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Leroy Jones, Jr. is the creator of Talking Technology with Leroy Jones, Jr.

HEALTH TERM - DIAGNOSIS RELATED GROUPS (DRG)

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Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for HealthCareTerm.jpg

An inpatient or hospital classification system used to pay a hospital or other provider for their services and to categorize illness by diagnosis and treatment.

A classification scheme used by Medicare that clusters patients into 468 categories on the basis of patients' illnesses, diseases and medical problems.

Groupings of diagnostic categories drawn from the International Classification of Diseases and modified by the presence of a surgical procedure, patient age, presence or absence of significant comorbidities or complications, and other relevant criteria.

System involving classification of medical cases and payment to hospitals on the basis of diagnosis.

Used under Medicare's prospective payment system to reimburse inpatient hospitals, regardless of the cost to the hospital to provide services.


HEALTH TERM - PROSPECTIVE PAYMENT SYSTEM

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Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for HealthCareTerm.jpgDefinition:  A payment method that establishes rates, prices or budgets before services are rendered and costs are incurred. Providers retain or absorb at least a portion of the difference between established revenues and actual costs.

(1) The Medicare system used to pay hospitals for inpatient hospital services; based on the Diagnosis Related Groups (DRG) classification system.

(2) Medicare's acute care hospital payment method for inpatient care.

Prospective per-case payment rates are set at a level intended to cover operating costs in an efficient hospital for treating a typical inpatient in a given diagnosis-related group.

Payments for each hospital are adjusted for differences in area wages, teaching activity, care to the poor, and other factors.

Hospitals may also receive additional payments to cover extra costs associated with atypical patients (outliers) in each DRG.

Capital costs, originally excluded from PPS, are being phased into the system. By 2001, capital payments will be made on a fully prospective, per-case basis.


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NEW SHOW - RACE & PATIENT-DOCTOR COMMUNICATION

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"TALKING TECHNOLOGY WITH
LEROY JONES, JR."


September 15, 2009

TOPIC:  "NEW SHOW - RACE & PATIENT-DOCTOR COMMUNICATION"



Thumbnail image for Dr Cene_Sept 2009.jpgWith Dr. Crystal Wiley Cené, an assistant professor in the UNC School of Medicine and lead author of the study that shows that Black patients with high blood pressure experience poorer communication with their doctors than white patients do.


Published:

September 2009 Issue of the Journal of General Internal Medicine - "The Effect of Patient Race and Blood Pressure Control on Patient-Physician Communication"








More information on this issue - Talking Technology with Leroy Jones, Jr.:



COMMUNICATION FAILURE





COMMUNICATION FAILURE

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HealthCare_Sept 2009.jpg

Race affects patient-doctor communication

Can technology change this?

HEALTH TERM - SKILLED NURSING FACILITY

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SNF_Sept 2009.jpg
Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for Thumbnail image for HealthCareTerm.jpgSkilled Nursing Facility (SNF)

Definition:  A licensed institution, as defined by Medicare, which is primarily engaged in the provision of skilled nursing care.  SNFs are usually
Diagnosis Related Groups (DRG) or Prospective Payment System (PPS) exempt and are located within hospitals, but sometimes are located in rehab facilities or nursing homes.

SNFs provide a level of care that requires the daily involvement of skilled nursing or rehabilitation staff and that, as a practical matter, can't be provided on an outpatient basis.

Examples of skilled nursing facility care include the provision of such services as intravenous injections and physical therapy.

The need for custodial care (for example, assistance with activities of daily living, like bathing and dressing) may not, in itself, qualify for reimbursement in a skilled nursing facility by Medicare or other health plans.


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