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Author : Joseph L. Verheijde Publisher : Springer Science & Business Media Page : 218 pages File Size : 55,9 Mb Release : 2006-01-07 Category : Medical ISBN : 9781402041853
Managing Care: A Shared Responsibility by Joseph L. Verheijde Pdf
This book traces the growth of managed care as a mechanism for curbing excessive growth in health costs, and the controversies that have risen around for-profit health care. Also examined are decentralization in US health care, and the absence of comprehensive health care planning, access rules, and minimum health care benefit standards. Finally, the author proposes a framework for improving access to quality, affordable health care in a competitive market environment.
Institute of Medicine,Committee on Using Performance Monitoring to Improve Community Health
Author : Institute of Medicine,Committee on Using Performance Monitoring to Improve Community Health Publisher : National Academies Press Page : 497 pages File Size : 54,9 Mb Release : 1997-05-21 Category : Medical ISBN : 9780309055345
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.
Ethical Challenges in Managed Care by Karen Grandstrand Gervais Pdf
Through twenty case studies that illustrate a wide range of ethical challenges, this book explores the goals, methods, and practices of managed care, and offers practical guidance for addressing the ethical and policy issues inherent in such a system.
Purchasing Managed Care Services for Alcohol and Other Drug Treatment by Stephen Moss Pdf
Intended to provide guidance to those in State AOD (alcohol & other drug treatment) & Medicaid agencies who will be undertaking essential roles as planners & managers of managed care contracts. The guidelines & recommendations presented in this document were developed by a panel of experts from States that are already well advanced in developing State managed care plans for AOD clients. Contents: managed care overview; access to treatment; comprehensiveness of treatment; financial considerations; & consumer protections. Glossary & bibliography. Organizational readiness checklist.
Managed Care Pharmacy Practice by Robert Navarro Pdf
Written from a practical perspective, Managed Care Pharmacy Practice takes the reader through the issues critical to development and operation of a managed care pharmacy program. The reader will gain new insights into how managed care has altered the delivery of pharmacy services, as well as into the evolving role of pharmacists.Managed Care Pharmacy Practice explains the fundamentals of developing and operating a successful managed care pharmacy benefit, and also supplies insightful guidance on professional careers in the field. This text takes a sequential approach to history, background, program components, program development, operations, and performance measurement, with 25 chapters arranged in three main sections.
Managed Care Services by Nancy W. Veeder,Wilma Cecelia Peebles-Wilkins Pdf
This volume explores policy, programmatic, and research issues in the health and behavioural health care system known as managed care. Discussions include such areas as the evolution of health care from essential social good to a commodity, cost of and access to care, parity of behavioural health services reimbursement and more.
The New Politics of State Health Policy by Robert B. Hackey,David A. Rochefort Pdf
State governments in the past decade have had to take on the problem of health care, with mixed results. This collection of 11 essays (of which two are an introduction and conclusion) by academics and policy makers consider the many issues that concern health care in the US and their effects at the state level, including managed care, health insurance expansion, mental health care, public health administration, and bureaucratic reactions to health policy. Hackey teaches health policy and management at Providence College in Rhode Island; Rochefort teaches political science and public administration at Northeastern U. in Boston. c. Book News Inc.
United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
Author : United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment Publisher : Unknown Page : 324 pages File Size : 44,7 Mb Release : 1996 Category : Business & Economics ISBN : UCR:31210010532040
Contract Issues and Quality Standards for Managed Care by United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment Pdf
Comprehensive Case Management for Substance Abuse Treatment by Sandra Clunies Pdf
A Treatment Improvement Protocol on case management, which can be described as a coordinated approach to the delivery of health, substance abuse, mental health, & social services, linking clients with appropriate services to address specific needs & achieve stated goals. Case management lends itself to the treatment of substance abuse, particularly for clients with other disorders & conditions who require multiple services over extended periods of time & who face difficulty in gaining access to those services. This report details the factors that programs should consider as they decide to implement case management or modify their current case management activities.
Author : U.S. Department of Health and Human Services Publisher : Lulu.com Page : 136 pages File Size : 41,5 Mb Release : 2019-11-23 Category : Reference ISBN : 9781794764316
Comprehensive Case Management for Substance Abuse Treatment - TIP 27 by U.S. Department of Health and Human Services Pdf
Case management has been variously classified as a skill group, a core function, service coordination, or a network of "friendly neighbors." Although it defies precise definition, case management generally can be described as a coordinated approach to the delivery of health, substance abuse, mental health, and social services, linking clients with appropriate services to address specific needs and achieve stated goals. The Consensus Panel that developed this TIP believes that case management lends itself to the treatment of substance abuse, particularly for clients with other disorders and conditions who require multiple services over extended periods of time and who face difficulty in gaining access to those services. This document details the factors that programs should consider as they decide to implement case management or modify their current case management activities. This summary is excerpted from the main text, in which references to the research appear.
United States. Congress. House. Committee on Government Operations. Human Resources and Intergovernmental Relations Subcommittee
Author : United States. Congress. House. Committee on Government Operations. Human Resources and Intergovernmental Relations Subcommittee Publisher : Unknown Page : 160 pages File Size : 42,8 Mb Release : 1995 Category : Medical ISBN : UCR:31210014043101
CMSA Core Curriculum for Case Management by Hussein M. Tahan,Teresa M. Treiger Pdf
The fully updated CMSA Core Curriculum for Case Management, 3rd edition, is the definitive roadmap to an informed, effective, collaborative case management practice. This comprehensive, expertly-written guide provides those directly or indirectly involved in case management with information about best practices, descriptions of key terms, essential skills, and tools that fulfill the current Case Management Society of America’s (CMSA) standards and requirements. Addressing the full spectrum of healthcare professional roles and environments, this is both a crucial certification study guide and vital clinical resource for the case management professionals in all specialty areas, from students to veteran case managers. This unique resource provides the core knowledge needed for safe, cost-effective case management with the following features ... NEW text boxes highlighting key information and vital practices in each chapter NEW and updated Standards of Practice implications in each chapter NEW and updated content on transitions of care, community-based care, care coordination, Value-Based Purchasing, ethics and social media, the impacts of health care reform, and digital technology NEW and updated content on accreditation in case management NEW chapter that lists key additional resources, by topic Official publication of the Case Management Society of America, connecting CMSA core curriculum to current CMSA Standards of Practice Easy-to-grasp, detailed topical outline format for quick scan of topics Complete, updated core knowledge required of case managers, with expert descriptions and direction on areas including: Case management roles, functions, tools, and processes Plans, clinical pathways, and use of technology Transitional planning Utilization management and resource management Leadership skills and concepts Quality and outcomes management; legal and ethical issues Education, training, and certification Health care insurance, benefits, and reimbursement systems Practice settings and throughput Interdisciplinary teams’ needs in: hospitals, community clinics, private practice, acute care, home care, long-term care and rehab settings, palliative care, and hospice settings Up-to-date guidance on case management specialty practices, including: nursing, life care planning, workers’ compensation, disability management, care of the elderly, behavioral health, transitions of care, subacute and long-term care, utilization review/management, primary care and medical/health home, and more Essential content for academic reference, training, certification study, case management models design, performance or program evaluation
The Second Edition of this comprehensive "how to" text has been completely revised and updated. This text outlines the basics of case management and illustrates some of the pitfalls encountered in the field of case management. The book provides information on the new Case Management Standards, supplies standard definitions and guidelines of case management for the practicing case manager, and presents information on caring for clients in a wide variety of health care settings. New to this edition--chapters focusing on Quality Reviews and Risk Management with a strong emphasis on Continuous Quality Improvement (CQI), ethical and legal issues, and various case studies.