Download or read book Pathways to a Successful Accountable Care Organization written by Peter A. Gross and published by Johns Hopkins University Press. This book was released on 2020-08-18 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

Download or read book The Medicare Handbook written by and published by . This book was released on 1988 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Health Insurance and Managed Care written by Peter R. Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2019-02-14 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.

Download or read book Clinical Nurse Leader Certification Review Third Edition written by Cynthia R. King, PhD, NP, MSN, RN, CNL, FAAN and published by Springer Publishing Company. This book was released on 2020-09-20 with total page 435 pages. Available in PDF, EPUB and Kindle. Book excerpt: Includes 6 months free ExamPrepConnect Digital Access with print purchase! The third edition of this gold standard for CNL certification review continues to provide healthcare facilities and clients with validation of the qualifications and knowledge of this advanced nursing generalist practice role. This certification review is a product of Dr. King's rigorous exam preparation course, which resulted in a 100% pass rate among students. This review serves as a helpful guide for faculty on how to design CNL review courses, and has been used to teach in CNL programs, as well as for students and nurses preparing to take the exam. Following an introductory section examining the CNL role, how to make the best use of the review, and strategies for taking tests, this text is organized to reflect the latest exam content outline, mirroring the domains and subdomains of the exam. It provides detailed information on how to analyze and interpret exam questions, disseminates expert test-taking skills, and offers a detailed content review of everything you need to know for exam success. It delivers new information corresponding to the new Commission on Nurse Certification (CNC) outline, with updated chapters on healthcare advocacy and ethics, lateral integration, interprofessional skills, team coordination, and evidence-based practice. New to the Third Edition: Reflects updates and revisions based on the most recent exam content outline Provides 200 new multiple-choice Q&As with rationale created from scratch Delivers 16 new unfolding case studies Offers new objectives, updated summaries, and innovative review activities to reinforce material in each chapter Key Features: Explains how to analyze and interpret questions for exam success Promotes savvy test-taking skills Includes a comprehensive exam with answers and rationales Includes an expanded glossary and additional tables and figures Provides easy access to information with an appendix that cross-references questions to appropriate exam content topics

Download or read book The Future of Nursing 2020 2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Download or read book The Complete RHIT RHIA Prep A Guide for Your Certification Exam and Your Career written by Payel Bhattacharya Madero and published by Jones & Bartlett Learning. This book was released on 2019-11-06 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Aligned to the latest AHIMA Core Competencies, The Complete RHIT and RHIA Prep: A Guide for Your Certification Exam and Your Career provides a comprehensive review of the RHIT and RHIA Exam Competency Standards through RHIT Review Online Interactive Modules, online test prep, and an accompanying text that will help students prepare for the RHIT exam. The RHIT Review Online Interactive Modules are a set of online presentations that use voiceover to review essential topicd and provide practicum exercises and interactive decision making simulations to ensure student understanding. Additionally, each of these interactive modules offers a 10 question multiple choice domain topic test. Once students have completed all the interactive modules, they can test their knowledge by taking a final mock exam and/or access hundreds of multiple choice questions for practice and review. The accompanying text offers additional multiple-choice questions, reviews details about the exam and more.

Download or read book Integrating Social Care into the Delivery of Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-30 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.

Download or read book The science and art of value in healthcare Measures voices and methods written by Jon Arsen Chilingerian and published by Frontiers Media SA. This book was released on 2022-12-29 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Population Health for Nurses written by Diana R. Mager, DNP, RN-BC and published by Springer Publishing Company. This book was released on 2019-11-28 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: A nurse’s field guide to improving health outcomes for distinct patient populations This practical text is distinguished by its in-depth coverage of populations, ranging from opioidaddicted veterans to young children suffering from obesity. Focused on the educational needs of students in undergraduate and bridge programs, this book is grounded in evidence-based practice, in-depth content, and clinical case studies. Five sections address population health in the following settings: community-based care, home and rural health, school-based and primary care, medical home and palliative care, and acute and long-term care. Each section begins with an overview chapter addressing fundamental concepts, characteristic trends, expenditures, and critical considerations. Subsequent chapters provide descriptions of varied patient populations, relevant care settings, and examples of the RN’s role within each setting. Chapters conclude with a case study that illustrates a day in the life of a typical nurse, which includes assessment and evaluation of present symptoms, demographic information, social and environmental determinants, and medical background. Chapters also encompass advocacy and policy roles, care access, emergency preparedness, and community resiliency. Key Features: Focuses on the needs of students in undergraduate and bridge programs Provides specific examples and context using a “population of interest” approach Exposes nurses and future nurses to a multitude of diverse work settings Case studies are written from the nurse’s perspective Addresses current medical issues among populations with an emphasis on practical content application Grounded in evidence-based principles Clinical reasoning exercises (Q&As with rationales) and lists of key terms with definitions Supplemental Instructor’s PowerPoints included

Download or read book Social Work and Integrated Care written by Robin Miller and published by Routledge. This book was released on 2019-04-30 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social Work and Integrated Care draws on the latest research, practice and theory to explore integration within both child and adult services. Although all the home nations in the UK view integrated care as a top priority within health and social care policy, many people continue to experience fragmented care. This book sets out the case for integration, considers the evidence of its impact, and discusses the implementation challenges that must be overcome. Packed full of current examples of integration, from across the UK and internationally, and reflexive exercises which highlight practice issues for social workers, it provides the following key learning outcomes: • An understanding of what is meant by integrated care and why it is seen as vital to a modern health and social system. • A knowledge of the expected impacts in relation to improving the experience and outcomes for individuals and their families, addressing inequalities and promoting health and wellbeing and increasing financial efficiency. • A recognition of the common barriers to integrated care and what such fragmentation can mean for individuals and their families. • A critical review of key approaches to promote integration and their practical implementation. • Reflection on the potential contribution of social workers and their own collaborative practice. Providing a comprehensive and accessible overview of integrated care policies and practice, this book will help prepare social workers for the realities of collaborating with other professions and services. It should be considered essential reading for students undertaking their professional qualification and those who are in practice who are looking to improve their ability to collaborate.

Download or read book Population Health Creating a Culture of Wellness written by David B. Nash and published by Jones & Bartlett Learning. This book was released on 2019-11-11 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the passage of the Affordable Care Act, the field of population health has evolved and matured considerably. Improving quality and health outcomes along with lowering costs has become an ongoing focus in delivery of health care. The new Third Edition of Population Health reflects this focus and evolution in today's dynamic healthcare landscape by conveying the key concepts of population health management and examining strategies for creating a culture of health and wellness in the context of health care reform. Offering a comprehensive, forward-looking approach to population health, the Third Edition's streamlined organization features 14 chapters divided among 3 major sections: Part I – Population Health in the U.S.; Part 2 –The Population Health Ecosystem: and Part 3 – Creating Culture Change.

Download or read book Health Care Finance Economics and Policy for Nurses Second Edition written by Betty Rambur, PhD, RN, FAAN and published by Springer Publishing Company. This book was released on 2021-03-25 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: "[This book] will change how you practice, how you think about health care and your contributions as a nurse, and it will better prepare you to thrive and advance in the future" -Peter I. Buerhaus, PhD, RN, FAAN, FAANP(h) Professor of Nursing Director, Center for Interdisciplinary Health Workforce Studies Montana State University From the Foreword This succinct, engaging text for graduate and undergraduate nursing programs distills the complexities of health care finance, economics, and policy into a highly accessible resource that can be applied to any practice setting. It presents economic and financial dynamics in healthcare as a precursor to policy and advocacy in nurses. The second edition adds graduate-level considerations and is updated to reflect our current political and legislative landscape. Real-life illustrations support foundational concepts and interactive quizzes reinforce information. Faculty resources include PowerPoint slides, a test bank, comprehensive review questions, and a sample syllabus. New to the Second Edition: New chapter on early lessons from COVID-19 Adds graduate-level considerations to content Updated to reflect current political and legislative landscape Expands payment section to include advanced practice roles Includes updated information on the Patient Protection and Affordable Care Act, The Tax Cuts and Jobs Act, and Supreme Court deliberations Key Features: Presents complex concepts in easy-to-understand language Addresses policy and payment competencies that align with nursing program accreditation criteria Breaks down complex financial principles to educate nurses with no prior understanding of health care finance Includes practical, accessible real-life examples to help make sense of complex health care systems Provides interactive quizzes so readers can test knowledge Includes a step-by-step, skill-building guide to enhancing professional influence through participation on governing boards Compatible with online teaching and coursework

Download or read book Economics of Health and Medical Care written by Lanis Hicks and published by Jones & Bartlett Learning. This book was released on 2020-02-26 with total page 389 pages. Available in PDF, EPUB and Kindle. Book excerpt: Economics of Health and Medical Care is an introduction to population-based health economics as well as the traditional, market-oriented approach to health care economics. The book examines economics through the lens of descriptive, explanatory, and evaluative economics. The Seventh Edition is an extensive revision that reflects the vast changes that have been occurring in the health care industry and in the economy, most notably in the areas for payment systems and quality improvement. Additionally, the text offers expanded discussion of the impact of the Affordable Care Act on the demand for healthcare services and health insurance, particularly regarding Medicare and Medicaid programs. Evolving issues in healthcare as well as discussion of the implication for efficiency in the production and consumption of healthcare services are covered throughout the text.

Download or read book Health Informatics Practical Guide for Healthcare and Information Technology Professionals Fifth Edition written by Robert E Hoyt and published by Lulu.com. This book was released on 2012 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Informatics (HI) focuses on the application of information technology (IT) to the field of medicine to improve individual and population healthcare delivery, education and research. This extensively updated fifth edition reflects the current knowledge in Health Informatics and provides learning objectives, key points, case studies and references. Topics include: HI Overview; Healthcare Data, Information, and Knowledge; Electronic Health Records, Practice Management Systems; Health Information Exchange; Data Standards; Architectures of Information Systems;Health Information Privacy and Security; HI Ethics; Consumer HI; Mobile Technology; Online Medical Resources; Search Engines; Evidence-Based Medicine and Clinical Practice Guidelines; Disease Management and Registries; Quality Improvement Strategies; Patient Safety; Electronic Prescribing; Telemedicine; Picture Archiving and Communication Systems; Bioinformatics; Public HI; E-Research. Available as a printed copy and E-book.

Download or read book Pharmacist Services written by Jon Schommer and published by MDPI. This book was released on 2019-11-04 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: The overall goal of this book is to give the reader a state-of-the-art synopsis of the pharmacist services domain. To accomplish this goal, the authors have addressed the social, psychosocial, political, legal, historic, clinical, and economic factors that are associated with pharmacist services. In this book, you will gain cutting-edge insights from learning about the research of experts throughout the world. The findings have relevance for enhancing pharmacist professionalism, pharmacist practice, and the progression of pharmacist services in the future.

Download or read book Telemedicine written by Dee W. Ford and published by Springer Nature. This book was released on 2021-03-03 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an overview of key issues with regards to implementing telemedicine services as well as an in depth overview of telemedicine in pulmonary, critical care, and sleep medicine. Topics range from specific practices to program development. Telemedicine has experienced explosive growth in recent years and yet, implementing telemedicine solutions is complex with substantial regulatory, legal, financial, logistical, and intra-organization/intra-personal barriers that must be overcome. This book provides the necessary information and guidance to address those complex issues. This book is broadly divided into two parts 1) a primer on requisite steps before embarking on telemedicine service development and 2) specific applications and examples where telemedicine is successfully utilized to improve quality of care in pulmonary, critical care, and sleep medicine. The first part includes coverage of telemedicine and finance, regulatory and legal issues, and program development. The second part delves into specifics with information on ambulatory telemedicine programs, inpatient consultations, and tele-ICU programs. All chapters are written by interprofessional authors that are leaders in the field of telemedicine with extensive knowledge of diverse telemedicine programs and robust real-world experience on the topic. This is an ideal guide for telehealth program managers, and pulmonary, critical care, and sleep medicine professionals interested in improving their telehealth practice.

Download or read book Applied Population Health written by Barbara Berkovich, PhD, MA and published by CRC Press. This book was released on 2019-12-06 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: Electronic Health Record (EHR) systems today provide increasing levels of clinical decision support and are the fulcrum for change for value-based healthcare delivery. Billions of dollars of government and insurer payments are dependent on evidence-based workflow design and quality report. In this context, quality measurement is no longer a retrospective exercise, but an essential prospective process embedded in clinical operations. Population health tools in the EHR enhance the efficiency and effectiveness of interventions thus improving the quality of care at lower cost. Population health methods are effective in ensuring that the right patient receives the right care at the right time. This book provides a clear framework for design, implementation, and monitoring of innovative population health tools to accelerate measurable improvements in care delivery. Key benefits for readers include conceptual framework, team approach, and technical insights that result in improved patient care, improved performance on quality measures and increased revenue from quality performance incentives and risk-based contracts. This is also a practice guide to the healthcare professionals many roles who are eager to build or improve population health programs with the goal of delivering high quality value-based care.