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Accountability for reasonableness is an ethical framework that describes the conditions of a fair decision-making process. It focuses on how decisions should be made and why these decisions are ethical. It was developed by Norman Daniels and James Sabin and is often applied in health policy and bioethics. [1]
Medical necessity is a legal doctrine in the United States related to activities that may be justified as reasonable, necessary, and/or appropriate based on evidence-based clinical standards of care. In contrast, unnecessary health care lacks such justification. Other countries may have medical doctrines or legal rules covering broadly similar ...
It was previously maintained by the Agency for Healthcare Research and Quality (AHRQ) but is currently maintained by the Emergency Nurses Association (ENA). Five-level acuity scales continue to remain pertinent due to their effectiveness of identifying patients in need of emergent treatment and categorizing patients in limited resource situations.
Nursing documentation is the record of nursing care that is planned and delivered to individual clients by qualified nurses or other caregivers under the direction of a qualified nurse. It contains information in accordance with the steps of the nursing process .
Example: A link to the 2011 spreadsheet of the CMI for all US providers is located here. [5] An analysis of that file shows that there are 3619 hospital records. The number of cases for the hospitals ranges from a low of 1 to a high of 36,282 cases at Florida Hospital in Orlando, FL (Medicare ID 100007). That hospital has a Case Mix Index of 1.57.
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While the term seems to originate in the insurance industry (which applies a form of the reasonable rule by determining, for example, whether it is reasonable for a particular medical procedure to be done on a particular client in order to determine if the medical insurance company will pay for that procedure), it applies in many other areas, including:
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