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HOMEPhysician Office QualityImproving Clinical Care ► Health Maintenance and Care Management

Health Maintenance and Care Management

Providing modern quality healthcare means detecting and preventing disease as well as treating existing conditions.  Patients need to be made aware of guidelines for care based on their age, gender, family history of diseases and risks for developing health related problems.  Providers need access to up-to-date recommendations and guidelines related to health maintenance.

Utilizing an EHR system can alert a practice to age, gender, disease, and medication specific recommendations during patient visits, regardless of the reason for the visit.

In practices without an EHR system, processes can be implemented to prompt age, gender, disease, and medication specific recommendations during patient visits, regardless of the reason for the visit.

Care Management
You can check that each patient is receiving the recommended care or check aggregate data on all of your patient population. You might ask yourself:
  • How many of my female patients have had a mammogram?
  • What percent of my patients with hypertension are controlled?
  • What is the average A1C of my patients with diabetes?
  • How many of my patients with heart failure are taking the appropriate medications?
Once you have answers to those (or other) questions you can identify gaps in care processes and make plans for improvement. Click here for a list of possible interventions.

Welcome to Medicare Exam
Medicare pays for a limited physical exam within six months of when the beneficiary becomes eligible for Medicare. There are specific requirements for the exam and for billing. Click here for more information.

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