Difference between revisions of "Clinical Conditions Factors"
From PatientRecovery
(Created page with "==Clinical Conditions== Clinical Conditions are elements of the Clinical Factors in patient recovery. =...") |
|||
| (2 intermediate revisions by one user not shown) | |||
| Line 1: | Line 1: | ||
| − | + | [[Clinical Conditions Factors|Clinical Conditions]] are elements of the [[Clinical Factors|clinical factors]] in [[Patient Recovery|patient recovery]]. Medicare has developed a model to categorize the [[Clinical Conditions Factors|clinical conditions factors]] in order to risk [http://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Risk-Adjustors.html '''risk adjust'''] health insurers that are covering patients. The [[CMS-HCC Risk Adjustments]] model adjust for patient demographics (i.e., age, disabled) and disease (i.e., diabetes, congested heart failure). | |
| − | [[Clinical | + | |
| − | + | ==Allergies & Adverse Drug Reactions== | |
| − | + | ==Behavioral Health== | |
* Addictions | * Addictions | ||
* Behavioral Disorders (depression, anxiety disorders, schizophrenia, bipolar etc.) | * Behavioral Disorders (depression, anxiety disorders, schizophrenia, bipolar etc.) | ||
* Substance Abuse | * Substance Abuse | ||
| − | + | ==Comorbidities== | |
| + | Comorbidities are chronic disorders (or diseases) that need to be managed. Most comorbidities do not get cured. | ||
| + | Comorbidities include behavioral or mental disorders. | ||
* Alzheimer's disease | * Alzheimer's disease | ||
* Arthritis | * Arthritis | ||
| Line 20: | Line 22: | ||
* Osteoporosis | * Osteoporosis | ||
* Stroke | * Stroke | ||
| − | == | + | ==Demographics== |
| − | + | * Age | |
| − | * Long Term Institutional Status (LTI Status) | + | * Sex |
| − | + | * Disabled | |
| − | + | * Long Term Institutional Status (LTI Designated Status) | |
| + | |||
| + | ==Immunizations== | ||
* Flu | * Flu | ||
* Tetanus | * Tetanus | ||
| − | + | ==Impairments== | |
* Cognitive Impairments (Delirium "confused state", Dementia) | * Cognitive Impairments (Delirium "confused state", Dementia) | ||
* Developmental Challenges (Autism) | * Developmental Challenges (Autism) | ||
* Physical Impairments (Use of limbs, arthritis, amputation, birth defects, Epilepsy) | * Physical Impairments (Use of limbs, arthritis, amputation, birth defects, Epilepsy) | ||
* Sensory Impairments (Blind or Visually Impaired, Deaf or Hard of Hearing, loss of taste and smell) | * Sensory Impairments (Blind or Visually Impaired, Deaf or Hard of Hearing, loss of taste and smell) | ||
| − | + | ==Medical History== | |
* Adverse events | * Adverse events | ||
* Family Medical History | * Family Medical History | ||
| Line 38: | Line 42: | ||
* Surgeries | * Surgeries | ||
| − | + | ==Physiological Metrics== | |
| − | + | ||
| − | + | ||
| − | + | ||
* Blood glucose level | * Blood glucose level | ||
* Blood pressure | * Blood pressure | ||
* Cholesterol level (HDL, LDL, etc) | * Cholesterol level (HDL, LDL, etc) | ||
* Heart rate | * Heart rate | ||
| − | + | ==Problem lists== | |
| − | + | ||
| − | + | ||
* Abdominal pain | * Abdominal pain | ||
| − | * | + | * Acute asthma |
| + | * Chest Pain | ||
* Fever | * Fever | ||
| − | * | + | * Fractures |
| − | * | + | * Headache |
| − | * | + | * Pain (Chest Pain) |
| − | * | + | * Rash or skin infection |
| − | * | + | * Shortness of Breath |
| − | * | + | * Sprains |
| − | + | * Upper respiratory tract infection | |
| − | + | * Wounds | |
Latest revision as of 12:30, 17 August 2014
Clinical Conditions are elements of the clinical factors in patient recovery. Medicare has developed a model to categorize the clinical conditions factors in order to risk risk adjust health insurers that are covering patients. The CMS-HCC Risk Adjustments model adjust for patient demographics (i.e., age, disabled) and disease (i.e., diabetes, congested heart failure).
Contents
Allergies & Adverse Drug Reactions
Behavioral Health
- Addictions
- Behavioral Disorders (depression, anxiety disorders, schizophrenia, bipolar etc.)
- Substance Abuse
Comorbidities
Comorbidities are chronic disorders (or diseases) that need to be managed. Most comorbidities do not get cured. Comorbidities include behavioral or mental disorders.
- Alzheimer's disease
- Arthritis
- Asthma
- Cancer
- COPD
- Diabetes
- Congestive Heart Failure
- High Blood Pressure
- High Cholesterol
- Obesity
- Osteoporosis
- Stroke
Demographics
- Age
- Sex
- Disabled
- Long Term Institutional Status (LTI Designated Status)
Immunizations
- Flu
- Tetanus
Impairments
- Cognitive Impairments (Delirium "confused state", Dementia)
- Developmental Challenges (Autism)
- Physical Impairments (Use of limbs, arthritis, amputation, birth defects, Epilepsy)
- Sensory Impairments (Blind or Visually Impaired, Deaf or Hard of Hearing, loss of taste and smell)
Medical History
- Adverse events
- Family Medical History
- Medical Conditions
- Surgeries
Physiological Metrics
- Blood glucose level
- Blood pressure
- Cholesterol level (HDL, LDL, etc)
- Heart rate
Problem lists
- Abdominal pain
- Acute asthma
- Chest Pain
- Fever
- Fractures
- Headache
- Pain (Chest Pain)
- Rash or skin infection
- Shortness of Breath
- Sprains
- Upper respiratory tract infection
- Wounds
