Term
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Definition
| The degree to which healthcare services increase the likelihood of desirable outcomes |
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Term
| Clinical Quality Assessment |
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Definition
| The process of determining whether healthcare services meet predetermined standards of care |
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Term
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Definition
| The process of preventing the spread of communicable diseases in compliance with applicable legal requirements |
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Term
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Definition
| A group of processes used to measure how efficiently healthcare organizations use their resources |
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Term
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Definition
| The process of overseeing the medical, legal, and administrative operations within a healthcare organization |
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Term
| Clinical Practice Guidelines |
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Definition
| systematically developed statements used to inform clinical decision making |
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Term
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Definition
| clinical procedures that consist of steps explicitly recommended by an authorative body |
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Term
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Definition
| care planning tools that emphasize the coordination of multidisciplinary clinical services |
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Term
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Definition
| predefined statements describing the criteria against which an organization's performance will be assessed as part of voluntary accreditation process |
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Term
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Definition
| descriptions of the compulsory requirements for participation in federally sponsored health programs |
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Term
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Definition
| descriptions of the criteria healthcare organizations must fulfill in order to provide services in a specific geographic area |
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Term
| Utilization Management (2) |
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Definition
| process of determining whether the medical care provided to a patient is necessary |
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Term
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Definition
| assessment of a patient's readiness for placement in a non-acute setting |
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Term
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Definition
| Identifies patients who are unsuitable for a particular procedure or admission |
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Term
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Definition
| Evaluation at preset intervals to ensure that the patient requires continued care |
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Term
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Definition
| determines medical necessity and appropriateness of admission |
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Term
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Definition
| Review of patient records after discharge to evaluate the appropriateness of care |
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