A Model for Evaluating the Performance of Health Maintenance Organizations
| Author | : Robert G. Shouldice |
| Publisher | : |
| Total Pages | : 822 |
| Release | : 1974 |
| Genre | : Health maintenance organizations |
| ISBN | : |
A Model For Evaluating The Performance Of Health Maintenance Organizations
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Health Care Benchmarking and Performance Evaluation
| Author | : Yasar A. Ozcan |
| Publisher | : Springer |
| Total Pages | : 346 |
| Release | : 2014-07-01 |
| Genre | : Business & Economics |
| ISBN | : 1489974725 |
This new edition continues to emphasize the use of data envelopment analysis (DEA) to create optimization-based benchmarks within hospitals, physician group practices, health maintenance organizations, nursing homes and other health care delivery organizations. Suitable for graduate students learning DEA applications in health care as well as for practicing administrators, it is divided into two sections covering methods and applications. Section I considers efficiency evaluations using DEA; returns to scale; weight restricted (multiplier) models; non-oriented or slack-based models, including in this edition two versions of non-controllable variable models and categorical variable models; longitudinal (panel) evaluations and the effectiveness dimension of performance evaluation. A new chapter then looks at new and advanced models of DEA, including super-efficiency, congestion DEA, network DEA, and dynamic network models. Mathematical formulations of various DEA models are placed in end-of-chapter appendices. Section II then looks at health care applications within particular settings, chapter-by-chapter, including hospitals, physician practices, nursing homes and health maintenance organizations (HMOs). Other chapters then explore home health care and home health agencies; dialysis centers, community mental health centers, community-based your services, organ procurement organizations, aging agencies and dental providers; DEA models to evaluate provider performance for specific treatments, including stroke, mechanical ventilation and perioperative services. A new chapter then examines international-country-based applications of DEA in health care in 16 different countries, along with OECD and multi-country studies. Most of the existing chapters in this section were expanded with recent applications. Included with the book is online access to a learning version of DEA Solver software, written by Professor Kaoru Tone, which can solve up to 50 DMUs for various DEA models listed in the User’s Guide at the end of the book.
National HMO Census of Prepaid Plans
| Author | : |
| Publisher | : |
| Total Pages | : 52 |
| Release | : 1980 |
| Genre | : Health maintenance organizations |
| ISBN | : |
Health Care Benchmarking and Performance Evaluation
| Author | : Yasar A. Ozcan |
| Publisher | : Springer Science & Business Media |
| Total Pages | : 227 |
| Release | : 2007-12-08 |
| Genre | : Business & Economics |
| ISBN | : 0387754482 |
Hugely relevant in today’s world of healthcare performance management, this comprehensive work applies the analytical framework of Data Envelopment Analysis methodology to provide health care administrators with specific tools for performance evaluation. Most important, the book provides health care practitioners and administrators with information of what is lacking in specific aspects of performance and then outlines the ways how these performance inadequacies can be improved.
Measuring the Quality of Health Care
| Author | : The National Roundtable on Health Care Quality |
| Publisher | : National Academies Press |
| Total Pages | : 42 |
| Release | : 1999-02-23 |
| Genre | : Medical |
| ISBN | : 0309570689 |
The National Roundtable on Health Care Quality was established in 1995 by the Institute of Medicine. The Roundtable consists of experts formally appointed through procedures of the National Research Council (NRC) who represent both public and private-sector perspectives and appropriate areas of substantive expertise (not organizations). From the public sector, heads of appropriate Federal agencies serve. It offers a unique, nonadversarial environment to explore ongoing rapid changes in the medical marketplace and the implications of these changes for the quality of health and health care in this nation. The Roundtable has a liaison panel focused on quality of care in managed care organizations. The Roundtable convenes nationally prominent representatives of the private and public sector (regional, state and federal), academia, patients, and the health media to analyze unfolding issues concerning quality, to hold workshops and commission papers on significant topics, and when appropriate, to produce periodic statements for the nation on quality of care matters. By providing a structured opportunity for regular communication and interaction, the Roundtable fosters candid discussion among individuals who represent various sides of a given issue.
National HMO Census
| Author | : |
| Publisher | : |
| Total Pages | : 48 |
| Release | : 1981 |
| Genre | : Health maintenance organizations |
| ISBN | : |
Managing Managed Care
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 394 |
| Release | : 1997-04-21 |
| Genre | : Medical |
| ISBN | : 0309175054 |
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.
For-Profit Enterprise in Health Care
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 580 |
| Release | : 1986-01-01 |
| Genre | : Medical |
| ISBN | : 0309036437 |
"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
Pay for Performance in Health Care
| Author | : Jerry Cromwell |
| Publisher | : RTI Press |
| Total Pages | : 388 |
| Release | : 2011-02-28 |
| Genre | : Medical |
| ISBN | : 1934831042 |
This book provides a balanced assessment of pay for performance (P4P), addressing both its promise and its shortcomings. P4P programs have become widespread in health care in just the past decade and have generated a great deal of enthusiasm in health policy circles and among legislators, despite limited evidence of their effectiveness. On a positive note, this movement has developed and tested many new types of health care payment systems and has stimulated much new thinking about how to improve quality of care and reduce the costs of health care. The current interest in P4P echoes earlier enthusiasms in health policy—such as those for capitation and managed care in the 1990s—that failed to live up to their early promise. The fate of P4P is not yet certain, but we can learn a number of lessons from experiences with P4P to date, and ways to improve the designs of P4P programs are becoming apparent. We anticipate that a “second generation” of P4P programs can now be developed that can have greater impact and be better integrated with other interventions to improve the quality of care and reduce costs.
Managed Competition
| Author | : |
| Publisher | : DIANE Publishing |
| Total Pages | : 120 |
| Release | : 1993-07 |
| Genre | : Medical |
| ISBN | : 9780788100260 |
Pamphlet from the vertical file.
