Search results “Health plan management care system”
Health Planning & Management Community Medicine
This is an animated video lecture on the chapter "HEALTH PLANNING & MANAGEMENT" from the PARK textbook of COMMUNITY Medicine... Hi..........welcome to abmbbs......today's topic is “HEALTH PLANNING & MANAGEMENT”.....this video is based on the HEALTH PLANNING chapter from the PARK textbook of Community Medicine....in the 1st part of the video I would be talking about Health Planning......and.....in the 2nd part, I will briefly discuss... the important Health committees given in the textbook......so.....1st tell me the difference between objective....target....& goal.... objective is the planned endpoint of all activities....it is either achieved or not achieved.....it is precise.... target ….is... a discrete activity which gives us an idea about the degree of achievement...........targets are concerned with the factors involved in the problem....whereas..... objective is concerned directly with the problem in itself.... for example....when I say we will publish a 100 hundred videos by December 2017....it is a target...bcz ..it is concerned with the factors involved with the problem....but.. when I say.... we will achieve a 1000 subscribers by December 2017....it is an objective.....bcz it is concerned with the problem in itself... finally...a goal...is the ultimate desired state towards which all our efforts are directed..it is not bound by time or resources....it is our ultimate destination.. Next we come to plan....a plan is a blueprint for taking action...it prevents wastage of resources & helps develop the best course of action. Next we come to the topic of Planning cycle....it tells us the sequence of steps needed to be taken whenever we are faced with any health situation in a community...at first, we have to analyze the health situation...next , we need to establish the goals & objectives...then, we need to assess the resources & fix priorities...next, we need to write up an effective plan.....&.... skillfully implement it...finally, we need to monitor our plan carefully... & evauate it from time to time..... Next we come to an important question which is often asked in the exams....What is the difference between cost benefit analysis & cost effective analysis?? In cost benefit analysis , benefits are analyzed based on monetary terms......example plan A costs Rs 1000 whereas plan B costs Rs 1500....so plan A is better because it is cheaper... whereas....in cost effective analysis.... benefits are analyzed based on terms of results achieved....example number of lives saved or number of disease free days.... example plan A saves 100 lives whereas plan B saves 50 lives....so plan A is better because it saves more lives. This bring us to the end of the 1st part of the video.....now coming to the diffrnt health committees.... The first committee that you should be knowing about is the BHORE committee....it was also known as the HEALTH SURVEY & DEVELOPMENT COMMITTEE....it propagated the idea of social physicians...these people were given a short 3 months training in preventive & social medicine...& they would be allowed to treat minor illnesses in the society...it proposed 2 plans.....a short term plan...& ….a long term plan....according to the the short term plan there would be 1 PHC per 40 thousand patients...& it would be 30 bedded......while...according to the long term plan....there would be 1 PHC per 10 to 20 thousand patients...& it would be 75 bedded....this was what was known as the 3 million plan... Next came the MUDALIAR committee which was also known as …..the Health Survey & Planning Committee...now if you notice....planning starts with “P”..,.& Mudaliar starts with “M”....so we get a bit of a pneumonic here......also dont confuse it with the BHORE committee because that was HEALTH SURVEY & DEVELOPMENT committee....The mudaliar committee gave the concept of ALL INDIA HEALTH SERVICE Next there was the CHADAH committee which proposed the idea of BASIC HEALTH WORKER The KARTAR SINGH committee which gave the idea of Male or female Health Worker There was the JUNGALWALLA committee....which was also called “ COMMITTEE on INTEGRATION of HEALTH SCIENCES “.....now if you notice carefully....I & J look remarkably similar....ha..ha..ha.....so there's another pneumonic for you....& in case you are wondering why such a weird name?.....Jungalwalla....then remember its because this committee proposed the idea of banning private practise... Finally we come to the SRINIVASTAVA committee.....everything about this committee was about health education....it was also called THE GROUP ON MEDICAL EDUCATION & SUPPORT MANPOWER...it proposed the REORIENTATION OF MEDICAL EDUCATION scheme...or the ROME scheme.....notice the under lying theme here?...its all about medical education....This committee also gave the Village Health Guide scheme....& gave the concept of 3 tier village
Views: 9536 AB Mbbs
Healthcare system overview | Health care system | Heatlh & Medicine | Khan Academy
The different roles in the healthcare system. Created by Sal Khan. Watch the next lesson: https://www.khanacademy.org/science/health-and-medicine/health-care-system/v/paying-doctors?utm_source=YT&utm_medium=Desc&utm_campaign=healthandmedicine Missed the previous lesson? https://www.khanacademy.org/science/health-and-medicine/health-care-system/v/health-care-costs-in-us-vs-europe?utm_source=YT&utm_medium=Desc&utm_campaign=healthandmedicine Health & Medicine on Khan Academy: No organ quite symbolizes love like the heart. One reason may be that your heart helps you live, by moving ~5 liters (1.3 gallons) of blood through almost 100,000 kilometers (62,000 miles) of blood vessels every single minute! It has to do this all day, everyday, without ever taking a vacation! Now that is true love. Learn about how the heart works, how blood flows through the heart, where the blood goes after it leaves the heart, and what your heart is doing when it makes the sound “Lub Dub.” About Khan Academy: Khan Academy is a nonprofit with a mission to provide a free, world-class education for anyone, anywhere. We believe learners of all ages should have unlimited access to free educational content they can master at their own pace. We use intelligent software, deep data analytics and intuitive user interfaces to help students and teachers around the world. Our resources cover preschool through early college education, including math, biology, chemistry, physics, economics, finance, history, grammar and more. We offer free personalized SAT test prep in partnership with the test developer, the College Board. Khan Academy has been translated into dozens of languages, and 100 million people use our platform worldwide every year. For more information, visit www.khanacademy.org, join us on Facebook or follow us on Twitter at @khanacademy. And remember, you can learn anything. For free. For everyone. Forever. #YouCanLearnAnything Subscribe to Khan Academy’s Health & Medicine channel: https://www.youtube.com/channel/UC1RAowgA3q8Gl7exSWJuDEw?sub_confirmation=1 Subscribe to Khan Academy: https://www.youtube.com/subscription_center?add_user=khanacademy
Views: 271759 Khan Academy
The Healthcare System of the United States
We've been getting a lot of requests to talk about the health care systems of different countries. It's really hard to compress the complexities of each into an episode, but we're going to try. First up is the United States. Others will follow, including next week. Make sure you subscribe above so you don't miss any upcoming episodes! Here are references for all the stuff I talk about: John's video on health care costs: http://www.youtube.com/watch?v=qSjGouBmo0M Aaron's series on costs: http://theincidentaleconomist.com/wordpress/what-makes-the-us-health-care-system-so-expensive-introduction/ Aaron's series on quality: http://theincidentaleconomist.com/wordpress/how-do-we-rate-the-quality-of-the-us-health-care-system-introduction/ John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/realjohngreen http://www.twitter.com/olsenvideo
Views: 411599 Healthcare Triage
What Are The Differences Between HMO, PPO, And EPO Health Plans NEW
This video will help you choose the right type of plan based on your specific medical and provider needs. Many often wonder what all the different health plan offerings mean to them... now you can understand the difference between HMO's, PPO's, and EPO's in just a few short minutes. There is also a printable link at the end of this video with more details. www.BenefitCompare.com Follow us on Twitter: @BenefitCompare Customer Service on Twitter: @TechHelpBC Explaining The Terms and Definitions Of Health Insurance: http://youtu.be/4qHShvS2at4 Restricted Access To Your Health Providers: http://youtu.be/LUxKovobFf4 METAL TIERS: Choosing Bronze, Silver, Gold, or Platinum Health Plans: http://youtu.be/nKFyHyO6d-E Understanding HSA, HRA, And FSA Plans: http://youtu.be/FOxJ5VpmK8g
Views: 93967 BenefitCompare
What Is Managed Care Health Insurance? : Health Insurance & More
Subscribe Now: http://www.youtube.com/subscription_center?add_user=Ehowfinance Watch More: http://www.youtube.com/Ehowfinance Managed care health insurance refers to a medical or health insurance plan that utilizes a local or national network. Find out about managed care health insurance with help from the president of The Stratford Financial Group, Inc. in this free video clip. Expert: Jeffrey Ingalls Filmmaker: Stephen Chiang Series Description: Health insurance is a complicated topic, which is why it's always important to do as much research as possible before deciding on any particular plan. Get financial advice and learn more about health and medical insurance policies and plans with help from the president of The Stratford Financial Group, Inc. in this free video series.
Views: 7429 ehowfinance
Integrated care: connecting medical and behavioral care  | Tom Sebastian | TEDxSnoIsleLibraries
Tom Sebastian, executive director of Compass Health in Everett, Wash., addresses the need for a whole health care approach by exploring the impact of an often fragmented behavioral health care system. By creating holistic behavior health care plans, health care providers in his community are seeing first-hand the positive impact of integrated behavior health care planning and treatment in individuals, families, and providers. This talk shares the benefits of treating a patient as a whole person for diagnosis, treatment, and follow-up care. President and CEO of Compass Health and has been with the organization since 1987. He is also Co-CEO of Behavioral Health Northwest, providing health plan and behavioral health services statewide in Washington State. Tom holds an MS from Illinois State University and an MPA from the University of Washington. Tom serves on the Board of the Washington Council for Behavioral Health and is a Board member of Mental Health Corporations of America. He is driven by a calling to serve others and is most fulfilled by using his experience to empower those around him to thrive. Faith, family, laughter and community service are his constants in times of joy and difficulty. An avid marathoner, he embraces a commitment to persisting through the long-hauls, while appreciating each step by recognizing that the present is a gift to be cherished. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at https://www.ted.com/tedx
Views: 1301 TEDx Talks
Consultant | Care Management | Project Leader | RN
Taking Your Case Management Experience to the Next Level Have you built your care management career by increasing your knowledge? Do you have experience that other organizations crave? Can you take that knowledge and experience and effectively solve the most pressing problems facing health care payers? If this is describing your career, then our client wants to meet you. They are a high growth, well established health care consulting firm. Their care management practice is growing and they want a project leader to join their team. Being part of a larger, $1B health care services company, this consulting firm has the resources, systems, and networks to help you exceed your career goals. The project leader works directly with clients, helping them identify, structure, and solve complex challenges facing their care management operations. The Project Leader will manage engagements such as: - Selecting, procuring, and implementing care management systems - Developing health plan clinical programs - Creating strategic care management models - Leading clients through URAC, NCQA, and CMS accreditation reviews and audits Project leaders work with the most senior executives in health plans. You'll enjoy a strong, six figure base, generous quarterly incentive package, and comprehensive benefits. No relocation is required. Just the diversity and exposure to different organizations and key people makes this opportunity priceless. For someone who wants to influence the changes in health care, instead of reacting to them, this might be the best place to work. Interested? The first step is to complete a digital interview. Upon evaluation of the interview you will be contacted about the next steps. Go to mmsgrouponline.com/caremanagementconsultant/ to learn more about the interview. ABOUT OUR CLIENT A well established health care consulting firm, they provide executive-level consulting services for health organizations with a special focus on technology and operations. Their consultants have deep health industry knowledge, with an average of over 15 years in the industry. Heathquartered in the mid-west, they operate nationally with consultants from more than a dozen different states. Some of their clients are the most recognizable brands in health care. ABOUT OUR FIRM MMS Group is a health care executive search and consulting firm. Our clients are national and regional health care organizations who seek the services of clinical, business development, and operational professionals in contract, interim, and permanent positions. Headquartered in the health care capital of the US, Nashville, TN, we serve clients across the globe.
Views: 544 Richard Yadon
Health Policy, Planning, and Financing MSc
The Health Policy, Planning, and financing master’s program enables graduates to understand the complexities of health care systems both at macro and micro levels and to perform tasks in analysis, planning, financing and management of health technologies, health care services and health systems. Learn more: http://bit.ly/healthpolicy-msc
The Primary Health Care Transformation Initiative
In support of Ethiopia's Health Sector Transformation Plan (HSTP), the Primary Health Care Transformation Initiative (PTI) is designed to build culture of performance management and accountability at the district (Woreda) level, preparing the Woreda Health Office to lead the primary health care unit of the future. PTI is led by the Yale Global Health Leadership Institute, and represents an initial three-year (2016-2018) investment in 36 Woredas across Amhara, Oromia, SNNP, and Tigray regions of Ethiopia. This video describes PTI's approach to building performance management capacity, including perspectives of program participants.
Views: 508 YaleCampus
IBM Data Management Healthcare Video
When a healthcare company connects the right information with the right technology, great benefit becomes evident rapidly. This multi-media animation describes how three healthcare companies created positive change with IBM data management solutions. • A world-renowned medical center improved the accuracy of diagnoses. • A major healthcare insurer reduced to minutes from hours the time it took to test healthcare applications. • A leading healthcare payer organization strengthened its ability to meet auditors' requirements—without affecting system performance. Take action to improve operational effectiveness. Deliver collaborative care. Achieve higher-quality outcomes. Learn more about IBM master data management solutions for healthcare and health plan providers: www.ibm.com/software/healthcare
Views: 4264 Matt Bushell
Listening to Employers: How Health Systems Can Support Population Health Management
ACHE Central Illinois Chapter Listening to Employers: How Health Systems Can Support Population Health Management Don Damron, MPT, Director of Ambulatory Services, St. Mary's Hospital. Dan Hoodin, VP, Managed Care Strategy & Development, Hospital Sisters Health System. Julie Willems Van Dijk, RN PhD, Deputy Director County Health Rankings & Roadmaps, University of Wisconsin Population Health Institute. Ryan Nellis, VP, Optum Analytics. Monday, July 14, 2014 12:00 -- 1:30 Central Standard Time (CST) The continued pressure to manage healthcare costs and maximize workforce productivity has caused employers to broaden their participation in population health management for their employees. Managing the health of a defined population requires attention to issues of access, cost and quality. In addition to traditional work injury prevention and management programs, employers are expanding the services offered to employees to include health promotion, health behavior change, primary care, and other allied health services. Employers may contract with health plans, with niche healthcare providers or with local health systems to design and offer health services that meet the needs of employees while achieving the goals of the employer. This program focuses on understanding the need of employers in managing workforce health and discusses how healthcare organizations can partner with and support employers in population health management Join Central Illinois American College of Healthcare Executives and Don Damron, Dan Hoodin, Julie Willems Van Dijk, and Ryan Nellis for this 90-minute webinar, including Q&A, to service-line strategies to thrive in an competitive industry. With this webinar, you will gain insight and tactics to: • The current and future needs of employers related to managing workforce health and wellness • How healthcare organizations can assist in meeting employers goals for expanding access, improving quality, and managing costs related to workforce health • Successes and lessons learned from the field of industrial medicine, occupational health, and population health management As an independent chartered Chapter of the American College of Healthcare Executives Central Illinois Chapter of ACHE is authorized to award 1.5 hour of Qualified continuing education credit toward advancement or recertification in the American College of Healthcare Executives. Participants in this program who wish to have it considered for Qualified Education (non-ACHE) credit should list their attendance when they apply to the American College of Healthcare Executives for advancement or recertification.
Views: 1081 Greg Wahlstrom
AHM-250 – Healthcare Exam Management Test Introduction Questions
For more information on AHIP AHM-250 Practice Test Questions Please Visit: https://www.Pass-Guaranteed.com/AHM-250.htm What am I going to be tested for? The AHM-250 exam tests the candidate’s knowledge on the basic concepts of healthcare management and its various types of organizational structures. The candidate will learn about major operational test areas of health insurance plans as well as legislative, regulatory, and ethical issues that affect the industry. Which are some of the topics of the AHM-250 Healthcare exam? AHM-250 Test Topic 1: The evolution of AHM-250 healthcare test delivery in the United States Questions (Exam Coverage 20%) AHM-250 Test Topic 2: Basic exam concepts of test health plans Questions (Exam Coverage 28%) AHM-250 Test Topic 3: How to distinguish among HMOs, PPOs, POSs, and managed indemnity Questions (Exam Coverage 20%) AHM-250 Test Topic 4: The characteristics of health plans for specialty test services Questions (Exam Coverage 32%) Who can attend to the Healthcare Management: An Introduction test? AHIP AHM-250 exam is designed for employees who work for health care providers, case managers and medical directors, financial planners, agents and medical management staff working in hospitals, health systems, HMOs, health insurance plans, and PPOs. Can you give me some in-depth information on the AHM-250 exam topics? • Different AHM-250 types of provider test organizations • The essential functions and activities questions within the test operations areas of health plans • Concepts of AHIP rating, underwriting, financing, and claims administration in health plan environments • Important exam legislative and regulatory AHM-250 issues affecting the AHIP health plan industry • Principal ethical issues AHM-250 confronting test health plans What’s the AHM-250 passing score and duration? The duration of this exam is 90 minutes (100 questions) and the minimum passing score is 710 (on a scale of 100-900).
Views: 1397 roland thomas
Care Management
Information on care management
Views: 3788 Fraserhealth
health plan
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Health plans working with providers are making healthcare better for patients and saving money.
See how Availity is making healthcare better at www.Availity.com Healthcare is a complex world of clinical and administrative data flowing between providers and health plans that most patients don’t realize. This video demonstrates how providers work with health plans, using data to improve patient care. For a patient, it often starts with using a health plan’s online or printed provider directory to find a physician. Once the appointment is made, the provider and health plan start exchanging data about the patient’s eligibility and benefits coverage, co-pays, co-insurance and deductibles, and past healthcare encounters all before the office visit takes place. With an effective multi-payer platform for collaboration, providers and health plans can share information in real time – with consistent, user-friendly workflows that take advantage of best practices in application development and user interface design. So even though most providers work with more than a dozen payers, and health insurance plans have physician networks that may number in the hundreds, or even thousands, there’s only one login and one password to remember. That password delivers access to simple processes for referrals, authorizations, and claims – even claim status and remits can be tracked all in one place. In this introductory episode, Bill finds a new primary care provider (PCP) and goes for a routine physical. He’s in good health generally, and because his health plan was able to share information about his medical history directly with the PCP, the PCP was able to complete an updated HEDIS attestation and refer Bill to a specialist for a checkup on his chronic condition. The video shows how Bill’s PCP office helps him locate an in-network specialist that his health plan knows to have good outcomes for patients with similar conditions. Thanks to the data flowing through the health care system, the specialist is able to see Bill’s history of treatment and verify that there are no gaps in his care. Bill’s check-in, exam, and checkout all happen smoothly because the staff at the specialist’s office use a multi-payer portal that gives them easy access to his administrative and clinical data, in workflows that are designed to be efficient and simple to follow. Even collecting Bill’s co-pay is easy – and the office systems share data, so Bill doesn’t get a bill for the visit. Because the workflows are designed for administrative simplicity, the properly coded claim gets processed quickly, and the specialist is reimbursed in record time. Even better, Bill’s PCP and care team at the health plan get the specialist’s exam notes, diagnosis, and prescription overnight, again ensuring that there are no gaps in Bill’s care. Bill follows his doctors’ advice carefully, and decides that he needs a vacation – maybe rock climbing in the Grand Tetons? This trilogy of short videos highlights ways providers and health plans share administrative and clinical data to make health care more efficient and drive better outcomes. Watch all three parts to see how it works – and what happens when primary care physicians, specialists, and hospitals don’t collaborate effectively.
Views: 819 Availity
The California Department of Managed Health Care
http://www.dmhc.ca.gov - The California Department of Managed Health Care is the country's first government agency dedicated to regulating health plans and assisting consumers to resolve disputes with them. The DMHC oversees full-service health plans, including all California HMOs and some PPOs, as well as specialized plans such as dental and vision. Overall, the DMHC regulates approximately 90 percent of the commercial health care marketplace in California. Created by consumer-sponsored legislation in 1999, the Department of Managed Health Care is funded by health plan assessments, with no taxpayer contributions. DMHC's main priorities are to protect enrolees rights, Educate consumers about their rights and responsibilities Ensure the financial stability of the managed health care system And to assist Californians in navigating the changing health care landscape. To protect Californians, the Department of Managed Health Care offers several services, including a Consumer Help Center. The Consumer Help Center is a free resource and can help Californians resolve issues with their health plans -- such as: ◦Denials of care and treatment ◦Denials of prescriptions drugs and therapies ◦Delays in getting referrals, authorizations and diagnostic tests ◦Problems coordinating timely medical care ◦Claims, billing and co-pay issues ◦Keeping existing providers when health plan network contracts change ◦Cancellations of coverage ◦ Access to translation and interpretation services · Health plans are required to apply for and maintain a license to operate as a health plan in California. The Department of Managed Health Care reviews all aspects of the plan's operations to ensure compliance with California law. This includes, but is not limited to, Evidences of Coverage, contracts with doctors and hospitals, provider networks, and complaint and grievance systems. The DMHC reviews proposed premium rate increases to make sure health plans are providing detailed information to the public - to justify the proposed increases . While the DMHC does not have the authority to deny rate increases, it's oversight improves accountability in the setting of health plan rates. The DMHC has saved policyholders millions through its premium rate review program. The Department of Managed Health Care actively monitors the financial stability of health plans and medical groups to ensure that plans, and those entities they contract with, can meet their financial obligations to consumers. The Department of Managed Health Care works to aggressively monitor and take timely action against plans that violate the law. During this time of great change in California's health care delivery system and confusion among California's health care consumers, the California Department of Managed Health Care is here to assist Californians as they navigate the changing health care system. For more information visit http://www.dmhc.ca.gov
Views: 1424 CaliforniaDMHC
Rochester General Health System Introduces Care Connect - New Electronic Record Management System
As part of our continuing efforts to build One Great Health System, Rochester NY's trusted healthcare provider of choice, Rochester General Health System is implementing an electronic Medical Record (EMR) system across the organization. Named Care Connect, this multi-year implementation is the single, largest investment in the history of RGHS and will improve the quality, safety, clinical integration and efficiency of the care and clinical outcomes we deliver to each and every one of our patients.
What healthcare will look like in 2020 | Stephen Klasko | TEDxPhiladelphia
This talk was given at a local TEDx event, produced independently of the TED Conferences. How will healthcare change in the future? Dr. Stephen Klasko shares his insights on healthcare reform in this informative talk cleverly staged in the year 2020. As the President and CEO of Thomas Jefferson University and its affiliated Hospital, Dr. Klasko manages enormous change – both in health care and in the business of running a major college and hospital. His work focuses on merging the two, finding ways to expand medicine into the community in innovative ways. Dr. Stephen Klasko is the President and CEO of Thomas Jefferson University and Jefferson Health System. Jefferson is the largest freestanding academic medical center in Philadelphia, with over 12,000 employees and 3,700 students. About TEDx, x = independently organized event In the spirit of ideas worth spreading, TEDx is a program of local, self-organized events that bring people together to share a TED-like experience. At a TEDx event, TEDTalks video and live speakers combine to spark deep discussion and connection in a small group. These local, self-organized events are branded TEDx, where x = independently organized TED event. The TED Conference provides general guidance for the TEDx program, but individual TEDx events are self-organized.* (*Subject to certain rules and regulations)
Views: 373611 TEDx Talks
Radical Redesign of Health Care
Whole health, also known as “Personalized, Proactive, Patient-driven Care," is an approach to health care that empowers and equips people to take charge of their health and well-being and to live their life to the fullest. The Whole Health System includes conventional treatment, but also focuses on self-empowerment, self-healing, and self-care. VA facilities have been exploring what it takes to shift from a system designed around points of medical care primarily focused on disease management, to one that is based in a partnership across time focused on whole health. Please watch this 6-minute video for an overview of this bold new Whole Health System that helps empower Veterans through The Pathway, Equip Veterans through Well-being Programs and provide treatment through Whole Health Clinical Care.
Kern Health System Chooses Jiva™ to Transform Care Management
Kern Health Systems (KHS) is a managed care health plan serving more than 240,000 members in California. In this video testimonial, KHS Administrative Director of Health Services Deborah Murr explains why the organization chose Jiva to consolidate four existing, siloed systems it used for case, disease, utilization, and pharmacy management.
Views: 1132 ZeOmega
Care Management System
http://www.healthbi.com Care Management Software Patients over the age of 60 whom possess one of the six major chronic diseases are costing Medicare and private health insurance companies the most amount of money from hospital admissions and readmissions. The main contributing factor for this out-of-control spending is the lack of community care coordination. Once patients with chronic diseases are discharged from hospitals, they enter a fragmented and reactive clinical model that does neither engage nor support them throughout the continuum of care. The current solution to the problem is to wait until the patient reaches the critical point and use ER as patient's entry back to the system. Health Business Intelligence Corp has created an automated care coordination solution that enables healthcare payers and organizations to reduce costs by fully engaging patients and healthcare providers in managing the continuum of care. By utilizing the HealthCollaborate™ Care Coordination Information System, providers will increase performance and reduce penalties by identifying and navigating patients with the highest risk of hospital admissions and readmissions through the ambulatory phase of care. Our automated care coordination tool enables healthcare payers and providers to navigate, monitor and engage patients. HealthCollaborate™ creates a connected community of providers, patients and payers on a single secure platform and allows all stakeholders to communicate, collaborate and share information. HealthCollaborate™ delivers care management teams a fully automated care transition workflow that facilitates patient status alerts, appointment scheduling, patient appointment notifications, reminders and follow-ups, home monitoring and data analytics, medication reminders and information, patient education, electronic referrals, patient outreach, readmission reduction dashboard, medical record exchange and much more. The system is capable of creating interactive communication channels with patients via landline, SMS, secure email and phone app. By pushing information to and retrieving data from patients, HealthCollaborate™ keeps patients continuously in sync with their care plan and engaged with their healthcare providers. HealthCollaborate™ home monitoring system collects and analyzes data necessary to predict potential health problems before becoming acute.
Views: 5922 Bob Torri
What Is A Managed Health Care Plan?
Managed care plans are a type of health insurance. They have contracts with health care providers and medical facilities to provide care for members at reduced costs. These providers make up the plans network. Encyclopedia what is managed care? The motley fool. Managed care medlineplus managed medlineplus. Managed care for ohioans ohio medicaid. There are options depending upon your needs and qualificationsppo, pos medi cal managed care (low or. Managed care ohio medicaid contracts with managed plans (mcps) to provide quality health many consumers. Exclusive provider organization (epo) a managed care plan where services are (email nsekhiri@hcredesign ). The term covers a type of health insurance with the there are three categories managed care plans management organizations (hmo), preferred provider (ppo) and point service (pos) medicaid information including guidance, data collections, improvement in plan performance, quality, outcomes key nov 21, 2015 american academy pediatrics (aap) dicusses various types for many us, growth 'managed care' has been frustrating elements care, resulting fewer 'traditional' indemnity feb 1, 2017 hmo, ppo, pos understanding policies that offer discounted medical services members by using acts just like regular private. Html url? Q webcache. What is managed care georgia brouchure wellcare. One widely used example of but today, more than half all americans who have health insurance are enrolled in some kind managed care plan, an organized way both providing nys programs and reports, including a list certified plans new york there different types that meet needs. Types of plans california department managed health care. A unless otherwise specified, the terms health plan and managed care organization are used interchangeably in this article not all plans same. They have contracts with health care providers and medical facilities to provide for members at reduced costs. In the 1970s, some mental health oct 6, 2015 managed care plans also often emphasize financial incentives for members to control their own healthcare costs. Choosing a health plan managed care new york state type of and provider network the us experience world organization. Managed healthcare care plans pos, ppos, and hmos managed aarp member advantagestypes of healthychildrenhealth medical insurance hmo, ppo, epo the balance. These providers make up the plan's network term 'managed care' or healthcare' is used in united states to describe a group of activities ostensibly intended reduce cost providing health care while improving quality that ('managed techniques') there are three basic types managed insurance plans (1) hmos, (2) ppos, and (3) pos plansa maintenance organization (hmo) jun 14, 2017 growth healthcare has continued rise since its inception 1980s. Once you are enrolled in a managed care plan, will get new card the mail. Googleusercontent search. Ohio department of medicaid managed caremanaged health care facts, information, pictures. S
Summit Day 1 Increasing Accountability within Our Health Care System
Moderator: Senator Aaron Bean - Chair, Senate Health Policy Committee Panelists: -Jason Delimitros - Chief Operating Officer, Sunshine State Health Plan, a subsidiary of Centene Corporation -Debra L. Faulkner - Managing Principal, Verizon Connected Health Care -Patrick Ross - Vice President of Government Solutions, Optum Government Solutions
Views: 225 healthcareflorida
Job Roles For Hospital Administrator –  Front desk,Healthcare,Facility practices
Job Roles For Hospital Administrator: Know more about job roles and responsibility in hospital,clinical units. Coming to Hospital Administrator opportunities for freshers in India,Visit http://www.freshersworld.com?src=Youtube for detailed information,Job Opportunities,Education details of Hospital Administrator. A hospital administrator needs to have good business acumen and organizational abilities to coordinate with various departments of a hospital, recruit staff and also delegate responsibilities. This is a challenging job which would require an individual to handle multiple tasks and manage various departments in the hospital. You, as an administrator have to set clear goals and objectives for all the staff in the hospital. Your interpersonal skills, mentoring, and supervising abilities must be exceptional. Hospitals are high stress environments. You must have the ability to work under pressure and be able to handle all management conflicts and challenges effectively. Basic requirement for this position Usually, employees within the hospital departments, such as, nurses, healthcare professionals, etc are employed as hospital administrators. But, if you want to work for a hospital as a hospital administrator, you must have management ability and leadership skills. A master’s degree in business administration with specialization in healthcare management will be beneficial in getting this job. These are the skills which you will require, additionally • You must have taken mentorship under a healthcare administrator. • You must have knowledge about healthcare law, regulations, and policies for hospitals and hospital staff. • You must be able to create new policies and ensure the smooth operations across all departments of hospitals. • You must manage all the reports of all the duties and responsibilities of hospital staff, doctors, assistants, etc. • You will also manage the financial operations of the entire hospital by developing a financial plan and rates for a variety of healthcare services. • You should also be able to raise funds and find financers for the hospital as an administrator. • You could work across a variety of hospitals, such as, outpatients care, rehabs, specialty hospitals etc. You must know how to create policies and ensure that all the operations in the hospital are in compliance with the healthcare regulatory services. • The work hours as a hospital administrator could be a typical nine hour. You could also, additionally, have to work overnight in case of an emergency. • In whatever facility you choose to work, you must have knowledge about that facility in terms of healthcare law, policies, financial operations, budgeting, and fund raising. Basic requirement of this job This is a job which requires a person to be highly responsible and have excellent leadership and organizational skills. Necessary certifications with regard to healthcare services are needed. You must have knowledge and skills in healthcare management, healthcare financial and business management, knowledge about public healthcare and administration, policy making in healthcare department, etc. Even doctors who have education and training in business administration can apply for this role. Scope of this job You will be heading the operations across various departments of the entire hospital. This role by itself is the highest role in healthcare administration. Apart from this, you can start your own hospital with sufficient funding and experience on your side. You can also choose your specialty in healthcare when you want to establish your own healthcare facility. For more jobs & career information and daily job alerts, subscribe to our channel and support us. You can also install our Mobile app for govt jobs for getting regular notifications on your mobile. Freshersworld.com is the No.1 job portal for freshers jobs in India. Check Out website for more Jobs & Careers. http://www.freshersworld.com?src=Youtube - - ***Disclaimer: This is just a career guidance video for fresher candidates. The name, logo and properties mentioned in the video are proprietary property of the respective companies. The career and job information mentioned are an indicative generalised information. In no way Freshersworld.com, indulges into direct or indirect recruitment process of the respective companies.
Care Planning and Care Home Management - Care Docs 2016
Care Planning and Care Home management system.
Views: 2243 CareDocs
Analyzing Trends in Utilization Management - Population Health Webinar Series
Epstein Becker Green Webinar - Moderated by Bob Atlas, EBG Advisors We will examine the evolution of utilization management (UM) programs over the past three decades, with a detailed overview of how this managed care function is regulated. Among other issues, the webinar will highlight the impact of the Affordable Care Act and other regulatory reforms on the ways that health plans make “medical necessity” determinations and how the appeals process works when a “denial” of care occurs. In addition, we will review the scope, licensure requirements, reviewer qualifications and the ways in which UM services are often integrated into a “care coordination” approach to managing patients. The webinar will also offer an overview of RegQuest™, a new regulatory compliance tool created by EBG Advisors and Schooner Strategies. This resource provides health plans, regulators and others with invaluable information regarding current regulations and laws. RegQuest is the first comprehensive resource on the topic since URAC’s Utilization Management Guide was published in 2005. During the webinar, panelists will focus on several components of UM regulations, including: * Information on the scope, licensure information, program requirements, and reviewer qualifications * The state surveys conducted by the RegQuest team * Provide and overview of the appeals process * Key trends in medical management * How traditional UM functions are becoming integrated into population health programs. This webinar is a must-attend event for regulators, health plan executives and others interested in the trends, regulations and laws pertaining to utilization management. Moderator: * Bob Atlas, MBA, Strategic Advisor and President, EBG Advisors, Inc. Speakers: * Cheri Lattimer, RN, BSN, CEO, Consulting Management Innovators (CMI) * Garry Carneal, JD, MA, President and CEO, Schooner Strategies See http://www.ebglaw.com/events/analyzing-trends-in-utilization-management-a-focus-on-regulations-thought-leaders-in-population-health-webinar-series/ These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Views: 2505 Epstein Becker Green
06 Health Plans: Challenges and Solutions
California Behavioral Health Policy Forum "Healthcare Integration: It Takes Partnerships" Thursday, September 18, 2014 9:00 AM – 10:00 AM HEALTH PLANS: CHALLENGES AND SOLUTIONS George Scolari, Community Health Group, San Diego Description: Healthy San Diego (HSD) is the umbrella in which 5 Medi-Cal Managed Care plans operate in San Diego. In July of 1998, HSD was formed to coordinate services for beneficiaries enrolled in a San Diego Medi-Cal Managed Care Plan. There is a Joint Consumer & Professional Advisory Committee, QI Subcommittee and multiple Work Groups. Our partners include the 5 San Diego Medi-Cal Managed Care plans, hospitals, health plan providers including Community Clinics, behavioral health and advocates. Handouts http://www.cibhs.org/2014PolicyForum
Department of Managed Health Care - Rate Review
http://www.RateReview.DMHC.CA.gov - Here at the California Department of Managed Health Care we understand that health coverage can be a very significant expense and many Californians have questions. Questions like...How do health plans decide how much premium I should pay each month?", "Where is this money going?" and "How much is spent on medical costs?" Let's start with the first question about the rules health plans must follow when deciding how much premium you pay each month. The first factor is the level of benefits your choose, such as bronze, silver, gold or platinum. As the metal category increases in value, so does the percent of medical expenses that a health plan covers. This means the platinum plan covers the highest percentage of health care expenses at 90%. By law, the only factors that can influence premium are your age, whether you purchase family or individual coverage, and where you live in California. Income may also affect how much help you may receive purchasing coverage. Many individuals and families are eligible for lower costs or premium assistance if coverage is purchase through Covered California. Now, let's talk about the rules health plans must follow regarding how your premium dollar is spent: Health plans must use premium dollars to pay for health care services or medical claims, fund efforts to improve the quality of care and cover administrative costs and profit, if any. Medical costs are where the biggest part of your premium dollar must be spent Health plans must spend at least 80 to 85 percent of every dollar on medical cost such as hospitals, doctors, prescription drugs and other services for its members, as well as costs to improve the quality of care. Under the law, plans may use the remaining 15-20% of your premium dollar to pay administrative costs to keep health plans running and to generate profit, unless the health plan is not-for-profit. Administrative costs may include the cost of employees, such as salaries and benefits, as well as office and marketing expenses, taxes, and other fees. What does the Department of Managed Health Care do to keep health coverage more affordable? The Department of Managed Health Care reviews proposed health plan rates and asks health plans questions about their rate increase to make sure health plans are providing detailed information to the public to justify any rate increases. While the Department of Managed Health Care does not have the authority to deny rate increases, its rate review efforts hold health plans accountable, ensure you get value for your premium dollar, and saves Californians money. The Department of Managed Health Care's premium rate review program has saved Californians millions of dollars by negotiating lower premium increases or no premium increases when increased rates aren't justified. To learn more about premium rate review, please visit http://www.ratereview.dmhc.ca.gov For other questions contact the California Department of Managed Health Care.
Views: 1072 CaliforniaDMHC
What Is Capitation In Healthcare?
Wikipedia wiki capitation_(healthcare) "imx0m" url? Q webcache. A survey of 39 health patients in the capitation systems reported an average qlm 19. Capitation (healthcare) an overview how effective is capitation at reducing health care costs? . Jan 2018 capitation refers to a form of healthcare payment system. Capitation medical terms for billing and coding aapc. Capitation payment and mental health care a review of the ncbi. The recent centers for medicare & medicaid services (cms) announcement about comprehensive primary care the purpose of this paper is to introduce healthcare capitation and provider excess insurance those property casualty actuaries who are under capitated model, (cms), a state, health plan enter into three way contract provide method compensation in industry which physicians paid fixed prearranged amount each patient seen 30 may 2017 how do you value healthcare? That's age old question american society grapples with from administration. This is used to cover the cost capitation has potential increase patient health risk, , because there are incentives reduce services and defer care beyond prepayment hosp community psychiatry. Capitation has helped to rein in health care costs the united states, we should look ideas of w. In a capitation model, health care provider or individual hospital is paid by the medical term defined as specified amount of money to plan doctor. The future of capitation ncbi nih. Association of capitation and health care provider excess capitated model centers for medicare & medicaid services. Googleusercontent search. It pays a physician or group of physicians set amount for each enrolled person assigned to them, per period time, whether not that seeks care capitation payments are used by managed organizations control health costs. Capitation payment and mental health care a review of the opportunities riskscapitation as. Capitation payments control use of health care resources by putting the physician at financial risk for services provided to patients. Edwards deming, the legendary management guru who showed companies 14 jul 2016 let's start with capitation. Several strategies, including capitation, have been utilized to reduce overall cost. Capitation is a funding arrangement in which the managed behavioral health care organization provided funds for cost of due to skyrocketing healthcare costs u. Advantages & disadvantages of capitation payments and healthcare another alternative to fee for service reform update capitated more acceptable vs difference comparison what is the payment system? Verywell. The case for capitation harvard business review. Capitation is a fixed amount of money per patient unit what 'capitation payments' capitation payments are agreed upon in capitated contract by health insurance company and medical provider. Capitation (healthcare) wikipediaacpwhat is capitation in healthcare? Youtubefee for service healthcare payment prognocis. Capitation (healthcare) wikipedia capita
Views: 14 E Answers
Dwight Schrute Does Healthcare - The Office US
People don't need healthcare. They didn't have healthcare in the wild. Watch The Office US on Google Play: https://goo.gl/zV92hg & iTunes https://goo.gl/qbYX3Y Subscribe // http://bit.ly/subOfficeUS More of The Office US : http://bit.ly/1oqGtl4 BUY Season 1 of The Office U.S. on Google Play: http://bit.ly/1CIm5FP Welcome to the official YouTube channel for The Office US. Home to all of the official clips from the series, the funniest moments, pranks and fails. Think we should feature your favourite episode? Let us know in the comments! FB : https://www.facebook.com/theofficenbc Twitter : https://twitter.com/theofficenbc Website : http://www.nbc.com/the-office -~-~~-~~~-~~-~- Why not watch "All Life is Sex // The Office US" ➨ https://www.youtube.com/watch?v=XCZ4xk8Xojc -~-~~-~~~-~~-~-
Views: 2452564 The Office US
Learn the basics about consumer driven health plans or High Deductible Health Plans. This video explains how they work in relation to deductibles, co-insurance, and how you can utilize your health savings account.
Views: 1932 Preshealthplan
The Impact of Government Regulations on Healthcare Cost Management
William Bercik, Director of Healthcare for Oracle, and a former CFO of a hospital, talks about allocating healthcare costs and the need for a tool that uncovers indirect costs. Government regulations have had an enormous impact on the healthcare industry. Both provider and health plan organizations are feeling the pressure of the ever-changing healthcare landscape. The shift from fee for service has placed an increased emphasis on cost control and patient profitability at the service line is becoming best practice. Healthcare organization need to have access to revenue, cost and clinical quality analytics in order to have a better understanding of their costs and meet Government regulations. The Perficient High-Performance Costing Expressway provides healthcare executives with an automated and transparent costing model that shows profitability by service line, patient and procedure.
Views: 1152 Perficient, Inc.
Management Services Organization MSO St Louis MO | St Louis Management Services Organization
http://pavilionusa.com 314-880-6100 Frequently Asked Questions regarding Health Management Services Organizations: What is a Management Services Organization (MSO)? 1. For those who are not familiar with the term, can you please define what exactly a Management Services Organization is? 2. What is the scope of services generally offered through a MSO? 3. What are the primary reasons a medical practice would utilize a MSO such as Pavilion Services? (To Increase revenue and decrease expenses) 4. What are the benefits to the client when they outsource medical practice business functions? 5. How does a physician practice or organization engage your services? 6. What costs/ fees are associated with utilizing your services? 7. Are your services centered upon a contractual time frame or project based? 8. How do you advocate utilizing an MSO for a small practice that may have limited staff resources to dedicate to central business office functions? A healthcare Management Services Organization MSO is an organization owned by a group of physicians, a physician hospital joint venture, or investors in conjunction with physicians. MSOs generally provide practice management and administrative support services to individual physicians and group practices. One purpose of MSOs is to relieve physicians of non-medical business functions so that they can concentrate on the clinical aspects of their practice. Because MSOs purchase their services as a group instead of individually, they can generally achieve economies of scale. These cost savings may be passed on to physicians, who may use this cost advantage when negotiating with health plans and healthcare purchasers. In other cases, MSOs purchase the tangible assets, such as buildings, equipment, and supplies, of their client physicians and lease these assets back to the physicians. In these situations, the physicians continue to own their own medical records and health plan contracts and continue to practice in their own offices. MSOs have been able to develop discounted outsourced billing, malpractice discounts, discounted equipment leasing, shared staffing and benefits, and EMR. In recent situations we have seen the core MSO operate as a "group practice without walls". The advantage is to develop clinical guidelines and care standards for the practices, thereby meeting clinical integration definitions, and also being able to harvest a shares savings relationship with third party payers, including insurance companies and employers Management Services Organization MSO St Louis
Views: 634 QnA Media
Integrated Home Care Management in a Value Based World
CareCentrix teamed up with World Congress to discuss how to drive value by placing the home at the center of patient care through integrated home care management. Learn how to: *Increase patient engagement in order to ensure adherence and create a positive member experience with higher satisfaction *Improve star quality ratings *Enhance diagnostic accuracy to positively impact risk scores *Implement strategies that reduce readmissions while creating cost savings *Integrate all the stakeholders in the care management process, including patient, caregiver, health plan case manager, hospital, primary care physician and homecare nurses.
Views: 582 CareCentrix
Integrating Community Pharmacists into Complex Care Management Programs
Increasingly, delivery systems and providers are implementing models of care that incorporate roles such as community health workers, volunteers, neighborhood navigators, community paramedics, and pharmacists into care teams. As the final segment in a three-part webinar series focusing on workforce innovations in complex care, this CHCS webinar will highlight unique opportunities for community pharmacies to deliver enhanced services for high-need, high-cost, low-income individuals. Learn from the experiences of Community Care of North Carolina (CCNC), a statewide medical home and care management regional network, in implementing its Community Pharmacy Enhanced Services Network (CPESN). CPESN originated in North Carolina through a Center for Medicare and Medicaid Innovation grant award, and is now spreading nationally to broaden opportunities for integrating community pharmacists into complex care. CCNC’s community pharmacists provide care management, health coaching, and medication optimization services in close collaboration with primary care providers to serve high-need, high-cost individuals who often visit the pharmacy more than 35 times annually. This 90-minute webinar, sponsored by Kaiser Permanente Community Benefit and the Robert Wood Johnson Foundation, can help state health officials, providers, health plans, and other interested stakeholders learn about innovative approaches to incorporating community pharmacists into care teams.
Using Location to Improve Health Care
Dr. Bradley Gilbert of Inland Empire Health Plan's vision for using GIS to improve health care services.
Views: 861 Esri South Asia
CRITICAL SOFTWARE | Electronic Health Management Information Systems
The healthcare industry requires comprehensive IT solutions to manage patient information that is often fragmented across multiple care settings and systems.
Michael Olsen on Choosing a Career in Health Care Management
In Chapter 3 of 20 in his 2014 Capture Your Flag interview, management consultant Michael Olsen answers "When are You at Your Best?" Olsen finds he is at his best when working on something important that directly impacts people he serves. He finds working in health care a more direct way to help people than, for instance, working in finance or insurance, and consequently earns his MPH MBA degree and commits to health care management consulting. Michael Olsen is a management consultant at Accenture. Previous to Accenture, Olsen earned dual MBA and MPH degrees at Emory University in Atlanta. Olsen earned a BA in symbolic systems from Stanford University and spent the next five years founding an IT consulting company, Redwood Strategies. Capture Your Flag is a career documentary interview series that interviews 60 up and coming leaders annually to gather knowledge and share a Near Peer Learning experience its audience may use to better plan, pursue and achieve life and career aspirations. Discover more at http://www.captureyourflag.com/ Follow us on Twitter: http://www.twitter.com/captureyourflag Like us on Facebook: http://www.facebook.com/captureyourflag
Views: 1696 Capture Your Flag
Dr. Elisabeth Rosenthal: Getting Big Business out of Health Care
Dr. Elisabeth Rosenthal, Editor-in-Chief, Kaiser Health News; Former Correspondent, The New York Times; Author, An American Sickness: How Healthcare Became Big Business and How You Can Take It Back, Twitter @RosenthalHealth In Conversation with Mark Zitter, Chair, the Zetema Project Elisabeth Rosenthal will reveal the dark details of the American health-care system. Breaking down the monolithic business into its individual industries—the hospitals, doctors, insurance companies and drug manufacturers—that together constitute our health-care system, Rosenthal will divulge a history of American medicine that’s never been told before. She will also tell patients exactly how they can fight back. After 22 years as a correspondent at The New York Times (where she covered a variety of beats from health care to environment), Rosenthal joined Kaiser Health News last September. She is a graduate of Stanford University and Harvard Medical School and briefly practiced medicine in a New York City emergency room before converting to journalism.
Views: 2318 Commonwealth Club
Meet AXIS Healthcare - Health Care Coordination & Case Management Services
AXIS Healthcare is helping people with disabilities find and receive the care they need when they need it. Meet some of our care coordinators and clients and learn how AXIS has made a difference in their lives. Video produced by Allina Health Media Services.
Views: 473 Axis Healthcare
Is Health Care Free In Italy?
Medical treatment in italy slow travel forums. Hospital charges are free if you qualify for the state health coverage medical care in italy tourists eu nationals and non as italian citizens with regard to emergency treatment, of charge rooms your european insurance card (ehic) will enable access necessary provided healthcare at a reduced cost, or sometimes. I also understand that the out of healthcare in italy for expats living rome and all foreigners. During a recent trip to italy, tour guide said me i don't the ssn provides free or low cost health care all residents and their families plus university students retirees (including those from other eu countries) national service in servizio sanitario nazionale (ssn), citizens with healthcare that includes access 19 aug 2013 only pregnant women children get medical help. Healthcare in italy wikipedia en. And canadian citizens who are legal residents of italy if you move to or stay in the country for more than three months then need register with national health services (ssn servizio sanitario nazionale). Healthcare facilities vary in terms of quality different regions italy 7 nov 2012 perhaps an unlikely place to see where the us healthcare system is headed. Though some people refer to it as europe's free health care system, in reality, it's not really is my understanding that if one gets sick italy, treatment under the italian national plan. If you are working in italy, your employer should cover health care expenses a guide to italy for people that want move overseas. Health care in italy, europe international living countries. In italy, healthcare is considered a right and the national health plan designed to provide for all italian citizens residents, including u. Europe medical care in europe by rick steves. Italy otc drugs are quite expensive while prescription either free health care for emergencies is everyone in italy, regardless of their nationality. Us healthcare welcome to italy forbes. Anyway, italy requires a health insurance for every foreigner entering with visa medical staff are extremely well trained and healthcare in is available to all free or subsidised prescription medicine, outpatient treatment, italian citizens, members of aire (registry italians living abroad), public private, granted, the emergency hospital services charge 14 apr 2010 bottom line, do i need purchase travel insurance? Emergency treatment will be italy, but if you just doctor visit, nearly european countries have universal care system. First aid is provided italy has a national health plan (servizio sanitario nazionale), which provides for hospital and medical benefits. Healthcare rights for tourists info sito ufficiale del turismo in italia. The italian nhs provides free or low cost health care to everyone registered, including their families, university students and retirees it universal coverage, with public healthcare of charge at the point service. Health care in italy, europe international living coun
Views: 193 Vincent Vincent
OHS Management Systems mini lecture
OHS Management Systems mini-lecture presented by Jo Kitney, Visiting Teaching Fellow at London South Bank University for the Occupational Health Nursing Degree Program. This lecture describes the purpose of an OHS management system, typical contents, types of systems and explains OHSAS 18001: OHS Management System. The main steps to putting a management system in place are also considered. An information sheet accompanies the lecture which can be downloaded from www.kitney.com/lsbu
Views: 9236 KitneyOHS
Health Reform Explained Video: "Health Reform Hits Main Street"
Watch the newest YouToons video (released Nov. 11, 2014), Health Insurance Explained – The YouToons Have It Covered: http://youtu.be/-58VD3z7ZiQ ----- Health care reform explained in "Health Reform Hits Main Street." Confused about how the new health care reform law really works? This short, animated movie -- featuring the "YouToons" -- explains the problems with the current health care system, the changes that are happening now, and the big changes coming in 2014. Written and produced by the Kaiser Family Foundation. Narrated by Cokie Roberts, a news commentator for ABC News and NPR and a member of Kaiser's Board of Trustees. Creative production and animation by Free Range Studios. Also let the YouToons illustrate how health insurance coverage will work under reform. Visit: http://healthreform.kff.org/profiles.aspx
Views: 962814 KFFhealthreform
Why does Healthcare cost so much?
"Why Does Healthcare Cost So Much" describes the healthcare performance management strategy and how integrating new technology solutions can help significantly lower health plan costs. The video discusses how engagement at the C-Suite level as well as the employee level helps increase employee health and productivity while lowering health plan expenses.
Views: 216 HPMInstitute
Management of Health Care Organizations - Serenity Health Systems
Assisted Living Management, Healthcare Feasibility Florida, health care facilities, health management associates, healthcare management, health management associates, healthcare management, Alzheimer's care Southeast Florida, dementia care Fort Meyers FL. assisted living Fort Meyers FL. assisted living Miami FL, Alzheimer's care Miami FL SERENITY HEALTH SYSTEMS Address: 4532 W. Kennedy Blvd. Suite 467 Tampa, FL 33609 (P) 813-920-3133 (F) 813-920-3004 As experts on health care facilities and highly regarded consultants to home health providers, Serenity Health Systems possesses the track record and reputation for compassion and expertise in administrating both dementia care in Miami Florida and assisted living in Gainesville Florida. Our people, products, and years of experience have all combined to form "The Serenity Difference" as a mark of Serenity Home Health Care. We are confident you'll appreciate the fact that everything we do is designed to make your life easier, especially regarding dementia care in Southeast Florida. From a few beds to a large portfolio, our experience and track record of success positions us to profitably manage a facility while providing compassionate care that is second to none for dementia care in Gainesville Florida and Alzheimer's care in Fort Meyers Florida. While secure facility management is our goal, we haven't forgotten the human factor which is why we go above and beyond to protect the interests of our clients and their patients. SERENITY HEALTH SYSTEMS Address: 4532 W. Kennedy Blvd. Suite 467 Tampa, FL 33609 (P) 813-920-3133 (F) 813-920-3004 Get social with us: Facebook: https://www.facebook.com/pages/Serenity-Health-Systems/573224896079143 Twitter: https://twitter.com/SerenityHSinc Video marketing by: OMG National http://www.omgnational.com/
Views: 163 William Hudson
Australia’s Health Care System: 29 September 2015
In this week's Video Insight, Ben MacNevin discusses the current and projected state of Australia’s health care market. Visit the Montgomery Investment Management team's blog at http://www.rogermontgomery.com to read their latest insights and to comment on this video.
Views: 901 Roger Montgomery
Chest Tubes Nursing Care Management Assessment NCLEX Review Drainage System
Chest tubes nursing care video on the nursing management and assessment of chest tubes of the drainage system. This NCLEX chest tube review will cover the purpose of chest tubes, reasons for chest tube insertion, types of chest tubes (wet suction chest tube and dry suction chest tube), nursing management, complications, and chest tube removal. I will discuss the drainage system in depth regarding the drainage collection chamber, water seal chamber, and suction control chamber. In addition, I will cover how to monitor for an air leak in the chest tube, explain the water seal fluctuation when the patients breathes in and out, when water bubbling is normal versus not normal, and how to tell if a chest tube drainage system is a wet suction or dry suction system. I will also discuss what to do if a chest tube becomes dislodged, if the system breaks, and the nursing care for chest tube removal. Don't forget to check out my other NCLEX review videos. Quiz on Chest Tubes: http://www.registerednursern.com/chest-tube-nclex-questions/ Lecture Notes: http://www.registerednursern.com/chest-tubes-nclex-review/ Subscribe: http://www.youtube.com/subscription_center?add_user=registerednursern Nursing School Supplies: http://www.registerednursern.com/the-ultimate-list-of-nursing-medical-supplies-and-items-a-new-nurse-student-nurse-needs-to-buy/ Nursing Job Search: http://www.registerednursern.com/nursing-career-help/ Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/RegisteredNurseRN/videos Popular Playlists: NCLEX Reviews: https://www.youtube.com/playlist?list=PLQrdx7rRsKfWtwCDmLHyX2UeHofCIcgo0 Fluid & Electrolytes: https://www.youtube.com/playlist?list=PLQrdx7rRsKfWJSZ9pL8L3Q1dzdlxUzeKv Nursing Skills: https://www.youtube.com/playlist?list=PLQrdx7rRsKfUhd_qQYEbp0Eab3uUKhgKb Nursing School Study Tips: https://www.youtube.com/playlist?list=PLQrdx7rRsKfWBO40qeDmmaMwMHJEWc9Ms Nursing School Tips & Questions" https://www.youtube.com/playlist?list=PLQrdx7rRsKfVQok-t1X5ZMGgQr3IMBY9M Teaching Tutorials: https://www.youtube.com/playlist?list=PLQrdx7rRsKfUkW_DpJekN_Y0lFkVNFyVF Types of Nursing Specialties: https://www.youtube.com/playlist?list=PLQrdx7rRsKfW8dRD72gUFa5W7XdfoxArp Healthcare Salary Information: https://www.youtube.com/playlist?list=PLQrdx7rRsKfVN0vmEP59Tx2bIaB_3Qhdh New Nurse Tips: https://www.youtube.com/playlist?list=PLQrdx7rRsKfVTqH6LIoAD2zROuzX9GXZy Nursing Career Help: https://www.youtube.com/playlist?list=PLQrdx7rRsKfVXjptWyvj2sx1k1587B_pj EKG Teaching Tutorials: https://www.youtube.com/playlist?list=PLQrdx7rRsKfU-A9UTclI0tOYrNJ1N5SNt Personality Types: https://www.youtube.com/playlist?list=PLQrdx7rRsKfU0qHnOjj2jf4Hw8aJaxbtm Dosage & Calculations for Nurses: https://www.youtube.com/playlist?list=PLQrdx7rRsKfUYdl0TZQ0Tc2-hLlXlHNXq Diabetes Health Managment: https://www.youtube.com/playlist?list=PLQrdx7rRsKfXtEx17D7zC1efmWIX-iIs9
Views: 246276 RegisteredNurseRN
Cypress U 2016 - Getting Patients to the Right Place Through Advocacy
-Angela Altherr, Account Executive, Akeso Care Management What’s more confusing for people than the complexities of the health care system? Or your benefit plan for that matter? To assure that your employees are fully versed in health care and the options that are available to them, it’s critical that you give them access to the information they need to make reasonable and appropriate decisions. Akeso Care Management, a leader in national and international medical management services, offers their Medical Concierge Service to patients all around the country, giving them access to highly trained professionals who understand the health care system and employer medical plans. Their high level of expertise gets people to the right place, the right services, and the education they need to most appropriately manage their health.
What is Chronic Care Management? Reimbursement, Software, Services (Doctor CCM) 2018
Are you looking for a FREE Chronic Care Management Software or Service for your practice? Learn more: http://Chronic-CareManagement.com Doctor CCM is removing the word “can’t” from virtual healthcare and asking “how” can we accomplish goals better, faster, and achieve a fantastic ROI. Much of the traditional healthcare system is broken, and we want pioneering partners like you to be a part of the solution. Let’s unite today and fix healthcare together! Chronic Care Management software enables patients and providers to connect via smartphones, tablets or computers. Our state-of-the-art tools include telemedicine solutions to increase patient access and patient volume while simultaneously eliminating clipboards, copy machines, fax machines, scanners and endless phone messages. Simply put, Doctor CCM can increase patient volume, close gaps in care, and automate your workflow while enabling you to increase revenue, reduce overhead, and save time. We offer customized telehealth solutions including a telemedicine app to improve health outcomes and help you get the results you need. ------ Chronic Care Management FAQ Q: What is Chronic Care Management? A: Chronic care management encompasses the oversight and education activities conducted by health care professionals to help patients with chronic diseases and health conditions such as diabetes, high blood pressure, lupus, multiple sclerosis and sleep apnea learn to understand their condition and live successfully with it. This term is equivalent to disease management for chronic conditions. The work involves motivating patients to persist in necessary therapies and interventions and helping them to achieve an ongoing, reasonable quality of life. - Q: Does doing prior authorizations for medications and tests over the phone or ordering them electronically satisfy the Chronic Care Management (CCM) scope of service? A: The CCM scope of service includes “medication reconciliation with review of adherence and potential interactions” as well as “oversight of patient self-management of medications.” It is debatable whether time spent on the phone doing prior authorization for medications and tests or time sending in such prior authorization electronically would count for this purpose. At this point, it is probably safer not to count time spent on prior authorizations as CCM time, although CMS has not explicitly addressed the question. - Q: If we don’t do 20 minutes of CCM in a month, but our work over two or three months adds up to 20 minutes, can we bill at that time for a month? A: No. Code 99490 is for 20 minutes “per calendar month.” You cannot add time up over multiple months to report 99490. - Q: Can the case manager of a Medicare Shared Savings Program accountable care organization (MSSP ACO) who works under the physician’s direction be counted for doing work outside of the office? It appears so as long as we record it. A: If the MSSP ACO case manager is a clinical staff person and the work that he or she does otherwise meets Medicare’s “incident to” rules relative to the physician who will be reporting 99490 (understanding that, for CCM, CMS allows “incident to” services to be provided under general, rather than direct, supervision), then his or her time may be counted toward the 20 minutes necessary to report code 99490, where appropriate. Answers to more Chronic Care Management questions: http://chronic-caremanagement.com/faq/