Improve Health Prospective Review

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The key to effective utilization management: Better patient care

(2 days ago) WebIt also works to identify the potential disease process very early on to improve overall population health and in turn, lower costs. Prospective review–A review to evaluate the prescribed treatment plan before the treatment is performed to assesses the need for the health care services. Concurrent review–A review performed at pre

https://www.risehealth.org/insights-articles/the-key-to-effective-utilization-management-better-patient-care-reduced-cost/

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iMPROve Health LinkedIn

(6 days ago) WebiMPROve Health is a recognized national leader in healthcare quality improvement. We provide prospective provider education on best practices, as well as independent, unbiased, retrospective

https://www.linkedin.com/company/improvehealth

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Strategies for utilisation management of hospital services: …

(3 days ago) WebUtilisation management interventions can decrease hospital use by improving the use of community-based health services and improving the quality of care by providing appropriate care at the right time and at the right level of care. we included the following search terms: concurrent review, prospective review, retrospective review, pre

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9125833/

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A complete guide to Utilization Management in Healthcare

(4 days ago) Web1. Prospective. Prospective reviews are completed prior to patient treatment and measure the necessity of a procedure. While this review type can be used before or after admission, it must be done prior to treatment. That’s because prospective reviews prevent duplicate or ineffective treatments, which can help you boost your ROI over time.

https://www.skedulo.com/blog/complete-guide-to-utilization-management-in-healthcare/

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Hospital Utilization Management Can Reduce Denials, …

(5 days ago) WebA prospective review assesses the need for healthcare services before the service is performed. Providers must often submit prior authorizations to health plans under this utilization review process to ensure the most appropriate services are being rendered. For concurrent reviews, services are reviewed during the hospitalization or care

https://revcycleintelligence.com/features/hospital-utilization-management-can-reduce-denials-improve-care

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Utilization Management: Issues, Effects, and Future …

(Just Now) WebThis review examines the operation and effects of three widely used utilization management procedures: prospective utilization review, case management, and physician gatekeeping programs. In addition, it explores the future role of utilization management in the health care system and outlines a set of principles that we believe should be used

https://www.annualreviews.org/content/journals/10.1146/annurev.publhealth.23.100901.140529

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Prospective application of theoretical implementation frameworks …

(4 days ago) WebProspective application of theoretical implementation frameworks to improve health care in hospitals — a systematic review Rebecca Barnden , 1, 2, 3 David A. Snowdon , 1, 2, 3 Natasha A. Lannin , 4, 5 Elizabeth Lynch , 6 Velandai Srikanth , 1, …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10257296/

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Utilization Management 101: Why it's Important in Healthcare

(3 days ago) WebThe review process is perhaps the most crucial part of utilization management. There are three types available: prospective, concurrent, and retrospective. Each of these will have a different utilization review process flowchart and use cases. The first is the prospective review, which happens before treatment starts. The goal here is to

https://www.edenhealth.com/blog/what-is-utilization-management/

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Effectiveness of interventions to improve health behaviours of …

(4 days ago) WebReview methods This systematic review used Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to compare randomised controlled trials of health professionals, published between 2010 and 2021, which aimed to improve at least one health behaviour such as physical activity, diet, smoking status, mental health and …

https://bmjopen.bmj.com/content/12/9/e058955

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Practical strategies to achieve resilient health systems: results from

(8 days ago) WebBackground This paper presents the results of a systematic review to identify practical strategies to create the institutions, skills, values, and norms that will improve health systems resilience. Methods A PRISMA 2020 compliant systematic review identified peer-reviewed and gray literature on practical strategies to make health systems more …

https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-024-10650-8

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A systematic review of the effectiveness of strategies to improve

(3 days ago) WebBackground Health care provider (HCP) performance in low- and middle-income countries (LMICs) is often inadequate. The Health Care Provider Performance Review (HCPPR) is a comprehensive systematic review of the effectiveness and cost of strategies to improve HCP performance in LMICs. We present the HCPPR’s methods, describe …

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0217617

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Developing interventions to improve health: a systematic mapping …

(4 days ago) WebBackground Researchers publish the processes they use to develop interventions to improve health. Reflecting on this endeavour may help future developers to improve their practice. Methods Our aim was to collate, describe, and analyse the actions developers take when developing complex interventions to improve health. We carried out a systematic …

https://pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-019-0512-8

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Review Article Can positive psychological interventions improve …

(1 days ago) WebThis systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (Moher et al., 2015). It was registered on the international Prospective Register of Systematic Reviews (PROSPERO) on May 29, 2021 (CRD42021227969). Study eligibility

https://www.sciencedirect.com/science/article/abs/pii/S0091743522002638

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Effectiveness of strategies to improve health-care provider …

(3 days ago) WebThe impact of strategies to improve health-care provider practices varied substantially, although some approaches were more consistently effective than others. The breadth of the HCPPR makes its results valuable to decision makers for informing the selection of strategies to improve health-care provider practices in LMICs. These results also …

https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(18)30398-X/fulltext

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Efficacy of health literacy interventions aimed to improve health …

(7 days ago) WebThis systematic review was conducted in accordance with the Declaration of Protocols Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) [], the methodological design of the Joanna Briggs Institute (JBI) [] and the PICOD model (Patient/Problem, Interventions, Comparison, Outcome, Design).It was registered in the …

https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-18358-4

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Effectiveness of Mobile Apps to Promote Health and Manage …

(3 days ago) WebIt is thought that mobile tools, such as apps, can significantly improve the provision of health care services and communication, particularly in low- and middle-income countries (LMICs) with a shortage of health care workers but where access to phones and cellular services is high even among vulnerable populations . However, because the vast

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7834932/

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Evidence‐based practice improves patient outcomes and - Sigma

(8 days ago) WebHelene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing & Healthcare, College of Nursing, The Ohio State University, Columbus, Ohio, USA. Findings from this scoping review indicate that EBPs improve patient outcomes and yield a positive return on investment for hospitals and healthcare systems. Several areas

https://sigmapubs.onlinelibrary.wiley.com/doi/full/10.1111/wvn.12621

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The Whole Health Index: A Practical, Valid, and Reliable Tool to

(4 days ago) WebThe Whole Health Index, developed by Elevance Health, is intended to serve its members but also to serve as a tool for others. The index combines multiple data sources and measure types, including publicly available and individual-level clinical and social data, claims data, and process and outcome measures designed to establish a valid and …

https://catalyst.nejm.org/doi/full/10.1056/CAT.23.0015

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Feasibility and acceptability of a cohort study - BMC Public Health

(7 days ago) WebPhysical behaviors such physical activity, sedentary behavior, and sleep are associated with mortality, but there is a lack of epidemiological data and knowledge using device-measured physical behaviors. To assess the feasibility of baseline data collection using the Prospective Physical Activity, Sitting, and Sleep consortium (ProPASS) protocols in the …

https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-18867-2

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Enhanced clinical decisions for management of benign prostatic

(9 days ago) WebBackground Lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) significantly impact quality of life among older men. Despite the prevalent use of the American Urological Association Symptom Index (AUA-SI) for BPH, this measure overlooks key symptoms such as pain and incontinence, underscoring the need for more …

https://bmcurol.biomedcentral.com/articles/10.1186/s12894-024-01500-0

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The Health for Life in Singapore (HELIOS) Study: delivering …

(1 days ago) WebAsian people are under-represented in population-based, clinical, and genomic research. To address this gap, we have initiated the HELIOS longitudinal cohort study, comprising comprehensive behavioural, phenotypic, and genomic measurements from 10,004 Asian men and women of Chinese, Indian or Malay background. Phenotyping has been carried …

https://www.medrxiv.org/content/10.1101/2024.05.14.24307259v2

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