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Topic: Medical guidelines


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In the News (Thu 31 Dec 09)

  
  Medical surveillance guidelines - 1910.1025 App C
The purpose of this document is to outline the medical surveillance provisions of the standard for inorganic lead, and to provide further information to the physician regarding the examination and evaluation of workers exposed to inorganic lead.
This medical determination is to be based on both laboratory values, including lead levels, zinc protoporphyrin levels, blood counts, and other tests felt to be warranted, as well as the physician's judgment that any symptoms or findings on physical examination are a result of lead toxicity.
The medical determination may be that the employee is incapable of ever safely returning to his or her former job status.
www.osha.gov /pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10033   (6531 words)

  
 Regulations and Ethical Guidelines - WORLD MEDICAL ASSOCIATION DECLARATION OF HELSINKI Ethical Principles for Medical ...   (Site not responding. Last check: 2007-11-05)
In the field of biomedical research a fundamental distinction must be recognized between medical research in which the aim is essentially diagnostic or therapeutic for a patient, and medical research, the essential object of which is purely scientific and without implying direct diagnostic or therapeutic value to the person subjected to the research.
The physician can combine medical research with professional care, the objective being the acquisition of new medical knowledge, only to the extent that medical research is justified by its potential diagnostic or therapeutic value for the patient.
In the purely scientific application of medical research carried out on a human being, it is the duty of the physician to remain the protector of the life and health of that person on whom biomedical research is being carried out.
ohsr.od.nih.gov /guidelines/helsinki.html   (1222 words)

  
 Medical Guidelines
The guidelines make clear that they are directed toward assisting the medical examiner make a more job-related screening recommendation than might otherwise be made because the guidelines delineate the linkages between the medical condition and the job itself.
The medical guidelines are useful whether the job analysis results are for a Deputy Sheriff, Warehouse Worker, or any other job (providing the appropriate job analysis has been conducted).
Medical Guidelines define the relationship between disease states and the physical demands and environmental hazards of jobs.
www.med-tox.com /medstand.html   (1104 words)

  
 Medical Surveillance Guidelines - 1926.62 App C
The purpose of this document is to outline the medical surveillance provisions of the interim standard for inorganic lead in construction, and to provide further information to the physician regarding the examination and evaluation of workers exposed to inorganic lead.
If the examining physician includes a medical finding, determination or opinion that the employee has a medical condition which places the employee at increased risk of material health impairment from exposure to lead, then the employee must be removed from exposure to lead at or above 30 ug/m(3).
Medical surveillance records must be kept for the duration of employment plus 30 years except in cases where the employment was less than one year.
www.osha.gov /pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10644   (5943 words)

  
 State Medical Board Guidelines for Treatment of Intractable Pain
Guidelines do not have the legal status of laws and regulations, but guidelines can explain what activities the medical board considers to be within the boundaries of professional practice.
California: The Medical Board of California (1994a) guidelines state that the prescribing of opioid analgesics for patients with intractable noncancer pain may be beneficial, especially when efforts to remove the cause of pain or treat it have been unsuccessful.
The attitude taken by medical boards toward the use of opioids ranges from "It is generally accepted in current medical therapy that it is inappropriate to treat nonmalignant pain with narcotics on a routine basis" (Oregon Board of Medical Examiners, 1991, p.
www.medsch.wisc.edu /painpolicy/publicat/95apssm.htm   (2951 words)

  
 AMA (About AMA) Guidelines for medical and health information sites on the Internet
However, these guidelines may be helpful to others providing medical information on the Web, as well as to viewers who want to know what to look for as they search for reliable high-quality medical information.
These guidelines are established with the understanding that the World Wide Web is a constantly evolving technology, and the guidelines must be reviewed and revised frequently to ensure that they reflect the current state of technology and practice on the Web.
Guidelines for editorial content review, posting dates, and sources were developed based on experience with the AMA Scientific Publications' sites.
www.ama-assn.org /ama/pub/category/1905.html   (5300 words)

  
 Medical policy search
Payment guidelines are developed by clinical staff and include yearly coding updates, periodic reviews of specialty areas based on input from specialty societies and physician committees and updated logic based on current coding conventions.
The major benefit of evidence-based guidelines is to improve the quality of care that patients receive by offering explicit recommendations about how to proceed and provide authoritative recommendations that reassure practitioners about the appropriateness of their treatment policies.
Guidelines based on a critical appraisal of the scientific evidence clarify which interventions are based on proven benefit and document the quality of the supporting data.
www.bcbsnc.com /services/medical-policy   (686 words)

  
 Medical Guidelines for Offshore Workers
U.S. employers must ensure that their medical screening guidelines are developed in accordance with the Americans with Disabilities Act as well as other civil rights legislation and the decisions of US Courts.
The individual should be able to adjust to the often violent motions of the vessel, to be able to live and work in sometimes cramped spaces, to be able to climb ladders and to lift heavy weights and to be able to withstand exposure to harsh weather conditions including excessive heat and humidity.
Expert occupational medical advice and guidance for the evaluation of a wide variety of conditions likely to be present in the applicant population.
www.med-tox.com /offshore.html   (852 words)

  
 Appendix 1 to Subpart P
Medically acceptable imaging includes, but is not limited to, x-ray imaging, computerized axial tomography (CAT scan) or magnetic resonance imaging (MRI), with or without contrast material, myelography, and radionuclear bone scans.
Therefore, medical treatment (including surgical treatment) must be considered in terms of its effectiveness in ameliorating the signs, symptoms, and laboratory abnormalities of the disorder, and in terms of any side effects that may further limit the individual.
When an individual has a medically determinable impairment that is not listed, an impairment which does not meet a listing, or a combination of impairments no one of which meets a listing, we will consider whether the individual's impairment or combination of impairments is medically equivalent in severity to a listed impairment.
www.ssa.gov /OP_Home/cfr20/404/404-ap10.htm   (15523 words)

  
 Medical Guidelines: Joining the Registry
Medical guidelines are used to determine the suitability of a volunteer to join the registry with the National Marrow Donor Program as a potential marrow or peripheral blood cell (PBSC) donor.
Serious or life-threatening allergies to medications or latex will need to be carefully evaluated before you may join the NMDP Registry as a potential volunteer donor.
If you have a severe medical arthritic condition such as rheumatoid, reactive, psoriatic and advanced stages of other types of arthritis, you will not be allowed to register.
www.marrow.org /HELP/Join_the_Registry/Med_Guidelines_Join/index.html   (1711 words)

  
 telephone triage physicians medical service Tell-A-Nurse
Medical guidelines are used by experienced RNs to triage calls from an answering service or directly from patients.
More commonly, the patient is given medical advice from our guidelines and self-care instructions, usually with advice to follow up with their physician.
Our own set of Homecare Guidelines are also incorporated into the Tell-A-Nurse Encounter Form, all presented in the SOAP format, ready for the medical chart.
www.medical-triage.com /medical-triage.htm   (339 words)

  
 NYC issues 9/11 medical guidelines - Boston.com
The guidelines could be vital in getting proper treatment for ground zero workers who have either relocated, or who came from elsewhere and must rely on doctors in other states who are unfamiliar with ground zero symptoms and the most effective treatments.
The medical guidelines, also known as a protocol, will be mailed to all doctors in New York and distributed elsewhere by the federal government.
Mount Sinai Medical Center is preparing a major study of thousands of ground zero workers, to be released days before the fifth anniversary of 9/11.
www.boston.com /yourlife/health/mental/articles/2006/08/31/nyc_issues_911_medical_guidelines   (535 words)

  
 Scottish Intercollegiate Guidelines Network (SIGN)
The guideline deals with effective tests for arriving at a diagnosis and identifying the underlying cause for disease; lifestyle modification which affects risks or progression of CHF; the optimum pharmacological and interventional treatments; organisation of care and discharge planning, and palliative care.
This guideline provides evidence based recommendations on estimating risk in patients without evidence of cardiovascular disease (CVD) and the prevention of CVD in these individuals, as well as the prevention of subsequent events in patients with established disease.
The guideline deals with the behavioural and pharmacological interventions associated with reducing CVD risk in patients with and without existing heart disease and includes links to the accompanying report on clinical and cost impact of implementing the SIGN CHD recommendations.
www.sign.ac.uk   (541 words)

  
 AHCA - Diabetes Medical Practice Guidelines (printer friendly)
These practice guidelines, produced in consultation with the Diabetes Practice Guideline Advisory Committee, are endorsed by the Florida Agency for Health Care Administration (AHCA) pursuant to the Florida Health Care and Insurance Reform Act of 1993, Chapter 93-129, section 408.02, Laws of Florida.
In summary, medical guidelines are patient management strategies, which are not entirely inclusive or exclusive of all methods of reasonable care that can obtain the same results, or of those which consider the particular needs of the patient and available resources.
In 2001 revisions were made to the original guidelines to reflect the most current medical standards used in the treatment of children and adults having Type 1 and Type 2 diabetes.
www.fdhc.state.fl.us /diabetes/master_files/Diabetes_Guideline.htm   (1582 words)

  
 NGC - NGC Summary
Medical therapy with bromocriptine, pergolide, or cabergoline may effectively reduce prolactin levels sufficiently to allow gonadal function to resume or allow stimulation with gonadotropins.
These guidelines on the evaluation and treatment of hypogonadism in adult male patients represent not only a source of guidance for health-care professionals but also an appeal to clinicians to increase their awareness of the problem and to discuss these issues with their at-risk patients.
Guidelines represented on the NGC Web site are submitted by guideline developers, and are screened solely to determine that they meet the NGC Inclusion Criteria which may be found at http://www.guideline.gov/about/inclusion.aspx.
www.guideline.gov /summary/summary.aspx?ss=15&doc_id=3524&nbr=2750   (3783 words)

  
 Medical Billing Guidelines Clarified by Capstone Medical Billing
It is common knowledge in the medical billing world that a physician or non physician practitioner must perform the history of present illness portion of an evaluation and management exam.
However, this medical billing rule is nowhere to be found in the CMS guidelines.
With a staff of medical billing specialists as diverse as Capstone Medical Billing's, we can assure you that you have found one of the few medical billing companies capable of handling all aspects of your billing functions.
www.capstonemedicalbilling.com /articles/2005/medical-billing-guidelines-clarified.html   (519 words)

  
 Doctors resources   (Site not responding. Last check: 2007-11-05)
Medical diagnosis shows a deletion of genetic material including the elastin gene on chromosome #7.
Individuals with Williams syndrome need regular monitoring for potential medical problems by a physician familiar with the disorder, as well as specialized services to maximize their potential.
Guidelines for administering anesthesia to individuals with Williams syndrome.
www.williams-syndrome.org /fordoctors/index.html   (526 words)

  
 ADVERTISING, MARKETING and PROGRAM GUIDELINES FOR MEDICAL AND PRESCRIPTION DISCOUNT CARDS
In preparing these guidelines the Attorney General's staff closely examined a substantial number of medical and prescription discount card advertisements, researched the laws, regulations and guidelines of other states and the federal regulations for the Medicare discount prescription card program, and reviewed consumer complaints and related enforcement actions involving discount card companies.
Importantly, compliance with the guidelines suggested by the Attorney General should in no way be deemed an endorsement by the Attorney General of a particular discount card program, nor should it be deemed a finding that a particular discount card program is in compliance with applicable law.
Deception may result from direct statements in the advertisement or from reasonable inferences that may be drawn from an advertisement, or from disclaimers that contradict, confuse, unreasonably limit or materially modify a principal message of the advertisement.
www.oag.state.ny.us /health/discount_cards_guidelines.html   (2559 words)

  
 AMA (YPS) Guidelines for Physician-Patient Electronic Communications
These guidelines do not address communication between physicians and consumers in which no ongoing professional relationship exists, as in an online discussion group or a public support forum.
Medical advice or information specific to the patient’s condition should not be transmitted prior to obtaining the patient’s authorization.
Guidelines for the clinical use of electronic mail with patients.
www.ama-assn.org /ama/pub/category/2386.html   (1446 words)

  
 Mountain State BCBS - Medical Policy
It should be noted that the definitions of "medically necessary" and "experimental/investigational," as well as coverage, may vary for individual subscribers, based on the specific terms of their particular benefit contracts.
Medical policies do not constitute medical advice, nor are they intended to govern the practice of medicine.
In addition to clinical guidelines for making medical necessity and experimental/investigational determinations, Highmark's medical policies also contain coding and reimbursement guidelines addressing global services, bundling/unbundling, services considered to be an integral part of a primary service, and other coding and reimbursement-related issues.
www.msbcbs.com /medpolicy.html   (1714 words)

  
 MatheMEDics - medical practice guidelines, medical procedure guidelines, utilization management, medical expert systems
The medical guideline movement in the United States began in the mid 1980's when The National Institutes of Health came under intense pressure from policy makers to provide a formal system of assessing new medical developments.
For example, guidelines for colon cancer screening differ between the National Cancer Institute and the American Cancer Society, and up to 50% of cardiologists in a national study disagreed on indications for invasive studies.
In both Britain and the US guideline development is evolving from expert opinion to review of the effectiveness of medical practice, i.e.
www.mathemedics.com /articles/guidelines.html   (401 words)

  
 Medical Treatment Guidelines
Putting medical treatment guidelines/review criteria together into a publication is an ongoing effort of the Washington State Medical Association Guidelines Subcommittee and the Office of the Medical Director.
Guidelines cover areas such as lumbar fusion, indications for lumbar MRI, and the prescribing of controlled substances.
The Office of the Medical Director works closely with the Washington State Chiropractic Association in the development of the guidelines.
www.lni.wa.gov /ClaimsInsurance/Providers/TreatmentGuidelines/MedTreat/default.asp   (334 words)

  
 ALA | Guidelines for Medical, Legal, and Business Responses
This is the second revision of the guidelines developed by members of the American Library Association designed to assist information services staff in meeting user needs and in responding to users requesting medical, legal or business information.
   2.0.1    Each library should evaluate and acquire appropriate sources in medical, legal, and business subject areas that are current, accurate, and accessible to meet the needs of the community served.
This is the second revision of the guidelines to assist information services staff in meeting user needs and in responding to users requesting medical, legal or business information.
www.ala.org /ala/rusa/rusaprotools/referenceguide/guidelinesmedical.htm   (1192 words)

  
 The Alzheimer's Association of Los Angeles: Medical Guidelines
The Guidelines were developed by the California Workgroup on Alzheimer's Disease Management through a collaborative effort of healthcare providers, consumers, academicians, professional and volunteer organizations and purchasers of health care.
The Guidelines present a practical management approach encompassing medical, pharmacological, and psychosocial interventions based on evidence from the literature and expert consensus.
The AHEI is a program designed to help patients and familes communicate with their doctors and get the best care possible.
www.alzla.org /medical/index.html   (175 words)

  
 Workers' Compensation Medical Treatment Guidelines in Texas (August 1999)   (Site not responding. Last check: 2007-11-05)
In conclusion, medical treatment guidelines can effectively educate system participants about new treatments and positive treatment outcomes, as well as improve consistency in the medical care provided to injured workers and control the over-utilization of medical care.
Treatment guidelines that are too broad in scope, lack adequate clinical research documentation, are cumbersome to use or are not used at all may cause more controversy in the system than they resolve.
As medical treatment and review practices continue to evolve, however, it will be important to re-examine the role that the treatment guidelines should play, if any, in the Texas workers' compensation system.
www.tdi.state.tx.us /wc/regulation/roc/guidelines.html   (1280 words)

  
 Local Medical Marijuana Guidelines
Cities and counties empowered to set guidelines that are greater than those amounts, but not less.
The guidelines were adopted by the Sonoma County Law Enforcement Chiefs Association, which includes the DA, Sheriff, and police chiefs from several towns and cities in the county.
Formerly Up to three plants and 8 ounces: these were the guidelines that were rejected by the California Supreme Court in the Mower decision.
www.safeaccessnow.net /countyguidelines.htm   (1957 words)

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