Kaiser permanente nursing policies and procedures. Issued by Kathryn Wetzler, Psy.
Get to know the health care professionals you may see along your cancer journey. So you can rest easy knowing they always have your latest medical history and treatment plan. 1 THE KAISER PERMANENTE MEDICAL CARE PROGRAM Welcome to Kaiser Permanente. , and the Southern California Permanente Medical Group as contracted providers and staff. At Kaiser Permanente, our mission is to provide high-quality, affordable healthcare services with a human touch to all our members, including those who are faced with a terminal illness. Tyson School of Medicine. The nurse-patient/family relationship is the cornerstone of nursing practice and leverages the powerful role human relationships play in creating caring and healing environments. 2 Affiliated Network Referrals Table: Policies and Procedures All physicians have at times found the need to consult with another physician regarding their patient’s care. Getting care (Northern California) 1. Kaiser and physician Sidney Garfield. At the heart of the Kaiser Permanente Nursing Professional Practice Model is the patient and family. POLICY SECTION: INSTITUTIONAL RESOURCES IR. Kaiser Permanente is proud to be recognized for the 13th consecutive year by the Human Rights Campaign Foundation. Kaiser Permanente Medical Policy Due to the absence of an NCD or LCD, Kaiser Permanente has chosen to use their own Clinical Review Criteria, “Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures” for medical necessity determinations. 4. All Kaiser Permanente physicians, dentists, and employees are expected to use Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. 9 . NTS manuals – Self-funded Information is Proprietary to Kaiser Permanente Mental Health Training Program 1. Tyson School of Medicine in Pasadena, California. In addition to high-quality health care, patient safety is our highest concern at Kaiser Permanente. 5. Reports on significant events are also reviewed and shared with the referring region’s Quality Assurance and Improvement Committee. , Nine Piedmont Center, 3495 Piedmont Rd. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. . As a result, it is important that we all continue to uphold Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. These services may be Kaiser Permanente supports the following principles: Expand telehealth access and coverage: Policies should support expanded access to telehealth services and coverage and should treat in-person and telehealth services the same where clinically appropriate. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of © 2024 Kaiser Permanente Bernard J. Aug 1, 2022 · Policies and Procedures; Goals and Metrics; Content in this Website is the property of Kaiser Permanente Northern California Undergraduate and Graduate Medical support the Kaiser Permanente mission by reporting potential instances of noncompliance. Tags: Heart health; Medical therapies and procedures; Surgery Posted 4:04:56 PM. Learn more about new security screening procedures in place to help provide a safe and secure environment for all. Find the care you need at kp. Upon request, Kaiser Permanente will evaluate their internal needs and respond according to resource availability or refer the request to Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. 3. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of They offer assisted living up to full nursing care in the same center. If, at any time, you have a question or concern about the information outlined in this Manual, you can reach our Provider Relations Department by calling 510‐ Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. Kaiser Permanente practitioners and health care professionals make decisions about which care and services are provided based on the member’s clinical needs, the appropriateness of care and service, and existence of health plan coverage. Outpatient “ I am proud to be part of the Labor Management Partnership that Kaiser Permanente developed with the unions and maintained for 24 years. , Denver, CO 80247 • In Georgia, all medical plans are offered and underwritten by Kaiser Foundation Health Plan of Georgia, Inc. Our goal is to provide organized educational programs in a scholarly and supportive integrated managed care environment, facilitating the ethical, or reasonably requested by Kaiser Entities in accordance with Kaiser Entities’ applicable policies and procedures which may be unilaterally amended by Kaiser Entities’ from time to time by a notice via email or mail to School. TABLE OF CONTENTS. And the staff usually has a lot of experience that is focused on the procedure you need. Based on 2023 HEDIS® scores, Kaiser Permanente 2023 HEDIS® Benchmarks provided by the National Committee for Quality Assurance (NCQA) Quality Compass® and represent all lines of business. Sep 8, 2023 · This includes proper waste disposal and protecting the confidentiality of member and patient information. • Non-Patient Care - employees who do not care for patients, i. Kaiser Permanente San Diego, CA Kaiser Permanente Southern California GME Mission: To provide world-class education, built on the principles of Permanente Medicine, to prepare new physicians to care, to learn, to lead, and to improve the health of their patients and the communities they will serve. No unnecessary questions. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of Kaiser Permanente’s compliance program is intended to provide added assurance that we: Support our employees and third-party partners in fulfilling their legal, professional, and ethical obligations. That way, your entire care team has the information they need to give you the right care. NE Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. As leaders, clinicians, researchers, innovators and scientists, Kaiser Permanente nurses are advancing the delivery of excellent, compassionate care for our members in all care settings, and boldly transforming care to improve the health of our communities and nation. Our health plan finances the care delivered by the more than 24,605 physicians of the Permanente Medical Groups, 73,618 nurses, and 75,000 allied health professionals in our 40 hospitals and 616 medical facilities. t provides a quick and easy Find out how Kaiser Permanente shares important medical information; Learn how Kaiser Permanente shares important medical information as part of Health Information Exchange. If at any time you have a question or concern about the information outlined in this section of the Permanente Insurance Company’s (KPIC’s) policies and procedures for the Self-Funded program and related administrative procedures. Northern California Director, Mental Health Training Programs . possible that Kaiser Permanente Medical Centers remain operationally in support of its members and the surrounding communities. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of Kaiser Permanente believes sound public policies relating to health data privacy must: Protect individual privacy rights and support high-quality care delivery at the same time; Enable clear and open communication with members, patients, providers, and customers about data and privacy Nov 1, 2020 · This document describes Policies and Procedures for Kaiser Foundation Health Plan, Inc. Permanente Medicine is the belief system that provides the foundation of the care practiced by our medical groups at Kaiser Permanente. These programs address issues such as medication safety, infection prevention, and reducing the risk of surgical complications and patient falls. 4. Postdoctoral Residency Programs . They are not medical advice, nor are they intended to influence the practitioner or alter his/her duty in any way to exercise his/her independent professional judgment in the care of members. Dakota Ave. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of Before a Kaiser Permanente member is seen in your office, please request Kaiser Permanente ID Card and photo identification to ensure member identification. We operate in an uncertain and volatile health care environment in which a commitment to change is essential for our success. Organizational Policies and Procedures of the transplant continuum of care for Kaiser Permanente Members. Our cancer experts and other specialists are part of the same organization. Website produced by Kaiser Permanente Northern California Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. Our practice and the work of nursing are organized by four key pillars: Quality and Safety, Leadership, Professional Development, and Research/Evidence-Based Practice. For a current list of plan facilities, go to kp. At Kaiser Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. The credentialing, recredentialing and privileging policies and procedures approved by KP are intended to meet or exceed the managed care organization standards outlined by the NCQA. (KPMAS). This section of the Manual provides a quick and easy resource with contact phone numbers, detailed processes, and site lists for services. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. Kaiser Permanente’s billing and payment policies and procedures aim to ensure that you receive timely payment for the care you provide. Kaiser Permanente provides or arranges for health care services through an exclusive agreement Familiarize yourself with hospital, program and regional policies and procedures. 1 Kaiser Permanente Medical Care Program - Patient Care and Physician Contact Numbers 9. Kaiser Permanente Northern California . Surgery Overview. 1 State and federal laws include the Knox-Keene Act and DHS Medicaid Managed Care Division All Plan KAISER PERMANENTE AMBULATORY SURGERY CENTER Kaiser Permanente is committed to providing you with cost-efficient, high-quality medical care. We operate under the trade name “Kaiser Permanente”. Practitioners include, but are not limited to, MDs, DOs, oral Kaiser Permanente is committed to strengthening America’s health care workforce. 3 Deductible Coinsurance HMO Plus Deductible Coinsurance HMO Plus provides Members all the benefits and resources of Kaiser Permanente’s DHMO plan, plus the convenience to receive care from any licensed community/network physician at any time, up to a visit limit each Kaiser Permanente provides diagnostic, imaging, and lab testing for members at Kaiser Permanente medical facilities, so please direct members to one of these facilities. Every time you use telehealth at Kaiser Permanente, you’ll connect with someone who can see your full Kaiser Permanente health history and update it in real time. All Kaiser Permanente physicians, dentists, and employees are expected to use KAISER PERMANENTE Kaiser Permanente Provider Manual 5 Section 8: Quality Assurance and Improvement The NTN-QIC shares COE performance reports with the Regional Quality Improvement Committees for review and response. We offer palliative care and hospice services to meet end of life needs for our patients and their families. For recommended treatments, please consult with your health care provider. Here are 4 reasons why: The right care at the right time. If I report a compliance concern, am I protected? Yes. D. Kaiser Permanente has strict policies and procedures regarding the collection, use, and disclosure of member PHI that includes the following: Kaiser Permanente's routine uses and disclosures of PHI. Managing how health care services and related resources are used helps improve the delivery of health care services and controls health care costs for you. Kaiser Permanente’s compliance policies and procedures. They may be a good choice because they can meet your changing needs. org or through Aug 14, 2024 · The Nursing Attendant demonstrates proficiency by exhibiting the following skills, competencies, and behaviors. of the Mid-Atlantic States, Inc. You’ll get the care you need for your illness or injury. The second level of care is courtesy. As part of their contract with Kaiser Permanente, all Health Plan members are assured that their personal and medical information remains confidential. Our commitment to the highest standards of Kaiser Permanente’s Principles of Responsibility is our code of conduct. When multiple procedures are health policy. All Kaiser Permanente physicians and employees who report compliance concerns in good faith are protected by federal and state whistleblower laws and Kaiser Permanente’s non-retaliation policy. All Kaiser Permanente physicians, dentists, and employees are expected to use Plan Provider services in accordance with this Policy and Procedure, Kaiser Permanente will require the Non-Plan Provider or the terminated Plan Provider to accept specified contractual terms and conditions in accordance with Health and Safety Code § 1373. Comply with applicable laws, regulations, policies, and procedures related to our operations. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of We support public policies that help us provide high-quality, affordable health care and improve the health of our members and the communities we serve. This section of the Manual provides a quick Provide Kaiser Permanente with a discharge summary, any interim summaries, re-certifications and Plans of Care at time of discharge. Home health care may include physical and speech therapy and nursing care. MISSION . 9. Valid member complaints and grievances against a provider are included in the provider’s quality file at Kaiser Permanente. These three parts of the Kaiser Permanente care delivery system work together to help ensure that members receive quality care. Job SummaryUnder direct supervision of RN or provider performs routine patient care…See this and similar jobs on LinkedIn. Tags: Heart health; Medical therapies and procedures; Surgery Kaiser Permanente This section of the Provider Manual was created to help guide you and your staff in working with Kaiser Permanente’s Member eligibility and benefit determination policies and procedures. Access to PHI. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of Jan 1, 2024 · Under most Kaiser Permanente health plans, you can get preventive care services at no additional cost. 8 The hospital may impose conditions regarding support persons to ensure the safety of the patient, support person and staff such as: Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of reform health care. As a participating provider, you provide services to members of Kaiser Permanente. This section of the Provider Manual will guide you and your staff in understanding Kaiser Permanente’s compliance policies and procedures. org or call the Kaiser Permanente Member Services Department, Jul 26, 2023 · Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. POLICIES & PROCEDURES 2020-2021. Kaiser Permanente does not make decisions regarding hiring, promoting, or terminating Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. All of the care that you need before, during, and after the procedure, surgery, or test may be conveniently provided in one place. to our Members because we want them to have the very best care possible. The school is dedicated to educating diverse students who will become outstanding clinicians and skilled advocates for equity and the health of their patients Kaiser Permanente’s billing and payment policies and procedures aim to ensure that you receive timely payment for the care you provide. Kaiser Permanente operates in eight states and the District of Columbia and is the largest managed care The End of Life Option Act at Kaiser Permanente. Governmental agencies may request the use of Kaiser Permanente resources. Kaiser Permanente is one of America’s leading health care providers and nonprofit health plans. At Kaiser Permanente, knowing your medical history, such as your active medications and allergies, is critical to help ensure that you receive high-quality care. We are a subsidiary of the national organization, Kaiser Foundation Health Plan, Inc. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of Nurses have more meaningful interactions, more frequently, and for longer periods of time than any other constituency in health care and as such have the greatest impact on the patient's service experience. Kaiser Permanente’s Utilization Management (UM) policies and procedures help guide you and your team to ensure Members get the quality care and services they need, at the right locations, as per their applicable health benefits. scholarly and supportive integrated managed care environment, facilitating the ethical, professional and personal development of the resident while ensuring safe and appropriate care for patients. Kaiser Permanente’s drug formulary is developed, updated and maintained by a group of Kaiser Permanente physicians, pharmacists, and nurses who meet regularly to evaluate medications that are most effective, safe, and useful in caring for our Members. 8. Kaiser Permanente's clinical guidelines are systematically developed statements to assist patients and providers in choosing appropriate health care for specific clinical conditions. Because Providers 2 are an integral part of KP’s business, it is important that 5 When you get care from Kaiser Permanente facilities. Our skilled teams include 1,071 physicians and 1,535 nurses, supported by a comprehensive clinical and nonclinical staff. Kaiser Permanente Colorado’s Quality Oversight Program and Clinical Quality Oversight Program provides ongoing systematic assessment of the care and service received by its Mmbers. 7 %âãÏÓ 3788 0 obj > endobj xref 3788 26 0000000016 00000 n 0000002465 00000 n 0000002619 00000 n 0000002663 00000 n 0000003050 00000 n 0000003221 00000 n 0000003274 00000 n 0000003327 00000 n 0000003556 00000 n 0000003908 00000 n 0000004603 00000 n 0000004748 00000 n 0000004914 00000 n 0000005138 00000 n 0000005501 00000 n 0000005530 00000 n 0000005836 00000 n 0000005907 00000 n Kaiser Permanente is an integrated managed care consortium, based in Oakland, California, founded in 1945 by industrialist Henry J. Learn more about cardiac care at Kaiser Permanente. EFFECTIVE DATE: 7/1/99 REVISION DATE: 8/7/19 PAGE: 2 of 2. Our key issues We focus on public policies that support the health and well-being of our members and communities. 2023-2024 . , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of Kaiser Permanente has strict policies and procedures regarding the collection, use, and disclosure of member PHI that includes the following: Kaiser Permanente’s routine uses and disclosures of PHI Use of authorizations Access to PHI Internal protection of oral, written, and electronic PHI across the organization Members have access to any Kaiser Permanente providers. Feb 23, 2021 · Kaiser Permanente Northwest . We respect your rights and responsibilities when it comes to your health care and want to make sure that you get care with dignity Kaiser Permanente (“KP”)1 strives to comply with all applicable laws and, regulations and KP policies, and to demonstrate high ethical standards. The National Transplant Service (NTS) Self-funded provider manual is designed to guide you and your staff in understanding the policies and procedures for the Self-Funded Program of Kaiser Permanente Insurance Company and Kaiser Permanente National Transplant Services. org. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of POLICY AND PROCEDURE MANUAL . Complaints and grievances are tracked and trended on an on-going basis to identify potential problems with a provider or Kaiser Permanente policies and procedures. Faculty Members whose classifications require current California professional licensure or Hospitals, and the Permanente Medical Groups. , materials management personnel, Together, we provide health care services to approximately 153,361 members in Vallejo and its surrounding communities. Our belief in patient-centered care that starts with prevention is one. Nursing care may include getting shots, using a feeding tube, and changing dressings. Submit copies of the member’s Plan of Treatment (Form CMS-485), any modifications or revisions to the Plan of Treatment and re-certifications of care to Kaiser Permanente. At Kaiser Permanente, we value the services of our affiliated network KAISER PERMANENTE SOUTHERN CALIFORNIA. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of Aug 8, 2023 · Whether you need a minimally invasive procedure or heart surgery, we’re here to provide the highest-quality care and support at every step of your journey to better heart health. Transition of Care 10 IR. e. 10 Drug Formulary. II. B. We are your partner in making informed health care decisions. C. The safety of our patients, care teams, physicians, and staff is paramount to Kaiser Permanente providing high-quality care. The local HMO and its parent are both non-profit organizations. Monitored anesthesia care (MAC) is considered medically necessary Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. Joint replacement involves surgery to replace the ends of bones in a damaged joint. Kaiser Permanente physicians, dentists, and employees who manage the work of contractors and consultants must ensure that they abide by all applicable policies. %PDF-1. For minor injuries and illnesses, going to urgent care instead of the emergency room can help make sure you get the right care at the right time — and may also save you time and money. 1. members of Kaiser Permanente, this policy not only makes the lives of our patients better, but also the lives of our families and each of us as well. Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of Resignation . Get services from non–Kaiser Permanente providers — for example, contracted providers or because of a referral; Have a Kaiser Permanente plan and a non–Kaiser Permanente plan; Have a Kaiser Permanente HMO or deductible HMO plan and a Kaiser Permanente self-funded, point-of-service (PPO and Out-of-network tiers only), PPO, or out-of-area plan or reasonably requested by Kaiser Entities in accordance with Kaiser Entities’ applicable policies and procedures which may be unilaterally amended by Kaiser Entities’ from time to time by a notice via email or mail to School. No duplicate tests or procedures. 5 When you get care from Kaiser Permanente facilities. 5. If you do not find the policy you are looking for, please try the Kaiser Permanente National Policy Library. In Clinical Psychology . The National Correct Coding Initiative (NCCI) policy states: "Most medical and surgical procedures include pre-procedure, intra-procedure, and post-procedure work. Shorter Aug 8, 2023 · Whether you need a minimally invasive procedure or heart surgery, we’re here to provide the highest-quality care and support at every step of your journey to better heart health. Provider Manual The provider manual is not intended for any use by any party other than as a resource for Kaiser Permanente Washington's contracted providers in fulfilling their Nursing Vision. Kaiser Permanente encourages open provider patient communication regarding appropriate treatment alternatives and does not restrict providers from discussing all medically necessary or appropriate care with a Kaiser Permanente Member. quality oversight program specialist assigned to the partnership, based on the type of care being provided to Kaiser Permanente Members. and Kaiser Foundation Hospitals, The Permanente Medical Group, Inc. At Kaiser Permanente, we provide high-quality mental health and addiction care and services that are tailored to our patients’ social, cultural, and linguistic needs. This infrastructure establishes practices, processes, and systems through which our vision is achieved. Use the criteria below. Meet with your program advisor/mentor to review, plan/outline your training curriculum to ensure you meet all program and specialty requirements. o In accordance with Kaiser Permanente’s “Principles of Responsibility”, residents adhere to our Vendor Code of Conduct when working with Kaiser Permanente. Supervision of Resident 13 Find health information about medical conditions, symptoms, and medical procedures. Department of Mental Health Mar 27, 2023 · 4 reasons to go to urgent care. This includes the Medicaid and Family Access to Medical Insurance Security Plan (“FAMIS”) population in the Commonwealth of Virginia. Policy and Procedure Manual. These services may be We created this section of the manual to help guide you and your staff in working with Kaiser Permanente’s quality assurance and improvement (QI) policies and procedures. Kaiser Permanente Southern California GME Resident Policy and Procedure Manual Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. 7 The services described are not covered under your health plan benefits and are not subject to the terms set forth in your Evidence of Coverage or other plan documents. TITLE: Resident Education and Work Environment. In accordance with ACGME guidelines and KP Regional Graduate Medical Education Policies and Procedures, Residents and Fellows who voluntarily separate from the residency/fellowship are considered to have resigned. This approach is based on a philosophy that calls for a complete focus on our patients and their loved ones through compassionate, culturally responsive care, delivered by physician-led care teams, supported by medical evidence and advanced clinical technologies. Tags: Heart health; Medical therapies and procedures; Surgery Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. We are always developing, testing, and implementing new programs to make sure our patients receive safe, quality care. Read on to find out which services are available to you under a plan that begins on or after January 1, 2024. We work to address the challenges in America’s mental health care system and improve the health and well-being of all the people we care for and serve. This surgery creates new joint surfaces. Kaiser Permanente offers access to over 4,000 health topics to give you the information you need to learn the basics, get self-care, or get care from Kaiser. In 2020, we opened the Kaiser Permanente Bernard J. 2. 1 While all our service areas cover basic preventive care, you’ll find additional benefits in certain states and Washington, D. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. Your care, your way Get the care you need the way you want it. Use of authorizations. DEFINITIONS: • Direct Patient Care - employees who normally and routinely provide hands-on care. KP has developed and implemented credentialing and recredentialing policies and procedures for Providers. The Provider Manual is a resource for Kaiser Permanente Washington's contracted providers to assist with fulfilling their obligations under provider contracts. This helps us deliver better experiences for our transgender, nonbinary, and gender-diverse members. Before a Kaiser Permanente member is seen in your office, please request Kaiser Permanente ID Card and photo identification to ensure member identification. Kaiser Permanente will reimburse the highest-valued procedure at the full fee schedule and will reduce payment for the second and subsequent procedures. No matter which type of care you choose, your care team can see your Kaiser Permanente health history, update your medical record, and give you personalized advice that fits your needs. III. In total knee replacement surgery, the ends of the damaged thigh and lower leg (shin) bones and usually the kneecap are capped with artificial surfaces. Kaiser Permanente has a long history of emphasizing patient safety, and we continually develop, test, Kaiser Permanente Provider policies and procedures. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of the limits of Kaiser Permanente’s contractual obligations. Outpatient services may be more convenient for you. Internal protection of oral, written, and electronic PHI across the organization. Home health care. Kaiser Permanente (KP), a leader in the delivery of quality medical care, and has been committedto graduate medical education (GME) for over 75 years. The first level of care is competence. F. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of adhere to our Vendor Code of Conduct when working with Kaiser Permanente. 2 Kaiser Permanente has superior screening rates compared to the national average for 3 of the most common types of cancer: breast, cervical, and colorectal. Kaiser Permanente encourages open provider-member communication regarding appropriate treatment alternatives and does not restrict providers from discussing all medically necessary or appropriate care with members Provide all services in a culturally competent manner Jul 13, 2022 · Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. Better care from a connected team Kaiser Permanente physicians, care teams, facilities, and health plans are all part of one connected team. All rights reserved for all countries. It provides a quick and easy resource with contact phone numbers, detailed processes, and site lists for QI services. 96. all providers. Resident Manual & Sample Contract GME 24-25 Policy and Procedure Manual Kaiser Permanente’s Utilization Management (UM) policies and procedures help guide you and your team to ensure Members get the quality care and services they need, at the right locations, as per their applicable health benefits. 6 To use the Kaiser Permanente app, you must be a Kaiser Permanente member registered on kp. Unique Kaiser Permanente traits, such as our model for total health and our commitment to electronic health records through Kaiser Permanente HealthConnect ®, give us an opportunity to continue to be successful and a model organization for our country. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. Millions of people receive care and support in our hundreds of medical facilities across California each year and we have well-established policies and procedures for disposing of the different kinds of resulting waste items. Issued by Kathryn Wetzler, Psy. But as important as this is, there are some things at Group Health that have not–and will not—change. GRADUATE MEDICAL EDUCATION POLICY AND PROCEDURE. Kaiser Permanente has strict policies and procedures regarding the collection, use, and disclosure of member PHI that includes the following: • Kaiser Permanente’s routine uses and disclosures of PHI • Use of authorizations • Access to PHI • Internal protection of oral, written, and electronic PHI across the organization At Kaiser Permanente, a dedicated care team will coordinate your care every step of the way. Nurses at Kaiser Permanente practice all three levels of care. , in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of Colorado • Kaiser Foundation Health Plan of Georgia, Inc. Also, the equipment and techniques used may be the most advanced. oversight of Kaiser Permanente Southern California (KPSC) independent residency programs and assurance of compliance with the Accreditation Council of Graduate Medical Education (ACGME) Institutional Requirements. Faculty Members whose classifications require current California professional licensure or benefit limitations or Kaiser Permanente administrative policies and procedures. Health care is changing rapidly and the ability to work in partnership guarantees Kaiser Permanente’s commitment to their patients, as well as the company’s May 17, 2024 · Kaiser Permanente is committed to providing equitable and inclusive care for LGBTQ+ individuals and their families. It’s the same team as our mental health clinicians, pharmacists, and lab technicians. Support persons must comply with hospital policies and procedures. This section of the Manual provides a quick and easy resource with contact phone numbers, detailed processes, and site lists Kaiser Permanente is committed to the health and well-being of 591,655 members in Washington. 1. If you have a question or concern about information in this manual, contact our Provider These Kaiser Permanente Clinical Review Criteria are technical and written to assist medical personnel in making coverage determinations. It provides us with the guidance we need to do the right thing in taking on new opportunities and emphasizes the importance of complying with all laws, regulations, and policies. Providers must follow the level of Kaiser Foundation Health Plan (KFHP) provides Gender-Affirming Procedures for the treatment of gender dysphoria/ gender incongruence when the below medical criteria are met. One Kaiser Plaza, Oakland, CA 94612 • In Colorado, all medical plans are offered and underwritten by Kaiser Foundation Health Plan of Colorado, 10350 E. Members whose employer groups do not cover Gender-Affirming Procedures but who wish to access these services Aug 8, 2023 · Whether you need a minimally invasive procedure or heart surgery, we’re here to provide the highest-quality care and support at every step of your journey to better heart health. Leadership.
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