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To participate in the program, patients must meet the following inclusion criteria: be an adult greater than sixteen years of age with at least one valid ICD 9 CM diagnosis code, history of blunt or penetrating mechanisms of injury, or have an AIS score ≥ 3. Eligible patients also must have emergency department or hospital dispositions available.
Inclusion criteria may include factors such as type and stage of disease, the subject’s previous treatment history, age, sex, race, ethnicity. Exclusion criteria concern properties of the study sample, defining reasons for which patients from the target population are to be excluded from the current study sample. Typical exclusion criteria ...
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 ...
Ochsner LSU Health Shreveport - Academic Medical Center - Shreveport; Ochsner LSU Health Shreveport - St. Mary Medical Center (formerly Christus Schumpert Medical Center) - Shreveport; Ochsner LSU Health Shreveport - Louisiana Behavioral Health - Shreveport; Overton Brooks VA Medical Center - Shreveport; Shriners Hospital - Shreveport
The hospital is accredited by the Joint Commission, and it serves as a teaching hospital to Our Lady of the Lake College, Louisiana State University, Tulane University, and Southern University. OLOLRMC is the dominant institution in healthcare in the Greater Baton Rouge area and the largest private medical center in Louisiana, with over 1,020 ...
A diagnosis of exclusion or by exclusion (per exclusionem) is a diagnosis of a medical condition reached by a process of elimination, which may be necessary if presence cannot be established with complete confidence from history, examination or testing.
Though the medical and health services literature has a variety of definitions of readmissions, the Centers for Medicare and Medicaid Services (CMS) has created a stricter set of criteria. CMS defines a hospital readmission as "an admission to an acute care hospital within 30 days of discharge from the same or another acute care hospital. [ 1 ] "
University Medical Center New Orleans (UMCNO) is a 446-bed [1] non-profit, public, research and academic hospital located in the Tulane - Gravier neighborhood of New Orleans, Louisiana, providing tertiary care for the southern Louisiana region and beyond. University Medical Center New Orleans is one of the region's only university-level ...