Management of a medical unit case study quizlet
From: Philip M. J.
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Utilization Management- Review of services to ensure that they are medically necessary, provided in the most appropriate care setting, and at or above quality standards. Utilization Review- A mechanism used by some insurers and employers to evaluate healthcare on the basis of appropriateness, necessity, and quality. Continued Stay Review- A type of review used to determine that each day of the hospital stay is necessary and that care is being rendered at the appropriate level. Preadmission Certification- An element of utilization review that examines the need for proposed services before admission to an institution to determine the appropriateness of the setting, procedures, treatments and length of stay.
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HESI Case Studies–Management-Management of an Pediatric Unit (Odontra Fanku) | yuchenzhou.info
Social workers performed a lot of the discharge planning. All worked fairly well, but something was missing: Case managers were limited in their ability to care for patients. The hospital changed its model to a unit-based approach in which case management was divided into the utilization review segment and the case management piece, says Tamara Crawford , RN, MSN, manager of clinical research management at Riverside Healthcare in Kankakee, IL. The case management department makes referrals to skilled nursing facilities, home health, etc. They also work with patients, staff, and families to help with the progression of care for the patient.
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The outlook for patients with cardiac failure has improved substantially in the last 15 years. This is largely due to the application of the results of multicentre clinical trials of new and older drugs and a better understanding of outcomes for individual patients. Interest has focused on systolic dysfunction in both symptomatic and asymptomatic patients. Less is known about the definition and management of diastolic dysfunction.