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Case Management (US Healthcare System)
Case management is a managed care technique within the health care coverage system of the United States. It involves an integrated system that manages the delivery of comprehensive healthcare services for enrolled patients. Case managers are employed in almost every aspect of health care and these employ different approaches in the control of clinical actions. Definition The American Case Management Association (ACMA), a non-profit association dedicated to the support and development of the profession of case management through educational forums, networking opportunities, legislative advocacy and establishing the industry's Standards of Practice, defines case management as: Case management focuses on delivering personalized services to patients to improve their care, and involves four steps: # Referral of new patients (perhaps from another service if the client has relocated to a new area out of previous jurisdiction, or if client no longer meets the target of previous ser ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Managed Care
In the United States, managed care or managed healthcare is a group of activities intended to reduce the cost of providing health care and providing health insurance while improving the quality of that care. It has become the predominant system of delivering and receiving health care in the United States since its implementation in the early 1980s, and has been largely unaffected by the Affordable Care Act of 2010. ...intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Patient Education
Patient education is a planned interactive learning process designed to support and enable expert patients to manage their life with a disease and/or optimise their health and well-being. Overview Education may be provided by any healthcare professional who has undertaken appropriate training education, education on patient communication and education is usually included in the healthcare professional's training. However, further training is required to develop specialist skills needed to facilitate self-management and behaviour change. Patient Education can often be more effective in Patient comprehension that things such as medication guides. Many institutions are calling for courses in educating medical students in Technical Communication to promote Patient Education and the subsequent benefits thereof. Health education is also a tool used by managed care plans, and may include both general preventive education or health promotion and disease or condition specific education. So ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Managed Care
In the United States, managed care or managed healthcare is a group of activities intended to reduce the cost of providing health care and providing health insurance while improving the quality of that care. It has become the predominant system of delivering and receiving health care in the United States since its implementation in the early 1980s, and has been largely unaffected by the Affordable Care Act of 2010. ...intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Case Management (mental Health)
Case management is the coordination of community-based services by a professional or team to provide quality mental health care customized accordingly to individual patients' setbacks or persistent challenges and aid them to their recovery. Case management seeks to reduce hospitalizations and support individuals' recovery through an approach that considers each person's overall biopsychosocial needs without making disadvantageous economic costs. As a result, care coordination includes traditional mental health services but may also encompass primary healthcare, housing, transportation, employment, social relationships, and community participation. In the 1940s, this was known as social counseling. It is the link between the client and care delivery system. Development The case management model developed in the US was a response to the closure of large psychiatric hospitals (known as deinstitutionalisation) and initially for provision of services which enhances the quality of life ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Licensed Practical Nurses
A licensed practical nurse (LPN), in much of the United States and Canada, is a nurse who provides direct nursing care for people who are sick, injured, convalescent, or disabled. In the United States, LPNs work under the direction of physicians, and mid-level practitioners. In Canada, LPNs' scope of practice is autonomously similar to the registered nurse in providing direct nursing care. They are also responsible for their individual actions and practice.Licensed Practical and Licensed Vocational Nurses ''Occupational Outlook Handbook'', 2010–11 Edition. , |
Registered Nurses
A registered nurse (RN) is a healthcare professional who has graduated or successfully passed a nursing program from a recognized nursing school and met the requirements outlined by a country, state, province or similar government-authorized licensing body to obtain a nursing license or registration An RN's scope of practice is determined by legislation and job role, and is regulated by a professional body or council. Registered nurses are employed in a wide variety of professional settings, and often specialize in a field of practice. Depending on the jurisdiction, they may be responsible for supervising care delivered by other healthcare workers, including student nurses, licensed practical nurses, unlicensed assistive personnel, and less-experienced RNs. Registered nurses must usually meet a minimum practice hours requirement and undertake continuing education to maintain their license. Furthermore, certain jurisdictions require that an RN remain free from serious crimina ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Care In The United States
Healthcare in the United States is largely provided by private sector healthcare facilities, and paid for by a combination of public programs, private insurance, and out-of-pocket payments. The U.S. is the only developed country without a system of universal healthcare, and a significant proportion of its population lacks health insurance. The United States spends more on healthcare than any other country, both in absolute terms and as a percentage of GDP; however, this expenditure does not necessarily translate into better overall health outcomes compared to other developed nations. In 2022, the United States spent approximately 17.8% of its Gross Domestic Product (GDP) on healthcare, significantly higher than the average of 11.5% among other high-income countries. Coverage varies widely across the population, with certain groups, such as the elderly, disabled and low-income individuals receiving more comprehensive care through government programs such as Medicaid and Medic ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Professional
A health professional, healthcare professional (HCP), or healthcare worker (sometimes abbreviated as HCW) is a provider of health care treatment and advice based on formal training and experience. The field includes those who work as a Nursing, nurse, physician (such as family physician, internist, obstetrician, psychiatrist, radiologist, surgeon etc.), physician assistant, registered dietitian, veterinarian, veterinary technician, optometrist, pharmacist, pharmacy technician, medical assistant, physical therapist, occupational therapist, dentist, midwife, psychologist, audiologist, or healthcare scientist, or who perform services in allied health professions. Experts in public health and community health are also health professionals. Fields The Health human resources, healthcare workforce comprises a wide variety of professions and occupations who provide some type of healthcare service, including such direct care practitioners as physicians, nurse practitioners, physician ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Credential
A credential is a piece of any document that details a qualification, competence, or authority issued to an individual by a third party with a relevant or ''de facto'' authority or assumed competence to do so. Examples of credentials include academic diplomas, academic degrees, Professional certification, certifications, security clearances, Identity document, identification documents, badges, passwords, user names, key (lock), keys, power of attorney, powers of attorney, and so on. Sometimes publications, such as scientific papers or books, may be viewed as similar to credentials by some people, especially if the publication was peer reviewed or made in a well-known Academic journal, journal or reputable publisher. Types and documentation of credentials A person holding a credential is usually given documentation or secret knowledge (''e.g.,'' a password or key) as proof of the credential. Sometimes this proof (or a copy of it) is held by a third, trusted party. While in some c ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Kennedy Institute Of Ethics
The Kennedy Institute of Ethics (also known as Joseph and Rose Kennedy Institute of Ethics) is one of the most prestigious bioethics institutes in the world. Located at Healy Hall, it was established at Georgetown University in 1971 as a bioethics center, think tank and library.Kennedy Institute of Ethics, SciDev.net, May 22, 2003 Its first director, , said the institution's goal was to "bring expertise to the new and growing ethical problems in medicine today." The Joseph P. Kennedy Jr. Foundation granted $1.35 million to the Institute, contributing to the establishment of its Bioethics Research Library and providing for two Chairs. The Institute was soon in need of more financial support, which it received from Georgetown University and by several public, private and governmental grants. The philosopher Tom Beauchamp and the bioethicist Robert Veatch were among the first scholars to join the Kennedy Institute of Ethics. The institute features a top-ranked graduate program in app ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Distributive Justice
Distributive justice concerns the Social justice, socially just Resource allocation, allocation of resources, goods, opportunity in a society. It is concerned with how to allocate resources fairly among members of a society, taking into account factors such as wealth, income, and social status. Often contrasted with procedural justice, just process and Equal opportunity, formal equal opportunity, distributive justice concentrates on outcomes (substantive equality). This subject has been given considerable attention in philosophy and the social sciences. Theorists have developed widely different conceptions of distributive justice. These have contributed to debates around the arrangement of social, political and economic institutions to promote the just distribution of benefits and burdens within a society. Most contemporary theories of distributive justice rest on the precondition of material scarcity. From that precondition arises the need for principles to resolve competing intere ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
