Difference between revisions of "Programs"

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Ambulatory Care Sensitive Conditions <br>
+
==Ambulatory Care Sensitive Conditions==
* Same Day Appointments
+
Ambulatory Care Sensitive Admissions - Reviews <br>
* Ambulatory Care Sensitive Admissions and ER Visit Reviews
+
Ambulatory Care Sensitive Conditions - Best Practices <br>
* ACSC Best Practices
+
Ambulatory Care Sensitive ER Visit - Reviews <br>
 
Care Gaps <br>
 
Care Gaps <br>
Clinical Team Coordination <br>
+
Same Day Appointments <br>
 +
 
 +
==Clinical Team Coordination==
 
* In-Network Coordination  
 
* In-Network Coordination  
 
* Out-of-Network Specialist Coordination  
 
* Out-of-Network Specialist Coordination  
 
* [http://content.healthaffairs.org/content/36/3/492.abstract Los Angeles Safety-Net Program eConsult System Was Rapidly Adopted And Decreased Wait Times To See Specialists (3/2017)]
 
* [http://content.healthaffairs.org/content/36/3/492.abstract Los Angeles Safety-Net Program eConsult System Was Rapidly Adopted And Decreased Wait Times To See Specialists (3/2017)]
Determinants & Intervention Documentation <br>
+
==Determinants & Intervention Documentation==
High Value Office Visits<br>
+
==High Value Office Visits==
 
* Reduce Low-Value Visits
 
* Reduce Low-Value Visits
 
* Lab Tests or ER Visit reports in advance
 
* Lab Tests or ER Visit reports in advance
Quality Measures <br>
+
==Quality Measures==
Referral Management <br>
+
==Referral Management==
Risk Adjustment Factor (RAF) Coding <br>
+
==Risk Adjustment Factor (RAF) Coding==
Second Opinions <br>
+
==Second Opinions==
 
* [https://www.bloomberg.com/news/articles/2015-08-20/the-startups-that-give-you-a-second-opinion-on-costly-surgery Second Opinion on Costly Surgery can control medical costs (8/20/15)]
 
* [https://www.bloomberg.com/news/articles/2015-08-20/the-startups-that-give-you-a-second-opinion-on-costly-surgery Second Opinion on Costly Surgery can control medical costs (8/20/15)]
Utilization Management <br>
+
==Utilization Management==
 
* Variations
 
* Variations
 
* Low-Value Care  
 
* Low-Value Care  

Revision as of 12:22, 25 May 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

Determinants & Intervention Documentation

High Value Office Visits

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

Quality Measures

Referral Management

Risk Adjustment Factor (RAF) Coding

Second Opinions

Utilization Management

  • Variations
  • Low-Value Care
  • Location of Services

See Managing Health