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Author: Rebecca J. Perry Publisher: RTI Press ISBN: Category : Medical Languages : en Pages : 24
Book Description
The patient-centered medical home (PCMH) is a health system innovation aimed to improve cost, quality, and health outcomes. Research shows that Medicare beneficiaries at practices with PCMH recognition have lower Medicare costs than those at practices without such recognition. Our study explores whether greater care continuity—an ongoing relationship between the patient and clinicians at a practice that monitors the patient’s health status and care—drives these lower costs in PCMH-recognized practices. We used Medicare Parts A and B claims data to calculate Medicare payments for services. We conducted weighted least squares regression analyses at the practice level to examine the association of Medicare payments with PCMH recognition and care continuity. We measured care continuity using an index that reflects the concentration of visits in the practice that serves as the beneficiary’s usual source of care. Medicare beneficiaries at PCMH-recognized practices had lower total annual Medicare payments (-$1,099; p < 0.01) than patients at nonrecognized practices. After controlling for care continuity, the association with PCMH recognition decreased substantially and beneficiaries in practices with high (compared to low) care continuity had significantly lower total payments (-$1,872, p = 0.02). Evidence from this study indicates that care continuity is a key driver of cost reductions associated with PCMH recognition.
Author: Rebecca J. Perry Publisher: RTI Press ISBN: Category : Medical Languages : en Pages : 24
Book Description
The patient-centered medical home (PCMH) is a health system innovation aimed to improve cost, quality, and health outcomes. Research shows that Medicare beneficiaries at practices with PCMH recognition have lower Medicare costs than those at practices without such recognition. Our study explores whether greater care continuity—an ongoing relationship between the patient and clinicians at a practice that monitors the patient’s health status and care—drives these lower costs in PCMH-recognized practices. We used Medicare Parts A and B claims data to calculate Medicare payments for services. We conducted weighted least squares regression analyses at the practice level to examine the association of Medicare payments with PCMH recognition and care continuity. We measured care continuity using an index that reflects the concentration of visits in the practice that serves as the beneficiary’s usual source of care. Medicare beneficiaries at PCMH-recognized practices had lower total annual Medicare payments (-$1,099; p < 0.01) than patients at nonrecognized practices. After controlling for care continuity, the association with PCMH recognition decreased substantially and beneficiaries in practices with high (compared to low) care continuity had significantly lower total payments (-$1,872, p = 0.02). Evidence from this study indicates that care continuity is a key driver of cost reductions associated with PCMH recognition.
Author: Jcr Publisher: Joint Commission Resources ISBN: 1599405903 Category : Medical Languages : en Pages : 574
Book Description
Offers accreditation requirements, policies, and procedures at your fingertips and includes scoring information at every element of performance. It includes all the 2012 standards, elements of performance, National Patient Safety Goals, and Accreditation Participation Requirements for ambulatory care organizations.
Author: Jan Oldenburg Publisher: CRC Press ISBN: 131535005X Category : Business & Economics Languages : en Pages : 275
Book Description
This book is written through the lens of patients, caregivers, healthcare representatives and families, highlighting new models of interaction between providers and patients and what people would like in their healthcae experience. It will envision a new kind of healthcare system that recommends on how/why providers must connect to patients and families using HIT, as well as suggestions about new kinds of HIT capabilities and how they would redesign systems of care if they could. The book will emphasize best practices, and case studies, drawing conclusions about new models of care from the stories and input of patients and their families reienforced with clinical research.
Author: Donald A. Barr Publisher: Johns Hopkins University Press ISBN: 1421420724 Category : Medical Languages : en Pages : 451
Book Description
The fourth edition of the essential guide to the contemporary US health care system. Winner of the CHOICE Outstanding Academic Title of the Choice ACRL Health care reform has been a dominant theme in public discourse for decades now. The passage of the Affordable Care Act was a major milestone, but rather than quell the rhetoric, it has sparked even more heated debate. In the latest edition of Introduction to US Health Policy, Donald A. Barr reviews the current structure of the American health care system, describing the historical and political contexts in which it developed and the core policy issues that continue to confront us today. Barr’s comprehensive analysis explores the various organizations and institutions that make the US health care system work—or fail to work. He describes in detail the paradox of US health care—simultaneously the best in the world and one of the worst among developed countries—while introducing readers to broad cultural issues surrounding health care policy, such as access, affordability, and quality. Barr also discusses specific elements of US health care with depth and nuance, including insurance, especially Medicare and Medicaid. He scrutinizes the shift to for-profit managed care while analyzing the pharmaceutical industry, issues surrounding long-term care, the plight of the uninsured, the prevalence of medical errors, and the troublesome issue of nursing shortages. The thoroughly updated edition of this widely adopted text focuses on the Affordable Care Act. It explains the steps taken to carry out the Act, the changes to the Act based on recent Supreme Court decisions, the success of the Act in achieving the combined goals of improved access to care and constraining the costs of care, and the continuing political controversy regarding its future. Drawing on an extensive range of resources, including government reports, scholarly publications, and analyses from a range of private organizations, Introduction to US Health Policy provides scholars, policymakers, and health care providers with a comprehensive platform of ideas that is key to understanding and influencing the changes in the US health care system.
Author: Brooke Salzman Publisher: Elsevier Health Sciences ISBN: 1455744336 Category : Medical Languages : en Pages : 264
Book Description
This issue covers topics central to the management of the patient with a chronic disease by taking a comprehenisve look at: Successful/Innovative Models in Chronic Disease Management, The Patient-Centered Medical Home, Self-Management Education and Support, Major Pharmacologic Issues in Chronic Disease Management, Health Information Technology, Community-Based Partnerships for Improving Chronic Disease Management, and Effective Strategies for Behavioral Change, Diabetes Management, CHF Management, Asthma Management, and Depression Management.
Author: Catherine M. Mullahy Publisher: Jones & Bartlett Learning ISBN: 128404971X Category : Medical Languages : en Pages : 621
Book Description
Written by renowned author Catherine Mullahy, The Case Manager’s Handbook, Fifth Edition is the ultimate how-to guide for case managers. This practical resource helps case managers build fundamentals, study for the Certified Case Manager (CCM) exam, and most importantly, advance their careers after the exam. Written for all professionals in all practice settings in case management, it uses real-life examples and an easy-to-read, conversational style to examine the case management process while presenting practical procedural information. An excellent daily reference and training guide for new case managers and seasoned professionals in various setting, The Case Manager’s Handbook, Fifth Edition is the “go-to” resource for facing the day-to-day challenges of case management, especially as the nation navigates through the many changes introduced by the landmark Patient Protection and Affordable Care Act. Significantly updated and revised, it contains eight new chapters: * Hospital Case Management: Changing Roles and Transitions of Care * Patient Centered Medical Home, ACOs, Health Exchanges * Evidence-Based Practice * Public Sector Reimbursement * Predictive Modeling * Pain Management * Health Technology, Trends, and Implications for Case Managers * The Affordable Care Act of 2010: Implications for Case Managers Included with each new print book is an Access Code for a Navigate Companion Website for students with objectives, multiple choice questions, and bonus appendices.
Author: Diana R. Mager, DNP, RN-BC Publisher: Springer Publishing Company ISBN: 0826148344 Category : Medical Languages : en Pages : 306
Book Description
A nurse’s field guide to improving health outcomes for distinct patient populations This practical text is distinguished by its in-depth coverage of populations, ranging from opioidaddicted veterans to young children suffering from obesity. Focused on the educational needs of students in undergraduate and bridge programs, this book is grounded in evidence-based practice, in-depth content, and clinical case studies. Five sections address population health in the following settings: community-based care, home and rural health, school-based and primary care, medical home and palliative care, and acute and long-term care. Each section begins with an overview chapter addressing fundamental concepts, characteristic trends, expenditures, and critical considerations. Subsequent chapters provide descriptions of varied patient populations, relevant care settings, and examples of the RN’s role within each setting. Chapters conclude with a case study that illustrates a day in the life of a typical nurse, which includes assessment and evaluation of present symptoms, demographic information, social and environmental determinants, and medical background. Chapters also encompass advocacy and policy roles, care access, emergency preparedness, and community resiliency. Key Features: Focuses on the needs of students in undergraduate and bridge programs Provides specific examples and context using a “population of interest” approach Exposes nurses and future nurses to a multitude of diverse work settings Case studies are written from the nurse’s perspective Addresses current medical issues among populations with an emphasis on practical content application Grounded in evidence-based principles Clinical reasoning exercises (Q&As with rationales) and lists of key terms with definitions Supplemental Instructor’s PowerPoints included
Author: Melanie P. Duckworth Publisher: Springer ISBN: 3319930036 Category : Psychology Languages : en Pages : 409
Book Description
This evidence-to-practice volume deftly analyzes the processes and skills of integrating mental healthcare with primary care, using multiple perspectives to address challenges that often derail these joint efforts. Experts across integrative medicine offer accessible blueprints for smoothly implementing data-based behavioral interventions, from disease management strategies to treatment of psychological problems, into patient-centered, cost-effective integrated care. Coverage highlights training and technology issues, key healthcare constructs that often get lost in translation, and other knowledge necessary to create systems that are rooted in—and contribute to—a robust evidence base. Contributors also provide step-by-step guidelines for integrating behavioral health care delivery in treating cancer, dementia, and chronic pain. Among the topics covered: The epidemiology of medical diseases and associated behavioral risk factors. Provider training: recognizing the relevance of behavioral medicine and the importance of behavioral health consultations and referrals. Screening for behavioral health problems in adult primary care. Health care transformation: the electronic health record. Meeting the care needs of patients with multiple medical conditions. Smoking cessation in the context of integrated care. This depth of clinical guidance makes Behavioral Medicine and Integrated Care an essential reference for practitioners on all sides of the equation, including health psychologists and other professionals in health promotion, disease prevention, psychotherapy and counseling, and primary care medicine.
Author: Rebecca J. Perry
Author: Rebecca J. Perry
Author: Jcr
Author: Jan Oldenburg
Author: Donald A. Barr
Author: Jcr
Author: Jcr
Author: Brooke Salzman
Author: Catherine M. Mullahy
Author: Diana R. Mager, DNP, RN-BC
Author: Melanie P. Duckworth