Quality Assurance in Managed Care Organizations

Quality Assurance in Managed Care Organizations PDF Author:
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 172

Book Description


Managing Managed Care

Managing Managed Care PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175054
Category : Medical
Languages : en
Pages : 394

Book Description
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.

Managed Care Quality

Managed Care Quality PDF Author: A. F. Al-Assaf
Publisher: CRC Press
ISBN: 1000162141
Category : Law
Languages : en
Pages : 294

Book Description
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.

An Introduction to Quality Assurance in Health Care

An Introduction to Quality Assurance in Health Care PDF Author: Avedis Donabedian
Publisher: Oxford University Press
ISBN: 0199748020
Category : Medical
Languages : en
Pages : 233

Book Description
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.

A Health Care Quality Improvement System for Medicaid Managed Care

A Health Care Quality Improvement System for Medicaid Managed Care PDF Author:
Publisher:
ISBN:
Category : Government publications
Languages : en
Pages : 114

Book Description


A Primer on Assessing Managed Care Quality

A Primer on Assessing Managed Care Quality PDF Author: Barbara Tymann
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 56

Book Description


Medicare

Medicare PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309042305
Category : Medical
Languages : en
Pages : 462

Book Description
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.

Managing Managed Care

Managing Managed Care PDF Author: Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care
Publisher: National Academies Press
ISBN: 0309523680
Category : Medical
Languages : en
Pages : 395

Book Description
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.

Union Guide to Quality Managed Care

Union Guide to Quality Managed Care PDF Author:
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 92

Book Description


Continuous Quality Improvement in Health Care

Continuous Quality Improvement in Health Care PDF Author: Curtis P. McLaughlin
Publisher: Jones & Bartlett Learning
ISBN: 9780763726294
Category : Health services administration
Languages : en
Pages : 696

Book Description
Health Administration