Pediatrics


Systems-Based
Practice Home

______________

Discharge Planning

EMTALA

HIPAA

Practice Guidelines-
Asthma

Professional Orgs

Texas Medicaid
_____________


Pediatrics

 



 

 

Systems-Based Practice
Practice Guidelines, Managed Care, and Utilization Review


While you were Wheezing
or
Breathless in Galveston

Patricia S. Beach MD
& Edward G. Brooks MD

Objectives: By the completion of this module, the resident should be able to:
  • Demonstrate skill in the application of clinical practice guidelines to a clinical situation.
  • Describe the role of the medical director and physician advisors for a health plan.
  • Identify opportunities for improvement of quality of care and cost containment.
  • Recognize the ability of physicians to control non-physician resources, such as medications, equipment and hospital observation status.
  • Explain the importance of complete and accurate information on referral and authorization forms.

Resources: 
National Heart, Lung and Blood Institute :  clinical practice guidelines for asthma
UTMB Clinical Practice Guidelines:  clinical practice guidelines for pediatric asthma, primary care guidelines.

 

Continue ð

Copyright 2000    
Department of Pediatrics,
University of Texas Medical Branch, Galveston, TX