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  2. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...

  3. Case management (US healthcare system) - Wikipedia

    en.wikipedia.org/wiki/Case_management_(US...

    Case management is a managed care technique within the health care coverage system of the United States. It involves an integrated system that manages the delivery of comprehensive healthcare services for enrolled patients. [1] Case managers are employed in almost every aspect of health care and these employ different approaches in the control ...

  4. Critical incident technique - Wikipedia

    en.wikipedia.org/wiki/Critical_incident_technique

    The critical incident technique (or CIT) is a set of procedures used for collecting direct observations of human behavior that have critical significance and meet methodically defined criteria. These observations are then kept track of as incidents, which are then used to solve practical problems and develop broad psychological principles.

  5. Rational planning model - Wikipedia

    en.wikipedia.org/wiki/Rational_planning_model

    The rational planning model is a model of the planning process involving a number of rational actions or steps. Taylor (1998) outlines five steps, as follows: [ 1] Monitoring of effects of plans/policies. The rational planning model is used in planning and designing neighborhoods, cities, and regions. It has been central in the development of ...

  6. Patient safety - Wikipedia

    en.wikipedia.org/wiki/Patient_safety

    Discovering that patient safety had become a frequent topic for journalists, health care experts, and the public, it was harder to see overall improvements on a national level. What was noteworthy was the impact on attitudes and organizations. Few health care professionals now doubted that preventable medical injuries were a serious problem.

  7. Amazon’s expansion into healthcare could buoy the sector

    techcrunch.com/2022/08/17/how-amazons-continued...

    How Amazon’s continued expansion into healthcare could buoy the sector. Following Amazon’s $3.9 billion acquisition of One Medical, Business Insider reported the company would add mental ...

  8. Andersen healthcare utilization model - Wikipedia

    en.wikipedia.org/wiki/Andersen_healthcare...

    Andersen healthcare utilization model. The Andersen healthcare utilization model is a conceptual model aimed at demonstrating the factors that lead to the use of health services. According to the model, the usage of health services (including inpatient care, physician visits, dental care etc.) is determined by three dynamics: predisposing ...

  9. Significant event audit - Wikipedia

    en.wikipedia.org/wiki/Significant_event_audit

    e. A significant event audit (SEA), also known as significant event analysis, is a method of formally assessing significant events, particularly in primary care in the UK, with a view to improving patient care and services. To be effective, the SEA frequently seeks contributions from all members of the healthcare team and involves a subsequent ...