Introduction to the Peer Review Organization

Introduction to the Peer Review Organization PDF

Author: Lisa Raymond

Publisher: iUniverse

Published: 2001-11

Total Pages: 110

ISBN-13: 0595206808

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Medicare and Medicaid pay for more medical care than any other source. To get paid, hospitals and medical professionals must submit to peer review for appropriate payment and detection of medical errors. Failure to follow the rules and guidelines from the Peer Review Organizations can result in citations and costly denials of payment for medical services already given by the medical care provider. Introduction To The Peer Review Organization gives an inside look at the peer review process and what professionals can do to make working with the review organizations easier and more profitable.

Medicare

Medicare PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1990-02-01

Total Pages: 462

ISBN-13: 0309042305

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Health care for the elderly American is among our nation's more pressing social issues. Our society wishes to ensure quality health care for all older people, but there is growing concern about our ability to maintain and improve quality in the face of efforts to contain health care costs. Medicare: A Strategy for Quality Assurance answers the U.S. Congress' call for the Institute of Medicine to design a strategic plan for assessing and assuring the quality of medical care for the elderly. This book presents a proposed strategic plan for improving quality assurance in the Medicare program, along with steps and timetables for implementing the plan by the year 2000 and the 10 recommendations for action by Congress. The book explores quality of careâ€"how it is defined, measured, and improvedâ€"and reviews different types of quality problems. Major issues that affect approaches to assessing and assuring quality are examined. Medicare: A Strategy for Quality Assurance will be immediately useful to a wide audience, including policymakers, health administrators, individual providers, specialists in issues of the older American, researchers, educators, and students.

Peer Review in Nursing

Peer Review in Nursing PDF

Author: Barbara Haag-Heitman

Publisher: Jones & Bartlett Learning

Published: 2011

Total Pages: 261

ISBN-13: 0763790400

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Peer Review in Nursing: Principles for a Successful Practice is the first nursing publication that approaches the definition and implementation strategies for peer review within an organizational setting. Using a professional model, with shared governance as a framework, the authors discuss the difference between manger initiated staff performance evaluation of the past and the true peer review aspects of professional practice for the future. This text follows in line with the Magnet program requiremet “that nurses at all levels use self appraisal performance review and peer review, including annual goal settings, for the assurance of competence and professional development” page 30 of the 2008 Magnet manual. This unique text teaches nurses the skills they need to demonstrate organizational processes, structures, and outcomes that help insure accountability, competence and autonomy.

Financial Management of Health Care Organizations

Financial Management of Health Care Organizations PDF

Author: William N. Zelman

Publisher: John Wiley & Sons

Published: 2009-09-28

Total Pages: 686

ISBN-13: 0470522917

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Thoroughly revised, this third edition of Financial Management of Health Care Organizations offers an introduction to the most-used tools and techniques of health care financial management. Comprehensive in scope, the book covers a broad range of topics that include an overview of the health care system and evolving reimbursement methodologies; health care accounting and financial statements; managing cash, billings, and collections; the time value of money and analyzing and financing major capital investments; determining cost and using cost information in decision-making; budgeting and performance measurement; and pricing. In addition, this new edition includes information on new laws and regulations that affect health care financial reporting and performance, revenue cycle management expansion of health care services into new arenas, benchmarking, interest rate swaps, bond ratings, auditing, and internal control. This important resource also contains information on the 2007 Healthcare Audit Guide of the American Institute of Certified Public Accountants (AICPA). Written to be accessible, the book avoids complicated formulas. Chapter appendices offer advanced, in-depth information on the subject matter. Each chapter provides a detailed outline, a summary, and key terms, and includes problems in the context of real-world situations and events that clearly illustrate the concepts presented. Problem sets that end each chapter have been updated and expanded to support more in-depth learning of the chapters’ concepts. An Instructor’s Manual, available online, contains PowerPoint and Excel files.

Student-Led Peer Review

Student-Led Peer Review PDF

Author: Kimberly A. Lowe

Publisher: Taylor & Francis

Published: 2023-07-03

Total Pages: 151

ISBN-13: 1000978303

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Student-led peer review can be a powerful learning experience for both giver and receiver, developing evaluative judgment, critical thinking, and collaborative skills that are highly transferable across disciplines and professions. Its success depends on purposeful planning and scaffolding to promote student ownership of the process. With intentional and consistent implementation, peer review can engage students in course content and promote deep learning, while also increasing the efficiency and effectiveness of faculty assessment.Based on the authors’ extensive experience and research, this book provides a practical introduction to the key principles, steps, and strategies to implement student peer review – sometimes referred to as “peer critique” or “workshopping”. It addresses common challenges that faculty and students encounter. The authors offer an easy-to-follow and rigorously tested three-part protocol to use before, during, and after a peer review session, and advice on adapting each step to individual courses.The process is applicable across all disciplines, content types, and modalities, face-to-face and online, synchronous and asynchronous. Instructors can guide students in peer review in one course, across two or more courses that are team-taught, or across programs or curriculums. When instructors, students, and university stakeholders create a culture of peer review, it enhances learning benefits for students and allows faculty to share pedagogical resources.Student peer review is a high-impact pedagogy that’s easily implemented, inculcates lifelong learning skills in students, and relieves the assessment burden on faculty as students collaborate to improve their own work.

PROs

PROs PDF

Author: American Medical Association. Department of Medical Review

Publisher:

Published: 1992

Total Pages:

ISBN-13:

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Effective Peer Review

Effective Peer Review PDF

Author: Robert J. Marder

Publisher: HC Pro, Inc.

Published: 2007

Total Pages: 191

ISBN-13: 1601460112

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HCPro is pleased to introduce Effective Peer Review: A Practical Guide to Contemporary Design, Second Edition, authored by The Greeley Company experts, Robert J. Marder, MD and Mark A. Smith, MD, MBA, FACS. Completely updated to help you: * Comply with The Joint Commission's 2007 standards * Deliver focused and ongoing professional practice evaluations * Evaluate physician core competencies * And much more! Peer review continues to rate as a top problematic issue and one you can't ignore. The pressure is driven by publicly available national data, The Joint Commission's 2007 standards expanding measurement of physician competence, and hospital boards' need to be assured that the peer review process is functioning effectively. Learn how to go beyond just satisfying a regulatory requirement to performing peer review that fosters true improvement within your facility. Although hospitals go through the motions of peer review, they are often unable to make it a meaningful process-one that results in true improvement in physician performance and meets The Joint Commission's standards. Transform your peer review process and meet external requirements with Effective Peer Review: A Practical Guide to Contemporary Design, Second Edition. Get best practices to make peer review worthwhile Newly updated and in high demand, Effective Peer Review, Second Edition, outlines and provides advice about how to do physician peer review effectively. Authored by experts from The Greeley Company, this book and CD-ROM goes beyond just reviewing the Joint Commission standards. It puts the standards in context by emphasizing best practices you can implement in your peer review process. Plus, you'll receive thorough discussion about data analysis and collection, along with peer review scoring and rating systems. Critical information at your fingertips Offering step-by-step guidance to peer review, this book and CD-ROM will help you: * Streamline your exist

Peer Review in an Era of Evaluation

Peer Review in an Era of Evaluation PDF

Author: Eva Forsberg

Publisher: Springer Nature

Published: 2022

Total Pages: 414

ISBN-13: 3030752631

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This open access volume explores peer review in the scientific community and academia. While peer review is as old as modern science itself, recent changes in the evaluation culture of higher education systems have increased the use of peer review, and its purposes, forms and functions have become more diversified. This book put together a comprehensive set of conceptual and empirical contributions on various peer review practices with relevance for the scientific community and higher education institutions worldwide. Consisting of three parts, the editors and contributors examine the history, problems and developments of peer review, as well as the specificities of various peer review practices. In doing so, this book gives an overview on and examine peer review , and asks how it can move forward. Eva Forsberg is Professor of Education at Uppsala University, Sweden. Her research focuses education governance and evaluation, academic work and the interface between educational policy, practice and research. Lars Geschwind is Professor in Engineering Education Policy and Management at KTH Royal Institute of Technology, Sweden. His main research interests are higher education policy, institutional governance, academic leadership and academic work. Sara Levander is Senior Lecturer and Researcher in Education at Uppsala University, Sweden. Her research interests are higher education, academic work and faculty evaluation in academic recruitment and promotion. Wieland Wermke is Associate Professor in Special Education at Stockholm University, Sweden. His research interest focuses on comparative education methodology, and teacher practice at different levels of education.