concurrent review

Summary

Summary: Review of the medical necessity of hospital or other health facility admissions, upon or within a short time following an admission, and periodic review of services provided during the course of treatment.

Top Publications

  1. ncbi Clinical and fiscal outcomes of utilization review
    Mary Ellen Murray
    School of Nursing, University of Wisconsin Madison, K6 340 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792, USA
    Outcomes Manag 8:19-25; quiz 26-7. 2004
  2. ncbi Managed care organizations' use of treatment management strategies for outpatient mental health care
    Elizabeth Levy Merrick
    Schneider Center for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454 9110, USA
    Adm Policy Ment Health 33:104-14. 2006
  3. ncbi Expert consensus-based medication-use evaluation criteria for atypical antipsychotic drugs
    Raymond C Love
    Department of Pharmacy, Practice and Science, University of Maryland School of Pharmacy, Baltimore, USA
    Am J Health Syst Pharm 60:2455-70. 2003
  4. ncbi Outcomes of community-acquired, methicillin-resistant Staphylococcus aureus, soft tissue infections treated with antibiotics other than vancomycin
    Edward V Barnes
    Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, TX 78234, USA
    Mil Med 171:504-7. 2006
  5. doi Estimation of risks associated with paediatric cochlear implantation
    J Cyne Johnston
    University of Ottawa, Canada
    Cochlear Implants Int 11:146-69. 2010
  6. ncbi Cervical pregnancy treated with transvaginal ultrasound-guided intra-amniotic instillation of methotrexate
    D Hassiakos
    2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Alexandras Avenue 108, 11522 Athens, Greece
    Arch Gynecol Obstet 271:69-72. 2005
  7. ncbi The 10-minute oral presentation: what should I focus on?
    Carlos A Estrada
    Division of General Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama 35294 3407, USA
    Am J Med Sci 329:306-9. 2005
  8. ncbi Improving patient outcomes in an ambulatory infusion setting: decreasing infusion reactions of patients receiving paclitaxel and carboplatin
    Roseann Huddleston
    York Cancer Center WellSpan Health, York, PA, USA
    J Infus Nurs 28:170-2. 2005
  9. ncbi Factors causing patients to delay seeking treatment after suffering a stroke
    Molly John
    Dept of Internal Medicine, West Virginia University School of Medicine, Charleston Division, USA
    W V Med J 101:12-5. 2005
  10. ncbi A methodology for timing reviews of inpatient hospital stay
    Andrew C Page
    Clinical Psychology Unit, School of Psychology, University of Western Australia
    Aust N Z J Psychiatry 39:198-201. 2005

Scientific Experts

Detail Information

Publications70

  1. ncbi Clinical and fiscal outcomes of utilization review
    Mary Ellen Murray
    School of Nursing, University of Wisconsin Madison, K6 340 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792, USA
    Outcomes Manag 8:19-25; quiz 26-7. 2004
    ..Payers then make a decision whether to certify the care for reimbursement. This study provides data to indicate that denials of certification have little impact on clinical and fiscal outcomes of patient care...
  2. ncbi Managed care organizations' use of treatment management strategies for outpatient mental health care
    Elizabeth Levy Merrick
    Schneider Center for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454 9110, USA
    Adm Policy Ment Health 33:104-14. 2006
    ..and treatment management techniques (prior authorization, standards for time to initial appointment, concurrent review, standards for follow-up after discharge, case management, practice guidelines)...
  3. ncbi Expert consensus-based medication-use evaluation criteria for atypical antipsychotic drugs
    Raymond C Love
    Department of Pharmacy, Practice and Science, University of Maryland School of Pharmacy, Baltimore, USA
    Am J Health Syst Pharm 60:2455-70. 2003
    ..Combination antipsychotic treatment always warranted at least concurrent review. Continued concerns about the use of ziprasidone and its cardiac effects were apparent...
  4. ncbi Outcomes of community-acquired, methicillin-resistant Staphylococcus aureus, soft tissue infections treated with antibiotics other than vancomycin
    Edward V Barnes
    Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, TX 78234, USA
    Mil Med 171:504-7. 2006
    ..from which cMRSA was isolated and who had never received vancomycin were studied through retrospective and concurrent review. Primary outcome measures were improvement or resolution of infection 5 and 14 days after initiation of ..
  5. doi Estimation of risks associated with paediatric cochlear implantation
    J Cyne Johnston
    University of Ottawa, Canada
    Cochlear Implants Int 11:146-69. 2010
    ..This hospital-based retrospective chart review and review of the literature provide readers with an estimation of the risks to aid in evidence-based decision-making surrounding paediatric cochlear implantation...
  6. ncbi Cervical pregnancy treated with transvaginal ultrasound-guided intra-amniotic instillation of methotrexate
    D Hassiakos
    2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Alexandras Avenue 108, 11522 Athens, Greece
    Arch Gynecol Obstet 271:69-72. 2005
    Aim of the study was to investigate the efficacy of single transvaginal ultrasound-guided intraamniotic installation of methotrexate in the management of cervical pregnancy with concurrent review of the literature.
  7. ncbi The 10-minute oral presentation: what should I focus on?
    Carlos A Estrada
    Division of General Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama 35294 3407, USA
    Am J Med Sci 329:306-9. 2005
    ..We sought to empirically identify what features of a scientific oral presentation experienced reviewers focus on when asked to identify the best features and areas to improve...
  8. ncbi Improving patient outcomes in an ambulatory infusion setting: decreasing infusion reactions of patients receiving paclitaxel and carboplatin
    Roseann Huddleston
    York Cancer Center WellSpan Health, York, PA, USA
    J Infus Nurs 28:170-2. 2005
    ..Staff members examined the performance improvement data, conducted a retrospective study, and collaborated with the primary physician providers to develop rechallenge protocols for patients receiving paclitaxel and carboplatin regimens...
  9. ncbi Factors causing patients to delay seeking treatment after suffering a stroke
    Molly John
    Dept of Internal Medicine, West Virginia University School of Medicine, Charleston Division, USA
    W V Med J 101:12-5. 2005
    ..We recommend educating the community about the symptoms of stroke and focusing on the fact that stroke is a medical emergency and calling 911 is necessary...
  10. ncbi A methodology for timing reviews of inpatient hospital stay
    Andrew C Page
    Clinical Psychology Unit, School of Psychology, University of Western Australia
    Aust N Z J Psychiatry 39:198-201. 2005
    ..This paper aims to describe a methodology to inform decisions about the optimal time to schedule reviews of a patient's hospital stay and to provide an example of its implementation...
  11. ncbi The relentless pursuit of perfection in a machine bureaucracy: its impact on the practice of oral and maxillofacial surgery
    Leon A Assael
    J Oral Maxillofac Surg 62:1329-30. 2004
  12. ncbi A proactive (and financially beneficial!) approach to utilization management
    Julie A Micheletti
    Clinical Product Strategies, HSS, Inc, Germantown, MD, USA
    Healthc Financ Manage 58:38-42. 2004
    ..If hospitals are to minimize denials and reduce costs amid these pressures, they will need to adopt several key strategies, including effectively employing use of a dedicated physician adviser...
  13. ncbi Spironolactone use in patients with heart failure
    J M Trujillo
    Northeastern University School of Pharmacy, Northeastern University, Boston, MA 02115 5000, USA
    J Clin Pharm Ther 29:165-70. 2004
    ..The addition of spironolactone, an aldosterone antagonist, to standard therapy can reduce the risk of both morbidity and mortality in patients with severe heart failure...
  14. ncbi Will Medicare pay for concurrent hospital-owned outpatient wound department visits and procedures?
    Kathleen D Schaum
    Kathleen D Schaum and Associates Inc, 6491 Rock Creek Drive, Lake Worth, FL 33467, USA
    Adv Skin Wound Care 17:91-2. 2004
  15. ncbi The Mentor Model: care management in the 21st Century
    Richard B Birrer
    St Joseph s Regional Medical Center, Paterson, NJ, USA
    Physician Exec 30:20-4. 2004
  16. ncbi Clinical Risk Groups (CRGs): a classification system for risk-adjusted capitation-based payment and health care management
    John S Hughes
    Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
    Med Care 42:81-90. 2004
    ....
  17. ncbi Improving physician documentation through a clinical documentation management program
    Tamara A Hicks
    North Carolina Baptist Hospital, Medical Center Boulevard, Winston Salem, NC 27157, USA
    Nurs Adm Q 27:285-9. 2003
    ....
  18. doi Pneumococcal vaccination process improvement in an acute care setting
    Abigail M Yancey
    Department of Pharmacy Practice, St Louis College of Pharmacy, St Louis, Missouri 63110 1088, USA
    Qual Saf Health Care 19:e61. 2010
    ..SSM St Mary's Health Center chartered a multidisciplinary team to address a disappointing pneumococcal vaccination rate of 34.7% in the first quarter of 2005...
  19. ncbi [Inappropriate hospitalization use in general surgery wards. Magnitude, associated factors and causes]
    Pedro Antón
    Fundación Instituto de Investigación en Servicios de Salud, Valencia, Spain
    Cir Esp 78:183-91. 2005
    ..To determine the proportion of inappropriate days of hospitalization in the general surgery wards of three university hospitals, its causes, and associated factors...
  20. pmc Effect of drug utilization reviews on the quality of in-hospital prescribing: a quasi-experimental study
    Jean Pierre Grégoire
    Population Health Research Unit, Centre Hospitalier Affilie Universitaire De Quebec, 1050 Chemin Ste Foy, Quebec, QC, G1S 4L8, Canada
    BMC Health Serv Res 6:33. 2006
    ..However, there is little evidence of their effectiveness. The objective of this study was to assess the impact of both a retrospective and a concurrent DUR programs on the quality of in-hospital prescribing...
  21. doi Rehospitalization rate after continued electroconvulsive therapy--a retrospective chart review of patients with severe depression
    Axel Nordenskjöld
    Department of Psychiatry, Orebro County Council, Orebro, Sweden
    Nord J Psychiatry 65:26-31. 2011
    ..Today ECT is usually discontinued when the patient's depressive symptoms abate, although relapse is common. Some studies suggest that continuation ECT (cECT) may prevent relapse of depression, but there are few studies available...
  22. doi Nationwide implementation of antibiotic management teams in Belgian hospitals: a self-reporting survey
    Evelyne Van Gastel
    Belgian Antibiotic Policy Coordination Committee BAPCOC, Federal Public Service Health, Food Chain Safety and Environment, Victor Horta plein 40 10, 1060 Brussels, Belgium
    J Antimicrob Chemother 65:576-80. 2010
    ..We performed a national, self-reporting survey to assess the level of AMT activities in 2007...
  23. ncbi Managing medical necessity and notification denials
    Olakunle Olaniyan
    Case Management Covenants LLC, Columbia, MD, USA
    Healthc Financ Manage 63:62-7. 2009
    Hospitals should take a strategic approach to denials management. Some key areas to monitor are: Prior authorization/notification. Concurrent review. The appeals process.
  24. doi A strategic approach to managed care contracting
    Ann Bittinger
    Law office, 13500 Sutton Park Drive South, Jacksonville, FL, USA
    J Clin Rheumatol 13:346-9. 2007
  25. ncbi Blood conservation in the critically ill
    Jennifer Thomas
    Intensive Care Unit, St Agnes Hospital Pharmacy, Baltimore, MD 21229, USA
    Am J Health Syst Pharm 64:S11-8. 2007
    ....
  26. ncbi Best practices for improving revenue capture through documentation
    Erin Richter
    The Advisory Board Company, Washington, DC, USA
    Healthc Financ Manage 61:44-7. 2007
    ....
  27. ncbi Substitution of hospital staff in concurrent utilization review
    Julie Darmody
    Clinical Science Center, School of Nursing, University of Wisconsin Madison, Madison, WI 53792, USA
    J Nurs Care Qual 22:239-46. 2007
    ..The implications are that hospitals could substitute assistive staff in place of registered nurses to complete the CUR function, potentially increasing the availability of professional nurses...
  28. ncbi Who needs a palliative care consult?: the Hamilton Chart Audit tool
    Marissa Slaven
    Department of Palliative Care, McMaster University, Hamilton, Ontario, Canada
    J Palliat Med 10:304-7. 2007
    ..We report on development of the tool and use of the tool for a retrospective audit of 222 patients who died at our institution...
  29. ncbi Is managed care closing substance abuse treatment units?
    Rebecca Wells
    Department of Health Policy and Administration, School of Public Health, University of North Carolina, Chapel Hill 27599 7411, USA
    Manag Care Interface 20:28-32. 2007
    ..care, percentage of clients for whom prior authorization was required, and percentage of clients for whom concurrent review was required...
  30. ncbi Positioning your facility for severity adjusted coding
    Paul Whitaker
    LexiCode Corporation, USA
    J AHIMA 78:82-4. 2007
  31. ncbi Managing the interface between acute care and rehabilitation - can utilisation review assist?
    Christopher J Poulos
    Department of Rehabilitation, South Eastern Sydney and Illawarra Area Health Service, Port Kembla Hospital, Cowper St, Wollongong, NSW
    Aust Health Rev 31:S129-40. 2007
    ..Consecutive acute care patients with a diagnosis of stroke, hip fracture or amputation, and patients referred for rehabilitation assessment, were followed using the InterQual Criteria...
  32. ncbi [Appropriateness of hospital admissions to a pulmonology department]
    Francisco Campos Rodriguez
    Servicio de Neumologia, Hospital Universitario de Valme, Sevilla, Espana
    Arch Bronconeumol 42:440-5. 2006
    ..To analyze the rate of inappropriate admissions to a pulmonology department over the period of a year and to establish the reasons for such admission and predictors...
  33. ncbi [Appropriateness of hospitalization in a ward of internal medicine--using the Appropriateness Evaluation Protocol]
    Nuno B Vieira
    Serviço de Medicina Sector1, Centro Hospitalar do Barlavento Algarvio, Portimao
    Acta Med Port 19:67-70. 2006
    ..The Appropriateness Evaluation Protocol (AEP) is an instrument to study the appropriate use of hospital beds based in objective criteria that classify a hospital admission as appropriate or inappropriate...
  34. pmc Active surveillance using electronic triggers to detect adverse events in hospitalized patients
    M K Szekendi
    Division of Operations and Quality, Patient Safety, Northwestern Memorial Hospital, Chicago, IL 60611, USA
    Qual Saf Health Care 15:184-90. 2006
    ..We hypothesized that it would be possible to design a method to conduct real time active surveillance and conducted a pilot study to identify adverse events and medical errors...
  35. ncbi The impact of verbal communication on physician prescribing patterns in hospitalized patients with diabetes
    Kay Martin
    American Healthways, Prince George s Hospital Center, Cheverly, Maryland, USA
    Diabetes Educ 29:827-36. 2003
    ....
  36. ncbi Detection of postoperative surgical-site infections: comparison of health plan-based surveillance with hospital-based programs
    Kenneth E Sands
    Centers for Disease Control and Prevention, Eastern Massachusetts Prevention Epicenter, Boston, Massachusetts, USA
    Infect Control Hosp Epidemiol 24:741-3. 2003
    ..We compared these two methods for identifying SSIs following coronary artery bypass graft (CABG) procedures...
  37. ncbi Prenatal HIV counseling and testing in California: women's experiences and providers' practices
    Juan D Ruiz
    California Department of Health Services, Office of AIDS, Sacramento 94234 7320, USA
    AIDS Educ Prev 14:190-5. 2002
    ..Women may have underreported prenatal C&VT because providers spend insufficient time discussing related issues or because C&VT information is not presented in a way that is relevant to all patients...
  38. ncbi To stay or not to stay. The assessment of appropriate hospital stay: a Dutch report
    Lambert J G G Panis
    Clinical Epidemiology and Medical Technology Assessment, University Hospital Maastricht, The Netherlands
    Int J Qual Health Care 14:55-67. 2002
    ....
  39. ncbi Use of measurement audit in outcomes management
    John S Lyons
    Mental Health Services and Policy Program, Northwestern University Medical School, 339 East Chicago Avenue, Room 717, Chicago, IL 60611, USA
    J Behav Health Serv Res 29:75-80. 2002
    ..Findings suggest generally good reliability, 0.72 overall, with some variation by provider and type of information...
  40. ncbi [Cause of non-pertinent hospital stays: interobserver concordance using the French version of the Appropriateness Evaluation Protocol]
    I Lombard
    , Cedex, France
    Rev Epidemiol Sante Publique 49:367-75. 2001
    ..It might help to detect dysfunctions within or outside the hospital and thus be used for evaluation or planning of health care...
  41. ncbi Implementation of standing field treatment protocols in an urban EMS system
    M Eckstein
    Department of Emergency Medicine, University of Southern California School of Medicine, Los Angeles, CA 90033, USA
    Am J Emerg Med 19:280-3. 2001
    ..None of these instances resulted in adverse effects or complications. SFTPs were integrated into a large EMS system with few procedural errors or adverse outcomes...
  42. ncbi Inappropriate use of an accident and emergency department: magnitude, associated factors, and reasons--an approach with explicit criteria
    T Sempere-Selva
    Servicio de Urgencias, Hospital General Universitario, Elche, Spain
    Ann Emerg Med 37:568-79. 2001
    ..METHODS: This concurrent review of a random sample of 2,980 adult medical patients' visits to the A&ED of the hospital of Elche uses the ..
  43. ncbi Underutilization of acute care settings in a tertiary care hospital
    B Trerise
    Center for Health Evaluation and Outcome Sciences, Vancouver, BC, Canada
    Int J Qual Health Care 13:27-32. 2001
    ..To estimate underutilization of acute care settings in a tertiary care hospital...
  44. ncbi Using a continuous time hidden Markov process, with covariates, to model bed occupancy of people aged over 65 years
    G Christodoulou
    Academic Department of Geriatric Medicine, St. George's Hospital Medical School, University of Bath, UK
    Health Care Manag Sci 4:21-4. 2001
    ..The addition of covariates provides us with evidence of a difference in length of stay between men and women. However, even significant alterations to the mean age of patients in the model does not effect the length of stay...
  45. ncbi [Corroboration of concurrent assessment of inappropriate hospitalization with retrospective evaluation based on patient records]
    S Schneeweiss
    Bayerischer Forschungsverbund Public Health
    Gesundheitswesen 62:207-10. 2000
    ..The objective was to assess the agreement of concurrent and retrospective assessment of inappropriate hospital use...
  46. ncbi Utilization management in a large managed behavioral health organization
    A Koike
    Department of Psychiatry, University of California, Davis, USA
    Psychiatr Serv 51:621-6. 2000
    ..The utilization management process of a managed behavioral health organization was examined to determine the frequency and types of reviews and the extent to which rationing of service was achieved through the denial of services...
  47. ncbi Patients' and providers' perceptions of outpatient treatment termination in a managed behavioral health organization
    B Cuffel
    United Behavioral Health, 425 Market Street, 27th Floor, San Francisco, CA 94105, USA
    Psychiatr Serv 51:469-73. 2000
    ..complaint about managed care is that treatment decisions of patients and providers are frequently altered by concurrent review of ongoing outpatient treatment...
  48. ncbi Effects of utilization management on patterns of hospital care among privately insured adult patients
    T M Wickizer
    Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle 98195 7660, USA
    Med Care 36:1545-54. 1998
    ..This study examined the effects of utilization management review activities on patterns of hospital care among a sample of adult patients insured through a managed fee-for-service plan...
  49. pmc Relationship of physician ratings of severity of illness and difficulty of clinical management to length of stay
    C Kelleher
    Office of Health Services Research, Baltimore U S Public Health Service Hospital, MD
    Health Serv Res 27:841-55. 1993
    ....
  50. ncbi Using treatment plans for quality assurance monitoring in a residential center
    S B Price
    Hillside Children s Center, Rochester, New York
    QRB Qual Rev Bull 14:266-74. 1988
    ..QA staff use checklists to review plans to assure that they are complete and technically correct and to evaluate the quality and appropriateness of care as revealed in the treatment strategy...
  51. ncbi Use of generic quality improvement chart review to recognize nosocomial infection
    M Buchanan Chell
    University of Alberta Hospitals, Edmonton, Canada
    Am J Infect Control 20:310-4. 1992
    ..CONCLUSION: We conclude that this chart surveillance has only moderate sensitivity and specificity compared with our infection control surveillance methods. Improvements were not demonstrated with experience...
  52. ncbi Psychometric properties and utility of the problem severity summary for adults with serious mental illness
    Debra S Srebnik
    Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, 98104, USA
    Psychiatr Serv 53:1010-7. 2002
    ..The authors studied the psychometric properties and utility of the Problem Severity Summary (PSS), a 13-item instrument that assesses symptom severity and functioning among adults with severe and persistent mental illness...
  53. ncbi A quality improvement project for better glycemic control in hospitalized patients with diabetes
    J A Gilman
    Diabetes Care Services, St Patrick Hospital and Health Sciences Center, 500 W Broadway, Missoula, MT 59802, USA
    Diabetes Educ 27:541-6. 2001
    ..The objective was to improve the timing of premeal insulin to allow a half hour lag time for regular insulin...
  54. ncbi How to minimize inappropriate utilization of Accident and Emergency Departments: improve the validity of classifying the general practice cases amongst the A&E attendees
    Albert Lee
    Department of Community and Family Medicine, The Chinese University of Hong Kong, School of Health, Prince of Wales Hospital, N T, Shatin, Hong Kong
    Health Policy 66:159-68. 2003
    ..If implemented, a significant impact on hospital costs could be realized...
  55. ncbi An exploratory cost analysis of performing hospital-based concurrent utilization review
    Mary Ellen Murray
    School of Nursing, University of Wisconsin Madison, K6 340 Clinical Science Center, 600 Highland Ave, Madison, WI 53792 2455, USA
    Am J Manag Care 9:512-8. 2003
    ..To determine the costs associated with conducting concurrent utilization review, a utilization management strategy widely used by the managed care industry...
  56. ncbi Denials of reimbursement for hospital care
    Mary Ellen Murray
    School of Nursing, University of Wisconsin, Madison, USA
    Manag Care Interface 16:22-7. 2003
    ....
  57. ncbi Validation of the Hendrich II Fall Risk Model: a large concurrent case/control study of hospitalized patients
    Ann L Hendrich
    Methodist Hospital, Indianapolis, Indiana, USA
    Appl Nurs Res 16:9-21. 2003
    ..The result of the study is an easy to use validated Hendrich Fall Risk Model with eight assessment parameters for high-risk fall identification tested in acute care environments...
  58. ncbi Professional practice solutions...record completion policies
    Michelle Dougherty
    J AHIMA 74:62, 64. 2003
  59. ncbi Web-based clinical decision support system for triage of vestibular patients
    William C Kinney
    Department of Surgery Otolaryngology, University of Missouri Columbia, 65212, USA
    Otolaryngol Head Neck Surg 128:48-53. 2003
    ..We sought to use a clinical decision support system (CDSS) to save costs and to improve scheduling of vestibular patients in an otolaryngology clinic...
  60. ncbi Metric properties of the appropriateness evaluation protocol and predictors of inappropriate hospital use in Germany: an approach using longitudinal patient data
    Oliver Sangha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA
    Int J Qual Health Care 14:483-92. 2002
    ..Attempts at quality improvement need to relate costs to outcomes. Until now, there has been no standardized methodology to evaluate the appropriateness of hospital care...
  61. ncbi Profiling resource use: do different outcomes affect assessments of provider efficiency?
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford Veterans Affairs Medical Center, Bedford, MA 01730, USA
    Am J Manag Care 8:1105-15. 2002
    ..To examine whether 2 outcome measures result in different assessments of efficiency across 22 service networks within the Department of Veterans Affairs (VA)...
  62. ncbi Reducing failed extubations in the intensive care unit
    Peter J Pronovost
    Departments of Anesthesiology Critical Care Medicine and Surgery, Johns Hopkins University School of Medicine, 600 N Wolfe Street, Meyer 295, Baltimore, MD 21287 7294, USA
    Jt Comm J Qual Improv 28:595-604. 2002
    ..A study was designed in 1998 to identify risk factors for failed extubation and use a quality improvement model to reduce failed extubation rates in a surgical intensive care unit (SICU) in an academic hospital...
  63. ncbi A comparison of diagnosis capture from medical records, self-reports, and drug registrations: a study in individuals 80 years and older
    Sven E Nilsson
    Institute of Gerontology, University College of Health Sciences, Jonkoping, Sweden
    Aging Clin Exp Res 14:178-84. 2002
    ..Reports of diseases and health problems vary as a function of the information source. In the present study we compared the capture of information on morbidity using medical records, self-reports, and drug registrations...
  64. ncbi Déjà vu. When it comes to prospective payment, home health agencies can learn from the experiences of acute care hospitals with DRGs
    Patricia B Dray
    3M Health Information Systems, Wallingford, CT, USA
    Health Manag Technol 23:44-6, 50. 2002
  65. pmc Diagnostic cost groups (DCGs) and concurrent utilization among patients with substance abuse disorders
    Amy K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC Edith Nourse Rogers Memorial Veterans Hospital, MA 01730, USA
    Health Serv Res 37:1079-103. 2002
    ..To assess the performance of Diagnostic Cost Groups (DCGs) in explaining variation in concurrent utilization for a defined subgroup, patients with substance abuse (SA) disorders, within the Department of Veterans Affairs (VA)...
  66. ncbi Methodology to improve data quality from chart review in the managed care setting
    Laura D Cassidy
    Department of Biostatistics, University of Pittsburgh, Graduates School of Public Health, PA 15261, USA
    Am J Manag Care 8:787-93. 2002
    ....
  67. ncbi Back to the drawing board: new directions in health plans' care management strategies
    Suzanne Felt-Lisk
    Mathematica Policy Research, Inc, Washington, DC, USA
    Health Aff (Millwood) 21:210-7. 2002
    ..Still, disease management programs will need to greatly expand in scope and scale if plans are to succeed in addressing the complex health care needs of aging populations and those with chronic diseases...
  68. ncbi New methods for evaluating utilization management programs
    S M Payne
    Health Services Department, Boston University School of Public Health, MA 02118 2394
    QRB Qual Rev Bull 18:340-7. 1992
    ..The "program component" method measures the separate effect of preadmission review, concurrent review, and discharge planning...
  69. pmc Effects of health care cost-containment programs on patterns of care and readmissions among children and adolescents
    T M Wickizer
    Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle 98195 7660, USA
    Am J Public Health 89:1353-8. 1999
    ..This study examined the effects of a utilization management program on patterns of medical care among children and adolescents...
  70. ncbi A nurse practitioner intervention model to maximize efficient use of telemetry resources
    Peter A Gross
    Department of Internal Medicine, Hackensack University Medical Center HUMC, Hackensack, New Jersey, USA
    Jt Comm J Qual Improv 28:566-73. 2002
    ..use entailed the use of an advanced practice nurse (APN; identical to a nurse practitioner) to provide concurrent review and intervention of floating telemetry, which is available for patients independently of the floor location ..

Research Grants20

  1. OUTCOMES OF A MANAGED CARE COST CONTAINMENT STRATEGY
    Mary Murray; Fiscal Year: 2001
    ..The present research is unique in that it proposes to study the concurrent review process from the perspective of the hospital system and hospital clinicians, thus demonstrating the outcomes ..
  2. OUTCOMES OF A MANAGED CARE COST CONTAINMENT STRATEGY
    Mary Murray; Fiscal Year: 2000
    ..The present research is unique in that it proposes to study the concurrent review process from the perspective of the hospital system and hospital clinicians, thus demonstrating the outcomes ..
  3. MANAGED MENTAL HEALTH CARE & PATTERNS OF UTILIZATION
    Barbara Dickey; Fiscal Year: 1990
    ..Two specific strategies, prior approval for impatient admission and concurrent review of impatient admissions, are the subject of this study...
  4. CANCER AND LEUKEMIA GROUP B
    O MC INTYRE; Fiscal Year: 1991
    ..Grant Application and the separate Report noted above, CALGB is submitting separate applications for concurrent review, under different principal investigators, a grant to support the Statistical Center, research by the ..
  5. Improving Long-Term Physical and Mental Health after Acute Lung Injury
    Peter Pronovost; Fiscal Year: 2009
    ....
  6. Substance Abuse Treatment Pathways for Employee Groups
    ELIZABETH MERRICK; Fiscal Year: 2008
    ..The results of this study will be of interest to employers, insurers and policymakers, as they shape policies affecting access to care. ..
  7. Improving Long-Term Physical and Mental Health after Acute Lung Injury
    Peter Pronovost; Fiscal Year: 2008
    ....
  8. How Child Welfare Agency Management Affects Children's Outcomes
    Rebecca Wells; Fiscal Year: 2008
    ..Subsequent research will examine how child welfare and mental health agencies collectively affect children. ..
  9. How child welfare inter-agency cooperation may reduce youth HIV risk behaviors
    Rebecca Wells; Fiscal Year: 2007
    ..These findings will inform managers of related health and social services.yield actionable guidance to child welfare agency managers and policy makers in allocating scarce resources. [unreadable] [unreadable] [unreadable]..
  10. How Child Welfare Agency Management Affects Children's Outcomes
    Rebecca Wells; Fiscal Year: 2007
    ..Subsequent research will examine how child welfare and mental health agencies collectively affect children. ..
  11. PARTICIPATION IN COMMUNITY-BASED COALITIONS
    Rebecca Wells; Fiscal Year: 2005
    ..This study will lay the groundwork for subsequent research establishing a mid-range theory of community-based health promotion coalition participation. ..
  12. Alcohol Use and Medical Care Quality among the Elderly
    ELIZABETH MERRICK; Fiscal Year: 2006
    ..abstract_text> ..
  13. IMPACT OF MENTAL HEALTH ADVANCE DIRECTIVES
    Debra Srebnik; Fiscal Year: 2004
    ..Multi- stakeholder focus groups will be conducted for Aim 2c. Electronic information systems will provide demographic, diagnostic, level-of-functioning, outpatient commitment status and service utilization data. ..
  14. IMPACT OF MENTAL HEALTH ADVANCE DIRECTIVES
    Debra Srebnik; Fiscal Year: 2003
    ..Multi- stakeholder focus groups will be conducted for Aim 2c. Electronic information systems will provide demographic, diagnostic, level-of-functioning, outpatient commitment status and service utilization data. ..
  15. IMPACT OF MENTAL HEALTH ADVANCE DIRECTIVES
    Debra Srebnik; Fiscal Year: 2002
    ..Multi- stakeholder focus groups will be conducted for Aim 2c. Electronic information systems will provide demographic, diagnostic, level-of-functioning, outpatient commitment status and service utilization data. ..
  16. IMPACT OF MENTAL HEALTH ADVANCE DIRECTIVES
    Debra Srebnik; Fiscal Year: 2001
    ..Multi- stakeholder focus groups will be conducted for Aim 2c. Electronic information systems will provide demographic, diagnostic, level-of-functioning, outpatient commitment status and service utilization data. ..
  17. IMPACT OF MENTAL HEALTH ADVANCE DIRECTIVES
    Debra Srebnik; Fiscal Year: 2000
    ..Multi- stakeholder focus groups will be conducted for Aim 2c. Electronic information systems will provide demographic, diagnostic, level-of-functioning, outpatient commitment status and service utilization data. ..
  18. Improving Long-Term Physical and Mental Health after Acute Lung Injury
    Peter J Pronovost; Fiscal Year: 2010
    ....