Evaluating Health Plan Performance

Author : Yasar A. Ozcan
Publisher : Springer
Page : 346 pages
File Size : 44,5 Mb
Release : 2014-07-01
Category : Business & Economics
ISBN : 9781489974723

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Health Care Benchmarking and Performance Evaluation by Yasar A. Ozcan Pdf

This new edition continues to emphasize the use of data envelopment analysis (DEA) to create optimization-based benchmarks within hospitals, physician group practices, health maintenance organizations, nursing homes and other health care delivery organizations. Suitable for graduate students learning DEA applications in health care as well as for practicing administrators, it is divided into two sections covering methods and applications. Section I considers efficiency evaluations using DEA; returns to scale; weight restricted (multiplier) models; non-oriented or slack-based models, including in this edition two versions of non-controllable variable models and categorical variable models; longitudinal (panel) evaluations and the effectiveness dimension of performance evaluation. A new chapter then looks at new and advanced models of DEA, including super-efficiency, congestion DEA, network DEA, and dynamic network models. Mathematical formulations of various DEA models are placed in end-of-chapter appendices. Section II then looks at health care applications within particular settings, chapter-by-chapter, including hospitals, physician practices, nursing homes and health maintenance organizations (HMOs). Other chapters then explore home health care and home health agencies; dialysis centers, community mental health centers, community-based your services, organ procurement organizations, aging agencies and dental providers; DEA models to evaluate provider performance for specific treatments, including stroke, mechanical ventilation and perioperative services. A new chapter then examines international-country-based applications of DEA in health care in 16 different countries, along with OECD and multi-country studies. Most of the existing chapters in this section were expanded with recent applications. Included with the book is online access to a learning version of DEA Solver software, written by Professor Kaoru Tone, which can solve up to 50 DMUs for various DEA models listed in the User’s Guide at the end of the book.

Author : Soeren Mattke,Kristin R. Van Busum,Grant Martsolf
Publisher : Rand Corporation
Page : 106 pages
File Size : 46,7 Mb
Release : 2014-04-23
Category : Medical
ISBN : 9780833082411

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Final Report by Soeren Mattke,Kristin R. Van Busum,Grant Martsolf Pdf

The Affordable Care Act places strong emphasis on quality of care as a means to improve outcomes for Americans and promote the financial sustainability of our health care system. This report attempts to help employers understand the structural differences between health plans and the performance dimensions along which plans can differ, as well as to educate employers about available tools that can be used to evaluate plan options.

Author : Institute of Medicine,Committee on Using Performance Monitoring to Improve Community Health
Publisher : National Academies Press
Page : 497 pages
File Size : 53,6 Mb
Release : 1997-05-21
Category : Medical
ISBN : 9780309055345

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Improving Health in the Community by Institute of Medicine,Committee on Using Performance Monitoring to Improve Community Health Pdf

How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.

Author : OECD
Publisher : OECD Publishing
Page : 380 pages
File Size : 40,6 Mb
Release : 2002-04-03
Category : Electronic
ISBN : 9789264195950

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Measuring Up Improving Health System Performance in OECD Countries by OECD Pdf

This book highlights the core elements of a possible performance measurement framework to assess health systems at the international and national levels. It also addresses further challenges which remain.

Author : Bryan P. Bergeron, MD
Publisher : HIMSS
Page : 306 pages
File Size : 41,8 Mb
Release : 2006
Category : Health facilities
ISBN : 9781938904158

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Performance Management in Healthcare by Bryan P. Bergeron, MD Pdf

Author : Gloria D. Heinemann,Antonette M. Zeiss
Publisher : Springer Science & Business Media
Page : 440 pages
File Size : 42,9 Mb
Release : 2012-12-06
Category : Education
ISBN : 9781461505815

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Team Performance in Health Care by Gloria D. Heinemann,Antonette M. Zeiss Pdf

This volume presents the work of clinical health care teams and natural work groups, quality improvement teams, committees, and task forces made up of employees in health care settings. It discusses proven multidimensional instruments that measure team performance along with future needs for measuring team performance. It will be a resource for medical instructors and students, public health workers, and health administrators interested in team management.

Author : Thomas G. McGuire,Richard C. Van Kleef
Publisher : Academic Press
Page : 648 pages
File Size : 41,5 Mb
Release : 2018-08-06
Category : Business & Economics
ISBN : 9780128113264

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Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets by Thomas G. McGuire,Richard C. Van Kleef Pdf

Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets: Theory and Practice describes the goals, design and evaluation of health plan payment systems. Part I contains 5 chapters discussing the role of health plan payment in regulated health insurance markets, key aspects of payment design (i.e. risk adjustment, risk sharing and premium regulation), and evaluation methods using administrative data on medical spending. Part II contains 14 chapters describing the health plan payment system in 14 countries and sectors around the world, including Australia, Belgium, Chile, China, Columbia, Germany, Ireland, Israel, the Netherlands, Russia, Switzerland and the United States. Authors discuss the evolution of these payment schemes, along with ongoing reforms and key lessons on the design of health plan payment. Provides a conceptual toolkit that describes the goals, design and evaluation of health plan payment systems in the context of policy paradigms, such as efficiency, affordability, fairness and avoidance of risk selection Brings together international experience from many different countries that apply regulated competition in different ways Delivers a practical toolkit for the evaluation of health plan payment modalities from the standpoint of efficiency and fairness

Author : Yasar A. Ozcan
Publisher : Springer Science & Business Media
Page : 227 pages
File Size : 51,6 Mb
Release : 2007-12-08
Category : Business & Economics
ISBN : 9780387754482

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Health Care Benchmarking and Performance Evaluation by Yasar A. Ozcan Pdf

Hugely relevant in today’s world of healthcare performance management, this comprehensive work applies the analytical framework of Data Envelopment Analysis methodology to provide health care administrators with specific tools for performance evaluation. Most important, the book provides health care practitioners and administrators with information of what is lacking in specific aspects of performance and then outlines the ways how these performance inadequacies can be improved.

Author : David Grembowski
Publisher : SAGE Publications
Page : 276 pages
File Size : 43,8 Mb
Release : 2015-09-16
Category : Social Science
ISBN : 9781483376394

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The Practice of Health Program Evaluation by David Grembowski Pdf

Reflecting the latest developments in the field, the Second Edition provides readers with effective methods for evaluating health programs, policies, and health care systems, offering expert guidance for collaborating with stakeholders involved in the process. Author David Grembowski explores evaluation as a three-act play: Act I shows evaluators how to work with decision makers and other groups to identify the questions they want answered; Act II covers selecting appropriate evaluation designs and methods to answer the questions and reveal insights about the program’s impacts, cost-effectiveness, and implementation; and Act III discusses making use of the findings. Packed with relevant examples and detailed explanations, the book offers a step-by-step approach that fully prepares readers to apply research methods in the practice of health program evaluation.

Author : Centers of Disease Control,Klazinga N
Publisher : World Health Organization
Page : 44 pages
File Size : 54,6 Mb
Release : 2018-04-24
Category : Medical
ISBN : 9789289053044

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Health System Performance Assessment in the WHO European Region by Centers of Disease Control,Klazinga N Pdf

Health systems performance assessment (HSPA) varies across the WHO European Region. This review summarizes HSPA domains and indicators used by Member States in their HSPA or health system-related reports. Thirty Member States published in the English language and from their latest documents, 1485 distinct indicators were extracted. The number of indicators reported per Member State ranged from 9 to 146, with a mean of 50. Among the 14 domains of the WHO 2007 framework, service delivery and improved health were covered by virtually all Member States analysed (30 and 29, respectively), but coverage varied for the other 12 domains, with health workforce and financing having good coverage (25 and 26, respectively) but others, such as safety, efficiency, coverage or responsiveness, covered in only 20-30% of documents. Further refinement of frameworks, both in clarity on scope and function and in the conceptual robustness of domains, is warranted and further standardization of generic sets of indicators should be sought.

Author : Marc T. Braverman
Publisher : Unknown
Page : 134 pages
File Size : 43,6 Mb
Release : 1989
Category : Health & Fitness
ISBN : UOM:49015002454859

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Evaluating Health Promotion Programs by Marc T. Braverman Pdf

Author : John Ovretveit
Publisher : McGraw-Hill Education (UK)
Page : 242 pages
File Size : 41,7 Mb
Release : 2014-08-16
Category : Social Science
ISBN : 9780335242788

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Evaluating Improvement and Implementation for Health by John Ovretveit Pdf

Evaluating Improvement and Implementation for Health describes modern evaluation methods in healthcare and policymaking, and challenges some of the assumptions of the evidence based healthcare movement: Are innovations always an improvement? Are they always worth it? Can they be implemented? More importantly, should they be implemented? These are questions with practical consequences and questions which evaluation can answer - if we choose the right methods. This book will help you do just that - match the right evaluation method to the questions being asked. Pragmatic, even-handed and accessible, Evaluating Improvement and Implementation for Health provides an overview of the many different evaluation perspectives and methods used in the health sector. Suitable for health practitioners, managers, policy advisers, and researchers, its practical and multidisciplinary approach shows how to ensure that evaluation results in action. "This book is to be welcomed for its wide ranging introduction to the many approaches to evaluation." Carolyn M ClancyFormer Director, Agency for Healthcare Research and Quality (AHRQ) "For anyone looking for a readable and complete introduction to evaluation, the search ends here. This book gives an overview of evaluation in action for making better decisions about how to improve health outcomes for individuals, communities, and nations. The emphasis on including assessments of implementation is refreshing and the examples throughout the book illuminate the concepts and pique the reader's curiosity right to the end." Dean L. Fixsen, University of North Carolina at Chapel Hill, Senior Scientist, & Co-Director, National Implementation Research Network, USA

Author : Cheryl Cashin,Y-Ling Chi,Michael Borowitz,Sarah Thompson
Publisher : McGraw-Hill Education (UK)
Page : 338 pages
File Size : 46,8 Mb
Release : 2014-09-16
Category : Medical
ISBN : 9780335264391

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Paying for Performance in Healthcare: Implications for Health System Performance and Accountability by Cheryl Cashin,Y-Ling Chi,Michael Borowitz,Sarah Thompson Pdf

Health spending continues to grow faster than the economy in most OECD countries. In 2010, the OECD published a study of strategies to increase value for money in health care, in which pay for performance (P4P) was identified as an innovative tool to improve health system efficiency in several OECD countries. However, evidence that P4P increases value for money, boosts quality of processes in health care, or improves health outcomes is limited.This book explores the many questions surrounding P4P such as whether the potential power of P4P has been over-sold, or whether the disappointing results to date are more likely rooted in problems of design and implementation or inadequate monitoring and evaluation. The book also examines the supporting systems and process, in addition to incentives, that are necessary for P4P to improve provider performance and to drive and sustain improvement. The book utilises a substantial set of case studies from 12 OECD countries to shed light on P4P programs in practice.Featuring both high and middle income countries, cases from primary and acute care settings, and a range of both national and pilot programmes, each case study features: Analysis of the design and implementationdecisions, including the role of stakeholders Critical assessment of objectives versus results Examination of the of 'net' impacts, includingpositive spillover effects and unintended consequences The detailed analysis of these 12 case studies together with the rest of this critical text highlight the realities of P4P programs and their potential impact on the performance of health systems in a diversity of settings. As a result, this book provides critical insights into the experience to date with P4P and how this tool may be better leveraged to improve health system performance and accountability. This title is in the European Observatory on Health Systems and Policies Series.

Author : The National Roundtable on Health Care Quality,Institute of Medicine
Publisher : National Academies Press
Page : 42 pages
File Size : 46,5 Mb
Release : 1999-02-23
Category : Medical
ISBN : 9780309570688

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Measuring the Quality of Health Care by The National Roundtable on Health Care Quality,Institute of Medicine Pdf

The National Roundtable on Health Care Quality was established in 1995 by the Institute of Medicine. The Roundtable consists of experts formally appointed through procedures of the National Research Council (NRC) who represent both public and private-sector perspectives and appropriate areas of substantive expertise (not organizations). From the public sector, heads of appropriate Federal agencies serve. It offers a unique, nonadversarial environment to explore ongoing rapid changes in the medical marketplace and the implications of these changes for the quality of health and health care in this nation. The Roundtable has a liaison panel focused on quality of care in managed care organizations. The Roundtable convenes nationally prominent representatives of the private and public sector (regional, state and federal), academia, patients, and the health media to analyze unfolding issues concerning quality, to hold workshops and commission papers on significant topics, and when appropriate, to produce periodic statements for the nation on quality of care matters. By providing a structured opportunity for regular communication and interaction, the Roundtable fosters candid discussion among individuals who represent various sides of a given issue.

Author : Institute of Medicine,Board on Health Care Services,Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs
Publisher : National Academies Press
Page : 383 pages
File Size : 50,9 Mb
Release : 2006-07-09
Category : Medical
ISBN : 9780309100076

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Performance Measurement by Institute of Medicine,Board on Health Care Services,Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs Pdf

Performance Measurement is the first in a new series of an ongoing effort by the Institute of Medicine (IOM) to improve health care quality. Performance Measurement offers a comprehensive review of available measures and introduces a new framework to examine these measures against the six aims of the health care system: health care should be safe, effective, patient-centered, timely, efficient, and equitable. This new book also addresses the gaps in performance measurement and introduces the need for measures that are longitudinal, comprehensive, population-based, and patient-centered. This book is directed toward all concerned with improving the quality and performance of the nation's health care system in its multiple dimensions and in both the public and private sectors.