Retrospective effect No relevant notice may have retrospective effect.
Retrospective. The provider must develop a patient care record (PCR) plan which should at a minimum include: • Compliance with County EMS Policy “Santa Xxxx County Patient Care Record”. Frequency of PCR review. Review for AMA Policy compliance. Verify that the requisite ECG documentation is on the record. Ensure proper documentation including xxxxx xxxxx. . Evaluate appropriateness of care rendered and the times documented. . Ensure that all records are properly filed and archived for future review according to the standards outlined in CCR, Title 22. . Base Station contact made according to protocol. . Ensure that copies of are timely and properly routed to the EMS office and base hospital. . Ensure that the destination hospital was appropriate. . Ensure the prompt filing of Radio Failure Reports and IO Reports. AMRW: Pages 7-8 & 10 EMSIA: PCR Plan Tab, Section A Data Collection and Analysis: Every record for responder and patient encounter must be entered into the County electronic PCR program. A policy must be developed that provides a method of ensuring compliance. Each agency may want to also consider developing their own database of information. AMRW: Page 8 EMSIA: Data Collection Analysis Tab, Section B Incident Review: A policy must be developed regarding the process of incident investigation and follow up. The policy should outline the process when inquiries are received from outside agencies as well as internal incident investigation. Additionally, personnel polices should address the personnel disciplinary process. AMRW: Pages 10 EMSIA: Incident Review Tab, Section C Response: For a number of reasons delayed medical response is an inevitability. A plan should be written that identifies a process of problem identification and resolution. AMRW: Page 10 EMSIA: Delayed Response Tab, Section D Remediation Plan: A process should be established regarding personnel remediation in the event that an investigation indicates this need. The County EMS never abrogates its authority to separately conduct its own investigation. AMRW: Page 11 EMSIA: Employee Remediation Tab, Section E Sentinel Event Review: Some issues in EMS deserve urgent individual scrutiny and follow-up procedures. Examples of this would be esophageal intubation, medication error (either route or dose), a late response with an adverse outcome, or patient complaints. A plan for dealing with these issues on an urgent and timely basis should be developed. AMRW: Page 11 EMSIA: Sentinel Event Review Tab, Sectio...
Retrospective looking behind. In epidemiology, a type of study in which the populations are identified after exposure to a presumptive toxic agent, in contrast to a prospective study. Reversible – not permanent, applied especially to adverse effects which diminish when exposure to a toxic chemical ends. Right-of-way – a corridor of low growing shrubs or grasses that facilitate the maintenance and protection of utility and transportation routes. Riparian habitat – areas adjacent to bodies of fresh water whose vegetation is influenced by its proximity to abundant water. Risk – the chance of an adverse or undesirable effect. Risk assessment – the qualitative and quantitative evaluation performed in an effort to estimate the risk posed to human health and/or the environment by the presence or potential presence and/or use of specific chemical or biological agents. Risk communication – the exchange of information about health or environmental risks between risk assessors, risk managers, the general public, news media, interest groups, etc. Risk management – the process of evaluating potential alternative regulatory and non regulatory responses to risk and selecting among them. The selection process necessarily requires the consideration of legal, economic, and social factors. River basin – the geographic area drained by a river and its tributaries. Rough fish – fish not prized for sport or eating, such as gar and suckers. Most are more tolerant of changing environmental conditions than are game or food species. Route of exposure – the way in which a chemical or biological agent enters the body. Most typical routes include oral (eating or drinking), dermal (contact of the agent with the skin), ocular (eye contact), and inhalation. Run-off – that part of precipitation, snow melt, or irrigation water that runs off the land into streams or other surface water. Safety Data Sheet (SDS) – a compilation of information required under the OSHA Communication Standard on the identity of hazardous chemicals, health, and physical hazards, exposure limits, and precautions. XXXX – Superfund Amendments and Reauthorization Act (1986); federal law reauthorizing and expanding the jurisdiction of CERCLA. Signed into law October 17, 1986. Title III of XXXX is known as the Emergency Planning and Community Right- to-Know Act (EPCRA) of 1986. It is a revision and extension of CERCLA. Saturated zone – a subsurface area in which all pores and cracks are filled with water under pressure equal to or gre...
Retrospective. The EMSMD will oversee a quality assurance program that includes evaluation of EMS Providers. The EMSMD may provide individual consultation and written evaluation of each or any EMS Provider at his / her discretion. The EMSMD will provide counseling to specific EMS providers if inappropriate care is rendered. The EMSMD may withhold or qualify credentials of any EMS Provider as deemed necessary. The EMSMD should be involved in disciplinary proceedings of EMS providers when patient care issues are involved.
Retrospective. This Category of Review is performed on assigned cases after equipment is delivered, or care has been rendered and/or after discharge from a healthcare setting and after the claim has been processed and payment has been made. This type of review also involves reconsideration of a denial.
Retrospective. A request for Precertification that is conducted after the service, treatment or admission has occurred. Medical Reviews are also retrospective. Retrospective review does not include a review that is limited to an evaluation of reimbursement levels, veracity of documentation, accuracy of coding or adjudication of payment. Decision and Notification Requirements. Timeframes and requirements listed are based on state and federal regulations. Where state regulations are stricter than federal regulations, We will abide by state regulations. If You reside and/or receive services in a state other than the state where Your contract was issued, other state-specific requirements may apply. You may call Us at the telephone number on Your ID Card for more information. Request Category Timeframe Prospective Urgent 72 hours or 2 business days from the receipt of request whichever is less Prospective Non-Urgent 72 hours or 2 business days from the receipt of request whichever is less Concurrent Urgent (when request is received less than 24 hours before the expiration of the previous authorization or no previous authorization exists) 24 hours or 1 business day from the receipt of the request whichever is less Concurrent Urgent (when request is received more than 24 hours after the expiration of the previous authorization or no previous authorization exists) 72 hours or 2 business days from the receipt of request whichever is less Concurrent Non-Urgent 72 hours or 1 business day from the receipt of the request whichever is less Retrospective 30 calendar days from the receipt of the request If additional information is needed to make Our decision, We will notify the requesting Provider and send written notification to You or Your authorized representative of the specific information necessary to complete the review. If We do not receive the specific information requested or if the information is not complete by the timeframe identified in the written notification, a decision will be made based upon the information in Our possession. We will provide notification of Our decision in accordance with state and federal regulations. Notification may be given by the following methods: • Verbal: oral notification given to the requesting Provider via telephone or via electronic means if agreed to by the Provider.
Retrospective. 8. The Contractor shall ensure peer review of all patient records will be assessed for compliance with agency policy, medical protocols,standards of care, and quality issues which may be identified by the Contractor from time to time.
Retrospective. Rating Plans--means rating plans that establish premiums based in whole or in part upon the policyholder's actual loss experience under the insurance policy.
Retrospective. Deleting data in Matomo
