Cardboard Table and Chairs for Dolls Turn a cardboard box into an easy-to-assemble set of doll furniture that your kids will love. Great tips & projects delivered to your inbox. Large pieces of corrugated cardboard Box cutter with several sharp blades Hot-glue gun and hot-glue sticks 1 to 2 rolls of contact paper (optional) Adhere 2 pieces of cardboard together with hot glue to create 2-ply corrugated cardboard (if your cardboard is already 2-ply, you can skip this step). Enlarge and print the chair template Enlarge and print the table template Enlarge and print the bed template. Trace and cut the shapes from the 2-ply cardboard. To cut each line, place a ruler on the line and hold firmly in place while running the box cutter down alongside the ruler. Use several passes of the blade to cut instead of trying to cut all the way through at once. For the bed, score on the dotted lines with the box cutter. To score, only cut through one corrugated layer and bend the cardboard carefully along that line.
Run a line of hot glue down the fold. Cover the cardboard pieces with contact paper, if desired. Assemble furniture according to the assembly diagram. Mil-spec CH-47 Chinook Helicopter Although it requires some imagination (and some mouth-made motor noises) to get this aircraft off the ground, it shares many moving parts with its real-world counterpart. The rotors spin and fold in for easy storage. A drop-down rear door provides access to a spacious cargo bay. And rolling landing gear enables tabletop maneuvers.Featured in WOOD Issue 245, March 2017 ... Whether patrolling the waves of your living room floor or anchored atop the fireplace mantle, this stately warship will make an impressive flagship for your wooden fleet.Featured in WOOD Issue 243, November 2016 ... Rock your baby to sleep while reading, knitting, watching TV, or checking your social media in this ultimate multitasker.Featured in WOOD Issue 241, September 2016On this page you will find many DIY American Girl doll furniture projects.
All of these toy doll crafts are a lot of fun and most of them are DIY’s and come with a step by step tutorial. Also, if you have made an awesome furniture piece and would like it to be featured here, please use the contact page and American Girl Ideas will feature your project on this page. ***Important***Please do not post, upload or sell these plans. and are offered here for FREE. If you want to share these plans with a Facebook group, website, blog, or friend, you can simply link back to this post. Utilization management (UM) is defined by the Institute of Medicine (IOM) Committee on Utilization Management by Third Parties (1989) as "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision." UM is the evaluation of the appropriateness and medical need of health care services procedures and facilities according to evidence-based criteria or guidelines, and under the provisions of an applicable health benefits plan.
Typically, UM addresses new clinical activities or inpatient admissions based on the analysis of a case, but may relate to ongoing provision of care, especially in an inpatient setting. UM describes proactive procedures, including discharge planning, concurrent planning, pre-certification and clinical case appeals. It also covers proactive processes, such as concurrent clinical reviews and peer reviews as well as appeals introduced by the provider, payer or patient. A UM program comprises roles, policies, processes, and criteria. UM roles may include: UM Reviewers (often an RN with UM training), a UM program manager, and a Physician Adviser. UM policies may include the frequency of reviews, priorities, and balance of internal and external responsibilities. UM processes may include escalation processes when a clinician and the UM reviewer are unable to resolve a case, dispute processes to allow patients, caregivers, or patient advocates to challenge a point of care decision, and processes for evaluating inter-rater reliability amongst UM reviewers.
UM criteria may be developed inhouse, acquired from a UM vendor, or acquired and adapted to suit local conditions. Two commonly used UM criteria frameworks are the McKesson InterQual criteria,[2] and the Milliman Care Guidelines (Milliman is now known as MCG). Similar to the Donabedian healthcare quality assurance model, UM may be done prospectively, retrospectively, or concurrently. Prospective review is typically used as a method of reducing medically unnecessary admissions or procedures by denying cases that do not meet criteria, or allocating them to more appropriate care settings before the act. Concurrent review is carried out during and as part of the clinical workflow, and supports point of care decisions. The focus of concurrent UM tends to be on reducing denials and placing the patient at a medically appropriate point of care.[4] Concurrent review may include a case-management function that includes coordinating and planning for a safe discharge or transition to the next level of care.
Retrospective review considers whether an appropriate level of care applied after it was administered. Retrospective review will typically look at whether the procedure, location, and timing were appropriate according to the criteria. This form of review typically relates to payment or reimbursement according to a medical plan or medical insurance provision. Denial of the claim could relate to payment to the provider or reimbursement to the plan member. Alternatively, retrospective review may reflect a decision as to ongoing point of care. This may entail justification according to the UM criteria and plan to leave a patient at the previous (current) point of care, or to shift the patient to a higher or lower point of care that would match the UM criteria. For example, an inpatient case situated in a telemetry bed (high cost) may be evaluated on a subsequent day of stay as no longer meeting the criteria for a telemetry bed. This may be due to changes in acuity, patient response, or diagnosis, or may be due to different UM criteria set for each continued day of stay.