Institute of of Medicine
|
|
|
- Clementine Goodman
- 6 years ago
- Views:
Transcription
1 Institute of of Medicine Regionalizing Emergency Care Systems to Serve Accountable Care Organizations David J. Magid, MD MPH Colorado Permanente Medical Group Institute for Health Research, Kaiser Permanente Colorado University of Colorado Health Sciences Center
2 Current Fragmented Healthcare System Patients often encounter multiple professionals across different settings Limited access to medical records Poor communication between providers Poor care coordination Faulty transitions between settings
3 Accountable Institute Care of Medicine Organizations Local delivery systems of physicians and the hospitals where they work or admit their patients Extended hospital medical staff Foster shared accountability among providers Support development of shared EHRs Improve quality and affordability Existing Accountable Care Organizations MD-Hospital Practice Networks (Academic Centers) Integrated Delivery Systems (Mayo, Intermountain Health) Fisher, ES, Creating Accountable Care Organizations, Health Affairs, 2007
4 Current Institute Emergency of Medicine Care Systems Rational for Regionalization Improve Outcomes Improve Efficiency Reduce Waste Regionalized for Major Trauma Stroke Sick Pediatric Patients?? Accountable Care Organizations??
5 Current Institute Emergency of Medicine Care Systems Why Regionalize to Accountable Care Organizations? Consider the following scenarios
6 An eighty year old man with vomiting and confusion brought by EMS to Elsewhere General Hospital, medical records unavailable, workup reveals UTI, pt Rx with IVF, returns to baseline MS and is discharged on Cipro Pt returns one week later with UGI bleed and INR=10 resulting from an interaction between Cipro and Coumadin 80 yo Male with Vomiting and Confusion
7 80 yo Male with Vomiting and Confusion An eighty year old man with vomiting and confusion Brought by EMS to Elsewhere General Hospital, medical records unavailable, workup reveals UTI, pt Rx with IVF, returns to baseline MS and is discharged on Cipro Pt returns one week later with UGI bleed and INR=10 resulting from an interaction between Cipro and Coumadin Brought by EMS to Accountable General Hospital, records show pt on Coumadin
8 A fifty year old female with chest pressure brought by EMS to Elsewhere GH, records unavailable, pt is anxious, PE nm, ECG NS-changes, Trop nm, admitted overnight, recurrent CP, cardiac cath nm
9 A fifty year old female brought by EMS to Elsewhere GH, records unavailable, pt is anxious, PE nm, ECG NS-changes, Trop nm, admitted overnight, recurrent CP, cardiac cath nm Brought by EMS to Accountable GH medical record shows multiple visits for CP Pt had normal ETT 6 mo ago Pt had normal cardiac cath 3 mo ago Pt reassured, d/c with PCP follow-up
10 45 yo Male with Cough and SOB A forty-five year old with cough and SOB brought by EMS to Elsewhere GH, CXR shows LLL infiltrate, CBC reveals HCT 30%. ED MD prescribes antibiotics and advises patient to followup with PCP for evaluation of anemia Pt presents 1-yr later with wt loss/fatigue, Dx with stage III colon CA. Pt has surgery to remove tumor/nodes followed by both chemo & radiation Rx
11 A forty-five year old male with cough and SOB brought by EMS to Elsewhere GH, CXR shows LLL infiltrate, CBC reveals HCT 30%. ED MD prescribes antibiotics and advises patient to follow-up with PCP for evaluation of anemia. Pt presents 1-yr later with wt loss/fatigue, Dx with stage III colon CA. Pt has surgery to remove tumor/nodes followed by both chemo and radiation therapy Brought by EMS to Accountable GH. ED MD notes anemia, sends priority message to PCP Pts colonoscopy reveals stage I colon CA that is removed. No additional treatment is required.
12 Accountable Care Organizations The Case for Regionalization Institute of Medicine Information (EHR) Decreased Waste Patient Improved Outcomes Systems Improved Care Coordination
13 Current Institute Emergency of Medicine Care Systems Why are we not Regionalizing to Accountable Care Organizations? Consider the following case study
14 Denver/Boulder Institute of Medicine Metro Area Almost 3 million residents 19 Hospitals Over 50 Ambulance Transport Agencies Destination Policies are geographically based, not patient-centered Fragmented system does not support dynamic positioning of ambulances Patients routinely taken to Elsewhere General Hospital
15 Denver Metro Area KPCO Core Hospitals Boulder miles Exempla Good Samaritan Hospital Broomfield Weld Jefferson Exempla Saint Joseph Hospital Denver Adams Swedish Medical Center Arapahoe Douglas
16 Denver Metro Area All Hospitals Boulder 0 miles Boulder Community Exempla Good Samaritan Hospital Weld Broomfield Platte Valley Medical Center Avista Adventist Hospital Presbyterian/ St. Luke's Medical Center North Suburban Medical Center St. Anthony Hospital North Jefferson Denver Exempla Saint Joseph Hospital The Children's Hospital National Jewish Medical and Research Adams Center St. Anthony Central Denver Health Medical Center Rose Medical Center University of Colorado Hospital Swedish Medical Center Medical Center of Aurora Porter Adventist Hospital Littleton Adventist Hospital Parker Adventist Hospital Arapahoe Sky Ridge Medical Center Douglas
17 Barriers to Regionalization to Accountable Care Organizations Cultural Factors Transport Distances/Limited Coverage Areas Financial Incentives
18 Summary Regionalizing emergency care systems to Accountable Care Organizations Improve health outcomes Improve efficiency Reduce waste However, in the current fragmented healthcare system there are significant barriers to achieving this goal
Hospital charges are not related to actual costs or other commonly suggested factors
Hospital charges are not related to actual costs or other commonly suggested factors ISSUE BRIEF Second in a series August 15, 2013 Kyle Brown Senior Health Policy Analyst 303-573-5669 ext. 304 kbrown@cclponline.org
Charges vary dramatically among Colorado hospitals, even within the same city
Percent difference from statewide average charges Charges vary dramatically among Colorado hospitals, even within the same city ISSUE BRIEF First in a series June 13, 2013 Kyle Brown Senior Health Policy
Healthy together. See how our care and coverage can help you thrive. kp.org Enrollment Denver/Boulder, Colorado
Healthy together See how our care and coverage can help you thrive kp.org 2017 Enrollment Denver/Boulder, Colorado Kaiser Permanente Experience the Kaiser Permanente difference As a Kaiser Permanente member,
Promoting Value Through Transparency
Promoting Value Through Transparency Program, Training and Implementation Stephanie Benintendi, Corporate Director, Patient Access Centura Health April 27-28, 2017 Promoting Value Through Transparency
Dayna Jaynstein, PA-C, MSPAS
Dayna Jaynstein, PA-C, MSPAS EDUCATION 2007-2009 Masters of Science in Physician Assistant Studies, University of St. Francis, Albuquerque, NM Eugene Stead Clinical Student of the Year 2000-2004 Bachelor
HELPFUL INFORMATION ADDED CHOICE TRIPLE OPTION PLANS
HELPFUL INFORMATION ADDED CHOICE TRIPLE OPTION PLANS PLEASE KEEP THIS IMPORTANT INFORMATION WELCOME TO KAISER PERMANENTE With our Added Choice Triple Option Plan, you can choose from three provider options
Determining the Appropriate Inpatient Rehabilitation Candidate
Determining the Appropriate Inpatient Rehabilitation Candidate Brandi Damron, OTR/L, MBA Program Director Norton Community Hospital Inpatient Rehab Unit Objectives Discuss the preadmission process limitations
Member Resource Guide
Denver/Boulder 2016 Member Resource Guide Your personal reference guide to Kaiser Permanente services, including how to choose a doctor, medical office locations, important phone numbers, and additional
Implementing an Outpatient CDI Program L EONTA (L EE) WIL L IAMS, R HIT, CPCO, CPC, CCS, CCD S
Implementing an Outpatient CDI Program PR ES ENTED BY: L EONTA (L EE) WIL L IAMS, R HIT, CPCO, CPC, CCS, CCD S Disclaimer This information is meant to be simply a guide for implementation based on the
Member Resource Guide
Denver/Boulder 2016 Member Resource Guide Your personal reference guide to Kaiser Permanente services, including how to choose a doctor, medical office locations, important phone numbers, and additional
Education Calendar Denver Metro October December 2016
Education Calendar Metro October December 2016 Know the 10 Signs: Early Detection Matters If you or someone you know is experiencing memory loss or behavioral changes, it s time to learn the facts. Early
Physician Partners for CDI: Strategies for Goal Alignment. 7th Annual Association for Clinical Documentation Improvement Specialists Conference
7th Annual Association for Clinical Documentation Improvement Specialists Conference Physician Partners for CDI: Strategies for Goal Alignment Larry Weems II, MD Medical Director Novant Health Huntersville
On the. Services for our Medicare health plan members who are visiting other Kaiser Permanente regions or Group Health Cooperative service areas
On the GO Services for our Medicare health plan members who are visiting other Kaiser Permanente regions or Group Health Cooperative service areas Y0043_N011615 accepted Travel WELL and get the care YOU
Investigator Documentation of MEDICAL NECESSITY. Kelly Willenberg, DBA, RN, CHC, CHRC, CCRP 2017 KELLY WILLENBERG, LLC
Investigator Documentation of MEDICAL NECESSITY Kelly Willenberg, MBA, BSN, CHC, CHRC Kelly Willenberg, DBA, RN, CHC, CHRC, CCRP Agenda Monitor physicians who are involved in research Auditing and monitoring
2 Midnight Case Examples and Documentation Tips. Ralph Wuebker, MD Executive Health Resources, Inc. All rights reserved.
2 Midnight Case Examples and Documentation Tips Ralph Wuebker, MD AHA Solutions, Inc., a subsidiary of the American Hospital Association, is compensated for the use of the AHA marks and for its assistance
Models of Accountable Care
Models of Accountable Care Medical Home, Episodes and ACOs Making it work Elliott Fisher, MD, MPH Director, Population Health and Policy The Dartmouth Institute for Health Policy and Clinical Practice
This is the start of something good
Hello Greetings from Kaiser Permanente , you re starting off on the right foot with Kaiser Permanente. We re glad to be your partner on this journey, and we look forward to a long
Administrative Billing Data
Administrative Billing Data Patient Identification and Demographic Information: From UB-04 Data or Medical Record Face Sheet. Note: When you go to enter data on this case, the information below will already
*Your Name *Nursing Facility. radiation therapy. SECTION 2: Acute Change in Condition and Factors that Contributed to the Transfer
Gaining information about resident transfers is an important goal of the OPTIMISTC project. CMS also requires us to report these data. This form is where data relating to long stay transfers are to be
Administrative Without, TB control fails. TB Infection Control What s New? Early disease prevention Modern cough etiquette
Early disease prevention Modern cough etiquette TB Infection Control What s New? Mark Lobato, MD Division of TB Elimination CDC TB Intensive Workshop Global TB Institute, Newark, NJ September 16, 2010
Accountability and Collaboration Working With A Physician Assistant
Accountability and Collaboration Working With A Physician Assistant Anthony Derro, RN Practice Consultant Linda Levesque, RN Outreach Consultant, Acute Care Karen Riddell, Director, Professional Practice
Direct Referral Clinic Why, How and Who?
Direct Referral Clinic Why, How and Who? Macaila C. Eick, RN CNP American Association for Thoracic Surgery Allied Health Personnel Symposium May 4, 2013 No Disclosures Objectives Describe the function
Public Health/Primary Care Collaboration: Success Strategies in Denver
Public Health/Primary Care Collaboration: Success Strategies in Denver Randall Reves, M.D., M.Sc. Carolyn Bargman, R.N.-C., M.A. Denver Metro Tuberculosis Control Program Denver Public Health Department
The Colorado Registered Nurse Pool and Out-of-State Recruitment
The Colorado Registered Nurse Pool and Out-of-State Recruitment Prepared by Patrick Holwell, Workforce Economist Dawn Gardner, Sector Coordinator September 12, 2017 Arapahoe Centennial Workforce Center
Medication Reconciliation. Peggy Choye, Pharm.D., BCPS
Medication Reconciliation Peggy Choye, Pharm.D., BCPS What is it? Medication reconciliation The process of identifying the most accurate list of all medications that a patient is taking including name,
HPSM Medi-Cal Benefits A Guide on How to Get Your Health Care
HPSM Medi-Cal Benefits A Guide on How to Get Your Health Care Health care and insurance benefits can be difficult to understand. This guide introduces you to your basic Medi-Cal benefits, to the Health
Grady Health System, Atlanta GA. Upstream Crisis Intervention
2014 Changes EMS Leadership Conference Augusta, Ga Grady Health System, Atlanta GA. Upstream Crisis Intervention Michael Colman, MPA, NRP, Director of EMS Operations at Grady Health Systems Arthur H. Yancey,
DHRPC Key Informant Interviews for Evaluation and Assessment Committee Brooke Bender, MPH August 3, 2010 Didi Fahey, PhD May 10, 2010
DHRPC Key Informant Interviews for Evaluation and Assessment Committee Brooke Bender, MPH August 3, 2010 Didi Fahey, PhD May 10, 2010 Key Informant interviews were established to inform the DHRPC of details
IT Enabled Care: Connecting the Dots EMR Validated Data - Driving Quality and Clinical Performance Improvement
5 th National Pay for Performance Summit March 9, 2010 San Francisco, CA IT Enabled Care: Connecting the Dots EMR Validated Data - Driving Quality and Clinical Performance Improvement The Melting Pot Accountable
WHEN YOU RE AWAY FROM HOME
WHEN YOU RE AWAY FROM HOME Care for you across America and around the world All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. 500 NE Multnomah St., Suite 100, Portland,
Radiological Preparedness & Emergency Response. Radiological Preparedness & Emergency Response
Radiological Preparedness & Emergency Response Radiological Preparedness & Emergency Response Special Session Table Top Exercise EXERCISE PROCEDURES Situation Update 1. Scenario advances 2. Questions Group
STAY HEALTHY ON THE GO
Traveling as a Kaiser Permanente member: VISITING MEMBER SERVICES STAY HEALTHY ON THE GO Getting the care you need while traveling in other Kaiser Permanente regions or Group Health Cooperative service
Short-term Intensive Residential Remediation Treatment
Short-term Intensive Residential Remediation Treatment LETTER OF INTENT Signal Behavioral Health Network 6130 GREENWOOD PLAZA BLVD, #150, GREENWOOD VILLAGE, CO 80111 1 LETTER OF INTENT SCOPE This Letter
The Virtual Connection: Electronic Visits. Joseph E. Scherger, MD, MPH National Medical Home Summit March 3, 2009
The Virtual Connection: Electronic Visits Joseph E. Scherger, MD, MPH National Medical Home Summit March 3, 2009 The Holy Grail of Health Care 2009 Cost Reduction Quality Improvement Service Improvement
Request for Proposals (RFP): Neighborhood Active Living, Phase 1
Request for Proposals (RFP): Neighborhood Active Living, Phase 1 Release date: May 02, 2016 Letter of Intent date: June 03, 2016 Introduction This RFP provides instruction and criteria that applicants
Chat with a Doctor: On-Demand, Asynchronous Physician Advice
Chat with a Doctor: On-Demand, Asynchronous Physician Advice Session 189: March 7, 2018 Ari Melmed, MD, FACEP Assistant Regional Director for Telehealth, Colorado Permanente Medical Group 1 Conflict of
AFFORDABLE FARES IN THE DENVER METRO REGION U P D A T E
AFFORDABLE FARES IN THE DENVER METRO REGION 2 0 1 6 U P D A T E WHY AFFORDABLE FARES? WHY? LISTEN TO OUR COMMUNITY. RTD s low-income riders tell us the cost of fares is too high and that they are forced
Denver Health Medical Plan, Inc Access Plan for Large Group and Exchange Plans
Denver Health Medical Plan, Inc. 2016 Access Plan for Large Group and Exchange Plans Table of Contents Page INTRODUCTION 3 I. DHMP NETWORKS OF PRIMARY CARE, SPECIALISTS, BEHAVIORAL HEALTH, HOSPITALS AND
RECOMMENDATION FOR CONSIDERATION
Board Meeting Date: June 15, 2016 RECOMMENDATION FOR CONSIDERATION Subject: Critical Care Transfer of Care Data Elements and Form VTR#: 0616-04 Committee/Task Force: Critical Care Transport Task Force
Request for Grant Proposals - Central Denver Due February 26th by 5:00 pm
Request for Grant Proposals - Central Denver Due February 26th by 5:00 pm The Central YouthBoard of YouthRoots is now accepting grant proposals from registered 501(c)3 tax-exempt youth-serving organizations
Using Clinical Criteria for Evaluating Short Stays and Beyond. Georgeann Edford, RN, MBA, CCS-P. The Clinical Face of Medical Necessity
Using Clinical Criteria for Evaluating Short Stays and Beyond Georgeann Edford, RN, MBA, CCS-P The Clinical Face of Medical Necessity 1 The Documentation Faces of Medical Necessity ç3 Setting the Stage
Externships = Opportunity
Externships = Opportunity A key factor in your medical or dental school application profile is real-world experience. At Regis, we believe that can often be achieved through service. For-credit externship
Medicare Retirees - County Of Sonoma New Medical Plan Options Comparison Chart for 2008/2009 (With Consumer Driven Health Plan)
DEDUCTIBLE $1,000 individual $3,000 family $500 individual $1,500 family None None HRA AMOUNT $500 individual (does not apply towards Out of Pocket Maximum) $1,500 family (does not apply towards Out of
Pearls for Swing and night shifts
Pearls for Swing and night shifts Swing Attending Physicans Swing 1: 12p-11p. To help ATP and Swing 2 with admissions, ICU transfers and staff APP admissions. Will get the cross-cover pager (4951) at 7pm
TRADITIONAL PPO PLAN FT. LAUDERDALE $10/20%/40% RX PROVIDED BY AETNA LIFE INSURANCE COMPANY EFFECTIVE JANUARY 1, 2018 AETNA INC.
TRADITIONAL PPO PLAN FT. LAUDERDALE $10/20%/40% RX PROVIDED BY AETNA LIFE INSURANCE COMPANY EFFECTIVE JANUARY 1, 2018 AETNA INC. CPOS II DEDUCTIBLE, COPAYS/COINSURANCE AND DOLLAR MAXIMUMS and Aligned Deductible
Improving Primary Care Medication Patient Safety: System-level Medication Adherence Issues
Improving Primary Care Medication Patient Safety: System-level Medication Adherence Issues Marie Smith, PharmD Professor and Asst. Dean, Practice and Public Policy Partnerships Meg Mello Moniz, PharmD
Integrating EMS into Rural Systems of Care. John A. Gale, MS National Conference of State Flex Programs July 24, 2013
Integrating EMS into Rural Systems of Care John A. Gale, MS National Conference of State Flex Programs July 24, 2013 Contact Information John A. Gale, M.S., Research Associate Maine Rural Health Research
C19: Patients at Home Hours After Total Joint Surgery
C19: Patients at Home Hours After Total Joint Surgery Kaiser Permanente Santa Clara Chris Boyd, Area Manager, Senior Vice President Ashima Garg, MD, PhD, Orthopedic Surgeon Session Objectives Implement
Hospital Outpatient Quality Measures. Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: January, 2018
Hospital Outpatient Quality Measures Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: January, 2018 Background Hospitals have separate quality measures for the outpatient population. These measures
Organization and Management for Hospitals and EMS Agencies
Organization and Management for Hospitals and EMS Agencies For The Greater Kansas City Metropolitan Area A Community Plan for Diversion Approval Date: March 27, 2002 Implementation Date: May 1, 2002 Revised:
Visiting Member Brochure
Visiting Member Brochure We look forward to meeting your health care needs. If you get a migraine while visiting Baltimore, or come down with the flu in Denver, we ll be there for you. Please keep this
Kaiser Foundation Health Plan of Colorado
Kaiser Foundation Health Plan of Colorado www.kp.org/feds Member Services: 303-338-3800 or toll-free 800-632-9700 (Denver/Boulder); 844-837-6884 (Mountain Colorado); 844-201-5824 (Northern Colorado); 888-681-7878
Request for Proposals (RFP): Healthy Eating Active Living (HEAL) Cities and Towns Campaign
Request for Proposals (RFP): Healthy Eating Active Living (HEAL) Cities and Towns Campaign RFP Release Date: January 4, 2017 Respond By Date: February 15, 2017, 5:00 p.m. MT Introduction This RFP provides
KAISER FOUNDATION HEALTH PLAN OF COLORADO 2017 Access Plan Denver/Boulder Service Area
2017 Access Plan Denver/Boulder Service Area 1. INTRODUCTION Kaiser Foundation Health Plan (KFHP) of Colorado Carrier Network ID Number: CON001 Full Name of Network: Kaiser Permanente Denver/Boulder Kaiser
End Of Life Decision Making - Who s Decision Is It Anyway?
End Of Life Decision Making - Who s Decision Is It Anyway? Kara Livy RN MN NP Critical Care Nurse Practitioner Royal Alexandra Hospital Edmonton, Alberta Kara.livy@albertahealthservices.ca End-Of-Life
St. Anthony North Hospital 2013 Community Health Needs Assessment. St. Anthony North Hospital - Community Health Needs Assessment
St. Anthony North Hospital 2013 Community Health Needs Assessment St. Anthony North Hospital - Community Health Needs Assessment 2012 1 CONTENTS 1 INTRODUCTION... 3 1a Brief description of hospital, history
Learning Objectives. Denver Health Medical Center. Complex Coding Scenarios and Resolution
Complex Coding Scenarios and Resolution Eric Ryland, MS, RHIA, CCDS, CHDA, CCS, CPC Manager of Coding Denver Health Medical Center Denver, Colo. 2 Learning Objectives Denver Health Medical Center Evaluate
Unfolding Case Scenarios: A Unique Opportunity for Learners
Unfolding Case Scenarios: A Unique Opportunity for Learners Cynthia Shum, MEd, RN, CHSE-A Nurse Educator, Simulation Center VA Palo Alto Health Care System Objectives ü Define an unfolding case scenarios.
Patient Interview/Readmission Chart Review. Hospital Review:
Appendix: Readmission Review Form Patient Interview/Readmission Chart Review Patient Name: Previous Hospital Admission Date Account Number Previous Hospital D/C Date: D/C MD: Previous Hospital Discharge
MERCY MEDICAL CENTER - DUBUQUE TRADITIONAL PPO PLAN $10/20%/40% RX PROVIDED BY PREFERRED HEALTH CHOICES EFFECTIVE JANUARY 1, 2015
MERCY MEDICAL CENTER - DUBUQUE TRADITIONAL PPO PLAN $10/20%/40% RX PROVIDED BY PREFERRED HEALTH CHOICES EFFECTIVE JANUARY 1, 2015 DEDUCTIBLE, COPAYS/COINSURANCE AND DOLLAR MAXIMUMS facilities and Aligned
For more information on the IT MATTTRs2 Initiative, visit the IT MATTTRs2 website:
IT MATTTRs 2 Practice Survey Thank you for your interest in IT MATTTRs2 Sound Team Training. This Practice Survey asks about general practice information and which medication assisted treatment components
Hospice Discharges. Legacy Hospice
Hospice Discharges Legacy Hospice Live Discharges Once a Medicare beneficiary elects the hospice benefit, hospice may not automatically or routinely d/c the beneficiary at it s discretion, even if the
Provider-Payer Relations: Sample Cases. Anand Nilakantan, DO, MBA Aetna Mid-Atlantic Medical Director July 20, 2017
Provider-Payer Relations: Sample Cases Anand Nilakantan, DO, MBA Aetna Mid-Atlantic Medical Director July 20, 2017 2017 Presenter Aetna Name Inc. May 2017 1 Documentation Apropos documentation is the vital
STRATEGIES TO REDUCE READMISSIONS
STRATEGIES TO REDUCE READMISSIONS Delivering whole-person transitional care Amy E. Boutwell, MD, MPP President, Collaborative Healthcare Strategies Co-Principal Investigator, Designing and Delivering Whole-Person
Emergency Department Visits After Inpatient Discharge in Massachusetts: Applying Insights from Data to Inform Improvement.
Emergency Department Visits After Inpatient Discharge in Massachusetts: Applying Insights from Data to Inform Improvement November 15, 2017 Today Introductory Remarks Patricia M. Noga, PhD, RN, FAAN, Vice
COLLABORATIVE PRACTICE SUCCESSES IN PRIMARY CARE
COLLABORATIVE PRACTICE SUCCESSES IN PRIMARY CARE KPhA Annual Meeting September 7, 2014 Tiffany R. Shin, PharmD, BCACP Lyndsey N. Hogg, PharmD, BCACP Objectives Describe basic concepts of collaborative
RECEIVING HOSPITALS. APPROVED: EMS Administrator
Page 1 RECEIVING HOSPITALS APPROVED: EMS Administrator EMS Medical Director Assistant EMS Medical Director 1. Purpose: To provide paramedics and EMT-1's with information and guidance about the capability
ESSENTIAL ASSIST PPO PLAN (WITH HRA) $10/25%/50% RX PROVIDED BY AETNA LIFE INSURANCE COMPANY EFFECTIVE JANUARY 1, 2018 AETNA INC.
ESSENTIAL ASSIST PPO PLAN (WITH HRA) $10/25%/50% RX PROVIDED BY AETNA LIFE INSURANCE COMPANY EFFECTIVE JANUARY 1, 2018 AETNA INC. CPOS II DEDUCTIBLE, COPAYS/COINSURANCE AND DOLLAR MAXIMUMS and Aligned
CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES
CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health Manual Subject References Emergency Medical Services Administrative Policies and Procedures Title
Medical Directive. Credentialed EMT-Paramedic. Credentialed EMD
Medical Directive Directive Number 11-05 Credentialed System Responder Information Publish Date 22 July 2011 Credentialed EMT Information Effective Date 01 August 2011 Credentialed EMT-Intermediate Information
Member s Responsibility: Deductible, Copays, Coinsurance and Maximums
Benefits-at-a-Glance for GradCare 2018 This is intended as an easy-to-read summary. It is not a contract. Refer to the Your Benefits chapter in the Certificate for an official description of benefits.
Boulder YouthBoard Request for Grant Proposals Due February 13th by 5:00 pm
Boulder YouthBoard Request for Grant Proposals Due February 13th by 5:00 pm The Boulder YouthBoard of YouthRoots is now accepting grant proposals from registered 501(c)3 taxexempt youth-serving organizations
Benefits. Benefits Covered by UnitedHealthcare Community Plan
Benefits Covered by UnitedHealthcare Community Plan As a member of UnitedHealthcare Community Plan, you are covered for the following MO HealthNet Managed Care services. (Remember to always show your current
How Do We Define Adherence? Improving Adherence to TB Treatment. Broad View of Adherence. What is adherence?
How Do We Define Adherence? Improving Adherence to TB Treatment Lillian Pirog, RN, PNP Nurse Manager, Waymon C. Lattimore Practice NJMS Global Tuberculosis Institute What is adherence? A. Taking medication
The MITRE Corporation Plan
Benefit Type Plan Year Type Calendar Year Annual Medical Out of (for certain services) Employee Employee + 1 Family Annual Prescription Drug Out of Employee Employee + 1 Family Copayments: One copay per
Re: Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations, Proposed rule.
June 3, 2011 Donald Berwick, MD Administrator Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1345-P, Mail Stop C4-26-05, 7500 Security Boulevard, Baltimore,
Optima Health Provider Manual
Optima Health Provider Manual Supplemental Information For Ohio Facilities and Ancillaries This supplement of the Optima Health Ohio Provider Manual provides information of specific interest to Participating
Multidisciplinary Performance Improvement. Improving patient outcomes by decreasing VTE through interprofessional collaboration
Multidisciplinary Performance Improvement Improving patient outcomes by decreasing VTE through interprofessional collaboration Goals & Objectives Define interprofessional collaboration Describe methods
30-day Readmission Survey. Monica Thurston, OMS 2 Mary Herberger, OMS 2
30-day Readmission Survey Monica Thurston, OMS 2 Mary Herberger, OMS 2 Meet Mary Herberger and Monica Thurston, OMS 2 COMP-NW Lebanon, OR Satellite Campus of Western University of Health Sciences in Pomona,
Boulder County Care Transitions Collaborative Age Well Conference
Boulder County Care Transitions Collaborative 2016 Age Well Conference What is BCCTC Boulder County Care Transitions Collaborative started March 2012 CMS Grant Goal to reduce Readmission in Boulder County
Metro Denver and Northern Colorado Key Industry Clusters Executive Summary
Metro Denver and Northern Colorado Key Industry Clusters Executive Summary This study is based on the concept of industry clusters, which are geographic concentrations of interconnected companies and institutions
Topic 4A: Foundational Changes Reducing Barriers to Care Webinar
The Patient-centered Medical Home Webinar #4 Topic 4A: Foundational Changes Reducing Barriers to Care Webinar Ed Wagner, MD, MPH, MACP MacColl Center for Health Care Innovation Group Health Research Institute
Redesigning Health Care in an Accountable Care World
Redesigning Health Care in an Accountable Care World Jack Cox, MD: Chief Quality Officer Hoag Memorial Hospital Presbyterian, Newport Beach CA Diane Laird, MPH: Chief Executive Officer Greater Newport
MEDICAL EMERGENCIES WHAT YOU NEED TO KNOW IS IT AN EMERGENCY? FROM AMERICA S EMERGENCY PHYSICIANS. Is It An. Emergency?
MEDICAL EMERGENCIES WHAT YOU NEED TO KNOW FROM AMERICA S EMERGENCY PHYSICIANS IS IT AN EMERGENCY? Is It An Emergency? www.emergencycareforyou.org Uncontrolled bleeding Severe or persistent vomiting or
Platte County Memorial Hospital Wheatland WY
College of Health Sciences Standard CV JoHanna K. Wedemeyer Assistant Lecturer Education Year Institution Degree 2009-2011 Grand Canyon University Masters of Science in Nursing 2006-2009 Platt College
MBQIP Measures Fact Sheets December 2017
December 2017 This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U1RRH29052, Rural Quality
INTERN BOOT CAMP 2017
Sign Out INTERN BOOT CAMP 2017 Objectives Review importance of sign outs Touch on less than ideal examples of verbal and written sign outs Review the IPASS system of sign outs Review disease-specific details
Low Income Radon Mitigation Assistance (LIRMA) Program. Policy and Procedures Manual
Low Income Radon Mitigation Assistance (LIRMA) Program Policy and Procedures Manual Revised November 27, 2017 Colorado Department of Public Health and Environment (CDPHE) Low Income Radon Mitigation Assistance
HEART INVESTIGATION UNIT
HEART INVESTIGATION UNIT HAMILTON HEALTH SCIENCES (GENERAL SITE) INFORMATION HANDBOOK (Updated: July 2011) 1 TRIAGE GUIDELINES ADMITTED PATIENTS FROM ANY OF OUR REFERRING HOSPITALS Goal: to complete procedures
Implementing Integrated, Interdisciplinary Clinical Care Management in the Patient-Centered Medical Home
University of Massachusetts Medical School escholarship@umms Commonwealth Medicine Publications Commonwealth Medicine 11-23-2013 Implementing Integrated, Interdisciplinary Clinical Care Management in the
Outpatient Quality Reporting Program
Hitting the Highlights: Changes, Reports, Tools, and FAQs Questions & Answers Moderator: Karen VanBourgondien, BSN Education Coordinator Speaker: Pam Harris, BSN Project Coordinator February 17, 2016 2:00
Wired to Save Lives: A Virtual Hospital Experience
Wired to Save Lives: A Virtual Hospital Experience Donald J. Kosiak, MD, MBA, FACEP, CPE Vice President for Medical Development Thursday, March 3 rd -- 11:30am Conflict of Interest Donald Kosiak, MD Has
ST. MARY S HEALTHCARE SYSTEM, INC. Case # GA6476 BlueChoice HMO Benefit Summary Effective: January 1, 2018
ST. MARY S HEALTHCARE SYSTEM, INC. Case # GA6476 BlueChoice HMO Benefit Summary Effective: January 1, 2018 All benefits are subject to the calendar year deductible, except those with in-network copayments,
Abstraction Tricks and Tips for the Hospital Outpatient Quality Reporting (OQR) Program
Abstraction Tricks and Tips for the Hospital Outpatient Quality Reporting (OQR) Program Audio for this event is available via internet streaming. No telephone line is required. Computer speakers or headphones
What is ICD10 and how will it affect me?
What is ICD10 and how will it affect me? Vikki Lindemuth Blue Cross and Blue Shield of Kansas Statewide Specialty Provider Representative Nancy Ratzlaff Billing Director - LifeTeam Critical Care Ambulance
Sharon Baker RN MS ACNS-BC CNRN NE-BC
Sharon Baker RN MS ACNS-BC CNRN NE-BC Education 1995 Master of Science Degree in Nursing University of Colorado Health Science Center Denver, CO 80262 1993 Baccalaureate of Science In Nursing University
QUALITY AND PATIENT SAFETY Clinical skills for the third year 6/22/2016. Kevin Smith, M.D. Stewart Reingold, M.D.
QUALITY AND PATIENT SAFETY Clinical skills for the third year 6/22/2016 Kevin Smith, M.D. Stewart Reingold, M.D. Everyone in healthcare really has two jobs when they come to work everyday: to do their
2011 Accomplishments
2011 Accomplishments Town Clerk Medical Marijuana Election 2011 E-Rock Criterium Race Utilities Spring up the Creek Clean up of East Plum Creek and Sellars Gulch 163 Volunteers 156 Bags of Trash, 44 Bags
interventional cardiac facility (see Appendix 2). Notify receiving hospital, as soon as possible of impending arrival of the patient and give ETA.
Page 1 of 9 Purpose: To define the decision-making process to be followed by EMS personnel in order to ensure patients are transported to a facility appropriate for their condition. I. Transportation Procedure
Innovative Strategies for Coaching Residents who Struggle with Time Management, Organization and Efficiency
Innovative Strategies for Coaching Residents who Struggle with Time Management, Organization and Efficiency Allison Dekosky, MD Eric Goren, MD Mina Sedrak MD Karen Warburton, MD University of Pennsylvania