TennCare's Episodes of Care program aims to transform the way specialized and acute healthcare services are delivered by encouraging high quality and cost. Attention episodes are sets of encounters or admissions with a common purpose. Often, it's a patient's condition that encompasses several encounters, such as pregnancy, back pain, or workers' compensation. Encounters can be linked to a health care episode to facilitate review and reporting.
An episode of care in MasterCare+ represents a continuous period during which a patient receives care for a specific condition or treatment plan. It begins with admission or referral and ends with discharge or completion of the care plan. This structure facilitates organized documentation and monitoring of patient care activities. It's possible that the link you followed is out of date or that the page has moved. An episode grouper is software that operates algorithms that determine when an episode should be opened and closed; identifies the health services that should be assigned to one or more different health care episodes; and determines what other episodes a particular episode can be associated with.
The 20 new main reasons for the encounter and the new episodes of care, as well as the relationships between the reason for the encounter (headache) and the disease (sinusitis) support the potential of episodic epidemiology and some important clinical considerations in family medicine. Services are considered to be relevant to an episode if they can be used in the care provided during that episode and are provided during the period in which that episode occurs, regardless of whether such services are considered clinically appropriate or not. In that sense, an episode will include all clinical-related services provided for a specific condition or in conjunction with the performance of a procedure and the prices paid for them. Visit this page to view the Episodes of Care program results by performance year, design changes for the next performance year, and more.
