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Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309055342 Category : Medical Languages : en Pages : 497
Book Description
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.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309055342 Category : Medical Languages : en Pages : 497
Book Description
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.
Author: Bruce Rosen Publisher: World Scientific ISBN: 9814452130 Category : Medical Languages : en Pages : 704
Book Description
Serious scholarly analyses of the types and roles of accountability in health care first appeared in the late 1980s. That issue, along with the related issue of responsibility in health care, has continued to interest policymakers, analysts and scholars ever since. Indeed, there has been a renewed surge of interest in recent years, with growing attention to the notion of accountable care organizations in the US, clinical audits in the UK, and governance as stewardship in many other countries. Accountability and responsibility in health care was also the theme of a major international conference organized by the Israel National Institute for Health Policy Research, which was held in Jerusalem in 2009. This book is a collection of scholarly articles on the themes of accountability and responsibility in health care and seeks to be the premier book in that field. It includes selected papers from the 2009 Jerusalem Conference, analytic essays on how accountability and responsibility are playing out in eight different countries, and reprints of some of the classic articles in the field. The book will interest policymakers, managers, researchers and students, and many of the ideas presented here will help shape the development of this field in the years ahead. Some of these ideas have appeared in other forums; the unique contribution of this volume is that it is the first to bring together so many different perspectives on accountability and responsibility in health care. This volume will both acquaint readers with some of the latest thinking on accountability and responsibility in health care, and will serve as a catalyst for future reflection, research and writing in this area. Contents:Preliminaries and Introductory Essays:Preface (Richard Scheffler)General Introduction and an Overview of the Volume (Bruce Rosen, Avi Israeli and Stephen Shortell)Accountability in Health Care Reconsidered (Bruce Rosen, David Chinitz and Avi Israeli)Responsibility and Accountability — Talk is Cheap … (Avi Israeli)From the Classics:Introduction to the Classic Articles (Bruce Rosen)What Is Accountability in Health Care? (Ezekiel J Emanuel and Linda L Emanuel)The Ethics of Accountability in Managed Care Reform (Norman Daniels and James Sabin)Assessment and Accountability: The Third Revolution in Medical Care (Arnold S Relman)Agency, Contract, and Governance: Shifting Shapes of Accountability in the Health Care Arena (Carolyn Hughes Tuohy)Country Essays:Introduction to the Country Essays (Bruce Rosen and Suszy Lessof)Canada (Gregory P Marchildon and Sara Allin)Czech Republic (Ewout van Ginneke and Jan Šturma)England (Anna Maresso)Hungary (Péter Gaál, Szabolcs Szigeti and Matthew Gaskins)Israel (Bruce Rosen and Avi Israeli)Italy (Anna Maresso and Andrea Donatini)Finland (Lauri Vuorenkoski and Philipa Mladovsky)Spain (Sandra García-Armesto, Cristina Hernández-Quevedo, M B Abadía-Taira and E Bernal-Delgado)Selected Papers From the Jerusalem Health Policy Conference:Preface (Shlomo Mor-Yosef)Introduction to the Conference Papers (Avi Israeli, Stephen Shortell and Bruce Rosen)Section A: Public Accountability: Governance and StewardshipIntroduction — Public Accountability (Richard B Saltman, Gabriel I Barbash and Jack Habib)Context, Culture, and the Practical Limits of Health Sector Accountability (Richard B Saltman)Difficulties in Making Accountability Practical (Ezekiel Emanuel)Responsibility and Accountability in Preventive Medicine — Are We Doing Too Much or Too Little? (Siegal Sadetzki)The Global Shortage of Health Workers and Pay for Performance (Richard M Scheffler)Addressing Healthcare Inequities in Israel by Eliminating Prescription Drug Copayments (Asher Elhayany and Shlomo Vinker)Common Trends in Public Stewardship of Health Care (Gregory P Marchildon and Wallace Lockhart)Section B: Social SupportIntroduction — Social Support (David Chinitz, Martin McKee and Rachel Nissanholtz)Legends of Health Policy and Management (David Chinitz)Solidarity in a Changing World (Martin McKee)Health Inequity in Israel: Past, Present, and Future (Leon Epstein)Reducing Health Inequalities in Clalit Health Services: From Vision to Reality (Ran Balicer, Efrat Shadmi, Ornit Bartal, Nicky Lieberman, Dorit Weiss, Margalit Goldfracht, Arnon D Cohen, Sigal Regev-Rosenberg, Orit Jacobson and Eli Defes)From Measurement to Comprehensive Policy: The Action Plan of Maccabi Healthcare Services to Increase Equity (Rachel Wilf-Miron, Irene Lewenhoff, Orna Shem-Tov, Einat Yaari, Avi Porath and Ehud Kokia)Tackling the Inverse Care Law in the UK (Rosalind Raine)Health Rights Information from the Perspective of Ethiopian Immigrants: Issues, Barriers, and Policy Recommendations (Nurit Guttman, Seffefe Aychech, Anat Gesser-Edelsburg, Avital Moran and Linda-Réne Bloch)Social Support, Health Promotion, and the Built Environment: Vignettes from the Active Living by Design Program (Lawrence Brown)The Role of Regional Health Improvement Collaboratives in Health Policy, USA (Karen Wolk Feinstein, Susan Elster and Scott Rosenblum)Section C: Personal ResponsibilityIntroduction — Personal Responsibility (Yael Ashkenazi, Mordechai Shani and Rosalind Raine)Personal Responsibility: Preliminary Remarks (Mordechai Shani)Personal Responsibility for Health: A Proposal for a Nuanced Approach (Harald Schmidt)Consumer-Driven Health Care: Conquering Health Care Cost and Quality Demons (Regina E Herzlinger)Personal Responsibility versus Responsible Options: Compliance Meets Public Health in the United States (Joseph R Betancourt and Marina C Cervantes)Leadership and the Road to Personal Responsibility for Healthy Behavior — Between Autonomy and Paternalistic Interventions (Gil Siegal and Neomi Siegal)Personal and State Responsibilities in Vaccination: A Two-Way Road (Baruch Velan)Supporting Behavioral Change: Whose Responsibility? (Gene Bishop)Patient Empowerment and the Doctor-Patient Relationship (Leah Wapner and Malke Borow)Section D: Performance ManagementIntroduction — Performance Management (Alan Garber, Amir Shmueli and Shuli Brammli-Greenberg)Aligning Incentives to Achieve the Performance One Cannot (Micro) Manage (Harold S Luft)From Quality Information to Quality Improvements: An Exploratory Study of Health Plan Actions (Bruce Rosen and Rachel Nissanholtz)A Four-Year Project for Implementing Hospital Quality Indicators in Israel (Jacob Dreiher, Eytan Wirtheim, Amit Nachman, Ehud Davidson, Arnon D Cohen, Anat Ahimas, Ronit Safar, Haim Bitterman and Itamar Shalit)The Role of Comparative Effectiveness Research in Health Reform (Alan M Garber)Pay for Performance: Proceed with Care! (Alan Maynard)Conclusions and Take-Away Lessons (Stephen Shortell) Readership: Policymakers, managers, scholars and researchers in the healthcare industry. Keywords:Accountability;Healthcare;Ethics;Governance;Health Workforce;Stewardship;Health Policy and Management;Personal Responsibility;Government;SocialKey Features:The book includes pivotal material based on a 2009 global health conference comprising over 700 individuals from more than 30 countriesThe volume showcases reports by leading experts from 8 different countries on the latest developments in global accountability and responsibility in health careFew books in this area offer such a unique perspective
Author: Carolyn L. Wiener Publisher: Transaction Publishers ISBN: 9780202369624 Category : Social Science Languages : en Pages : 276
Book Description
Wiener (Research Sociologist, School of Nursing, U. of California) examines the large oversight apparatus that has been established to promote hospital accountability and the arena that has developed around it comprised of consultants, measurement experts, researchers, software developers, and numerous others.
Author: Carl Couch, MD, MMM, FAAFP Publisher: CRC Press ISBN: 1498743358 Category : Medical Languages : en Pages : 208
Book Description
While many health care organizations need to improve health care quality and lower costs, most lack specific strategies and tactics for implementing these changes. Baylor Scott & White Health has established and continues to develop an accountable care organization (ACO) called the Baylor Scott & White Quality Alliance (BSWQA) to improve the quality of care and decrease health care costs through clinical integration. Accountable: The Baylor Scott & White Quality Alliance Accountable Care Journey tells the story of the BSWQA and its clinical network and payers who are committed to delivering accountable, value-based patient care. It describes the need for ACOs in today's health care environment and details the framework and requirements needed to establish one. The book provides readers with essential background information about accountable care, including the Triple Aim and population health management. It outlines the infrastructure and governance framework needed to establish a successful ACO and supplies real-world examples from the ACO owned by Baylor Scott & White Health, the largest not-for-profit health care system in Texas. The book explores the concept of accountability for all stakeholders in today’s complex care systems, as well as the role of personal and organizational accountability in managing patient populations. It also includes detailed outlines to guide you in developing your own accountable care organization—from step-by-step details of legal requirements to an outline of the role of payers in this model.
Author: Eileen L. Dohmann Publisher: HC Pro, Inc. ISBN: 1601467311 Category : Medical Languages : en Pages : 127
Book Description
Learn six proven strategies to hold your nurses, aides, and therapists accountable while working in the field. Foster an environment of responsibility and commitment for the best level of patient care. Set expectations for staff. Homecare staff often work in the field with little direct supervision. The level of autonomy can be challenging. In this first accountability book written for home health agencies, the author reveals her successful six-step plan that she uses with her own homecare staff with measurable results. This manual provides helpful tools to set expectations for behavior and standards of practice. It's a key training resource for both new and experienced managers. Perfect for directors/administrators, clinical managers, clinical operations managers, and clinical educators.
Author: E. Haavi Morreim Publisher: Oxford University Press ISBN: 0199748942 Category : Medical Languages : en Pages : 337
Book Description
Health care in the US and elsewhere has been rocked by economic upheaval. Cost-cuts, care-cuts, and confusion abound. Traditional tort and contract law have not kept pace. Physicians are still expected to deliver the same standard of care -- including costly resources - to everyone, regardless whether it is paid for. Health plans can now face litigation for virtually any unfortunate outcome, even those stemming from society's mandate to keep costs down while improving population health. This book cuts through the chaos and offers a clear, persuasive resolution. Part I explains why new economic realities have rendered prevailing malpractice and contract law largely anachronistic. Part II argues that pointing the legal finger of blame blindly or hastily can hinder good medical care. Instead of "whom do we want to hold liable," we should focus first on "who should be doing what, for the best delivery of health care." When things go wrong, each should be liable only for those aspects of care they could and should have controlled. Once a good division of labor is identified, what kind of liability should be imposed depends on what kind of mistake was made. Failures to exercise adequate expertise (knowledge, skill, care effort) should be addressed as torts, while failures to provide promised resources should be resolved under contract. Part III shows that this approach, though novel, fits remarkably well with basic common law doctrines, and can even enlighten ERISA issues. With extensive documentation from current case law, commentary, and empirical literature, the book will also serve as a comprehensive reference for attorneys, law professors, physicians, administrators, bioethicists, and students.
Author: Leona Enama Markson Publisher: ISBN: Category : Hospitals Languages : en Pages : 304
Book Description
In this book, we first provide an extensive introduction to the topic of accountability in health care to set the stage for the growth, interest, and demand for information on quality of medical care. The chapters that follow our introduction are dedicated to issues surrounding (1) the federal government's influence on quality of care initiatives; (2) the contributions of state data organizations; (3) the information demands from business coalitions on health; (4) the information needs of health care purchasers; (5) the impact of accountability demands on hospitals;(6) the compatibility of public accountability efforts with quality improvement programs; (7) the responsibility of physicians for outcomes of medical care; and (8)perspectives on future directions in health care accountability.
Author: Peter A. Gross Publisher: JHU Press ISBN: 1421438267 Category : Medical Languages : en Pages : 343
Book Description
A valuable guide to starting and running a successful accountable care organization. Health care in America is undergoing great change. Soon, accountable care organizations—health care organizations that tie provider reimbursements to quality metrics and reductions in the cost of care—will be ubiquitous. But how do you set up an ACO? How does an ACO function? And what are the keys to creating a profitable ACO? Pathways to a Successful Accountable Care Organization will help guide you through the complicated process of establishing and running an ACO. Peter A. Gross, MD, who has firsthand experience as the chairman of a successful ACO, breaks down how he did it and describes the pitfalls he discovered along the way. In-depth essays by a group of expert authors touch on • the essential ingredients of a successful ACO • monitoring and submitting Group Practice Reporting Option quality measures • mastering your patients' responses to the Consumer Assessment of Health Plans Survey • how bundled payments and CPC+ can meld with your ACO • how MACRA and MIPS affect your ACO • the role of an ACO/CIN • the complexities of post-acute care • data analytics • engaging and integrating physician practices Dr. Gross and his colleagues are in a perfect position to guide other health care leaders through the ACO process while also providing excellent case studies for policy professionals who are interested in how their work influences health care delivery. Readers will come away with the necessary knowledge to thrive and be rewarded with cost savings. Contributors: Joshua Bennett, Allison Brennan, Glen Champlin, Kris Corwin, Guy D'Andrea, Joseph F. Damore, Mitchel Easton, Andy Edeburn, Seth Edwards, Jennifer Gasperini, Kris Gates, Shawn Griffin, Peter A. Gross, Brent Hardaway, Mark Hiller, Beth Ireton, Thomas Kloos, Jeremy Mathis, Miriam McKisic, Morey Menacker, Denise Patriaco, Elyse Pegler, John Pitsikoulis, Michael Schweitzer, Bryan F. Smith
Author: Institute of Medicine
Author: Institute of Medicine
Author: E. Haavi Morreim
Author: Bruce Rosen
Author: Carolyn L. Wiener
Author: 
Author: Carl Couch, MD, MMM, FAAFP
Author: Eileen L. Dohmann
Author: E. Haavi Morreim
Author: Leona Enama Markson
Author: Peter A. Gross