Multimorbidity in patients with type 2 diabetes mellitus in the Basque Country (Spain)
|
|
|
- Kathleen Freeman
- 7 years ago
- Views:
Transcription
1 Multimorbidity in patients with type 2 diabetes mellitus in the Basque Country (Spain) Roberto Nuño-Solinís & Edurne Alonso-Morán O+berri, Basque Institute for Healthcare Innovation This presentation arises from the Joint Action addressing chronic diseases and healthy ageing across the life cycle (JA-CHRODIS) which has received funding from the European Union, under the framework of the Health Programme ( ).
2 WHAT WE ALREADY KNOW: Diabetes mellitus In Spain, the prevalence of diabetes mellitus type 2 (T2DM) in patients over 17 years is 13.8% and around 6% is unknown. Between 2011 and 2013 the incidence of diabetes mellitus has increased in a 33.4%. The average cost of a patient with diabetes is estimated in 2,449 per year, nearly twice the per capita cost.
3 WHAT WE ALREADY KNOW: MM in the Basque Country Multimorbidity of chronic diseases was found among 23.61% of the total Basque population and among 66.13% of those older than 65 years. The average number of chronic conditions is higher among women and increases with the deprivation index. 1,4 1,2 1 0,8 0,6 0,4 0,2 0 0,77 Average of chronic conditions by deprivation index Males 0,9 Females 0,99 0,85 0,9 1,07 1,16 0,97 0, Multimorbid patients account for 63.55% of total healthcare expenditures. 1,21
4 OBJECTIVES The objectives of this study are : To describe the prevalence of multimorbidity of patients with T2DM Related complications Unrelated complications To estimate direct healthcare costs
5 METHODS (I) Descriptive study Study Subjects: Patients with type 2 diabetes mellitus from the Basque Country, aged 35 years Period 09/01/2010 to 31/08/2011 Inclusion criteria: Everybody who had been diagnosed with type 2 diabetes mellitus or unspecified diabetes mellitus at any point in their lives, or who had been prescribed antidiabetic medication, regardless of whether or not they had visited healthcare services during the observation period.
6 METHODS (II) Exclusion criteria: Patients who had been diagnosed with type 1 diabetes mellitus during any contact with the services, or those whose diagnosis always corresponded to unspecified diabetes mellitus, but the only medication received was insulin Databases: - PREST database (sociodemographics, comorbidities classified by a case-mix diagnostic system [Adjusted Clinical Groups] and healthcare costs variables) - Multimorbidity database (52 chronic conditions codify as 0 if the disease is not present and as 1 if the disease is present)
7 ESTIMATION OF HEALTHCARE COSTS Primary care Especialized care Inpatients Visits to GP Visits to nurse Radiology and Blood tests Visits to specialist doctor Day hospital (some procedures like: dialysis, chemotherapy and others) Diagnosis Related Groups (GRD) Emergency Directly from the number of visits Prescriptions Directly from prescriptions coded in the EHR in Primary Care
8 RESULTS In the Basque Country, in the population with 35 years and over (1,473,943 inhabitants), 134,413 patients suffer from T2DM, corresponding to a known prevalence of 9.12%. The prevalence of multimorbidity was 90.4% between patients with T2DM. 25,00% 20,00% 15,00% 10,00% 5,00% Distribution of T2DM population by number of chronic conditions 0,00% Just T2DM or more
9 RESULTS Related pathologies to T2DM Type 2 diabetes complications (prevalence) Total (N=134,421) Males (N=72,539) Females (N=61,882) Ischaemic Heart Disease Renal failure Stroke Heart Failure Peripheral neuropathy Foot Ulcers Retinopathy Type 2 diabetes complications (incidence) Myocardial infarction Major amputations Avoidable hospitalisations
10 RESULTS Unrelated pathologies to T2DM Chronic disease Overall (%) Males (%) Females (%) Hypertension Dyspepsia Prostatic hypertrophy Anxiety Degenerative joint disease Atrial Fibrillation Depression Malignant neoplasms Chronic heart disease, other Emphysema, chronic bronchitis, COPD Hypothyroidism Low back pain Dementia
11 RESULTS Costs increase with age until the range of 80-84, where reach a maximum of 4, Average cost by age Average cost by deprivation index Patients living in more deprived areas spend 468 more than those more affluent.
12 RESULTS (T2DM population vs. chronic population without T2DM) In all age ranges, healthcare costs in patients with T2DM is higher than that for chronic patients without this condition. On average, a chronic patient without T2DM spent 2037, nearly 69% less than a patient with T2DM. The differences between these two populations were statistically significant for all age ranges Chronic patient without T2DM Chronic patient with T2DM
13 CLUSTER ANALYSIS (I) Wards-linkage clustering HTA RF Isch_Heart_dis Atrial_fibrillat HF Chronic_heart _dis_others Glaucoma Blindness &low vision Cerebro-vascular disease Dementia Malignancies Prostatic hypertrophy Gout Chronic_liver_pancreatic Chromosomal_metabolic _diso Anxiety Depression Degener_joint_dis Osteo Low back pain Peripheral_neurop Hypotiroidism Deafness Dyspepsia Diverticular_intestine Rheum_arthritis COPD Asthma
14 CLUSTER ANALYSIS (II) With the cut point at 0.9, we got 10 clusters: Hypertension Ischemic Heart Disease Atrial fibrillation Chronic heart disease, others Renal Failure Heart Failure Glaucoma Blindness & low vision Deafness, hearing loss Dementia Cerebro-vascular disease Malignancies Prostatic hypertrophy Gout Anxiety Depression Chronic liver or pancreatic disease Chromosomal anomalies or Inherited metabolic disorders Degenerative joint disease Low back pain. Osteoporosis Hypotiroidism Peripheral neuropathy, neuritis Emphysema, chronic bronchitis, COPD Asthma Treated dyspepsia Rheumatoid arthritis and autoimmune and connective tissue diseases Diverticular disease of intestine
15 CONCLUSIONS (I) General population MULTIMORBIDITY IS THE NORM: multimorbidity was found in 66.13% of the population aged 65 and over, and increases with age until 85 years. MULTIMORBIDITY IS LINKED TO INEQUALITIES: the prevalence of multimorbidity was higher in deprived (69.94%) than better-off (60.22%) areas. TACKLING MULTIMORBIDITY IS EXPENSIVE: multimorbid patients account for 63.55% of total healthcare expenditures.
16 CONCLUSIONS (II) T2DM population WE NEED HOLISTIC PERSON-CENTERED CARE MODELS: the prevalence of multimorbidity was 90.4% between patients with T2DM DIABETES IS A PARADIGMATIC AND EXPENSIVE CHRONIC DISEASE: a person with T2DM spends 68.5% more than a chronic patient without T2DM. WE MUST TACKLE INEQUALITIES: in the most disadvantaged socioeconomic strata cost per patient is 468 (14.9%) more than in the most affluent segment. THE IMPACT OF DIRECT HEALTHCARE COSTS FOR T2DM PATIENTS IS HUGE: the total annual direct cost amounted to million Euros, 12.78% of the public health expenditure in the Basque Country.
17 @ronusol
18 The Joint Action on Chronic Diseases and promoting healthy ageing across the life cycle (JA-CHRODIS)* * THIS PRESENTATION ARISES FROM THE JOINT ACTION ON CHRONIC DISEASES AND PROMOTING HEALTHY AGEING ACROSS THE LIFE CYCLE (JA-CHRODIS) WHICH HAS RECEIVED FUNDING FROM THE EUROPEAN UNION, IN THE FRAMEWORK OF THE HEALTH PROGRAMME ( )
Physical and Mental Health Condition Prevalence and Comorbidity among Fee-for-Service Medicare- Medicaid Enrollees
Physical and Mental Health Condition Prevalence and Comorbidity among Fee-for-Service Medicare- Medicaid Enrollees Centers for Medicare & Medicaid Services September, 2014 i Executive Summary Introduction
Medicare Risk Adjustment and You. Health Plan of San Mateo Spring 2009
Medicare Risk Adjustment and You Health Plan of San Mateo Spring 2009 Background CMS reimburses health plans on a risk-adjusted basis: The sicker a member is expected to be, the more CMS pays a plan, which
TYPE 2 DIABETES IN THE AFRICAN AMERICAN COMMUNITY. Understanding the Complications That May Happen Without Proper Care
TYPE 2 DIABETES IN THE AFRICAN AMERICAN COMMUNITY Understanding the Complications That May Happen Without Proper Care STAYING HEALTHY THE IMPORTANCE OF PROPER MANAGEMENT OF TYPE 2 DIABETES Diabetes is
SUMMARY OF CHANGES TO QOF 2015/16 - ENGLAND CLINICAL
SUMMARY OF CHANGES TO QOF 2015/1 - ENGLAND KEY No change Retired/replaced Wording and/or change Point or threshold change Indicator ID change 14/15 QOF ID 15/1 QOF ID NICE ID Indicator wording Changes
How To Get A Chronic Illness Benefit From The Discovery Health Medical Scheme
Cover for medicine and treatment of chronic conditions 2014 Cover for medicine and treatment of chronic conditions 22 November 2013 Page 1 of 16 Cover for medicine and treatment of chronic conditions Overview
Covers 60 major critical illnesses. Covers 11 minor critical illnesses. ManuMulti Care
It s a difficult subject to think about, but part of planning for the future is being prepared for the unexpected. Critical illness can happen to anyone, at any time. And it s an unfortunate fact, but
Part 3 Disease incidence, prevalence and disability
Part 3 Disease incidence, prevalence and disability 9. How many people become sick each year? 28 10. Cancer incidence by site and region 29 11. How many people are sick at any given time? 31 12. Prevalence
RAW PREVALENCE FOR NORTHERN IRELAND AS AT 31 MARCH 2014
1. 2. RAW PREVALENCE FOR NORTHERN IRELAND AS AT 31 MARCH 214 3.1 Coronary Heart Disease (CHD) 3.2 Heart Failure 1 3.3 Heart Failure 3 (heart failure due to Left Ventricular Systolic Dysfunction) 3.4 Stroke
HEALTH CARE COSTS 11
2 Health Care Costs Chronic health problems account for a substantial part of health care costs. Annually, three diseases, cardiovascular disease (including stroke), cancer, and diabetes, make up about
Chapter 2: Health in Wales and the United Kingdom
Chapter 2: Health in Wales and the United Kingdom This section uses statistics from a range of sources to compare health outcomes in Wales with the remainder of the United Kingdom. Population trends Annual
Diabetes. C:\Documents and Settings\wiscs\Local Settings\Temp\Diabetes May02revised.doc Page 1 of 12
Diabetes Introduction The attached paper is adapted from the initial background paper on Diabetes presented to the Capital and Coast District Health Board Community and Public Health Advisory Committee
Medicare Supplement plan application
Medicare Supplement plan application SECTION 1 Personal information Last name First name Middle initial Social Security number - - Primary Street address City State ZIP code Mailing Street address (if
UK Patients with Chronic Conditions Believe the Ability to Access Electronic Medical Records Outweighs Concern of Privacy Invasion
Insight Driven Health UK Patients with Chronic Conditions Believe the Ability to Access Electronic Medical Records Outweighs Concern of Privacy Invasion Accenture s research shows patients with chronic
5 Burden of disease and injury
5 Burden of disease and injury 5.1 Overview In this chapter, we present the results of the Australian Burden of Disease and Injury Study for the total disease burden measured in by age, sex and cause for
Tackling Chronic Disease
Tackling Chronic Disease A Policy Framework for the Management of Chronic Diseases Hawkins House Dublin 2 Teach Haicin Baile Átha Cliath 2 Telephone (01) 6354000 www.dohc.ie ISBN: 978-1-40642135-4 Tackling
APPLICATION FOR MEDICARE SUPPLEMENT COVERAGE
CENTRAL STATES INDEMNITY CO. OF OMAHA Home Office: Omaha, NE Administration: P.O. Box 10816 Clearwater, Florida 33757-8816 APPLICATION FOR MEDICARE SUPPLEMENT COVERAGE SECTION A. PROPOSED INSURED INFORMATION
Medical Surgical Nursing (Elsevier)
1 of 6 I. The Musculoskeletal System Medical Surgical Nursing (Elsevier) 1. Med/Surg: Musculoskeletal System: The Comprehensive Health History 2. Med/Surg: Musculoskeletal System: A Nursing Approach to
Non-covered ICD-10-CM Codes for All Lab NCDs
Non-covered ICD-10-CM s for All Lab NCDs This section lists codes that are never covered by Medicare for a diagnostic lab testing service. If a code from this section is given as the reason for the test,
Medicare Advantage Risk Adjustment Data Validation CMS-HCC Pilot Study. Report to Medicare Advantage Organizations
Medicare Advantage Risk Adjustment Data Validation CMS-HCC Pilot Study Report to Medicare Advantage Organizations JULY 27, 2004 JULY 27, 2004 PAGE 1 Medicare Advantage Risk Adjustment Data Validation CMS-HCC
CENTRAL STATES INDEMNITY CO. OF OMAHA Home Office: Omaha, NE Administration: P.O. Box 10816 Clearwater, Florida 33757-8816
CENTRAL STATES INDEMNITY CO. OF OMAHA Home Office: Omaha, NE Administration: P.O. Box 10816 Clearwater, Florida 33757-8816 APPLICATION FOR MEDICARE SUPPLEMENT COVERAGE SECTION A. PROPOSED INSURED INFORMATION
NHS outcomes framework and CCG outcomes indicators: Data availability table
NHS outcomes framework and CCG outcomes indicators: Data availability table December 2012 NHS OF objectives Preventing people from dying prematurely DOMAIN 1: preventing people from dying prematurely Potential
Supplementary Policy Wording. House of Travel Travel Insurance for Business & Leisure. 0800 838 747 houseoftravel.co.nz
Supplementary Policy Wording House of Travel Travel Insurance for Business & Leisure 0800 838 747 houseoftravel.co.nz 1 About this Supplementary Policy Wording This Supplementary Policy Wording updates
SOUTH PALM CARDIOVASCULAR ASSOCIATES, INC. CHARLES L. HARRING, M.D. NEW PATIENT INFORMATION FORM. Patient Name: Home Address:
NEW PATIENT INFORMATION FORM Today s Date: Referred by: Patient Name: (First) (Last) Date of Birth: Gender: M / F SSN: Home Address: Home Phone (Area Code & No.): ( ) - Cell Phone: ( ) - Secondary Address
Application for Medicare Supplement
Application for Medicare Supplement This application is subject to the approval of Blue Cross and Blue Shield of Nebraska. P.O. Box 2417 Omaha, NE 68103-2417 1 Tell us about yourself. Name (First, Middle,
Diabetes Brief. Pre diabetes occurs when glucose levels are elevated in the blood, but are not as high as someone who has diabetes.
Diabetes Brief What is Diabetes? Diabetes mellitus is a disease of abnormal carbohydrate metabolism in which the level of blood glucose, or blood sugar, is above normal. The disease occurs when the body
Physician and other health professional services
O n l i n e A p p e n d i x e s 4 Physician and other health professional services 4-A O n l i n e A p p e n d i x Access to physician and other health professional services 4 a1 Access to physician care
CCG Outcomes Indicator Set: Emergency Admissions
CCG Outcomes Indicator Set: Emergency Admissions Copyright 2013, The Health and Social Care Information Centre. All Rights Reserved. 1 The NHS Information Centre is England s central, authoritative source
You ve Been Dealt. You ve Been Dealt. You ve Been Dealt. You ve Been Dealt. You ve Been Dealt. You ve Been Dealt. You ve Been Dealt.
Sexual Dysfunction Emphysema Osteoporosis Arthritis Memory Loss Alzheimer s Disease Sensory Loss Loss of Balance Lower BMR Stroke Gout Loss of Hair Loss of Muscle Mass Diabetes Shingles COPD Gray Hair
Medicare- Medicaid Enrollee State Profile
Medicare- Medicaid Enrollee State Profile Kentucky Centers for Medicare & Medicaid Services Introduction... 1 At a Glance... 1 Eligibility... 2 Demographics... 3 Chronic Conditions... 4 Utilization...
How To Calculate The Cost Of Diabetic Foot Ulcers
Medical, Drug, and Work-Loss Costs of Diabetic Foot Ulcers Brad Rice, PhD; 1 Urvi Desai, PhD; 1 Alice Kate Cummings, BA; 1 Michelle Skornicki, MPH; 2 Nathan Parsons, RN BSN; 2 and Howard Birnbaum, PhD
Limited Pay Policy (L-222B) - Underwriting Guidelines
Limited Pay Policy (L-222B) - Underwriting Guidelines 1 Addiction/Abuser Drug - Past or Present Presently Recovered - AA for last 2 years 2 Aids 3 Alcoholic Presently Recovered - AA for last 2 years 4
Alameda Alliance for Heath ICD-9 to ICD-10 TRANSLATION CODES E10.10
DIABETES ICD-9 CM ICD-9 CM Volume 1 - Diagnosis Description ICD-10 CM - Diagnosis Code ICD-10 CM - Diagnosis Description 250.00 Diabetes mellitus without mention of complication, type II or unspecified
Chronic Disease and Nursing:
Chronic Disease and Nursing: A Summary of the Issues What s the issue? Chronic diseases are now the major global disease problem facing the world and a key barrier to development, to alleviating poverty,
What privatisation means for Medibank. The increasing costs of the health system. Creating sustainability through a focus on health outcomes
IMPACT OF PRIVATISATION ON HEALTH INSURANCE Peter Derbyshire, General Manager of Strategy and Business Medibank Private Limited Development 1 The Medibank story What privatisation means for Medibank The
An integrated IT approach to Chronic Disease Management
An integrated IT approach to Chronic Disease Management Presented by: Steve Courtney Chief Executive Officer Health Information Systems (UK) Ltd March 2011 Who are Health Information Systems (UK) Ltd Company
Medicare- Medicaid Enrollee State Profile
Medicare- Medicaid Enrollee State Profile Centers for Medicare & Medicaid Services Introduction... 1 At a Glance... 1 Eligibility... 2 Demographics... 3 Chronic Conditions... 4 Utilization... 6 Spending...
N Basic, including 100% Part B coinsurance. Basic including 100% Part B coinsurance* Basic including 100% Part B coinsurance
HEARTLAND NATIONAL LIFE INSURANCE COMPANY Outline of Medicare Supplement Coverage Benefit Plans A, D, F, G, M and N Benefit Chart of Medicare Supplement Plans Sold for Effective Dates on or After Jun 1,
Economic Impact of Integrated Medical-Behavioral Healthcare
Economic Impact of Integrated Medical-Behavioral Healthcare Implications for Psychiatry Prepared for: American Psychiatric Association Prepared by: Milliman, Inc. Stephen P. Melek, FSA, MAAA Douglas T.
Opportunities for advancing biomarkers for patient stratification and early diagnosis in liver disease
Opportunities for advancing biomarkers for patient stratification and early diagnosis in liver disease 80 Liver Disease and Obesity Liver disease biomarkers: Percent of adult population (United States)
Medicare- Medicaid Enrollee State Profile
Medicare- Medicaid Enrollee State Profile Montana Centers for Medicare & Medicaid Services Introduction... 1 At a Glance... 1 Eligibility... 2 Demographics... 3 Chronic Conditions... 4 Utilization... 6
TravelCare Medical Questionnaire Instruction Sheet for Agents
TravelCare Medical Questionnaire Instruction Sheet for Agents Helpful Reminders: We want your client to be comfortable when completing the Medical Questionnaire. It is important that you remind your client
Part 4 Burden of disease: DALYs
Part Burden of disease:. Broad cause composition 0 5. The age distribution of burden of disease 6. Leading causes of burden of disease 7. The disease and injury burden for women 6 8. The growing burden
Upstate New York adults with diagnosed type 1 and type 2 diabetes and estimated treatment costs
T H E F A C T S A B O U T Upstate New York adults with diagnosed type 1 and type 2 diabetes and estimated treatment costs Upstate New York Adults with diagnosed diabetes: 2003: 295,399 2008: 377,280 diagnosed
Diabetes 101. Francisco J. Prieto, M.D. American Diabetes Association National Advocacy Committee Latino Diabetes Action Council
Diabetes 101 Francisco J. Prieto, M.D. American Diabetes Association National Advocacy Committee Latino Diabetes Action Council www.diabetes.org 1-800-DIABETES www.diabetes.org 1-800-DIABETES Age-Adjusted
Medicare Supplement Application Aetna Life Insurance Company Aetna Administrator, P.O. Box 10374, Des Moines, IA 50306
Medicare Supplement Application Aetna Administrator, P.O. Box 10374, Des Moines, IA 50306 INSTRUCTIONS: To be considered complete, all sections on this form must be filled out, unless marked optional.
Risk Adjustment Coding/Documentation Checklist
Risk Adjustment Coding/Documentation Checklist The following list should be used to ensure that all member and diagnosis-related information is reported, and all the member s chronic conditions are documented
Medicare- Medicaid Enrollee State Profile
Medicare- Medicaid Enrollee State Profile North Centers for Medicare & Medicaid Services Introduction... 1 At a Glance... 1 Eligibility... 2 Demographics... 3 Chronic Conditions... 4 Utilization... 6 Spending...
Chronic Illness Benefit application form 2016
Chronic Illness Benefit application form 2016 This application form is to apply for the Chronic Illness Benefit and is only valid for 2016 Contact details Tel: 0860 116 116, PO Box 652509, Benmore 2010,
International Health Summit 2010. Prague. Feedback from parallel work group REGULATORS. Diabetes mellitus as prototype for chronic disease management
International Health Summit 2010 Prague Feedback from parallel work group REGULATORS Diabetes mellitus as prototype for chronic disease management 26.6.2010 Introduction General Principles for Regulators
Using EHRs for Heart Failure Therapy Recommendation Using Multidimensional Patient Similarity Analytics
Digital Healthcare Empowering Europeans R. Cornet et al. (Eds.) 2015 European Federation for Medical Informatics (EFMI). This article is published online with Open Access by IOS Press and distributed under
HCIM ICD-10 Training Online Course Catalog August 2015
HCIM ICD-10 Training Online Course Catalog August 2015 Course/Content Duration Quiz Duration CME Credits Assessments: Assessment: Provider - Baseline - E/M Emergency Department 45 5/1/2015 Assessment:
What are the PH interventions the NHS should adopt?
What are the PH interventions the NHS should adopt? South West Clinical Senate 15 th January, 2015 Debbie Stark, PHE Healthcare Public Health Consultant Kevin Elliston: PHE Consultant in Health Improvement
Clinical Quality Measure Crosswalk: HEDIS, Meaningful Use, PQRS, PCMH, Beacon, 10 SOW
Clinical Crosswalk: HEDIS, Meaningful Use, PQRS, PCMH, Beacon, 10 SOW NQF 0105 PQRS 9 NQF 0002 PQRS 66 Antidepressant Medication Management Appropriate Testing for Children with Pharyngitis (2-18 years)
Medical Matters Action Checklists
Medical Matters Action Checklists The following Action Checklists are included in Chapter 5: Medical History Personal Medication Record Health Care Power of Attorney Medical Orders (Do Not Resuscitate/POLST)
Life Living Assurance Customer guide LIVING ASSURANCE. TotalCareMax Customer guide. Life. Take charge. sovereign.co.nz
Life Living Assurance Customer guide LIVING ASSURANCE TotalCareMax Customer guide Life. Take charge. sovereign.co.nz WHAT IS LIVING ASSURANCE? Living Assurance provides you and your family with peace of
Data, Outcomes and Population Health Management. CPPEG January 2016
Data, Outcomes and Population Health Management CPPEG January 216 NHS Outcomes Framework There are national outcome measures which the CCG is held to account on. In conjunction to monitoring these the
Characterisation of a Palliative Care Population in a Comprehensive Cancer Centre
Characterisation of a Palliative Care Population in a Comprehensive Cancer Centre Kirstine Skov Benthien, Mie Nordly, Katja Videbæk, Lisbeth Grave Bendixen, Louise Christoffersen, Hans von der Maase, Geana
Health First Insurance, Inc. Medicare Supplement Application 2013
6450 US Highway 1, Rockledge, FL 32955 Customer Service: 321.434.4822 Toll-free 1.855.443.4735 TTY relay 1.800.955.8771 Monday through Friday from 8 am to 8 pm, Saturday from 8 am to noon A. General Information
Cardiovascular Endpoints
The Malmö Diet and Cancer Study Department of Clinical Sciences Skåne University Hospital, Malmö Lund University The Malmö Diet and Cancer Study CV-cohort Cardiovascular Endpoints End of follow-up: 30
Dementia: a major health problem for Australia
Dementia: a major health problem for Australia Position Paper 1 September 2001 Professor Anthony Jorm Director, Centre for Mental Health Research, Australian National University Dementia is one of the
Summary of QOF indicators
Summary of QOF indicators Clinical domain Atrial fibrillation (AF) AF001. The contractor establishes and maintains a register of patients with atrial fibrillation AF002. The percentage of patients with
SUMMARY TABLE OF MEASURE CHANGES
Summary Table of Measure 1 SUMMARY TABLE OF MEASURE CHANGES Guidelines for Physician Measurement Effectiveness of Preventive Care Guidelines for Physician Effectiveness of Care Adult BMI Assessment Weight
DIABETES A chronic, debilitating and often deadly disease A global epidemic Diabetes in Africa
DIABETES A chronic, debilitating and often deadly disease Diabetes is a chronic condition that arises when the pancreas does not produce enough insulin, or when the body cannot effectively use the insulin
PATIENT HISTORY FORM
PATIENT HISTORY FORM If you are new to the office, have not been seen in over one (1) year, or are returning for a new problem, please complete this form in full. If there have been any changes since your
Complete coverage. Unbeatable value.
Quest Travel Insurance Complete coverage. Unbeatable value. Quest with confidence, anytime, anywhere! Quest protects you when nothing else can, with: Future stability coverage: Stable now? Not sure you
Coding. Future of Hospice. and the. An educational resource presented by
An educational resource presented by Coding and the Future of Hospice You know incorrect coding hurts your reimbursement. Did you know it also shapes CMS rules? Prepared by In this white paper, we will:
Malmö Preventive Project. Cardiovascular Endpoints
Malmö Preventive Project Department of Clinical Sciences Malmö University Hospital Lund University Malmö Preventive Project Cardiovascular Endpoints End of follow-up: 31 Dec 2008 * Report: 21 June 2010
HEdis Code Quick Reference Guide Disease Management Services
HEdis Code Quick Reference Guide Disease Management Services Respiratory Conditions Appropriate Testing for Children With Pharyngitis (ages 2-18) [Commercial, Medicaid] Appropriate Treatment (no antibiotic)
Type 1 Diabetes ( Juvenile Diabetes)
Type 1 Diabetes W ( Juvenile Diabetes) hat is Type 1 Diabetes? Type 1 diabetes, also known as juvenile-onset diabetes, is one of the three main forms of diabetes affecting millions of people worldwide.
Malmö Preventive Project. Cardiovascular Endpoints
Malmö Preventive Project Department of Clinical Sciences Skåne University Hospital, Malmö Lund University Malmö Preventive Project Cardiovascular Endpoints End of follow-up: 30 June 2009 Report: 7 October
Pathology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Pathology and Top 25 codes
Pathology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Pathology and Top 25 codes Chapter 2 Neoplasms (C00-D49) Classification improvements Code expansions Significant expansions or revisions
Louisiana Report 2013
Louisiana Report 2013 Prepared by Louisiana State University s Public Policy Research Lab For the Department of Health and Hospitals State of Louisiana December 2015 Introduction The Behavioral Risk Factor
NC General Statutes - Chapter 130A Article 7 1
Article 7. Chronic Disease. Part 1. Cancer. 130A-205. Administration of program; rules. (a) The Department shall establish and administer a program for the prevention and detection of cancer and the care
Certified Registered Nurse Anesthetist ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for CRNA s and Top 25 Codes
Certified Registered Nurse Anesthetist ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for CRNA s and Top 25 Codes Chapter 2 Neoplasms (C00-D49) Classification improvements Code expansions Significant
PCHC FACTS ABOUT HEALTH CONDITIONS AND MOOD DIFFICULTIES
PCHC FACTS ABOUT HEALTH CONDITIONS AND MOOD DIFFICULTIES Why should mood difficulties in individuals with a health condition be addressed? Many people with health conditions also experience mood difficulties
PATIENT INFORMATION: PATIENT CONTACT PHONE NUMBERS: PHYSICIAN INFORMATION: HEALTH INSURANCE INFORMATION:
PATIENT INFORMATION: TODAY S DATE: HOW DID YOU HEAR ABOUT US?: LAST NAME: FIRST NAME: STREET CITY: STATE: ZIP: EMAIL MARTIAL STATUS: SINGLE MARRIED DIVORCED WIDOWED SEPARATED BIRTHDATE: AGE: SEX: MALE
Patient Centered Research for the Complex Patient: Older adults with multiple and complex conditions. Mary Tinetti ECRI November, 2014
Patient Centered Research for the Complex Patient: Older adults with multiple and complex conditions Mary Tinetti ECRI November, 2014 Objectives Describe current care for persons with multiple and complex
LIFE SETTLEMENT QUALIFIER
LIFE SETTLEMENT QUALIFIER D I R E C T SECTION 1 PRIMARY CONTACT Name _ Primary phone number ( ) Email Best time to call morning afternoon evening SECTION 2 POLICY DETAILS Life Insurance Policy Information
Population Health Management Program
Population Health Management Program Program (formerly Disease Management) is dedicated to improving our members health and quality of life. Our Population Health Management Programs aim to improve care
The Health Status of the United States Workforce
P F I Z E R F A C T S Updated 2007 The Health Status of the United States Workforce Findings from the National Health and Nutrition Examination Survey (NHANES) 1999-2002, and the National Health Interview
SIMPL (Simplified Issue Market PermaLife) & MODIFIED WHOLE LIFE (MWL) FIELD UNDERWRITING GUIDE
SIMPL (Simplified Issue Market PermaLife) & MODIFIED WHOLE LIFE (MWL) FIELD UNDERWRITING GUIDE CONDITION SIMPL MWL AIDS/HIV Positive: Diagnosed at any time -----------------------------------------------------------------------------------------------------------------------
Health Information Form for Adults
A. IDENTIFICATION B. EMERGENCY CONTACTS Name (Last) (First) (Middle) Maiden Name Primary Alternate In Case of Emergency, Notify: Primary Contact Name (Last) (First) (Middle) Relationship Home Work Home
RHODE ISLAND SERVICES FOR THE BLIND AND VISUALLY IMPAIRED ORS/DHS THE INDEPENDENT LIVING FOR OLDER BLIND PROGRAM
RHODE ISLAND SERVICES FOR THE BLIND AND VISUALLY IMPAIRED ORS/DHS THE INDEPENDENT LIVING FOR OLDER BLIND PROGRAM FINAL EVALUATION REPORT OCTOBER 1, 2005 - SEPTEMBER 30, 2006 Prepared by Kristine L. Chadwick,
Performance Measurement for the Medicare and Medicaid Eligible (MME) Population in Connecticut Survey Analysis
Performance Measurement for the Medicare and Medicaid Eligible (MME) Population in Connecticut Survey Analysis Methodology: 8 respondents The measures are incorporated into one of four sections: Highly
How To Treat An Elderly Patient
1. Introduction/ Getting to know our Seniors a. Identify common concepts and key terms used when discussing geriatrics b. Distinguish between different venues of senior residence c. Advocate the necessity
Home Health Care ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Home Health Care and Top 20 codes
Home Health Care ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Home Health Care and Top 20 codes Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E99) ICD-10-CM diabetes mellitus
APPLICATION FOR MEDICARE SUPPLEMENT INSURANCE
301 S. Vine St. Urbana, IL 81801-3347 1-877-933-0028 TTY/TDD 711 or 1-800-526-0844 (Illinois Relay) SECTION 1: APPLICANT(S) Applicant A Name (Last, First, Middle Initial) APPLICATION FOR MEDICARE SUPPLEMENT
Radiology Business Management Association Technology Task Force. Sample Request for Proposal
Technology Task Force Sample Request for Proposal This document has been created by the RBMA s Technology Task Force as a guideline for use by RBMA members working with potential suppliers of Electronic
Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology
Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology The chart below lists the measures (and specialty exclusions) that eligible providers must demonstrate
FACTORS ASSOCIATED WITH HEALTHCARE COSTS AMONG ELDERLY PATIENTS WITH DIABETIC NEUROPATHY
FACTORS ASSOCIATED WITH HEALTHCARE COSTS AMONG ELDERLY PATIENTS WITH DIABETIC NEUROPATHY Luke Boulanger, MA, MBA 1, Yang Zhao, PhD 2, Yanjun Bao, PhD 1, Cassie Cai, MS, MSPH 1, Wenyu Ye, PhD 2, Mason W
Phoenix Remembrance Life
Phoenix Remembrance Life W e You Asked New Printer- Friendly Design! D e l i v e r e d Field Underwriting Guide For agent use only. Not for distribution to the public as sales literature. Phoenix Remembrance
Intervention Databases: A Tool for Documenting Student Learning and Clinical Value. Program Overview. Background
Intervention Databases: A Tool for Documenting Student Learning and Clinical Value Debra Copeland, B.S., Pharm.D., R.Ph. Margarita DiVall, Pharm.D., BCPS Ruth Nemire, B.S.Ph., Pharm.D. Beverly Talluto,
Intelligent Monitoring Report. Greenford Avenue Family Health Practice 322 Greenford Avenue London W7 3AH
Greenford Avenue Family Health Practice 322 Greenford Avenue London W7 3AH Intelligent Monitoring (IM) Report GP IM is an initial list of 37 indicators that currently cover three of our five key questions
Measuring quality along care pathways
Measuring quality along care pathways Sarah Jonas, Clinical Fellow, The King s Fund Veena Raleigh, Senior Fellow, The King s Fund Catherine Foot, Senior Fellow, The King s Fund James Mountford, Director
APPLICATION FOR MEDICARE SUPPLEMENT INSURANCE ARKANSAS
HEARTLAND NATIONAL LIFE INSURANCE COMPANY Medicare Supplement Administrative Office: PO Box 10812, Clearwater, FL 33757-8812 APPLICATION FOR MEDICARE SUPPLEMENT INSURANCE ARKANSAS HNAPP2010AR HEARTLAND
Birth Date: Sex: Home Phone Number:
A 35674 To apply for AmeriHealth Medigap Plans... Please reference the enclosed AmeriHealth Medigap Plans Outline of Coverage for the monthly premium based on your plan. Check the ONE plan for which you
Electronic Medical Record Access Outweighs Privacy Concerns for Chronic Patients in Norway
Insight Driven Health Electronic Medical Record Access Outweighs Privacy Concerns for Chronic Patients in Norway Accenture research shows persons with chronic conditions in Norway are more concerned about
Personal Health Insurance Add family member
Personal Health Insurance Add family member Policy 037000 ID number of owner A Plan information Health Coverage Choice (HCC) plan - Only complete section A, B and D. Add my spouse and/or child. I am aware
Quantifying Medication Adherence: Practical Challenges and an Approach to Linking Alternative Measures
Quantifying Medication Adherence: Practical Challenges and an Approach to Linking Alternative Measures Christine Poulos, PhD, RTI Health Solutions Jay P. Bae, PhD, Eli Lilly and Company Sean D. Candrilli,
Health Information Form for Adults
A. Identification B. Emergency Contacts Name (Last) (First) (Middle) Maiden Name In Case of Emergency, Notify: Primary Contact Name (Last) (First) (Middle) Primary Alternate Relationship Home Work Home