Quality Assurance in Managed Care Organizations

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Publisher :
ISBN 13 :
Total Pages : 172 pages
Book Rating : 4.4/5 (91 download)

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Book Synopsis Quality Assurance in Managed Care Organizations by :

Download or read book Quality Assurance in Managed Care Organizations written by and published by . This book was released on 1989 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Managing Managed Care

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Publisher : National Academies Press
ISBN 13 : 0309175054
Total Pages : 394 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Managing Managed Care by : Institute of Medicine

Download or read book Managing Managed Care written by Institute of Medicine and published by National Academies Press. This book was released on 1997-04-21 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.

A Health Care Quality Improvement System for Medicaid Managed Care

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Publisher :
ISBN 13 :
Total Pages : 114 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis A Health Care Quality Improvement System for Medicaid Managed Care by :

Download or read book A Health Care Quality Improvement System for Medicaid Managed Care written by and published by . This book was released on 1993 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt:

A Primer on Assessing Managed Care Quality

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Publisher :
ISBN 13 :
Total Pages : 56 pages
Book Rating : 4.:/5 (6 download)

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Book Synopsis A Primer on Assessing Managed Care Quality by : Barbara Tymann

Download or read book A Primer on Assessing Managed Care Quality written by Barbara Tymann and published by . This book was released on 1998 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:

An Introduction to Quality Assurance in Health Care

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Publisher : Oxford University Press
ISBN 13 : 0199748020
Total Pages : 233 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis An Introduction to Quality Assurance in Health Care by : Avedis Donabedian

Download or read book An Introduction to Quality Assurance in Health Care written by Avedis Donabedian and published by Oxford University Press. This book was released on 2002-12-26 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: Avedis Donabedian's name is synonymous with quality of medical care. He unraveled the mystery behind the concept by defining it in clear operational terms and provided detailed blueprints for both its measurement(known as quality assessment) and its improvement(known as quality assurance). Many before him claimed that quality couldn't be defined in concrete objective terms. He demonstrated that quality is an attribte of a system which he called structure, a set of organized activities whihc he called process, and an outcome which results from both. In this book Donabedian tells the full story of quality assessment and assurance in simple, clear terms. He defines the meaning of quality, explicates its components, and provides clear and systematic guides to its assessment and enhancement. His style is lucid, succinct, systematic and yet personal, almost conversational.

Managed Care Quality

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Publisher : CRC Press
ISBN 13 : 1000162141
Total Pages : 294 pages
Book Rating : 4.0/5 (1 download)

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Book Synopsis Managed Care Quality by : A. F. Al-Assaf

Download or read book Managed Care Quality written by A. F. Al-Assaf and published by CRC Press. This book was released on 2020-07-26 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care organizations are paving the way to the future of health care delivery in the United States and countries around the world. As managed care systems evolve, a major concern is quality. Managed Care Quality: A Practical Guide is a collection of applications and experiences gathered from practicing health professionals in the field of managed care. This first "how to" guide was written to help managed care organizations meet the common objective of ensuring the best quality of services and care. Managed Care Quality: A Practical Guide presents successive steps in implementing quality in health care organizations. It introduces the methods, skills, and practices involved in quality health care programs and offers solutions to problems typically encountered in managed care.

Managing Managed Care

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Publisher : National Academies Press
ISBN 13 : 0309523680
Total Pages : 395 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis Managing Managed Care by : Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care

Download or read book Managing Managed Care written by Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care and published by National Academies Press. This book was released on 1997-05-05 with total page 395 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral health--federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.

Crossing the Quality Chasm

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Publisher : National Academies Press
ISBN 13 : 0309132967
Total Pages : 359 pages
Book Rating : 4.3/5 (91 download)

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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.

Medicare

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Publisher : National Academies Press
ISBN 13 : 0309042305
Total Pages : 462 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Medicare by : Institute of Medicine

Download or read book Medicare written by Institute of Medicine and published by National Academies Press. This book was released on 1990-02-01 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care for the elderly American is among our nation's more pressing social issues. Our society wishes to ensure quality health care for all older people, but there is growing concern about our ability to maintain and improve quality in the face of efforts to contain health care costs. Medicare: A Strategy for Quality Assurance answers the U.S. Congress' call for the Institute of Medicine to design a strategic plan for assessing and assuring the quality of medical care for the elderly. This book presents a proposed strategic plan for improving quality assurance in the Medicare program, along with steps and timetables for implementing the plan by the year 2000 and the 10 recommendations for action by Congress. The book explores quality of careâ€"how it is defined, measured, and improvedâ€"and reviews different types of quality problems. Major issues that affect approaches to assessing and assuring quality are examined. Medicare: A Strategy for Quality Assurance will be immediately useful to a wide audience, including policymakers, health administrators, individual providers, specialists in issues of the older American, researchers, educators, and students.

Quality Assurance Reporting Requirements

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Publisher :
ISBN 13 :
Total Pages : 134 pages
Book Rating : 4.E/5 ( download)

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Book Synopsis Quality Assurance Reporting Requirements by :

Download or read book Quality Assurance Reporting Requirements written by and published by . This book was released on 1995 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Union Guide to Quality Managed Care

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Publisher :
ISBN 13 :
Total Pages : 92 pages
Book Rating : 4.E/5 ( download)

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Book Synopsis Union Guide to Quality Managed Care by :

Download or read book Union Guide to Quality Managed Care written by and published by . This book was released on 1997 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Managed Care Quality

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Publisher :
ISBN 13 :
Total Pages : 230 pages
Book Rating : 4.0/5 (18 download)

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Book Synopsis Managed Care Quality by : United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment

Download or read book Managed Care Quality written by United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1998 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt:

1997 Standards for Accreditation of Managed Care Organizations

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (375 download)

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Book Synopsis 1997 Standards for Accreditation of Managed Care Organizations by : National Committee for Quality Assurance (U.S.)

Download or read book 1997 Standards for Accreditation of Managed Care Organizations written by National Committee for Quality Assurance (U.S.) and published by . This book was released on 1996 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Collaboration Among Competing Managed Care Organizations for Quality Improvement

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Publisher : National Academies Press
ISBN 13 : 0309063868
Total Pages : 62 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Collaboration Among Competing Managed Care Organizations for Quality Improvement by : Institute of Medicine

Download or read book Collaboration Among Competing Managed Care Organizations for Quality Improvement written by Institute of Medicine and published by National Academies Press. This book was released on 1999-03-09 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt: In November, 1997, The Institute of Medicine convened a one-day conference to explore areas for potential collaboration to improve quality among competing health plans consistent with antitrust and other legal requirements. The conference was convened to clarify the limits of such potential activities and to explore ways to stimulate collaboration; in short, to explore permissible and promising areas for collaboration for competing health plans. Competition has existed at the provider level in the pre-managed care era and continues among physicians, physician groups and hospitals today. What is new is the extent of competition at the managed care organization level in individual regional markets. As large numbers of individuals are enrolled in health plans, the potential for new forms of cooperation for improving quality of care becomes possible. Along with these new possibilities, however, come questions about whether they bring the potential for antitrust violation.

Principles and Methods of Quality Management in Health Care

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Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834218611
Total Pages : 490 pages
Book Rating : 4.2/5 (186 download)

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Book Synopsis Principles and Methods of Quality Management in Health Care by : Donald E. Lighter

Download or read book Principles and Methods of Quality Management in Health Care written by Donald E. Lighter and published by Jones & Bartlett Learning. This book was released on 2000 with total page 490 pages. Available in PDF, EPUB and Kindle. Book excerpt: Concentrating on quantitative methods for proper quality improvement documentation, the authors explain the processes for improving quality assurance among health care providers. Topics covered include group processes, statistical process control, clinical practice guidelines, care management, the l

Registries for Evaluating Patient Outcomes

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Publisher : Government Printing Office
ISBN 13 : 1587634333
Total Pages : 396 pages
Book Rating : 4.5/5 (876 download)

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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 396 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.

Continuous Quality Improvement in Health Care

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Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763726294
Total Pages : 696 pages
Book Rating : 4.7/5 (262 download)

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Book Synopsis Continuous Quality Improvement in Health Care by : Curtis P. McLaughlin

Download or read book Continuous Quality Improvement in Health Care written by Curtis P. McLaughlin and published by Jones & Bartlett Learning. This book was released on 2004 with total page 696 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Administration