Change Notification: 2016_NSUP_National Patient Flow_Phase 3. Date of Issue: 30 Sep 2015 (8) CHANGE NOTIFICATION
|
|
- Leona Hawkins
- 8 years ago
- Views:
Transcription
1 Change Notification: 2016_NSUP_National Patient Flow_Phase 3 Date of Issue: 30 Sep 2015 (8) Proposed Implementation Date: 01 July 2016 Subject: Phase 3 National Patient Flow CHANGE NOTIFICATION Summary: This change notification informs DHBs that they will be required to execute change management, and fund and work with the vendors of their PAS, related systems and National Patient Flow extracts to implement the requirements of the Phase 3 National Patient Flow data capture and extract development. This change has been publicised through National Patient Flow (NPF) communications, presentations, workshops and activity with DHB representatives since June The majority of informational scope of this change notification was included as Optional in the Phase 2 File Specification, released in February In general this Change Notice advises that, previously optional information has become mandatory or conditionally mandatory. National Collections Impacted by Change: National Patient Flow Context of the Change: The High Level Requirements Statement (All Phases) v1.1 was published to the sector 18 December This document describes the extent of the collection (Phases 1-3) for the full programme through to 1 July 2016, including objectives, purpose, description and definitional material. Phase 1 of the National Patient Flow Collection (NPF) is underway and DHBs have been collecting data from 1 July Phase 2 will be effective from 1 October The National Patient Flow Phase 2 File Specification has been published detailing the structure of the collection and the Phase 2 Scope and DHBs are executing change in their organisations to achieve this by 1 October Phase 3 seeks additional information for National Patient Flow by Extending through the collection of additional services (service sub-types) that were optional in Phase 2, as well as a small number of new service sub-types. Expanding through a greater expression of the patient journey including o the source of referrals o the Health Specialty context of each referral activity o the destination of referrals Enriching through a stronger mandate for some previously optional data elements of the collection Further, sufficient linking information is mandated including: - Presenting ID - Previous Related ID - Previous Related Date - Presenting Problem - Presenting Problem Code Type - Health Specialty responsible - Health Specialty transferred to - Health Specialty referred from Date of Issue: 30 Sep 2015 (8) 2016_NSUP_National Patient Flow_Phase 3 Page 1 of 5
2 Details of the Change: A Extend Informational Scope A (i) The additional services (service sub-types) for which information must be provided in Phase 3 of the Collection are the following Follow up re-referral 2002 Follow up subsequent to FSA 2003 Follow up subsequent to procedure/treatment 4050 Colonoscopy/gastroscopy 4010 Gastroscopy 4020 ERCP 4060 Colposcopy 4070 Hysteroscopy 4250 Interventional radiology 4300 Minor eye procedure 4320 Eye laser 4400 Bronchoscopy 4600 Cystoscopy 4610 Urodynamics 4620 Lithotripsy 4850 Dental treatment 4900 Minor operation 5000 CT scan 5001 CT angiography 5002 CT colonography 5010 MRI scan 5011 MRI angiography 5020 PET scan 5030 Ultrasound 5040 Mammogram 5050 Nuclear medicine 5060 Audiology 5100 ECG 5110 Echo cardiogram - transoesophogeal 5111 Echo cardiogram - transthoracic 5120 ETT 5130 Holter monitoring 5400 Lung function Date of Issue: 30 Sep 2015 (8) 2016_NSUP_National Patient Flow_Phase 3 Page 2 of 5
3 5410 Sleep study 5500 EEG 5510 Nerve study 5999 Other A (ii) The services (service sub- types) for which information should be provided in Phase 3 of the Collection are: 2010 Nurse / midwife assessment 2011 Transplant/donor liaison coordinator assessment New service sub-type 2012 Dialysis education New service sub-type 2020 Anaesthetic assessment 2050 Multi-Disciplinary Meeting New service sub-type for collection in referrals, bookings and encounters 4500 Botulinum toxin therapy 5200 X-ray (plain) Services provided in Emergency and Acute situations (including Acute Admissions) remain outside of scope. B Expand Informational Scope NEW Data elements (i) Add Health Specialty Responsible to Prioritisation, Booking and Encounter Activity data segments (ii) Add Referring Health Specialty to data segment. This will be conditionally mandatory when the Referred from Professional Group Type is a Specialist Medical Officer. (iii) Add Clinical Code Type to Diagnosis and Diagnosis, using the current Ministry of Health list with the addition of S for SNOMED CT. (iv) Add additional code to SCAN Suspicion of Cancer 99 Not stated. To be applied to the Defined Suspicion of Cancer within a referral. Not available for Prioritisation or other data segments. C Enrich Informational Scope C (i) The obligation of the supply of the following information will be raised from an optional to a mandatory requirement: Data Segment Activity Activity: Booking Activity: Booking DataElement Accident Flag Service Sub-Type Lead Clinician Code Lead Clinician Professional Group Code Date of Issue: 30 Sep 2015 (8) 2016_NSUP_National Patient Flow_Phase 3 Page 3 of 5
4 Activity: Exception Activity: Notification Clinical Priority Clinical Priority Prioritising Clinician Code Prioritising Clinician Professional Group Code Clinical Exclusion Code Clinical Override Clinical Priority Score Date Date Sent Defined Suspicion of Cancer (SCAN) Presenting Problem Classification Presenting Problem Code Type Presenting Problem Coding System Code Presenting ID Receiving C (ii) The obligation of the supply of the following information will be raised from an optional to a conditionally mandatory requirement: Data Segment DataElement Conditional Mandate Activity: Booking Reason Rebooked If Rebooked NMDS Client System ID For inpatient and day patient encounters NMDS PMS Unique ID For inpatient and day patient encounters NNPAC PMS Unique ID For outpatient encounters (including remote) Activity: Notification Date Referrer Notified If Referrer is not the GP Encounter Outcome Date of Decision to Treat For cancer and waitlisted Electives patients Prioritisation Outcome Transferred Date If Transferred Previous Related Date If not the Presenting Previous Related ID If not the Presenting Referrer Defined Priority Category If priority stated C (iii) The obligation of the supply of the Diagnosis data segment will be raised to a mandatory requirement for cancer patients. C (iv) The obligation for the supply of Diagnosis data segment is mandatory for cancer patients where the Referred from Professional Group Type is a Specialist Medical Officer from own or other DHB. C (v) The obligation of the supply of the Date of Diagnosis within the Diagnosis following information will be changed from Mandatory to Optional within the referral diagnosis data segment, however is to be supplied if known. Note 1 - While the Ministry of Health acknowledges definitive codesets for SNOMED are under development for Presenting Problem Classification, these are targeted for completion for 31 July 2017 and expected to form a part of the collection from that point on. Note 2 - As the method through which the linking of referrals to form the patient journey has yet to be mandated, the expectation is that DHBs will provide sufficient information for - Presenting ID Date of Issue: 30 Sep 2015 (8) 2016_NSUP_National Patient Flow_Phase 3 Page 4 of 5
5 - Previous Related ID - Previous Related Date - Presenting Problem - Presenting Problem Code Type - Health Specialty responsible - Health Specialty transferred to - Health Specialty referred from Note 3 - The application of the above information will be expressed in the File Specification to be published 16 December 2015 What is Expected of the Sector: DHBs will need to advise which of the key linking elements are able to be provided at Phase 3 start date by 15 November DHBs will need to supply a Readiness update by 25 February 2016 DHBs will need to have an agreed Phase 3 implementation plan by 1 April 2016 DHBs will need to capture the required Phase 3 information from 1 July 2016 onwards Submission of the load file to the Ministry of Health from 1 July 2016 onwards DHBs will work towards providing the full extent of the collection including optional data elements Relevant Documentation and support information The National Patient Flow File Specification (Phase 3) is under development and planned for December 2015 release. The National Patient Flow documentation will be published on the existing Ministry of Health data reference pages and and will be available to download from these link as published Comments: Contact: Contact: If you have any questions regarding this change notice, please npfadmin@moh.govt.nz or contact Libby Antoun (Engagement Manager) on Date of Issue: 30 Sep 2015 (8) 2016_NSUP_National Patient Flow_Phase 3 Page 5 of 5
WVP Health Authority - MPCHP Referral/Preauthorization Grid
Referral Preauthorization Contacts Members A thru Em: 503-581-7010 Option 2 Option 1 Members En thru Led 503-581-7010 Option 2 Option 2 Members Lee thru Roa: 503-581-7010 Option 2 Option 3 Members Rob
More informationProgress on the System Sustainability Programme. Submitted to: NHS West Norfolk CCG Governing Body, 31 July 2014
Agenda Item: 9.1 Subject: Presented by: Progress on the System Sustainability Programme Dr Sue Crossman, Chief Officer Submitted to: NHS West Norfolk CCG Governing Body, 31 July 2014 Purpose of Paper:
More informationPREVENTIVE CARE See the REHP Benefits Handbook for a list of preventive benefits* MATERNITY SERVICES Office visits Covered in full including first
Network Providers Non Network Providers** DEDUCTIBLE (Per Calendar Year) None $250 per person $500 per family OUT-OF-POCKET MAXIMUM (When the out-of-pocket maximum is reached, benefits are paid at 100%
More informationAbout public outpatient services
About public outpatient services Frequently asked questions What are outpatient services? Victoria s public hospitals provide services to patients needing specialist medical, paediatric, obstetric or surgical
More informationPrior Authorization List Adults, FHP, CHP
Please verify the member s benefits before requesting prior authorization (PA). Services vary within plans. To check member eligibility, please call Provider Services at 888-362-3368 or visit UnitedHealthcareOnline.com.
More informationTeleradiology Overview
Teleradiology Services Teleradiology Overview Why teleradiology services benefits the community, the clinician and the radiologist: Recent years have seen an increasing global shortage of radiologists
More informationDiagnostic Imaging Management
Diagnostic Imaging Management Frequently Asked Questions (FAQ) from Providers Updated August 1, 2013 Program Overview Q1. What is AIM Specialty Health SM (AIM)? A1. AIM Specialty Health SM (AIM) is a leading
More informationCOMPREHENSIVE PRIOR AUTHORIZATION LISTS NJ FAMILYCARE/MEDICAID & DUAL COMPLETE HMO SNP PRODUCTS EFFECTIVE 7/1/13
TO ALL HEALTHCARE PROFESSIONALS: COMPREHENSIVE PRIOR AUTHORIZATION LISTS NJ FAMILYCARE/MEDICAID & DUAL COMPLETE HMO SNP PRODUCTS EFFECTIVE 7/1/13 BEFORE SEEKING PRIOR AUTHORIZATION, PLEASE VERIFY MEMBER
More informationSECTION 5 1 REFERRAL AND AUTHORIZATION PROCESS
SECTION 5 1 REFERRAL AND AUTHORIZATION PROCESS Primary Care Physician Referral Process 1 Referral from PCP to Participating Specialists 1 Referral from Participating Specialist to Participating Specialists
More informationCHAPTER 7: UTILIZATION MANAGEMENT
OVERVIEW The Plan s Utilization Management (UM) program is collaboration with providers to promote and document the appropriate use of health care resources. The program reflects the most current utilization
More informationDistributing and using injury data held by the Ministry of Health
Distributing and using injury data held by the Ministry of Health Overview Who we are What injury data is available How to access data Data complexities Data limitations Questions Analytical Services Functions
More informationHow To Write A Radiology Referral Policy At Canterbury Hospital
Contents Policy... 2 Purpose... 2 Scope/Audience... 3 Staff Groups... 3 Definitions... 3 Associated documents... 3 Equipment... 3 Policy details... 4 Background: Application of radiation to patients for
More informationHealth Insurance from Aviva. Level 2 Complete Health
Health Insurance from Aviva Level 2 Complete Health Looking out for your health is at the heart of everything we do. We have a plan to suit every budget and we are committed to giving you access to quality
More informationSchedule of Benefits HARVARD PILGRIM LAHEY HEALTH VALUE HMO MASSACHUSETTS MEMBER COST SHARING
Schedule of s HARVARD PILGRIM LAHEY HEALTH VALUE HMO MASSACHUSETTS ID: MD0000003378_ X Please Note: In this plan, Members have access to network benefits only from the providers in the Harvard Pilgrim-Lahey
More informationEVIDENCE-BASED HEALTHCARE SOLUTIONS. CareCore National. Prepared for. Prepared for. October 23, 2009
EVIDENCE-BASED HEALTHCARE SOLUTIONS CareCore National Radiology CARECORE Program NATIONAL RADIOLOGY Frequently BENEFIT Asked MANAGEMENT Questions PROPOSAL Prepared for Prepared for October 23, 2009 March
More informationPricing the national health insurance scheme in Qatar opportunities and challenges
Pricing the national health insurance scheme in Qatar opportunities and challenges Dr Finn Goldner 1, Jim Pearse 2, Deniza Mazevska 2 1 National Health Insurance Company, State of Qatar 2 Health Policy
More informationFife NHS Board Activity NHS FIFE. Report to the Board 24 February 2015 ACTIVITY REPORT
1 AIM OF THE REPORT NHS FIFE Report to the Board 24 February 2015 ACTIVITY REPORT This report provides a snapshot of the range of activity that underpins the achievement of key National Targets and National
More informationLung Cancer Multidisciplinary Meeting Toolkit. National Lung Cancer Working Group
Lung Cancer Multidisciplinary Meeting Toolkit National Lung Cancer Working Group September 2014 Contents Introduction 1 Multidisciplinary meetings 1 Toolkit for implementing high-quality lung cancer MDMs
More information27. 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
More informationAVMED POS PLAN. Allergy Injections No charge 30% co-insurance after deductible Allergy Skin Testing $30 per visit 30% co-insurance after deductible
AVMED POS PLAN This Schedule of Benefits reflects the higher provider and prescription copays for 2015. This is not a contract, it s a summary of the plan highlights and is subject to change. For specific
More informationIntroducing. MEDITECH's Electronic Health Record. Here are the components comprising. MEDITECH's Electronic Health Record...
Introducing MEDITECH's Electronic Health Record MEDITECH s Electronic Health Record is a well-crafted suite of integrated applications including EPR and PAS designed to support the delivery of safe, cost-effective
More informationNational Clinical Programmes
National Clinical Programmes Section 3 Background information on the National Clinical Programmes Mission, Vision and Objectives July 2011 V0. 6_ 4 th July, 2011 1 National Clinical Programmes: Mission
More information2015 Medical Plan Summary
2015 Medical Plan Summary AVMED POS PLAN This Schedule of Benefits reflects the higher provider and prescription copayments for 2015. This is not a contract, it s a summary of the plan highlights and is
More informationPatient Access Policy. Version 2.0
Version 2.0 November 2013 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 4 5.1. Role of
More informationSTANDARD AND SELECT NETWORK PRODUCTS FROM TUFTS HEALTH PLAN
STANDARD AND SELECT NETWORK PRODUCTS FROM TUFTS HEALTH PLAN 2015 PLAN OPTIONS Standard Network: The Standard Network plans provide members with a choice of more than 25,000 participating doctors and 90
More informationLong-Term Clinical Service Plan Impacts for 2016/17. October 2015
Long-Term Clinical Service Plan Impacts for 2016/17 October 2015 1 Purpose 1. Ensure common understanding of what is driving change Health System Funding Reform, QHC cost structure issues 2. Share significant
More informationPrior Authorization Requirements for Florida Effective March 1, 2015
for Florida Effective March 1, 215 General Information The following list represents our prior authorization requirements for UnitedHealthcare in Florida. All services rendered by a non-contracted physician,
More informationPRIVATE PATIENT & OVERSEAS VISITOR PRICE LIST Effective from 1 st April 2015 31 st March 2016
PRIVATE PATIENT & OVERSEAS VISITOR PRICE LIST Effective from 1 st April 2015 31 st March 2016 This average tariff applies to United Kingdom (UK) Private Patients and Insurance Companies. (N.B. Different
More informationUnitedHealthcare Choice Plus. UnitedHealthcare Insurance Company. Certificate of Coverage
UnitedHealthcare Choice Plus UnitedHealthcare Insurance Company Certificate of Coverage For the Plan 7EG of Educators Benefit Services, Inc. Enrolling Group Number: 717578 Effective Date: January 1, 2012
More informationUnitedHealthcare Choice Plus. United HealthCare Insurance Company. Certificate of Coverage
UnitedHealthcare Choice Plus United HealthCare Insurance Company Certificate of Coverage For Westminster College Enrolling Group Number: 715916 Effective Date: January 1, 2009 Offered and Underwritten
More informationSchedule of Benefits International Select Gold
Schedule of Benefits International The following benefits for International are subject to the Policyholder s Calendar Year Deductible and Coinsurance. For Contracts with a $10,000 or $25,000 Deductible,
More informationOther Clinical Support services available on site include Oncology, Laboratory, Pharmacy, Physiotherapy and Audiology.
BMI Albyn Hospital Quality Accounts April 2013 to March 2014 ALBYN HOSPITAL BMI Albyn Hospital is part of BMI Healthcare a leading provider of healthcare services throughout the UK. Located in the west
More informationUnitedHealthcare Choice Plus. UnitedHealthcare Insurance Company. Certificate of Coverage
UnitedHealthcare Choice Plus UnitedHealthcare Insurance Company Certificate of Coverage For the Health Savings Account (HSA) Plan 7PD of Educators Benefit Services, Inc. Enrolling Group Number: 717578
More informationplease refer to our internet site, www.harvardpilgrim.org, or contact the Member Services
Schedule of s HPHC Insurance Company, Inc. THE HPHC INSURANCE COMPANY PPO PLAN MAINE ID: MD0000000750_F2 X This Schedule of s summarizes your benefits under The HPHC Insurance Company PPO Plan (the Plan)
More informationTRUST CORPORATE POLICY ACCESS AND MANAGEMENT REFERRAL TO TREATMENT (RTT) Trust Policies Committee Date of approval All staff via Bulletin
SCOPE OF APPLICATION AND EXEMPTIONS CONS ULTAT ION COR/POL/123/2013-001 TRUST CORPORATE POLICY ACCESS AND MANAGEMENT REFERRAL TO TREATMENT (RTT) APPROVING COMMITTEE(S) EFFECTIVE FROM DISTRIBUTION RELATED
More informationFHCP s Medvantage (HMO-POS) offered by Florida Health Care Plans
FHCP s Medvantage (HMO-POS) offered by Florida Health Care Plans Annual Notice of Changes for 2016 You are currently enrolled as a member of FHCP s Medvantage plan. Next year, there will be some changes
More informationBenefit Summary - A, G, C, E, Y, J and M
Benefit Summary - A, G, C, E, Y, J and M Benefit Year: Calendar Year Payment for Services Deductible Individual $600 $1,200 Family (Embedded*) $1,200 $2,400 Coinsurance (the percentage amount the Covered
More informationRadiology Quality Initiative (RQI) Program Answers to Frequently Asked Questions
Radiology Quality Initiative (RQI) Program Answers to Frequently Asked Questions Program Overview... 2 Program Requirements... 4 Claims... 7 Online Tools... 7 Standards for Imaging Guidelines... 8 Page
More informationCalifornia Small Group MC Aetna Life Insurance Company
PLAN FEATURES Deductible (per calendar year) $1,000 per member $1,000 per member Unless otherwise indicated, the Deductible must be met prior to benefits being payable. All covered expenses accumulate
More informationAssociates Private Medical Trust Guide
Associates Private Medical Trust Guide Effective from 1 April 2012 Welcome to the Honda Associates Private Medical Trust This guide provides an overview of the benefits available to you under your Private
More informationACUTE STROKE PATHWAY
ACUTE STROKE PATHWAY THERE IS A NEED FOR STATEWIDE STROKE SYSTEM OF CARE ALL MISSISSIPPIANS SHOULD BE ABLE TO ACCESS NEW PROTOCOLS FOR STROKE TREATMENT JOINT EFFORT WITH EMS, PHYSICIANS, HOSPITALS AND
More informationHealth Insurance from Aviva. Health Value
Health Insurance from Aviva Health Value Looking out for your health is at the heart of everything we do. We have a plan to suit every budget and we are committed to giving you access to quality healthcare.
More informationSPECIALIST & DIAGNOSTIC TESTING WITH BEST DOCTORS TotalCareMax
Health Specialist & Diagnostic Testing Customer guide SPECIALIST & DIAGNOSTIC TESTING WITH BEST DOCTORS TotalCareMax Life. Take charge. sovereign.co.nz SPECIALIST CARE Getting specialist treatment through
More informationBenefits Covered Expenses Maximum Cover Surgery
Schedule of Benefits February 2013 You are eligible to be covered by SmartStay and Smartstay Plus Plan if you are in New Zealand and you have a work permit. Your family can also be covered - all they need
More informationHealthcare Proposition Overview
Healthcare Proposition Overview Leading innovations in the benefits market ECIS has a wealth of experience in the employee benefits arena and provides benefits solutions to employers operating across a
More informationSUS R13 PbR Technical Guidance
SUS R13 PbR Technical Guidance Published 2nd April 2013 We are the trusted source of authoritative data and information relating to health and care. www.hscic.gov.uk enquiries@hscic.gov.uk Contents Introduction
More informationGIC Medicare Enrolled Retirees
GIC Medicare Enrolled Retirees HMO Summary of Benefits Chart This chart provides a summary of key services offered by your HNE plan. Consult your Member Handbook for a full description of your plan s benefits
More information1st Edition 2015. Quick reference guide for the management of acute whiplash. associated disorders
1 1st Edition 2015 Quick reference guide for the management of acute whiplash associated disorders 2 Quick reference guide for the management of acute whiplash associated disorders, 2015. This quick reference
More informationSpecial Topics in Vendor- Specific Systems. Outline. Results Review. Unit 4 EHR Functionality. EHR functionality. Results Review
Special Topics in Vendor- Specific Systems Unit 4 EHR Functionality EHR functionality Results Review Outline Computerized Provider Order Entry (CPOE) Documentation Billing Messaging 2 Results Review Laboratory
More informationCalifornia Small Group MC Aetna Life Insurance Company
PLAN FEATURES Deductible (per calendar year) $3,000 Individual $6,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. All covered expenses accumulate separately
More informationHow To Prepare A Meeting For A Health Care Conference
THORACIC ONCOLOGY MULTIDISCIPLINARY TEAM MEETINGS: OPERATIONAL POLICY EXECUTIVE SUMMARY 1. All patients in Lothian with thoracic malignancies should be discussed at designated times in pathway (see App
More informationChallenge of FUJIFILM in Medical ICT
Challenge of FUJIFILM in Medical ICT Sep.10, 2014 FORWARD-LOOKING STATEMENTS Forward-looking statements, such as those relating to earnings forecasts and other projections contained in this material, are
More informationQuick Guide 2016. Peoples Health Choices 65 #14 (HMO) Jefferson, Orleans and Plaquemines parishes
Quick Guide 2016 $0 mium* Plan Pre Peoples Health Choices 65 #14 (HMO) Jefferson, Orleans and Plaquemines parishes *You must continue to pay your Medicare Part B premium. H1961_PH16C65S1QG Accepted Thank
More informationUNH MEDICAL PLAN CHANGE UPDATE. May 3, 2011
UNH MEDICAL PLAN CHANGE UPDATE May 3, 2011 Two Conceptual Plan Design Models Two conceptual models have been developed for review: Both models include: a) a reduction in the incentive to waive coverage
More informationOutpatient and Inpatient Waiting Times. & Patients Access Policy
Outpatient and Inpatient Waiting Times & Patients Access Policy Date Approved by Version V2 Procedure/Policy Number Procedure/Policy type Date Equality impact assessment completed: Issue Date September
More informationGloHealth Daily Care Good 12 GloHealth Daily Care Better 12 GloHealth Daily Care Best 12
GloHealth Table of Contents GloHealth Table of Basic 2 GloHealth Table of Good 3 GloHealth Table of Better 4 GloHealth Table of Best 5 GloHealth Table of Ultra 6 GloHealth Table of Ultimate 7 GloHealth
More informationSummary of Services and Cost Shares
Summary of Services and Cost Shares This summary does not describe benefits. For the description of a benefit, including any limitations or exclusions, please refer to the identical heading in the Benefits
More informationABSOLUTE HEALTH BENEFIT COVERED EXPENSES MAXIMUM COVER
ABSOLUTE HEALTH BENEFIT SHEET This policy provides 100% reimbursement of covered reasonable charges incurred as a result of a medically necessary procedure for the life assured up to the maximum cover
More informationMedical Excellence High Quality Care
Medical Excellence High Quality Care 27-29 Tooley Street, London SE1 2PR Tel: 020 7407 3100 Web: www.londonbridgehospital.com HCA International, 242 Marylebone Road, London NW1 6JL A WARM WELCOME London
More informationQuality and Safety Programme Fractured neck of femur services
Quality and Safety Programme Fractured neck of femur services London quality standards February 2013 1 Introduction The case for change for fractured neck of femur services in London demonstrates that
More informationHarvard Pilgrim Health Care of New England, Inc. THE HARVARD PILGRIM BEST BUY TIERED COPAYMENT HMO - LP NEW HAMPSHIRE
ID: MD0000003228_B3 X Schedule of s Harvard Pilgrim Health Care of New England, Inc. THE HARVARD PILGRIM BEST BUY TIERED COPAYMENT HMO - LP NEW HAMPSHIRE Coverage under this Plan is under the jurisdiction
More informationTesco Private Healthcare Plan. Effective from 1 March 2016. Administered by Bupa. bupa.co.uk
Tesco Private Healthcare Plan Effective from 1 March 2016 Administered by Bupa bupa.co.uk This is page 1 of 10 which should be read together in full. These pages are for the Tesco Private Healthcare Plan
More informationRadiology Prior Authorization Program Frequently Asked Questions for the UnitedHealthcare Community Plan
Radiology Prior Authorization Program Frequently Asked Questions for the UnitedHealthcare Community Plan 1. What is the UnitedHealthcare Radiology Prior Authorization Program? Acting on behalf of our Medicaid
More informationRadiology Prior Authorization Program Frequently Asked Questions (FAQ) For AmeriChoice by UnitedHealthcare, Tennessee
Radiology Prior Authorization Program Frequently Asked Questions (FAQ) For AmeriChoice by UnitedHealthcare, Tennessee 1. What is the AmeriChoice Radiology Prior Authorization Program? Acting on behalf
More informationRadiology Department. Local Procedure
Title: Radiology Department Local Procedure Procedure for requesting imaging procedures and sending out imaging reports Reference: Rad - 001 Author: Yvonne Shanks Date ratified: TBC Ratified by: Radiology
More informationRegulatory Compliance Policy No. COMP-RCC 4.07 Title:
I. SCOPE: Regulatory Compliance Policy No. COMP-RCC 4.07 Page: 1 of 7 This policy applies to (1) any Hospital in which Tenet Healthcare Corporation or an affiliate owns a direct or indirect equity interest
More informationBRIEFING PAPER THE USE OF RED FLAGS TO IDENTIFY SERIOUS SPINAL PATHOLOGY THE CHRISTIE, GREATER MANCHESTER & CHESHIRE. Version:
BRIEFING PAPER THE USE OF RED FLAGS TO IDENTIFY SERIOUS SPINAL PATHOLOGY THE CHRISTIE, GREATER MANCHESTER & CHESHIRE Procedure Reference: Document Owner: Jackie Turnpenney Lena Richards Version: Accountable
More informationThe UK s number 1 private children s hospital. Discover the benefits of joining our children s services team
The UK s number 1 private children s hospital Discover the benefits of joining our children s services team The benefits of working at The Portland Hospital Children s services The Portland Hospital has
More informationPREMIER HEALTHCARE PLANS FOR GROUP Schedule of Benefits
PREMIER HEALTHCARE PLANS FOR GROUP Schedule of Benefits Types of Plans Designated Healthcare Providers Area of Cover Yearly maximum limit per Member In-Patient Daycare Treatment Accidental Emergencies
More informationAccessing Outpatient, Inpatient and Day Case Services in Acute Hospitals in Ireland
Accessing Outpatient, Inpatient and Day Case Services in Acute Hospitals in Ireland January 2014 an ciste náisiúnta um cheannach cóireála the national treatment purchase fund Contents Introduction 2 Accessing
More informationImportant Questions. Why this Matters:
Old National Bancorp: Blue Access (PPO) - 850 Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family Plan Type: PPO
More informationData Quality Policy. The Trust will aim to achieve and maintain the highest standards contained within the Information Governance Toolkit.
Trust Policy Department / Service: Information Department Originator: Information Governance Manager Accountable Director: Director of Finance/SIRO Approved by: Trust Management Committee Date of approval:
More informationMembership Handbook March 2016 1
Membership Handbook March 2016 1 Thank you for choosing us to provide health insurance for you. Table of Contents 1 Your Contract 3 2. Your Cover & How to Claim 5 2.1 Day-to-Day & Out-Patient s 6 2.2 In-Patient
More informationHighest level of coverage with free-choice of hospitals and physicians worldwide, including the richest maternity and organ transplant benefits.
Highest level of coverage with free-choice of hospitals and physicians worldwide, including the richest maternity and organ transplant benefits. Global Superior is tailored exclusively for individuals
More informationXerox Custom Healthcare Solution
Xerox Custom Healthcare Solution Xerox HR Services has undertaken a comprehensive review of the employee benefits market, assessing all of the major providers, in order to develop our Xerox Custom Healthcare
More informationObjective of This Lecture
Component 2: The Culture of Health Care Unit 3: Health Care Settings The Places Where Care Is Delivered Lecture 5 This material was developed by Oregon Health & Science University, funded by the Department
More informationIf you have any questions, please get in touch with us. You can call us between 8am and 6pm GMT, Monday to Friday on:
Oil and Gas Plan From 1 November 2009 Get in touch To join Bupa International s Oil and Gas plan all you need is three or more employees who work overseas on oil rigs in the oil and gas industry. For further
More informationBoard of Directors Meeting
Board of Directors Meeting 23 rd July 2014 (BDA/14/26) part Performance Report Monitor Key Indicators Status: A Paper for Information History: Amanda Pritchard Chief Operating Officer Page 1 of 10 Performance
More informationPATIENT ACCESS POLICY
. PATIENT ACCESS POLICY TITLE Patient Access Policy APPLICABLE TO All administrative / clerical / managerial staff involved in the administration of patient pathway. All medical and clinic staff seeing
More informationProtocol for Accessing Residential Detoxification & Rehabilitation
Protocol for Accessing Residential Detoxification & Rehabilitation Protocol - working group members: Julie Murray, Alcohol & Drugs Partnership Co-ordinator Lynda Mays, Clinical Services Manager, Addictions,
More informationPatient Choice Strategy
Patient Choice Strategy Page 1 of 14 Contents Page 1 Background 4 2 Putting Patients and the Public at the Heart of Health and 5 Healthcare in West Lancashire 3 Where are we now and where do we need to
More informationCountryway Insurance Company P.O. Box 4851, Syracuse, New York 13221-4851
Dear Insured: Please read this letter carefully because it provides specific information concerning how a medical claim under personal injury protection coverage will be handled, including specific requirements
More information2015 Medicare Advantage Summary of Benefits
2015 Medicare Advantage Summary of Benefits HNE Medicare Premium No Rx and HNE Medicare Basic No Rx January 1, 2015 - December 31, 2015 H8578_2015_034 Accepted HNE MEDICARE ADVANTAGE ENROLLMENT KIT 2015
More informationCommunity and Hospital Profile
1 Community and Hospital Profile Scope of Services ACUTE CARE Emergency Department (~33,000 visits) Intensive Care Unit (Level 2: 6 beds) Medicine/Surgical Inpatient (40 beds) Surgical Services (3 ORs;
More informationTESTABLE POSITIONS SUBJECT TO CHANGE
TESTABLE POSITIONS SUBJECT TO CHANGE List updated September 2015 Positions on this list have been designated to perform activities that are involved with patient care and/or safety sensitive responsibilities.
More informationPLAN DESIGN AND BENEFITS POS Open Access Plan 1944
PLAN FEATURES PARTICIPATING Deductible (per calendar year) $3,000 Individual $9,000 Family $4,000 Individual $12,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being
More informationHow to Conduct a Thorough CAC Readiness Assessment
WHITE PAPER How to Conduct a Thorough CAC Readiness Assessment A White Paper from Nuance Healthcare HEALTHCARE COMPUTER-ASSISTED CODING Contents Introduction... 3 The Benefits of CAC... 4 The New Role
More informationLean principles and their supporting tools are widely acknowledged to provide an effective framework for
Performance improvement through the application of Lean principles and change management methodology Introduction Lean principles and their supporting tools are widely acknowledged to provide an effective
More informationCENTRAL MONITORING AUTHORITY for CARDIOLOGY at EU LEVEL
Outline of Cardiology Training Chapter 6 Article 1 CENTRAL MONITORING AUTHORITY for CARDIOLOGY at EU LEVEL 1.1. The central monitoring authority for the specialty will be the European Board for the Specialty
More informationQuick Reference Sheet For Elective Access Policy EDM006 V3
Quick Reference Sheet For Elective Access Policy EDM006 V3 Sets out how Trust staff manage patients referred for elective assessment and treatment including: o Outpatient appointments o Elective inpatient
More informationBlue Cross Premier Bronze Extra
An individual PPO health plan from Blue Cross Blue Shield of Michigan. You will have a broad choice of doctors and hospitals within Blue Cross Blue Shield of Michigan s unsurpassed statewide PPO network
More informationDiagnostic Waiting Times
Publication Report Diagnostic Waiting Times Quarter Ending 30 September 2015 Publication date 24 November 2015 A National Statistics Publication for Scotland Contents Introduction... 2 Key points... 3
More informationfor patients, for families,
Cigna Cancer Support Program for patients, for families, for every step of the way Approximately half of all men and one third of all women in the United States will face cancer in their lifetime. 1 Offered
More informationHealthLink SmartForms Technology
HealthLink SmartForms Technology Share structured patient information with any other healthcare provider HealthLink SmartForms enable healthcare providers to share highly structured patient information
More informationH3 Insurance Cover for your business
H3 Insurance Cover for your business Unique private casualty cover No NHS GP referral required Claims managed locally PART OF THE Private Health Insurance for your employees At H3 Insurance, our aim is
More informationTable of Benefits Individual Policies
International Healthcare Plans Valid from 1 st November 2012 Table of Benefits Individual Policies Treatment Guarantee is required for all benefits indicated with a 1 or 2 in the following tables and may
More informationWorking with Anthem Subject Specific Webinar Series
Working with Anthem Subject Specific Webinar Series E-Tools for Providers Access to Audio Portion of Conference: Dial-In Number: 877-497-8913 Conference Code: 1322819809# Please Mute Your Phone This presentation
More informationOncology Programme. Oncology Programme 2015 17 August 2015 Page 1 of 15
Oncology Programme 2015 Oncology Programme 2015 17 August 2015 Page 1 of 15 Your cover for cancer treatment in 2015 Members who are diagnosed with cancer need to register on the Oncology Programme. Overview
More informationRADIOLOGY HOUSE STAFF MANUAL
RADIOLOGY HOUSE STAFF MANUAL The Department of Radiology offers a wide range of services/procedures and operates 12 divisions/sections, which are listed separately below. The procedures offered are listed
More information