E-consult
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E-consult
e-consult is a mechanism developed by the Department of Veterans Affairs that enables primary care providers to obtain specialists' inputs into a patient's care treatment without requiring the patient to go to a face-to-face visit. Not to be confused with eConsult, a medical app used in England. Overview E-consult is a web-enabled system and process, where primary care clinicians and specialists are able to communicate, share clinical information and consult electronically to manage patient care. It reduces the specialty referral and appointment process to just a few days, which increases the speed delivery for patient care services. Process * Step 1 – PCP asks patient to agree to an e-consult * Step 2 – PCP enters an e-consult request with a defined clinical question * Step 3 – Specialist reviews chart and answers the clinical question * Step 4 – The PCP communicates the specialist's recommendations to the patient and formulates a care plan with the patient Imple ...
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Department Of Veterans Affairs
The United States Department of Veterans Affairs (VA) is a Cabinet-level executive branch department of the federal government charged with providing life-long healthcare services to eligible military veterans at the 170 VA medical centers and outpatient clinics located throughout the country. Non-healthcare benefits include disability compensation, vocational rehabilitation, education assistance, home loans, and life insurance. The VA also provides burial and memorial benefits to eligible veterans and family members at 135 national cemeteries. While veterans' benefits have been provided by the federal government since the American Revolutionary War, a veteran-specific federal agency was not established until 1930, as the Veterans Administration. In 1982, its mission was extended to a fourth mission to provide care to non-veterans and civilians in case of national emergencies. In 1989, the Veterans Administration became a cabinet-level Department of Veterans Affairs. The agenc ...
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Evidence-based Medicine
Evidence-based medicine (EBM) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients". The aim of EBM is to integrate the experience of the clinician, the values of the patient, and the best available scientific information to guide decision-making about clinical management. The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients. Background, history and definition Medicine has a long history of scientific inquiry about the prevention, diagnosis, and treatment of human disease. The concept of a controlled clinical trial was first described in 1662 by Jan Baptist van Helmont in reference to the practice of bloodletting. Wrote Van Helmont: The first published report describing the conduct and results of a controlled clinical trial was by James Lind, a Scottish naval surgeon who conducted rese ...
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Remote Therapy
Remote therapy, sometimes called telemental health applications or Internet-based psychotherapy, is a form of psychotherapy or related psychological practice in which a trained psychotherapist meets with a client or patient via telephone, cellular phone, the internet or other electronic media in place of or in addition to conventional face-to-face psychotherapy. Initially, it was primarily intended a substitution for conventional, face-to-face therapy in which a client or patient is required to visit a psychotherapists office. Increasingly, however, academics are studying the use of electronic media in treatment to explore the possibility of providing novel and potentially more effective therapies. After reviewing thirteen relevant studies, the authors of a meta-analytic review of psychotherapy mediated by remote communications technology concluded that: Remote therapy has the potential to overcome some of the barriers to conventional psychological therapy services. Telephone-bas ...
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American Telemedicine Association
The American Telemedicine Association (ATA), established in 1993, is a non-profit organization whose goal is to promote access to medical care for consumers and health professionals via telecommunications technology (alternatively referred to as telemedicine, telehealth or eHealth). Membership in the American Telemedicine Association is open to individuals, companies, and other healthcare and technology organizations. Mission and objectives The American Telemedicine Association is a resource and advocates for promoting access to medical care for consumers and health professionals via telecommunications technology. The American Telemedicine Association seeks to bring together diverse groups from traditional medicine, academic medical centers, technology and telecommunications companies, e-health, medical societies, government and others to overcome barriers to the advancement of telemedicine through the professional, ethical, and equitable improvement in health care delivery. Th ...
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Electronic Referrals
E-referrals or electronic referrals or electronic consultation is an electronic platform that enables the seamless transfer of patient information from a primary to a secondary treating practitioner's client management system. E-referrals have fast become the best replacement of paper-based referrals, and hold great potential toward the ultimate goal of seamless communication and information sharing between practitioners. Benefits Electronic referrals can result in considerable benefits for service providers. Firstly at the patient level, e-referrals ensure significant improvements to follow-up care coordination by the creation of accurate and timely referrals. Medical decisions are enhanced as each provider involved has the full patient information available to them. Duplicate tests are eliminated as patient information is being shared from one provider to another. The speed of communication is improved by removing delays related to paper-based transmission, ensuring a faster re ...
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Telehealth
Telehealth is the distribution of health-related services and information via electronic information and telecommunication technologies. It allows long-distance patient and clinician contact, care, advice, reminders, education, intervention, monitoring, and remote admissions. Telemedicine is sometimes used as a synonym, or is used in a more limited sense to describe remote clinical services, such as diagnosis and monitoring. When rural settings, lack of transport, a lack of mobility, conditions due to outbreaks, epidemics or pandemics, decreased funding, or a lack of staff restrict access to care, telehealth may bridge the gap as well as provide distance-learning; meetings, supervision, and presentations between practitioners; online information and health data management and healthcare system integration. Telehealth could include two clinicians discussing a case over Videoconferencing, video conference; a robotic surgery occurring through remote access; physical therapy done via ...
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Medi-Cal
The California Medical Assistance Program (Medi-Cal or MediCal) is California's Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level. Benefits include ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder treatment, dental (Denti-Cal), vision, and long-term care and supports. Approximately 13.3 million people were enrolled in Medi-Cal as of January 2018, or about one-third of California's population; in Tulare County and Merced County, more than 50% of county residents were enrolled as of September 2015. Eligibility Medi-Cal provides health coverage for people with low income and limited ability to pay for health coverage, including the aged, blind, disabled, young adults and children, pregnant women, persons in a skilled nursing or intermediat ...
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Los Angeles County Department Of Health Services
Los Angeles County Department of Health Services (abbreviated DHS and LADHS) operates the public hospitals and clinics in Los Angeles County, and is the United States' second largest municipal health system, after NYC Health + Hospitals. DHS operates an extensive healthcare network throughout Los Angeles County, including three teaching and research hospitals affiliated with the Keck School of Medicine of USC and Harbor-UCLA Medical Center, Rancho Los Amigos Rehabilitation hospital, and numerous outpatient clinics, including two ambulatory care centers and 16 local health clinics. DHS also runs the My Health LA health care program, which benefits approximately 150,000 residents, in partnership with over 200 community partners. DHS' administrative headquarters is located in Downtown Los Angeles's Civic Center, at the corner of Figueroa and Temple Streets. DHS provided healthcare services to over 643,856 unique patients and 2,457,174 patient visits in Fiscal Year 2015–16. For ...
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Los Angeles County, California
Los Angeles County, officially the County of Los Angeles, and sometimes abbreviated as L.A. County, is the List of the most populous counties in the United States, most populous county in the United States and in the U.S. state of California, with 9,861,224 residents estimated as of 2022. It is the most populous non–State (United States), state-level government entity in the United States. Its population is greater than that of 40 individual List of U.S. states and territories by population, U.S. states. At and with List of cities in Los Angeles County, California, 88 incorporated cities and List of unincorporated communities in Los Angeles County, California, many unincorporated areas, it is home to more than one-quarter of California residents and is one of the most ethnically diverse counties in the United States. Its county seat, Los Angeles, is also California's most populous city and the second-most populous city in the United States, with about 3.9 million residents. I ...
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United States Department Of Veterans Affairs
The United States Department of Veterans Affairs (VA) is a Cabinet-level executive branch department of the federal government charged with providing life-long healthcare services to eligible military veterans at the 170 VA medical centers and outpatient clinics located throughout the country. Non-healthcare benefits include disability compensation, vocational rehabilitation, education assistance, home loans, and life insurance. The VA also provides burial and memorial benefits to eligible veterans and family members at 135 national cemeteries. While veterans' benefits have been provided by the federal government since the American Revolutionary War, a veteran-specific federal agency was not established until 1930, as the Veterans Administration. In 1982, its mission was extended to a fourth mission to provide care to non-veterans and civilians in case of national emergencies. In 1989, the Veterans Administration became a cabinet-level Department of Veterans Affairs. The age ...
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Affordable Care Act
The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act and colloquially known as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965. The ACA's major provisions came into force in 2014. By 2016, the uninsured share of the population had roughly halved, with estimates ranging from 20 to 24 million additional people covered. The law also enacted a host of delivery system reforms intended to constrain healthcare costs and improve quality. After it went into effect, increases in overall healthcare spending slowed, including premiums for employer-based insurance plans. The increased coverage was due, ...
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