Difference between revisions of "Programs"

Revision as of 09:37, 22 June 2017

Ambulatory Care Sensitive Conditions

Ambulatory Care Sensitive Admissions - Reviews
Ambulatory Care Sensitive Conditions - Best Practices
Ambulatory Care Sensitive ER Visit - Reviews
Care Gaps
Same Day Appointments

Clinical Team Coordination

In-Network Coordination
Out-of-Network Specialist Coordination

• Los Angeles Safety-Net Program eConsult System Was Rapidly Adopted And Decreased Wait Times To See Specialists (3/2017)

Determinants & Intervention Documentation

High Value Office Visits

Reduce Low-Value Visits
Lab Tests or ER Visit reports in advance

Patient Loyalty

• The 4 biggest factors determining a patient's choice of physician (4/25/17)

Quality Measures

Referral Management

Risk Adjustment Factor (RAF) Coding

Second Opinions

• Second Opinion on Costly Surgery can control medical costs (8/20/15)

Utilization Management

Variations
Low-Value Care

• Five years wisely: A look at Choosing Wisely’s effort to reduce unnecessary medical care (4/25/17)

Location of Services

• MedPAC recommends site-neutral payments for evaluation and management office visits so that the rates are the same whether the service is provided in a physician office or an outpatient department. (3/16/17)

See Managing Health