Improving Diagnosis in Health Care
Improving Diagnosis in Health Care

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2015-12-29

Total Pages: 473

ISBN-13: 0309377722

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Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Definition of Serious and Complex Medical Conditions
Definition of Serious and Complex Medical Conditions

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1999-10-19

Total Pages: 127

ISBN-13: 0309172608

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In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients.

ICD-10-CM 2018 the Complete Official Codebook
ICD-10-CM 2018 the Complete Official Codebook

Author: American Medical Association

Publisher: American Medical Association Press

Published: 2017-09

Total Pages: 0

ISBN-13: 9781622026043

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ICD-10-CM 2018: The Complete Official Codebook provides the entire updated code set for diagnostic coding. This codebook is the cornerstone for establishing medical necessity, determining coverage and ensuring appropriate reimbursement.

Transition to Diagnosis-Related Group (DRG) Payments for Health
Transition to Diagnosis-Related Group (DRG) Payments for Health

Author: Caryn Bredenkamp

Publisher: World Bank Publications

Published: 2019-12-19

Total Pages: 69

ISBN-13: 1464815216

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This book examines how nine different health systems--U.S. Medicare, Australia, Thailand, Kyrgyz Republic, Germany, Estonia, Croatia, China (Beijing) and the Russian Federation--have transitioned to using case-based payments, and especially diagnosis-related groups (DRGs), as part of their provider payment mix for hospital care. It sheds light on why particular technical design choices were made, what enabling investments were pertinent, and what broader political and institutional issues needed to be considered. The strategies used to phase in DRG payment receive special attention. These nine systems have been selected because they represent a variety of different approaches and experiences in DRG transition. They include the innovators who pioneered DRG payment systems (namely the United States and Australia), mature systems (such as Thailand, Germany, and Estonia), and countries where DRG payments were only introduced within the past decade (such as the Russian Federation and China). Each system is examined in detail as a separate case study, with a synthesis distilling the cross-cutting lessons learned. This book should be helpful to those working on health systems that are considering introducing, or are in the early stages of introducing, DRG-based payments into their provider payment mix. It will enhance the reader's understanding of how other countries (or systems) have made that transition, give a sense of the decisions that lie ahead, and offer options that can be considered. It will also be useful to those working in health systems that already include DRG payments in the payment mix but have not yet achieved the anticipated results.

A Psychological Approach to Diagnosis
A Psychological Approach to Diagnosis

Author: Geoffrey M. Reed

Publisher: American Psychological Association (APA)

Published: 2021-04-27

Total Pages: 347

ISBN-13: 9781433832680

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This edited volume gives practicing psychologists and trainees around the world the information they need to apply the new mental and behavioral diagnostic guidelines of the ICD-11 to deliver quality, evidence-informed care globally.

2015 ICD-9-CM for Physicians, Volumes 1 and 2, Standard Edition - E-Book
2015 ICD-9-CM for Physicians, Volumes 1 and 2, Standard Edition - E-Book

Author: Carol J. Buck

Publisher: Elsevier Health Sciences

Published: 2015-11-12

Total Pages: 1072

ISBN-13: 0323352731

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Code more efficiently and effectively with Carol J. Buck's 2015 ICD-9-CM for Physicians: Volumes 1 & 2, Standard Edition. Designed by coders for coders, this manual combines Netter's Anatomy illustrations and the Official Guidelines for Coding and Reporting. Its format makes it easy to access the ICD-9-CM information you need to stay up to date and ensure the most accurate billing and optimal reimbursement in physician-based and outpatient coding settings. In addition, you can take this resource into your certification exams for enhanced testing support! Exclusive focus on ICD-9-CM: Volumes 1 & 2 provides clear, concise coverage of physician-based and hospital outpatient coding essentials. Netter’s Anatomy art is included in the front of the book and cross referenced within the Tabular List to help you understand complex anatomic information and how it may affect choosing codes. Official Guidelines for Coding and Reporting (OGCRs) are listed in full and also integrated within the code set, providing fast, easy access to the official coding rules. Use Additional Digit(s) symbol identifies codes in the index that require an additional digit and serves as a reminder to check the Tabular List. Symbols and highlights identify codes that may require special consideration before coding, including: Not First-Listed Diagnosis Use Additional Digit(s) Unspecified Includes and Excludes Use Additional Code First Additional elements within specific codes provide you with useful hints, tips, and definitions to aid in understanding difficult terminology, diseases and conditions, or coding in a specific category. Omit Codes and Code First draw attention to government material needing special attention. Items are included throughout Diseases: Tabular List, Volume 1 to provide more information on common diseases and conditions to ensure that you code accurately. Codingupdates.com companion website includes the latest changes to the ICD coding system. UPDATED Coding Clinic® citations provide official ICD-9-CM coding advice, ensuring accurate coding by identifying the year, quarter, and page number for information about specific codes in the AHA’s Coding Clinic for ICD-9-CM.