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Medicare Imaging Demonstration final evaluation : report to Congress /
| Clasificación: | Libro Electrónico |
|---|---|
| Autor principal: | |
| Autor Corporativo: | |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Santa Monica, Calif. :
RAND Corporation,
[2014]
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| Colección: | Research report (Rand Corporation)
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- 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.