LEADER 03973nam 22006374a 450 001 9910811402503321 005 20200520144314.0 010 $a0-309-17260-8 010 $a1-280-18572-4 010 $a9786610185726 010 $a0-309-55713-5 010 $a0-585-15552-6 035 $a(CKB)110986584752844 035 $a(SSID)ssj0000136189 035 $a(PQKBManifestationID)11134384 035 $a(PQKBTitleCode)TC0000136189 035 $a(PQKBWorkID)10083735 035 $a(PQKB)10870492 035 $a(MiAaPQ)EBC3376977 035 $a(Au-PeEL)EBL3376977 035 $a(CaPaEBR)ebr10062878 035 $a(CaONFJC)MIL18572 035 $a(OCoLC)923267467 035 $a(EXLCZ)99110986584752844 100 $a20000313d1999 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 00$aDefinition of serious and complex medical conditions /$fCarole A. Chrvala and Steven Sharfstein, editors ; Committee on Serious and Complex Medical Conditions, Division of Health Care Services, Institute of Medicine 205 $a1st ed. 210 $aWashington, DC $cNational Academy Press$dc1999 215 $avi, 116 p 300 $aBased on a workshop convened on June 14, 1999. 311 $a0-309-06640-9 320 $aIncludes bibliographical references (p. 55-63). 327 $aDefinition of Serious and Complex Medical Conditions -- Copyright -- Acknowledgments -- Contents -- Executive Summary -- CONCLUSIONS -- 1 Introduction -- CHARGE TO THE INSTITUTE OF MEDICINE -- SCOPE AND ORGANIZATION OF THIS REPORT -- DEFINITIONS OF SERIOUS AND COMPLEX MEDICAL CONDITIONS: ALTERNATIVES AND IMPLICATIONS -- Background -- Conceptual Overview-Serious and Complex Conditions -- Potential Operational Definitions and Criteria -- Disease Code Definitions -- ICD-9 Codes Alone -- 2 Challenges in Health Care Delivery for Patients with Serious and Complex Medical Conditions -- QUALITY OF HEALTH CARE -- Patient Characteristics -- Provider Characteristics -- Patient Volume -- Health Care Delivery System -- ACCESS TO CARE -- HEALTH CARE COST CONTAINMENT -- Medicare and Medicaid -- Utilization Review and Management -- Care Management -- Screening and Risk Assessment -- Alternative Strategies for Cost Containment -- 3 Conclusions and Recommendations -- INTRODUCTION -- CONCLUSIONS -- References -- Appendix A Workshop to Define Serious or Complex Medical Conditions -- CLINICAL IMPLICATIONS OF DEFINING SERIOUS OR COMPLEX MEDICAL CONDITIONS -- Disabled Populations -- Complexities of Patients with Cancer -- Serious and Complex Chronic Illness at the End of Life -- Example of a Population-Based Screening Intervention for Care Delivery Integration -- HEALTH CARE POLICY AND INSURANCE IMPLICATIONS OF DEFINING SERIOUS OR COMPLEX MEDICAL CONDITIONS -- Managed Care and Approaches to Regulation -- Implementation Strategies for the Medicare+Choice Regulations Concerning Serious or Complex Medical Care -- Serious or Complex Medical Conditions: Insurance Issues -- Appendix B Speakers Biographies -- Appendix C Workshop Agenda -- Appendix D Workshop Participants -- Appendix E Committee Biographies. 517 3 $aSerious and complex medical conditions 606 $aHealth insurance$zUnited States 606 $aCritically ill$xMedical care$zUnited States 606 $aCatastrophic health insurance$zUnited States 615 0$aHealth insurance 615 0$aCritically ill$xMedical care 615 0$aCatastrophic health insurance 676 $a362.1 701 $aChrvala$b Carole A$01621992 701 $aSharfstein$b Steven S$g(Steven Samuel),$f1942-$01621993 712 02$aInstitute of Medicine (U.S.).$bCommittee on Serious and Complex Medical Conditions. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910811402503321 996 $aDefinition of serious and complex medical conditions$93955597 997 $aUNINA