Healthcare systems worldwide are swamped with demand, short of resources, and ill-equipped to respond to global health crises like COVID-19. This book is a guide for reforming healthcare delivery. The way we organize care matters, and the people best positioned to drive this are the clinicians who deliver care. The book offers a framework for transforming healthcare delivery that covers operational design, change management, long-term learning, and organizational environment. It describes the work of leading local operational change; identifies key decisions to be made, actions to be taken, and factors that must be taken into account; and gives clinicians the tools and perspectives they need to lead change. The challenge of modern healthcare is to develop better organizations capable of delivering compassionate and individualized care on a grand scale while preserving the personal relationship between clinician and patient and the quality of care at the ward, operating room, clinic, or practice. Informed by extensive research and experience with systems all over the world, Richard Bohmer shows how organizations may transform by deploying a new workforce of clinical change leaders and how clinicians can take greater control over their own working environments.

How can behavioral health clinicians provide managed care in an ethical, professionally satisfying way while also dealing with managed care organizations (MCOs)? This concise yet powerful volume will jump-start clinicians in their search for effective answers. Unlike other managed care guides, which tend to view the clinician-managed care relationship as inherently adversarial, this groundbreaking pocket guide (another in American Psychiatric Publishing's Concise Guides series) views resource management as a basic function -- indeed, an ally -- of ethical clinical practice. True managed care both improves the quality of clinical care and protects community resources. It even stimulates patients to become more active managers of their own care. The author, speaking from extensive first-hand experience as both network provider and MCO administrator, asserts that clinicians must know how to manage care themselves to effectively persuade insurance companies to pay for treatment. Toward that end, the author details the practical tools clinicians need in just five chapters: Chapter 1, Managing Care Ethically, discusses basic principles and methods for making clinical decisions about behavioral health care when resources are limited and methods for communicating these decisions to patients and MCOs. Chapter 2, Managing Nonacute Care, applies the principles and methods from Chapter 1 to providing non-acute, usually outpatient, services. Chapter 3, Managing Acute Care, applies the principles and methods from Chapter 1 to providing acute crisis or inpatient services. Chapter 4, Marketing to Managed Care Organizations, details strategies for negotiating contracts to often unreceptive MCOs who consider their networks full, showing how clinicians can enhance their market value by filling MCO needs. Chapter 5, Managing Utilization Review, offers insights on overseeing the clinical work of colleagues and shaping the health care system, assuming that care managers are professionally obligated to help patients receive the care they need and deserve without intruding on the clinician's role, and that the best management manages least, taking responsibility for efficient resource utilization and ongoing system improvement. This practical guide is more than just a handbook for successfully navigating MCO procedures and market dynamics; it also shows that the outcome of truly managed care can be just as satisfying and effective as care provided with infinite resources. Invaluable to clinicians in everyday practice, this remarkable guide with its unique insights, collaborative approach, and case examples will also find a wide audience among clinical administrators in private and public MCOs who train network clinicians and utilization managers.

The dominance of managed care is spreading quickly and risk managers are suddenly faced with major new challenges. With Managing the Risks of Managed Care, the risk manager will learn about risk management challenges in an integrated delivery system. The book also presents expert analysis on issues like contracting, peer review, ethical dilemmas, antitrust and more.

Disease Management

Take an evidence-based approach that prepares nurses to be leaders at all levels. Learn the skills you need to lead and succeed in the dynamic health care environments in which you will practice. From leadership and management theories through their application, you’ll develop the core competences needed to deliver and manage the highest quality care for your patients. You’ll also be prepared for the initiatives that are transforming the delivery and cost-effectiveness of health care today. New, Updated & Expanded! Content reflecting the evolution of nursing leadership and management New! Tables that highlight how the chapter content correlates with the core competencies of BSN Essentials, ANA Code of Ethics, and Standards of Practice or Specialty Standards of Practice New!10 NCLEX®-style questions at the end of each chapter with rationales in an appendix New & Expanded! Coverage of reporting incidents, clinical reasoning and judgment, communication and judgment hierarchy, quality improvement tools, leveraging diversity, security plans and disaster management, health care and hospital- and unit-based finances, and professional socialization Features an evidence-based and best practices approach to develop the skills needed to be effective nurse leaders and managers—from managing patient care to managing staff and organizations. Encompasses new quality care initiatives, including those from the Institute of Medicine (IOM) Report, AACN Essentials of Baccalaureate Education, and Quality and Safety Education for Nurses (QSEN) Report which form the foundation of the content. Discusses the essentials of critical thinking, decision-making and problem solving, including concepts such as SWOT, 2x2 matrix, root-cause analysis, plan-do-study-act, and failure mode and effects analysis. Demonstrates how to manage conflict, manage teams and personnel, utilize change theory, and budget Uses a consistent pedagogy in each chapter, including key terms, learning outcomes, learning activities, a case study, coverage of evidence, research and best practices, and a chapter summary.

A user-oriented approach to management accounting concepts and techniques This thoroughly revised new edition of Management Accounting in Health Care Organizations provides introductory-level instruction and a user-oriented approach to management accounting concepts and techniques that help prepare students for managerial work in health care. The new edition includes information regarding the role of management accounting in health care organizations, the impact of the Affordable Care Act on managerial responsibilities, recent changes in operational budgeting practices—including a focus on "budget drivers," the importance of managing the revenue cycle, and other factors that have fundamentally altered the use of management accounting in health care organizations over the past several years. Throughout this edition, the author introduces concepts and techniques that will help students identify, analyze, and apply key management accounting principles. The use of practice case studies at the end of each chapter allows students to master the techniques rather than simply memorize them. Assesses the impact of health care's impending fiscal crisis on the management accounting needs of health care organizations Describes the essentials of full-cost accounting, differential-cost accounting, and activity-based accounting, while illustrating their use in health care organizations Explains responsibility accounting and provides guidance on designing a responsibility accounting structure

The 6th edition of this established text is streamlined to a more manageable format, with the Appendices moved to the web-site and a significant shortening of the main text. There is a greater focus on the global analysis of industry and competition; and analysis of the internal environment. In consultation with feedback from their adopters, the authors have concentrated on the fundamentals of strategy analysis and the underlying sources of profit. This reflects waning interest among senior executives in the pursuit of short-term shareholder value. As ever students are provided with the guidance they need to strategic planning, analysis of the health services environment (internal and external) and lessons on implementation; with additional discussionssion of organizational capability, deeper treatment of sustainability and corporate social responsibility and more coverageof the sources of organizational inertia and competency traps. This edition is rich in new examples from real-world health care organizations. Chapters are brought to life by the 'Introductory Incidents', 'Learning Objectives', 'Perspectives', 'Strategy Capsules', useful chapter summaries; and questions for class discussion. All cases and examples have been updated or replaced. In this edition the teaching materials and web supplements have been greatly enhanced, with power-point slides, to give lecturers a unique resource.

Managing Health Care Information Systems Managing Health Care Information Systems teaches key principles, methods, and applications necessary to provide access to timely, complete, accurate, legible, and relevant health care information. Written by experts for students and professionals, this well-timed book provides detailed information on the foundations of health care information management; the history, legacy, and future of health care information systems; the architecture and technologies that support health care information systems; and the challenges for senior management in information technology, such as organization, alignment with strategic planning, governance, planning initiatives, and assessing and achieving value. Comprehensive in scope, Managing Health Care Information Systems includes substantial discussion of data quality, regulation, laws, and standards; strategies for system acquisition, use, and support; and standards and security. Each chapter includes an overview and summary of the material, as well as learning activities. The activities provide students with the opportunity to explore more fully the concepts presented. Praise for Managing Health Care Information Systems "This is the first book that comprehensively describes both opportunities and issues in the effective management of information technology in health care." —James. I. Cash, Ph.D., retired James E. Robinson Professor, Harvard Business School, and chairman of IT Committee, Partners HealthCare System, Inc., Board of Trustees "The challenges of managing information systems and technology in an electronic health care environment are many. Finally here is a book that succinctly takes the reader from the basics to the boardroom in meeting such challenges. This book is a great resource." —Melanie S. Brodnik, Ph.D., director, Health Informatics and Information Management, The Ohio State University "Collaboration among authors—academicians and a nationally known CIO—has produced an excellent resource for graduate students and health care executives who wish to learn about health information technologies, systems, and their management." —Ramesh K. Shukla, Ph.D., professor and director, Williamson Institute for Healthcare Leadership, Department of Health Administration, Virginia Commonwealth University

Evaluate and treat common fractures and know when to refer uncommon ones to a specialist. This quick, practical resource by Drs. M. Patrice Eiff and Robert L. Hatch presents detailed descriptions and illustrations, and current best guidelines for imaging and treating fractures so you can make accurate identifications and manage patients with confidence. Accurately identify fractures using optimal imaging guidelines. Apply splints and casts successfully thanks to detailed descriptions and illustrations of technique. Effectively manage emergency situations using guidelines for emergent referral, greater detail regarding methods for closed reductions for fractures and dislocations, and more Tap into the latest best practices through more evidence-based coverage and updated references.

This Revised Reprint of our 8th edition, the "gold standard" in community health nursing, Public Health Nursing: Population-Centered Health Care in the Community, has been updated with a new Quality and Safety Education in Nursing (QSEN) appendix that features examples of incorporating knowledge, skills, and attitudes to improve quality and safety in community/public health nursing practice. As with the previous version, this text provides comprehensive and up-to-date content to keep you at the forefront of the ever-changing community health climate and prepare you for an effective nursing career. In addition to concepts and interventions for individuals, families, and communities, this text also incorporates real-life applications of the public nurse's role, Healthy People 2020 initiatives, new chapters on forensics and genomics, plus timely coverage of disaster management and important client populations such as pregnant teens, the homeless, immigrants, and more. Evidence-Based Practice boxes illustrate how the latest research findings apply to public/community health nursing.Separate chapters on disease outbreak investigation and disaster management describe the nurse's role in surveilling public health and managing these types of threats to public health.Separate unit on the public/community health nurse's role describes the different functions of the public/community health nurse within the community.Levels of Prevention boxes show how community/public health nurses deliver health care interventions at the primary, secondary, and tertiary levels of prevention.What Do You Think?, Did You Know?, and How To? boxes use practical examples and critical thinking exercises to illustrate chapter content.The Cutting Edge highlights significant issues and new approaches to community-oriented nursing practice.Practice Application provides case studies with critical thinking questions.Separate chapters on community health initiatives thoroughly describe different approaches to promoting health among populations.Appendixes offer additional resources and key information, such as screening and assessment tools and clinical practice guidelines. NEW! Quality and Safety Education in Nursing (QSEN) appendix features examples of incorporating knowledge, skills, and attitudes to improve quality and safety in community/public health nursing practice.NEW! Linking Content to Practice boxes provide real-life applications for chapter content.NEW! Healthy People 2020 feature boxes highlight the goals and objectives for promoting health and wellness over the next decade.NEW! Forensic Nursing in the Community chapter focuses on the unique role of forensic nurses in public health and safety, interpersonal violence, mass violence, and disasters. NEW! Genomics in Public Health Nursing chapter includes a history of genetics and genomics and their impact on public/community health nursing care.