RESUMEN
Cigna's Collaborative Accountable Care initiative provides financial incentives to physician groups and integrated delivery systems to improve the quality and efficiency of care for patients in commercial open-access benefit plans. Registered nurses who serve as care coordinators employed by participating practices are a central feature of the initiative. They use patient-specific reports and practice performance reports provided by Cigna to improve care coordination, identify and close care gaps, and address other opportunities for quality improvement. We report interim quality and cost results for three geographically and structurally diverse provider practices in Arizona, New Hampshire, and Texas. Although not statistically significant, these early results revealed favorable trends in total medical costs and quality of care, suggesting that a shared-savings accountable care model and collaborative support from the payer can enable practices to take meaningful steps toward full accountability for care quality and efficiency.
Asunto(s)
Organizaciones Responsables por la Atención/organización & administración , Conducta Cooperativa , Costos de la Atención en Salud , Administración de la Práctica Médica/organización & administración , Calidad de la Atención de Salud , Arizona , Prestación Integrada de Atención de Salud/economía , Prestación Integrada de Atención de Salud/normas , Femenino , Práctica de Grupo/organización & administración , Humanos , Modelos Logísticos , Masculino , Programas Controlados de Atención en Salud/organización & administración , New Hampshire , Planes de Incentivos para los Médicos/organización & administración , Pautas de la Práctica en Medicina/economía , Evaluación de Programas y Proyectos de Salud , TexasRESUMEN
A comprehensive Code of Ethics for the members of the American Association of Physicists in Medicine (AAPM) is presented as the report of Task Group 109 which consolidates previous AAPM ethics policies into a unified document. The membership of the AAPM is increasingly diverse. Prior existing AAPM ethics polices were applicable specifically to medical physicists, and did not encompass other types of members such as health physicists, regulators, corporate affiliates, physicians, scientists, engineers, those in training, or other health care professionals. Prior AAPM ethics policies did not specifically address research, education, or business ethics. The Ethics Guidelines of this new Code of Ethics have four major sections: professional conduct, research ethics, education ethics, and business ethics. Some elements of each major section may be duplicated in other sections, so that readers interested in a particular aspect of the code do not need to read the entire document for all relevant information. The prior Complaint Procedure has also been incorporated into this Code of Ethics. This Code of Ethics (PP 24-A) replaces the following AAPM policies: Ethical Guidelines for Vacating a Position (PP 4-B); Ethical Guidelines for Reviewing the Work of Another Physicist (PP 5-C); Guidelines for Ethical Practice for Medical Physicists (PP 8-D); and Ethics Complaint Procedure (PP 21-A). The AAPM Board of Directors approved this Code or Ethics on July 31, 2008.
Asunto(s)
Códigos de Ética , Física Sanitaria/ética , Sociedades Científicas/ética , Comités Consultivos , Estados UnidosRESUMEN
"Patient Portals" enable patients to review their medical record and add information to it. Clinics are using "E-Visits" to substitute for a face-to-face office visit. This article describes the experience of one healthcare system with "Patient Portals" and "E-Visits."
Asunto(s)
Atención Ambulatoria/organización & administración , Práctica de Grupo/organización & administración , Atención Dirigida al Paciente , Relaciones Médico-Paciente , Telemedicina/estadística & datos numéricos , Sistemas de Información en Atención Ambulatoria , Correo Electrónico/estadística & datos numéricos , Humanos , Internet/estadística & datos numéricos , Sistemas de Registros Médicos Computarizados , Modelos Organizacionales , New Hampshire , Estados UnidosRESUMEN
This poster presentation will demonstrate the value to practices of providing online interactive communication tools to their patients by presenting Dartmouth-Hitchcock's successful implementation of "Patient Online". This tool extends our clinical and administrative functions directly to patients using a personal web site product that supports HIPAA compliant clinical communication, patient appointment scheduling, prescription renewals, and referral requests with the practice.
Asunto(s)
Internet , Sistemas en Línea , Manejo de Atención al Paciente , Citas y Horarios , Comunicación , Humanos , Relaciones Médico-Paciente , Gestión de la Práctica ProfesionalRESUMEN
I have just returned from York where I attended the three-day conference 'A journey through cancer: Nurses collaborate', which brought together 13 forums, societies and special interest groups of the RCN.