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Physician Profiling And Risk Adjustment
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Book Synopsis Physician Profiling and Risk Adjustment by : Norbert Goldfield
Download or read book Physician Profiling and Risk Adjustment written by Norbert Goldfield and published by . This book was released on 1996 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a summary of the best techniques available to adjust for differences in illness among patients, and provides several case studies to show you how to use physician profiling to improve care. You'll also benefit from the latest information on the best strategies available to adjust capitation rates, plus you'll examine critical issues like budget management, utilization management, and more.
Book Synopsis Essentials of Managed Health Care by : Peter Reid Kongstvedt
Download or read book Essentials of Managed Health Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2003 with total page 918 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :Lisa I. Iezzoni Publisher :Asociation of University Programs in Health Administration/Health Administration Press ISBN 13 :9781567934373 Total Pages :0 pages Book Rating :4.9/5 (343 download)
Book Synopsis Risk Adjustment for Measuring Healthcare Outcomes by : Lisa I. Iezzoni
Download or read book Risk Adjustment for Measuring Healthcare Outcomes written by Lisa I. Iezzoni and published by . This book was released on 1997 with total page 632 pages. Available in PDF, EPUB and Kindle. Book excerpt: Our book aims to introduce the issues underlying risk adjustment and to suggest important conceptual and methodological considerations in designing and evaluating a risk-adjustment strategy. This second edition builds on the conceptual discussions of the first edition, adding more empirical evidence to underscore important points. Since completing the first edition in 1993, significant studies involving risk adjustment have either concluded or published pertinent findings, including the National Veterans Affairs Surgical Risk Study, the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment, the Medical Outcomes
Download or read book Alignment written by William Winston and published by Routledge. This book was released on 2013-11-26 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Alignment: A Provider’s Guide to Managing the Practice of Health Care uses the method of alignment with proven examples and strategies to help health care providers achieve and maintain optimum effectiveness through continuous enhancement. Focusing on defining information and using it to distinguish your company or practice from the competition, this book is designed to help you take a proactive and cooperative role in health care to benefit patients or your business. From Alignment: A Provider’s Guide to Managing the Practice of Health Care, you’ll receive proven solutions to current problems in order to deliver the best possible services to clients and patients. This book defines alignment as the shortest distance from initiation to successful completion of any desired activity. With this goal in mind, Alignment offers you dozens of recommendations, proven strategies, and examples that will improve your services, including: designing health care systems to meet patient needs and accreditations by stressing clear communication and keeping up with current medical technology developing a checklist that includes four-year goals, defining your capabilities, analyzing finances for cost-effectiveness, and deciding important features to attract new patients and satisfy customers improving service quality by evaluating satisfaction surveys and developing short-term and long-term health care packages that meet employees’individual needs ensuring customer satisfaction by asking patients about their expectations and their needs educating physicians on customer-oriented service and rewarding them for competence and caring reducing the time between the initial patient visit and when the final bill is paid to enhance revenue flow Alignment is complete with graphs, tables, recommendations, objectives and solutions, examples, and a glossary to give you a thorough understanding of current concepts and ideas. Within Alignment: A Provider’s Guide to Managing the Practice of Health Care, you’ll discover innovative and proven techniques that will improve physician/administrator and physician/patient relationships to make your business effective and successful for you and your clients.
Book Synopsis The Physician Leader's Guide by : Richard Burton
Download or read book The Physician Leader's Guide written by Richard Burton and published by Jones & Bartlett Learning. This book was released on 1998 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Physicians Leader's Guide, Second Edition was updated and expanded to help you and your staff define your challenges, organize your expa nding responsibilities and take your performance to new levels. Edited by Richard Burton MD, MBA, PhD, this time-saving resource includes 15 additional, all-new, skill-building chapters, to help you excel in yo ur leadership role. From developing effective negotiation skills as a physician...to handling information systems in clinical practice...to using medical practice guidelines and evidence-based medicine to impro ve care.. you'll see how your colleagues in the healthcare industry ma stered the very same challenges you face, and how you can do it too!
Author :American College of Medical Quality Publisher :Jones & Bartlett Learning ISBN 13 :9780763730611 Total Pages :244 pages Book Rating :4.7/5 (36 download)
Book Synopsis Core Curriculum for Medical Quality Management by : American College of Medical Quality
Download or read book Core Curriculum for Medical Quality Management written by American College of Medical Quality and published by Jones & Bartlett Learning. This book was released on 2005 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Core Curriculum for Medical Quality Management addresses the needs of physicians, medical students, and other health care professionals for current information about medical quality management, principles, methods, programs, systems, and experiences. This book presents a true "state-of-the-nation" assessment of medical quality management and highlights the need for training of physicians who will lead the medical quality movement in the 21st century. Each contributing author is a recognized leader in medical quality management. The reader should find this to be a highly readable basic text to acquire a sound initial working knowledge of medical quality management.
Author :Agency for Healthcare Research and Quality/AHRQ Publisher :Government Printing Office ISBN 13 :1587634333 Total Pages :385 pages Book Rating :4.5/5 (876 download)
Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ
Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Book Synopsis Essentials of Managed Health Care by :
Download or read book Essentials of Managed Health Care written by and published by Jones & Bartlett Publishers. This book was released on 2013 with total page 715 pages. Available in PDF, EPUB and Kindle. Book excerpt: Peter Kongstvedt provides an authoritative and comprehensive overview of the key strategic, tactical, and operational aspects of managed health care and health insurance. With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care. An historical overview and a discussion of taxonomy and functional differences between different forms of managed health care provide the framework for the operational aspects of the industry as well.
Book Synopsis Utilization Management in the Clinical Laboratory and Other Ancillary Services by : Kent Lewandrowski
Download or read book Utilization Management in the Clinical Laboratory and Other Ancillary Services written by Kent Lewandrowski and published by Springer. This book was released on 2016-11-29 with total page 299 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the first comprehensive text on utilization management in the clinical laboratory and other ancillary services. It provides a detailed overview on how to establish a successful utilization management program, focusing on such issues as leadership, governance, informatics, and application of utilization management tools. The volume also describes ways to establish utilization management programs for multiple specialties, including anatomic pathology and cytology, hematology, radiology, clinical chemistry, and genetic testing among other specialties. Numerous examples of specific utilization management initiatives are also described that can be imported to other heath care organizations. A chapter on utilization management in Canada is also included. Edited by an established national leader in utilization management, Utilization Management in the Clinical Laboratory and Other Ancillary Services is a valuable resource for physicians, pathologists, laboratory directors, hospital administrators, and medical insurance professionals looking to implement a utilization management program.
Book Synopsis Arrangements Between Managed Care Plans and Physicians by :
Download or read book Arrangements Between Managed Care Plans and Physicians written by and published by . This book was released on 1995 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Managed Health Care Handbook by : Peter Reid Kongstvedt
Download or read book The Managed Health Care Handbook written by Peter Reid Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2001 with total page 1448 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thoroughly revised and updated book provides a strategic and operational resource for use in planning and decision-making. The Handbook enables readers to fine-tune operation strategies by providing updates on critical managed care issues, insights to the complex managed care environment, and methods to gain and maintain cost-efficient, high quality health services. With 30 new chapters, it includes advice from managers in the field on how to succeed in every aspect of managed care including: quality management, claims and benefits administration, and managing patient demand. The Handbook is considered to be the standard resource for the managed care industry.
Book Synopsis Healthcare Risk Adjustment and Predictive Modeling by : Ian G. Duncan
Download or read book Healthcare Risk Adjustment and Predictive Modeling written by Ian G. Duncan and published by ACTEX Publications. This book was released on 2011 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text is listed on the Course of Reading for SOA Fellowship study in the Group & Health specialty track. Healthcare Risk Adjustment and Predictive Modeling provides a comprehensive guide to healthcare actuaries and other professionals interested in healthcare data analytics, risk adjustment and predictive modeling. The book first introduces the topic with discussions of health risk, available data, clinical identification algorithms for diagnostic grouping and the use of grouper models. The second part of the book presents the concept of data mining and some of the common approaches used by modelers. The third and final section covers a number of predictive modeling and risk adjustment case-studies, with examples from Medicaid, Medicare, disability, depression diagnosis and provider reimbursement, as well as the use of predictive modeling and risk adjustment outside the U.S. For readers who wish to experiment with their own models, the book also provides access to a test dataset.
Book Synopsis The Capitation Sourcebook by : Peter Boland
Download or read book The Capitation Sourcebook written by Peter Boland and published by Jones & Bartlett Learning. This book was released on 1996 with total page 672 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here's a challenge to conventional wisdom that will change the way you think about capitation. This hands-on resource is a collection of articles detailing the most advanced methods used by leading healthcare operational experts on how to provide high-quality care at less cost; manage financial risk more efficiently; design operational, clinical and information systems to meet the needs of patients, practitioners and managed care organizations; structure financial incentives to promote successful collaborations and make the transition from fee-for-service to risk-sharing arrangements. You'll find practical examples of how to build the trust necessary to create win-win solutions to problems that arise between competing yet interdependent interests of the various stakeholders. Edited by Peter Boland, PhD, and based on a "best practices" approach, each of the articles in the book illustrate compensation methodologies that have been successfully implemented with the support of physicians and hospitals.
Book Synopsis Crossing the Quality Chasm by : Institute of Medicine
Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-07-19 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Book Synopsis Care Without Coverage by : Institute of Medicine
Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Download or read book Health Care Financing Review written by and published by . This book was released on 2008 with total page 504 pages. Available in PDF, EPUB and Kindle. Book excerpt:
