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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.
Poisoning is a far more serious health problem in the U.S. than has generally been recognized. It is estimated that more than 4 million poisoning episodes occur annually, with approximately 300,000 cases leading to hospitalization. The field of poison prevention provides some of the most celebrated examples of successful public health interventions, yet surprisingly the current poison control "system" is little more than a loose network of poison control centers, poorly integrated into the larger spheres of public health. To increase their effectiveness, efforts to reduce poisoning need to be linked to a national agenda for public health promotion and injury prevention. Forging a Poison Prevention and Control System recommends a future poison control system with a strong public health infrastructure, a national system of regional poison control centers, federal funding to support core poison control activities, and a national poison information system to track major poisoning epidemics and possible acts of bioterrorism. This framework provides a complete "system" that could offer the best poison prevention and patient care services to meet the needs of the nation in the 21st century.
Elsevier and the American Medical Association have partnered to co-publish this ICD-9-CM reference by Carol J. Buck! Maximize your efficiency and effectiveness with Carol J. Buck's 2013 ICD-9-CM for Physicians, Volumes 1 & 2 — Professional Edition. Combining Netter's Anatomy artwork and the Official Guidelines for Coding and Reporting (OGCR) with a format designed by coders for coders, this handy, spiral-bound reference gives you easy access to the information you need to stay up to date and ensure the most accurate billing and optimal reimbursement in physician-based coding. Plus, you can take this resource into certification exams for enhanced testing support! - Exclusive focus on ICD-9-CM, Volumes 1 and 2 provides clear, concise coverage of physician-based coding essentials. - UNIQUE! Full-color Netter's Anatomy artwork clarifies complex anatomic information to help you appropriately code related procedures. - Use Additional Digit(s) symbol in the index identifies codes that require an additional digit to remind you to check the tabular. - The Official Guidelines for Coding and Reporting (OGCR) are listed within the lists of codes and in a separate index for fast, easy access to the coding rules when you need them. - Items provide detailed information on common diseases and conditions, helping you code more effectively. - Symbols throughout the text alert you to new, revised, and deleted codes and clearly identify codes that require special consideration before assigning symbols, including Not First-Listed Diagnosis, Unspecified Code, Includes and Excludes, and Use Additional. - Additional hints, tips and definitions within specific codes provide extra guidance in coding anatomy, pathophysiology, or other coding directions. - References to the American Hospital Association's Coding Clinics® help you find expanded information about specific codes and their usage. - Age and Sex edits alert you to codes that are used only with patients of a specific age or sex, helping to ensure accurate reporting. - Omit and Code Also codes highlight government text needing special attention. - Coding updates on the companion codingupdates.com website keep you informed of changes to ICD codes.
v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
- 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. - UPDATED age edits from the Medicare Code Editor ensure that you have the latest information needed for accurate coding.
Elsevier and the American Medical Association have partnered to co-publish this ICD-9-CM reference by Carol J. Buck! Code efficiently and effectively with Carol J. Buck's 2012 ICD-9-CM for Physicians, Volumes 1 & 2, Professional Edition. Combining Netter's Anatomy artwork and the 2011 Official Guidelines for Coding and Reporting (OCGR) with a format designed by coders for coders, this handy, spiral-bound reference helps you easily access the information you need to stay up to date and ensure the most accurate billing and optimal reimbursement in physician-based coding. Plus, you can take this resource into your certification exams for enhanced testing support! - Exclusive focus on ICD-9-CM Volumes 1 and 2 provides clear, concise coverage of physician-based and outpatient coding essentials. - Convenient spiral binding makes it easy to access the information you need. - UNIQUE! Full-color Netter's Anatomy artwork clarifies complex anatomic information to help you appropriately code related procedures. - Use Additional Digit(s) symbol in the index identifies codes that require an additional digit to remind you to check the tabular. - Full-color design incorporates color-coded symbols to help you quickly find the information you need. - The 2011 Official Guidelines for Coding and Reporting (OGCR) are listed within the lists of codes and in a separate index for fast, easy access to the coding rules when you need them. - Items provide detailed information on common diseases and conditions, helping you code more effectively. - Symbols throughout the text alert you to new, revised, and deleted codes and clearly identify codes that require special consideration before assigning, including unspecified codes, includes and excludes, use additional, code first, and codes that cannot be assigned as first-listed diagnoses. - Additional hints, tips and definitions within specific codes provide extra guidance in coding anatomy, pathophysiology, or other coding directions. - Guide to the Updates enables you to reference all annual coding changes at a glance. - References to the American Hospital Association's Coding Clinics help you find expanded information about specific codes and their usage. - Age and Sex edits alert you to codes that are used only with patients of a specific age or sex, helping to ensure accurate reporting. - Omit and Code Also codes highlight government text needing special attention. - Coding updates on the companion codingupdates.com website keep you informed of changes to ICD codes. - Authorized support you can take into your certification exams to enhance your testing experience and help you ensure certification success.
This publication describes Version 2 of the Clinical Classifications for Health Policy Research (CCHPR), a diagnosis and procedure categorization scheme, and provides descriptive statistics for 1992 hospital inpatient stays illustrating the use of the CCHPR categories.
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.