Author: Elaine Zablocki
Publisher: Jones & Bartlett Learning
ISBN: 9780834206885
Category : Group medical practice
Languages : en
Pages : 232
Book Description
This resource provides a concise overview of the techniques used to change physician behavior in a health industry ruled by newly-formed networks & under increasing pressure to remain cost-efficient, often in a capitated environment.Techniques used by managed care organizations from across the country will be highlighted.Topical summaries on key issues will include how to develop practice guidelines, how to win physician support, data gathering, liability issues, & probably most important, how to get started.
Changing Physician Practice Patterns
Author: Elaine Zablocki
Publisher: Jones & Bartlett Learning
ISBN: 9780834206885
Category : Group medical practice
Languages : en
Pages : 232
Book Description
This resource provides a concise overview of the techniques used to change physician behavior in a health industry ruled by newly-formed networks & under increasing pressure to remain cost-efficient, often in a capitated environment.Techniques used by managed care organizations from across the country will be highlighted.Topical summaries on key issues will include how to develop practice guidelines, how to win physician support, data gathering, liability issues, & probably most important, how to get started.
Publisher: Jones & Bartlett Learning
ISBN: 9780834206885
Category : Group medical practice
Languages : en
Pages : 232
Book Description
This resource provides a concise overview of the techniques used to change physician behavior in a health industry ruled by newly-formed networks & under increasing pressure to remain cost-efficient, often in a capitated environment.Techniques used by managed care organizations from across the country will be highlighted.Topical summaries on key issues will include how to develop practice guidelines, how to win physician support, data gathering, liability issues, & probably most important, how to get started.
An Intervention to Change Physician Practice Patterns
Author: Gregory Michael Murphy
Publisher:
ISBN:
Category :
Languages : en
Pages : 74
Book Description
Publisher:
ISBN:
Category :
Languages : en
Pages : 74
Book Description
I'm Sorry, I Don't Make House Calls
Author: Rebecca Sarah Rothenberg
Publisher:
ISBN:
Category : Home nursing
Languages : en
Pages : 132
Book Description
Publisher:
ISBN:
Category : Home nursing
Languages : en
Pages : 132
Book Description
Information to Guide Physician Practice
Author:
Publisher:
ISBN:
Category : Information services
Languages : en
Pages : 108
Book Description
Publisher:
ISBN:
Category : Information services
Languages : en
Pages : 108
Book Description
Physician Practice in a Dynamic Environment
Author: Paul Fronstin
Publisher:
ISBN:
Category :
Languages : en
Pages : 20
Book Description
Expenditures on physician services amounted to $171 billion in 1993, compared with $13.6 billion in 1970. During this period, the environment in which physicians practice was transformed as a part of the changing health care financing and delivery system. This Issue Brief provides an overview of changes in the health care system that affect the environment in which physicians practice, focusing on what is known and issues needing further analysis.Public and private payers have held down the rate of growth in payments to physicians by restructuring reimbursement. Physician behavior, payment, and practice patterns will be major factors in determining future health care costs and the type and quality of health care individuals receive.In both the private and public sectors, one of the significant changes affecting physician practice patterns has been the movement of insured individuals away from traditional retrospective fee-for-service reimbursement to a prepaid prospective managed care setting. As a result, physicians are more likely to contract with a managed care organization.The way in which physicians are reimbursed for outpatient Medicare services has changed significantly as a result of OBRA '89, which adopted a fee schedule based on a resource based relative value scale coupled with volume performance standards. These changes were designed to eliminate the incentive for physicians to increase service volume.The distribution of physicians across specializations changed significantly between 1970 and 1992. In 1970, 17.3 percent of physicians were practicing family and general medicine, compared with 11 percent in 1992.Recently, a larger proportion of physicians has joined group practices, and the average size of a group practice has increased. In 1975, 23.5 percent of physicians worked in a group practice, compared with 32.6 percent in 1991. Between 1975 and 1991, the average size of a group practice increased from 7.9 physicians to 11.5 physicians.The U.S. physician-to-population ratio has been growing since at least 1970. In 1992, there were 255 physicians per 100,000 Americans, up from 161 in 1970. Among physicians with office-based practices, there were 209 physicians per 100,000 Americans in 1992, compared with 134 in 1970.
Publisher:
ISBN:
Category :
Languages : en
Pages : 20
Book Description
Expenditures on physician services amounted to $171 billion in 1993, compared with $13.6 billion in 1970. During this period, the environment in which physicians practice was transformed as a part of the changing health care financing and delivery system. This Issue Brief provides an overview of changes in the health care system that affect the environment in which physicians practice, focusing on what is known and issues needing further analysis.Public and private payers have held down the rate of growth in payments to physicians by restructuring reimbursement. Physician behavior, payment, and practice patterns will be major factors in determining future health care costs and the type and quality of health care individuals receive.In both the private and public sectors, one of the significant changes affecting physician practice patterns has been the movement of insured individuals away from traditional retrospective fee-for-service reimbursement to a prepaid prospective managed care setting. As a result, physicians are more likely to contract with a managed care organization.The way in which physicians are reimbursed for outpatient Medicare services has changed significantly as a result of OBRA '89, which adopted a fee schedule based on a resource based relative value scale coupled with volume performance standards. These changes were designed to eliminate the incentive for physicians to increase service volume.The distribution of physicians across specializations changed significantly between 1970 and 1992. In 1970, 17.3 percent of physicians were practicing family and general medicine, compared with 11 percent in 1992.Recently, a larger proportion of physicians has joined group practices, and the average size of a group practice has increased. In 1975, 23.5 percent of physicians worked in a group practice, compared with 32.6 percent in 1991. Between 1975 and 1991, the average size of a group practice increased from 7.9 physicians to 11.5 physicians.The U.S. physician-to-population ratio has been growing since at least 1970. In 1992, there were 255 physicians per 100,000 Americans, up from 161 in 1970. Among physicians with office-based practices, there were 209 physicians per 100,000 Americans in 1992, compared with 134 in 1970.
Physician Profiling & Performance
Author:
Publisher:
ISBN:
Category : Physician practice patterns
Languages : en
Pages :
Book Description
Publisher:
ISBN:
Category : Physician practice patterns
Languages : en
Pages :
Book Description
Evidence-Based Medicine and the Changing Nature of Health Care
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309113695
Category : Medical
Languages : en
Pages : 202
Book Description
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Publisher: National Academies Press
ISBN: 0309113695
Category : Medical
Languages : en
Pages : 202
Book Description
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Doctors' Decisions and the Cost of Medical Care
Author: John Meyer Eisenberg
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 204
Book Description
This book is an introduction to the research that has elucidated the reasons doctors practice the way they do and make the decisions they do. It reviews the complex array of motivations in medical practice. The book also reviews the programs that have been used to change physicians' prescription of medical services, including education, feedback, participation, administrative rules, incentives, and penalties.1: Understanding variations in physicians' practice patterns. 2: Changing physicians' practice patterns. 3: Directions for research on physician utilization
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 204
Book Description
This book is an introduction to the research that has elucidated the reasons doctors practice the way they do and make the decisions they do. It reviews the complex array of motivations in medical practice. The book also reviews the programs that have been used to change physicians' prescription of medical services, including education, feedback, participation, administrative rules, incentives, and penalties.1: Understanding variations in physicians' practice patterns. 2: Changing physicians' practice patterns. 3: Directions for research on physician utilization
Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies
Author: OECD
Publisher: OECD Publishing
ISBN: 9264805907
Category :
Languages : en
Pages : 447
Book Description
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.
Publisher: OECD Publishing
ISBN: 9264805907
Category :
Languages : en
Pages : 447
Book Description
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.
Physician Practice Patterns Within an Acute Care Facility
Author: Timothy C. McKee
Publisher:
ISBN:
Category :
Languages : en
Pages : 340
Book Description
This thesis presented a hypothesis that hospital cost reduction is possible in a case-based prospective payment environment by improving clinical productivity through changing the volume and mix of imput intermediate products. Potentially inappropriate intermediate product use can be identified through comparisons of different practice patterns that reflect how the intermediate products were combined to produce an inpatient episode of care. However, rather than investigating gross variation in intermediate product use, the variation must be differentiated into its two major components -- patient and physician. Variation in the volume and type of input intermediate products resulting from differences in physician practice styles is probably inappropriate. Before considering implementation of this cost reduction strategy, however, it had to be demonstrated that 1) practice patterns could be identified, 2) the different patterns could be associated with patient, physician, and outcome characteristics, and 3) individual physicians could be associated with the different patterns. The demonstration of the capability to accomplish these tasks was the major thrust of the research effort reported here. The current research had demonstrated that physician-associated practice pattern differences do exist within the demonstration hospital. Therefore, it is concluded that a cost reduction strategy based on improving clinical productivities through modification of inappropriate physician practice styles is feasible.
Publisher:
ISBN:
Category :
Languages : en
Pages : 340
Book Description
This thesis presented a hypothesis that hospital cost reduction is possible in a case-based prospective payment environment by improving clinical productivity through changing the volume and mix of imput intermediate products. Potentially inappropriate intermediate product use can be identified through comparisons of different practice patterns that reflect how the intermediate products were combined to produce an inpatient episode of care. However, rather than investigating gross variation in intermediate product use, the variation must be differentiated into its two major components -- patient and physician. Variation in the volume and type of input intermediate products resulting from differences in physician practice styles is probably inappropriate. Before considering implementation of this cost reduction strategy, however, it had to be demonstrated that 1) practice patterns could be identified, 2) the different patterns could be associated with patient, physician, and outcome characteristics, and 3) individual physicians could be associated with the different patterns. The demonstration of the capability to accomplish these tasks was the major thrust of the research effort reported here. The current research had demonstrated that physician-associated practice pattern differences do exist within the demonstration hospital. Therefore, it is concluded that a cost reduction strategy based on improving clinical productivities through modification of inappropriate physician practice styles is feasible.