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Complexity and clinical care

Care Coordination for Children With Medical Complexity: Whose Care Is It, Anyway?

Care Coordination for Children With Medical Complexity: Whose Care Is It, Anyway?

... Primary care remains largely tied to volume-driven payments that do not adequately support non-face-to-face time during which many care coordination activities ...how care coordination and planning ...

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Identify the disease and manage the complexity of thyroid care

Identify the disease and manage the complexity of thyroid care

... References 1. American Thyroid Association. General information/press room. Available at www.thyroid.org/media-main/about-hypothyroidism. Accessed February 8, 2017. 2. Bahn RS, Burch HB, Cooper DS, et al. Hyperthyroidism ...

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Models of Care Delivery for Children With Medical Complexity

Models of Care Delivery for Children With Medical Complexity

... of Care for CMC ModelPCCCCEB VariationLocationScope of PracticeAcuity of Care ExamplesCommunity-Based 12, 13Tertiary Care Center 7, 14Ambulatory 15, 16Combined Inpatient and Ambulatory 8, 15, ...

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Complexity of Clinical Decision Making: Consent, Capacity, and Ethics

Complexity of Clinical Decision Making: Consent, Capacity, and Ethics

... Person-first language is more than a movement to minimize stigma toward individuals with disabilities. Studies have demonstrated that the language we use can impact the effectiveness of our care. 23,24 ...

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Managing complexity in care of patients with intellectual and developmental disabilities

Managing complexity in care of patients with intellectual and developmental disabilities

... a clinical method includes skill at eval- uating undifferentiated symptoms presenting early in the course of a ...communication, care coordination, and social determinants of health, the generalist expert ...

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Making Time to Coordinate Care for Children With Medical Complexity

Making Time to Coordinate Care for Children With Medical Complexity

... authors’ clinical model reflected a robust interprofessional team performing comprehensive care management and coordination ...high complexity and may reasonably be expected to represent what ...

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Children With Medical Complexity: An Emerging Population for Clinical and Research Initiatives

Children With Medical Complexity: An Emerging Population for Clinical and Research Initiatives

... health care quality or health-related quality of life, both of which are particularly important for a group of children who interface so frequently with the medi- cal ...parental care- givers, including ...

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Understanding complexity – the palliative care situation as a complex adaptive system

Understanding complexity – the palliative care situation as a complex adaptive system

... Palliative Care As- sociation as well as researchers with a focus on healthcare systems ...with clinical expertise were a) a minimum of 5 years working ex- perience in palliative care and b) a ...

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Ethnographic process evaluation in primary care: explaining the complexity of implementation

Ethnographic process evaluation in primary care: explaining the complexity of implementation

... the clinical lead for guidance on study-specific outreach; the ethnographer then used that conversation as a springboard to a lively discussion on patient access ...

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Complexity in practice: understanding primary care as a complex adaptive system

Complexity in practice: understanding primary care as a complex adaptive system

... Clinical governance programmes have been possible because of developments in the use and functionality of electronic care records, principally in primary care. However, ‘whole system’ thinking and ...

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Designing for Lived Health: Engaging the Sociotechnical Complexity of Care Work

Designing for Lived Health: Engaging the Sociotechnical Complexity of Care Work

... of care rarely probed into social issues like trauma and abuse as it related to managing behavioral health ...patient care/repair work was clearly broken, purely clinical interventions into complex ...

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Complexity of care and strategies of self-management in patients with colorectal cancer

Complexity of care and strategies of self-management in patients with colorectal cancer

... inherent complexity of cancer care, self-management support need to become more ...comprehensive. Complexity in this context can be characterized as a dynamic state in which the personal, social, and ...

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Patterns and Costs of Health Care Use of Children With Medical Complexity

Patterns and Costs of Health Care Use of Children With Medical Complexity

... complex care interventions such as intensive care coordination may attenuate acute care expenditures for ...the care these children receive is often frag- mented, uncoordinated, and associated ...

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Costs and Use for Children With Medical Complexity in a Care Management Program

Costs and Use for Children With Medical Complexity in a Care Management Program

... multicenter care management program on spending and use in ...improve care for CMC ages 0 to 21 years identified using 3M Clinical Risk Group categories 5b through ...

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Growing Evidence for Successful Care Management in Children With Medical Complexity

Growing Evidence for Successful Care Management in Children With Medical Complexity

... Between 2015 and 2017, sites enrolled a convenience sample of 8096 CMC (de fi ned by Clinical Risk Group categories 5b – 9 23 ). Using statistical process control and propensity- matched analyses, the authors ...

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Estimated Nonreimbursed Costs for Care Coordination for Children With Medical Complexity

Estimated Nonreimbursed Costs for Care Coordination for Children With Medical Complexity

... of clinical activity in a real-world setting, we have designed this study so that its biases reduce our estimate of ...a care program, such as program management, facility fees, and ...

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Hospital Variation in Health Care Utilization by Children With Medical Complexity

Hospital Variation in Health Care Utilization by Children With Medical Complexity

... in clinical indication for the test than in the use of head CT or ...high care intensity are seen by their physicians more often and tend to accumulate more diagnoses despite comparable health ...

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Quality indicators in type 2 diabetes patient care: analysis per care-complexity level

Quality indicators in type 2 diabetes patient care: analysis per care-complexity level

... health care unit patients and around 15% of the primary care unit patients presented complications related to diabetes, but less than 30% in the tertiary health care unit and less than 5% in the ...

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HIV Clinical Data Network - A Model of Complexity

HIV Clinical Data Network - A Model of Complexity

... HIV clinical data sets are associated with patients whose treatment histories differ in length: while some patients receive their first antiretrovi- ral treatment, others are heavily ...HIV clinical data ...

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Clinical and molecular complexity of breast cancer metastases

Clinical and molecular complexity of breast cancer metastases

... of Clinical Sciences, Lund University, Lund, Sweden b CREATE Health Strategic Center for Translational Cancer Research, Lund University, Lund, Sweden c Department of Oncology, Skåne University Hospital, ...

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