MaineCaliforniaUnited StatesHealth Personnel: Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)WisconsinNew YorkMassachusettsState Health Plans: State plans prepared by the State Health Planning and Development Agencies which are made up from plans submitted by the Health Systems Agencies and subject to review and revision by the Statewide Health Coordinating Council.North CarolinaHealth Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.DelawareData Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.MichiganUtahOregonHealth Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.VermontQuality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Organizations, Nonprofit: Organizations which are not operated for a profit and may be supported by endowments or private contributions.MarylandState Government: The level of governmental organization and function below that of the national or country-wide government.Regional Medical Programs: Coordination of activities and programs among health care institutions within defined geographic areas for the purpose of improving delivery and quality of medical care to the patients. These programs are mandated under U.S. Public Law 89-239.Medicaid: Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.MinnesotaWashingtonHealth Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Rhode IslandHealth Services Research: 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)Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Professional-Patient Relations: Interactions between health personnel and patients.NebraskaProgram Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.Preferred Provider Organizations: Arrangements negotiated between a third-party payer (often a self-insured company or union trust fund) and a group of health-care providers (hospitals and physicians) who furnish services at lower than usual fees, and, in return, receive prompt payment and an expectation of an increased volume of patients.Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Population Surveillance: Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.ColoradoManaged Care Programs: Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Communication: The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.ArkansasInterviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Public Health Administration: Management of public health organizations or agencies.New MexicoPatient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.South CarolinaConnecticutState Health Planning and Development Agencies: Agencies established under PL93-641 to coordinate, conduct, and implement state health planning activities. Two primary responsibilities are the preparation of an annual State Health Plan and giving assistance to the Statewide Health Coordinating Council.Physicians: Individuals licensed to practice medicine.FloridaInterinstitutional Relations: The interactions between representatives of institutions, agencies, or organizations.New JerseyComputer Communication Networks: A system containing any combination of computers, computer terminals, printers, audio or visual display devices, or telephones interconnected by telecommunications equipment or cables: used to transmit or receive information. (Random House Unabridged Dictionary, 2d ed)Hospitals: Institutions with an organized medical staff which provide medical care to patients.Patient Acceptance of Health Care: The seeking and acceptance by patients of health service.IowaCross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Health Promotion: Encouraging consumer behaviors most likely to optimize health potentials (physical and psychosocial) through health information, preventive programs, and access to medical care.Focus Groups: A method of data collection and a QUALITATIVE RESEARCH tool in which a small group of individuals are brought together and allowed to interact in a discussion of their opinions about topics, issues, or questions.Hawaii: A group of islands in Polynesia, in the north central Pacific Ocean, comprising eight major and 114 minor islands, largely volcanic and coral. Its capital is Honolulu. It was first reached by Polynesians about 500 A.D. It was discovered and named the Sandwich Islands in 1778 by Captain Cook. The islands were united under the rule of King Kamehameha 1795-1819 and requested annexation to the United States in 1893 when a provisional government was set up. Hawaii was established as a territory in 1900 and admitted as a state in 1959. The name is from the Polynesian Owhyhii, place of the gods, with reference to the two volcanoes Mauna Kea and Mauna Loa, regarded as the abode of the gods. (From Webster's New Geographical Dictionary, 1988, p493 & Room, Brewer's Dictionary of Names, 1992, p2330)Physician-Patient Relations: The interactions between physician and patient.Community Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Program Development: The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).Public Sector: The area of a nation's economy that is tax-supported and under government control.Health Services Needs and Demand: Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.Child Health Services: Organized services to provide health care for children.Public Health Informatics: The systematic application of information and computer sciences to public health practice, research, and learning.Cooperative Behavior: The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)Counseling: The giving of advice and assistance to individuals with educational or personal problems.Referral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.VirginiaGuideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.ArizonaPrivate Sector: That distinct portion of the institutional, industrial, or economic structure of a country that is controlled or owned by non-governmental, private interests.Infant, Newborn: An infant during the first month after birth.KentuckyPublic Health Practice: The activities and endeavors of the public health services in a community on any level.Quality Improvement: The attainment or process of attaining a new level of performance or quality.Total Quality Management: The application of industrial management practice to systematically maintain and improve organization-wide performance. Effectiveness and success are determined and assessed by quantitative quality measures.Medical Record Linkage: The creation and maintenance of medical and vital records in multiple institutions in a manner that will facilitate the combined use of the records of identified individuals.Hospitals, Special: Hospitals which provide care for a single category of illness with facilities and staff directed toward a specific service.Continuity of Patient Care: Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.IndianaEconomic Competition: The effort of two or more parties to secure the business of a third party by offering, usually under fair or equitable rules of business practice, the most favorable terms.Logistic Models: 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.Insurance Claim Reporting: The design, completion, and filing of forms with the insurer.Medical Records Systems, Computerized: Computer-based systems for input, storage, display, retrieval, and printing of information contained in a patient's medical record.Qualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)AlabamaInservice Training: On the job training programs for personnel carried out within an institution or agency. It includes orientation programs.Marketing of Health Services: Application of marketing principles and techniques to maximize the use of health care resources.MissouriMedicare: 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)West VirginiaModels, Organizational: Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups.Mass Screening: Organized periodic procedures performed on large groups of people for the purpose of detecting disease.New HampshirePilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Health Policy: Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.Regional Health Planning: Planning for health resources at a regional or multi-state level.Blue Cross Blue Shield Insurance Plans: Prepaid health and hospital insurance plan.Information Services: Organized services to provide information on any questions an individual might have using databases and other sources. (From Random House Unabridged Dictionary, 2d ed)Outcome Assessment (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).Health Care Coalitions: Voluntary groups of people representing diverse interests in the community such as hospitals, businesses, physicians, and insurers, with the principal objective to improve health care cost effectiveness.OhioPrenatal Care: Care provided the pregnant woman in order to prevent complications, and decrease the incidence of maternal and prenatal mortality.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Attitude to Health: Public attitudes toward health, disease, and the medical care system.Midwestern United States: The geographic area of the midwestern region of the United States in general or when the specific state or states are not indicated. The states usually included in this region are Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Missouri, Nebraska, Ohio, Oklahoma, North Dakota, South Dakota and Wisconsin.Physicians, Primary Care: Providers of initial care for patients. These PHYSICIANS refer patients when appropriate for secondary or specialist care.Quality Indicators, Health Care: Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.Insurance, Health: Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.Community Health Planning: Planning that has the goals of improving health, improving accessibility to health services, and promoting efficiency in the provision of services and resources on a comprehensive basis for a whole community. (From Facts on File Dictionary of Health Care Management, 1988, p299)Rooming-in Care: Care of the newborn infant in a crib near the mother's bed, instead of in a nursery, during the hospital stay.Obstetrics: A medical-surgical specialty concerned with management and care of women during pregnancy, parturition, and the puerperium.Risk Factors: 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.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Health Maintenance Organizations: Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)Rural Health Services: Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.Hotlines: A direct communication system, usually telephone, established for instant contact. It is designed to provide special information and assistance through trained personnel and is used for counseling, referrals, and emergencies such as poisonings and threatened suicides.Physician Assistants: Health professionals who practice medicine as members of a team with their supervising physicians. They deliver a broad range of medical and surgical services to diverse populations in rural and urban settings. Duties may include physical exams, diagnosis and treatment of disease, interpretation of tests, assist in surgery, and prescribe medications. (from http://www.aapa.orglabout-pas accessed 2114/2011)Diffusion of Innovation: The broad dissemination of new ideas, procedures, techniques, materials, and devices and the degree to which these are accepted and used.Healthcare Disparities: Differences in access to or availability of medical facilities and services.Emergency Service, Hospital: Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.Preventive Health Services: Services designed for HEALTH PROMOTION and prevention of disease.Retrospective Studies: 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.Economics, Hospital: Economic aspects related to the management and operation of a hospital.Wounds and Injuries: Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.Insurance, Health, Reimbursement: Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)Registries: The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.Patient Discharge: The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.Community Networks: Organizations and individuals cooperating together toward a common goal at the local or grassroots level.RestaurantsHealth Care Costs: The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.Medical Order Entry Systems: Information systems, usually computer-assisted, that enable providers to initiate medical procedures, prescribe medications, etc. These systems support medical decision-making and error-reduction during patient care.Electronic Health Records: Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online consumer health information that is relevant to the health conditions and treatments related to a specific patient.Mental Health Services: Organized services to provide mental health care.TennesseeRural Population: The inhabitants of rural areas or of small towns classified as rural.Hospital Charges: The prices a hospital sets for its services. HOSPITAL COSTS (the direct and indirect expenses incurred by the hospital in providing the services) are one factor in the determination of hospital charges. Other factors may include, for example, profits, competition, and the necessity of recouping the costs of uncompensated care.Beauty CultureEmergency Medical Services: Services specifically designed, staffed, and equipped for the emergency care of patients.Nurse's Practice Patterns: Patterns of practice in nursing related to provision of services including diagnosis and treatment.TexasHospital Records: Compilations of data on hospital activities and programs; excludes patient medical records.Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Pediatrics: A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.Contract Services: Outside services provided to an institution under a formal financial agreement.Patient Education as Topic: The teaching or training of patients concerning their own health needs.IllinoisOrganizational Policy: A course or method of action selected, usually by an organization, institution, university, society, etc., from among alternatives to guide and determine present and future decisions and positions on matters of public interest or social concern. It does not include internal policy relating to organization and administration within the corporate body, for which ORGANIZATION AND ADMINISTRATION is available.Schools: Educational institutions.Poverty: A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.Government Programs: Programs and activities sponsored or administered by local, state, or national governments.Child Welfare: Organized efforts by communities or organizations to improve the health and well-being of the child.NevadaHispanic Americans: Persons living in the United States of Mexican (MEXICAN AMERICANS), Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin. The concept does not include Brazilian Americans or Portuguese Americans.Databases, Factual: 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.Age Factors: 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.Delivery of Health Care, Integrated: A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)Parents: Persons functioning as natural, adoptive, or substitute parents. The heading includes the concept of parenthood as well as preparation for becoming a parent.Victoria: A state in southeastern Australia, the southernmost state. Its capital is Melbourne. It was discovered in 1770 by Captain Cook and first settled by immigrants from Tasmania. In 1851 it was separated from New South Wales as a separate colony. Self-government was introduced in 1851; it became a state in 1901. It was named for Queen Victoria in 1851. (From Webster's New Geographical Dictionary, 1988, p1295 & Room, Brewer's Dictionary of Names, p574)Urban Health Services: Health services, public or private, in urban areas. The services include the promotion of health and the delivery of health care.Disaster Planning: Procedures outlined for the care of casualties and the maintenance of services in disasters.Medically Uninsured: Individuals or groups with no or inadequate health insurance coverage. Those falling into this category usually comprise three primary groups: the medically indigent (MEDICAL INDIGENCY); those whose clinical condition makes them medically uninsurable; and the working uninsured.Community Health Centers: Facilities which administer the delivery of health care services to people living in a community or neighborhood.Health Education: Education that increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of health on a personal or community basis.Ambulatory Care Facilities: Those facilities which administer health services to individuals who do not require hospitalization or institutionalization.Smoking: Inhaling and exhaling the smoke of burning TOBACCO.Utilization Review: An organized procedure carried out through committees to review admissions, duration of stay, professional services furnished, and to evaluate the medical necessity of those services and promote their most efficient use.PennsylvaniaReimbursement Mechanisms: Processes or methods of reimbursement for services rendered or equipment.Centers for Disease Control and Prevention (U.S.): An agency of the UNITED STATES PUBLIC HEALTH SERVICE that conducts and supports programs for the prevention and control of disease and provides consultation and assistance to health departments and other countries.Smoking Cessation: Discontinuation of the habit of smoking, the inhaling and exhaling of tobacco smoke.Patient-Centered Care: Design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14)Risk Adjustment: 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)Nurse Practitioners: Nurses who are specially trained to assume an expanded role in providing medical care under the supervision of a physician.Practice Guidelines as Topic: Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.Decision Making: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.Hospitalization: The confinement of a patient in a hospital.Family Planning Services: Health care programs or services designed to assist individuals in the planning of family size. Various methods of CONTRACEPTION can be used to control the number and timing of childbirths.African Americans: Persons living in the United States having origins in any of the black groups of Africa.Tobacco Smoke Pollution: Contamination of the air by tobacco smoke.Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Health Behavior: Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.Community Mental Health Centers: Facilities which administer the delivery of psychologic and psychiatric services to people living in a neighborhood or community.Reimbursement, Incentive: A scheme which provides reimbursement for the health services rendered, generally by an institution, and which provides added financial rewards if certain conditions are met. Such a scheme is intended to promote and reward increased efficiency and cost containment, with better care, or at least without adverse effect on the quality of the care rendered.HIV Infections: Includes the spectrum of human immunodeficiency virus infections that range from asymptomatic seropositivity, thru AIDS-related complex (ARC), to acquired immunodeficiency syndrome (AIDS).Communication Barriers: Those factors, such as language or sociocultural relationships, which interfere in the meaningful interpretation and transmission of ideas between individuals or groups.Professional Impairment: The inability of a health professional to provide proper professional care of patients due to his or her physical and/or mental disability.Regression Analysis: 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.Interlibrary LoansGeorgiaCosts and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.Risk Assessment: 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)Hospitals, Community: Institutions with permanent facilities and organized medical staff which provide the full range of hospital services primarily to a neighborhood area.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Health Care Reform: Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.
It also will manage a network of more than 6,500 care providers. This number will change with the choice of oversight companies ... In a news release, CareStar said it will become the sole statewide provider of home health case management services, overseeing ... CareStar is the contracted case management administrator of the Ohio Home Care Program and HOME Choice through the Ohio ... CareStar case managers and the Ohio HOME Choice program's providers aim to identify individuals who need person-centered ...
It is the statewide provider of Thalassemia services, for both children and adult populations. Most of the services are ... There is a 21 bed cardiac care unit at Monash Medical Centre, Clayton, which manages a high case load of ST-elevation acute ... The Intensive Care Unit specialises in both post-cardiac surgery and post-neurosurgical care, as well as severe sepsis and ... It has a 26 bed Intensive Care Unit (mixed between adults and children), an even larger Neonatal Intensive Care Unit, and 16 ...
Thompson, S. (1 December 2011). "The PBH Managed Care Experience: A Comparison to Non-managed Care Local Managed Entities" (PDF ... intellectual/developmental disability and substance abuse service providers and primary care providers. Additional quantitative ... North Carolina is currently undertaking a statewide policy shift in how it budgets and manages funding for Medicaid programs ... Starting in 2005, the state established one LME as a pilot Medicaid managed care vendor through the use of the Medicaid 1915 (b ...
... such as a Health Maintenance Organization or Preferred Provider Organization. The Managed Care Ombudsman can assist consumers ... A statewide Education Executive Committee, with seven members representing excavators, utility operators, locators, the ... The Managed Care Ombudsman answers inquiries about MCHIPs and managed care, and helps individuals who experience problems. The ... function of the Managed Care Ombudsman is to help Virginia consumers who have health care insurance provided by a Managed Care ...
... in partnership with the largest health care provider organizations in Maryland in the interest of establishing a statewide ... From 1972 to 1979, as president of Florida Leisure Communities, Inc., Erickson acquired, built and managed over 3,000 housing ... Erickson converted the turn-of-the-century abandoned seminary at Charlestown into the United States' largest continuing care ... Erickson has been involved in the senior care industry since the early 1970s, acquiring and developing moderate-income ...
Other goals include preventing disease, closing care gaps, and cost savings for providers. In the last few years, more effort ... Some states, like New York, have implemented statewide initiatives to address population health. In New York state there are 11 ... Within the ACO model, hospitals have to meet specific quality benchmarks, focus on prevention, and carefully manage patients ... "Accountable Care Organizations, Explained". Kaiser Health News. Retrieved 21 November 2015. Kutscher B. Outpatient care takes ...
... managed care, disaster preparedness, children with special health care needs, mental health, family-centered care, and cultural ... The percent of prehospital provider agencies in the state/territory that have off-line pediatric medical direction available ... The percent of hospitals recognized through a statewide, territorial, or regional standardized system that are able to ... "Ensuring that all children receive appropriate care in a health care emergency." EMSC National Resource Centre. Accessed March ...
The mission of the California EMS Authority is to ensure quality patient care by administering an effective, statewide system ... This legislation (SB 125) was the culmination of several years of effort by local administrators, health care providers, ... The EMS Authority manages the state's medical response to major disasters. This includes maintenance, staffing and deployment ... It is principally through these agencies that the EMS Authority works to promote quality EMS services statewide. State of ...
... instead of the managed care model. However, more than 879,000 Denti-Cal enrollees do receive dental care through managed care ... Eleven counties had no Denti-Cal providers or no providers willing to accept new child patients covered by Denti-Cal: Del Norte ... C4Yourself and CalWIN are statewide online application systems that allows you to apply for benefits. Federal law mostly ... "Medi-Cal Managed Care Models" (PDF). Retrieved 6 December 2014. "Medi-Cal Managed Care Division". Retrieved 6 December 2014. ...
This tool made it easy for veterans to obtain their medical records and coordinate care with healthcare providers. As of 2015, ... After receiving his M.P.P., Chopra worked for The Advisory Board Company where he was a Managing Director. In 2006, Virginia ... In 2008 Chopra implemented a statewide performance management strategy, that Governing magazine described as "venture ... to reducing health care costs, to protecting the homeland." Chopra was confirmed by the United States Senate on August 7, 2009 ...
Kongstvedt, Peter (2009). Managed Care: What It Is and How It Works. Jones & Bartlett Publishers. p. 212. ISBN 978-0763759117. ... "High US Health-Care Spending and the Importance of Provider Payment Rates". Forum for Health Economics & Policy. 15 (3): 1-22. ... ISBN 978-0-7637-5661-1. State of California Office of Statewide Health Planning and Development (August 8, 2012). "Healthcare ... According to Essentials of Managed Health Care, as of 2012 the chargemaster file typically included between 20,000 and 50,000 ...
... is a private not-for-profit health care system and health care provider in the State of New ... The board of directors hired a professional hospital administrator to help manage the institution. A new administrator brought ... a statewide multi-hospital system was formed. The Presbyterian Hospital Center was renamed Southwestern Community Health ...
By October, the system was facing criticism from health care providers that were concerned that the system was not reimbursing ... In July 2013, DHHS went live with its NCTracks system for managing Medicaid billings, a system contracted in 2008 under the ... These entities would operate state-wide and serve as insurance plans from which Medicaid recipients can choose. The plan faced ... rather than letting proven in-state and nonprofit providers, such as Community Care of N.C., take the lead". It also suffered a ...
In doing so, CRISP offers a suite of tools aimed at improving the facilitation of care for their service region's providers. ... Audacious Inquiry is one of several contracted service providers and developers that works with CRISP to enable and manage ... guides and prioritizes reporting and analytics services designed to support statewide efforts of improving care and reducing ... Today, CRISP has connected with all of the acute care hospitals in Maryland and DC, and has rolled out several new services, ...
Latvia also appears unique in that it compels health care providers to obtain the signatures of those who decline vaccination. ... In the United Kingdom, the purchase and distribution of vaccines is managed centrally, and recommended vaccines are provided ... In addition, in 1855 the Commonwealth of Massachusetts had established its own statewide vaccination requirements for all ... Individuals have the right to refuse a vaccination, but if they do so, health providers have a duty to explain the health ...
The organization began a statewide listening tour in the fall to orient new leadership to the state and hear from communities ... In January 2013, the Foundation supported the state's expansion of Medicaid under the Affordable Care Act. and produced its own ... The Foundation continued to partner with HealthONE in managing five Denver-area physician-training residency programs. The ... dental hygienists and behavioral health providers during the next three years (from 2011 through 2013). These professionals ...
MHC provides the technological infrastructure for health care providers to coordinate care for their patients through a secure ... and cost of patient care. IHDE is a non-profit 501(c)(6) company. The IHDE is Idaho created, based, and managed. Located in ... along with the vast majority of Delaware providers, in the first statewide community health record. As of June 2013, DHIN has ... In this method patients give implicit consent to join an HIE when they agree to use the services of a health care provider who ...
This award is given annually to a recent college graduate to study community-based primary health care in Jamkhed. "Leadership ... JSI is a managing partner in the Supply Chain Management System (SCMS) project, which is funded by the US government's PEPFAR ... and other healthcare providers to use in creating, storing, and exchanging medical records. The plan was submitted to the ... it turned to JSI to assist with developing a statewide plan to phase in a standardized electronic system for the state's ...
1993 - Among the fastest-growing healthcare companies with a managed care product known today as SuperMed. SuperMed proved ... 2001 - Medical Mutual's Preferred Provider Organization (PPO), SuperMed Plus, is recognized as the first PPO in the United ... Headquartered in Cleveland's historic Rose Building, the company also has statewide offices in Cincinnati, Columbus, Dayton, ... 2007 - Medical Mutual acquired Carolina Care Plan, one of the largest health maintenance organizations (HMOs) in South Carolina ...
He manages the day-to-day operations of HPI and works with government, foundation and business funders to support the ... He leads Pitt and UPMC's comparative effectiveness research program, which analyzes health data from existing health care ... the 25th Secretary of the Pennsylvania Department of Health during which time he implemented the commonwealth's first statewide ... Conrad Weiser Middle School celebrates , http:// ...
Most large statewide and interstate newspapers are also available from local retailers, albeit with a delay in arrival. ... Water storage, supply and Power for Palmerston is managed by Power and Water Corporation, which is owned by the Government of ... Pay TV is also available through both satellite and fixed cable from the encumbant provider, Austar. Palmerston receives most ... Many of Palmerston's health needs are serviced by the Palmerston Health Precinct which includes the Palmerston Community Care ...
A health care provider may ask a patient to consent to receive therapy before providing it, or a clinical researcher may ask a ... "Managing clinical research permissions electronically: A novel approach to enhancing recruitment and managing consents". ... More recently, Health Sciences South Carolina, a statewide research collaborative focused on transforming healthcare quality, ... To capture and manage informed consents, hospital management systems typically use paper-based consent forms which are scanned ...
In the Alabama House of Representatives, Bentley made it a priority to train primary care health care providers and to increase ... Bentley received just over 58% of the statewide vote and won by a margin of over 230,000 votes-the largest margin recorded for ... As President of Alabama Dermatology Associates, Bentley managed the practice's growth into one of the largest dermatology ...
... their use by providers to achieve significant improvements in care." The Centers for Medicare and Medicaid (CMS) managed and ... As of Quarter 3 of 2013, 32 states/territories had operational query-based exchange broadly available statewide through single ... The REC program goals were to enroll 100,000 Primary Care Providers (PCPs) in the REC program, help them go "live" on EHRs, and ... RECs were also encouraged to reach out to all providers, not only PCPs. Among all providers, 149,315 enrolled with RECs, ...
Children, pregnant women, TANF families, and children in state custody receive their medical care through managed care ... and maintains a statewide statistical database of juvenile court referrals. DYS is administratively organized into one central ... into a rebate agree with the Federal Department of Health and Human Services and that are dispensed by qualified providers, ... A mandatory Medicaid managed care program is in place for eligible participants in the eastern, central, and western areas of ...
Managed care (CCP) *Exclusive provider organization (EPO). *Health maintenance organization (HMO). *Preferred provider ... "Comprehensive Statewide Program Combines Training and Higher Reimbursement for Providers With Outreach and Education for ... many states received waivers from the federal government to create Medicaid managed care programs. Under managed care, Medicaid ... "States Turn to Managed Care To Constrain Medicaid Long-Term Care Costs". Agency for Healthcare Research and Quality. April 9, ...
... outpatient centers and long-term care facilities. St. Vincents response to Baptists managed care partnership with Arkansas BC ... a statewide provider contracting network of 73 hospitals and 3,000 physicians. Total HMO enrollment in Little Rock is ... Vincent is not a member of the provider network for Baptists Health Advantage HMO, and Baptist is not a member of the provider ... Vincents market share is stronger locally than statewide; Baptist has developed an extensive statewide network including 80 ...
Managed Care, and the Future Viability of Safety Net Providers. Hullett has devoted her career to improving rural health care ... and helping restructure the provision of health care statewide. As a result, countless Alabamians who otherwise would have ... Hullett is the co-author of numerous articles on health care issues faced by rural primary care communities. For her efforts in ... she pursued her interest in rural health care, including health care planning and delivery to the under-insured, and poor. She ...
HRINJ said its provider network will be run by QualCare, a statewide managed care company based in Piscataway. The plans ... Sponsored By Heritage Provider Network Winning a Heritage Award: Strong Demand for Yaopeng Zhous eye-care model ... Primary care, behavioral health providers urge measures to sustain telehealth access post-pandemic. ... Primary care, behavioral health providers urge measures to sustain telehealth access post-pandemic ...
... coordinate care across different health care providers; and work with patients to maintain a healthy lifestyle and manage their ... own health care. The navigators work statewide in hospitals, community health centers, private practices and other agencies. ... A health navigator is a trained, unlicensed member of the health care team who helps patients overcome barriers to health care ... The department funded a survey of health care employers that showed a growing demand for a qualified unlicensed workforce to ...
... these adolescents from their primary-care provider or managed-care organization is unknown. Finally, data were not available to ... consisting of private and public health-care providers, local businesses, nongovernment organizations, and local colleges. The ... Effectiveness of a Seventh Grade School Entry Vaccination Requirement -- Statewide and Orange County, Florida, 1997-1998 ... Other successful programs to vaccinate adolescents in schools and in provider settings have been previously described (3,4). ...
Statewide. Health Plan Provider. Region. Plan type (Medicaid vs. Commercial managed care). For MMC enrollees only: By gender, ... Statewide. Health Plan Provider. Region. Plan type (Medicaid vs. Commercial managed care). For MMC enrollees only: By gender, ... Statewide. Region. Plan type (Medicaid vs. Commercial managed care). For MMC enrollees only: By gender, age, race/ethnicity. ... Statewide. Region. Plan type (Medicaid vs. Commercial managed care). For MMC enrollees only: By gender, age, race/ethnicity. ...
... identifying cases of depression that require advanced care may be challenging to primary care providers and health care team ... Other less severe cases can be effectively managed by primary care or family practitioners [11-13]. However, other forms of ... Identifying cases of depression that require advanced care may be challenging to primary care providers and health care team ... our outcome of interest are patients in need of advanced care, as identified by primary care providers. Thus, we were unable to ...
Ensuring that plans have provider networks in place, educating both providers and beneficiaries on how managed care works, and ... Two states with statewide Medicaid demonstrations, Tennessee and Oregon, include in their mandatory managed care programs acute ... Impact on access to care: There is evidence suggesting that managed care shifts the type of care and the site of care. Most ... Health Care Financing Administration, Office of Managed Care. 1994. Medicaid Managed Care Enrollment Report Summary Statistics ...
Colorado Society of Addiction Medicine and Center for Dependency, Addiction and Rehabilitation Provider Perspective ... Statewide Managed Care System. Concerning updating managed care provisions in the medical assistance program, and, in ... Clarifies that the statewide managed care system is authorized to provide services under a single managed care entity (MCE) or ... managed care and managed care entities and adds definitions for medical home and primary care case management entities; ...
... means a statewide managed care service system that includes health care providers, as defined in this section. ... 391.065 Health care provider agreements.-The department is authorized to establish health care provider agreements for ... and coordinated statewide managed system of care that links community-based health care with multidisciplinary, regional, and ... "Health care provider" means a health care professional, health care facility, or entity licensed or certified to provide health ...
Certain providers are statewide resources and essential providers for all managed care plans in all regions. All managed care ... Managed care plans that have not contracted with all statewide essential providers in all regions as of the first date of ... 1) PROVIDER NETWORKS.-Managed care plans must develop and maintain provider networks that meet the medical needs of their ... 409.975 Managed care plan accountability.-In addition to the requirements of s. 409.967, plans and providers participating in ...
Managed Care in North Carolina Today. Community Care of North Carolina (CCNC) is North Carolinas provider-led enhanced primary ... State law specified three commercial plans would offer products statewide. Additionally, providers with a history of serving ... payment approach to support safety net providers in compliance with new federal rules as it transitions to managed care.40 ... Anticipate targeted provider rate increases in FY 2018 for physician-administered vaccines and contraceptives and personal care ...
In particular, a triad of managed-care biggies-Blue Cross and Blue Shield of… ... the popular public transit system-theres no escaping the ads for managed-care plans.HMOs rule in Boston. ... The influences on high provider utilization are still strong and resist the brake of managed care. "I dont see costs going ... Statewide, the not-for-profit triads combined 2.1 million HMO enrollees represented 78% of the 2.6 million total enrollment ...
NASHVILLE, Tenn.--(BUSINESS WIRE)--Amerigroup Tennessee, a statewide provider of Medicaid managed care services, today ... NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers ... "Eliminating racial and ethnic disparities in health care is essential to improving the quality of care overall." ... multicultural health care. In acknowledgement of these efforts, NCQA awarded the health plan with the Multicultural Health Care ...
... and ensure that providers are fully paid for services rendered under contract with the state during the budget impasse. ... Empowering Meaningful Patient Choice in Medicaid Managed Care (HB 6213). The statewide rollout of Medicaid managed care has ... The bill requires the state to directly test a sample of each Medicaid managed care plans provider network to ensure contact ... With the statewide rollout of Medicaid managed care, Medicaid is the largest payer of HIV care in Illinois, and thousands of ...
... and dental care to the elderly and disabled for a stable cost, Gov. Pat McCrory said Wednesday.McCrory and state Health and ... 13 billion Medicaid program needs a big dose of private competition that will come from paying a handful of statewide managed- ... program needs a big dose of private competition that will come from paying a handful of statewide managed-care providers to ... Managed-care companies would be required to operate statewide so they couldnt pick healthier communities and leave the rest, ...
As 10 regional health information exchanges in New York become interconnected into a statewide network, consistency in core ... Theres been fairly low adoption of managed care payment systems. Why is that relevant? If the providers dont really have a ... or maybe its from primary care to specialty care for a referral and then back again from specialty care to primary care after ... not just with Medicaid but also with commercial plans where their incentivizing providers to care what the other providers are ...
... managed care organizations, HIV care providers and consumers to ensure state-of-the art clinical management for people living ... Raffanti also has been closely involved in the establishment of the statewide Centers of Excellence Program, a collaborative ... Just as he pioneered a model of managed HIV care that has minimized hospitalizations and improved outcomes for patients, ... Ely and his team have revolutionized major components of the care of critically ill patients in intensive care units. Through ...
... "the state has laid out a comprehensive validation process for the site-specific assessment involving managed care organizations ... Tennessee is the first and only state to receive approval of their statewide transition plan to comply with the HCBS Settings ... MCCP works with individuals, private providers and public agencies in the Twin Cities metropolitan area to prevent crises and ... At the BND celebration, their direct care staff received official designation as a Direct Support Professional (DSP). Cedar ...
It also will manage a network of more than 6,500 care providers. This number will change with the choice of oversight companies ... In a news release, CareStar said it will become the sole statewide provider of home health case management services, overseeing ... CareStar is the contracted case management administrator of the Ohio Home Care Program and HOME Choice through the Ohio ... CareStar case managers and the Ohio HOME Choice programs providers aim to identify individuals who need person-centered ...
The new law creates a hybrid model of statewide managed care organizations (MCOs) competing with regional Provider Led Entities ... This gives these people the ability to get preventive care from a primary care provider compared to seeking care from the ... a key factor in managing care - and have had a measureable impact.. Moore: Partnering with health care providers mainly applies ... Hospitals and their providers will focus more on managing care, even after the patient returns home. Programs such as Community ...
Present and Future of Managed Long-Term Care Paul Saucier, Brian Burwell and Kerstin Gerst Thomson/MEDSTAT and University of ... Long-term care providers, particularly nursing home providers, often saw the selective contracting aspect of managed care as an ... implement managed long-term care programs, either on a demonstration basis or on a larger statewide basis, only to have the ... Breadth of managed care benefit package. With the exception of Wisconsin Family Care and the New York Managed Long Term Care ...
A spokesman for Passport, the Louisville-based managed care company that serves about 320,000 Medicaid enrollees statewide, ... The email asks managed care officials to notify individual providers, such as doctors, dentists, pharmacists and others, that ... Health care providers said the copays triggered confusion among patients, some afraid they wouldnt be able to afford items ... Some health providers reassured patients they would still get care if they couldnt pay, including clients at Bridgehaven, a ...
SUPPORT efforts to enable CHDs to transition to managed care under the Statewide Medicaid Managed Care Program without ... particularly in communities without adequate substitutes or alternative providers for these services ... SUPPORT preserving the ability of CHDs to provide primary care and direct patient care services, ... with particular emphasis on children aging out of the foster care system. SUPPORT continued coordination with the states ...
  • Dianne provides an update on and summary of the Texas Legislature's adoption of a state fiscal year (SFY) 2018-2019 budget, as well as a review of health care legislation passed by the Legislature this session. (
  • c) The integrated, comprehensive screening and assessment process shall be implemented statewide by all substance use disorder and mental health treatment providers and designated crisis responders. (
  • 2) The authority shall provide for adequate training to effect statewide implementation and, upon request, shall report the rates of co-occurring disorders [and] the stage of screening or assessment at which the co-occurring disorder was identified to the appropriate committees of the legislature. (
  • DENVER - Colorado has established the first competency-based statewide registry in the nation for health navigators, an emerging workforce that has been proven to increase patient access to health care, improve health outcomes and equity, and reduce health care costs. (
  • The managed-care operators will be "responsible for the outcomes and for managing their own risk so the taxpayer will no longer be on the hook for all of the overruns," said Wos, a retired physician. (
  • When aggregated data regarding health outcomes are shared, a clearer picture emerges of provider performance baselines and improvements with which payment models can be developed. (
  • It makes sense - with providers compensated for successful health outcomes, it's critical for them to focus on effective management of patient populations. (
  • In addition, these tools address data management challenges by predicting health outcomes and providing actionable ways for clinicians to intervene and improve individual care - stated by polled executives as the as the most important driver of population health. (
  • The Oklahoma Health Care Authority (OHCA), Pharmacy Management Consultants (PMC) and Amgen (NASDAQ:AMGN) announced a new collaborative agreement to help improve clinical outcomes, experience and satisfaction for Oklahoma's 796,000 SoonerCare (Oklahoma Medicaid) members. (
  • Through this first-of-its-kind, comprehensive statewide consortium, New York's healthcare providers demonstrate how they are working together to improve patient care, the patient experience and clinical and operational outcomes. (
  • Together, we are introducing a new model of care that is consumer-focused, and offers innovative, effective solutions that consumers with specialized needs require to achieve optimal health outcomes. (
  • The option that will yield the better result is not always clear to the doctor, and this lack of scientific data on outcomes produces huge "practice variations" in treatment decisions--with serious consequences in terms of health care costs and quality. (
  • A health navigator is a trained, unlicensed member of the health care team who helps patients overcome barriers to health care and navigate the complex health care system. (
  • and work with patients to maintain a healthy lifestyle and manage their own health care. (
  • This study aimed to leverage a comprehensive range of patient-level diagnostic, behavioral, and demographic data, as well as past visit history data from a statewide health information exchange to build decision models capable of predicting the need of advanced care for depression across patients presenting at Eskenazi Health, the public safety net health system for Marion County, Indianapolis, Indiana. (
  • A total of 6992 (8.29%) of these patients were in need of advanced care for depression. (
  • Our experience has been that many patients cannot pay the out-of-pocket expenses, so they wind up as "bad debt," which is another category of care we are not paid for. (
  • And there are more patients with access to health care. (
  • If the ACA assists the physician community in harnessing its collective intellect and passionately pursuing the goals of increasing the health of the populations we serve, reducing the per capita cost of care and improving the patient experience there is little doubt that the patients served in our communities will reap the benefit. (
  • The copays caught health providers by surprise and caused alarm among patients who didn't know about or understand the changes. (
  • Those cuts caused an outcry among providers and patients - especially those in need of treatment for urgent dental problems including decay and abscesses. (
  • Patients with atrial fibrillation receiving routine medical care within a large managed care organization were found to have suboptimal anticoagulation control. (
  • And primary-care doctors see a temporary increase in pay as incentive to take more patients but wonder how it will play out long term. (
  • We are creating the knowledge that changes lives through clinical breakthroughs and specialty expertise that continually improves our ability to care for patients. (
  • A Main Dentist means a provider who has agreed with a Dental Contractor to provide a Dental Home to Members and who is responsible for providing routine preventive, diagnostic, urgent, therapeutic, initial, and primary care to patients, maintaining the continuity of patient care, and initiating referral for care. (
  • The Massachusetts Consultation Service for Treatment and Addiction of Pain (MCSTAP ) is a statewide program that offers primary care providers free telephone consultation on safe prescribing and managing care for patients with chronic pain, substance use disorder, or both. (
  • From the point of injury throughout the continuum of en-route care, the new TBI Dashboard™ on ZOLL's Propaq ® M and Propaq ® MD monitor/defibrillators supports rapid treatment and effective management of TBI patients. (
  • We look forward to providing our clinicians with a system that is designed to help them deliver safer and more reliable care to our patients. (
  • The Eastern Virginia Care Transitions Partnership (EVCTP) is a unique formal collaborative of area agencies on aging, health systems, and clinical providers that served more than 25,000 Medicare patients through the federal Community-based Care Transitions Program (CCTP). (
  • Doc-tors and hos-pi-tals are promised a flow of new patients, and the MCO gets cheap-er care and doesn't have to pay for the most expen-sive inter-ven-tion possible. (
  • Principles of Pediatric Nursing helps students visualize how to care for children and understand the ways caring for pediatric patients is similar to, and different from, adult patients. (
  • The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) was founded in 1985 to recognize the many health disciplines responsible for care of patients with cardiac and pulmonary disease and to provide a platform for professional development for its members. (
  • And patients want the convenience of an urgent-care center that can take care of their bumps, bruises and colds without the time and expense of going to an emergency room, he said. (
  • She said if the system can touch patients through a gamut of entry points in the care continuum, then they will remain loyal. (
  • myPRES also has helpful features for Presbyterian patients, such as emailing your care team and paying your medical bills. (
  • We are the experts on inpatient care and hospital systems, and we understand how important information technology is for managing complicated patients during an acute hospitalization. (
  • Part of the statewide recall process is giving medical providers an opportunity to review the patients on the recall list in order to update patient demographics and immunizations. (
  • Health advocates have worried about lapses in care during the transition, especially because the program is built on a controversial five-county pilot where many insurance companies dropped out and patients struggled to access doctors and treatments. (
  • Under Medicaid privatization, the state gives insurance companies a set amount of money each month (between $300 and $428 a month for a woman between 14 and 54-years-old) to care for a patient, giving the insurer broad authority to care for the patients, including which doctors they can see and what treatments can be prescribed. (
  • Insurance companies say they have an incentive to control costs by linking patients up with primary care doctors early on instead of treating them in more expensive setting like emergency rooms. (
  • So Clinton sought to cage managed care inside managed competition, which would regulate the behavior of insurers and force them to compete for patients. (
  • The chart is based on data collected on patients and hospital discharges in the Statewide Planning and Research Cooperative System (SPARCS). (
  • This coordinated in-home consultation is the centerpiece of a new Community Paramedicine collaboration between VNSNY and MSHS, in which specially trained community paramedics call on patients requiring immediate care-often avoiding the need for a trip to the ED that may otherwise have occurred. (
  • Of the 11 patients who have received Community Paramedicine visits since the program's launch this past April, all but three were successfully managed through the collaborative efforts of the VNSNY call center nurse, community paramedic and Mount Sinai physician. (
  • In the coming months, VNSNY will be extending the program to its Bronx home care patients who have been discharged from Mount Sinai. (
  • Home care providers in New York State deliver care at home to 400,000 patients annually," said HCA Executive Vice President Al Cardillo. (
  • As a result, when an individual institution made a significant finding that improved patient care, that knowledge, for the most part, only immediately benefited patients served by that institution. (
  • This is a big problem not only for patients but also for payers, which end up footing the bill for what could be suboptimal care. (
  • Long-term care patients will be the first to enroll in the statewide program starting in October 2013. (
  • Due to its large refugee population in its catchment area, Monash Medical Centre, Clayton provides specialist care for a large number of patients with tuberculosis and non tubercolous mycobacterial infections. (
  • There is a weekly TB clinic that is run every Wednesday, as well as an inpatient service that cares for patients who need to be isolated and treated as an inpatient. (
  • The hospital provide specialist care for many patients with tuberculosis, and nontuberculous mycobacterial infections, including infections due to Mycobacterium avium complex, Mycobacterium leprae and Mycobacterium ulcerans. (
  • Along with the Western Hospital, which hosts the migrant screening clinic, Monash Medical Centre, Clayton arguably cares for the highest number of inpatient TB patients in the state. (
  • While low-income adults and children accounted for 73 percent of the 32.1 million Medicaid beneficiaries, their health care costs accounted for 27 percent of total program spending in 1993. (
  • Concerning updating managed care provisions in the medical assistance program, and, in connection therewith, aligning managed care provisions with new federal managed care regulations, removing obsolete or duplicative statutory language and programs, and updating and aligning statutory provisions to reflect the current statewide managed care system. (
  • In addition to the requirements of s. 409.967 , plans and providers participating in the managed medical assistance program shall comply with the requirements of this section. (
  • RALEIGH (AP) - North Carolina's $13 billion Medicaid program needs a big dose of private competition that will come from paying a handful of statewide managed-care providers to deliver medical, mental, and dental care to the elderly and disabled for a stable cost, Gov. Pat McCrory said Wednesday. (
  • The Indiana Home and Hospice Care Foundation is partnered with CareStar Learning (CareStar business venture which offers continuing education for providers) to provide the online testing for its Caregiver Train-the-Trainer program. (
  • Several factors have contributed to the slow growth of managed long-term care, including complex program design choices (including payment methodology), relatively long planning and start-up periods, resistance of long-term care providers and advocates, difficult state-federal policy issues, the need for a substantial population base, limited interest among potential suppliers, and inadequate state infrastructure in an era of government downsizing. (
  • Our Medicaid Managed Care segment provides Medicaid and Medicaid-related health plan coverage to individuals through government subsidized programs, including Medicaid, the State Children's Health Insurance Program (CHIP), long-term care (LTC), Foster Care, dual eligible individuals in Medicare Special Needs Plans and the Supplemental Security Income Program, also known as the Aged, Blind or Disabled Program, or collectively ABD. (
  • On a statewide basis, the CCI replaced counties' historical 35 percent share of nonfederal costs of the IHSS program with a maintenance of effort (IHSS MOE) that required counties to maintain their 2011‑12 IHSS expenditure levels, with the addition of an annual growth factor of 3.5 percent and the costs of locally negotiated IHSS wage increases. (
  • Most recently, Vesely-Massey led the development of the state and national award-winning Eastern Virginia Care Transitions Partnership (EVCTP), a CMS-certified healthcare program. (
  • Plagued by a poorly designed medical reimbursement process that rewards health care professionals for providing medically unnecessary care and yet doesn't pay enough for many specialists or small providers to deal with burdensome administration, the popular program has been a target of reform for decades. (
  • According to this group, the most important requirements of a population health management program are that it "facilitates care across the health continuum" and that it "supports providing the highest quality of care at the lowest cost. (
  • The second program OHCA operates is Insure Oklahoma, which assists qualifying adults and small business employees in obtaining health care coverage for themselves and their families. (
  • With a year's example to show, director Fabert will seek out new investors to grow the program, which she would like to see statewide. (
  • MIAMI (AP) - More than three million Medicaid recipients around the state are transitioning into managed care under Florida's massive overhaul to privatize its Medicaid program. (
  • Other states have privatized their Medicaid program but the Sunshine State is one of the first to enroll the more vulnerable long-term care group. (
  • Critics worry the state is abdicating care of its most vulnerable residents to for-profit companies with little oversight of how the money is being spent and say there's little evidence the pilot program improved patient care or saved money. (
  • Any patient discharged from Mount Sinai's Manhattan facilities to VNSNY Home Care in Manhattan is eligible for the program," explains Lorna Canlas, Project Manager with VNSNY's Solution Development group, who is overseeing the initiative along with Yaffa Vinikoor, Quality Manager for Strategy. (
  • As the first home care agency to participate in this program, VNSNY has worked closely with Mount Sinai to design guidelines and procedures. (
  • We're thrilled to be partnering with VNSNY on this innovative program that combines home care and emergency medical service capabilities," says Dr. Kevin Munjal, Associate Medical Director of Prehospital Care and Clinical Champion for Care Transitions for MSPPS. (
  • For more information about the PASSE program, participating health plans and the Summit Community Care approach, visit . (
  • The Alabama Medicaid Advisory Commission overwhelmingly voted this afternoon to recommend the state go with a community care approach -- instead of statewide commercial managed care -- to try to control spending in the healthcare program for the poor. (
  • Lawmakers said the program was overwhelming the state budget and needed to be privatized to rein in costs and improve patient care. (
  • Under the CD-PASS program option, participants are free to choose their own personal care providers. (
  • Originally not available statewide, the program became available in all Oklahoma counties as of November 2015. (
  • By June 1996, in an effort to meet those challenges, 35 states (including the District of Columbia) reported enrolling at least some people living with HIV/AIDS (PLWHIV) in their risk-based Medicaid managed care programs. (
  • The principal populations enrolled in Medicaid managed care have been children and adults in poor single-parent families who receive Aid to Families with Dependent Children (AFDC) and low-income pregnant women and children, rather than the elderly or disabled. (
  • Earning Multicultural Health Care Distinction shows that an organization is making a breakthrough in providing excellent health care to diverse populations. (
  • The act was designed to ensure that more Americans had coverage and that the focus of providers was on improving the health of populations, reducing the per capita cost and improving the patient experience. (
  • SUPPORT the development of strategies that would allow local governments to work with the state and federal government to serve target populations: the chronically homeless, veterans, and families and children, with particular emphasis on children aging out of the foster care system. (
  • Several topics covered are specific to state Medicaid programs and include payment reform, managing high-need, high-cost populations, and practice transformation models that integrate physical and behavioral health. (
  • One hospital initiated a plan to increase vaccination among those populations through targeted community benefit activities and increased efforts to vaccinate the managed care population. (
  • For many years, physical therapists have been accepted by both the health care community and the public at large as being qualified to provide safe and effective exercise programs to a wide variety of patient populations. (
  • Although 18 states offered managed care plans for disabled or elderly beneficiaries eligible for Supplemental Security Income (SSI) in 1993, only a small fraction of this population is enrolled in managed care. (
  • 4) "Eligible individual" means a child with a special health care need or a female with a high-risk pregnancy, who meets the financial and medical eligibility standards established in s. 391.029. (
  • Many items that have long been part of the HHS platform remain in the legislative package, although the committee considered and approved a handful of new items, including support for minimum regulatory standards for sober homes/recovery residences as well as supporting efforts to steer veterans who are eligible for federal health care benefits into the appropriate programs. (
  • This Plan is available to eligible families statewide without litigation. (
  • As of December 31, 2012 , Medicaid accounted for 77% of our at-risk membership, while CHIP (also including Foster Care) and ABD (also including Medicare) accounted for 9% and 12% , respectively. (
  • Plans sold on the private market are sold by commercial insurance providers and are considered any kind of health insurance plan not offered by the government, such as Medicare or Medicaid. (
  • This grant will allow HCA to substantially extend our reach in giving home care clinicians the tools necessary to address what the CDC has already identified as an urgent health crisis," said HCA President Joanne Cunningham. (
  • We thank NYSHealth for recognizing this powerful opportunity allowing home care clinicians to hone their expertise by elevating the unique and dangerous risks of undetected sepsis - and addressing those risks head-on in a focused, targeted manner. (
  • She has extensive experience in research, clinical trials, community outreach and teaching direct care delivery. (
  • and coordinate clinical, behavioral and emergency health care. (
  • Sign up for Insight Alerts highlighting editor-chosen studies with the greatest impact on clinical care. (
  • The integration between Cerner's EHR and practice management solutions will help the care team benefit from one complete workflow and easy navigation to all capabilities in the solutions, from scheduling and clinical care to billing. (
  • He is also clinical professor of pediatrics and health care policy at the Harvard Medical School. (
  • Clinical decision support tools that offer consumer insights and engagement opportunities can provide critical support for providers who are looking to better manage care coordination, patient engagement, and chronic diseases, which can be too complex for staff with limited time and resources to handle on their own. (
  • This collaboration demonstrates how health care professionals across the service provision spectrum can work together to optimize clinical care and patient experience. (
  • For example, HSSC has developed IT systems that allow members to share large numbers of secure patient health records while maintaining patient privacy, as well as systems that make it easier for researchers to find willing participants for clinical trials and manage those clinical trials more efficiently. (
  • Statewide data showed a pneumonia vaccination rate of 61 percent for men age 65 or higher, and a vaccination rate among Filipinos age 65 or higher of just 51 percent - much lower than the Healthy People 2020 target of 90 percent set by HHS. (
  • MultiCare's urgent-care expansion and the acquisition of Immediate Clinic is part of a grand strategy that projects the system will grow unique patient visits from 294,000 in 2014 to 1.3 million by 2020, she said. (
  • The CCI is a joint state‑federal demonstration project that was implemented beginning in 2012‑13, and designed to improve the coordination of health care and LTSS and reduce the overall costs of providing care for SPDs. (
  • The steps taken under the CCI to enhance the coordination and integration of health care and LTSS are steps in the right direction. (
  • Jackson Health System, the area s largest safety net provider, is struggling financially, which, coupled with a lack of coordination among safety net providers, undermines the community s ability to respond to the prolonged economic downturn. (
  • This brief does not assess the success of these strategies, but instead focuses on the mechanisms the states are using to improve care coordination for individuals with both behavioral health and housing needs. (
  • The study examined the mechanisms that states are using to improve care coordination for adult Medicaid beneficiaries with behavioral health conditions. (
  • This work not only draws on the home care clinician's unique capabilities to screen for sepsis, but it rightly envisions home care as a hub for physician or hospital interventions to treat a condition where timely coordination can truly mean the difference between life and death. (
  • The Summit Community Care service model focuses on empowering consumers and families through one-on-one support and customized care plans," said Doug Stadter, Summit Community Care's vice president of Care Coordination. (
  • Appropriately called Partners HealthCare System, the union of Massachusetts General Hospital and Brigham and Women's Hospital responded to the call for downsizing and consolidation of expenses in a market in which 30% to 40% of acute-care beds were projected to be closed during the next five years, says Samuel Thier, system president and CEO. (
  • To prepare today's students to begin thinking and acting like nurses, Principles of Pediatric Nursing , Seventh Edition presents a foundation of core pediatric nursing principles with an emphasis on growth and development, family-centered care, and health promotion and maintenance. (
  • The health department has invested more than $30 million since 2012 to develop a statewide health navigator workforce. (
  • August 2, 2012 marked the beginning of a new way of thinking for their organization that will forever change how Cedar Lake views and supports its direct care workforce. (
  • Previously House Bill 7071 by Representative Cary Pigman (R-Sebring) and the Select Committee on Health Care Workforce Innovation, House Bill 7113 now includes provisions that would authorize ARNPs to prescribe controlled substances within the framework of a supervisory protocol with a physician. (
  • Statewide coverage among the 177,903 Florida seventh graders enrolled in 617 public schools was substantially lower (59.6%) than that among the 18,171 enrolled in 669 private schools (83.8%) (less than or equal to 0.01). (
  • NICA manages the Florida Birth Related Neurological Injury Compensation Plan (Plan) used to pay for the care of infants born with certain neurological injuries. (
  • The statewide privatization, a victory for state Republicans, meant Florida had to convince federal health officials that mistakes from the pilot wouldn't be repeated. (
  • Florida Gov. Rick Scott signed two historic Medicaid bills Thursday, placing the health care of nearly 3 million Florida residents into the hands of for-profit companies and hospital networks. (
  • It also would establish eligibility requirements for out-of-state providers and would require them to register with the Florida Department of Health that would list all out-of-state providers on their website. (
  • As a result, countless Alabamians who otherwise would have suffered neglect have access to health care. (
  • In response to pressures to contain the growth of State and Federal Medicaid spending and to concerns about access to health care for low-income individuals, the use of managed care arrangements in Medicaid has grown dramatically in recent years. (
  • It reflects the widely held belief that managed care can improve health care access as well as promote cost containment and budget control. (
  • Increased PrEP-related training and support for LHD-based providers could enhance PrEP access, especially in rural and underserved areas. (
  • Hospital systems are using acquisitions and joint ventures with urgent-care chains to build out patient access points in their markets that are a lower-cost alternative to emergency rooms for cuts, sprains and flu. (
  • As a Presbyterian Health Plan member, you have access to more than 17,000 providers in more than 500 locations statewide and bordering communities. (
  • The CDW not only provides a complete electronic health record for all of a patient's health care providers, but also gives researchers access to massive amounts of anonymous, real-time patient data, to allow them to more rapidly and accurately conduct statistical analyses of health-related factors across a broad sample of a specific population. (
  • For the past 125 years it has been the generosity and investment of our supporters and community, the excellence, energy and innovation of the people at MCW, and the contributions of our partners which have propelled us to create the knowledge that is changing lives in education, research and patient care. (
  • State public health officials should develop a statewide plan for childhood blood lead screening. (
  • State health officials should form an advisory committee to develop the statewide plan. (
  • Virtually every state is increasing their reliance on managed care as a health care delivery model for its Medicaid population. (
  • Due to the growing interest in managed care from both the State and Federal governments, the number of Medicaid beneficiaries enrolled in managed care is expected to continue to rise in the foreseeable future. (
  • To establish Medicaid managed care programs, a state usually must obtain one of two types of waivers from HCFA - Section 1915(b) freedom-of-choice waivers and Section 1115 research and demonstration waivers. (
  • In fact, HMOs recently passed along an increase in state-mandated payments for uncompensated care, with little squawking from employers. (
  • Savings notwithstanding, the budget predictability that comes with capitated payments is appealing to state policymakers as growing numbers of long-term care consumers place increasing pressure on Medicaid budgets. (
  • A spokesman for Passport, the Louisville-based managed care company that serves about 320,000 Medicaid enrollees statewide, said it is working to eliminate the copays by Aug. 1, acting under "guidance" it received this week from the state. (
  • A state-by-state analysis of training requirements for personal care aides. (
  • For personal care aides-who constitute the second fastest-growing occupation in the nation-training standards vary considerably from state to state. (
  • To identify PCA training standards, we conducted systematic searches of state administrative codes, Medicaid provider manuals, and Medicaid waiver documents. (
  • With state bud-gets hol-lowed out by the per-fidy of the mort-gage indus-try and a bud-get régime that cuts invest-ments in health to fund tax breaks for cor-po-ra-tions, leg-is-la-tors across the nation are now look-ing to find ways to cut costs - and if there's time, improve the qual-i-ty of care. (
  • Under this sys-tem, pri-vate insur-ance com-pa-nies, or Man-aged Care Orga-ni-za-tions (MCO), receive a fixed month-ly pay-ment from the state per Med-ic-aid patient. (
  • Worse still, if MCOs make a patient dri-ve three hours to see an ​ " in-net-work" spe-cial-ist he or she needs, chances are less-ened that the patient will make it to that pro-fes-sion-al at all - and the MCO can keep the funds it receives from the state with-out pay-ing for that person's care. (
  • Obtained a federal court dismissal of a State Board of Medical Examiners' disciplinary action against a physician medical director for a national managed care organization. (
  • Although initially undecided about the full Medicaid expansion scheduled for Jan. 1, 2014, Democratic Gov. John Hickenlooper, backed by a broad coalition of health care providers and advocates, pushed the state Legislature for approval. (
  • Down the road, respondents expected RCCOs to assume financial risk for Medicaid enrollees' care and possibly operate in the state insurance exchange. (
  • State Health Officer Don Williamson said it would take statewide a model that is already used to some degree in Tuscaloosa, Huntsville, Opelika and Mobile. (
  • UCare, its partner businesses and about 370,000 of its clients face uncertain times as a result of a competitive bidding process for state health care contracts. (
  • State officials have said they will award managed care contracts county-by-county, with at least two plan options in most counties. (
  • While admitting that it could be "significant and quite possibly devastating" for UCare to lose its clients through state public programs, Awsumb stated that other providers lost public programs in the past but survived. (
  • If the physician decides that the patient does need ED level of care, the patient will be transported there by ambulance," says Canlas. (
  • In fact, the leading HMOs are looking before leaping into capitated contracts, sometimes delaying deals with willing providers deemed not yet up to the task. (
  • It fully aligns with our goal to foster collaboration among public and private individuals and entities to build a responsive health care system for Oklahoma," said Nancy Nesser, J.D., Pharm.D., OHCA Pharmacy director. (