Utilization Management: Specialty drugs billed in the medical benefit lack clinical policies
applied to drugs dispensed in the pharmacy benefit.
Local staff, patients and payers benefit from high standards of clinical policies
and procedures, thorough internal and external audits, awarded training programmes and a 'patient first' approach.
The trust has numerous clinical policies
and procedures, which are constantly checked and updated, and nursing staff and junior doctors are made aware of these through their training, induction, ward and departmental meetings and internal communication systems.
His duties included developing clinical policies
that govern the management of the Army Medical Department's 28 hospitals and $6.
and procedures for the following key protocols: wound care protocols and assessment tool, pain management protocol, elopement prevention protocol and missing person procedure, occurrence/incident reporting procedures and forms, abuse prevention policies and procedures, and fall prevention protocol and assessment tools.
Responsibilities will include peer to peer advocacy, education, speaking engagements, subject matter expertise and guidance on practice and hospital adoption of clinical policies
for use of the Company's products.
She recommends that these reviews be completed by professionals with a thorough knowledge of mandates by the Centers for Medicare and Medicaid Services (CMS), the Office of Inspector General (OIG), and other key measures related to clinical policies
and procedures, billing and claims submission, quality and performance improvement activities, Electronic Medical Records (EMR), and human resources practices.
Many researchers and policy analysts, like Wennberg and Eddy, (4,5) recommend analyzing physician practice patterns and small area variations in practice to promote cost-effective, high quality clinical policies
Local staff, patients and payers will benefit from high standards of clinical policies
and procedures, thorough internal and external audits, awarded training programmes and a patient-first approach.
She served as Chief Clinical Officer of Magellan Health Services' Care Management Center, where she oversaw the performance of all clinical positions and was responsible for managing clinical policies
, procedures and best practices.
27) There are identifiable costs and benefits to using observational data analysis in large clinical databases to determine clinical policies
, instead of relying solely on the results of randomized clinical trials.
While under our clinical care, our experienced team of clinical telepharmacists (CTP) will review and verify all medication orders consistent with each of our hospital client's unique clinical policies
and procedures," said Bruce Keller, CEO of PipelineRx.
The medical director oversees the development and implementation of clinical policies
, particularly around quality and utilization.
In recent years, there has been a proliferation of practice guidelines (also referred to as clinical policies
or practice parameters).
He also serves as the Vice President of Professional Services and Dental Director for Washington Dental Service, where he promotes positive changes in network development, provider relations and clinical policies