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Medicare Imaging Demonstration final evaluation : report to Congress /

Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Timbie, Justin William (Autor)
Autor Corporativo: Centers for Medicare & Medicaid Services (U.S.) (sponsoring body.)
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Santa Monica, Calif. : RAND Corporation, [2014]
Colección:Research report (Rand Corporation)
Temas:
Acceso en línea:Texto completo

MARC

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049 |a UAMI 
100 1 |a Timbie, Justin William,  |e author. 
245 1 0 |a Medicare Imaging Demonstration final evaluation :  |b report to Congress /  |c Justin W. Timble [and nine others]. 
264 1 |a Santa Monica, Calif. :  |b RAND Corporation,  |c [2014] 
264 4 |c Ã2014 
300 |a 1 online resource 
336 |a text  |b txt  |2 rdacontent 
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490 1 |a Research report 
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504 |a Includes bibliographical references. 
505 0 |a Section I. Report overview -- Background and description of the demonstration and its evaluation -- Section II. Convener-level results associated with advanced image ordering with decision support systems for practices associated with the Medicare imaging demonstration -- Analysis of DSS data -- Analysis of the impact of the MID demonstration on the appropriateness of advanced imaging orders -- Relationships between the appropriateness of advanced imaging procedure orders and imaging results -- Section III. Convener-level analyses of advanced image utilization before and after the Medicare imaging demonstration was introduced in practices associated with the demonstration compared with comparable control practices -- Trends in imaging utilization in the Medicare imaging demonstration -- Section IV. Physician and patient experience with appropriateness criteria for advanced imaging -- Physician satisfaction with exposure to advanced imaging appropriateness criteria in the demonstration -- Medicare patient satisfaction in the demonstration with receiving an advanced imaging procedure after physicians were exposed to appropriateness criteria -- Section V. Six statute questions that can inform future recommendations about decision support -- Recommendations about the acceptability of MID's DSS for identifying appropriate versus inappropriate advanced imaging orders -- Recommendations about volume of utilization in response to physician exposure to advanced imaging appropriateness criteria at the time of orders -- Recommendations about the advisability of expanding the use of appropriateness criteria for ordering advanced imaging to a broader population of Medicare beneficiaries -- Recommendations about the advisability of allowing high-performing physicians to be exempt from requirements to consult appropriateness criteria -- Recommendations about the value of live feedback on the appropriateness of advanced imaging orders from a decision support system compared with feedback reports to individual physicians or physician practices -- Recommendations about strategies for motivating physicians to comply with ordering advanced imagery appropriately according to appropriateness criteria -- Section IV. Conclusion -- Conclusions -- Bibliography -- Technical appendix A. DSS and claims methods -- Technical appendix B. Evaluation of the MID : focus group methodology. 
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650 0 |a Diagnostic imaging. 
650 0 |a Medicare. 
650 2 |a Diagnostic Imaging 
650 2 |a Medicare 
650 6 |a Imagerie pour le diagnostic. 
650 6 |a Medicare. 
650 7 |a Diagnostic imaging  |2 fast 
650 7 |a Medicare  |2 fast 
710 2 |a Rand Corporation,  |e issuing body. 
710 2 |a Centers for Medicare & Medicaid Services (U.S.),  |e sponsoring body. 
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