Healthcare System Sample Clauses

Healthcare System. The professional career of a physiotherapist in the Italian Private Health Care System may consist of different pathways even though is correct to specify if purely private or contracted (Sanità Convenzionata) by the public health care system. Nowadays a physiotherapist in Italy cannot contract directly with the Public Health Care System but he can be employed by a firm which is the proper contractor. In the contracted private health care system there are many kind of employment possibility between Hospitals, Houses for Older Adults classified on patient’s severity grades (RSA, RP etc), Out-Patients department and also organizations for the treatment of specific patologies (Out-Patients and Home Care) and\or kind of patients. A physiotherapist may be hired as employed in the Private Health Care System with category D1, D2, D3 and D4 of the related tipology of Private Collective Contract (Contratto Collettivo Nazionale Sanità Privata) and may also access to higher levels (DS1, DS2, DS3 and DS4) if charged with coordination functions, although these positions are less common than in the public health care system. In the (purely) private health care system there are many kind of employment possibility between Hospitals, Houses for elderly people classified, Out- Patients department including organizations for the treatment of specific pathologies (Out-Patients and Home Care) and\or kind of patients.
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Healthcare System. Many refugees have difficulty understanding and utilizing the U.S. healthcare system due to its excessive complexity. Refugees from countries lacking a defined medical system have minimal experiences with western medicine (▇▇▇▇▇▇▇, 2004). They are unfamiliar with the U.S. medical system including the process of referral, waiting lists, and the recommendation to use PCPs as their primary source of healthcare (▇▇▇▇▇▇▇▇ & ▇▇▇▇▇▇, 2005). Due to this unawareness, their expectations of the U.S. healthcare systems can be unrealistic and inaccurate (▇▇▇▇▇▇▇, 2004). The U.S. healthcare system is extremely complicated with many possible healthcare models depending on the patient’s eligibility. The three main healthcare models used by refugees within the U.S. are the ▇▇▇▇▇▇▇▇▇ Model, used by Medicaid participants, the Bismarck Model, used by private insurance participants, and the OutHofHpocket Model, used by those who are uninsured (▇▇▇▇, 2009). Each model has unique attributes, requirements, and roles, which makes it even more complicated for refugee families with a preexisting unfamiliarity of the system and mixed insurance statuses. The families’ lack of
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Healthcare System. Segments of the healthcare system including hospitals, prenatal visits, lactation consultants, WIC peer counselors, doctors, and nurses, all of which can provide breastfeeding support or hindrance to African American women. Studies indicate that African American women receive inconsistent support from the healthcare system. In the positive deviant study that explored African American women who had breastfed for 6 months or longer (Gross et al., 2017) participants noted inconsistent breastfeeding support received from hospitals. The majority of study participants felt that their hospital provided sufficient lactation support. However, four women noted negative hospital support in the form of free formula samples, a formula sponsored breastfeeding kit, and formula supplementation of their infant without permission. Regarding healthcare workers, participants mentioned receiving little or no breastfeeding advice from doctors. However, all women mentioned that their WIC peer counselors were helpful in supporting and maintaining breastfeeding (▇▇▇▇▇ et al., 2017). In the study that compared positive deviant breastfeeding women to women who breastfed short-term or formula fed (▇▇▇▇▇▇▇ et al., 2017), women received various levels of support from the healthcare system. The level of physician support varied among the three breastfeeding groups. Positive deviant women reported receiving strong breastfeeding support from doctors prenatally, and they described hospital experience including access to helpful lactation consultants that supported their efforts to breastfeed. In contrast, short-term breastfeeding women received inconsistent breastfeeding advice from physicians and did not feel that their hospital experience fully supported breastfeeding. Formula feeding women reported feeling support to formula feed from physicians and hospital staff. Study participants also described various levels of breastfeeding support from WIC based on breastfeeding group. Positive deviant women felt very supported and encouraged by WIC staff to breastfeed. In contrast, some short- term breastfeeding women felt WIC staff encouraged breastfeeding and others felt WIC staff breastfeeding support was neutral or negative. Formula feeding women felt that WIC supported their decision to formula feed, and women from all three groups agreed that WIC impeded breastfeeding by distributing free formula samples (▇▇▇▇▇▇▇ et al., 2017). Similar inconsistent or negative support from the healthcare s...
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Healthcare System. The second largest non-profit hospital system in the nation - Third largest healthcare system in the country - Owns, leases and manages 33 hospitals in North and South Carolina, nursing homes, physician practices, home health agencies, radiation therapy facilities, physical therapy facilities, managed care companies and other healthcare related operations, comprising more than 6,000 licensed beds and approximately 48,000 employees. Flagship hospital of the system with an annual budget of over $2.4 billion 874-bed (including 234 LCH), community-based teaching hospital, Level 1 trauma center 8 ICU’s: coronary, medical, surgical, trauma, neurosurgical, cardiovascular, pediatrics, and newborn The new Children's Emergency Department was a cornerstone to the launching of the new 234-bed ▇▇▇▇▇▇ Children's Hospital which was completed in October 2007. It is the first ED in the region open 24 hours a day and dedicated to the care of children in a family-centered environment. ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ ~109,000 annually-298/day 25% Major Treatment 18 beds 82,000 Adult 25% Diagnostics 14 beds 30,000 Pediatric 25% Fast Track 25% Pediatric ED 10 beds 12 beds 27% are admitted: nearly 1/4 of those admitted go to a unit  70% from Major Treatment  22% from Diagnostics  8% from Children’s ▇▇ Commercial 2% Medicaid 23% Other 2% Managed Care 24% Medicare 17% Self Pay 32% Patient Mix Recent Annual Trauma Registry Mechanism of
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Related to Healthcare System

  • Healthcare Section 1. Bargaining unit employees with one (1) year or more of service will be provided coverage for the duration of this contract through the “Full Coverage” Team Care Plan (“Team Care MM200”), which includes dental, vision, life, short term disability, medical and prescription drug benefits. Prior to January 1, 2020, bargaining unit employees with less than one (1) year of service will be provided coverage through the “Medical Only” plan. On January 1, 2020, all bargaining unit employees enrolled in the Medical Only plan shall be enrolled in the Full Coverage plan, and the Medical Only plan will eliminated. The rates for 2019 and a further description of the plan and rates are referenced

  • COVERED HEALTHCARE SERVICES This section describes covered healthcare services. This plan covers services only if they meet all of the following requirements: • Listed as a covered healthcare service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered healthcare service under this plan. • Medically necessary, consistent with our medical policies and related guidelines at the time the services are provided. • Not listed in Exclusions Section. • Received while a member is enrolled in the plan. • Consistent with applicable state or federal law. We review medical necessity in accordance with our medical policies and related guidelines. Our medical policies can be found on our website. Our medical policies are written to help administer benefits for the purpose of claims payment. They are made available to you for informational purposes and are subject to change. Medical policies are not meant to be used as a guide for your medical treatment. Your medical treatment remains a decision made by you with your physician. If you have questions about our medical policies, please call Customer Service. When a new service or drug becomes available, when possible, we will review it within six (6) months of one of the events described below to determine whether the new service or drug will be covered: • the assignment of an American Medical Association (AMA) Current Procedural Terminology (CPT) code in the annual CPT publication; • final Food and Drug Administration (FDA) approval; • the assignment of processing codes other than CPT codes or approval by governing or regulatory bodies other than the FDA; • submission to us of a claim meeting the criteria above; and • generally, the first date an FDA approved prescription drug is available in pharmacies (for prescription drug coverage only). During the review period, new services and drugs are not covered. For all covered healthcare services, please see the Summary of Medical Benefits and the Summary of Pharmacy Benefits to determine the amount that you pay and any benefit limits.

  • Health Care The Company will reimburse the Executive for the cost of maintaining continuing health coverage under COBRA for a period of no more than 12 months following the date of termination, less the amount the Executive is expected to pay as a regular employee premium for such coverage. Such reimbursements will cease if the Executive becomes eligible for similar coverage under another benefit plan.

  • Health Care Operations “Health Care Operations” shall have the same meaning as the term “health care operations” in 45 CFR §164.501.

  • Healthcare Matters Without limiting the generality of Section 5.10 or Section 5.19: (a) Since January 1, 2019, the Company is, and at all times has been, in compliance in all material respects with all applicable Healthcare Laws. (b) There are no, and since January 1, 2019, there have not been any Actions pending or, to the knowledge of the Company, threatened against the Company alleging a violation of Healthcare Law. (c) Neither the Company nor any of its directors, managing employees or executive officers, is currently, or has ever been suspended, excluded or debarred from any Government Program or threatened with or currently subject to an investigation or proceeding that could result in suspension, exclusion or debarment from any Government Program or any other debarment, exclusion or sanction list or database, in each case that remains unresolved as of the date of this Agreement. (d) Since January 1, 2019, to the Company’s knowledge, the Company has not made an untrue statement of fact or fraudulent statement to any Governmental Authority, failed to disclose a fact required to be disclosed to any Governmental Authority, or committed an act, made a statement, or failed to make a statement that, at the time such disclosure was made, would be in violation of any Healthcare Law. The Company does not b▇▇▇ nor is the Company reimbursed by any Payor. (e) The Company (i) is not a party to a corporate Integrity Agreement with the Office of Inspector General of the Department of Health and Human Services, (ii) does not have any reporting obligation pursuant to any settlement agreement entered into with any governmental entity, (iii) is not the subject of any Government Program investigation conducted by any federal or state enforcement agency, (iv) is not a defendant in any qui tam/False Claims Act litigation, and (v) has not been served with or received any search warrant, subpoena, civil investigative demand, contact letter, or personal or telephone contact by or from any federal or state enforcement agency, in each case other than routine contacts and notifications not relating to an investigation or an actual or potential violation of Law, in each case (i) though (v) which remains unresolved. (f) Since January 1, 2019, (i) the Company has been in compliance in all material respects with HIPAA and has had privacy and security policies, notices, procedures and safeguards that materially comply with HIPAA; (ii) the Company has not received written notice of, and there is no Action at law or in equity or, inquiry or investigation pending or threatened with respect to any alleged “breach” as defined in 45 C.F.R. § 164.402 (a “Breach”) by the Company or its “workforce” (as defined in 45 C.F.R. § 160.103); (iii) no Breach by the Company or its “workforce” or successful “security incident” (as defined in 45 C.F.R. § 164.304) has occurred with respect to “protected health information” or “PHI” (as defined in 45 C.F.R. § 160.103) in the possession or under the control of the Company or any business associate of the Company; and (iv) the Company has undertaken all surveys, audits, inventories, reviews, analyses and/or assessments (including any necessary risk assessments) of all areas of the business of the Company required by HIPAA and have implemented appropriate corrective action to address all material vulnerabilities in their HIPAA safeguards and controls identified through such necessary assessments. The Company has entered into written, signed, and HIPAA-compliant business associate agreements with each Person who is a “covered entity” or “business associate” (each as defined in 45 C.F.R. § 160.103) of the Company. The Company does not undertake the de-identification of “protected health information” or “PHI” as defined under HIPAA. To the extent that the Company aggregates the PHI of its clients, the Company has obtained all rights necessary to aggregate such PHI, except as would not be material to the Company. (g) All products or services marketed by or on behalf of the Company that are subject to the jurisdiction of Healthcare Laws are marketed in compliance in all material respects, with all applicable Healthcare Laws. (h) None of the Company’s employees nor any independent contractor of the Company is a Licensed Personnel.