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Volumn 13, Issue 4, 2008, Pages 195-208

What can claims data tell the case manager?

(1)  Terra, Sandra M a  

a NONE

Author keywords

Case management; Claims; Clinical guidelines; Clinical pathway; Medical coding

Indexed keywords

AGED; ARTICLE; CASE MANAGEMENT; CLINICAL PATHWAY; CLINICAL PRACTICE; DIAGNOSIS RELATED GROUP; FEMALE; HOSPITAL; HUMAN; INSURANCE; LENGTH OF STAY; MALE; PRACTICE GUIDELINE; QUALITY CONTROL; STATISTICS; UNITED STATES;

EID: 54049090011     PISSN: 15297764     EISSN: 15390675     Source Type: Journal    
DOI: 10.1097/01.pcama.0000327408.71354.52     Document Type: Article
Times cited : (4)

References (25)
  • 1
    • 33644669142 scopus 로고    scopus 로고
    • Bringing evidencebased best practices into practice
    • November 20, 20
    • Averbeck, B. M. (2005, November 20). Bringing evidencebased best practices into practice. Health Management Technology, 26(11), 20, 22.
    • (2005) Health Management Technology , vol.26 , Issue.11 , pp. 22
    • Averbeck, B.M.1
  • 3
    • 0034946041 scopus 로고    scopus 로고
    • Trends and outcomes in the hospitalization of older Americans for cardiac conduct disorders or arrhythmias, 1991-1998
    • Baine, W. B., Yu, W., & Weis, K. A. (2001). Trends and outcomes in the hospitalization of older Americans for cardiac conduct disorders or arrhythmias, 1991-1998. Journal of the American Geriatrics Society (JAGS), 49, 763-770.
    • (2001) Journal of the American Geriatrics Society (JAGS) , vol.49 , pp. 763-770
    • Baine, W.B.1    Yu, W.2    Weis, K.A.3
  • 4
    • 67649952505 scopus 로고    scopus 로고
    • Boston Medical Center, 4th ed, Brochure, Boston, MA: Author
    • Boston Medical Center. (2004). Clinical pathway acute coronary syndrome (4th ed.) [Brochure]. Boston, MA: Author.
    • (2004) Clinical pathway acute coronary syndrome
  • 5
    • 0035193624 scopus 로고    scopus 로고
    • Managing the complexity of best practice health care
    • Brown, S. J. (2001). Managing the complexity of best practice health care. Journal of Nursing Care Quality, 15(2), 1-8.
    • (2001) Journal of Nursing Care Quality , vol.15 , Issue.2 , pp. 1-8
    • Brown, S.J.1
  • 7
    • 3242671565 scopus 로고    scopus 로고
    • Quality and methods of developing practice guidelines
    • Retrieved July 9, 2006, from
    • Cruse, H., Winiarek, M., Marshburn, J., Clark , O., & Djulbegovic, B. (2002). Quality and methods of developing practice guidelines. BMC Health Services Research, 2(1), 1-7. Retrieved July 9, 2006, from http://www.biomedcentral.com/content/pdf/1472- 6963-2-1.pdf
    • (2002) BMC Health Services Research , vol.2 , Issue.1 , pp. 1-7
    • Cruse, H.1    Winiarek, M.2    Marshburn, J.3    Clark, O.4    Djulbegovic, B.5
  • 8
    • 67649943980 scopus 로고    scopus 로고
    • Managing costs through clinical quality improvement; by employing care-based cost management, providers can reduce costs and improve efficiencies
    • April, 76-82
    • Davis, K. (2004, April). Managing costs through clinical quality improvement; by employing care-based cost management, providers can reduce costs and improve efficiencies. Healthcare Financial Management, 58(4), 76-82, 84.
    • (2004) Healthcare Financial Management , vol.58 , Issue.4 , pp. 84
    • Davis, K.1
  • 9
    • 0033796135 scopus 로고    scopus 로고
    • Benchmarking medical group practices using claims data: Methodological and practical problems
    • Dove, H. G., & Greene, B. R. (2000). Benchmarking medical group practices using claims data: Methodological and practical problems. Journal of Ambulatory Care Managers, 23(4), 67-77.
    • (2000) Journal of Ambulatory Care Managers , vol.23 , Issue.4 , pp. 67-77
    • Dove, H.G.1    Greene, B.R.2
  • 11
    • 0034796677 scopus 로고    scopus 로고
    • Benchmarking in understanding resource utilization and disease management-are we ready?
    • Eisenberg, S. S. (2001). Benchmarking in understanding resource utilization and disease management-are we ready? Disease Management and Health Outcomes, 1(9), 29-38.
    • (2001) Disease Management and Health Outcomes , vol.1 , Issue.9 , pp. 29-38
    • Eisenberg, S.S.1
  • 12
    • 0034280660 scopus 로고    scopus 로고
    • Judging the effectiveness of clinical pathways for pneumonia: The role of risk adjustment
    • Estrada, C. A., Unterborn, J. N., Price, J., Thompson, D., & Gibson, L. (2000). Judging the effectiveness of clinical pathways for pneumonia: The role of risk adjustment. Effective Clinical Practice, 4, 221-228.
    • (2000) Effective Clinical Practice , vol.4 , pp. 221-228
    • Estrada, C.A.1    Unterborn, J.N.2    Price, J.3    Thompson, D.4    Gibson, L.5
  • 13
    • 67649902721 scopus 로고    scopus 로고
    • IPRO and Western New York Health Care Association, Brochure, New York: Author
    • IPRO and Western New York Health Care Association. (2006). Congestive heart failure (CHF) clinical pathway [Brochure]. New York: Author.
    • (2006) Congestive heart failure (CHF) clinical pathway
  • 14
  • 16
    • 33646383357 scopus 로고    scopus 로고
    • Finding the balance between quality and cost
    • April
    • Nolan, T., & Bisognano, M. (2006, April). Finding the balance between quality and cost. Healthcare Financial Management, 60(4), 66-72.
    • (2006) Healthcare Financial Management , vol.60 , Issue.4 , pp. 66-72
    • Nolan, T.1    Bisognano, M.2
  • 17
    • 67649908209 scopus 로고    scopus 로고
    • Ochsner Clinic Foundation, Brochure, New Orleans, LA: Author
    • Ochsner Clinic Foundation. (2002). Observation/inpatient non ICU COPD pathway [Brochure]. New Orleans, LA: Author.
    • (2002) Observation/inpatient non ICU COPD pathway
  • 19
    • 0032602856 scopus 로고    scopus 로고
    • Physician-centered management guidelines
    • January-February
    • Pulde, M. F. (1999, January-February). Physician-centered management guidelines. Physician Executive, 25(1), 40-44.
    • (1999) Physician Executive , vol.25 , Issue.1 , pp. 40-44
    • Pulde, M.F.1
  • 20
    • 67649955629 scopus 로고    scopus 로고
    • Putnam Community Medical Center. (2006, June 30). Quality and resource management DRG trending report (January 2005-June 2006). Palatka, FL: Author.
    • Putnam Community Medical Center. (2006, June 30). Quality and resource management DRG trending report (January 2005-June 2006). Palatka, FL: Author.
  • 21
    • 5144231441 scopus 로고    scopus 로고
    • Getting guidelines into practice: A literature review
    • Richens, Y., Rycroft-Malone, J., Morrell, C. (2004). Getting guidelines into practice: A literature review. Nursing Standard, 18(50), 33-40.
    • (2004) Nursing Standard , vol.18 , Issue.50 , pp. 33-40
    • Richens, Y.1    Rycroft-Malone, J.2    Morrell, C.3
  • 22
    • 0345861758 scopus 로고    scopus 로고
    • Hospital and Health Networks (H&HN), 78
    • 1, 2
    • Scalise, D. (2004, January). What insurers know about your hospital...and how they are using it. Hospital and Health Networks (H&HN), 78(1), 34-38, 2.
    • (2004) , pp. 34-38
    • Scalise, D.1
  • 24
    • 0037081127 scopus 로고    scopus 로고
    • Guideline implementation: Why don't we do it?
    • January 15, 176
    • Solberg, L. I. (2002, January 15). Guideline implementation: Why don't we do it? American Family Physician, 65(2), 176, 181-182.
    • (2002) American Family Physician , vol.65 , Issue.2 , pp. 181-182
    • Solberg, L.I.1
  • 25
    • 0035061031 scopus 로고    scopus 로고
    • Health claims data as a strategy and tool in disease management
    • Solz, H., & Gilbert, K. (2001). Health claims data as a strategy and tool in disease management. Journal of Ambulatory Care Managers, 24(2), 69-85.
    • (2001) Journal of Ambulatory Care Managers , vol.24 , Issue.2 , pp. 69-85
    • Solz, H.1    Gilbert, K.2


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.