Difference between revisions of "Programs"

Latest revision as of 10:45, 18 July 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)
• 20% of individuals polled stated they would consider changing their primary care physician (PCP) if another PCP offered telehealth services and their current one did not (1/2017)

Quality Measures

Referral Management

Risk Adjustment Factor (RAF) Coding

• Apixio uses AI to extract patient conditions from medical records (7/6/17)

Second Opinions

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

Utilization Management

Emergency Room

• Tip No. 1 For Taking Charge Of Mass. Health Care Costs: Avoid The ER. Doctors Push Back. (5/25/17)

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)

Low-Value Care

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

Variations

For more, see Healthcare Interventions and Medical Decison Insight

See Managing Health