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Author : Jeffrey R. Ruggiero
Publisher : Healthcare Intelligence Net
ISBN 13 : 1936186683
Total Pages : 47 pages
Book Rating : 4.9/5 (361 download)
Download or read book Blueprint for ACO Success written by Jeffrey R. Ruggiero and published by Healthcare Intelligence Net. This book was released on 2011-02 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Jeffrey Ruggiero
Publisher : Healthcare Intelligence Net
ISBN 13 : 9781936186693
Total Pages : 40 pages
Book Rating : 4.1/5 (866 download)
Download or read book Blueprint for ACO Success written by Jeffrey Ruggiero and published by Healthcare Intelligence Net. This book was released on 2011-02 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: This 40-page resource will prepare healthcare organizations considering an ACO for clinical and regulatory success. First, Mark Shields, MD, MBA, senior medical director for Advocate Physician Partners and vice president of medical management for Advocate Health Care, details Advocate Physician Partners' CI program, from the structure of the CI group to funding, incentives, mechanisms and technology that support CI, and why a successful CI program can provide the ACO foundation. Next, Jeffrey R. Ruggiero, Esq., a partner in Arnold & Porter LLP, the law firm advising the Queens County Medical Society on its ACO development approach, describes the operational and regulatory compliance requirements that must be met to ensure a highly cost-effective, high quality, safe and legally compliant ACO for patients and health plan members.
Author : Marc Bard
Publisher : ACHE Management
ISBN 13 : 9781567934151
Total Pages : 0 pages
Book Rating : 4.9/5 (341 download)
Download or read book Accountable Care Organizations written by Marc Bard and published by ACHE Management. This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is the ACO strategy right for your organization? Accountable Care Organizations will help you understand the ACO framework and assess your readiness to embark on an ACO strategy. This book provides the structural blueprints, management skills, and cultural tools necessary to implement a successful ACO. Practical advice is bolstered with real world examples of leading healthcare providers that are pioneers in the rapidly changing world of accountable care. This guidebook is designed to facilitate critical conversations and decisions at all stages of the ACO development journey. Explore processes and structures and learn how to implement pilots to shape your own ACO delivery model. Each chapter includes takeaway points and tailored action steps for: (1) organizations interested in exploring the ACO concept, (2) organizations taking the first steps towards an ACO model, and (3) organizations already moving full speed ahead. This book will help you answer these questions and more: What does it take to become an ACO? What steps and actions should your organization take to implement an ACO strategy? How can organizational culture support your move to accountable care? How can you build a business plan to support an ACO strategy? What information technology is needed to implement an ACO strategy? How can an merging ACO best negotiate with third-party payers?
Author : Robert James Cimasi
Publisher : CRC Press
ISBN 13 : 1482219093
Total Pages : 381 pages
Book Rating : 4.4/5 (822 download)
Download or read book Accountable Care Organizations written by Robert James Cimasi and published by CRC Press. This book was released on 2013-06-05 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: An accountable care organization (ACO) is a healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned group of patients. Accountable Care Organizations: Value Metrics and Capital Formation explores the historical ba
Author : Peter A. Gross
Publisher : Johns Hopkins University Press
ISBN 13 : 1421438259
Total Pages : 343 pages
Book Rating : 4.4/5 (214 download)
Download or read book Pathways to a Successful Accountable Care Organization written by Peter A. Gross and published by Johns Hopkins University Press. This book was released on 2020-08-18 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: A valuable guide to starting and running a successful accountable care organization. Health care in America is undergoing great change. Soon, accountable care organizations—health care organizations that tie provider reimbursements to quality metrics and reductions in the cost of care—will be ubiquitous. But how do you set up an ACO? How does an ACO function? And what are the keys to creating a profitable ACO? Pathways to a Successful Accountable Care Organization will help guide you through the complicated process of establishing and running an ACO. Peter A. Gross, MD, who has firsthand experience as the chairman of a successful ACO, breaks down how he did it and describes the pitfalls he discovered along the way. In-depth essays by a group of expert authors touch on • the essential ingredients of a successful ACO • monitoring and submitting Group Practice Reporting Option quality measures • mastering your patients' responses to the Consumer Assessment of Health Plans Survey • how bundled payments and CPC+ can meld with your ACO • how MACRA and MIPS affect your ACO • the role of an ACO/CIN • the complexities of post-acute care • data analytics • engaging and integrating physician practices Dr. Gross and his colleagues are in a perfect position to guide other health care leaders through the ACO process while also providing excellent case studies for policy professionals who are interested in how their work influences health care delivery. Readers will come away with the necessary knowledge to thrive and be rewarded with cost savings. Contributors: Joshua Bennett, Allison Brennan, Glen Champlin, Kris Corwin, Guy D'Andrea, Joseph F. Damore, Mitchel Easton, Andy Edeburn, Seth Edwards, Jennifer Gasperini, Kris Gates, Shawn Griffin, Peter A. Gross, Brent Hardaway, Mark Hiller, Beth Ireton, Thomas Kloos, Jeremy Mathis, Miriam McKisic, Morey Menacker, Denise Patriaco, Elyse Pegler, John Pitsikoulis, Michael Schweitzer, Bryan F. Smith
Author : Volker Amelung
Publisher : Springer
ISBN 13 : 3319561030
Total Pages : 578 pages
Book Rating : 4.3/5 (195 download)
Download or read book Handbook Integrated Care written by Volker Amelung and published by Springer. This book was released on 2017-06-30 with total page 578 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook gives profound insight into the main ideas and concepts of integrated care. It offers a managed care perspective with a focus on patient orientation, efficiency, and quality by applying widely recognized management approaches to the field of health care. The handbook also provides international best practices and shows how integrated care does work throughout various health systems. The delivery of health and social care is characterised by fragmentation and complexity in most health systems throughout the world. Therefore, much of the recent international discussion in the field of health policy and health management has focused on the topic of integrated care. “Integrated” acknowledges the complexity of patients ́ needs and aims to meet it by taking into account both health and social care aspects. Changing and improving processes in a coordinated way is at the heart of this approach.
Author : Jr. Legasto, Ph.D Augusto
Publisher : Flipside Digital Content Company Inc.
ISBN 13 : 9719922338
Total Pages : 406 pages
Book Rating : 4.7/5 (199 download)
Download or read book Nation's Blueprint to True Prosperity written by Jr. Legasto, Ph.D Augusto and published by Flipside Digital Content Company Inc.. This book was released on 2011-07-10 with total page 406 pages. Available in PDF, EPUB and Kindle. Book excerpt: Like many developing nations, the Philippines has been relying on western standards as handed down by American colonialists and perpetuated by the Filipino elite. The heavy focus of this western approach on economic indicators of progress is suited to the elite's interests, since it controls commerce and industries. This book presents the "e;ANT3 Paradigm,"e; a new development paradigm that is more appropriate for developing nations because it is cognizant of the importance of the cultural and spiritual values of the people alongside their economic aspirations. "e;ANT3"e; stands for information technology Applications, social Networking, appropriate Technology, modern but affordable Telecommunications systems, and Training. This paradigm emphasizes community-building and a social organization in which every member has a distinct, vital role to play in the pursuit of the common good of the country.
Author : Harris
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1284068021
Total Pages : 919 pages
Book Rating : 4.2/5 (84 download)
Download or read book Handbook of Home Health Care Administration written by Harris and published by Jones & Bartlett Publishers. This book was released on 2015-10 with total page 919 pages. Available in PDF, EPUB and Kindle. Book excerpt: Professional reference for Nurses on Home Health Care
Author : Marilyn D. Harris
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284110346
Total Pages : 919 pages
Book Rating : 4.2/5 (841 download)
Download or read book Handbook of Home Health Care Administration written by Marilyn D. Harris and published by Jones & Bartlett Learning. This book was released on 2015-09-22 with total page 919 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Home Health Care Administration, Sixth Edition is a comprehensive text that reflects the current state of home health care administration. With contributions from leading experts in the field, it addresses key aspects of home health care, including finance, human resource development, legal and ethical issues, management information systems, marketing, quality management, research, and current technology for patient care.
Author : Timothy R. Huerta
Publisher : Emerald Group Publishing
ISBN 13 : 1784411965
Total Pages : 208 pages
Book Rating : 4.7/5 (844 download)
Download or read book Population Health Management in Health Care Organizations written by Timothy R. Huerta and published by Emerald Group Publishing. This book was released on 2014-10-17 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Volume 16 of AHCM presents papers that explore population health management and organizational change across various levels of the healthcare system. Aspects of health care organizations discussed in the volume include the PCMH, ACOs, integration with the public health and mental health systems, hospital-physician alignment, and resource planning.
Author : Amr Abouleish
Publisher : Elsevier Health Sciences
ISBN 13 : 0323583911
Total Pages : 217 pages
Book Rating : 4.3/5 (235 download)
Download or read book Practice Management: Successfully Guiding Your Group into the Future, An Issue of Anesthesiology Clinics written by Amr Abouleish and published by Elsevier Health Sciences. This book was released on 2018-05-23 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Anesthesiology Clinics focuses on Practice Management, with topics including: Measuring Clinical Productivity; OR Throughput and Efficiency; Measuring Quality of Individual Anesthesia Clinicians; Challenges in outcome reporting; Reporting Quality; Quality and The Health System; Value Proposition and Anesthesiology; Bundled Payments and the Hidden Costs; Pre-Anesthesia Assessment and Pre-Facilitation Process; Perioperative Surgical Home and the Role of Pain Medicine; Anesthesiology’s future with Population Health; Successful Negotiations; and Challenges of merging academic and private-practice cultures.
Author : William Thorndike
Publisher : Harvard Business Press
ISBN 13 : 1422162672
Total Pages : 274 pages
Book Rating : 4.4/5 (221 download)
Download or read book The Outsiders written by William Thorndike and published by Harvard Business Press. This book was released on 2012 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: It's time to redefine the CEO success story. Meet eight iconoclastic leaders who helmed firms where returns on average outperformed the S&P 500 by more than 20 times.
Author : Billie Lynn Allard
Publisher : Sigma Theta Tau
ISBN 13 : 1948057298
Total Pages : 537 pages
Book Rating : 4.9/5 (48 download)
Download or read book INSPIREd Healthcare written by Billie Lynn Allard and published by Sigma Theta Tau. This book was released on 2020-02-25 with total page 537 pages. Available in PDF, EPUB and Kindle. Book excerpt: In today’s environment where healthcare costs are outpacing the economy, healthcare systems are shifting from fee-for-service to value-based payment to deliver high-quality care while reducing costs. This shift presents nurses with the opportunity to take the lead in transforming care delivery and achieve the Triple Aim goals: improving patient experience of care, improving health of populations, and reducing per capita healthcare costs. INSPIREd Healthcare follows author Billie Lynn Allard and her team of nurses as they successfully implement an accountable community of health in pursuit of the Triple Aim. The INSPIRE Model they follow provides an evidence-based blueprint for other healthcare systems hoping to solve the complicated problems surrounding care transitions and health promotion
Author : National Academies of Sciences Engineering and Medicine
Publisher :
ISBN 13 : 9780309685061
Total Pages : pages
Book Rating : 4.6/5 (85 download)
Download or read book The Future of Nursing 2020-2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309493439
Total Pages : 195 pages
Book Rating : 4.3/5 (94 download)
Download or read book Integrating Social Care into the Delivery of Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-30 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.
Author : Nathan William Tierney
Publisher : Taylor & Francis
ISBN 13 : 1351591487
Total Pages : 337 pages
Book Rating : 4.3/5 (515 download)
Download or read book Value Management in Healthcare written by Nathan William Tierney and published by Taylor & Francis. This book was released on 2017-10-06 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nathan Tierney’s powerful storytelling is rarely seen in today’s health care business environment. We must redesign the health care delivery system---a team sport in service of patients, hold it accountable with measurement to improve outcomes, and quantify the resource costs over the full cycle of care. Value-based health care is a framework through which these goals are achieved, and Tierney provides a detailed playbook to get your organization there. Outlined in incredible detail and clarity, he presents core concepts and dives into the key metrics needed to build, maintain, and scale a successful value-based health care organization. Nathan shares a realistic vision of what any CEO should expect when developing their own Value Management Office. Nothing is more important to me than improving the lives of those I love. My personal mission is to create systemic change with an impact on the global stage. This playbook needs to be on the desk of every executive, clinician, and patient today." -Mahek Shah, MD, Senior Researcher and Senior Project Leader, Harvard Business School Our current healthcare system’s broken. The Organization for Economic Co-Operation and Development (OECD) predicts health care costs could increase from 6% to 14% of GDP by 2060. The cause of this increase is due to (1) a global aging population, (2) growing affluence, (3) rise in chronic diseases, and (4) better-informed patients; all of which raises the demand for healthcare. In 2006, Michael Porter and Elizabeth Teisberg authored the book ‘Redefining Health Care: Creating Value-Based Competition on Results.’ In it, they present their analysis of the root causes plaguing the health care industry and make the case for why providers, suppliers, consumers, and employers should move towards a patient-centric approach that optimizes value for patients. According to Porter, "value for patients should be the overarching principle for our broken system." Since 2006, Professor Porter, accompanied by his esteemed Harvard colleague, Profesor Robert Kaplan, have worked tirelessly to promote this new approach and pilot it with leading healthcare delivery organizations like Cleveland Clinic, Mayo Clinic, MD Anderson, and U.S. Department of Veteran Affairs. Given the current state of global healthcare, there is urgency to achieve widespread adoption of this new approach. The intent of this book is to equip all healthcare delivery organizations with a guide for putting the value-based concept into practice. This book defines the practice of value-based health care as Value Management. The book explores Profesor Porter’s Value Equation (Value = Outcomes/ Cost), which is central to Value Management, and provides a step-by-step process for how to calculate the components of this equation. On the outcomes side, the book presents the Value Realization Framework, which translates organizational mission and strategy into a comprehensive set of performance measures and contextualizes the measures for healthcare delivery. The Value Realization Framework is based on Professor Kaplan's ground-breaking Balanced Scorecard approach, but specific to healthcare organizations. On the costs side, the book details the Harvard endorsed time-driven activity based costing (TDABC) methodology, which has proven to be a modern catalyst for defining HDO costs. Finally, this book covers the need and a plan to establish a Value Management Office to lead the delivery transformation and govern operations. This book is designed in a format where any organization can read it and acquire the fundamentals and methodologies of Value Management. It is intended for healthcare delivery organizations in need of learning the specifics of achieving the implementation of value-based healthcare.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309208955
Total Pages : 700 pages
Book Rating : 4.3/5 (92 download)
Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
