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Evaluating Health Plan Performance
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Book Synopsis Health Care Benchmarking and Performance Evaluation by : Yasar A. Ozcan
Download or read book Health Care Benchmarking and Performance Evaluation written by Yasar A. Ozcan and published by Springer. This book was released on 2014-07-01 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Final Report written by Soeren Mattke and published by Rand Corporation. This book was released on 2014-04-23 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Health Care Benchmarking and Performance Evaluation by : Yasar A. Ozcan
Download or read book Health Care Benchmarking and Performance Evaluation written by Yasar A. Ozcan and published by Springer Science & Business Media. This book was released on 2007-12-08 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 :Panel on Performance Measures and Data for Public Health Performance Partnership Grants Publisher : ISBN 13 : Total Pages :164 pages Book Rating :4.1/5 (364 download)
Book Synopsis Assessment of Performance Measures for Public Health, Substance Abuse, and Mental Health by : Panel on Performance Measures and Data for Public Health Performance Partnership Grants
Download or read book Assessment of Performance Measures for Public Health, Substance Abuse, and Mental Health written by Panel on Performance Measures and Data for Public Health Performance Partnership Grants and published by . This book was released on 1997-06-16 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. Department of Health and Human Services is carrying out an ambitious new program to assure that funds for public health programs are spent as effectively as possible. Under the new program, every state will develop a set of performance objectives to measure its progress in terms of outcomes, processes, and capacity. In the first phase of the program, states are to propose such measures to be achieved over three to five years. This book examines the technical issues involved in the development of performance measures in 10 areas: mental health, substance abuse, HIV infection, sexually transmitted diseases, tuberculosis, immunization, chronic diseases, disability, rape, and emergency medical services. From more than 3,200 candidate measures proposed by researchers, policymakers, and public health professionals, the panel proposes more than 50 potential outcome measures. The book details the advantages and limitations of potential measures as well as the data sources that can support them. This volume will be an invaluable resource to everyone involved in public health.
Book Synopsis Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets by : Thomas G. McGuire
Download or read book Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets written by Thomas G. McGuire and published by Academic Press. This book was released on 2018-08-06 with total page 659 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Book Synopsis Improving Health in the Community by : Institute of Medicine
Download or read book Improving Health in the Community written by Institute of Medicine and published by National Academies Press. This book was released on 1997-05-21 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Measuring Health Performance in the Public Sector by : National Research Council
Download or read book Measuring Health Performance in the Public Sector written by National Research Council and published by National Academies Press. This book was released on 1999-07-21 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Panel on Performance Measures and Data for Public Health Performance Partnership Grants was established at the request of the U.S. Department of Health and Human Services (DHHS). Its charge is to examine the state of the art in performance measurement for public health and to recommend measures that could be used to monitor the Performance Partnership Grant agreements to be negotiated between each state and the federal government. The panel was asked to consider performance measures in ten areas, which are clearly a subset of the full range of traditional public health concerns: chronic diseases; sexually transmitted diseases (STDs), human immunodeficiency virus (HIV) infection, and tuberculosis; mental health; immunization; substance abuse; and three areas of prevention of special interest to DHHS-sexual assault, disabilities, and emergency medical services. This report focuses on measures that states and the federal government can use over the next 3 to 5 years to negotiate agreements and monitor performance in these areas. A later report will examine additional measures that might be developed from new research findings on program effectiveness or as improvements are made to state and federal surveys and data systems.
Author :The National Roundtable on Health Care Quality Publisher :National Academies Press ISBN 13 :0309570689 Total Pages :42 pages Book Rating :4.3/5 (95 download)
Book Synopsis Measuring the Quality of Health Care by : The National Roundtable on Health Care Quality
Download or read book Measuring the Quality of Health Care written by The National Roundtable on Health Care Quality and published by National Academies Press. This book was released on 1999-02-23 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Performance Measurement by : Institute of Medicine
Download or read book Performance Measurement written by Institute of Medicine and published by National Academies Press. This book was released on 2006-07-09 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis The Practice of Health Program Evaluation by : David Grembowski
Download or read book The Practice of Health Program Evaluation written by David Grembowski and published by SAGE Publications. This book was released on 2015-09-16 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reflecting the latest developments in the field, The Practice of Health Program Evaluation, 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 :Gloria D. Heinemann Publisher :Springer Science & Business Media ISBN 13 :9780306467073 Total Pages :440 pages Book Rating :4.4/5 (67 download)
Book Synopsis Team Performance in Health Care by : Gloria D. Heinemann
Download or read book Team Performance in Health Care written by Gloria D. Heinemann and published by Springer Science & Business Media. This book was released on 2002-01-31 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis The Development, Evaluation, and Refinement of a Model to Assess the Performance of a Medicaid Health Plan by : Jennifer Susan Wortham
Download or read book The Development, Evaluation, and Refinement of a Model to Assess the Performance of a Medicaid Health Plan written by Jennifer Susan Wortham and published by . This book was released on 2005 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health System Performance Assessment in the WHO European Region by : Centers of Disease Control
Download or read book Health System Performance Assessment in the WHO European Region written by Centers of Disease Control and published by World Health Organization. This book was released on 2018-04-24 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Performance Improvement written by and published by . This book was released on 1995 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by : OECD
Download or read book Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Book Synopsis Performance Improvement 1995 by : United States. Public Health Service
Download or read book Performance Improvement 1995 written by United States. Public Health Service and published by . This book was released on 1995 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Evaluation for Health Policy and Health Care by : Steven Sheingold
Download or read book Evaluation for Health Policy and Health Care written by Steven Sheingold and published by SAGE Publications. This book was released on 2019-08-21 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evaluation for Health Policy and Health Care: A Contemporary Data-Driven Approach explores the best practices and applications for producing, synthesizing, visualizing, using, and disseminating health care evaluation research and reports.
