A Practical Guide to Assessing the Competency of Low-Volume Providers PDF Download

Author: Hugh P. Greeley
Publisher: HC Pro, Inc.
ISBN: 9781578394692
Category : Medical
Languages : en
Pages : 134

View

Book Description

Author: Douglas E. Goldstein
Publisher: Jones & Bartlett Learning
ISBN: 9780834208094
Category : Business & Economics
Languages : en
Pages : 386

View

Book Description
This resource offers you a unique Building Block system, a proven-effective tool used by organizations to survive and prosper in an era of different reimbursement schemes, from discounted fee-for-service and primary care capitation, to global capitation and percent of premium payment.

Author:
Publisher: Jones & Bartlett Publishers
ISBN: 1449604641
Category : Managed care plans (Medical care)
Languages : en
Pages : 715

View

Book Description
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.

Author: H.-Harald Sedlacek
Publisher: John Wiley & Sons
ISBN: 3527615008
Category : Science
Languages : en
Pages : 278

View

Book Description
Strategic planning is a critical subject, central to the success of any scientific and economical enterprise. Not only is the scientific knowledge of many persons needed, but also an assessment of what may occur in the future - which approach may be competitive, which option can be achieved, and how can this be accomplished. With a focus on the various ethical obligations to patients, animals and the environment, this book offers hands-on help on how to develop successful R&D strategies, taking special account of the needs of scientists and managers in the pharmaceutical industry. Key topics include: - evaluation and selection of projects - measures to reduce risks - project management - corporate and technology strategy - managing for innovation The reader will learn the methods needed to elaborate strategies so that he or she will become aware of the numerous managerial, organizational, social and political parameters and forces, the consideration of which is essential for the successful realization of a formulated strategy.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030913319X
Category : Medical
Languages : en
Pages : 191

View

Book Description
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Author: Sheryl Deutsch
Publisher: Jones & Bartlett Learning
ISBN: 9780834209336
Category : Medical
Languages : en
Pages : 604

View

Book Description
The Credentialing Handbook provides comprehensive, plain-English guida nce to understand and master the provider credentialing process in any health care setting. With sample forms, checklists, flowcharts, and c orrespondence, this practical guide walks you through every aspect of effective credentialing, appointment, and recredentialing. You'll lear n: key steps in the credentialing process; about express credentialin g models; how to credential allied health practitioners; typical time frames and tracking systems; pros and cons of delegating credentialin g, plus more.

Author: Robert J. Marder
Publisher: HC Pro, Inc.
ISBN: 1601460112
Category : Business & Economics
Languages : en
Pages : 191

View

Book Description
HCPro is pleased to introduce Effective Peer Review: A Practical Guide to Contemporary Design, Second Edition, authored by The Greeley Company experts, Robert J. Marder, MD and Mark A. Smith, MD, MBA, FACS. Completely updated to help you: * Comply with The Joint Commission's 2007 standards * Deliver focused and ongoing professional practice evaluations * Evaluate physician core competencies * And much more! Peer review continues to rate as a top problematic issue and one you can't ignore. The pressure is driven by publicly available national data, The Joint Commission's 2007 standards expanding measurement of physician competence, and hospital boards' need to be assured that the peer review process is functioning effectively. Learn how to go beyond just satisfying a regulatory requirement to performing peer review that fosters true improvement within your facility. Although hospitals go through the motions of peer review, they are often unable to make it a meaningful process-one that results in true improvement in physician performance and meets The Joint Commission's standards. Transform your peer review process and meet external requirements with Effective Peer Review: A Practical Guide to Contemporary Design, Second Edition. Get best practices to make peer review worthwhile Newly updated and in high demand, Effective Peer Review, Second Edition, outlines and provides advice about how to do physician peer review effectively. Authored by experts from The Greeley Company, this book and CD-ROM goes beyond just reviewing the Joint Commission standards. It puts the standards in context by emphasizing best practices you can implement in your peer review process. Plus, you'll receive thorough discussion about data analysis and collection, along with peer review scoring and rating systems. Critical information at your fingertips Offering step-by-step guidance to peer review, this book and CD-ROM will help you: * Streamline your exist

Author: Jane Lowers
Publisher: Jones & Bartlett Learning
ISBN: 9780834216075
Category : Medical
Languages : en
Pages : 260

View

Book Description
Aspen's Health Care Quality Review (1999) compiles current, real-world examples of hospitals, health plans, physician practices and other organizations applying quality improvement theory and reaping reduced costs, improved patient satisfaction and improved health outcomes as a result. Each section (organizational quality, quality theory and practice, quality tools and measurement, quality in care) profiles top health care providers around the country and tracks not only clinical improvements but also the organizational changes and philosophy that made them possible. Contact information for each chapter allows readers to go straight to the source for more details, and a wealth of statistics, charts and easily replicated tools help readers apply the information at their own facilities. With Aspen's Health Care Quality Review you'll get award winning articles from our other quality publications, for example, Russ Coile's Health Trends, The Quality Letter for Healthcare Leaders, QRC Advisor, and Journal of Nursing Care Quality. No more combing through various resources for the information you need. We have done it for you!

Author: Peter Reid Kongstvedt
Publisher: Jones & Bartlett Learning
ISBN: 9780834217263
Category : Medical
Languages : en
Pages : 1448

View

Book Description
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.

Author: Angelo P. Giardino
Publisher: Springer Nature
ISBN: 3030480801
Category : Medical
Languages : en
Pages : 385

View

Book Description
This comprehensive medical textbook is a compendium of the latest information on healthcare quality. The text provides knowledge about the theory and practical applications for each of the core areas that comprise the field of medical quality management as well as insight and essential briefings on the impact of new healthcare technologies and innovations on medical quality and improvement. The third edition provides significant new content related to medical quality management and quality improvement, a user-friendly format, case studies, and updated learning objectives. This textbook also serves as source material for the American Board of Medical Quality in the development of its core curriculum and certification examinations. Each chapter is designed for a review of the essential background, precepts, and exemplary practices within the topical area: Basics of Quality Improvement Data Analytics for the Improvement of Healthcare Quality Utilization Management, Case Management, and Care Coordination Economics and Finance in Medical Quality Management External Quality Improvement — Accreditation, Certification, and Education The Interface Between Quality Improvement and Law Ethics and Quality Improvement With the new edition of Medical Quality Management: Theory and Practice, the American College of Medical Quality presents the experience and expertise of its contributors to provide the background necessary for healthcare professionals to assume the responsibilities of medical quality management in healthcare institutions, provide physicians in all medical specialties with a core body of knowledge related to medical quality management, and serve as a necessary guide for healthcare administrators and executives, academics, directors, medical and nursing students and residents, and physicians and other health practitioners.