This inconsistent pattern
of health care utilization may put these individuals at higher risk for delaying medical care for significant medical symptoms and for raising costs of care.
Parents cite similar amounts
of health care utilization for their child with disabilities despite their insurance coverage status.
In studies
of health care utilization, the number of missing claims may vary in a nonrandom fashion between groups defined by demographics, disease, or locality.
Not exact matches
Not surprisingly, research shows that household food insecurity is a strong predictor
of higher
health care utilization and increased
health care costs.
Erie County and each Mall partner are teaming up with the University at Buffalo's School
of Public
Health to conduct long - term studies of the health outcomes and health care utilization of patients who visit the Health
Health to conduct long - term studies
of the
health outcomes and health care utilization of patients who visit the Health
health outcomes and
health care utilization of patients who visit the Health
health care utilization of patients who visit the
HealthHealth Mall.
Luke Rudmik, M.D., M.Sc.,
of the University
of Calgary, Canada, and colleagues evaluated the
utilization patterns
of topical intranasal steroid therapy for CRS in the Canadian population with a review
of a Canadian population - based
health care administrative database.
«While dozens
of clinical trials have demonstrated the effectiveness
of collaborative
care for treating depression in primary
care, comparatively few have addressed anxiety, despite their similar prevalence and adverse impact on
health - related quality of life and excess utilization of health services,» said Bruce L. Rollman, M.D., M.P.H., professor of medicine and director of Pitt's Center for Behavioral Health and Smart Techn
health - related quality
of life and excess
utilization of health services,» said Bruce L. Rollman, M.D., M.P.H., professor of medicine and director of Pitt's Center for Behavioral Health and Smart Techn
health services,» said Bruce L. Rollman, M.D., M.P.H., professor
of medicine and director
of Pitt's Center for Behavioral
Health and Smart Techn
Health and Smart Technology.
Increasing
utilization of preventive dental
care by Medicaid - enrolled children has been a public
health priority in Pennsylvania.
Maria Raven, MD, MPH, FACEP
of the University
of California San Francisco, who wrote the companion editorial, cautions that «
health care delivery is rarely simple and studying
health care utilization is quite complex.
The researchers found that the addition
of vitamin D3 to ciclesonide did not significantly reduce the rate
of first treatment failure (a composite outcome
of decline in lung function and increases in use
of beta - agonists, systemic steroids, and
health care utilization) compared with placebo; 28 percent and 29 percent
of participants in each group, respectively, experienced at least 1 treatment failure during 28 weeks.
Thus, it may be too early to observe changes in
health or other measures
of access or
health care utilization whose benefit might take more time to gauge.
«Medicaid expansion significantly boosts insurance coverage among low - income adults:
Health care utilization, diagnoses of chronic health conditions and quality of coverage also improved.&
Health care utilization, diagnoses
of chronic
health conditions and quality of coverage also improved.&
health conditions and quality
of coverage also improved.»
«Emergency department - initiated palliative
care consultation improved QOL [quality
of life] in patients with advanced cancer and does not seem to shorten survival; the impact on
health care utilization and depression is less clear and warrants further study,» the study concludes.
Corita R. Grudzen, M.D., M.S.H.S.,
of New York University, and coauthors conducted a randomized clinical trial to compare quality
of life, depression,
health care utilization and survival in ED patients with advanced cancer randomly assigned to an intervention with an ED - initiated palliative
care consultation vs. usual
care.
The authors suggest the impact
of palliative
care on
health care utilization was «more nuanced» in their study.
«More importantly, the lower level
of health care access and
utilization among this group is likely to impact follow - up
care of these patients and may make them more susceptible to diminished quality
of life.»
All animal procedures were performed under guidelines
of the National Institutes
of Health and approved by the Institutional Animal
Care and
Utilization Committee (IACUC)
of University
of Colorado Denver, Aurora, CO (UCAR # 80710 (05) 1E).
examines long - term sequelae resulting from a diagnosis
of childhood cancer and its treatment, and
health care relating to these late effects.This multi-study initiative is funded by a Canadian Cancer Society program project grant, with additional funding from CCS BC and Yukon Division, and has examined long - term
health effects and educational attainment,
health care utilization, and quality
of follow - up
care among disease survivors.
Clinical Studies: Our clinical core, led by Dr. Kurt Christensen, conducts economic analyses alongside prospective clinical studies to better understand the full costs
of sequencing and to collect real - world data about
health care utilization and clinical outcomes following genomic tests.
To evaluate the impact
of ED - initiated palliative
care consultation on QOL, depression,
health care utilization, and survival in patients with advanced cancer, we conducted a patient - level, single center, single - blind pilot RCT
of 136 participants.
While at Harvard, Rogers helped to launch the Center for Surgery and Public
Health, whose mission is to understand the nature, quality and
utilization of surgical
care nationally and internationally.
A 7 year study conducted by an independent physician association found that patients» regular
utilization of chiropractic
care reduced the need for: hospitilization by 60 %, hospital days by 59 %, pharmaceutical usage by 85 %, outpatient surgeries & procedures by 62 %, and overall global
health care costs by 50 %.
In general, overall retirement spending decreases through much
of retirement but with a notable upturn at the end that can create a U-shaped retirement spending pattern.17 So planning for
health care expenses throughout your retirement — however long it may be — is vital to your overall retirement income planning efforts because
health care utilization tends to increase as we age.
Utilization of Fear Free methods and protocols leads to reduction or removal
of anxiety triggers, which creates an experience that is rewarding and safer for all involved, including pets, their owners, and veterinary
health care teams.
In an on - going project with the Research Action Alliance on the Consequences
of Work Injury (RAACWI), she has led the development
of a
health and
health care utilization survey
of Ontario injured workers with permanent impairments.
Project Abstract: We are initiating a longitudinal survey to monitor the
health and
health care utilization of a representative sample Ontario injured workers who received a non-economic loss benefit (NEL).
For instance, he recently guided a multinational
health care manufacturer to a successful resolution in a California protest case on multiple fronts (unitary combination, characterization
of income issues, apportionment and credit
utilization issues).
[8] They found that 97 %
of all hospitals seek consent for the release
of information for payment purposes; 45 % seek consent for disclosure for
utilization review, peer review, quality assurance, and / or prospective review; and 50 % seek consent for disclosure to providers, other
health care facilities, or others for continuity
of care purposes.
We also include within the definition an organized system
of health care in which more than one covered entity participates, and in which the participating covered entities hold themselves out to the public as participating in a joint arrangement, and in which the joint activities
of the participating covered entities include at least one
of the following:
utilization review, in which
health care decisions by participating covered entities are reviewed by other participating covered entities or by a third party on their behalf; quality assessment and improvement activities, in which treatment provided by participating covered entities is assessed by other participating covered entities or by a third party on their behalf; or payment activities, if the financial risk for delivering
health care is shared in whole or in part by participating covered entities through the joint arrangement and if protected
health information created or received by a covered entity is reviewed by other participating covered entities or by a third party on their behalf for the purpose
of administering the sharing
of financial risk.
Commenters representing state hospital associations pointed out that they routinely receive protected
health information from hospitals for analyses that are used by member hospitals for such things as quality
of care benchmark comparisons, market share analysis, determining physician
utilization of hospital resources, and charge comparisons.
Responsible for coordinating day - to - day
utilization of human and material resources to achieve the goals, objectives and standards
of health care
To obtain a responsible and challenging position in the area
of medical data entry position, making full
utilization of my skills and knowledge in a
health care organization.
Analyzed and reviewed the activities
of health care staff as well as improved the
utilization of services
Case Manager, 1996 - 1997 Coordinated medically appropriate, high quality, and cost effective
care for «at risk» patients in the Maryland Medical Assistance program, and assessed needs and assisted caseload
of 30 enrollees to gain access and appropriately
utilization of health care system.
As the
utilization of medical assistants — especially CMAs (AAMA)-- within the American
health care delivery system continues to increase and diversify, different types
of questions regarding permissible scope
of practice are being directed to the American Association
of Medical Assistants.
IT,
utilization of clinical skills and knowledge in case management, Quality Improvement, documentation, case management, education in home
health care and hospice re
care management,
care planning, software etc
• Knowledge and experience in the design, implementation and analysis
of health care quality and cost data studies for quality improvement and appropriate cost - containment, resource
utilization analysis, physician profiling, HEDIS, NCQA and QARR reporting • Microsoft Office Professional Suite (Word, Excel, Access, Outlook) • Proficient in application of Utilization Management Guidelines, including Milliman, Robertson an
utilization analysis, physician profiling, HEDIS, NCQA and QARR reporting • Microsoft Office Professional Suite (Word, Excel, Access, Outlook) • Proficient in application
of Utilization Management Guidelines, including Milliman, Robertson an
Utilization Management Guidelines, including Milliman, Robertson and InterQual
Clear One
Health Plans, Bend • OR 2006 — 2010 Pharmacy Services Technician Followed managed
care practices, created member and group
utilization reports in EXCEL, submitted new pharmacy benefits to Pharmacy Benefit Manager, maintained and added all new information to pharmacy benefits grid for company wide use, wrote pharmacy benefit section
of member handbook, pharmacy call center customer service, data entry, performed prior authorizations for step therapy and non formulary medications.
Communicates with physician, payers and other
health care providers to ensure quality
care and promote fiscal responsibility through the appropriate
utilization of resources.
Licensed Vocational Nurse (LVN)-- Duties & Responsibilities Provide support to other staff and coordinate all
care efforts while acting as primary point of contact to patients Perform frequent patient evaluations, including initial and on - going examinations, monitoring and tracking of vital signs, executing various minor procedures, and both administering and tracking medication use per physician orders for an extensive variety of conditions Alert physicians to any change in condition and raise concerns when necessary through accurate communication Communicate effectively with other medical staff, family members and interested parties to facilitate the efficient treatment of patients as well as ensure the timely information flow Collaborate in the development of treatment plans, providing guidance from point of admission through discharge while utilizing initial and on - going assessments to provide correct medical direction Deliver emotional and informational support to patient, their families, and other interested parties, helping them understand conditions, treatments and potential outcomes Develop and maintain competencies and knowledge of medical techniques, information, conditions, treatments, medications, and potential interactions, participating actively in all continuing education opportunities Utilize and employ knowledge from clinical rotations in MedSurgical, Telemetry, GI, Emergency Room, Post-Partum, Nursery, Internal Medicine, Occupational Medicine, Family Practice and Urgent Care settings Adhere strictly to local, state, and federal health - related laws in the administration of care, the operation and utilization of all medical equipment and procedures, and treatment of patients Address patient and doctor queries, resolving them in an expedited ma
care efforts while acting as primary point
of contact to patients Perform frequent patient evaluations, including initial and on - going examinations, monitoring and tracking
of vital signs, executing various minor procedures, and both administering and tracking medication use per physician orders for an extensive variety
of conditions Alert physicians to any change in condition and raise concerns when necessary through accurate communication Communicate effectively with other medical staff, family members and interested parties to facilitate the efficient treatment
of patients as well as ensure the timely information flow Collaborate in the development
of treatment plans, providing guidance from point
of admission through discharge while utilizing initial and on - going assessments to provide correct medical direction Deliver emotional and informational support to patient, their families, and other interested parties, helping them understand conditions, treatments and potential outcomes Develop and maintain competencies and knowledge
of medical techniques, information, conditions, treatments, medications, and potential interactions, participating actively in all continuing education opportunities Utilize and employ knowledge from clinical rotations in MedSurgical, Telemetry, GI, Emergency Room, Post-Partum, Nursery, Internal Medicine, Occupational Medicine, Family Practice and Urgent
Care settings Adhere strictly to local, state, and federal health - related laws in the administration of care, the operation and utilization of all medical equipment and procedures, and treatment of patients Address patient and doctor queries, resolving them in an expedited ma
Care settings Adhere strictly to local, state, and federal
health - related laws in the administration
of care, the operation and utilization of all medical equipment and procedures, and treatment of patients Address patient and doctor queries, resolving them in an expedited ma
care, the operation and
utilization of all medical equipment and procedures, and treatment
of patients Address patient and doctor queries, resolving them in an expedited manner
Professional Experience Qualis
Health (Boise, ID), Director
of Idaho Medicare Operations 2007 — Present Qualis
Health (Boise, ID), Project Manager 2003 — 2007 Cascade Medical Center (Cascade, ID), Director
of Operations & Healthcare Services 2001 — 2003 Shepard's Home, Inc. (McCall, ID), Executive Director 1999 — 2001 Independent Consultant (CA & ID) 1992 — 1999 CIGNA (San Diego, CA), Director
of Provider Relations & Director
of UM / QA 1985 — 1991 Sharp Memorial Hospital (San Diego, CA), Managing Director
Utilization Review 1984 — 1985 State
of California, Department
of Mental
Health (Sacramento, CA)
Health Care Services Nurse; Mental
Health Specialist II 1980 — 1984 Greater Sacramento PSRO (Sacramento, CA), Registered Nurse 1977 — 1980 Sacramento Community Hospital (Sacramento, CA), Registered Nurse 1976 — 1977 St. Benedict's Hospital (Jerome, ID), Registered Nurse 1969 — 1975
Healthcare access and the patterns
of maternal
health care utilization among poor and non-poor women living in urban areas in Portugal
An example
of a robust case management initiative is
Health Leads, 77 an enhanced primary care strategy that uses college volunteers as advocates and advanced resource management techniques, which has improved coordination of care and utilization of collocated social services by low - income families with the intent of reducing the social barriers to good h
Health Leads, 77 an enhanced primary
care strategy that uses college volunteers as advocates and advanced resource management techniques, which has improved coordination
of care and
utilization of collocated social services by low - income families with the intent
of reducing the social barriers to good
healthhealth.
The Healthy Steps for Young Children program (HS) was designed to support families
of young children using a new type
of health care provider, the HS specialist (HSS), in a practice - based intervention.1 The HS consists
of risk reduction activities and universal components, including developmental screening, anticipatory guidance, and follow - up services, offered to all families receiving
care.2 - 5 Expected benefits
of HS include improved parental promotion
of child development, 6 parenting practices, child development, and
health care utilization.
This study was particularly innovative as it culminated in the description
of three categories
of potential trauma (abuse, neglect, and household dysfunction) and the subsequent incidence
of risk factors for disease, perceived quality
of life,
health care utilization, and mortality / morbidity.
Goals are to decrease abuse and neglect, reduce unintentional injuries, strengthen the parent - child relationship, improve
utilization of diagnostic services, encourage good
health practices, link families with primary
care, promote an optimal environment for learning and emotional growth, encourage development and self -
care of mothers, and begin the school readiness process.
Parents in the
care coordination group reported higher
utilization of both primary
care and specialist physicians, but did not report better practice help and support, better satisfaction with
care, or better overall parental
health.
A growing collection
of evidence related to ACEs and other childhood stressors is available: ACEs have an impact on
health and substance use, 2 mental
health, 3
health care utilization, 4 psychotropic medication use, 5 and autoimmune disease.6 The overarching point is made: the impact
of trauma in childhood is lasting.
Impact
of screening for mental
health concerns on
health service
utilization and functional status in primary
care patients
On social - emotional measures, foster children in the NSCAW study tended to have more compromised functioning than would be expected from a high - risk sample.43 Moreover, as indicated in the previous section, research suggests that foster children are more likely than nonfoster
care children to have insecure or disordered attachments, and the adverse long - term outcomes associated with such attachments.44 Many studies
of foster children postulate that a majority have mental
health difficulties.45 They have higher rates
of depression, poorer social skills, lower adaptive functioning, and more externalizing behavioral problems, such as aggression and impulsivity.46 Additionally, research has documented high levels
of mental
health service
utilization among foster children47 due to both greater mental
health needs and greater access to services.