Clinical Guidelines
|
|
|
- Erika Lawrence
- 7 years ago
- Views:
Transcription
1 Category Link to Guideline Asthma National Asthma Education and Prevention Program Expert Panel Report 3: for the Diagnosis and of Asthma National Institutes of Health (NIH) National Heart, Lung, and Blood Institute American Academy of Asthma, Allergy, and Immunology Clinical Cholesterol ICSI: Health Care Guideline: Diagnosis and of Asthma, 10th Edition, July 2012 for the Diagnosis and of Asthma (EPR3), 2007 Managing Blood Cholesterol in Adults: Systemic Evidence Review from the Cholesterol Expert Panel, ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice. more/catalog_guideli nes_and_more/catalog_guidelines/catalog_respiratory _guidelines/asthma/ pdf pro/guidelines/indevelop/cholesterol in adults/ Implication of Recent Trials for the National Cholesterol Education Program Adult Treatment Panel III pd04.pdf Chronic Kidney Disease Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Full Report U.S. Department of Health and Human Services. National Institutes of Health National Heart, Lung and Blood Institute KDOQI US Commentary on the 2013 KDIGO Clinical Practice Guideline for Lipid in Chronic Kidney Disease htm _commentaries K/DOQI Clinical Practice for Chronic Kidney _ckd/toc.htm Disease: Evaluation, Classification, and Stratification National Kidney Foundation. KDIGO 2012 Clinical Practice for the Evaluation and of Chronic Kidney Disease php Chronic Obstructive Pulmonary Disease Global Initiatives for Chronic Obstructive Lung Disease. Global Strategy for the Diagnosis,, and Prevention of Chronic Obstructive Pulmonary Disease. Report_2014_Oct30.pdf
2 Category Link to Guideline Clinical Institute for Clinical Systems Improvement. Diagnosis and of Chronic Obstructive Pulmonary Disease (COPD). March GOLD Global Strategy for Diagnosis,, and Prevention of COPD American Thoracic Society/Standards for Diagnosis and of Patients with COPD eport_2013_feb20.pdf Community Acquired Pneumonia Coronary Artery Disease Diagnosis and of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline Update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society Infectious Diseases Society of America/American Thoracic Society Consensus on the of Community Acquired Pneumonia in Adults Infectious Diseases Society of America/American Thoracic Society Consensus on the of Community Acquired Pneumonia in Adults Community Acquired Pneumonia in Adults: for : Improving the care of adult patients with community acquired pneumonia (CAP) The Infectious Diseases Society of America (IDSA) and the American Thoracic Society (ATS) convened a joint committee to develop a unified CAP guideline AHA/ACC Guideline for the of Patients With Non ST Elevation Acute Coronary Syndromes AHA/ACC/HHS Strategies to Enhance Application of Clinical Practice in Patients With Cardiovascular Disease and Comorbid Conditions AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients With Coronary and Other Atherosclerotic Vascular Disease, 2011 Chronic Angina Focused Update of the ACC/AHA 2002 for the of Patients with Chronic Stable Angina Coronary Artery Disease/Coronary Heart Disease ACCF/AHA Key Data Elements and Definitions for Measuring the Clinical and Outcomes of Patients With Acute Coronary Syndromes and Coronary Artery Disease dsaats cap.pdf AcquiredPneumoniaCAP AcquiredPneumoniaCAP df+html df ule.htm?topicmoduleid=4 /ByTopic/TopicsA C/ACCAHA Joint _UCM_321694_Article.jsp
3 Category Link to Guideline Clinical 2013 AHA/ACC Guideline on Lifestyle to Reduce Cardiovascular Risk: A Report of the American College of Cardiology/American Heart Association Task Force on Practice 01.cir d1 Diabetic Care Heart Failure Standards of Medical Care in Diabetes 2015 American Diabetes Association: Standards of Medical Care in Diabetes 2015 The Journal of Clinical and Applied Research and Education: January ACCF/AHA Guideline for the of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Heart Failure Society of America Comprehensive Heart Failure Practice Guideline nt_1/s4.full %20Sean/Documents/January%20Supplement%20Com bined_final.pdf df+html (10) /pdf Hypertension Care What is New in the 2013 ACCF/ AHA for the of Heart Failure Focused Update Incorporated into the ACC/AHA 2005 for the Diagnosis and of Heart Failure in Adults, Evidence Based Guideline for the of High Blood Pressure in Adults : Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8) 2014 Hypertension Guideline Stands to Simplify Treatment, Says Expert An Effective Approach to High Blood Pressure Control: A Science Advisory From the American Heart Association, the American College of Cardiology, and the Centers for Disease Control and Prevention, html Low Back Pain Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society Low Back Pain: Clinical Practice Linked to the International Classification of Functioning, Disability, and Health from the Orthopedic Section of the American Physical Therapy Association Diagnosis and Treatment of Low Back Pain dated_/low_back_pain_clinical_practice_gu idelines JOSPT_2012.pdf s/what is New in the 2013 ACCF AHA for the of Heart Failure UCM Article.jsp df. of thepublic/ hypertensiongdln.html care/clinicalrecommendations/all/back pain.html
4 Category Link to Guideline Post Myocardial Infarction Care Clinical 2012 ACCF/AHA Focused Update of the Guideline for the of Patients With Unstable Angina/Non ST Elevation Myocardial Infarction (Updating the 2007 Guideline and Replacing the 2011 Focused Update) 2013 ACCF/AHA Guideline for the of ST Elevation Myocardial Infarction Prenatal and Postpartum Care Preventive Care Routine Prenatal and Postnatal Care Clinical Updates in Women's Health Care Preventive Care Recommendations American Academy of Pediatrics, American College of Obstetricians and Gynecologist. Prenatal Care Routine Postpartum Depression Screening: Importance, Methods, Barriers, and Recommendations for Practice Prenatal and Postpartum Care Clinical Immunizations American Academy of Family Physicians AAFP Immunization Schedules/Preventive Care Recommendations px?site=congress&webcode=loginrequired&urlreq=htt p:// %20for%20Perinatal%20Care.aspx more/catalog_guideli nes_and_more/catalog_guidelines/catalog_womens_h ealth_guidelines/prenatal/ text=prenatal and Postpartum care clinical guidelines Preventive Care Clinical ACP Clinical Practice Immunizations Recommendations by Type: Clinical Preventive Services are/clinical_recommendations/cpsrecommendations.pdf us/about the aap/committees Councils Sections/Section on Senior Members/Pages/Preventive Care and Clinical.aspx es/guidelines/
5 Category Link to Guideline Clinical Behavioral Health Clinical Practice : Covers Florida Statewide Major Depressive Disorder, Third Edition Bipolar Disorder, Second Edition: Note: Treatment of Patients With Bipolar Disorder Guideline Watch (November 2005) Practice Guideline (April 2002) This guideline is more than 5 years old and has not yet been updated to ensure that it reflects current knowledge and practice. In accordance with national standards, including those of the Agency for Healthcare Research and Quality s National Guideline Clearinghouse, this guideline can no longer be assumed to be current. The November 2005 Guideline Watch associated with this guideline provides additional information that has become available since publication of the guideline, but it is not a formal update of the guideline. Practice for the Treatment of Patients with Schizophrenia, Second Edition: Note: Treatment of Patients With Schizophrenia Guideline Watch (November 2009) Practice Guideline (April 2004) This guideline is more than 5 years old and has not yet been updated to ensure that it reflects current knowledge and practice. In accordance with national standards, including those of the Agency for Healthcare Research and Quality s National Guideline Clearinghouse, this guideline can no longer be assumed to be current. The November 2009 Guideline Watch associated with this guideline provides additional information that has become available since publication of the guideline, but it is not a formal update of the guideline. Substance Abuse Disorders: Note: Treatment of Patients With Substance Use Disorders Guideline Watch (April 2007) Practice Guideline (May 2006) This guideline is more than 5 years old and has not yet been updated to ensure that it reflects current knowledge and practice. In accordance with national standards, including those of the Agency for Healthcare Research and Quality s National Guideline Clearinghouse, this guideline can no longer be assumed to be current. The April 2007 Guideline Watch associated with this guideline provides additional information that has become available since publication of the guideline, but it is not a formal update of the guideline. Practice Parameter for the Assessment and Treatment of Children and Adolescents With Attention Deficit/Hyperactivity Disorder, (American Academy of Child and Adolescent Psychiatry) Applied Behavioral Analysis Criteria ( of Children with Autism) Care/Practice_Parameters_and_Resource_Centers/Prac tice_parameters.aspx for_a SD.pdf
Stage 1 Meaningful Use for Specialists. NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene
Stage 1 Meaningful Use for Specialists NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene 1 Today s Agenda Meaningful Use Overview Meaningful Use Measures Resources Primary
ECG may be indicated for patients with cardiovascular risk factors
eappendix A. Summary for Preoperative ECG American College of Cardiology/ American Heart Association, 2007 A1 2002 A2 European Society of Cardiology and European Society of Anaesthesiology, 2009 A3 Improvement,
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
11/2/2015 Domain: Care Coordination / Patient Safety
11/2/2015 Domain: Care Coordination / Patient Safety 2014 CT Commercial Medicaid Compared to 2012 all LOB Medicaid Quality Compass Benchmarks 2 3 4 5 6 7 8 9 10 Documentation of Current Medications in
Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL
Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL www.goldcopd.com GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE GLOBAL STRATEGY FOR DIAGNOSIS, MANAGEMENT
CARDIO/PULMONARY MEDICINE FOR PRIMARY CARE. Las Vegas, Nevada Bellagio March 4 6, 2016. Participating Faculty
CARDIO/PULMONARY MEDICINE FOR PRIMARY CARE Las Vegas, Nevada Bellagio March 4 6, 2016 Participating Faculty Friday, March 4th: 7:30 am - 8:00 am Registration and Hot Breakfast 8:00 am - 9:00 am Pulmonary
Texas Medicaid Managed Care and Children s Health Insurance Program
Texas Medicaid Managed Care and Children s Health Insurance Program External Quality Review Organization Summary of Activities and Trends in Healthcare Quality Contract Year 2013 Measurement Period: September
Pharmacology 260 Online Course Schedule Spring 2012
Pharmacology 260 Online Course Spring 2012 The topics listed below do not necessarily correspond to a 1 - hour lecture period. You should cover the topics for each week at some time during that week. Readings
HEDIS CY2012 New Measures
HEDIS CY2012 New Measures TECHNICAL CONSIDERATIONS FOR NEW MEASURES The NCQA Committee on Performance Measurement (CPM) approved five new measures for HEDIS 2013 (CY2012). These measures provide feasible
Elenco dei periodici elettronici in Ovid Full text
Academic Medicine Addictive Disorders & Their Treatment Advances in Anatomic Pathology Age & Ageing AIDS AIDS Patient Care & Stds AJN, American Journal of Nursing Alzheimer Disease & Associated Disorders
Major Clinical Practice Guidelines
Alzheimer's Disease/Dementia Anticoagulation Practice Guideline for the Treatment of Patients with Alzheimer's Disease and Other Dementias Antithrombotic and Thrombolytic Therapy: American College of Chest
Provider Manual. Section 18.0 - Case Management and Disease Management
Section 18.0 - Case Management and Disease Management 18.1.1 Introduction 18.2.1 Scope 18.3.1 Objectives 18.4.1 Procedures Case Management 18.4.1-A. Referrals 18.4.1-B. Case Management Mercy Maricopa Acute
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
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
Rx Updates New Guidelines, New Medications What You Need to Know
Rx Updates New Guidelines, New Medications What You Need to Know Maria Pruchnicki, PharmD, BCPS, BCACP, CLS Associate Professor of Clinical Pharmacy OSU College of Pharmacy Background scope and impact
Cardiac Rehabilitation An Underutilized Class I Treatment for Cardiovascular Disease
Cardiac Rehabilitation An Underutilized Class I Treatment for Cardiovascular Disease What is Cardiac Rehabilitation? Cardiac rehabilitation is a comprehensive exercise, education, and behavior modification
Osama Jarkas. in Chest Pain Patients. STUDENT NAME: Osama Jarkas DATE: August 10 th, 2015
STUDENT NAME: Osama Jarkas DATE: August 10 th, 2015 PROJECT TITLE: Analysis of ECG Exercise Stress Testing and Framingham Risk Score in Chest Pain Patients PRIMARY SUPERVISOR NAME: Dr. Edward Tan DEPARTMENT:
EMR Tutorial Acute Coronary Syndrome
EMR Tutorial Acute Coronary Syndrome How to find the Acute Coronary Syndrome AAA Home Page 1 of 26 Master Tool Bar Icon When the Template button is clicked you will be presented with the preference list.
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,
6/5/2014. Objectives. Acute Coronary Syndromes. Epidemiology. Epidemiology. Epidemiology and Health Care Impact Pathophysiology
Objectives Acute Coronary Syndromes Epidemiology and Health Care Impact Pathophysiology Unstable Angina NSTEMI STEMI Clinical Clues Pre-hospital Spokane County EMS Epidemiology About 600,000 people die
27. Will the plan pay for radiology done in the provider s office?... 10 28. How do providers request assistance with care management issues?...
Provider Q&A Contents 1. Who is Florida True Health?... 3 2. What is the new product name?... 3 3. Does the plan have a website?... 3 4. How will physicians be paid? (FFS or capitation)... 3 5. What clearing
CARDIO/PULMONARY MEDICINE FOR PRIMARY CARE. San Diego, California San Diego Marriott Marquis & Marina October 3 5, 2014. Participating Faculty
CARDIO/PULMONARY MEDICINE FOR PRIMARY CARE San Diego, California San Diego Marriott Marquis & Marina October 3 5, 2014 Participating Faculty Hector O. Ventura, MD, FACC Section Head, Cardiomyopathy and
Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Coventry Health and Life Insurance Company Commercial Lines of Business
Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Coventry Health and Life Insurance Company Commercial Lines of Business Quality Management Program 2012 Overview Quality Improvement
CHAPTER 17: HEALTH PROMOTION AND DISEASE MANAGEMENT
CHAPTER 17: HEALTH PROMOTION AND DISEASE MANAGEMENT HEALTH SERVICES AND PROGRAMS The Plan s Health Promotion and Disease Management Department seeks to improve the health and overall well-being of our
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
Section IX Special Needs & Case Management
SPECIAL NEEDS & CASE MANAGEMENT Section IX Special Needs & Case Management Special Needs and Case Management 180 Integrated Care Management/Complex Case Management The Case Management/Care Coordination
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)
V. Utilization Management (UM) Program
V. Utilization Management (UM) Program Overview Better Health Network s Utilization Management (UM) Program is designed to provide quality, cost-effective and medically necessary services while meeting
Florida Alcohol and Drug Abuse Association. Presented to the Behavioral Health Quarterly Meeting Pensacola, Florida April 23, 2014
Florida Alcohol and Drug Abuse Association Presented to the Behavioral Health Quarterly Meeting Pensacola, Florida April 23, 2014 Florida Alcohol and Drug Abuse Association Founded in 1981 Currently has
Medical Billing Requirements and ICD 10 Implementation Requirements
Are you ready for ICD 10? Denesecia Green, Senior Health Insurance Specialist Centers for Medicare & Medicaid Services Office of E Health Standards and Services ICD 10 Implementation The compliance deadline
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:
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)
Patient & Medical Professional US Online Panel
Patient & Medical Professional US Online Panel Patient & Medical Professional US Online Panel Over 500K validated US online double opt-in panelists motivated to share their opinions in research! Since
PREVENTIVE CARDIOLOGY CURRICULUM. Overview
PREVENTIVE CARDIOLOGY CURRICULUM Overview The primary goal of the Preventive Cardiology curriculum for the University of Wisconsin Cardiovascular Medicine Fellowship is to provide the knowledge and skills
MOLINA HEALTHCARE OF CALIFORNIA
MOLINA HEALTHCARE OF CALIFORNIA MAJOR DEPRESSION IN ADULTS IN PRIMARY CARE HEALTH CARE GUIDELINE (ICSI) Health Care Guideline Twelfth Edition May 2009. The guideline was reviewed and adopted by the Molina
STATISTICAL BRIEF #8. Conditions Related to Uninsured Hospitalizations, 2003. Highlights. Introduction. Findings. May 2006
HEALTHCARE COST AND UTILIZATION PROJECT STATISTICAL BRIEF #8 Agency for Healthcare Research and Quality May 2006 Conditions Related to Uninsured Hospitalizations, 2003 Anne Elixhauser, Ph.D. and C. Allison
Coronary Artery Disease leading cause of morbidity & mortality in industrialised nations.
INTRODUCTION Coronary Artery Disease leading cause of morbidity & mortality in industrialised nations. Although decrease in cardiovascular mortality still major cause of morbidity & burden of disease.
ONLINE IMPACT TRAINING LEARNING OBJECTIVES
ONLINE IMPACT TRAINING LEARNING OBJECTIVES & LEARNER S CHECKLIST IMPORTANT INSTRUCTIONS It is the learner s responsibility to track your progression through the training modules. The AIMS Center does not
Compare your plan options
SMALL BUSINESS GROUP Compare your plan options 2014 plans for businesses with 1 50 employees I SMALL BUSINESS GROUP Group Health plans offer value, choice, and more A well-run business takes a lot of time,
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
Acute Coronary Syndrome. What Every Healthcare Professional Needs To Know
Acute Coronary Syndrome What Every Healthcare Professional Needs To Know Background of ACS Acute Coronary Syndrome (ACS) is an umbrella term used to cover a spectrum of clinical conditions that are caused
Behavioral Health Quality Standards for Providers
Behavioral Health Quality Standards for Providers TABLE OF CONTENTS I. Behavioral Health Quality Standards Access Standards A. Access Standards B. After-Hours C. Continuity and Coordination of Care 1.
Barriers to Healthcare Services for People with Mental Disorders. Cardiovascular disorders and diabetes in people with severe mental illness
Barriers to Healthcare Services for People with Mental Disorders Cardiovascular disorders and diabetes in people with severe mental illness Dr. med. J. Cordes LVR- Klinikum Düsseldorf Kliniken der Heinrich-Heine-Universität
PREVENTION IN THE CLINICAL SETTING
PREVENTION IN THE CLINICAL SETTING Charles Beauchamp III, MD, PhD Associate Professor, Dept. of Community Health Wright State University Boonshoft School of Medicine Prevention in the Clinical Setting
A Patient s Guide to Primary and Secondary Prevention of Cardiovascular Disease Using Blood-Thinning (Anticoagulant) Drugs
A Patient s Guide to Primary and Secondary Prevention of PATIENT EDUCATION GUIDE What Is Cardiovascular Disease? Cardiovascular disease (CVD) is a broad term that covers any disease of the heart and circulatory
ST. LOUIS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT
THE CENTER FOR COMMUNITY AND PUBLIC HEALTH U NIVERSITY OF N EW E NGLAND 716 S TEVENS A VE. P ORTLAND, ME 04103 (207)221-4560 WWW.UNE.EDU/CCPH ST. LOUIS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT DECEMBER
KIH Cardiac Rehabilitation Program
KIH Cardiac Rehabilitation Program For any further information Contact: +92-51-2870361-3, 2271154 Feedback@kih.com.pk What is Cardiac Rehabilitation Cardiac rehabilitation describes all measures used to
Department of Human Services Health Care Reform Review Committee Representative George Keiser, Chairman March 19, 2014
Department of Human Services Health Care Reform Review Committee Representative George Keiser, Chairman March 19, 2014 Chairman Keiser, members of the Health Care Reform Review Committee, I am Julie Schwab,
Medical Specialties Guide
Medical Specialties Guide Allergy And Immunology Specialists in this field treat disorders related to how the body reacts to foreign substances. They treat such things as seasonal allergies, eczema, asthma,
Ohio Health Homes Learning Community Meeting. Overview of Health Homes Measures
Ohio Health Homes Learning Community Meeting Overview of Health Homes Measures Tuesday, March 5, 2013 Presenter: Amber Saldivar, MHSM Associate Director, Informatics Analysis Health Services Advisory Group,
More than a score: working together to achieve better health outcomes while meeting HEDIS measures
NEVADA ProviderNews Vol. 3 2014 More than a score: working together to achieve better health outcomes while meeting HEDIS measures We know you ve heard of Healthcare Effectiveness Data and Information
An Overview of Asthma - Diagnosis and Treatment
An Overview of Asthma - Diagnosis and Treatment Asthma is a common chronic disorder of the airways that is complex and characterized by variable and recurring symptoms, airflow obstruction, bronchial hyperresponsiveness,
Patient Centered Medical Home
Patient Centered Medical Home 2013 2014 Program Overview Florida Blue is a trade name of Blue Cross and Blue Shield of Florida Inc., an Independent Licensee of the Blue Cross and Blue Shield Association.
Supplemental Technical Information
An Introductory Analysis of Potentially Preventable Health Care Events in Minnesota Overview Supplemental Technical Information This document provides additional technical information on the 3M Health
Section IX Special Needs & Case Management
Section IX Special Needs & Case Management Special Needs and Case Management 179 Integrated Care Management/Complex Case Management The Case Management/Care Coordination (CM/CC) program is a population-based
NQS Priority #1: Making Care Safer by Reducing the Harm Caused in the Delivery of Care
NQS Priority #: Making Care Safer by Reducing the Harm Caused in the Delivery of Care Measure: Hospital-acquired Conditions (HAC) Incidence of measurable hospital-acquired conditions 45 HACs per,000 admissions
Contra Cost Health Plan Quality Program Summary November, 2013
Contra Cost Health Plan Quality Program Summary November, 2013 Mission Statement: Contra Costa Health Plan, along with our community and county health care providers, is committed to ensure our diverse
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
PRESCRIBING GUIDELINES FOR LIPID LOWERING TREATMENTS for SECONDARY PREVENTION
Hull & East Riding Prescribing Committee PRESCRIBING GUIDELINES FOR LIPID LOWERING TREATMENTS for SECONDARY PREVENTION For guidance on Primary Prevention please see NICE guidance http://www.nice.org.uk/guidance/cg181
Great Expectations for health Programs Employer Resource Guide
BlueChoice HealthPlan is more than just a health benefits plan. We have programs that target many specific health issues. We also participate in several quality programs: The National Committee for Quality
Oregon Standards for Certified Community Behavioral Health Clinics (CCBHCs)
Oregon Standards for Certified Community Behavioral Health Clinics (CCBHCs) Senate Bill 832 directed the Oregon Health Authority (OHA) to develop standards for achieving integration of behavioral health
Protocol. Cardiac Rehabilitation in the Outpatient Setting
Protocol Cardiac Rehabilitation in the Outpatient Setting (80308) Medical Benefit Effective Date: 07/01/14 Next Review Date: 09/15 Preauthorization No Review Dates: 07/07, 07/08, 05/09, 05/10, 05/11, 05/12,
Patient Optimization Improves Outcomes, Lowers Cost of Care >
Patient Optimization Improves Outcomes, Lowers Cost of Care > Consistent preoperative processes ensure better care for orthopedic patients The demand for primary total joint arthroplasty is projected to
Achieving Quality and Value in Chronic Care Management
The Burden of Chronic Disease One of the greatest burdens on the US healthcare system is the rapidly growing rate of chronic disease. These statistics illustrate the scope of the problem: Nearly half of
Educational Goals & Objectives
Educational Goals & Objectives The Cardiology rotation will provide the resident with an understanding of cardiovascular physiology and its broad systemic manifestations. The resident will have the opportunity
Cardiac Rehabilitation at AUBMC
Cardiac Rehabilitation at AUBMC Clinical Protocols and The Role of The Advanced Practice Nurse Presentation by: Mohamad Issa, MSN, BSN, BC- RN, AUBMC CCU OUTLINE Background on cardiovascular diseases History
LIPID PANEL CHOLESTEROL LIPOPROTEIN, ELECTROPHORETIC SEPARATION LIPOPROTEIN, DIRECT MEASUREMENT (HDL) LDL DIRECT TRIGLYCERIDES
Test Code Test Name CPT CHOL Cholesterol, Serum 82465 HDL HDL, (High Density Lipoprotein) 83718 TRIG Triglycerides, Serum 84478 FTRIG Triglycerides (Fluid) 84478 LIPID Lipid Panel 80061 LDL LDL (Low Density
UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST. Quality Standards National Institute for Health and Clinical Excellence
UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST Quality Standards National Institute for Health and Clinical Excellence Report to: Trust Board - 20 th December 2011 Report from: Sponsoring Executive:
Overview and Legal Context
Impact of ACOs on Physician/Provider Membership Decisions 0 Overview and Legal Context Michael R. Callahan Katten Muchin Rosenman LLP Vice Chair, Medical Staff Credentialing and Peer Review Practice Group
HEDIS/CAHPS 101. August 13, 2012 Minnesota Measurement and Reporting Workgroup
HEDIS/CAHPS 101 Minnesota Measurement and Reporting Workgroup Objectives Provide introduction to NCQA Identify HEDIS/CAHPS basics Discuss various components related to HEDIS/CAHPS usage, including State
Cardiology ARCP Decision Aid August 2014
Cardiology ARCP Decision Aid August 2014 The table that follows includes a column for each training year which documents the targets that have to be achieved for a satisfactory ARCP outcome at the end
Table 1 Performance Measures. Quality Monitoring P4P Yr1 Yr2 Yr3. Specification Source. # Category Performance Measure
Table 1 Performance Measures # Category Performance Measure 1 Behavioral Health Risk Assessment and Follow-up 1) Behavioral Screening/ Assessment within 60 days of enrollment New Enrollees who completed
ATTACHMENT B Care Management Organization (CMO) Quality Incentive Payment Methodology
This attachment describes the CMO program period cost reduction guarantees as follows: 1. Fees-at-Risk; 2. Reconciliation Methodology and Holdback Calculation; 3. Operational and Reconciliation Data Requirements;
An Integrated, Holistic Approach to Care Management Blue Care Connection
An Integrated, Holistic Approach to Care Management Blue Care Connection With health care costs continuing to rise, both employers and health plans need innovative solutions to help employees manage their
The Hypertherm Associate Wellness Center (HAWC)
The The New England Chapter of the ESOP Association Spring 2015 Meeting Christopher DeClerk, Director of Total Rewards April 3, 2015 P L A S M A L A S E R W A T E R J E T A U T O M A T I O N S O F T W
Preconception Clinical Care for Women Medical Conditions
Preconception Clinical Care for Women All women of reproductive age are candidates for preconception care; however, preconception care must be tailored to meet the needs of the individual. Given that preconception
Documenting & Coding. Chronic Obstructive Pulmonary Disease (COPD) Presented by: David S. Brigner, MLA, CPC
Documenting & Coding Chronic Obstructive Pulmonary Disease (COPD) Presented by: David S. Brigner, MLA, CPC Sr. Provider Training & Development Consultant Professional Profile David Brigner currently performs
Seniors Health Services
Leading the way in care for seniors Seniors Health Services Capital Health offers a variety of services to support seniors in communities across the region. The following list highlights programs and services
2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY
Measure #317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented National Quality Strategy Domain: Community / Population Health 2016 PQRS OPTIONS F INDIVIDUAL MEASURES:
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
CHAPTER 9 DISEASES OF THE CIRCULATORY SYSTEM (I00-I99)
CHAPTER 9 DISEASES OF THE CIRCULATORY SYSTEM (I00-I99) March 2014 2014 MVP Health Care, Inc. CHAPTER 9 CHAPTER SPECIFIC CATEGORY CODE BLOCKS I00-I02 Acute rheumatic fever I05-I09 Chronic rheumatic heart
Made to Move Physical Therapy, Inc. 615 N Nash St., Ste # 306 El Segundo, CA 90245 310.535.0008
Name Last First MI Date Current/Permanent address City State Zip Phone H W Cell Email Address: Marital Status Single Married Other Date of Birth: Age: Gender Male Female Spouses DOB: Employer Occupation
Johns Hopkins HealthCare LLC: Care Management and Care Coordination for Chronic Diseases
Johns Hopkins HealthCare LLC: Care Management and Care Coordination for Chronic Diseases Epidemiology Over 145 million people ( nearly half the population) - suffer from asthma, depression and other chronic
Benefits and Covered Services
Section 4. Benefits and Covered Services This section provides an overview of the medical benefits and Covered Services for Molina Healthcare Members. There are some Member co-pays associated with services
Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64
Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64 1. BMI - Documented in patients medical record on an annual basis. Screen for obesity and offer intensive counseling and behavioral
Trish Riley, Director of Governor s Office of Health Policy and Finance Dr. Robert McAfee, Chair of the Dirigo Health Agency Board of Directors
STATE OF MAINE DIRIGO HEALTH AGENCY 211 WATER STREET, 53 STATE HOUSE STATION AUGUSTA, MAINE 04333-0053 JOHN ELIAS BALDACCI GOVERNOR KARYNLEE HARRINGTON EXECUTIVE DIRECTOR TO: FROM: CC: Joint Committee
Integrated Health Care Models and Practices
Integrated Health Care Models and Practices The Greater Houston Behav io r al Health Affordable Care Act Initiative S e c o n d C o m m u n i t y E d u c a t i o n E v e n t I n t e g r a t e d H e a l
The largest clinical study of Bayer's Xarelto (rivaroxaban) Wednesday, 14 November 2012 07:38
Bayer HealthCare has announced the initiation of the COMPASS study, the largest clinical study of its oral anticoagulant Xarelto (rivaroxaban) to date, investigating the prevention of major adverse cardiac
NCD for Lipids Testing
Applicable CPT Code(s): NCD for Lipids Testing 80061 Lipid panel 82465 Cholesterol, serum or whole blood, total 83700 Lipoprotein, blood; electrophoretic separation and quantitation 83701 Lipoprotein blood;
One time screening, repeat screening for those at risk
2015 Adult Male Preventive Health Guidelines Important Note Health Net s Preventive Health Guidelines provide Health Net members and practitioners with recommendations for preventive care services for
Concept Series Paper on Disease Management
Concept Series Paper on Disease Management Disease management is the concept of reducing health care costs and improving quality of life for individuals with chronic conditions by preventing or minimizing
WellCare of Kentucky, Inc. July 2013. 2008 WellCare Health Plans Inc. All rights reserved.
WellCare of Kentucky, Inc. July 2013 2008 WellCare Health Plans Inc. All rights reserved. WellCare of Kentucky Region 3 2 Region 1/Paducah: 7 Region 2/Owensboro: 13 Region 3/Louisville: 58 Region 4/Bowling
See page 331 of HEDIS 2013 Tech Specs Vol 2. HEDIS specs apply to plans. RARE applies to hospitals. Plan All-Cause Readmissions (PCR) *++
Hospitalizations Inpatient Utilization General Hospital/Acute Care (IPU) * This measure summarizes utilization of acute inpatient care and services in the following categories: Total inpatient. Medicine.
OBJECTIVES AGING POPULATION AGING POPULATION AGING IMPACT ON MEDICARE AGING POPULATION
OBJECTIVES Kimberly S. Hodge, PhDc, MSN, RN, ACNS-BC, CCRN- K Director, ACO Care Management & Clinical Nurse Specialist Franciscan ACO, Inc. Central Indiana Region Indianapolis, IN By the end of this session
Earning and redeeming CME/CE/CPD credit
Earning and redeeming CME/CE/CPD credit A step-by-step guide for clinicians accessing UpToDate through an EHR, clinician portal or other secure clinical system GET STARTED EARNING CME/CE/CPD CREDIT REGISTER
Your healthcare provider has ordered a Boston Heart Cardiac Risk Assessment
Your healthcare provider has ordered a Boston Heart Cardiac Risk Assessment What does that mean for you? Your healthcare provider has determined that you may be at risk for cardiovascular disease (CVD).
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
LIFESTYLE RETURNS STEPS PROGRAM
LIFESTYLE RETURNS STEPS PROGRAM ARE YOU READY TO GET ENGAGED IN YOUR HEALTH? We know that the way we live has a real impact on the way we feel. When we take care of ourselves, we have more drive and energy.
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
American Maritime Officers Medical Plan Employer Identification Number: 13-5600786 Plan Number: 501 Group Number: 0081717
AMENDMENT #4 American Maritime Officers Medical Plan Employer Identification Number: 13-5600786 Plan Number: 501 Group Number: 0081717 This Amendment is duly adopted and effective as of October 1, 2014.