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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...

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Healthcare (Amsterdam, Netherlands)·2021
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PAYER PERSPECTIVES ON FUTURE ACCEPTABILITY OF COMPARATIVE EFFECTIVENESS AND RELATIVE EFFECTIVENESS RESEARCH.

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Futurescapes: expectations in Europe for relative effectiveness evidence for drugs in 2020.

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Futurescapes: evidence expectations in the USA for comparative effectiveness research for drugs in 2020.

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A translation table for patient-centered comparative effectiveness research: guidance to improve the value of research for clinical and health policy decision-making.

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Related Experiment Video

Updated: May 22, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Looking at CER from Medicare's perspective.

Penny Mohr1

  • 1Center for Medical Technology Policy, 401 E Pratt St, Ste. 631,Baltimore, MD 21202, USA. Penny.Mohr@cmtpnet.org

Journal of Managed Care Pharmacy : JMCP
|May 15, 2012
PubMed
Summary

Comparative effectiveness research (CER) offers significant benefits for Medicare coverage and payment decisions. Integrating CER can improve evidence-based policymaking for millions of beneficiaries, despite existing challenges.

Area of Science:

  • Health Services Research
  • Health Policy Analysis
  • Evidence-Based Medicine

Background:

  • Comparative effectiveness research (CER) is increasingly generating data crucial for healthcare coverage and payment decisions.
  • Medicare's decisions significantly influence the broader U.S. health insurance industry and healthcare system.
  • Examining Medicare's role in integrating CER into policy is vital for national health outcomes.

Purpose of the Study:

  • To outline the benefits of CER for Medicare payment and coverage decisions.
  • To identify limitations and challenges in utilizing CER within the Medicare program.
  • To explore the role of the Centers for Medicare & Medicaid Services (CMS) in enhancing CER infrastructure and integration.

Main Methods:

  • Analysis of the current state of CER integration within Medicare policy.

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

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  • Review of potential benefits and limitations of CER for decision-making.
  • Discussion of challenges hindering CER adoption by CMS.

    • Main Results:

    • CER provides evidence to inform treatment and policy decisions for patients, clinicians, and payers.
    • Medicare's use of CER can significantly impact public and individual health for over 47 million beneficiaries.
    • Many Medicare coverage and payment decisions currently rely on low-quality evidence, highlighting CER's potential for improvement.

    Conclusions:

    • CMS can legally use CER, with some limitations, to improve coverage and payment decisions.
    • CMS is mandated to support CER infrastructure development, including data accessibility for researchers.
    • Integrating CER into Medicare processes faces challenges like statutory ambiguities and resource limitations, but offers substantial potential benefits.