistencies between initial assessment rates and other risk indicators are present ... Proposed Assessment Rate Adjustment Guidelines for Large Institutions and Insured Foreign Branches in Risk Category I ...
... percent of issuers who set up EDGE servers successfully submitted the data necessary to calculate reinsurance payments and risk ... adjustment transfer.... [F]or the 2014 benefit year, reinsurance contributions exceeded the requests for reinsurance payments; ... issuers who set up EDGE servers successfully submitted the data necessary to calculate reinsurance payments and risk adjustment ...
Financial Risk RiskTech100® Winners Profile: Moodys Moodys celebrates its first year at the top of the RiskTech100 rankings ... Financial Risk Enterprise Management Tech and Trends Fireside Chat with Sidhartha Dash- -Part Two Enterprise fraud management ... You are currently accessing Risk.net via your Enterprise account.. If you already have an account please use the link below to ... Vneuron Risk & Compliance is a Rising Star in this years Chartis RiskTech100 awards. The fast-growing, French-headquartered ...
Option-implied preferences adjustments, density forecasts, and the equity risk premium ... Keywords: Risk adjustments; Option-implied densities; Forecasting performance; Equity-risk premium; G10; G12 (search for ... Option-implied preferences adjustments, density forecasts, and the equity risk premium. Francisco Alonso (. ), Roberto Blanco ... Working Paper: Option-implied preferences adjustments, density forecasts, and the equity risk premium (2006) This item may be ...
Calculator to help hospitals assess and maintain an accurate patient risk profile. ... ChartWise Medical Systems launches its new Risk Adjustment Factor (RAF) ... ChartWise Launches Risk Adjustment Factor Calculator to Help Hospitals Maintain Accurate Patient Risk Profile. by HITC Staff 10 ... Risk Adjustment models predict health care costs of patients. - The RAF for a patient has been difficult to calculate, and not ...
Impact of risk adjustment on provider ranking for patients with low back pain receiving physical therapy. ... Dive into the research topics of Impact of risk adjustment on provider ranking for patients with low back pain receiving ...
... has published an opinion on transitional arrangements and credit risk adjustments to mitigate the effect of ... EBA opinion on transitional arrangements and credit risk adjustments due to IFRS 9 introduction By Peter Snowdon (UK) on March ... Home , Germany , EBA opinion on transitional arrangements and credit risk adjustments due to IFRS 9 introduction ... The European Banking Authority (EBA) has published an opinion on transitional arrangements and credit risk adjustments to ...
Risk Adjustment Coding Analyst -REMOTE- Lehigh Valley Health Network Allentown, PA 16 days ago. ...
Posts about Risk Adjustment written by Forum for Healthcare Freedom ... ACA, Congress, Health insurance, PPACA, risk adjustments, Risk corridors, SCOTUS, Supreme Court, The Hill ... Category: Risk Adjustment. Justices grapple with multibillion-dollar ObamaCare case , TheHill. Several of the arguments in this ... Federal loans, ObamaCare, ObamaCare Co-ops, Oregons Co-Op, Risk Adjustment, taxpayer bailouts ...
Risk Adjustment Coding/Auditing. AHIMA has partnered with MARSI to present the first Risk Adjustment Coding/Auditing course ... This course presents extensive, in-depth education for those working in risk adjustment that need a thorough understanding of ... that prepares professionals for risk adjustment coding while going a step further to address chart auditing. ...
We train students to understand various CMS risk adjust models and how to abstract comorbidities from the medical record using ... We train students to understand various CMS risk adjust models and how to abstract comorbidities from the medical record using ...
Medicare risk adjustment, Medicare health, risk adjustment, Medicare software, risk coding, risk adjustment program, Risk ... Medicare Risk Adjustment Software, Medicare health, Clair360. Medicare Risk Adjustment Software, Medicare health, Clair360. ...
Home » Highmark Risk Adjustment in Clinical Practice » Risk Adjustment in Clinical Practice -... ...
This adjustment was possible because we had access to electronic health data for everyone selected for the sample. By randomly ... Key Components of Opioid Risk Reduction Initiatives and Selected Measures of Adherence to Risk Reduction Initiatives ... 12 As risks of COT are becoming better understood, risk reduction guidelines have been proposed by a number of states13⇓-15 and ... Chronic opioid therapy risk reduction initiative: impact on urine drug testing rates and results. J Gen Intern Med 2014;29:305- ...
Risk Adjustment Coding. Learn Risk Adjustment, Data Submission Overview and HCC which includes chronic conditions, risk scores ... Risk Adjustment Coding. Learn Risk Adjustment, Data Submission Overview and HCC which includes chronic conditions, risk scores ... Risk Adjustment Coding. Learn Risk Adjustment, Data Submission Overview and HCC which includes chronic conditions, risk scores ... The Risk Adjustment Coding program introduces participants to the curriculum needed to take the AAPC 40-hour Certified Risk ...
Brazilian Amazon at risk of being taken over by mafia, ex-police chief warns. The Guardian ... Buffalo Next: WNY hospitals hopeful about Medicare wage adjustment proposal. Posted 2023-05-26, The Buffalo News Headlines ... Buffalo Next: WNY hospitals hopeful about Schumers Medicare wage adjustment proposal. The Buffalo News 2023-05-26, 01:19 ... WNY hospitals hopeful about Medicare wage adjustment proposal. The Buffalo News 2023-05-26, 11:38 ...
Be in the know on the latest happenings at Bybit - new products, our latest trading pairs and more ...
Risk adjustment for measuring health care outcomes / edited by Lisa I. Iezzoni. Contributor(s): Iezzoni, Lisa IMaterial type: ... W 84.3 94RI Risk adjustment for measuring health care outcomes / W 84.3 96DI Dialogue on research and policy interlinks in ... Risk factors , Decision support techniques , Models, Statistical , Statistics -- methodsNLM classification: W 84.3 ...
Bundled payments: Touting risk adjustment in knee, hip replacements. September 9, 2016by Robert Whitcomb in Uncategorized ... If Medicare risk-adjusts for medical complexity in bundled-payment models for hip and knee replacements, it could-and should- ... But as his research showed, even minimal risk-adjusting-for co-morbidities, a patients age, dual eligibility status-was ...
Can valid and practical risk-prediction or casemix adjustment models, including adjustment for comorbidity, be generated from ... Risk adjustment for administrative data using comorbidity measures and machine learning. Summary. To compare hospitals fairly, ... Challenges that we tackle include how to best process these complex data sets, indicator development, risk adjustment, ... To compare logistic regression with machine learning methods for risk adjustment for mortality, readmission and unplanned ...
Conference Call Schedule & Dial-Ins. Thursdays at 3pm ET. Please join my meeting from your computer, tablet or smartphone. ...
Risk Adjustment Business Planning and in Medford, OR - f2cb is listed by Cambia Health Solutions with other Asian American jobs ... Risk Adjustment Business Planning and Execution Consultant. Risk Adjustment Business Planning and Execution Consultant Cambia ... Risk Adjustment Business Planning and Execution Consultant. Work Remotely from Oregon, Washington, Idaho or Utah. Primary Job ... Risk Adjustment Business Planning and Execution Consultant is also posted to sites within our Diversity Job Network. ...
Quality Risk Adjustment (Boulder, CO) at Boulder Medical Center ... Certified Medical Coder (Full-time) - Quality Risk Adjustment ( ... Apply for Certified Medical Coder (Full-time) - Quality Risk Adjustment (Boulder, CO) ... Apply for Certified Medical Coder (Full-time) - Quality Risk Adjustment (Boulder, CO) ...
Includes dosages for Tuberculosis - Active; plus renal, liver and dialysis adjustments. ... Pregnancy & Lactation Risk data available CSA Schedule* Not a controlled drug N/A ... Renal Dose Adjustments. Data not available. Liver Dose Adjustments. Mild to moderate liver dysfunction: Data not available. ...
Sound risk adjustment methods. A consistent system of risk adjustment and risk pooling is a key tool to ensure that resources ... a risk-adjustment/risk-equalisation mechanism is used to take into account the size, age-gender structure and a proxy of the ... For instance, given the high rates of physical inactivity in the EU and the associated health risk factors, health ... screening programmes is a useful proxy for the effectiveness of the healthcare system in addressing sectors at risk. The ...
Similarly, when conducting healthcare provider profiling, adequate risk-adjustment is necessary for conclusions about provider ... There are limited validated methods for risk adjustment in ambulatory populations using administrative healthcare databases. ... the ability to adjust for differences in the risk of the outcome occurring between treatment groups is important. ...
Adjustment of Fragility Fracture Risk Assessment Tool In Western societies, fragility fractures are increasing in absolute ... The WHO published in 2008 a tool to properly identify the populations increased risk of fragility fracture and prioritise... ...
Lightning strike/risk analysis Conversion Services • Legacy map scanning, conversion and digitizing • Database migration to and ... Pipeline centerline adjustment and conflation ...
  • To date, CDI has focused on the inpatient population, using DRGs to determine reimbursement, and Severity of Illness (SOI) and Risk of Mortality (ROM) to identify how sick a patient is," said Dr. Jon Elion, founder and CEO of ChartWise Medical Systems in a statement. (hitconsultant.net)
  • To compare logistic regression with machine learning methods for risk adjustment for mortality, readmission and unplanned reoperation. (imperial.ac.uk)
  • In 2019, Discovery Health published a risk adjustment model to determine standardised mortality rates across South African private hospital systems, with the aim of contributing towards quality improvement in the private healthcare sector . (bvsalud.org)
  • Learn Risk Adjustment, Data Submission Overview and HCC which includes chronic conditions, risk scores, trump logic, RAPS and the comparison of Medicare and Commercial Programs. (bryantstratton.edu)
  • If Medicare risk-adjusts for medical complexity in bundled-payment models for hip and knee replacements, it could-and should-mitigate penalties for hospitals with sicker than average patients, suggests a new report. (cmg625.com)
  • The FDIC is seeking comment on the attached proposed guidelines for determining how adjustments of up to 0.50 basis points would be made to the quarterly assessment rates of insured institutions defined as large (generally over $10 billion) Risk Category I institutions, and insured foreign branches in Risk Category I, according to the Final Assessments Rule (71 FR 69282, Nov. 30, 2006). (fdic.gov)
  • These guidelines are intended to further clarify the analytical processes and the controls applied to these processes in making assessment rate adjustments. (fdic.gov)
  • The FDIC proposes a set of ten guidelines that would govern the process for determining when an assessment rate adjustment is appropriate and the magnitude of the adjustment. (fdic.gov)
  • The proposal also lists and discusses the types of information that would be considered in making assessment rate adjustments, as well as controls over the analytical process to help ensure that any adjustments are reasonable and well supported. (fdic.gov)
  • The proposed analytical process involves comparisons of the risk rankings suggested by an institution's initial assessment rate with the risk rankings suggested by other risk measures. (fdic.gov)
  • When material inconsistencies between initial assessment rates and other risk indicators are present, the FDIC proposes to perform additional analyses to determine the magnitude of adjustment, subject to the 0.50 basis point limitation, necessary to better align the assessment rate with that of other institutions with similar risk profiles. (fdic.gov)
  • The FDIC proposes four additional guidelines that would ensure assessment rate adjustments are reasonable, well supported and based on all relevant information. (fdic.gov)
  • As examples, the FDIC proposes to consult with an institution's primary federal regulator and state banking supervisor in advance of making an adjustment, and will also notify institutions in advance of implementing any upward adjustment in assessment rates. (fdic.gov)
  • Skilled in the identification and assessment of planning process risk factors. (asianjobsearch.com)
  • A trial on the quantitative risk assessment of man-made mineral fibers by the rat intraperitoneal administration assay using the JFM standard fibrous samples. (cdc.gov)
  • 1987. Physiologically based pharmacokinetics and the risk assessment process for methylene chloride. (cdc.gov)
  • Exposure to non-asbestos refractory materials: Corrections to fiber counts for comparable risk assessment. (cdc.gov)
  • The COVAX facility was developed to support equitable access to COVID-19 vaccines globally with the aim of targeting 20% coverage in all countries prioritizing high-risk populations by the end of 2021. (who.int)
  • A new fiber size-specific JEM was developed for use in fiber size-specific risk assessments. (cdc.gov)
  • Risk factors for coronary artery disease (CAD) were not formally established until the initial findings of the Framingham Heart Study in the early 1960s. (medscape.com)
  • Many risk factors are modifiable and account for the majority of the population's attributable risk for myocardial infarction (MI). (medscape.com)
  • The expanding risk factors are included in this review following but are by no means exhaustive of all the current attributing factors. (medscape.com)
  • Traditional versus nontraditional risk factors for coronary artery disease (CAD). (medscape.com)
  • The expanding list of nontraditional biomarkers is outweighed by the standard risk factors for predicting future cardiovascular events and adds only moderately to standard risk factors. (medscape.com)
  • Biomechanical risk factors for carpal tunnel syndrome: a pooled study of 2474 workers. (cdc.gov)
  • Objective: This analysis examined the associations between workplace biomechanical factors and incidence of dominant-hand CTS, adjusting for personal risk factors. (cdc.gov)
  • Other risk factors, cial change, and UAE, along with other such as obesity, dyslipidaemia, diabetes and Gulf Arab states, have experienced a rapid smoking, are also higher among hyperten- transition in its socioeconomic status. (who.int)
  • PCM adjustment factors also varied substantially across plant operations. (cdc.gov)
  • AHIMA has partnered with MARSI to present the first Risk Adjustment Coding/Auditing course that prepares professionals for risk adjustment coding while going a step further to address chart auditing. (ahima.org)
  • This course presents extensive, in-depth education for those working in risk adjustment that need a thorough understanding of HCCs, coding, and auditing. (ahima.org)
  • Courses that highlight CRC coding, risk adjustment, COC review, CEMC and additional review cover a wide range of key aspects of the medical coding profession, providing coding professionals with the additional training and preparation needed for continued professional success. (bryantstratton.edu)
  • Through the curriculum, you'll be able to define models of risk adjustment, applying official coding guidelines while identifying documentation deficiencies for diagnosis coding and the most common conditions in risk adjustment. (bryantstratton.edu)
  • The Risk Adjustment Coding program introduces participants to the curriculum needed to take the AAPC 40-hour Certified Risk Adjustment Coder (CRC) exam review . (bryantstratton.edu)
  • Estimates of exposure levels posing minimal risk to humans (MRLs) have been made, where data were believed reliable, for the most sensitive noncancer effect for each exposure duration. (cdc.gov)
  • Estimates of levels posing minimal risk to humans (Minimal Risk Levels, MRLs) may be of interest to health professionals and citizens alike. (cdc.gov)
  • MRLs include adjustments to reflect human variability from laboratory animal data to humans. (cdc.gov)
  • Risk adjustment for measuring health care outcomes / edited by Lisa I. Iezzoni. (who.int)
  • Although the relationship between fetal death and maternal age during cholera has not been documented, younger age is associated with increased risk for other adverse pregnancy outcomes. (cdc.gov)
  • Gaudoin R, Montana G, Jones S, Aylin P, Bottle A. Classifier calibration using splined empirical probabilities in clinical risk prediction. (imperial.ac.uk)
  • Bottle A, Gaudoin R, Goudie R, Jones S, Aylin P. Can valid and practical risk-prediction or casemix adjustment models, including adjustment for comorbidity, be generated from English hospital administrative data (Hospital Episode Statistics)? (imperial.ac.uk)
  • When designing a risk prediction model, patient -proximate variables with a sound theoretical or proven association with the outcome of interest should be used. (bvsalud.org)
  • Performance could be further improved by using summary risk prediction scores such as the EUROSCORE II for coronary artery bypass graft surgery or the GRACE risk score for acute coronary syndrome . (bvsalud.org)
  • We train students to understand various CMS risk adjust models and how to abstract comorbidities from the medical record using the MEAT & TAMPER acronyms. (carecodingtrainingcenter.org)
  • ChartWise Medical Systems , a provider of computer-assisted clinical documentation improvement (CACDI) has announced the launch of its new Risk Adjustment Factor (RAF) Calculator which puts hospitals and medical centers in the best possible position to assess and maintain an accurate patient risk profile. (hitconsultant.net)
  • Vneuron Risk & Compliance is a 'Rising Star' in this year's Chartis' RiskTech100 awards. (risktech-forum.com)
  • Through that unification, plans and providers gain a better understanding of risk across lines of business and patient populations, allowing them to optimize care plans while obtaining complete and accurate government-sponsored program payments. (edifecs.com)
  • The sudden realisation of extensive counterparty risks has severely compromised the balance sheets of banks globally, the health of global financial markets and state of the general economy. (risktech-forum.com)
  • Each drug prolongs the QTc interval, which may increased the risk of Torsade de pointes, other serious arryhthmias, and sudden death. (medscape.com)
  • But as his research showed, even minimal risk-adjusting-for co-morbidities, a patient's age, dual eligibility status-was worthwhile in CMS's bundled-payment program. (cmg625.com)
  • Severe dehydration at admission increased risk of fetal death. (cdc.gov)
  • 99.7 percent of issuers who set up EDGE servers successfully submitted the data necessary to calculate reinsurance payments and risk adjustment transfer. (benefitslink.com)
  • Challenges that we tackle include how to best process these complex data sets, indicator development, risk adjustment, statistical monitoring and feeding back the results to NHS stakeholders. (imperial.ac.uk)
  • Coadministration may increase risk for adverse effects of CYP3A4 substrates. (medscape.com)
  • This webinar recording covers: Failures of large financial institutions and sovereigns, leading to bankruptcies and dramatic bailouts have thrust counterparty credit risk heavily into the spotlight as the key element of financial risk management. (risktech-forum.com)
  • The European Banking Authority ( EBA ) has published an opinion on transitional arrangements and credit risk adjustments to mitigate the effect of International Financial Reporting Standard 9 ( IFRS 9 ) on prudential ratios. (regulationtomorrow.com)
  • Taking beta-carotene by mouth before, during, and after pregnancy might decrease the risk of diarrhea and fever after childbirth. (medlineplus.gov)
  • It also seems to reduce the risk of pregnancy-related death. (medlineplus.gov)
  • The emergence of new variants of concern presents an additional risk for new waves of transmission. (who.int)
  • Avoid coadministration with other drugs that decrease pulse or blood pressure to mitigate risk of excessive bradycardia and hypotension. (medscape.com)
  • Taking beta-carotene by mouth might decrease sunburn risk in people sensitive to the sun. (medlineplus.gov)
  • Taking beta-carotene by mouth does not decrease the risk of these growths. (medlineplus.gov)
  • 95% CI 1.34 to 3.15) were associated with increased risk of incident CTS. (cdc.gov)
  • Other risk measures that the FDIC proposes to consider during the analytical process include both broad-based or comprehensive risk measures and more focused risk measures. (fdic.gov)
  • Six of the guidelines would govern the analytical process and are intended to provide the greatest degree of transparency possible in the FDIC's adjustment decisions. (fdic.gov)
  • Our prospective-to-submissions integrated approach improves efficiency, reduces expenses, and eliminates organizational silos, enabling organizations to streamline and scale their risk adjustment operation with a single toolset. (edifecs.com)
  • Eating more beta-carotene in the diet is linked to a lower risk of breast cancer in high risk, pre-menopausal females. (medlineplus.gov)
  • Further, limited or incorrect use of face masks and general COVID-19 fatigue led to reduced adherence to public health and social measures, complacency and decreased risk perception to COVID-19 which poses an ongoing threat to citizens1. (who.int)
  • Taking beta-carotene by mouth does not reduce the risk for most types of cancer. (medlineplus.gov)
  • End multi-vendor management woes and optimize your risk adjustment programs. (edifecs.com)