Third-party payment for nutrition care services

1984 ◽  
Vol 84 (6) ◽  
pp. 693-700
Keyword(s):  
Third Party ◽  
Care Services ◽  
Nutrition Care

scholarly journals Bariatric Surgical Patients' Satisfaction with Nutrition and Dietetic Services in Saudi Hospitals (P10-065-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Elham Aljaaly
Keyword(s):  
Bariatric Surgery ◽  
Decision Making ◽  
Care Plans ◽  
Funding Sources ◽  
Care Services ◽  
Nutrition Care ◽  
Before And After ◽  
Bariatric Patients ◽  
Nutritional Needs ◽  
University Degree

Abstract Objectives The study was conducted to evaluate patient satisfaction and view quality of care and completed nutrition care services they received before and after bariatric surgery. Methods A survey was conducted using a self-completed questionnaire and was administered to bariatric patients. Survey assessed patients’ decision-making for bariatric surgery, patients’ view of their experience of the received nutrition care and the empowerment to follow the prescribed plan. Results Thirty-five patients (30 female and 4 males) completed the questionnaire. The majority of patients were Saudi national (88.6%, n = 31). More patients were holding a university degree (65.7%, n = 23). Bariatric surgery preferences was mostly selected by patients (88.6%, n = 31) with no shared decision-making with surgeons or family members. The decision to undergo bariatric surgery was more likely to be related to health risks issues (65.7%, n = 23) and not for beauty purposes. Patients (34.3%, n = 12) never be seen by a dietitian either before or after surgery, 20%, n = 7 were only seen before surgery or after surgery (17%, n = 6). Nutritional care plans were well explained by a dietitian (RD) to 77.8% of patients (n = 21),13% (n = 3) reported that RDs’ answers to their queries were confusing. Patients 85% (n = 23) find Rds as very cooperative and interactive when manage and plan their nutritional needs. Delivered information are clear and understandable by 87% of patients and all responded patients felt that they were treated with respect by dietitians. Nearly 61% (n = 17) reported that RDs’ involvement in their nutrition care was excellent and 57.1% had excellent overall experience. Twelve patients reported seeing a dietitian throughout their treatment. However, 6 of them saw the dietitian once every month and the rest used to see the dietitian once every 3 months. Conclusions The decision makers including and all Rds will benefit from the results of this study to improve the outcome measures of dietetics services in the scope of bariatric surgery. Funding Sources No Funding Body.

The Corporate Transformation of Medical Specialty Care: The Exemplary Case of Neonatology

2008 ◽  
Vol 36 (4) ◽  
pp. 790-802 ◽  
Author(s):  
Eleanor D. Kinney
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Medical Specialty ◽  
Pharmaceutical Products ◽  
Health Care Sector ◽  
Third Party ◽  
Care Providers ◽  
Care Services ◽  
American Health Care

With new, effective, and expensive health care services, the American health care sector has become an even greater source of business and wealth opportunities. All kinds of health care providers and suppliers are competing for patients and dollars. The key to wealth in today’s health care sector is the physician. Only physicians can certify to third-party payers that health care services, medical devices, or pharmaceutical products are necessary for patient care. That certification initiates the process by which the item, service, or treatment modality is ordered, delivered, and paid for. Thus, organizations that can exert control over physicians stand to gain financially.

scholarly journals Understanding and applying a resource-based relative value system to your neurosurgical practice

2002 ◽  
Vol 12 (4) ◽  
pp. 1-5 ◽  
Author(s):  
Gregory J. Przybylski
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Historical Review ◽  
Health Care Expenditures ◽  
Third Party ◽  
Physician Reimbursement ◽  
Care Services ◽  
Relative Value ◽  
Fee Schedule

The payment policy for United States physicians was formerly based on determination of customary and prevailing charges from their fee schedules. Rapidly growing health care expenditures in the 1980s led to a fundamental change in payment reimbursement in which the new system was based on the resource costs to the physician for providing health care services. This reform highlights the significant regulatory morass that has come to burden the health care industry. One of the most critical changes in physician reimbursement was caused by the Congressional mandate that led to the development of a resource-based relative value scale (RBRVS) for the creation of the Medicare physician fee schedule. Most physicians, however, have limited familiarity with the RBRVS system, which now serves as the basis for Medicare-related physician reimbursement as well as many third-party payers. A historical review of the development of the RBRVS will serve as the basis for applying the methodology to improve the effectiveness of the neurosurgeon's practice.

Increasing Nutrition Care Services to Out-Patients:

1998 ◽  
Vol 98 (9) ◽  
pp. A12
Author(s):  
J Goodwin ◽  
L Dickson ◽  
P Stein
Keyword(s):  
Care Services ◽  
Nutrition Care

The Australian Palliative Care Outcomes Collaboration (PCOC) - measuring the quality and outcomes of palliative care on a routine basis

2010 ◽  
Vol 34 (2) ◽  
pp. 186 ◽  
Author(s):  
Kathy Eagar ◽  
Prue Watters ◽  
David C. Currow ◽  
Samar M. Aoun ◽  
Patsy Yates
Keyword(s):  
Palliative Care ◽  
Assessment Tools ◽  
Third Party ◽  
Specialist Palliative Care ◽  
Care Services ◽  
Routine Basis ◽  
Palliative Care Services ◽  
Care Outcomes ◽  
Quality And Outcomes

Australia is leading the way in establishing a national system (the Palliative Care Outcomes Collaboration – PCOC) to measure the outcomes and quality of specialist palliative care services and to benchmark services across the country. This article reports on analysis of data collected routinely at point-of-care on 5939 patients treated by the first fifty one services that voluntarily joined PCOC. By March 2009, 111 services have agreed to join PCOC, representing more than 70% of services and more than 80% of specialist palliative care patients nationally. All states and territories are involved in this unique process that has involved extensive consultation and infrastructure and close collaboration between health services and researchers. The challenges of dealing with wide variation in outcomes and practice and the progress achieved to date are described. PCOC is aiming to improve understanding of the reasons for variations in clinical outcomes between specialist palliative care patients and differences in service outcomes as a critical step in an ongoing process to improve both service quality and patient outcomes. What is known about the topic?Governments internationally are grappling with how best to provide care for people with life limiting illnesses and how best to measure the outcomes and quality of that care. There is little international evidence on how to measure the quality and outcomes of palliative care on a routine basis. What does this paper add?The Palliative Care Outcomes Collaboration (PCOC) is the first effort internationally to measure the outcomes and quality of specialist palliative care services and to benchmark services on a national basis through an independent third party. What are the implications for practitioners?If outcomes and quality are to be measured on a consistent national basis, standard clinical assessment tools that are used as part of everyday clinical practice are necessary.

scholarly journals Kajian Proses Asuhan Gizi Terstandar (PAGT) Pada Pasien Hipertensi Di Rumah Sakit Umum Daerah Ende

2019 ◽  
Vol 1 (3) ◽  
pp. 134-142
Author(s):  
Maria Fransisca Soro ◽  
Anna Heny Talahatu ◽  
Helga J. N. Ndun
Keyword(s):  
Medical Records ◽  
Healing Process ◽  
Regional Hospital ◽  
Care Process ◽  
Hypertensive Patients ◽  
Care Services ◽  
Nutrition Services ◽  
Nutrition Care ◽  
The Right ◽  
Nutrition Care Process

 The process of standardized nutrition care is an activity carried out on patients who are at risk of malnutrition, already experiencing malnutrition and special conditions with certain diseases. As for the steps of nutrition care process is namely nutrition assessment, diagnosis and intervention. Based on medical records at Ende Regional Hospital the number of inpatient hypertension patients was 442 in 2018. Nutrition services especially nutrition care process in hospital have been done well, but the implementation is still not optimal due to luck of nutritionists. This research was conducted to determine the process of standardized nutrition care in hypertensive patients in RSUD Ende. This research is a descriptive study with a qualitative approach. Informants key in this study are nutritionist and supporting informants is nutrition workers and hypertensive patients. The results of the study had been carried out well in Ende Regional Hospital,but the implementation was not optimal due to lack of nutritionists and nurses’ knowledge about nutrition. Standarduzed nutrition care can provide a good change for hypertensive patients, giving the right diet can reduce the hypertensive patient’s blood pressure. The results of this study are expected to further improve well-standarduzed nutrition care services to patients in accordance with the steps of nutrition care process so that it can help the healing process of disease.

scholarly journals Descriptive and process evaluation of a shared primary care program

2007 ◽  
Author(s):  
Evelyn Vingilis ◽  
Jann Paquette-Warren ◽  
Nick Kates ◽  
Anne-Marie Crustolo ◽  
Jaimi Greenslade ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Process Evaluation ◽  
Care Program ◽  
Shared Care ◽  
Team Members ◽  
Care Services ◽  
Health And Nutrition ◽  
Nutrition Care ◽  
Patient Database

Purpose: This study involved the conduct of a descriptive and process evaluation to examine the implementation and maintenance of an existing local shared care program: The Hamilton Health Service Organization Mental Health and Nutrition Program located in Hamilton, Ontario, Canada. The program was organized to strengthen links between mental health, nutrition, and primary care services, to improve access to mental health and nutrition care, and to realize the benefits of improved communication, collaboration and mutual support among multiple practitioners, increased continuity of care, and increased family physicians’ comfort and skill in handling more complex problems. Method: A mixed-method, multi-measures evaluation design was used. Data were gathered from the program’s central patient database and by conducting focus groups. Results: Teams of practitioners provide comprehensive primary mental health and nutrition care. Collaboration and education opportunities are extensive although time constraints are an issue. Patients with a range of problems were assessed, treated, and referred among team members. There appears to be a decreased burden on external services. Conclusions & Discussion: This evaluation suggests that implementation and maintenance of shared care programs are possible within community practices.

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