Application of allergens to the nasal mucosa. Interpretation includes observation of nasal symptoms, rhinoscopy, and rhinomanometry. Nasal provocation tests are used in the diagnosis of nasal hypersensitivity, including RHINITIS, ALLERGIC, SEASONAL.
Review of the medical necessity of hospital or other health facility admissions, upon or within a short time following an admission, and periodic review of services provided during the course of treatment.
Formal programs for assessing drug prescription against some standard. Drug utilization review may consider clinical appropriateness, cost effectiveness, and, in some cases, outcomes. Review is usually retrospective, but some analysis may be done before drugs are dispensed (as in computer systems which advise physicians when prescriptions are entered). Drug utilization review is mandated for Medicaid programs beginning in 1993.
Health insurance providing benefits to cover or partly cover hospital expenses.
Excessive, under or unnecessary utilization of health services by patients or physicians.
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.
Planning for health resources at a regional or multi-state level.
Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.
Institutions with an organized medical staff which provide medical care to patients.
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)
The period of confinement of a patient to a hospital or other health facility.
The quality or state of being independent and self-directing, especially in making decisions, enabling professionals to exercise judgment as they see fit during the performance of their jobs.
Managerial personnel responsible for implementing policy and directing the activities of hospitals.
Health insurance coverage for all persons in a state or country, rather than for some subset of the population. It may extend to the unemployed as well as to the employed; to aliens as well as to citizens; for pre-existing conditions as well as for current illnesses; for mental as well as for physical conditions.
Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.
Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.
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)
Agents that control agitated psychotic behavior, alleviate acute psychotic states, reduce psychotic symptoms, and exert a quieting effect. They are used in SCHIZOPHRENIA; senile dementia; transient psychosis following surgery; or MYOCARDIAL INFARCTION; etc. These drugs are often referred to as neuroleptics alluding to the tendency to produce neurological side effects, but not all antipsychotics are likely to produce such effects. Many of these drugs may also be effective against nausea, emesis, and pruritus.
The use of multiple drugs administered to the same patient, most commonly seen in elderly patients. It includes also the administration of excessive medication. Since in the United States most drugs are dispensed as single-agent formulations, polypharmacy, though using many drugs administered to the same patient, must be differentiated from DRUG COMBINATIONS, single preparations containing two or more drugs as a fixed dose, and from DRUG THERAPY, COMBINATION, two or more drugs administered separately for a combined effect. (From Segen, Dictionary of Modern Medicine, 1992)
A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA.
A severe emotional disorder of psychotic depth characteristically marked by a retreat from reality with delusion formation, HALLUCINATIONS, emotional disharmony, and regressive behavior.
A tricylic dibenzodiazepine, classified as an atypical antipsychotic agent. It binds several types of central nervous system receptors, and displays a unique pharmacological profile. Clozapine is a serotonin antagonist, with strong binding to 5-HT 2A/2C receptor subtype. It also displays strong affinity to several dopaminergic receptors, but shows only weak antagonism at the dopamine D2 receptor, a receptor commonly thought to modulate neuroleptic activity. Agranulocytosis is a major adverse effect associated with administration of this agent.
A group of two-ring heterocyclic compounds consisting of a benzene ring fused to a diazepine ring.
Provision of physical and biological barriers to the dissemination of potentially hazardous biologically active agents (bacteria, viruses, recombinant DNA, etc.). Physical containment involves the use of special equipment, facilities, and procedures to prevent the escape of the agent. Biological containment includes use of immune personnel and the selection of agents and hosts that will minimize the risk should the agent escape the containment facility.
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.
The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)
Therapeutic practices which are not currently considered an integral part of conventional allopathic medical practice. They may lack biomedical explanations but as they become better researched some (PHYSICAL THERAPY MODALITIES; DIET; ACUPUNCTURE) become widely accepted whereas others (humors, radium therapy) quietly fade away, yet are important historical footnotes. Therapies are termed as Complementary when used in addition to conventional treatments and as Alternative when used instead of conventional treatment.
Individual's rights to obtain and use information collected or generated by others.
A tentative species in the genus HEPATOVIRUS infecting primarily young chicks, but also found in turkeys, pheasants, and guinea fowl. It causes a fatal neuronal degeneration and is transmitted by mechanical contact.
A quantitative measure of the frequency on average with which articles in a journal have been cited in a given period of time.
The period of history before 500 of the common era.
A publication issued at stated, more or less regular, intervals.
The evaluation by experts of the quality and pertinence of research or research proposals of other experts in the same field. Peer review is used by editors in deciding which submissions warrant publication, by granting agencies to determine which proposals should be funded, and by academic institutions in tenure decisions.
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)
A non-taxonomic term for unicellular microscopic algae which are found in both freshwater and marine environments. Some authors consider DIATOMS; CYANOBACTERIA; HAPTOPHYTA; and DINOFLAGELLATES as part of microalgae, even though they are not algae.
Hydrocarbon-rich byproducts from the non-fossilized BIOMASS that are combusted to generate energy as opposed to fossilized hydrocarbon deposits (FOSSIL FUELS).
Use of various chemical separation and extraction methods, such as SOLID PHASE EXTRACTION; CHROMATOGRAPHY; and SUPERCRITICAL FLUID EXTRACTION; to prepare samples for analytical measurement of components.
Anaerobic degradation of GLUCOSE or other organic nutrients to gain energy in the form of ATP. End products vary depending on organisms, substrates, and enzymatic pathways. Common fermentation products include ETHANOL and LACTIC ACID.
Total mass of all the organisms of a given type and/or in a given area. (From Concise Dictionary of Biology, 1990) It includes the yield of vegetative mass produced from any given crop.
Forms of energy that are constantly and rapidly renewed by natural processes such as solar, ocean wave, and wind energy. (from McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Pollution prevention through the design of effective chemical products that have low or no toxicity and use of chemical processes that reduce or eliminate the use and generation of hazardous substances.
Critical analyses of books or other monographic works.
The number of WHITE BLOOD CELLS per unit volume in venous BLOOD. A differential leukocyte count measures the relative numbers of the different types of white cells.
Leukocytes with abundant granules in the cytoplasm. They are divided into three groups according to the staining properties of the granules: neutrophilic, eosinophilic, and basophilic. Mature granulocytes are the NEUTROPHILS; EOSINOPHILS; and BASOPHILS.
Sound that expresses emotion through rhythm, melody, and harmony.
The number of LEUKOCYTES and ERYTHROCYTES per unit volume in a sample of venous BLOOD. A complete blood count (CBC) also includes measurement of the HEMOGLOBIN; HEMATOCRIT; and ERYTHROCYTE INDICES.

Reliability of a hospital utilization review method in Turkey. (1/751)

OBJECTIVE: To determine whether the Appropriateness Evaluation Protocol (AEP) is reliable in Turkey. METHODS: Three reviewers, two physicians and one nurse each reviewed 196 patient-days concurrently by using the AEP at three hospitals, two of which were teaching hospitals. Inter-reviewer reliability was assessed both for all cases reviewed (overall agreement), and for only those judged inappropriate by at least one reviewer (specific agreement). In addition, overall agreement between pairs of reviewers was evaluated by the Kappa statistic. RESULTS: The overall agreement between pairs of reviewers was very high: 93.4-95.9%, and it was similar between all pairs. The level of overall agreement was highly statistically significant: k=0.725-0.833, P<0.001. The specific agreement rates ranged from a low of 61.8% to a high of 75%. CONCLUSIONS: These results show, for the first time, that the AEP method is reliable in Turkey.  (+info)

Audit of bronchial artery embolisation in a specialist respiratory centre. (2/751)

OBJECTIVE: To audit the use of bronchial arteriography and embolisation for controlling haemoptysis. DESIGN: Retrospective review of radiological and clinical data. SETTING: Brompton and National Heart Hospitals. PATIENTS: 35 patients with severe pulmonary disease in whom 58 bronchial arteriograms were obtained between 1 January 1984 and 31 December 1989 with the intention of bronchial artery embolisation for controlling haemoptysis. MAIN MEASURES: Rate of technical success and cessation of haemoptysis; detailed evaluation of patients, particularly those with major haemoptysis (> 100 ml expectorated blood); and retrospective assessment of the appropriateness of the procedure in each. RESULTS: 58 procedures were performed, nine of which were unsuitable for detailed analysis. Nine procedures were for minor haemoptysis, which subsequently recurred, and 40 for recent major haemoptysis in 26 patients with cystic fibrosis (16) aspergilloma (six), bronchiectasis (three), and an unknown diagnosis (one). The median total volume of haemoptysis in the episode before the procedure was 680 ml (range 270-2200 ml). Embolisation was technically successful in 33/40 procedures, in 17 of which, however, major haemoptysis recurred within 10 days of the procedure, leaving 16 clinically and technically successful procedures in 15 patients. Five patients (three with aspergilloma, two with cystic fibrosis) died of haemoptysis despite attempted embolisation. CONCLUSION: Success rate of bronchial artery embolisation was 40%(16/40). IMPLICATIONS: Bronchial artery embolisation is probably not justified for minor haemoptysis or when performed more than one week after a major haemoptysis. Repeat arteriograms during a single period of haemoptysis are seldom useful. With these criteria 43% fewer procedures would have been performed with no loss of clinical benefit.  (+info)

User charges in government health facilities in Kenya: effect on attendance and revenue. (3/751)

In this paper we study demand effects of user charges in a district health care system using cross-sectional data from household and facility surveys. The effects are examined in public as well as in private health facilities. We also look briefly at the impact of fees on revenue and service quality in government facilities. During the period of cost-sharing in public clinics, attendance dropped by about 50%. This drop prompted the government to suspend the fees for approximately 20 months. Over the 7 months after suspension of fees, attendance at government health centres increased by 41%. The suspension further caused a notable movement of patients from the private sector to government health facilities. The revenue generated by user fees covered 2.4% of the recurrent health budget. Some 40% of the facilities did not spend the fee revenue they collected, mainly due to cumbersome procedures of expenditure approvals. The paper concludes with lessons from Kenya's experience with user charges.  (+info)

Health services research in the English-speaking Caribbean 1984-93: a quantitative review. (4/751)

Evaluating the effectiveness and efficiency of health services is important for all countries, especially those with limited resources. This study aimed to evaluate the volume and quality of health services research (HSR) conducted in one developing region, the English-speaking Caribbean. Data were abstracted from all 770 abstracts describing presentations at the annual scientific meetings of the Commonwealth Caribbean Medical Research Council for the decade 1984 to 1993. Of these, 341 abstracts were judged to report health services research and were from the English-speaking Caribbean. Hospital services were evaluated in 240 (70%) reports while primary health services were evaluated in only 90 (26%). Most hospital-based studies evaluated the use and outcome of medical and surgical services through the collection of case series and cohorts of cases, with a median sample size of 104 (interquartile range 38 to 320). Evaluations at primary level were more likely to evaluate need or demand for services, were more likely to report cross sectional surveys or randomized trials and included larger numbers of subjects (median 343, interquartile range 121 to 661). Patient-based measures of health status and measures of resource use were not often reported at either primary or secondary level. Estimation and hypothesis testing were infrequently employed in data analysis. A large proportion of the research presented could be classified as HSR but measures are needed to increase the motivation for research into primary care and to improve skills in HSR study design, conduct and analysis among those presently conducting research.  (+info)

The fall and rise of cost sharing in Kenya: the impact of phased implementation. (5/751)

The combined effects of increasing demand for health services and declining real public resources have recently led many governments in the developing world to explore various health financing alternatives. Faced with a significant decline during the 1980s in its real per capita expenditures, the Kenya Ministry of Health (MOH) introduced a new cost sharing programme in December 1989. The programme was part of a comprehensive health financing strategy which also included social insurance, efficiency measures, and private sector development. Early implementation problems led to the suspension in September 1990 of the outpatient registration fee, the major revenue source at the time. In 1991, the Ministry initiated a programme of management improvement and gradual re-introduction of an outpatient fee, but this time as a treatment fee. The new programme was carried out in phases, beginning at the national and provincial levels and proceeding to the local level. The impact of these changes was assessed with national revenue collection reports, quality of care surveys in 6 purposively selected indicator districts, and time series analysis of monthly utilization in these same districts. In contrast to the significant fall in revenue experienced over the period of the initial programme, the later management improvements and fee adjustments resulted in steady increases in revenue. As a percentage of total non-staff expenditures, fiscal year 1993-1994 revenue is estimated to have been 37% at provincial general hospitals, 20% at smaller hospitals, and 21% at health centres. Roughly one third of total revenue is derived from national insurance claims. Quality of care measures, though in some respects improved with cost sharing, were in general somewhat mixed and inconsistent. The 1989 outpatient registration fee led to an average reduction in utilization of 27% at provincial hospitals, 45% at district hospitals, and 33% at health centres. In contrast, phased introduction of the outpatient treatment fee beginning in 1992, combined with somewhat broader exemptions, was associated with much smaller decreases in outpatient utilization. It is suggested that implementing user fees in phases by level of health facility is important to gain patient acceptance, to develop the requisite management systems, and to orient ministry staff to the new systems.  (+info)

Use of PRISM scores in triage of pediatric patients with diabetic ketoacidosis. (6/751)

Triage guidelines are needed to help in the decision process of intensive care unit (ICU) versus non-ICU admission for patients with diabetic ketoacidosis (DKA). Pediatric risk of mortality (PRISM) scores have long been used to assess mortality risk. This study assess the usefulness of the traditional PRISM score and adaptation of that score (PRISM-ED, which uses presentation data only) in predicting hospital stay in pediatric patients with DKA. PRISM and PRISM-ED were tested for correlation with length of stay and length of ICU stay. A medical record review was conducted for patients admitted to The Children's Hospital of Alabama with DKA during an 18-month period (n = 79). Two scores were calculated for each study entrant: PRISM using the worst recorded values over the first 24 hours and PRISM-ED using arrival values. Median scores, median test, and Spearman rank correlations were determined for both tests. Median PRISM scores were PRISM = 11 and PRISM-ED = 12; Median PRISM and PRISM-ED scores for patients admitted to the ICU were less than median scores among floor-admitted patients: [table: see text] Spearman rank correlations were significant for both scores versus total stay: PRISM, rs = 0.29; P = 0.009; PRISM-ED, rs = 0.60, P < 0.001. Also, correlations were significant for both scores versus ICU stay: PRISM rs = 0.22, P = 0.05; PRISM-ED, rs = 0.41, P < 0.001. Triage guidelines for ICU versus floor admission for DKA patients could have significant economic impact (mean ICU charge = $11,417; mean charge for floor admission = $4,447). PRISM scores may be an important variable to include in a multiple regression model used to predict the need for ICU monitoring.  (+info)

Impact of managed care on quality of healthcare: theory and evidence. (7/751)

Each strategy for managing healthcare risk has important and unique implications for the patient-provider relationship and for quality of care. Not only are different incentive structures created by different risk-sharing arrangements, but these incentives differ from those in a fee-for-service environment. With fee-for-service and traditional indemnity insurance, physicians have incentives to provide healthcare services of marginal value to the patient; under managed care, physicians have fewer incentives to provide marginally beneficial services. However, the impact of financial arrangements on quality of care remains ambiguous, because it depends on the strategic behavior of physicians with regard to their informational advantage over their patients. Using the framework of an agency theory model, we surveyed the current scientific literature to assess the impact of managed care on quality of care. We considered three different dimensions of quality of care: patient satisfaction, clinical process and outcomes of care measures, and resource utilization. Although we found no systematic differences in patient satisfaction and clinical process and outcomes between managed care and fee-for-service plans, resource utilization appears to be decreased under managed care arrangements. Given the strengths and weaknesses of fee-for-service and managed care, it is unlikely that either will displace the other as the exclusive mechanism for arranging health insurance contracts. Policy makers may be able to take advantage of the strengths of both fee-for-service and managed care financial arrangements.  (+info)

Comparison of NHS and private patients undergoing elective transurethral resection of the prostate for benign prostatic hypertrophy. (8/751)

OBJECTIVES: To compare the operative thresholds and clinical management of men undergoing elective transurethral resection of the prostate for benign prostatic hypertrophy in the NHS and privately. DESIGN: Cohort study of patients recruited by 25 surgeons during 1988. SETTING: Hospitals in Oxford and North West Thames regions. PATIENTS: Of 400 consecutive patients, 129 were excluded because of open surgery (nine), lack of surgeons' information (three), and emergency admission (117) and three failed to give information, leaving 268 patients, 214 NHS patients and 54 private patients. MAIN MEASURES: Sociodemographic factors, prevalence and severity of symptoms, comorbidity, general health (Nottingham health profile) obtained from patient questionnaire preoperatively and reasons for operating, and operative management obtained from surgeons perioperatively. RESULTS: NHS and private patients were similar in severity of symptoms and prevalence of urinary tract abnormalities. They differed in four respects: NHS patients' general health was poorer as a consequence of more comorbid conditions (49, 23% v 7, 13% in severe category); the condition had a greater detrimental effect on their lives (36, 17% v 2, 4% severely affected; p < 0.01); private patients received more personalised care more quickly and were investigated more before surgery, (29, 54% v 60, 20% receiving ultrasonography of the urinary tract); and NHS patients stayed in hospital longer (57, 27% v 3, 6% more than seven days; p < 0.001). CONCLUSIONS: Private patients' need for surgery, judged by symptom severity, was as great as that of NHS patients, and there was no evidence of different operative thresholds in the two sectors, but, judged by impact on lifestyle, NHS patients' need was greater.  (+info)

Medicare Boot Camp®-Utilization Review Version is an intensive two-day course focusing on the Medicare regulatory requirements for patient status and the role of the utilization review (UR) committee.
Search Utilization Review Nurse jobs in Memphis, TN with company ratings & salaries. 274 open jobs for Utilization Review Nurse in Memphis.
Preliminary efforts to perform outcome evaluation at 20 outpatient rehabilitation facilities are presented, including utilization review and a patient satisfaction survey. Therapy services assessed in this initial phase ranged from acute care to work
Utilization Review Physician Telecommute Ortho Surgeon with FL License Jacksonville, FL PRN jobs in your area. Apply now to join Concentra.
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Utilization review companies must be registered in the state in which the review will be done. Guidelines used for making reviews should be available to those physicians.
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Participating health plans agree to limit data to HIPAA-permitted uses for payment and health care operations as defined by law. Permitted uses include billing, claims management, utilization review, identifying members for care management and improving the accuracy of HEDIS/STARs measures, plus more.. Contact Peg Eichner, HIE Project Manager, for more information on Health Plan Services at [email protected] ...
Ultimately, for clinical pathways to be effective, the oncologists have to be using them. With that in mind, health plans are devising a number of ways to incentivize pathway use. According to payers surveyed, higher drug reimbursements and reduced administrative requirements (eg, prior authorization) are the most frequently applied incentives for physicians who adhere to pathways. Less commonly used incentives are expedited utilization reviews and reimbursement processing, in-network requirements, and preferred provider status within network. According to the MCOI, getting doctors on pathway may not be too difficult. The oncologist respondents found pathways influential and were in favor of their use. Of 60 oncologists surveyed, just less than half said they plan on adopting pathways within the next 2 years ...
The primary purpose of the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) is to improve the overall quality of health care that is provided to the consuming public.
We assessed the impact of the MDVIP personalized preventive care model on hospital utilization and found the MDVIP members rates were substantially lower than nonmembers.
Researchers have significantly improved an existing experimental vaccine for Rift Valley fever virus, making possible the development of a more effective defense against the dangerous mosquito-borne pathogen.
A medical cost containment system for ensuring that the anticipated cost savings from utilization review (UR) agreements are actually realized. The UR agreements are essentially contractual agreements that specify the type and quantity of medical treatments relating to a specific claim resulting from a specific injury. Each UR agreement comprises a claim number, a procedure code describing the particular medical service authorized, and some indication as to dates or quantity of service authorized. All of the UR agreements are stored in a UR database. When a medical bill is received by the insurance company, the bill is entered in to the computer. The cost containment system searches all UR agreements in the UR database which have the same claim number as the claim number on the bill. For each item in the medical bill, the system finds the UR agreement which most closely matches the procedure code in the line item and various other criteria, such as the dates of treatment. The system then checks to
Successful treatment of tuberculosis (TB) is one of the key indicators of a TB Control Programs performance and essential to containing the emergence of anti-TB drug resistance. Multi-drug resistant TB (MDR-TB) treatment requires medicines that are expensive, involve longer treatment regimens, are toxic, and can cause patients to have severe side effects. However, international guidelines and national regulations for the diagnosis and treatment of MDR-TB seldom provide unbiased sources of information on monitoring drug use, side effects, or indicators to assess the quality of prescribing according to the regulations.. For proper and impartial monitoring of rational drug use, drug utilization reviews (DUR) are used to identify common problems such as inappropriate product selection, incorrect dosing, avoidable adverse drug reactions, and errors in drug dispensing and administration (see Managing Drug Supply 3: Chapter 30, PDF). Under a prior MSH project, an indicator based guide was developed ...
The Drug Utilization Review Board (DURB) will meet on February 16 from 9:00 a.m. to 4:00 p.m., Meeting Room 6, Empire State Plaza, Concourse Level, Albany.. For further information contact Anthony Merola at (518) 486-3209 or e-mail [email protected] (Please reference DURB Agenda for February 16, 2017).. ...
Definition of drug utilization review: A process of appraising and reconsidering the usage of drugs to determine the effectiveness of drug treatment.
6) Confidential information means information maintained by the pharmacist in the patient record or which is communicated to the patient as part of patient counseling or which is communicated by the patient to the pharmacist. This information is privileged and may be released only to the patient or to other members of the health care team and other pharmacists where, in the pharmacists professional judgment, the release is necessary to the patients health and well-being; to other persons or governmental agencies authorized by law to receive the privileged information; as necessary for the limited purpose of peer review and utilization review; as authorized by the patient or required by court order ...
Investigating Los Angeles County Trends, Patterns and Disparities in Controlled Substance Prescriptions using Prescription Drug Monitoring Program (PDMP)/Controlled Substance Utilization Review & Evaluation System (CURES) Data (LACDPH ...
11 LPN $70,000 jobs available in Las Vegas, NV on Indeed.com. Registered Nurse, Director of Nursing, Utilization Review Nurse and more!
GIHep does store ANY of the calculations that are done on this site. Please be cautious in utilization of any information that may be identifiable and refrain from using on this site. ...
Objectives This study has been based on the implementation of the Obstetric Appropriateness Evaluation Protocol in 7 Italian hospitals to determine inappropriate hospital admissions and days of stay. Design A cross-sectional study. Methods The outcomes examined were: appropriateness/inappropriateness of admission and percentage of inappropriateness. Results A total number of 2196 clinical records were reviewed. The mean percentage of inappropriateness for a hospitalization was 22%. The percentage of inappropriateness for the first ten days of hospitalization peaked in correspondence of the 4th and 5th (42%). The emergency admission was a protective factor of inappropriated admission, OR= 0.23 95%CI (0.16-0.35). To be hospitalized in a Teaching Hospital, in a hospital with ≥30 beds and to be admitted during the Winter/Autumn and in the workweek were risk factors of inappropriateness, respectively with OR=3.50 95%CI(2.30-5.34), OR=2.04 95%CI(1.41-2.97), OR=2.14 95%CI(1.41-2.97), OR=1.85 ...
New York (PRWEB) July 10, 2015 -- Epstein Becker Green and EBG Advisors are pleased to announce a webinar titled, Analyzing Trends in Utilization Management:
Relates to utilization review program standards (Part A); relates to providing coverage for immediate access to a five day emergency supply of certain medications and prohibiting prior authorization for a prescription for buprenorphine for opioid addiction detoxification or maintenance treatment (Part B); relates to the heroin and opioid addition wraparound demonstration services program (Part C); relates to emergency services for persons intoxicated, impaired, or incapacitated by alcohol and/or substances (Part D).
Some services are owned by your insurer/TPA, while others are affiliated with them in private labeled arrangements. Have a representative from each service explain the service, how to request the service, when each service is provided, and the cost of each. And, this is a great time to request product examples!. Invite: physical therapy, nurse triage, nurse case managment, bill review, at-home recovery services, intake & reporting, physician advisors, utilization review, disability guidelines, MSA, surveillance, legacy claims management, and others... Everything else you need to know is in Manage Your Workers Compensation Program: Reduce Costs 20-50%, covering how to assess your workers compensation program, design program materials, and roll out a program to your organization. Sneak Peek Here. Order your copy today! ...
ERS provides Gatekeeper, PPO, Utilization Review, Case Management, and even claims adjudication services related to behavioral health benefits. This means that discounted fee arrangements are established with therapists and treatment programs. Clients then contact the EAP before they access their behavioral health benefits. When long-term treatment is authorized, the EAP works with the in-network provider to establish a treatment plan and ensure that the client receives effective clinical interventions.. Back to Top. ...
In recent years, healthcare professionals have come up with a promising concept: pay-for-performance, or P4P. Briefly defined, P4P is a system of accountability that measures the performance of healthcare providers and rewards those providers for following clinical guidelines and achieving positive clinical outcomes. P4P is viewed by plans and employers as a sound business approach for achieving excellent clinical outcomes in a cost-effective manner.. Health plans historically have measured provider performance, but the focus has almost exclusively been on overutilization and cost-reduction through utilization review and external controls, says Jeffrey Hanson, vice president and pay-for-performance practice leader for healthcare-information/consulting firm Thomson Medstat, which develops, implements, and administers provider profiling and P4P programs.. The problem with the typical provider profiling approach is that it narrowly focuses on overutilization and encourages service reduction ...
Pursuant to California Health & Safety Code Section 11190, and Business & Professions Code Section 1170, all licensees who dispense Schedule II through IV controlled substances must provide the dispensing information to the Department of Justice on a weekly basis. The information is compiled in a database called the Controlled Substance Utilization Review and Evaluation System (CURES) that contains over 100 million entries of controlled substance drugs that have been dispensed in California. Practitioners who register can access the CURES database through the Prescription Drug Monitoring Program (PDMP) to look up clients prior to dispensing or writing prescriptions for controlled substances.. To access the California Department of Justice CURES information page, click here.. To register to become a CURES reporter, click here.. To submit weekly CURES reports, click here.. To access the PDMP, click here.. The CVMA provides more resources for its members which can be accessed in the menu on the ...
AAC THE INSURANCE DEPARTMENTS MARKET CONDUCT AUTHORITY AND DATA CALL CONFIDENTIALITY, AUTHORIZING MULTISTATE HEALTH CARE CENTERS IN CONNECTICUT, ELIMINATING A HEALTH CARRIER UTILIZATION REVIEW REPORT FILING REQUIREMENT, AND CONCERNING LICENSURE OF SINGLE PURPOSE DENTAL HEALTH CARE CENTERS ...
Collaborator, Responsible of Project 2 - Website and E-Learning Platform. Giuseppe Fico is heading the Health&Wellbeing strategic area of the Life Supporting Technology research group at Universidad Politécnica de Madrid (UPM). He holds a PhD in biomedical engineering at UPM and a M.Sc. in Electronic Engineering at the Universitá degli Studi di Napoli Federico II. He is an expert in creating, managing and exploiting research projects that make use of engineering and ICT methods as catalyst for innovation, to positively impact health care outcomes. He is currently the technical Manager of the MOSAIC (7th Framework Programme) and Big Data 2 Decide (Horizon 2020) research projects, where eHealth solutions are applied to improve decision making in diabetes and head and neck cancer respectively. He is project manager of the MINIQ grant, where a decision support for drug prescribing and drug utilization reviews (EIT for Health) will be adapted and tested in Spanish settings. Since 2012 he is ...
Hospital Use Electrolyte Analyzer products ☆ Find Hospital Use Electrolyte Analyzer products, manufacturers, suppliers and exporters
3 Answers to Southwest Community Hospital uses a job-order costing system to track charges for each patient. The following charges relate to Candice O'Dea, who had laparoscopic knee surgery: Pharmacy $260 Sterile supply 1,030 Supplies, other 4,130 Operating room service (nursing staff) 4,480 Anesthesia 1,090... - 127105
System utilization is often recognized as the key to unlocking operational insights for effective laboratory productivity. However, the definitions of system utilization can vary greatly and can have dramatically different use models. Join us to discover the many ways to look at and interpret utilization data as well as other asset management data to build a complete picture of your lab. In this webinar, we will cover the multiple sources of utilization data, review the benefits and limitations of each.... Read More ...
Five Ways of Comprehensive Utilization of Straw, XINSHENGAN Power Technology (Shandong) Co., Ltd., At present, there are five main ways for comprehensive utilization of crop
The number of cancer survivors is increasing. Knowledge gaps exist regarding the health of survivors and their use of services, particularly survivors with long-term effects of the disease and treatment, including late effects. This PhD study comprised (i) a systematic review of health service utilisation by cancer survivors; (ii) a population-based comparative survey of the health status and service utilisation of cancer survivors and a matched General Practice population; (iii) an overview of reviews of late effects; (iv) a comparative analysis of cancer survivors with self-reported late effects and survivors without late effects in terms of their health status and services utilisation patterns and; (v) a qualitative study of the narrative of cancer survivors with late • effects. The health service utilisation review identified that increasing age was associated with less care and increased hospitalisations. Improved care receipt was dependent on type and frequency of physician contact which ...
Dr. Mary Young has recently finished her family medicine residency and joined a small group practice, PrimaryCare. On her first day, she has the following experiences with health care financing: her first patient is insured by Blue Shield; PrimaryCare is paid a fee for the physical examination and for the electrocardiogram (ECG) performed. Dr. Youngs second patient requires the same services, for which PrimaryCare receives no payment but is forwarded $15 for each month that the patient is enrolled in the practice. In the afternoon, a hospital utilization review physician calls Dr. Young, explains the diagnosis-related group (DRG) payment system, and suggests that she send home a patient hospitalized with pneumonia. In the evening, she goes to the emergency department, where she has agreed to work two shifts per week for $100 per hour. She was also delighted to open her mail and find a small check rewarding her for providing high-quality care for her PrimaryCare patients. ...
UnitedHealth Group - Orthopedic or Spine Medical Director, Utilization Management - Telecommute - White Plains - Orthopedic or Spine Medical Director, Utilization - Black Enterprise
If your case management program is like most, it focuses mainly on utilization review and discharge planning. Stefani Daniels, RN, MSNA, CMAC, ACM, says many case managers are getting bogged down by these duties and losing focus of what case management is really about: patient advocacy.
State of New Jersey > Department of Human Services > Division of Medical Assistance and Health Services > Public Advisory Boards, Commissions & Councils > New Jersey Drug Utilization Review Board (DURB) > DURB Educational Newsletters
Disclaimer: The authors of this article are responsible for its contents, including any clinical or treatment recommendations.. Acknowledgment: The authors thank Michelle Koltov for conducting the initial review of literature and preparing an early draft of the manuscript and Kolton Gustafson for his administrative support to the authors.. Financial Support: Financial support for the development of this guideline comes exclusively from the ACP operating budget.. Disclosures: Mr. Doherty reports the following outside of the manuscript: board membership, consultancy, employment at ACP, expert testimony, grants (or grants pending), payment for lectures (Department of Medicine, Jefferson Hospital, Philadelphia; honoraria [pending]), payment for manuscript preparation, patents, royalties, payment for development of education presentations, stock or stock options, travel (Utilization Review Accreditation Commission [URAC]; no compensation received for board membership but travel expenses to attend ...
Stacey Jefferson, Vice President of Client Solutions for UniMed Direct, is a strategic leader responsible for the companys software accounts and implementations. Guiding the implementation of innovative technologies to support medical management processes, including utilization review, physician peer review and case management, Stacey is focused on continuous improvement, accuracy and compliance, and the usability of software and technology ...
Cbd - Chairmen of Trustee District Peer Review Committees were appointed as ex-officio members of the state Claims and Utilization Review Committee so input from local groups into policy making, and vital communication could be maintained.
Limiting utilization review conducted by health plans under certain circumstances involving the treatment of mental illness or substance abuse disorder.. ...
AN ACT CONCERNING INSURANCE DATA REPORTING REQUIREMENTS, SMALL EMPLOYER HEALTH PLAN AVAILABILITY, AND LICENSING REQUIREMENTS FOR INDIVIDUALS WHO MAKE FINAL UTILIZATION REVIEW DETERMINATIONS.
Synonyms for critical pathway in Free Thesaurus. Antonyms for critical pathway. 4 synonyms for pathway: nerve pathway, nerve tract, tract, footpath. What are synonyms for critical pathway?
Molecular and practical profiling of most cancers cell strains is topic to laboratory-specific experimental practices and information evaluation protocols. The present problem subsequently is find out how to make an built-in use of the omics profiles of most cancers cell strains for dependable organic discoveries. Here, we carried out a scientific evaluation of 9 sorts of information modalities utilizing meta-analysis of 53 omics research throughout 12 analysis laboratories for two,018 cell strains. To account for a comparatively low consistency noticed for sure information modalities, we developed a sturdy information integration strategy that identifies reproducible indicators shared amongst a number of information modalities and research ...
Molecular and practical profiling of most cancers cell strains is topic to laboratory-specific experimental practices and information evaluation protocols. The present problem subsequently is find out how to make an built-in use of the omics profiles of most cancers cell strains for dependable organic discoveries. Here, we carried out a scientific evaluation of 9 sorts of information modalities utilizing meta-analysis of 53 omics research throughout 12 analysis laboratories for two,018 cell strains. To account for a comparatively low consistency noticed for sure information modalities, we developed a sturdy information integration strategy that identifies reproducible indicators shared amongst a number of information modalities and research ...
3-D scanning methodologies for internationally compatible anthropometric databases - Part 1: Evaluation protocol for body dimensions extracted from 3-D body scans
Important questions about health care are often addressed by studying health care utilization. Utilization data have several characteristics that make them a challenge to analyze. In this paper we discuss sources of information, the statistical properties of utilization data, common analytic methods …
El-Deeb, Mohammed H.; Al Riyami, Abdullah M.; Al Riyami, Abdullah A.; Sulaiman, Kadhim J.; Shahrabani, Rashid; Al Mukhaini, Mohamed; Al Rawahi, Najib; Al Riyami, Mohamed B.; Al Riyami, Adil B.; Sallam, Mansour; Al Hinai, Said; Al Wahshi, Yahia; Panduranga, Prashanth; Al Kharusi, Abdul Malik Less ...
$traight Talk XXIV December 8, 2015 Sandy Steele, CPC, CPMA, CEDC, CAC 1 Ultrasound and Ultrasound Assisted Procedures Documentation Requirements Indication medical necessity: The record must indicate
A recent article in the Wall Street Journal revealed some of the new ways of easing the pain and trauma that children undergo during hospital stays. More children are facing painful and invasive procedures, as medical advances have made ...
... this is also referred to as drug utilization review (DUR). The DUR process is completed by the pharmacist. The process reviews ... "Drug Utilization Review , AMCP.org". www.amcp.org. Retrieved 2021-01-15.. ... A retrospective DUR reviews drug therapy after the drug therapy is completed. The retrospective review helps detect patterns in ... Prospective DUR review is when a patient's planned drug therapy is evaluated before a medication is dispensed. Concurrent ...
... drug-utilization review; formulary management; and medical and drug data analysis services to manage drug plans for health ... the Express Scripts Drug Trend Report provides detailed analysis of prescription drug costs and utilization. Now a web-based ...
2000). "How is mechanical ventilation employed in the intensive care unit? An international utilization review". Am J Respir ... The Cochrane Database of Systematic Reviews. 5: CD012468. doi:10.1002/14651858.CD012468.pub2. ISSN 1469-493X. PMC 6481534. PMID ... The Cochrane Database of Systematic Reviews. 3: CD013732. doi:10.1002/14651858.CD013732.pub2. ISSN 1469-493X. PMID 33729556. ...
An international utilization review". Am J Respir Crit Care Med. 161 (5): 1450-8. doi:10.1164/ajrccm.161.5.9902018. PMID ... The Cochrane Database of Systematic Reviews. 7: CD004104. doi:10.1002/14651858.CD004104.pub4. hdl:10044/1/53458. PMC 6483555. ...
An international utilization review". American Journal of Respiratory and Critical Care Medicine. 161 (5): 1450-8. doi:10.1164/ ... A 2013 systematic review calculated procedural mortality to be 0.17% or 1 in 600 cases. Multiple systematic reviews identified ... A 2016 systematic review identified a higher rate of tracheal stenosis in individuals who underwent a surgical tracheostomy, as ... A 2013 systematic review (published cases from 1985 to April 2013) studied the complications and risk factors of percutaneous ...
Carol H. Weiss (October 1979). "The Many Meanings of Research Utilization". Public Administration Review. 39 (5): 426-431. doi: ... " "The many meanings of research utilization", Public administration review (1979) Evaluation: Methods for Studying Programs ...
HMOs also manage care through utilization review. That means they monitor doctors to see if they are performing more services ... A possible reason for this failure is that consumers might increase utilization in response to less cost sharing under HMOs. ...
Dobbins, R; Cockerill, R; Barnsley, J (2001). "Factors Affecting the Utilization of Systematic Reviews". International Journal ... Meta-reviews have identified several characteristics that are common among most studies. These are in line with the ... McPherson, M; Smith-Lovin, L; Cook, JM (2001). "Birds of a Feather: Homophily in Social Networks". Annual Review of Sociology. ... Katz, E; Levin, M; Hamilton, H (1963). "Traditions of Research on the Diffusion of Innovation". American Sociological Review. ...
... utilization management and utilization review. These techniques can be applied to both network-based benefit programs and ... A 2008 systematic review found consistent evidence that health insurance increased utilization of services and improved health ... Formal utilization review and quality improvement programs; An emphasis on preventive care; and Financial incentives to ... The two primary HMO trade associations were the Group Health Association of America and the American Managed Care and Review ...
Falcao, A.F.de O. (2010). "Wave energy utilization: A review of the technologies". Renewable Energy and Sustainable Energy ... "A Review of Oscillating Water Columns" (PDF). RSTA.. *^ "Performance of a Wells Turbine in an OWC Device in Comparison to ...
"Direct utilization of geothermal energy 2015 worldwide review". Geothermics. 60: 66-93. doi:10.1016/j.geothermics.2015.11.004 ... BP: Statistical Review of World Energy, Workbook (xlsx), London, 2016 World Energy Assessment (WEA). UNDP, United Nations ... "Statistical Review of World Energy (2020)" (PDF). Retrieved 17 February 2021. "Key world energy statistics" (PDF). IEA. 2015. ... World Energy Outlook BP global energy outlook to 2035 BP Statistical Review of World Energy June 2017 Energy Statistics and ...
Wagner, G.M. (1997). "Azolla: a review of its biology and utilization". Bot. Rev. 63: 1-26. doi:10.1007/BF02857915. S2CID ... Use of algae and aquatic macrophytes as feed in small-scale aquaculture: A review. FAO Fisheries and Aquaculture technical ... Evrard, C.; Van Hove, C. (2004). "Taxonomy of the American Azolla species (Azollaceae): A critical review". Systematics and ... Agnihotri, Vijai K. (2014). "Anabaena flos-aquae". Critical Reviews in Environmental Science and Technology. 44 (18): 1995-2037 ...
Wave power Falcão, António F. de O. (2009). "Wave energy utilization: A review of the technologies". Renewable and Sustainable ... Energy Reviews. 14 (3): 899-918. doi:10.1016/j.rser.2009.11.003. "The Masuda Device". daedalus.gr. Archived from the original ...
Wilson, Philip J.; Wells, Joseph H. (1944-02-01). "The Chemistry and Utilization of Cyclopentadiene". Chemical Reviews. 34 (1 ...
"Interventions to promote patient utilisation of cardiac rehabilitation". The Cochrane Database of Systematic Reviews. 2: ... "Interventions to promote patient utilisation of cardiac rehabilitation". The Cochrane Database of Systematic Reviews. 2: ... an overview of Cochrane systematic reviews". The Cochrane Database of Systematic Reviews (12): CD011273. doi:10.1002/14651858. ... Another Cochrane review of six randomised controlled trials in adults with atrial fibrillation found that CR may improve ...
"Civil Law Notary: An Office Whose Time Has Come?" (PDF). "Understanding Independent Medical Review and Utilization Review ... L Bebchuk, 'The Case for Increasing Shareholder Power' (2004-5) 118 Harvard Law Review 833, 844 "2000 ABA Model Procurement ... The National Association of Insurance Commissioners's issued the Uniform Health Carrier External Review Model Act. The 2010 ...
Milliken, W. (1998). "Review of Medicinal Plants: Can utilization and conservation coexist? by Jennie Wood Shelton, Michael J. ... The Quarterly Review of Biology. 71 (4): 572. doi:10.1086/419583. Knelman, Fred H. (2000). "Reviewed work: Plants, People and ... Marderosian, Ara der (1996). "Review of Plants, People, and Culture: The Science of Ethnobotany by Michael J. Balick and Paul ... Schultes, Richard Evans (1993). "Review of The Subsidy from Nature by Anthony B. Anderson, Peter H. May & Michael J. Balick". ...
Annual Reviews.. *^ Laperchia, P. (1987). "Behavioral disorders, learning disabilities and megavitamin therapy". Adolescence. ... Alfred H. Merrill, Jr.; Michael Henderson (1987). Diseases Associated with Defects in Vitamin B6 Metabolism or Utilization. ... One review suggested the APA statement was "well-intentioned" but biased, and called for further research in this field.[32] ... This review and critique has carefully examined the literature produced by megavitamin proponents and by those who have ...
Dobbins, R; Cockerill, R; Barnsley, J (2001). "Factors Affecting the Utilization of Systematic Reviews". International Journal ... American Political Science Review (Submitted manuscript). 98: 171-189. CiteSeerX 10.1.1.459.2364. doi:10.1017/S0003055404001078 ... Meta-reviews have identified several characteristics that are common among most studies.[21] These are in line with the ... McPherson, M; Smith-Lovin, L; Cook, JM (2001). "Birds of a Feather: Homophily in Social Networks". Annual Review of Sociology. ...
How to use an article about a clinical utilization review. Evidence-Based Medicine Working Group. JAMA, 275(18), pp. 1435-1439 ...
2 1977 (Great Britain). C.F. Muller, Review of Twenty Years of Research on Medical Care Utilization, Health Services Research, ... Muller, C (June 1986). "Review of twenty years of research on medical care utilization". Health Services Research. 21 (2 Pt 1 ... ISBN 978-0-87154-610-4. Health Care Financing Review. Department of Health, Education, and Welfare, Health Care Financing ...
doi:10.1061/(ASCE)0733-950X(1995)121:4(224). Polemio, Maurizio; Zuffianò, Livia Emanuela (2020). "Review of Utilization ... A Review of a Regional Experience". Water. 8 (4): 148. doi:10.3390/w8040148. Polemio, Maurizio; Pambuku, Arben; Limoni, Pier ...
Yang, Hailan; Ye, Shujing (2020). "Utilization of biochar for resource recovery from water: A review". Chemical Engineering ... "Utilization of Biochar for resource recovery from water: A review". Chemical Engineering Journal. 397: 125502. doi:10.1016/j. ... Credit generation typically occurs following third party review (also known as verification) as conducted by a validation- ... and successfully passes third party review (also called verification). Once carbon offset credits are generated, any buyer may ...
Friedrich B, Schwartz E (1993). "Molecular biology of hydrogen utilization in aerobic chemolithotrophs". Annual Review of ... White SW, Zheng J, Zhang YM (2005). "The structural biology of type II fatty acid biosynthesis". Annual Review of Biochemistry ... Fourth in the Cycles Review Series". EMBO Reports. 7 (3): 276-82. doi:10.1038/sj.embor.7400646. PMC 1456893. PMID 16607397. ... Ohlrogge JB, Jaworski JG (June 1997). "Regulation of Fatty Acid Synthesis". Annual Review of Plant Physiology and Plant ...
Deb, Chitta Ranjan (2013). "Orchids of Nagaland, propagation, conservation and sustainable utilization: a review" (PDF). ... The British India Government, fresh from the shocks of the Indian Rebellion of 1857, reviewed its governance structure ...
Mulrooney, Scott B.; Hausinger, Robert P. (2003). "Nickel uptake and utilization by microorganisms". FEMS Microbiology Reviews ... Abreu, Isabel, A.; Cabelli, Diane, E. (2009). "Superoxide dismutateses-a review of the metal associated mechanistic variations ... Zamble, Deborah B.; Li, Yanjie (2009). "Nickel Homeostasis and Nickel Regulation: an Overview". Chemical Reviews. 109 (10): ... Sheng, Yuewei (2014). "Superoxide Dismutases and Superoxide Reductases". Chemical Reviews. 114 (7): 3854-3918. doi:10.1021/ ...
Mulrooney, Scott B.; Hausinger, Robert P. (June 1, 2003). "Nickel uptake and utilization by microorganisms". FEMS Microbiology ... Reviews. 27 (2-3): 239-261. doi:10.1016/S0168-6445(03)00042-1. ISSN 0168-6445. PMID 12829270. Shiozawa, Hidetsugu; Briones-Leon ...
... characterisation and utilisation". Physical Review Letters. 83 (16): 3103-3106. arXiv:quant-ph/9908081. Bibcode:1999PhRvL.. ... James, DFV; Kwiat, PG; Munro, WJ; White, AG (2001). "Measurement of qubits". Physical Review A. 64 (5): 052312. arXiv:quant-ph/ ... Physical Review Letters. 93 (5): 053601. arXiv:quant-ph/0312072. Bibcode:2004PhRvL..93e3601L. doi:10.1103/PhysRevLett.93.053601 ...
"Core-shell structured titanium dioxide nanomaterials for solar energy utilization". Chemical Society Reviews. 47 (22): 8203- ... "Core-shell structured titanium dioxide nanomaterials for solar energy utilization". Chemical Society Reviews. 47 (22): 8203- ... Barghamadi, Marzieh; Kapoor, Ajay; Wen, Cuie (2013). "A Review on Li-S Batteries as a High Efficiency Rechargeable Lithium ... Dahl, Michael; Liu, Yiding; Yin, Yadong (2014-07-11). "Composite Titanium Dioxide Nanomaterials". Chemical Reviews. 114 (19): ...
Price review[edit]. Usually there exists a clause allowing parties to trigger the price revision or price reopening in LNG SPAs ... high cost of building large LNG facilities makes the progressive development of gas sources to maximize facility utilization ... "Global LNG Industry Review in 2014". Archived from the original on 14 April 2015. Retrieved 17 April 2015.. ... "Global LNG Industry Review in 2014". Archived from the original on 14 April 2015. Retrieved 17 April 2015.. ...
Marquardt T, Denecke J (June 2003). "Congenital disorders of glycosylation: review of their molecular bases, clinical ... "Allosteric regulation provides a molecular mechanism for preferential utilization of the fully assembled dolichol-linked ...
Basham, A. L.; Dani, D. H. (Winter 1968-1969). "(Review of) A Short History of Pakistan: Book One: Pre-Muslim Period". Pacific ... 1] Poultry: Identification, Fabrication, Utilization by Thomas Schneller - Cengage Learning, 28 September 2009 - page 16 ...
Utilization[edit]. During 2003-2012, the share of hospital stays billed to Medicaid increased by 2.5%, or 0.8 million stays.[77 ... A 2019 review by Kaiser Family Foundation of 324 studies on Medicaid expansion concluded that "expansion is linked to gains in ... Physicians and dentists attitudes toward Medicaid and Medicaid patients: review of the literature. Columbia University. 2009. ... State-level data on health care spending, utilization, and insurance coverage, including details extensive Medicaid information ...
The discovery and utilization of fire, a simple energy source with many profound uses, was a turning point in the technological ... Bain, Read (1937). "Technology and State Government". American Sociological Review. 2 (6): 860. doi:10.2307/2084365. JSTOR ... According to Alexis Madrigal's review of Morozov's theory, to ignore it will lead to "unexpected consequences that could ...
Depending upon the health insurance plan and the managed care system, various forms of "utilization review", such as prior ... A 2001 review of 160 Cochrane systematic reviews revealed that, according to two readers, 21.3% of the reviews concluded ... Review of systems (ROS) or systems inquiry: a set of additional questions to ask, which may be missed on HPI: a general enquiry ... Ezzo J, Bausell B, Moerman DE, Berman B, Hadhazy V (2001). "Reviewing the reviews. How strong is the evidence? How clear are ...
"Chiropractic and CAM utilization: a descriptive review". Chiropr Osteopat. 15: 2. doi:10.1186/1746-1340-15-2. PMC 1784103 ... Posadzki P, Ernst E (2011). "Spinal manipulation: an update of a systematic review of systematic reviews". N Z Med J. 124 (1340 ... "A systematic review of systematic reviews of spinal manipulation". J R Soc Med. 99 (4): 192-96. doi:10.1258/jrsm.99.4.192. PMC ... The same review found that SMT appears to be no better than other recommended therapies.[93] A 2016 review found moderate ...
Activated Charcoal Review Sheet, USDA Organic Materials Review, February 2002. *^ Activated Carbon Petition, USDA Organic ... Utilization, and Environmental Effects. 29 (9): 839-850. doi:10.1080/00908310500430901.. ... Materials Review petition, Canadaigua Wine, May 2002. *^ "Alliance for Collaborative Research in Alternative Fuel Technology". ...
"Mineralogy: A historical review" (PDF). Journal of Geological Education. 32: 288-298. Retrieved 27 September 2017 ... as well as their utilization. ...
a b c d e Hsieh, C., et al., A Systematic Review of the Mysterious Caterpillar Fungus Ophiocordyceps sinensis in Dong- ... needs to be carried out in order to understand its morphology and growth habits for conservation and optimum utilization. ... a review". J Funct Food. 6: 33-47. doi:10.1016/j.jff.2013.11.024.. ... "Host insect species of Ophiocordyceps sinensis: a review". ZooKeys (127): 12743-59. doi:10.3897/zookeys.127.802. PMC 3175130 ...
"Rules for the Review of Legislation on Production of Flour and Pasta (English Translation)" (PDF). Union of Organisations of ... "Utilization of sorghum, rice, corn flours with potato starch for the preparation of gluten-free pasta". Food Chem. 191: 147-51 ... "Rules for the Review of Legislation on Production of Flour and Pasta". Italian Government Printing Office. Retrieved 7 July ... Roos, Yrjö H (2010). "Glass Transition Temperature and its Relevance in Food Processing". Annual Review of Food Science and ...
A review of its pharmacological properties and therapeutic use in depressive illness". Drugs. 43 (4): 561-596. doi:10.2165/ ... Isacsson G, Holmgren P, Druid H, Bergman U (August 1997). "The utilization of antidepressants--a key issue in the prevention of ... A review of its pharmacological properties and therapeutic use in depressive illness". Drugs. 43 (4): 561-96. doi:10.2165/ ... Review of the literature]". Encephale (in French). 20 (1): 65-77. PMID 8174512.. ...
Blevins, Dale G.; Lukaszewski, KM (1998). "Functions of Boron in Plant Nutrition". Annual Review of Plant Physiology and Plant ... Strontium has been found to be involved in the utilization of calcium in the body. It has promoting action on calcium uptake ... reviewed the question in 2014 and does not agree.[12] ...
Energy Technology Review № 14. Noyes Data Corp. p. 5. ISBN 978-0-8155-0670-6.. ... "Underground Coal Gasification Resource Utilisation Efficiency" (PDF). CSIRO Exploration & Mining. Archived from the original ... "Review of Environmental Issues of Underground Coal Gasification" (PDF). WS Atkins Consultants Ltd. Department of Trade and ...
Annual review of entomology, 55, 129-150. Sasaki J, Nakashima N, Saito H, Noda H (1998) An insect picorna-like virus, Plautia ... "Human Rhinovirus Type 14 Gain-of-Function Mutants for oriI Utilization Define Residues of 3C(D) and 3Dpol That Contribute to ...
The New York Review of Books, vol. LXVI, no. 19 (5 December 2019), pp. 52, 54, 56-58. Opening of David Graeber's review (p. 52 ... The American Economic Review. 82 (2): 203-209. JSTOR 2117401.. *^ Fuller, Dan; Geide-Stevenson, Doris (Fall 2003). "Consensus ... FRBNY Economic Policy Review. 4 (2): 1-14.. *^ Ziliak, Stephen T.; McCloskey, Deirdre N. (April 2004). "Size Matters: The ... "Academy of Management Review. 41: 61-79. doi:10.5465/amr.2014.0105. hdl:10398/616e0458-d27d-42b3-8c74-6777f4731e0f.. ...
"Bio-Ethers as Transportation Fuel: A Review" (PDF). Indian Institute of Petroleum Dehradun. Retrieved 15 February 2014.. ... GA Mansoori, N Enayati, LB Agyarko (2016), Energy: Sources, Utilization, Legislation, Sustainability, Illinois as Model State, ... Li, H.; Cann, A. F.; Liao, J. C. (2010). "Biofuels: Biomolecular Engineering Fundamentals and Advances". Annual Review of ... Briens, Cedric; Piskorz, Jan; Berruti, Franco (2008). "Biomass Valorization for Fuel and Chemicals Production -- A Review". ...
A Case Report and Review of the Literature". Journal of Forensic Sciences. 62 (5): 1383-1385. doi:10.1111/1556-4029.13403. PMID ... "Modern utilization of penile prosthesis surgery: a national claim registry analysis". Int J Impot Res. 26 (5): 167-71. doi ...
Forensic Pathology Reviews. Heidelberg: Humana Press, pp. 213-238 *^ Mendonça PM, dos Santos-Mallet JR, de Mello RP, Gomes L, ... This particular branch involves the utilization of entomological specimens found at a scene in order to test for different ... Annual Review of Entomology. 53: 103-120. doi:10.1146/annurev.ento.52.110405.091423. PMID 17685848.. ... Catts, E. P.; M. L. Goff (1992). "Forensic entomology in criminal investigations". Annual Review of Entomology. 37: 253-272. ...
Yechiam, E.; Hochman, G. (2013). "Losses as modulators of attention: Review and analysis of the unique effects of losses over ... It has later been proven that inconsistencies may only have been due to methodological issues including the utilisation of ... Yechiam, E.; Hochman, G. (2013). "Losses as modulators of attention: Review and analysis of the unique effects of losses over ... American Economic Review. 102 (1): 469-503. CiteSeerX 10.1.1.650.2595. doi:10.1257/aer.102.1.469. SSRN 1578847.. ...
... a systematic review and network meta-analysis". The Cochrane Database of Systematic Reviews. 12: CD012620. doi:10.1002/14651858 ... "Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. PMID 24199255. Archived from the original on 2017-03-14.. ... "The Cochrane Database of Systematic Reviews. 9 (9): CD006829. doi:10.1002/14651858.CD006829.pub2. PMC 4170910. PMID 22972099.. ... "The Cochrane Database of Systematic Reviews. 8 (8): CD006826. doi:10.1002/14651858.CD006826.pub2. PMC 6486274. PMID 23990350.. ...
Renewable and Sustainable Energy Reviews 2009, 13, 1301-1313 *^ a b Fazal, M. A.; Haseeb, A. S. M.A.; Masiuki, H. H. Biodiesel ... "Procédé de Transformation d'Huiles Végétales en Vue de Leur Utilisation comme Carburants") Belgian Patent 422,877. This patent ... Catalysis Reviews 2001, 43, 31-84 *^ InnovaTek uses biodiesel in microchannel steam reformer. Fuel Cells Bulletin 2006, 2006, 2 ... Renewable and Sustainable Energy Reviews. 2011, 15, 1314-1324 *^ Masjuki HH, Maleque MA. The effect of palm oil diesel fuel ...
"The Truck-System", The British and Foreign Review, XV, London: Richard and John Edward Taylor (published 1843), 1842, pp. 79- ...
Processes for periodic standards review and updating are well defined.. *Broad consensus: Processes allow for all views to be ... Free from legal or technical clauses that limit its utilisation by any party or in any business model; ... Transparency - the decision-making process is transparent, and a publicly accessible review by subject matter experts is part ...
Industry Trade and Technology Review. U.S. International Trade Commission. July 2005. ISBN 978-1457819612. . Retrieved October ... Recommended strategies to prevent mold include: avoiding mold-contamination; utilization of environmental controls; the use of ... Annual Review of Public Health. 31 (1): 165-178. doi:10.1146/annurev.publhealth.012809.103643. ISSN 0163-7525. PMID 20070193.. ... optimal treatment and literature review". J Microbiol Immunol Infect. 43 (3): 200-6. doi:10.1016/S1684-1182(10)60032-1. PMID ...
T. Zhai, F. Xiaosheng, L. Meiyong, X. Xu, H. Zeng, Y. Bando, D. Golberg : «A Comprehensive Review of One-Dimensional Metal- ... M. Yamaguchi, A. PAKDEL, C. Zhi, Y. Bando, T. Daiming, K. Faerstein, D. Shtansky, D. Golberg : «Utilization of multiwalled ... a review» J. Mater. Sci. Technol. 31 (2015) 589-598 DOI:10.1016/j.jmst.2014.12.008 ... Large-Scale Fabrication of Boron Nitride Nanosheets and Their Utilization in Polymeric Composites with Improved Thermal and ...
Article ID: 133490 - Last Review: 15 October 2013 - Revision: 5.0 *^ Moran, Joseph (1 September 2010). "Understanding And ... At these levels, actual address utilization ratios will be small on any IPv6 network segment. The new design also provides the ...
A review published in 2010 in the European Food Safety Authority Journal concluded that the provided literature did not ... "Whey Protein Production and Utilization." (abstract). In Onwulata CI, Huth PJ (eds.). Whey processing, functionality and ... "Bovine milk in human nutrition - a review". Lipids Health Dis. 6: 25. doi:10.1186/1476-511X-6-25. PMC 2039733. PMID 17894873 ...
Hops-A Millennium Review» Journal of the American Society of Brewing Chemists doi:10.1094/asbcj-58-0131. Noiz kontsultatua: ... Ingelesez) Burgess, A. H.. (December 1964). Hops: Botany, Cultivation and Utilization. Leonard Hill ISBN 9780249388725. Noiz ... Sigsworth, E. M.. (1965). «Science and the Brewing Industry, 1850-1900» The Economic History Review 17 (3): 536-550. doi: ... 2011-11-22). «Sour Beers - Review» The New York Times ISSN 0362-4331. Noiz kontsultatua: 2018-04-05. ...
... a systematic review". Ageing Research Reviews. 10 (1): 104-114. doi:10.1016/j.arr.2010.09.001. PMID 20850567.. ... energy utilization and repair systems in the body, resulting in declines in the function of many different physiological ... A recent systematic review found that exercise interventions can increase muscle strength and improve physical function; ... "Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia ...
... "utilization review." Developed by the American health insurance industry, utilization review comes in many forms. One form ... Utilization review in one form or another is already widespread in most Canadian hospitals and is not going to go away. ... To date, the vast majority of utilization review tools used in Canada have been adapted from those created in the United States ... They could take the US utilization review criteria as a starting point and then modify them if necessary to reflect the ...
utilization review synonyms, utilization review pronunciation, utilization review translation, English dictionary definition of ... utilization review. n. A process for monitoring the use and delivery of services, especially one used by a managed care ... Related to utilization review: Drug Utilization Review. utilization review. n.. A process for monitoring the use and delivery ... Utilization review - definition of utilization review by The Free Dictionary https://www.thefreedictionary.com/utilization+ ...
Mining Publication: Coal Mine Methane: A Review of Capture and Utilization Practices with Benefits to Mining Safety and to ... Page last reviewed: 9/21/2012 Page last updated: 9/21/2012 Content source: National Institute for Occupational Safety and ... This article reviews the technical aspects of CMM capture in and from coal mines, the main factors affecting CMM accumulations ...
A Critical Review of Atypical Antipsychotic Utilization: Comparing Monotherapy with Polypharmacy and Augmentation ... Each issue contains a series of timely in-depth reviews written by leaders in the field covering a range of the current topics ... Document Type: Review Article. Affiliations: Neuroscience Education Institute, 5857 Owens Avenue Suite 102, Carlsbad, CA 92008 ... This article reviews the current evidence for these increasingly common means of treating schizophrenia and psychosis, with ...
If the item is not authorized, then the item is flagged for further review. ... A medical cost containment system for ensuring that the anticipated cost savings from utilization review (UR) agreements are ... The reviews dialog page 1300 also comprises a, New button 1334 for creating a new utilization review entry in the list 1324 and ... The review header dialog page 1400 allows the user to edit a subset of the fields from a review header. A review header is ...
Thus, this review seems expensive and time-consuming. Retrospective drug utilization review refers to drug therapy review that ... Drug utilization review helps pharmacists to evaluating the medication for patients. Drug utilization review plays a key role ... Drug use/ utilization evaluation and medication utilization evaluations are the same as drug utilization review. With the ... The first document published related to drug utilization review was in 1969. Drug utilization review acted as a background ...
The journal publishes original research articles, review articles, and clinical studies related to anesthesiology, ... Critical Care Research and Practice is a peer-reviewed, Open Access journal that offers a forum for physicians and health ... Review Article. Utilisation of Intermediate Care Units: A Systematic Review. Joost D. J. Plate, Luke P. H. Leenen, Marijn ... The primary aim of this systematic review was to describe and quantify the formation and utilisation of IMCUs. By providing an ...
Plan Manager, Case Manager, Utilization Review Nurse and more! ... 897 RN Utilization Review jobs available in California on ... 32 reviews - San Francisco, CA 94111 (Financial District area) Perform utilization management, utilization review or concurrent ... Advanced Medical Reviews - 7 reviews - Santa Monica, CA Performs quality assurance review of peer review reports, ... Health Plan Utilization Management Nurse Adventist Health System/West - 208 reviews - Roseville, CA Provides utilization ...
Schizophrenia Physician Review Psychotic Disorder Community Psychiatry Utilization Review This is a preview of subscription ... Payne S: How to set up a focused utilization review effort.Business Health 1987; 5(1):32-34, 36.PubMedGoogle Scholar ... Sederer LI: Utilization review and quality assurance: Staying in the black and working with the blues.General Hospital ... Hodgkin D: The impact of private utilization management on psychiatric care: A review of the literature.Journal of Mental ...
In this review, we focus on the status quo of CAM on EM and try to identify therapeutic efficacy and mechanisms based on some ... This paper will systematically review the utilization and mechanism of Acupuncture and Moxibustion treatment for EM. We found ... The Complementary and Alternative Medicine for Endometriosis: A Review of Utilization and Mechanism. ... In this review, we focus on the status quo of CAM on EM and try to identify therapeutic efficacy and mechanisms based on some ...
... two-day course focusing on the Medicare regulatory requirements for patient status and the role of the utilization review (UR) ... Medicare Boot Camp®-Utilization Review Version. Course Overview. Master Medicare rules for utilization review ... What is the focus of Medicare Boot Camp®-Utilization Review Version?. Medicare Boot Camp-Utilization Review Version is an ... Medicare Boot Camp-Utilization Review Version contains a review of pertinent coding issues as they relate to Medicare coverage ...
The Utilization Review Analyst position is located in Kokomo, IN,p,,b,Job Duties,/b,,p, • The Utilization Review ... ... The Utilization Review Analyst recognizes and commits to critical importance of customer satisfaction (both internal and ... Outpatient Utilization Review, Behavioral health, Mental Health. Ranked among the nations most integrated healthcare systems, ... Utilization Review Analyst at Community Health Network Posted in Nurse 14 days ago. ...
This paper, therefore, attempts to review and synthesize past and recent findings concerning the biology and utilization of ... Besides its utilization as a biofertilizer on a variety of crops,Azolla can be used as an animal feed, a human food, a medicine ... Utilization of theAzolla-Anabaena complex as a nitrogen fertilizer for rice. Intl. Rice Res. Inst. Res. Pap. Ser.11: 1-15. ... Effect of phosphorus onAzolla and its utilization in rice culture in Niger. PL & Soil120: 165-170.CrossRefGoogle Scholar ...
Inpatient utilization review has two basic components:. *. Daily assessment of the patients needs. Does a patient whos just ... Utilization review has come a long way since the early days when physician and nurse reviewers just relied on their own ... For the last 10 years, Ive been on both sides of utilization review (UR). As a practicing physician, I know what its like to ... You can make those utilization review phone calls easier if you have certain information at your fingertips:. *. Are the ...
Review your utilization-management program. Strategies for Health Care Compliance, June 1, 2004. This is an excerpt from a ...
This review goes one step further to discuss how to direct these biocomponents for the generation of various biofuels ( ... In this review, we explored the use of all three major biocomponents of microalgal biomass including carbohydrates, proteins, ... Such an approach would result in the maximum utilization of biomasses for economically feasible biofuel production. ... Utilization of Microalgal Biofractions for Bioethanol, Higher Alcohols, and Biodiesel Production: A Review. Marwa M. El- ...
The Granulocyte: Function and Clinical Utilization ed. by Tibor J. Greenwalt and G. A. Jamieson (review) ... BOOK REVIEWS The Granulocyte: Function and Clinical Utilization. Progress in Clinical and Biological Research, vol. 13. Edited ... The progress Permission to reprint a book review printed in this section may be obtained only from the author. 312 Book Reviews ... It contains timely and welcome reviews by many of the foremost researchers in the field, embracing the basic structure, ...
The Board promotes patient safety through an increased review and awareness of outpatient prescribed drugs. It recommends ... The Georgia Drug Utilization Review Board (DURB) was established under the authority of Section 1903(3) A of the Omnibus Budget ... Drug Utilization Review Board. Drug Utilization Review Board. The Georgia Drug Utilization Review Board (DURB) was established ... The Board reviews drug therapy, drug studies and utilization information, thus enabling the Department to identify the most ...
Voltage modulation of membrane permeability and energy utilization in cells (Review) TY Tsong TY Tsong ... This is a correction to: Voltage modulation of membrane permeability and energy utilization in cells: Review ... TY Tsong; Voltage modulation of membrane permeability and energy utilization in cells (Review). Biosci Rep 1 July 1983; 3 (7): ...
We reviewed 55 studies on high-cost patients characteristics and healthcare utilisation and made comparisons across payers and ... This is the first systematic review of scientific literature on high-cost patients characteristics and healthcare utilisation ... 7 40 One contribution of our review is our identification of notable differences in characteristics and utilisation across ... Health Care Utilization Patterns Among High-Cost VA Patients With Mental Health Conditions. Psychiatr Serv 2015;66:952-8.doi: ...
1983)‎. SEA/RC36/PB/WP/2 - Review of the detailed programme budget for 1984 -1985 vis-a-vis pattern of utilization of the ... SEA/RC36/PB/WP/2 - Review of the detailed programme budget for 1984 -1985 vis-a-vis pattern of utilization of the regular ...
Meet eHarmony member #5997589960 A Single Woman in Phoenix, AZ 54 / Neonatal Intensive Care RN- Case Manager, Utilization ...
... if admitting physician judgment provides a valuable complement to Utilization Review (UR) in identifying avoidable admissions. ... admitting physician judgment as a complement to utilization review. ... Hospitals, Pediatric / economics, utilization*. Humans. Judgment*. Length of Stay / economics, statistics & numerical data. ... 11708397 - Factors affecting appropriateness of hospital utilization in two hospitals in turkey.. 17357797 - Air pollution, ...
A review of antimicrobial peptides and their therapeutic potential as anti-infective drugs. Curr Eye Res. 2005; 30(7): 505-515. ... The aim of this study is to review the results of studies on the use of peptides to combat infections in vivo. Antimicrobial ...
Utilization Review Physician Telecommute Board Certified NY Licensed Neurosurgeon Newark, NJ PRN jobs in your area. Apply now ... Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of ... Utilization Review Physician Telecommute Board Certified NY Licensed Neurosurgeon Newark, NJ PRN ... Medical Review Stream by Concentra is currently looking for a board certified PRN Phyisician for peer review. ...
Legislating specific and effective regulations regarding import, formulization, distribution and utilization of fertilizers and ... Liability Arising From Import, Manufacture, Formulation and Utilization of Pesticides with a Review on Australian Regulations ... Legislating specific and effective regulations regarding import, formulization, distribution and utilization of fertilizers and ...
Utilization Review Physician Telecommute Ortho Surgeon with FL License Jacksonville, FL PRN jobs in your area. Apply now to ... Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of ... Utilization Review Physician Telecommute Ortho Surgeon with FL License Jacksonville, FL PRN ... Medical Review Stream by Concentra is currently looking for a board certified PRN Phyisician for peer review. ...
Managed Health Care Utilization versus Retrospective Review. As managed care providers "discover" that utilization review is ... the issue of retrospective review:. Retrospective review is the "Big Brother" approach to data collection as a means of " ... Inherent in the retrospective review campaign is the concept of "preferred provider" referring to just who managed care has ... The next question relates to just who reviews and judges this information? Peer health professionals, managed care providers ...
Testifying Physician Family Medicine Quality Assurance Utilization Review Physicians Fellow Expert Witness providing ... Physician Family Medicine Quality Assurance Utilization Review Physicians Fellow Expert Witness. EXPERT NUMBER: 3572. STATE: VA ... Provided third party medical case reviews as an expert physician, utilization cases and medical necessity cases for hospital ... Diplomat of American Board of Quality Assurance & Utilization Review Physicians, ABQUARP in 2010 ...
A systematic review. American Journal of Hospice and Palliative Care, 36(10), 913-926. ... Starr, L., Ulrich, C.M., Corey, K.L., Meghani, S.H. (2019). Associations among end-of-life discussions, health-care utilization ... Associations among end-of-life discussions, health-care utilization, and costs in persons with advanced cancer: A systematic ... Associations among end-of-life discussions, health-care utilization, and costs in persons with advanced cancer: A systematic ...
  • Objectives To investigate the characteristics and healthcare utilisation of high-cost patients and to compare high-cost patients across payers and countries. (bmj.com)
  • Based on an extensive literature search, this review included 55 studies of high-cost patients' characteristics and healthcare utilisation. (bmj.com)
  • However, we identified 55 studies and compared high-cost patients' characteristics and healthcare utilisation across payers and countries. (bmj.com)
  • Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. (concentra.com)
  • 3) Healthcare utilisation. (springer.com)
  • Although racism has been posited as driver of racial/ethnic inequities in healthcare, the relationship between racism and health service use and experience has yet to be systematically reviewed or meta-analysed. (edu.au)
  • This paper presents a systematic review and meta-analysis of quantitative empirical studies that report associations between self-reported racism and various measures of healthcare service utilisation. (edu.au)
  • BOOK REVIEWS The Granulocyte: Function and Clinical Utilization. (jhu.edu)
  • Factors affecting the utilization of antenatal care among pregnant women: A literature review. (alliedacademies.org)
  • The findings of various factors associated with utilization of antenatal care have not been synthesized collectively. (alliedacademies.org)
  • Therefore, there was a need to carry out a literature review to synthesize findings collectively regarding the factors affecting the utilization of antenatal care. (alliedacademies.org)
  • The findings of this literature review could help in planning and developing strategies for utilization of antenatal care ANC among pregnant women. (alliedacademies.org)
  • Type of Health Facility and Utilization of Antenatal Care Services Among Ghanaian Women Tenkorang, Eric 2016-07-18 00:00:00 This study examined if differences exist in the number and timing of antenatal care (ANC) visits for users of public and private health care facilities in Ghana. (deepdyve.com)
  • Although in a number of studies intimate partner violence has been associated with inadequate utilization of antenatal care and skilled delivery care, in other studies no association has been found. (biomedcentral.com)
  • Given this inconsistency in the findings, it is important to review the existing evidence to determine the relationship between IPV and maternal health care services (antenatal care, and skilled delivery care) utilization. (biomedcentral.com)
  • Although a previous systematic review has explored the relationship between IPV and maternal health care service use, including utilization of antenatal care and facility delivery [ 18 ], it did not specifically address the adequacy of antenatal care service and skilled delivery care. (biomedcentral.com)
  • Thus, this study will comprehensively review the evidence, and quantify the strength and direction of the association between IPV and antenatal care adequacy and skilled delivery care utilization. (biomedcentral.com)
  • The aim of the study was to answer the question of whether exposure to IPV is associated with inadequate antenatal care utilization among ever-pregnant women, and whether IPV exposure is associated with not utilizing skilled delivery care among women who have ever given birth. (biomedcentral.com)
  • Please be advised that due to the expected snowstorm, the Drug Utilization Review (DUR) meeting scheduled for tomorrow, March 13, 2018 has been postponed. (mainecarepdl.org)
  • SADH, P. K., DUHAN, S. and DUHAN, J.S. (2018): Agro-industrial wastes and their utilization using solid state fermentation: a review. (sswm.info)
  • CALIFORNIA COMPENSATION CASES Vol. 83 No. 7 July 2018 A Report of En Banc and Significant Panel Decisions of the WCAB and Selected Court Opinions of Related Interest, With a Digest of WCAB Decisions Denied Judicial Review CONTENTS OF THIS ISSUE. (lexisnexis.com)
  • In this review, we focus on the status quo of CAM on EM and try to identify therapeutic efficacy and mechanisms based on some clinical and experimental studies. (hindawi.com)
  • It contains timely and welcome reviews by many of the foremost researchers in the field, embracing the basic structure, biochemistry, and clinical utilization of the granulocyte. (jhu.edu)
  • Unlike the red cell, the granulocyte does not store well in vitro, and some of our present knowledge and approaches to the problems are found in the section on clinical utilization. (jhu.edu)
  • SXC Health Solutions, the department's pharmacy benefits manager, hosts the Manufacturers' Forum, provides clinical information for the Board's review and makes the clinical presentations at the DURB meetings. (georgia.gov)
  • The purpose of our review is to highlight a preselected group of hematologic neoplasms for which chromosomal microarray has the greatest clinical utility. (elsevier.com)
  • Is responsible for clinical review of all requested services for appropriateness based on clinical c. (monster.com)
  • It also covers proactive processes, such as concurrent clinical reviews and peer reviews as well as appeals introduced by the provider, payer or patient. (wikipedia.org)
  • Concurrent review is carried out during and as part of the clinical workflow, and supports point of care decisions. (wikipedia.org)
  • Two authors independently extracted and analysed data from published papers on the effect of SRH interventions on a range of SRH care utilisation outcomes from the onset of emergencies, and used a narrative synthesis approach. (bmj.com)
  • Oakland, CA - A new California Workers' Compensation Institute (CWCI) analysis offers a preliminary look at Utilization Review (UR) and Independent Medical Review (IMR) outcomes involving pharmaceutical requests for California injured workers. (lexisnexis.com)
  • A literature review of existing evidence regarding vancomycin dosing and monitoring of serum concentrations, in addition to patient outcomes combined with expert opinion regarding the drug's pharmacokinetic, pharmacodynamic, and safety record, resulted in new recommendations for targeting and adjustment of vancomycin therapy. (rajasthan-travel-tour.com)
  • Findings from a 2019 systematic review identified how guidelines for UM are often more focused on reduction of utilization than on clinically meaningful measures such as patient-reported outcomes or measures of appropriateness. (wikipedia.org)
  • Rather than resisting the whole concept, Canadian physicians and researchers should work together to improve the methods and techniques of utilization review. (cmaj.ca)
  • This article reviews the technical aspects of CMM capture in and from coal mines, the main factors affecting CMM accumulations in underground coal mines, methods for capturing methane using boreholes, specific borehole designs for effective methane capture, aspects of removing methane from abandoned mines and from sealed/active gobs of operating mines, benefits of capturing and controlling CMM for mine safety, and benefits for energy production and greenhouse gas (GHG) reduction. (cdc.gov)
  • Assists Care Review Clinicians with methods to present cases at multidisciplinary rounds. (indeed.com)
  • This report describes development of utilization review methods adapted to publicly funded day treatment of individuals with serious mental illness and training of clinicians in new documentation skills. (springer.com)
  • There is great variation among states in the methods used to measure prescription drug utilization cost-savings. (ahdbonline.com)
  • Methods: A case-based approach and review of the literature was performed to identify the advantages and disadvantages of utilizing chromosomal microarray for specific hematologic neoplasms. (elsevier.com)
  • Methods We searched for both quantitative and qualitative studies in peer-reviewed journals across the following four databases: EMBASE, Global Health, MEDLINE and PsychINFO from 1 January 1980 to 10 April 2017. (bmj.com)
  • Methods We systematically searched and reviewed studies of antibiotic prescribing patterns in China, published in Chinese or English between 2000 and August 2012. (ebscohost.com)
  • Methods: A retrospective cross-sectional chart review was carried out to evaluate the utilization of vancomycin among hospitalized patients with vancomycin therapy between April to Results: One hundred twenty five patients were enrolled in the study, consisting of 60 males and 65 females. (rajasthan-travel-tour.com)
  • Limitations to the literature reviewed in terms of study designs, sampling methods and measurements are discussed along with suggested future directions in the field. (edu.au)
  • Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews . (indeed.com)
  • Shepherd GL: Formats for peer review of dynamic psychotherapy. (springer.com)
  • Medical Review Stream by Concentra is currently looking for a board certified PRN Phyisician for peer review. (concentra.com)
  • You can find further information about peer review here . (biomedcentral.com)
  • How does Open Peer Review work? (biomedcentral.com)
  • Open peer review is a system where authors know who the reviewers are, and the reviewers know who the authors are. (biomedcentral.com)
  • Results The studies pointed to a high prevalence of multiple (chronic) conditions to explain high-cost patients' utilisation. (bmj.com)
  • Therefore, this systematic review and meta-analysis was aimed to estimate the pooled prevalence of household latrine utilization and its association with education status of household heads, in Ethiopia using available studies. (biomedcentral.com)
  • All observational studies reporting the prevalence of latrine utilization in Ethiopia were included. (biomedcentral.com)
  • Planning for creative change in mental health services : a distillation of principles on research utilization. (who.int)
  • Individual determinants of research utilization: a systematic rev. (ingentaconnect.com)
  • estabrooks c.a., floyd j.a., scott-findlay s., o'leary k.a. & gushta m. (2003) Journal of Advanced Nursing , 43 (5), - Individual determinants of research utilization: a systematic review Context. (ingentaconnect.com)
  • A survey of published articles in English that examine the influence of individual factors on the research utilization behaviour of nurses, without restriction of the study design, from selected computerized databases and hand searches. (ingentaconnect.com)
  • Articles had to measure one or more individual determinants of research utilization, measure the dependent variable (research utilization), and evaluate the relationship between the dependent and independent variables. (ingentaconnect.com)
  • Important conceptual and measurement issues with regard to research utilization could be better addressed if research in the area were undertaken longitudinally by multi-disciplinary teams of researchers. (ingentaconnect.com)
  • Dorney DC: Setting resource utilization standards in a community mental health center. (springer.com)
  • The cost-to-revenue variable considers volume, contract rates, revenue cycle management, service mix and resource utilization performance. (hfma.org)
  • Performs the appropriate utilization review functions utilizing medical staff-approved decision support criteria (InterQual Intensity of Service, Severity of. (indeed.com)
  • Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. (concentra.com)
  • He/She directs the activities necessary to ensure appropriate utilization of the Hospital and its resources while maintaining optimal achievable standar. (monster.com)
  • Inpatient and outpatient utilization management experience preferred. (indeed.com)
  • Gathers, analyzes, and presents utilization data to BCS/Gallahue management for outpatient mental health and chemical dependency services. (disabledperson.com)
  • The Board promotes patient safety through an increased review and awareness of outpatient prescribed drugs. (georgia.gov)
  • This systematic review aims to summarize reported percentages of outpatient encounters resulting in the prescription of antibiotics in China. (ebscohost.com)
  • Reviews existing outpatient parenteral antibiotic therapy (OPAT) guidelines. (ebscohost.com)
  • Perform utilization management, utilization review or concurrent review (inpatient care management). (indeed.com)
  • Use of medical necessity scales in concurrent review of psychiatric inpatient care. (springer.com)
  • Concurrent review for services reimbursed under the DRG will no longer be required. (ky.gov)
  • Critical access, rehab, ventilator facilities and all psychiatric services still will be subject to concurrent review criteria. (ky.gov)
  • Concurrent review may include a case-management function that includes coordinating and planning for a safe discharge or transition to the next level of care. (wikipedia.org)
  • Valuing a large family is still a barrier to family planning services utilization and uptake whereas religion was found to support the use of family planning. (who.int)
  • This scoping review aimed to examine policy, health system, cultural and social factors that hinder utilization and uptake of FP services among Iraqi women (from both supply and demand sides) to understand the current barriers. (who.int)
  • It includes cases studies, best practices and strategies for handling patients and physicians, discharge planning, utilization review and related management operations. (thefreedictionary.com)
  • We performed a systematic review extracting geographic location, nomenclature used, admitting specialties, open (admitting specialist in charge) or closed (intensivist/generalist in charge) management format, location in hospital, number of beds, nursing workload, medical staff to patient ratios, and modalities-possibilities and limitations-implemented. (hindawi.com)
  • RN Nurse Utilization Management - Remote - Thousand Oaks, Ca. (indeed.com)
  • EK Health Services has built a reputation for offering superior, goal-oriented Workers' Compensation case management, utilization review , and bill review . (indeed.com)
  • Two years of prior experience with utilization management preferable. (indeed.com)
  • Hodgkin D: The impact of private utilization management on psychiatric care: A review of the literature. (springer.com)
  • Rodriguez AR: Evolutions in utilization and quality management: A crisis for psychiatric services? (springer.com)
  • In 1970, Drug utilization review program was carried out by a private pharmaceutical management company. (wikipedia.org)
  • Legislating specific and effective regulations regarding import, formulization, distribution and utilization of fertilizers and pesticides, using Integrated Pest Management (IPM) and paying special attention to biological pest control, developing organic farming and raising awareness and promoting activities among farmers, are some of the effective solutions in order to prevent and decrease damages caused by fertilizers and pesticides. (magiran.com)
  • The Medicaid Drug Utilization Review (DUR) program promotes patient safety through state-administered drug utilization management tools and systems. (ahdbonline.com)
  • The Medicaid Drug Utilization Review (DUR) program conducted by Medicaid state agencies promotes patient safety through state-administered drug utilization management tools and systems in a 2-phase process. (ahdbonline.com)
  • Utilization management is very specialized work and requires someone to focus on compliance requirements and other details. (reliasmedia.com)
  • Utilization management is specialized work that has become more complex over the past decade. (reliasmedia.com)
  • Since utilization management has become very specialized work, in order to do it correctly and meet all compliance requirements our team decided to separate it," says Mary McLaughlin Davis , DNP, ACNS-BC, NEA-BC, CCM, a senior director of care management at Cleveland Clinic in Ohio. (reliasmedia.com)
  • The primary reason we separated utilization management and case management several years ago is for the benefit of our patients," Davis says. (reliasmedia.com)
  • The following are under the umbrella of care management: utilization management, social work, transitional care coordinators, and primary care coordinators. (reliasmedia.com)
  • When Cleveland Clinic separated utilization management and case management, one key to a successful change was determining which role best suited which team members. (reliasmedia.com)
  • KPC Promise Hospital of DALLAS: The Case Manager is responsible for coordinating and monitoring day to day operations of the Case Management and Utilization Management programs. (monster.com)
  • These test utilization management efforts resulted in a decrease in genetic test ordering and a gross cost savings of $1,531,913 since the inception of these programs in September 2011 through December 2013. (cdc.gov)
  • Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies to manage the cost of health care benefits by assessing its appropriateness before it is provided using evidence-based criteria or guidelines. (wikipedia.org)
  • Utilization review is synonymous with, or a part of, utilization management (depending on how the terms are used). (wikipedia.org)
  • For one thing, more managed care plans have loosened their utilization review requirements in the past few years, making it easier for patients to visit specialists without preapprovals. (thefreedictionary.com)
  • Drug utilization reviews will help ensure that drugs are used appropriately (for individual patients). (wikipedia.org)
  • In community pharmacy Settings, Federal Law (OBRA-90) requires drug utilization review for patients receiving medication through Medicaid. (wikipedia.org)
  • Prospective drug utilization review refers to assessing appropriate drug and decision making therapeutically before patients' medication are dispensed. (wikipedia.org)
  • We included articles that reported characteristics and utilisation of the top-X% (eg, top-5% and top-10%) patients of costs of a given population. (bmj.com)
  • Conclusions High-cost patients make up the sickest and most complex populations, and their high utilisation is primarily explained by high levels of chronic and mental illness. (bmj.com)
  • Objective: Perform a systematic literature review and meta-analysis to identify if and how IPs impact patients' care experiences. (cdc.gov)
  • Therefore we undertook a systematic review to determine if cardiovascular medication utilization and adherence patterns differ for rural versus urban patients. (semanticscholar.org)
  • Drug utilization review of vancomycin in febrile neutropenic patients hospitalized at a bone marrow transplantation center. (rajasthan-travel-tour.com)
  • The present study reveals significant challenges in the utilization of vancomycin in critically ill patients. (rajasthan-travel-tour.com)
  • This resource assesses the characteristics and health care utilization of high-cost patients and compares high-cost patients across payers and countries, based on a systematic review of studies in PubMed and Embase databases. (bettercareplaybook.org)
  • What are the characteristics and utilization patterns of patients with high-costs? (bettercareplaybook.org)
  • Although these instruments were developed in the United States, they are increasingly being used in Canada and other countries to inform policy decisions regarding the utilization of hospital resources. (cmaj.ca)
  • IMCUs often have a specific task in a hospital, which is reflected in location, format, and utilisation. (hindawi.com)
  • Identification of potentially avoidable pediatric hospital use: admitting physician judgment as a complement to utilization review. (biomedsearch.com)
  • They had lower participation in health screening, preferred alternative medicine practitioners to western-trained doctors for primary care, and had increased hospital utilisation. (springer.com)
  • The proportion of antibiotic utilization differed greatly across hospital levels and geographical regions and fluctuated over time. (ebscohost.com)
  • A prospective, two-phase, drug utilization review (DUR) was performed at the Royal Adelaide Hospital (RAH) to determine the extent and pattern of vancomycin use. (rajasthan-travel-tour.com)
  • We performed a mupirocin drug utilization review (DUR) within Hallym University Sacred Heart Hospital. (kjim.org)
  • Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers' compensation claims. (concentra.com)
  • The Courts are rigorously enforcing the process of determining medical necessity and medical causation to ensure that the Insurance Companies and Medical Providers follow the processes set forth in SB 899 and SB 228 regarding utilization review (medical. (lexisnexis.com)
  • Objectives: To evaluate the utilisation of oxycodone in a tertiary care centre based in the North of England serving a population of 330 000. (dur.ac.uk)
  • Utilization review in one form or another is already widespread in most Canadian hospitals and is not going to go away. (cmaj.ca)
  • From 1985, hospitals in America are requested to use drug utilization review when using antibiotics. (wikipedia.org)
  • Under a prior MSH project, an indicator based guide was developed entitled Guidelines for Implementing Drug Utilization Review Programs in Hospitals . (msh.org)
  • Hospitals that still assign case managers to utilization review and care coordination at discharge might consider separating the duties to improve care quality. (reliasmedia.com)
  • The review will require hospitals to provide copies of medical records upon request and may include onsite review. (ky.gov)
  • Kalant and colleagues conclude by questioning whether these utilization review tools should be used at all, but I would like to suggest a more proactive response to their findings. (cmaj.ca)
  • This paper, therefore, attempts to review and synthesize past and recent findings concerning the biology and utilization of Azolla in hopes that this will facilitate increased future collaborative research on this "green gold mine. (springer.com)
  • To report findings on a systematic review of studies that examine individual characteristics of nurses and how they influence the utilization of research. (ingentaconnect.com)
  • The California Division of Workers' Compensation (DWC) has finalized regulations to ensure that utilization reviews (UR) are conducted in compliance and within specified timeframes (see chart below). (cmanet.org)
  • The California Medical Association (CMA) encourages physicians experiencing delays in the receipt of workers' compensation UR decisions to be diligent in submitting complaints to DWC to highlight organizations that fail to meet the timely review standards. (cmanet.org)
  • For more information, see CMA On-Call document #7310, " Utilization Review ," which provides an overview of California statutes and regulations regarding UR applicable to workers' compensation insurers and self-insured employers. (cmanet.org)
  • Data on California workers' compensation independent medical review (IMR) decisions issued in the first quarter of this year shows that the medical dispute resolution process established as part of the 2012 workers' comp reforms continues. (lexisnexis.com)
  • In this issue (page 1809) Norman Kalant and colleagues describe a small but important study of 3 of the most widely used utilization review tools: the ISD (Intensity of service, Severity of Illness, Discharge screens), the MCAP (Managed Care Appropriateness Protocol) and the AEP (Appropriateness Evaluation Protocol). (cmaj.ca)
  • letters, retrospective claim review , special review requests, and UM pre-certifications and appeals, utilizing medical appropriateness… opportunity please utilize the "Apply Now/Submit Resume" button. (glassdoor.com)
  • Recognizing that Medicaid recipients faced similar risks in the 1980s, Congress provided for the ambulatory drug utilization review under the Omnibus Budget Reconciliation Act of 1990. (wikipedia.org)
  • On September 23, 2014, the Utah Department of Health released this Utah Medicaid annual drug utilization review (DUR) program report for federal fiscal year (FY) 2013. (openminds.com)
  • The Medicaid Drug Utilization Review (DUR) program is a 2-phase process conducted by Medicaid state agencies. (ahdbonline.com)
  • Hence the objective of this literature review was to appraise the factors affecting anternatal care utilization among pregnant women. (alliedacademies.org)
  • This chapter aims to investigate if these different factors are associated with differences in the utilization of prevention services. (springer.com)
  • One of the highest contributing factors for this is lower level of latrine utilization. (biomedcentral.com)
  • The term " utilization review " refers to the process the HMO or its agents use when deciding whether to approve or deny care to a plan member. (thefreedictionary.com)
  • Further research is needed to definitively elucidate any relationship that might exist between utilization review decisions and quality of care. (thefreedictionary.com)
  • Certification Reviews nursing plans to ensure data collected, nursing diagnoses, and proposed nursing care plans are relative… procedures. (glassdoor.com)
  • Although differences in setting and utilisation make it difficult to compare data, comparison of different utilisation of IMCUs is needed in order to establish the best systems design, optimize critical care capacity, and manage health care costs [ 1 , 3 ]. (hindawi.com)
  • Conducts pre-certification, continued stay review , care coordination and discharge. (indeed.com)
  • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues. (concentra.com)
  • Retrospective review is the "Big Brother" approach to data collection as a means of "rooting out" those health care professionals who "habitually resort" to "needlessly expensive" or "inappropriate care" by managed care organizations. (burtonreport.com)
  • Inherent in the retrospective review campaign is the concept of "preferred provider" referring to just who managed care has selected to direct their clients to. (burtonreport.com)
  • During each visit, health care providers reviewed DUR indicators, criteria, and data collection forms, and then provided input on how to improve them. (msh.org)
  • The review uses an adapted conceptual framework from quality of care and human rights-based frameworks to analyse published scientific studies. (who.int)
  • a utilisation review in a UK tertiary care centre. (dur.ac.uk)
  • The PRO also will be conducting retroactive review of admissions including analysis of coding patterns, changes in case mix, re-admissions, outliers, quality of care, etc. (ky.gov)
  • Therefore, we aimed to comprehensively review the evidence, and quantify the strength and direction of the association between intimate partner violence and utilizing adequate antenatal and skilled delivery care services. (biomedcentral.com)
  • Both community-based and facility-based interventions that target the reduction of partner violence, and strictly implementing proven health facility-based counselling interventions, could aid in improving utilization of maternal health care services. (biomedcentral.com)
  • Prospective review is typically used as a method of reducing medically unnecessary admissions or procedures by denying cases that do not meet criteria, or allocating them to more appropriate care settings before the act. (wikipedia.org)
  • Retrospective review considers whether an appropriate level of care applied after it was administered. (wikipedia.org)
  • Alternatively, retrospective review may reflect a decision as to ongoing point of care. (wikipedia.org)
  • Interpersonal and peer-led education and mass media campaigns are effective interventions for increasing service utilisation of HIV, sexually transmitted infection and maternal health services in crises settings. (bmj.com)
  • This prospective review is based on the history recording of the drug and medication. (wikipedia.org)
  • A total of 14 articles including 4 prospective studies, 8 cross-sectional studies and 2 retrospective cohort studies were obtained for the review. (springer.com)
  • Know the answers to the questions utilization reviewers are likely to ask. (aafp.org)
  • Labor Code § 3602 extend their shield against tort liability to utilization reviewers performing their services under the state's workers' compensation utilization review process. (lexisnexis.com)
  • When a significant number of "inappropriate" days are found in the assessments of various utilization review instruments, physicians and policy-makers need to try to understand the underlying causes. (cmaj.ca)
  • As a part-time utilization reviewer, I'm usually satisfied with the interactions I have with physicians and the information I get from them. (aafp.org)
  • Guidelines used for making reviews should be available to those physicians. (entnet.org)
  • This systematic review aimed to assess the utilisation of services of SRH interventions from the onset of emergencies in low- and middle-income countries. (bmj.com)
  • Evidence of effectiveness in increasing service utilisation was available for the following interventions: peer-led and interpersonal education and mass media campaigns, community-based programming and three-tiered network of community-based reproductive and maternal health providers. (bmj.com)
  • More implementation research is required to identify interventions to increase utilisation of SRH services in diverse humanitarian crises settings and populations. (bmj.com)
  • A guide for the optimal technique for aerosol delivery during mechanical ventilation was summarized after a thorough literature review. (amegroups.com)
  • Medco Health's senior drug utilization review (SDUR) system issued 7.9 million medication alerts in 2002: 2.2 million for prescriptions exceeding the clinically recommended dose for a senior age 65 and older, 2.4 million for drugs that are clinically inappropriate for the elderly and could lead to harm, and more than 3 million for interactions between two or more medications. (thefreedictionary.com)
  • Drug utilization review refers to a review of prescribing, dispensing, administering and ingesting of medication. (wikipedia.org)
  • Drug use/ utilization evaluation and medication utilization evaluations are the same as drug utilization review. (wikipedia.org)
  • Assists in maintaining the Utilization Review program for the Patient Business Services Department. (glassdoor.com)
  • Obtains authorizations/certifications… in the development of Process Improvement tools in the Utilization Review Department and Patient Business Services. (glassdoor.com)
  • Demonstrated ability to perform review services. (concentra.com)
  • This review focuses on existing immunization policies and practices for migrants and refugees and provides an overview of barriers and facilitators for access to and utilization of immunization services. (who.int)
  • By comparison, common barriers for the implementation and utilization of immunization services can be identified across countries. (who.int)
  • Most of the 48 reviewed studies provided relatively clear evidence of a significant association between higher socioeconomic status, female gender, or nonmigrant status and the use of prevention services. (springer.com)
  • Overall, the review shows evidence for the relationship between social inequalities and the use of prevention services. (springer.com)
  • A review of the literature indicates non-Ebola related increases in morbidity and mortality in West Africa due to both a decrease in services available and a decrease in utilization of these services. (hhs.gov)
  • 2017. "Utilization of Microalgal Biofractions for Bioethanol, Higher Alcohols, and Biodiesel Production: A Review. (mdpi.com)
  • By putting a drug utilization review program into place, auto no-fault insurers could receive significant incremental savings--usually between 10% and 15% above the prescription cost savings. (thefreedictionary.com)
  • A licensed Ontario pharmacist, Ivey has been an associate owner of a community pharmacy, as well as involved in drug evaluation and utilization review initiatives. (thefreedictionary.com)
  • Then, how to use drug utilization evaluation and drug economy evaluation to improve and optimize the allocation of medical and health resources is a major problem faced by many countries. (wikipedia.org)
  • In the drug utilization review, medicine and health history including all phases of dispensing for a patient is exactly listed. (wikipedia.org)
  • Then, especially in the community medicine setting, Drug utilization review plays a key role for pharmacist. (wikipedia.org)
  • In addition, The World Health Organization (WHO) regards drug utilization as 4 phases of drugs in society. (wikipedia.org)
  • Drug utilization review originated from the North America. (wikipedia.org)
  • However, in the recent years, other countries do more research and studies about drug utilization review. (wikipedia.org)
  • Some developments are regarded as important promoters for the appearance of drug utilization review. (wikipedia.org)
  • The first document published related to drug utilization review was in 1969. (wikipedia.org)
  • Drug utilization review acted as a background paper written by the United States Department of Health, Education, and Welfare task force. (wikipedia.org)
  • This task force considered that drug utilization review was potential but this review should be evaluated and need valid evidence to put into effect. (wikipedia.org)
  • By the mid-1970, many medical programs cooperate with private companies that providing drug utilization review. (wikipedia.org)
  • Then Drug utilization review was common in society. (wikipedia.org)
  • It set up three relevant goals for a drug utilization review program. (wikipedia.org)
  • Except goals mentioned above, there are still other goals of drug utilization review. (wikipedia.org)
  • There are some issues addressed by this review: drug abuse clinically, alteration of drug dosage, drug-drug interaction, and drug-disease interaction. (wikipedia.org)
  • The Georgia Drug Utilization Review Board (DURB) was established under the authority of Section 1903(3) A of the Omnibus Budget Reconciliation Act of 1990 (OBRA). (georgia.gov)
  • The Board reviews drug therapy, drug studies and utilization information, thus enabling the Department to identify the most cost-effective policies for its members. (georgia.gov)
  • For proper and impartial monitoring of rational drug use, drug utilization reviews (DUR) are used to identify common problems such as inappropriate product selection, incorrect dosing, avoidable adverse drug reactions, and errors in drug dispensing and administration (see Managing Drug Supply 3: Chapter 30 , PDF). (msh.org)
  • Improving Molecular Genetic Test Utilization through Order Restriction, Test Review, and Guidance. (cdc.gov)
  • Developed by the American health insurance industry, utilization review comes in many forms. (cmaj.ca)
  • Expedited review (within 72 hours of the request) is available when the injured worker faces an imminent and serious health threat or when the normal timeframe for the decision-making process would be detrimental to the injured worker's life or health or could jeopardize the worker's permanent ability to regain maximum function. (cmanet.org)
  • Evidence was obtained by a scoping review of academic and grey literature in English and a further 11 languages and included official documents available from the websites of ministries of health and national health institutes of the WHO European Region Member States. (who.int)
  • Systematic review: the value of the periodic health evaluation. (springer.com)
  • Our aim is to review studies on the association between staying in public rental housing in Singapore and health status. (springer.com)
  • for example, the carbon capture and utilization by mineralization (CCUM) process is a feasible and proven technology where both CO 2 capture and alkaline waste treatment occur simultaneously through an integrated approach. (aaqr.org)
  • CO2 utilisation technologies-also called carbon dioxide utilisation (CDU) and carbon capture and utilisation (CCU)-convert CO2 via physical, chemical, or biological processes into carbon-based products. (iass-potsdam.de)
  • WHO HQ Library catalog › Results of search for 'su:{Utilization review. (who.int)
  • Objectives Reliable data about antibiotic utilization in the large pharmaceutical market of the world's most populous country, the People's Republic of China, are in short supply. (ebscohost.com)
  • This article reviews the current evidence for these increasingly common means of treating schizophrenia and psychosis, with particular emphasis on polypharmacy and augmentation. (ingentaconnect.com)
  • Retrospective review of the inpatient chart. (aafp.org)
  • Retrospective review will typically look at whether the procedure, location, and timing were appropriate according to the criteria. (wikipedia.org)
  • resource power, which is gained by having control over a critical resource that is essential to the functioning of the organization, is in short supply, or cannot be substituted--for example, providing utilization review for third-party payer reimbursement. (thefreedictionary.com)
  • This form of review typically relates to payment or reimbursement according to a medical plan or medical insurance provision. (wikipedia.org)
  • Pharmacists managing the programs should take proactive measures to expand utilization review programs as changes in the workers' compensation industry evolve. (thefreedictionary.com)
  • In Ethiopia, only half of the households utilize latrine and the level of utilization has significant association with educational status. (biomedcentral.com)
  • Grey literature was not included in our systematic review. (bmj.com)
  • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews. (concentra.com)
  • Nevertheless, no homogenous protocol of fluorescein utilization in neurosurgical oncology can be found in literature. (elsevier.com)
  • Local production and access to medicines in low- and middle-income countries : a literature review and critical analysis. (who.int)
  • What, if any, modifications have you made to your proposed solution from what was gleaned from the literature review? (purchasemyessay.com)
  • Medicare Boot Camp®- Utilization Review Version is an intensive two-day course focusing on the Medicare regulatory requirements for patient status and the role of the utilization review (UR) committee. (hcmarketplace.com)
  • Sederer LI: Utilization review and quality assurance: Staying in the black and working with the blues. (springer.com)
  • The aim of this review is to compile information from earlier works on milk and milk products handling practices, utilization, quality and safety in Ethiopia. (advancedscholarsjournals.org)
  • Miller SI, Phillips KL: Chemical dependency disorders: Guidelines for review of inpatient therapy and rehabilitation. (springer.com)
  • I hope this article helps to fill that educational gap by helping you better understand the process of inpatient review and how you can help make it less painful. (aafp.org)
  • I'll explore what inpatient review means, present some typical cases and suggest how you can help minimize your aggravation with the process. (aafp.org)
  • The review process may seem like nothing but a hassle to you, but it's a necessary evil. (aafp.org)
  • Challenging barriers and significant breakthroughs of CCUM process were reviewed. (aaqr.org)
  • Moreover, several process intensification concepts such as reactor integration and co-utilization with wastewater or brine solution were reviewed and summarized. (aaqr.org)
  • The article highlights the importance of considering issues of social acceptance as an aspect of the research, development, demonstration, and deployment process for CO2 utilisation and explores how key stakeholders operating on each dimension might affect the innovation pathways, investment, and siting decisions relating to CO2 utilisation facilities and CO2-derived products. (iass-potsdam.de)
  • And the Utilization Review process has been reportedly streamlined. (lexisnexis.com)
  • We used a genetic and genomic test review process wherein the laboratory-based genetic counselor performed the preanalytic assessment of test orders and test triage. (cdc.gov)
  • Medicare Boot Camp- Utilization Review Version also answers all your questions about navigating the CMS website and finding Medicare requirements. (hcmarketplace.com)
  • If the patient had continued to have chest pain or unstable angina, were receiving a nitroglycerin drip or had gotten a positive enzyme test result, then the review decision would have been quite different. (aafp.org)
  • Also, this review is designed to attempt to attain proper decision making therapeutically and gain a positive outcome for the patient. (wikipedia.org)