Risk Adjustment
Insurance Selection Bias
Capitation Fee
Competitive Medical Plans
Integrative Medicine
Diagnosis-Related Groups
Hospital Mortality
Admitting Department, Hospital
Centers for Medicare and Medicaid Services (U.S.)
Quality Indicators, Health Care
Outcome Assessment (Health Care)
Cost Allocation
Managed Competition
Health Expenditures
Social Adjustment
Models, Statistical
Medicare
Risk Factors
International Classification of Diseases
Insurance Claim Review
Logistic Models
Risk Assessment
Health Services Research
Fee-for-Service Plans
Regression Analysis
Quality of Health Care
Retrospective Studies
Health Benefit Plans, Employee
Insurance, Health
Cohort Studies
Databases, Factual
Odds Ratio
Prospective Studies
Severity of Illness Index
Multivariate Analysis
Adjustment Disorders
National Health Programs
Comorbidity
Treatment Outcome
Age Factors
Quality Assurance, Health Care
Infant Mortality
Health Status Indicators
Registries
Heart Defects, Congenital
Predictive Value of Tests
Models, Theoretical
Coronary Artery Bypass
Reproducibility of Results
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.
Elizabeth Fowler (lawyer)
Medicare fraud
Dan Riskin
Genealogical bewilderment
XVA
Cerebral infarction
Richard L. Sandor
Lisa Iezzoni
Risk equalization
Anil K. Bera
Race adjustment
Ilyana Kuziemko
Economy of Senegal
Sandra Scarr
Foreign exchange market
Health insurance in the United States
Fenofibrate
Bettina Meiser
Trauma Quality Improvement Program
Amy Finkelstein
Patient safety
Adjustment disorder
Carbon Border Adjustment Mechanism
Psychological resilience
Affordable Care Act
Vorapaxar
Linda Gallo
Adverse selection
National Asset Management Agency
Fishing reel
Earmuffs
Network congestion
2022 Shanghai COVID-19 outbreak
Jürgen von Hagen
Haijin
Scuba set
Veterans benefits for post-traumatic stress disorder in the United States
Job interview
Binocular dysphoria
Moon landing
Childbirth
January 4
Star Wars sequel trilogy
Saw chain
Diseases of poverty
Goal setting
COVID-19 pandemic in Europe
Timeline of the COVID-19 pandemic in the United Kingdom (July-December 2021)
Violin technique
2020 NFL season
Paul Sheard
Revolution (TV series)
Marine mammal
2020 United States redistricting cycle
Shin Megami Tensei: Digital Devil Saga
Challenger Point
Operating margin
Glossary of motorsport terms
Perdoceo
Philosophy of science
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FDIC: FIL-19-2007: Proposed Assessment Rate Adjustment Guidelines for Large Institutions and Insured Foreign Branches in Risk...
CMS Summary Report on Transitional Reinsurance Payments and Permanent Risk Adjustment Transfers for the 2014 Benefit Year (PDF)
Counterparty Credit Risk And Credit Value Adjustment - RiskTech Forum
EconPapers: Option-implied preferences adjustments, density forecasts, and the equity risk premium
ChartWise Launches Risk Adjustment Factor Calculator to Help Hospitals Maintain Accurate Patient Risk Profile
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EBA opinion on transitional arrangements and credit risk adjustments due to IFRS 9 introduction | Regulation Tomorrow
Network Analyst Jobs in Allentown, PA | Monster.com
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Online Courses | AHIMA
Copy of HCC Risk Adjustment Workshop | Care Coding
Medicare Risk Adjustment Software, Medicare health, Clair360 - Postfreeads.in
Risk Adjustment in Clinical Practice - Horizon | Allegheny Health Network CME
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Specialty Coding Credentials | Bryant & Stratton College
Buffalo Next: WNY hospitals hopeful about Medicare wage adjustment proposal - Worldnews.com
Bybit Announcement | USDT Perpetual: Risk Limit Adjustment for ARPA (2023-05-24)
Details for:
Risk adjustment for measuring health care outcomes /
› WHO HQ Library catalog
Bundled payments: Touting risk adjustment in knee, hip replacements - Cambridge Management GroupCambridge Management Group
Healthcare performance | Faculty of Medicine | Imperial College London
Page Comparison - 2021 Risk Adjustment Meeting Minutes (v.3 vs v.4) - Da Vinci - Confluence
Risk Adjustment Business Planning and at Cambia Health Solutions in Medford, OR - 5754 | Asian Jobs
Huriot - Certified Medical Coder (Full-time) - Quality Risk Adjustment (Boulder, CO) at Boulder Medical Center
Ethionamide Dosage Guide + Max Dose, Adjustments - Drugs.com
EUR-Lex - 52014DC0215 - EN - EUR-Lex
Using the Johns Hopkins Aggregated Diagnosis Groups (ADGs) to predict mortality in a general adult population cohort in Ontario...
Results - UABDivulga Barcelona Research & Innovation
Mortality3
- 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)
Medicare2
- 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)
Assessment12
- 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)
20211
- 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)
Assessments1
- A new fiber size-specific JEM was developed for use in fiber size-specific risk assessments. (cdc.gov)
Factors9
- 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)
Coding5
- 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)
Exposure1
- 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)
Humans2
Outcomes2
Prediction4
- 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)
Models1
- 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)
Hospitals1
- 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)
Compliance1
- Vneuron Risk & Compliance is a 'Rising Star' in this year's Chartis' RiskTech100 awards. (risktech-forum.com)
Populations1
- 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)
Sudden2
- 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)
Minimal1
- 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)
Severe1
- Severe dehydration at admission increased risk of fetal death. (cdc.gov)
Data2
- 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)
Adverse1
- Coadministration may increase risk for adverse effects of CYP3A4 substrates. (medscape.com)
Credit risk2
- 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)
Pregnancy2
- 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)
Additional1
- The emergence of new variants of concern presents an additional risk for new waves of transmission. (who.int)
Decrease3
- 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)
Associated with increased risk1
- 95% CI 1.34 to 3.15) were associated with increased risk of incident CTS. (cdc.gov)
Include1
- 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)
Process1
- 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)
Operation1
- 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)
High-risk1
- Eating more beta-carotene in the diet is linked to a lower risk of breast cancer in high risk, pre-menopausal females. (medlineplus.gov)
Measures1
- 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)
Types1
- Taking beta-carotene by mouth does not reduce the risk for most types of cancer. (medlineplus.gov)
Management1
- End multi-vendor management woes and optimize your risk adjustment programs. (edifecs.com)