Over the last few years one day hospital stays have been a focal point for medical management efforts to convert these to observation stays. In addition the 2014 Medicare’s Inpatient Prospective Payment System’s final rule on inpatient admission defines an “appropriate” inpatient admission as one that in the judgment of the admitting physician requires a … Observation Status – A Practical Approach to Evaluating Utilization
The Patient-Centered Medical Home (PCMH) model emerged in response to the recognized need for more systematic and evidence-based approaches to ensuring access to, and coordinating care for, an entire population. Within that framework an additional focus has developed that recognizes the specific needs of members with chronic and complex conditions. In order to respond to … Using Data in AICU/IOCP Models
Up until now, the integration of claims data and EHR data has been an often sought, but seldom realized goal in the healthcare analytics world. It’s a business intelligence idea with so much potential benefit, and it seems like it just wouldn’t be that hard to do. In reality, unifying these two types of data … Poised for Breakthrough: Integrating Claims Data and EHR Data
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