8. Primary Care
- Delivered performance increases particularly with the integration of behavioral health into primary care.
- Provided primary care/clinical support for 110-bed long term care and rehabilitation facility.
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Another name for utilization review is utilization management. It is the process of ensuring that healthcare services are used in a suitable manner. Utilization review is a critical component of adding value to the health care system. Mostly, UR is carried out by healthcare insurance companies, but hospitals and other healthcare providers also perform the process. Utilization review has three types of assessment namely: concurrent, prospective, and retrospective.
Medical management helps navigate all facets of health care to improve the quality and outcomes of health care delivery for health, disease, nursing, and case management functions. The goal of medical management is to improve the delivery of all medications, improve patient use, reduce side effects and interactions of drugs, and provide peace of mind to patients as they can be confident that medications are being taken correctly.
Quality improvement (QA) is a systematic approach to eliminate or reduce rework, wastes, and losses in the production process. It is part of quality management, which aims to increase the ability to meet quality requirements. It manages change and uses data for making decisions to improve policies, programs, and results.
Oncology is defined as the facet of medicine that deals with cancer. Oncology also deals with the prevention and diagnosis of these diseases. A medical professional who has studied the discipline of oncology is referred to as an ‘oncologist'. An oncologist can further specialize in their discipline and become a medical oncologist, surgical oncologist, or radiation oncologist.
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Updated January 8, 2025