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| chronic care management workflow: Chronic Disease Management, An Issue of Primary Care Clinics in Office Practice Brooke Salzman, Lauren Collins, Emily R Hajjar, 2012-06-28 This issue covers topics central to the management of the patient with a chronic disease by taking a comprehenisve look at: Successful/Innovative Models in Chronic Disease Management, The Patient-Centered Medical Home, Self-Management Education and Support, Major Pharmacologic Issues in Chronic Disease Management, Health Information Technology, Community-Based Partnerships for Improving Chronic Disease Management, and Effective Strategies for Behavioral Change, Diabetes Management, CHF Management, Asthma Management, and Depression Management. |
| chronic care management workflow: Soft Systems Methodology in Action Peter Checkland, Jim Scholes, 1999-09-28 Soft Systems Methodology in Action Whether by design, accident or merely synchronicity, Checkland appears to have developed a habit of writing seminal publications near the start of each decade which establish the basis and framework for systems methodology research for that decade. Hamish Rennie, Journal of the Operational Research Society, 1992 Thirty years ago Peter Checkland set out to test whether the Systems Engineering (SE) approach, highly successful in technical problems, could be used by managers coping with the unfolding complexities of organizational life. The straightforward transfer of SE to the broader situations of management was not possible, but by insisting on a combination of systems thinking strongly linked to real-world practice Checkland and his collaborators developed an alternative approach - Soft Systems Methodology (SSM) - which enables managers of all kinds and at any level to deal with the subtleties and confusions of the situations they face. This work established the now accepted distinction between 'hard' systems thinking, in which parts of the world are taken to be 'systems' which can be 'engineered', and 'soft' systems thinking in which the focus is on making sure the process of inquiry into real-world complexity is itself a system for learning. Systems Thinking, Systems Practice (1981) and Soft Systems Methodology in Action (1990) together with an earlier paper Towards a Systems-based Methodology for Real-World Problem Solving (1972) have long been recognized as classics in the field. Now-Peter Checkland has looked back over the three decades of SSM development, brought the account of it up to date, and reflected on the whole evolutionary process which has produced a mature SSM. SSM: A 30-Year Retrospective, here included with Soft Systems Methodology in Action closes a chapter on what is undoubtedly the most significant single research programme on the use of systems ideas in problem solving. Now retired from full-time university work, Peter Checkland continues his research as a Leverhulme Emeritus Fellow. |
| chronic care management workflow: Medicare Chronic Care Improvement Program United States. Congress. House. Committee on Ways and Means. Subcommittee on Health, 2005 |
| chronic care management workflow: Health Professions Education Institute of Medicine, Board on Health Care Services, Committee on the Health Professions Education Summit, 2003-07-01 The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system. |
| chronic care management workflow: Best Care at Lower Cost Institute of Medicine, Committee on the Learning Health Care System in America, 2013-05-10 America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions. |
| chronic care management workflow: Advances in Patient Safety Kerm Henriksen, 2005 v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products. |
| chronic care management workflow: Chronic Disease Management Jim Nuovo, 2010-05-05 This book focuses on optimizing management and outcomes rather than on routine diagnosis of chronic disease. The reader learns proven methods for treating the most common chronic conditions that they see in daily practice. Chapters are structured to help physicians adopt evidence-based management techniques specific for each condition. Special emphasis is placed on the use of action plans and educational resources for promoting patient self-management. |
| chronic care management workflow: Computational Technology for Effective Health Care National Research Council, Division on Engineering and Physical Sciences, Computer Science and Telecommunications Board, Committee on Engaging the Computer Science Research Community in Health Care Informatics, 2009-02-24 Despite a strong commitment to delivering quality health care, persistent problems involving medical errors and ineffective treatment continue to plague the industry. Many of these problems are the consequence of poor information and technology (IT) capabilities, and most importantly, the lack cognitive IT support. Clinicians spend a great deal of time sifting through large amounts of raw data, when, ideally, IT systems would place raw data into context with current medical knowledge to provide clinicians with computer models that depict the health status of the patient. Computational Technology for Effective Health Care advocates re-balancing the portfolio of investments in health care IT to place a greater emphasis on providing cognitive support for health care providers, patients, and family caregivers; observing proven principles for success in designing and implementing IT; and accelerating research related to health care in the computer and social sciences and in health/biomedical informatics. Health care professionals, patient safety advocates, as well as IT specialists and engineers, will find this book a useful tool in preparation for crossing the health care IT chasm. |
| chronic care management workflow: Health Care Information Systems Karen A. Wager, Frances W. Lee, John P. Glaser, 2017-02-08 BESTSELLING GUIDE, UPDATED WITH A NEW INFORMATION FOR TODAY'S HEALTH CARE ENVIRONMENT Health Care Information Systems is the newest version of the acclaimed text that offers the fundamental knowledge and tools needed to manage information and information resources effectively within a wide variety of health care organizations. It reviews the major environmental forces that shape the national health information landscape and offers guidance on the implementation, evaluation, and management of health care information systems. It also reviews relevant laws, regulations, and standards and explores the most pressing issues pertinent to senior level managers. It covers: Proven strategies for successfully acquiring and implementing health information systems. Efficient methods for assessing the value of a system. Changes in payment reform initiatives. New information on the role of information systems in managing in population health. A wealth of updated case studies of organizations experiencing management-related system challenges. |
| chronic care management workflow: Engineering a Learning Healthcare System National Academy of Engineering, Institute of Medicine, 2011-07-14 Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system. |
| chronic care management workflow: Developing a Poly-Chronic Care Network Pierce Story, MPHM, 2012-10-29 Although much has been achieved in care coordination and accountable care, healthcare leaders need additional, game-changing innovations to deal with constraints in clinical resources, care capacity, and cost that have not yet been fully addressed. This need for innovation is especially great in the care of the chronically ill: the most costly, hig |
| chronic care management workflow: Registries for Evaluating Patient Outcomes Agency for Healthcare Research and Quality/AHRQ, 2014-04-01 This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews. |
| chronic care management workflow: Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies OECD, World Health Organization, 2019-10-17 This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies. |
| chronic care management workflow: Comprehensive Care Coordination for Chronically Ill Adults Cheryl Schraeder, Paul S. Shelton, 2011-10-11 Breakthroughs in medical science and technology, combined with shifts in lifestyle and demographics, have resulted in a rapid rise in the number of individuals living with one or more chronic illnesses. Comprehensive Care Coordination for Chronically Ill Adults presents thorough demographics on this growing sector, describes models for change, reviews current literature and examines various outcomes. Comprehensive Care Coordination for Chronically Ill Adults is divided into two parts. The first provides thorough discussion and background on theoretical concepts of care, including a complete profile of current demographics and chapters on current models of care, intervention components, evaluation methods, health information technology, financing, and educating an interdisciplinary team. The second part of the book uses multiple case studies from various settings to illustrate successful comprehensive care coordination in practice. Nurse, physician and social work leaders in community health, primary care, education and research, and health policy makers will find this book essential among resources to improve care for the chronically ill. |
| chronic care management workflow: Community Resources for Older Adults Robbyn R. Wacker, Karen A. Roberto, 2018-06-13 Community Resources for Older Adults provides comprehensive, up-to-date information on programs, services, and policies pertaining to older adults. Authors Robbyn R. Wacker and Karen A. Roberto build reader awareness of programs and discuss how to better understand help-seeking behavior, as well as explain ways to take advantage of the resources available to older adults. The substantially revised Fifth Edition includes new topics and updated research, tables, and figures to help answer key questions about the evolution and utilization of programs for older adults and the challenges that service providers face. |
| chronic care management workflow: Joslin's Diabetes Mellitus Elliott Proctor Joslin, C. Ronald Kahn, 2005 The bible on diabetes mellitus is now in its Fourteenth Edition—thoroughly revised and updated by more than 80 noted experts from the Joslin Diabetes Center and other leading institutions worldwide. This edition includes a new eleven-chapter section on hormone action and the regulation of metabolism. The section on definition and pathogenesis now includes chapters on genetics, diabetes in Asia and Africa, and diabetes in U.S. minority groups. Other new chapters cover retinopathy, cardiovascular disease, wound healing, and treatment of women with diabetes. All of the Fourteenth Edition's figures have been completely updated. |
| chronic care management workflow: The Case Manager's Handbook Catherine M. Mullahy, 2013-06-20 Written by renowned author Catherine Mullahy, The Case Manager’s Handbook, Fifth Edition is the ultimate how-to guide for case managers. This practical resource helps case managers build fundamentals, study for the Certified Case Manager (CCM) exam, and most importantly, advance their careers after the exam. Written for all professionals in all practice settings in case management, it uses real-life examples and an easy-to-read, conversational style to examine the case management process while presenting practical procedural information. An excellent daily reference and training guide for new case managers and seasoned professionals in various setting, The Case Manager’s Handbook, Fifth Edition is the “go-to” resource for facing the day-to-day challenges of case management, especially as the nation navigates through the many changes introduced by the landmark Patient Protection and Affordable Care Act. Significantly updated and revised, it contains eight new chapters: * Hospital Case Management: Changing Roles and Transitions of Care * Patient Centered Medical Home, ACOs, Health Exchanges * Evidence-Based Practice * Public Sector Reimbursement * Predictive Modeling * Pain Management * Health Technology, Trends, and Implications for Case Managers * The Affordable Care Act of 2010: Implications for Case Managers Included with each new print book is an Access Code for a Navigate Companion Website for students with objectives, multiple choice questions, and bonus appendices. |
| chronic care management workflow: Information Technology Solutions for Healthcare Krzysztof Zielinski, Mariusz Duplaga, David Ingram, 2007-10-29 In-depth study of internet-enhanced healthcare services Complete and thorough survey of the most promising e-health technologies Presents numerous real world examples Emphasis on international health-informatics topics, such as better access of states / countries to modern e-health technologies developed by leading centers |
| chronic care management workflow: Provider-Led Population Health Management Richard Hodach, Paul Grundy, Anil Jain, Michael Weiner, 2016-09-15 Provider-Led Population Health Management: Key Healthcare Strategies in the Cognitive Era, Second Edition draws connections among the new care-delivery models, the components of population health management, and the types of health IT that are required to support those components. The key concept that ties all of this together is that PHM requires a high degree of automation to reach everyone in a population, engage those patients in self-care, and maximize the chance that they will receive the proper preventive, chronic, and acute care. While this book is intended for healthcare executives and policy experts, anyone who is interested in health care can learn something from its exploration of the major issues that are stirring health care today. In the end, the momentous changes going on in health care will affect us all. |
| chronic care management workflow: Quality of Life Through Quality of Information European Federation for Medical Informatics, 2012-08-16 Medical informatics and electronic healthcare have many benefits to offer in terms of quality of life for patients, healthcare personnel, citizens and society in general. But evidence-based medicine needs quality information if it is to lead to quality of health and thus to quality of life. This book presents the full papers accepted for presentation at the MIE2012 conference, held in Pisa, Italy, in August 2012. The theme of the 2012 conference is ‘Quality of Life through Quality of Information’. As always, the conference provides a unique platform for the exchange of ideas and experiences among the actors and stakeholders of ICT supported healthcare. The book incorporates contributions related to the latest achievements in biomedical and health informatics in terms of major challenges such as interoperability, collaboration, coordination and patient-oriented healthcare at the most appropriate level of care. It also offers new perspectives for the future of biomedical and health Informatics, critical appraisal of strategies for user involvement, insights for design, deployment and the sustainable use of electronic health records, standards, social software, citizen centred e-health, and new challenges in rehabilitation and social care informatics. The topics presented are interdisciplinary in nature and will be of interest to a variety of professionals; physicians, nurses and other allied health providers, health informaticians, engineers, academics and representatives from industry and consultancy in the various fields. |
| chronic care management workflow: The Disease Manager's Handbook Rufus S. Howe, 2005 Approximately 3,500 people in the United States work in the front lines of disease management. According to the current trajectory, that number may climb to more than 10,000 by the year 2010. With this impending growth, new resources are needed in academic preparation, ongoing professional support, and certification for disease managers. The Disease Manager's Handbook, by Rufus Howe, RN, MA sets the stage to formalize the disease management profession as a whole, while providing disease managers with a reference and professional structure for their practice.Written on the tenet that disease management is a powerfully effective and efficient intervention, The Disease Manager's Handbook is the first and only text that spells out the practice of disease management, providing the reader with the knowledge and proficiency necessary to service their patients with expert knowledge, skills, and compassion. Howe writes concisely and clearly, providing easy-to-follow learning objectives and challenging questions at the end of each chapter, designed to fuel critical thinking. |
| chronic care management workflow: Krause and Mahan's Food and the Nutrition Care Process, 16e, E-Book Janice L Raymond, Kelly Morrow, 2022-07-30 **Selected for Doody's Core Titles® 2024 with Essential Purchase designation in Nutrition** Provide optimal nutritional care with the latest guidelines to evidence-based practice! Krause and Mahan's Food & the Nutrition Care Process, 16th Edition provides an all-in-one resource for the dietetics information you need to care for patients throughout the entire life cycle. With insight from clinical specialists, the book guides you through the steps of assessment, diagnosis and intervention, monitoring, and evaluation. It also covers nutrition in each stage of life, weight management, medical nutrition therapies for conditions and disorders, and the use of nutrition therapies in childhood. From a team of nutrition experts led by Janice L. Raymond and Kelly Morrow, this classic text has been trusted by nurses, nutritionists, and dieticians for since 1952. - UNIQUE! Pathophysiology algorithms and flow charts present the cause, pathophysiology, and medical nutrition management for a variety of disorders and conditions to help you understand illness and provide optimal nutritional care. - Clinical case studies help you translate academic knowledge into practical patient care using a framework of the nutrition care process. - Sample Nutrition Diagnosis boxes present a problem, its etiology, and its signs and symptoms, then conclude with a nutrition diagnosis, providing scenarios you may encounter in practice. - Clinical Insight boxes expand on information in the text, highlight new areas of focus, and contain information on studies and clinical resources. - New Directions boxes suggest areas for further research by spotlighting emerging areas of interest in nutrition care. - Focus On boxes provide thought-provoking information on key nutrition concepts. - Summary boxes highlight CRISPR, the Indigenous food movement, hearing assessment, health disparities, and the Health At Every Size movement, and include a tribute to Dr. George Blackburn, a respected specialist in obesity and nutrition. - Key terms are listed at the beginning of each chapter and bolded within the text. - NEW Infectious Diseases chapter is written by a new author with specific expertise in infectious disease. - NEW Transgender Nutrition chapter is added, from two new authors. - NEW! COVID-19 updates are provided in multiple chapters, each relating to epidemiology and patient care. - NEW! Information on the FODMAP diet is included in the appendix, covering the sugars that may cause intestinal distress. - NEW! Emphasis on diversity, equity, and inclusion is included in all chapters. - NEW! Updated International Dysphagia Diet Standardisation Initiative (IDDSI) information is included in the appendix. - NEW! Updated pregnancy growth charts are added to this edition. - NEW! Updated Healthy People 2030 information is added throughout the book. |
| chronic care management workflow: Leadership and Nursing Care Management Diane Huber, 2013-09-24 Research Notes in each chapter summarize relevant nursing leadership and management studies and show how research findings can be applied in practice. Leadership and Management Behavior boxes in each chapter highlight the performance and conduct expected of nurse leaders, managers, and executives. Leading and Managing Defined boxes in each chapter list key terminology related to leadership and management, and their definitions. Case Studies at the end of each chapter present real-world leadership and management situations and illustrate how key chapter concepts can be applied to actual practice. Critical Thinking Questions at the end of each chapter present clinical situations followed by critical thinking questions that allow you to reflect on chapter content, critically analyze the information, and apply it to the situation.A new Patient Acuity chapter uses evidence-based tools to discuss how patient acuity measurement can be done in ways that are specific to nursing. A reader-friendly format breaks key content into easy-to-scan bulleted lists. Chapters are divided according to the AONE competencies for nurse leaders, managers, and executives. Practical Tips boxes highlight useful strategies for applying leadership and management skills to practice. |
| chronic care management workflow: Foundations for Population Health in Community/Public Health Nursing - E-Book Marcia Stanhope, Jeanette Lancaster, 2017-09-20 Get the essential information you need to know about population health and community health nursing! Foundations for Population Health in Community/Public Health Nursing, 5th Edition includes concise, focused coverage of community health nursing — from nursing roles and care settings to vulnerable population groups. The book uses a practical, community-oriented approach and places an emphasis on health promotion and disease prevention. Practical application of concepts is highlighted throughout the text in case studies, critical thinking activities, QSEN competencies, and Healthy People 2020 objectives. - QSEN boxes illustrate how quality and safety goals, competencies, objectives, knowledge, skills, and attitudes can be applied in nursing practice in the community. - Healthy People 2020 objectives in every chapter address the health priorities and emerging health issues expected in the next decade. - Genomics coverage provides a history of genetics and genomics and how they impact public/community health nursing care. - Focus on health promotion throughout the text emphasizes initiatives, strategies, and interventions that promote the health of the community. - Clinical Application scenarios present practice situations with questions and answers to help you apply chapter concepts to practice in the community. - Evidence-Based Practice boxes highlight current research findings, their application to practice, and how community/public health nurses can apply the study results. - Levels of Prevention boxes identify specific nursing interventions at the primary, secondary, and tertiary levels, to reinforce the concept of prevention as it pertains to community and public health care. - Feature box on Linking Content to Practice highlights how chapter content is applied in the role of public/community health nursing. - NEW! Coverage of health care reform includes discussions of the impact of The Patient Protection and Affordable Care Act of 2010 (ACA) on public health nursing and the potential implications of its repeal. - NEW! Check Your Practice boxes feature scenarios and discussion questions to promote active learning. |
| chronic care management workflow: Management and Administration Skills for the Mental Health Professional William O'Donohue, Jane E. Fisher, 1999-08-17 Psychologists receive several years of specialized study on the brain, behavior, and mental health, but despite the fact that over half ultimately end up in administrative or managerial roles, they receive no formalized training in the skills necessary to be successful in these roles. This book is the first of its kind to target the managerial and administrative skills necessary for the mental health professional. The book discusses practical information such as how to deal with personnel issues, how to set budgets and allocate resources, and how to document progress and maintain schedules in the domains of private practice, hospitals, government agencies, and universities. Chapter authors are well-known and successful psychologists within these settings and include Raymond Fowler, past president of the American Psychological Association. |
| chronic care management workflow: Medical Informatics in a United and Healthy Europe European Federation for Medical Informatics. International Congress, 2009 This volume contains the proceedings of the twenty-second International Conference on Medical Informatics Europe MIE 2009, that was held in Sarajevo, Bosnia and Herzegovina, from 30 August to 2 September 2009. The scientific topics present in this proceedings range from national and trans-national eHealth roadmaps, health information and electronic health record systems, systems interoperability and communication standards, medical terminology and ontology approaches, and social networks to Web, Web 2.0, nd Semantic Web solutions for patients, health personnel, and researchers. Furthermore, they include quality assurance and usability of medical informatics systems, specific disease management and telemedicine systems, including a section on devices and snsors, drug safety, clinical decision support and medical expert systems, clinical practice guidelines and protocols, as well as issues on privacy and security. Moreover, bioinformatics, biomedical modeling and simulation, medical imaging and visualizatio and, last but not least, learning and education through medical informatics systems are parts of the included topics. |
| chronic care management workflow: Physician's Guide Roger G. Kathol, Katherine Hobbs Knutson, Peter J. Dehnel, 2016-07-27 Improving the outcomes for patients in our changing healthcare system is not straightforward. This grounding publication on case management helps physicians better meet the unique needs of patients who present with poor health and high healthcare-related costs, i.e., health complexity. It details the many challenges and optimal practices needed to work effectively with various types of case managers to improve patient outcomes. Special attention is given to integrated case management (ICM), specifically designed for those with health complexity. The book provides a systematic method for identifying and addressing the needs of patients with biological, psychological, social, and health-system related clinical and non-clinical barriers to improvement. Through ICM, case managers are trained to conduct relationship-building multidisciplinary comprehensive assessments that allow development of prioritized care plans, to systematically assist patients to achieve and document health outcomes in real time, and then graduate stabilized patients so that others can enter the case management process. Patient-centered practitioner-case manager collaboration is the goal. This reference provides a lexicon and a roadmap for physicians in working with case managers as our health system explores innovative ways to improve outcomes and reduce health costs for patients with health complexity. An invaluable, gold-standard title, it adds to the literature by capturing the authors' personal experiences as clinicians, researchers, teachers, and consultants. The Physician's Guide: Understanding and Working With Integrated Case Managers summarizes how physicians and other healthcare leadership can successfully collaborate with case managers in delivering a full package of outcome changing and cost reducing assistance to patients with chronic, treatment resistant, and multimorbid conditions. |
| chronic care management workflow: DSS 2.0 - Supporting Decision Making With New Technologies G.E. Phillips-Wren, S. Carlsson, A. Respício, 2014-05-22 Advances in technology have resulted in new and advanced methods to support decision-making. For example, artificial intelligence has enabled people to make better decisions hrough the use of Intelligent Decision Support Systems (DSS). Emerging research in DSS demonstrates that decision makers can operate in a more timely manner using real-time data, more accurately due to data mining and 'big data' methods, more strategically by considering a greater number of factors, more precisely and inclusively due to the availability of social networking data, and with a wider media reach with video and audio technology._x000D_ _x000D_This book presents the proceedings of the IFIP TC8/Working Group 8.3 conference held at the Université Pierre et Marie Curie in Paris, France, in June 2014. Throughout its history the conference has aimed to present the latest innovations and achievements in Decision Support Systems. This year the conference looks to the next generation with the theme of new technologies to enable DSS2.0. The topics covered include theoretical, empirical and design science research; case-based approaches in decision support systems; decision models in the real-world; healthcare information technology; decision making theory; knowledge management; knowledge and resource discovery; business intelligence; group decision support systems; collaborative decision making; analytics and ‘big data’; rich language for decision support; multimedia tools for DSS; Web 2.0 systems in decision support; context-based technologies for decision making; intelligent systems and technologies in decision support; organizational decision support; research methods in DSS 2.0; mobile DSS; competing on analytics; and social media analytics._x000D_ _x000D_ The book will be of interest to all those who develop or use Decision Support Systems. The variety of methods and applications illustrated by this international group of carefully reviewed papers should provide ideas and directions for future researchers and practitioners alike. |
| chronic care management workflow: Information Systems and Global Assemblages: (Re)configuring Actors, Artefacts, Organizations Bill Doolin, Eleni Lamprou, Nathalie Mitev, Laurie McLeod, 2014-11-29 This book constitutes the refereed proceedings of the IFIP WG 8.2 Working Conference on Information Systems and Organizations, IS&O 2014, held in Auckland, New Zealand, in December 2014. The 14 revised full papers presented were carefully reviewed and selected from 28 submissions. The papers are organized in the following topical sections: IS/IT implementation and appropriation; ethnographic account of IS use; structures and networks; health care IS, social media; and IS design. |
| chronic care management workflow: Cardiology Board Review Ramdas G. Pai, Padmini Varadarajan, 2023-03-10 Multiple choice question-and-answer book for cardiologists at all levels, now updated to include 100 new questions covering additional topics Cardiology Board Review, Second Edition is a multiple-choice question-and-answer study aid that is written for the primary purpose of helping candidates prepare for the American Board of Internal Medicine (ABIM) subspecialty certification. The questions address all areas of cardiology, some of which include: physical examination, ECG section with high resolution images, non-invasive and invasive imaging, myocardial diseases, and more. Each of the 1,400 questions is followed by four answers to choose from and the discussions address not only the rationale behind picking the right choice, but also fills in information around the topic so that important key concepts are clearly laid out. This helps candidates to prepare for the test, while also developing a clear understanding of various aspects of cardiology, including diagnosis and management. Written by two highly experienced authors in the field of healthcare, Cardiology Board Review, Second Edition covers topics such as: History and physical examinations, electrocardiography, chest x-rays in cardiology, stress testing and risk stratification of asymptomatic subjects, and echocardiography Cardiac magnetic resonance imaging, cardiac computed tomography, cardiac catheterization, acute coronary syndromes, and chronic coronary artery disease Heart failure, transplant, left ventricular assist devices, pulmonary hypertension, cardiomyopathies, hypertension, and diabetes mellitus Lipids, valvular heart disease, adult congenital heart disease, pericardial diseases, aortic diseases, and cardiac arrhythmias Pacemakers and defibrillators, cardiac masses, systemic disorders affecting the heart, and heart disease and pregnancy Providing comprehensive coverage of all relevant subjects and offering the easy-to-understand why behind the answer to each question, this second edition of Cardiology Board Review is an essential study resource for fellows in training, practicing cardiologists, and those preparing for ABIM subspecialty board in cardiology. |
| chronic care management workflow: Leadership and Nursing Care Management - E-Book Diane Huber, 2013-08-07 Comprehensive and easy to read, this authoritative resource features the most up-to-date, research-based blend of practice and theory related to the issues that impact nursing management and leadership today. Key topics include the nursing professional’s role in law and ethics, staffing and scheduling, delegation, cultural considerations, care management, human resources, outcomes management, safe work environments, preventing employee injury, and time and stress management. Research Notes in each chapter summarize relevant nursing leadership and management studies and show how research findings can be applied in practice. Leadership and Management Behavior boxes in each chapter highlight the performance and conduct expected of nurse leaders, managers, and executives. Leading and Managing Defined boxes in each chapter list key terminology related to leadership and management, and their definitions. Case Studies at the end of each chapter present real-world leadership and management situations and illustrate how key chapter concepts can be applied to actual practice. Critical Thinking Questions at the end of each chapter present clinical situations followed by critical thinking questions that allow you to reflect on chapter content, critically analyze the information, and apply it to the situation. A new Patient Acuity chapter uses evidence-based tools to discuss how patient acuity measurement can be done in ways that are specific to nursing. A reader-friendly format breaks key content into easy-to-scan bulleted lists. Chapters are divided according to the AONE competencies for nurse leaders, managers, and executives. Practical Tips boxes highlight useful strategies for applying leadership and management skills to practice. |
| chronic care management workflow: Disease Management Diane Huber, 2005-02-04 Written specifically for case managers, this innovative reference presents a practical integration of disease management and case management to ensure comprehensive coverage of these two rapidly evolving and expanding fields. It explains and clarifies these two areas with in-depth expert commentary that offers a fresh, contemporary approach and captures both provider and payor perspectives. Its strong emphasis on evidence-based practice helps ensure that disease managers are using the best evidence to formulate the best results. Comprehensive, targeted content makes it one of the only resources available for practicing disease managers Wide variety of coverage includes chronic illnesses such as congestive heart failure, as well as management of those conditions such as pregnancy that do not indicate an unhealthy or diseased state Expert author contributions offer practical guidance and interdisciplinary perspectives Chapters provide case studies or case scenarios to demonstrate the ways in which case managers nationwide have responded to treatment challenges with success Emphasis on preventive care stresses the most practical and cost-effective solution to today's rising health care costs Authors detail specific tips, tools, and techniques that managers can put to use in practice Chapters are organized into three separate parts to present the information logically |
| chronic care management workflow: Community/Public Health Nursing - E-Book Mary A. Nies, Melanie McEwen, 2022-10-01 **American Journal of Nursing (AJN) Book of the Year Awards, 3rd Place in Community/Home Health Care, 2023** Master the knowledge and skills you need to succeed in community health nursing! Community/Public Health Nursing, 8th Edition discusses the nurse's role in population health promotion with a unique upstream preventive focus and a strong social justice approach, all in a concise, easy-to-read text. It shows how nurses can take an active role in social action and health policy — especially in caring for diverse and vulnerable population groups. This edition integrates the NCSBN Clinical Judgment Measurement Model to help you prepare for the Next Generation NCLEX®. Clinical examples and photo novellas show how nursing concepts apply to the real world. - Active Learning boxes test your knowledge of the content you've just read, helping provide clinical application and knowledge retention. - UNIQUE! Social justice approach promotes health for all people, emphasizing society's responsibility to protect all human life and ensure that all people have their basic needs met, such as adequate health protection. - UNIQUE! Veterans' Health chapter presents situations and considerations unique to the care of military veterans. - Genetics in Public Health boxes reflect increasing scientific evidence supporting the health benefits of using genetic tests and family health history to guide public health interventions. - UNIQUE! Upstream focus addresses contributing factors of poor health and promotes community efforts to address potential health problems before they occur. - Case studies present the theory, concepts, and application of the nursing process in practical and manageable examples. - UNIQUE! Photo novellas — stories in photograph form — show real-life clinical scenarios and highlight the application of important community/public health nursing roles. - Consistent pedagogy at the beginning of each chapter includes learning objectives, key terms and chapter outlines to help you locate important information and focus your study time. - Clinical Examples present snippets of real-life client situations. - Theoretical frameworks common to nursing and public health aid in the application of familiar and new theory bases to problems and challenges in the community. - Research Highlights introduce you to the growing amount of community/public health nursing research literature. - Ethical Insights boxes present situations of ethical dilemmas or considerations pertinent to select chapter topics. - NEW! Online case studies for the Next Generation NCLEX® Examination (NGN) provide you with the necessary tools to prepare for the NGN. - NEW! Overview of the NCSBN Clinical Judgment Measurement Model provides information on the latest recommendations to promote evidence-based client decisions. - NEW! Healthy People 2030 boxes highlight the most current national health care goals and objectives throughout the text. |
| chronic care management workflow: The Future of Medicare United States. Congress. Senate. Special Committee on Aging, 2007 |
| chronic care management workflow: Interdisciplinary Case Studies in Health Care Redesign Mickey L. Parsons, Carolyn L. Murdaugh, Robert A. O'Rourke, 1997 Describes approaches to operational redesign and clinical process redesign and provides examples and case studies from the field, designed to assist health care professional in redesign. Part I examines operational redesign, with discussion of the case for change, and structure and team processes fo |
| chronic care management workflow: Leadership and Nursing Care Management - E-Book M. Lindell Joseph, Diane Huber, 2021-05-18 Develop your management and nursing leadership skills! Leadership & Nursing Care Management, 7th Edition focuses on best practices to help you learn to effectively manage interdisciplinary teams, client needs, and systems of care. A research-based approach includes realistic cases studies showing how to apply management principles to nursing practice. Arranged by American Organization for Nursing Leadership (AONL) competencies, the text addresses topics such as staffing and scheduling, budgeting, team building, legal and ethical issues, and measurement of outcomes. Written by noted nursing educators Diane L. Huber and Maria Lindell Joseph, this edition includes new Next Generation NCLEX® content to prepare you for success on the NGN certification exam. - UNIQUE! Organization of chapters by AONL competencies addresses leadership and care management topics by the five competencies integral to nurse executive roles. - Evidence-based approach keeps you on the cutting edge of the nursing profession with respect to best practices. - Critical thinking exercises at the end of each chapter challenge you to reflect on chapter content, critically analyze the information, and apply it to a situation. - Case studies at the end of each chapter present real-world leadership and management vignettes and illustrate how concepts can be applied to specific situations. - Research Notes in each chapter summarize current research studies relating to nursing leadership and management. - Full-color photos and figures depict concepts and enhance learning. - NEW! Updates are included for information relating to the competencies of leadership, professionalism, communication and relationship building, knowledge of the healthcare environment, and business skills. - NEW! Five NGN-specific case studies are included in this edition to align with clinical judgment content, preparing you for the Next Generation NCLEX® (NGN) examination. - NEW contributors — leading experts in the field — update the book's content. |
| chronic care management workflow: Physician Practice Management Lawrence F. Wolper, 2012-05-24 Published in association with the MGMA and written for physician leaders and senior healthcare managers as well as those involved in smaller practices, Physician Practice Management: Essential Operational and Financial Knowledge provides a comprehensive overview of the breadth of knowledge required to effectively manage a medical group practice today. Distinguished experts cover a range of topics while taking into special consideration the need for a broader and more detailed knowledge base amongst physicians, practice managers and healthcare managers. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition. |
| chronic care management workflow: The Physician's Guide to Disease Management James B. Couch, 1997 This book is designed to provide the physician with a working knowledge of disease management. In today's health care market where pressure is on both providers and managed care organizations to deliver high quality care to defined populations efficiently, knowledge of disease management is crucial. It includes discussions of evidence-based medicine, clinical practice guidelines, and outcomes management. |
| chronic care management workflow: Community Care in Hong Kong Kar-wai TONG, Kenneth Nai-kuen FONG, 2014-10-16 Different global healthcare challenges bring threats to the healthcare system. Like other developed countries, Hong Kong is also focusing on how to manage the ageing population, how to meet the rising public expectations, and how to finance the ever increasing medical costs. Strengthening community care services may provide a way out for settling these concerns. Written by a team of renowned scholars and leading practitioners, this book aims at evaluating how different parties can assist in building up local community capacity to achieve sustainable health and wellness. The book is divided into three sections. The first section discusses the different roles and practices of specialised community care that contribute to the relative success of the healthcare system in Hong Kong. The second section makes use of various research practices to extrapolate future healthcare needs and practices in Hong Kong. And the last one addresses the values of health care which underlie the healthcare culture, structure and practice in Hong Kong over time. Apart from pointing out the limitation of the current system, this book will also discusses the future directions of the healthcare system in order to cope with the challenges in a changing society. Published by City University of Hong Kong Press 香港城市大學出版社出版 |
| chronic care management workflow: Novel Advances in Allergy Diagnosis and Treatment Simon Blank, Christiane Hilger, 2021-12-20 |
Chronic Diseases - American Medical Association
Apr 6, 2023 · Chronic diseases are long-term health conditions that can have a significant impact on a person's quality of life. Some of the most common chronic diseases include diabetes, …
Putting a spotlight on lifestyle medicine to prevent chronic disease
Mar 7, 2025 · "Chronic disease is a part of every patient who we treat, regardless of your specialty," Dr. Suk said. "For me, an orthopaedic surgeon, focusing on one, two or three of the …
Chronic Care Management Consent | AMA
Chronic Care Management Consent THE MYTH The Centers for Medicare and Medicaid Services (CMS) requires patient consent to be obtained at regular intervals for Chronic Care …
Living with chronic pain, lifespan vs healthspan, and updated …
Dec 18, 2024 · Garcia: Well, the report found that chronic pain and high-impact chronic pain increased with age, and that American, Indian and Alaska Native, non-Hispanic adults, were …
Is consent for chronic care management required regularly?
Oct 13, 2023 · Chronic Care Management and Connected Care. CMS. Published March 30, 2023. Accessed June 30, 2023. ...
Improving your ICD-10 Diagnosis Coding - American Medical …
Jan 4, 2016 · Acute vs. Persistent vs. Recurrent vs. Chronic . Review the guidelines for how the terms acute, persistent, recurrent, and chronic are defined for various diagnoses. The …
7 steps patients should follow to reduce, manage chronic disease
Oct 1, 2019 · Preventing and managing chronic disease often requires patients to make healthy lifestyle changes and adjustments to their daily routines. While some might feel overwhelmed …
Rethinking how physicians learn to prevent, manage chronic …
Jul 27, 2016 · As the number of patients with chronic conditions continues to climb, so do the rates of burnout among physicians. Fundamental changes to how physicians approach chronic …
Measles resources - American Medical Association
Jun 5, 2025 · Blindness, encephalitis, diarrhea and associated dehydration, ear infections, and severe pneumonia are known complications. Before vaccination, measles was responsible for …
CPT® Evaluation and Management (E/M) Code and …
CPT® Evaluation and Management (E/M) Code and Guideline Changes ... a
Chronic Diseases - American Medical Association
Apr 6, 2023 · Chronic diseases are long-term health conditions that can have a significant impact on a person's quality of life. Some of the most common chronic diseases include diabetes, …
Putting a spotlight on lifestyle medicine to prevent chronic disease
Mar 7, 2025 · "Chronic disease is a part of every patient who we treat, regardless of your specialty," Dr. Suk said. "For me, an orthopaedic surgeon, focusing on one, two or three of the …
Chronic Care Management Consent | AMA
Chronic Care Management Consent THE MYTH The Centers for Medicare and Medicaid Services (CMS) requires patient consent to be obtained at regular intervals for Chronic Care …
Living with chronic pain, lifespan vs healthspan, and updated …
Dec 18, 2024 · Garcia: Well, the report found that chronic pain and high-impact chronic pain increased with age, and that American, Indian and Alaska Native, non-Hispanic adults, were …
Is consent for chronic care management required regularly?
Oct 13, 2023 · Chronic Care Management and Connected Care. CMS. Published March 30, 2023. Accessed June 30, 2023. ...
Improving your ICD-10 Diagnosis Coding - American Medical …
Jan 4, 2016 · Acute vs. Persistent vs. Recurrent vs. Chronic . Review the guidelines for how the terms acute, persistent, recurrent, and chronic are defined for various diagnoses. The …
7 steps patients should follow to reduce, manage chronic disease
Oct 1, 2019 · Preventing and managing chronic disease often requires patients to make healthy lifestyle changes and adjustments to their daily routines. While some might feel overwhelmed …
Rethinking how physicians learn to prevent, manage chronic …
Jul 27, 2016 · As the number of patients with chronic conditions continues to climb, so do the rates of burnout among physicians. Fundamental changes to how physicians approach chronic …
Measles resources - American Medical Association
Jun 5, 2025 · Blindness, encephalitis, diarrhea and associated dehydration, ear infections, and severe pneumonia are known complications. Before vaccination, measles was responsible for …
CPT® Evaluation and Management (E/M) Code and …
CPT® Evaluation and Management (E/M) Code and Guideline Changes ... a
