Download or read book Physician Practice in a Dynamic Environment written by Paul Fronstin and published by . This book was released on 2015 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: Expenditures on physician services amounted to $171 billion in 1993, compared with $13.6 billion in 1970. During this period, the environment in which physicians practice was transformed as a part of the changing health care financing and delivery system. This Issue Brief provides an overview of changes in the health care system that affect the environment in which physicians practice, focusing on what is known and issues needing further analysis.Public and private payers have held down the rate of growth in payments to physicians by restructuring reimbursement. Physician behavior, payment, and practice patterns will be major factors in determining future health care costs and the type and quality of health care individuals receive.In both the private and public sectors, one of the significant changes affecting physician practice patterns has been the movement of insured individuals away from traditional retrospective fee-for-service reimbursement to a prepaid prospective managed care setting. As a result, physicians are more likely to contract with a managed care organization.The way in which physicians are reimbursed for outpatient Medicare services has changed significantly as a result of OBRA '89, which adopted a fee schedule based on a resource based relative value scale coupled with volume performance standards. These changes were designed to eliminate the incentive for physicians to increase service volume.The distribution of physicians across specializations changed significantly between 1970 and 1992. In 1970, 17.3 percent of physicians were practicing family and general medicine, compared with 11 percent in 1992.Recently, a larger proportion of physicians has joined group practices, and the average size of a group practice has increased. In 1975, 23.5 percent of physicians worked in a group practice, compared with 32.6 percent in 1991. Between 1975 and 1991, the average size of a group practice increased from 7.9 physicians to 11.5 physicians.The U.S. physician-to-population ratio has been growing since at least 1970. In 1992, there were 255 physicians per 100,000 Americans, up from 161 in 1970. Among physicians with office-based practices, there were 209 physicians per 100,000 Americans in 1992, compared with 134 in 1970.
Download or read book Evidence Based Medicine and the Changing Nature of Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2008-09-06 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Download or read book Management Principles for Health Professionals written by Joan Liebler and published by Jones & Bartlett Publishers. This book was released on 2012 with total page 553 pages. Available in PDF, EPUB and Kindle. Book excerpt: Management Principles for Health Professionals is a practical guide for new or future practicing healthcare managers. The customary activities of the manager—planning, organizing, decision making, staffing, motivating, and budgeting—are succinctly defined, explained, and presented with detailed examples drawn from a variety of health care settings. Students will learn proven management concepts, techniques, models, and tools for managing individuals or teams with skill and ease. The Sixth Edition is loaded with all-new examples from real-world healthcare settings and covers many current topics such as: ? Emerging implications of the Patient Protection and Affordable Care Act of 2010. ? A template to track the areas of impact of this major law is presented; this enables a manager to identify the topics to monitor and to prepare responses to changes as they unfold. ? Developments concerning electronic health record initiatives ? Adapting and revitalizing one’s career; ? Information concerning various staffing alternatives such as outsourcing and telecommuting, and updates the material concerning job descriptions and their application. New material has been added in the section on consultant's contracts and reports. ? Patient privacy and the detection and prevention of medical identity theft, and much more.
Download or read book Information to Guide Physician Practice written by and published by . This book was released on 1996 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Environment of Medical Practice written by Rufus Benjamin Robins and published by . This book was released on 1963 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Bridge Between Bioethics and Medical Practice written by Marko Ćurković and published by Springer Nature. This book was released on 2022-10-14 with total page 493 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides insights into dynamic and complex interrelationships between professionalism and medical practice. It does so by looking into the most relevant and recent theoretical and practical frameworks and by systematizing and integrating extensive and growing literature on medical professionalism. Through honest and prudent contributions from very diverse backgrounds and contexts, this book provides an understanding of medical professionalism derived from a broader historical and cultural context in order to contribute to everyday professional life and practice – the very place of its existence. The book presents the conflicting and sometimes irreconcilable demands and challenges physicians face in everyday practice. A better understanding of these fundamental issues is the only way for medicine to maintain and preserve its unique morality, the same one that enabled its existence in the first place. The book is relevant for everyone immersed and interested in the subject of medical professionalism as a resource, which may ease or guide them through the complexities of issues at hand. It will also contribute to the ongoing debate on medical professionalism, medical ethics, bioethics, and professionalism and ethics in general.
Download or read book Physician Practice Management written by Lawrence F. Wolper and published by Jones & Bartlett Learning. This book was released on 2005 with total page 728 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Sciences & Professions
Download or read book Taking Action Against Clinician Burnout written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-02 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Download or read book A Physician s Guide to Thriving in the New Managed Care Environment written by Richard V. Stenson and published by Bookpartners. This book was released on 2000 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: Options for physicians working within the prepaid medicine system make sense when you understand the pros and cons, strategies, and structures analyzed in this guide to the new managed care environment. -- Evolution of the managed care movement -- Myths about organizational requirements for managed care success -- Pros and cons of solo practice versus IPA, PHO, or group practice -- Working for a hospital or HMO -- Entrepreneurial, legal, and regulatory characteristics of each model -- Best opportunities for primary care and specialist physicians -- The ideal physician organization for managed care -- Future winners and losers, quality of care, reform, and Wall Street Analyze the cost and benefits of practice and managed care proposals, because an informed choice makes good medicine work.
Download or read book Improving Healthcare Quality in Europe Characteristics Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Download or read book eMessaging and the Physician Patient Dynamic written by Susan M. Wieczorek and published by Rowman & Littlefield. This book was released on 2019-12-12 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ten years after the adoption of the HITECH Act of 2009, eMessaging and the Physician/Patient Dynamic: Practices in Transition examines the complex, interlocking forces at play when mandates for electronic health records (EHRs) and electronic messaging within secured health portals forced an unprecedented transformation of the healthcare environment. Technological, sociological, medical, economic, political, governmental, legal, and communication issues converged, forever altering the “medicological environment,” a space within which health professionals and patients alike strive towards efficacious, satisfying transactions that lead to improved health. Susan M. Wieczorek’s analysis discusses the layers of policies and regulations that thrust healthcare users—often unwillingly—into the newly required practice of online communication between physicians and patients. Wieczorek also compares and contrasts rural and urban early adoption practices through the use of surveys, critical incident reports, and oral histories and anticipates future trends in data mining of electronic messaging by demonstrating a content analysis of over 60,000 electronic medical transactions within secured health portals. This book identifies the key converging influences that affected the real-life, early adopters amid this transformation process and provides a practical foundation for current, on-going practice applications while anticipating the inevitable challenges of future health communication technologies. Scholars of communication, health, and media studies will find this book particularly useful.
Download or read book Management and Leadership Skills for Medical Faculty written by Anthony J. Viera and published by Springer. This book was released on 2016-03-18 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recognizing that medical faculty face different questions or issues in different stages of their careers, this handy, practical title offers a comprehensive roadmap and range of solutions to common challenges in the complex and changing Academic Medical Center (AMC). With critical insights and strategies for both aspiring and seasoned academicians, this handbook offers a concise guide for personal career development, executive skill acquisition, and leadership principles, providing actionable, targeted advice for faculty seeking help on a myriad of new issues and situations. Pressures in today’s Academic Medical Center include significant changes to the healthcare system, competition for research funding, transformation of medical education, and recruitment and retention of the ever-evolving workforce. This dynamic environment calls for razor-sharp leadership and management effectiveness to stay competitive. AMC faculty aspire to formal leadership roles for a variety of reasons: to set a new vision, to create change, or to affect policy and resource decisions. For others, weariness of past leadership styles or mistakes may catalyze wanting a chance to set a different tone. In the end, promotional opportunities often come with great administrative and management responsibilities. Management and Leadership Skills for Medical Faculty: A Practical Handbook is a must-have resource for faculty in AMCs and anyone with a role in healthcare leadership.
Download or read book Cutting Costs in the Physician Practice written by Alan S. Whiteman and published by American Medical Association Press. This book was released on 2001 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: Historically, physician practices had a large margin of profit, but with the growth of managed care this margin has shrunk. For a practice to remain financially viable, careful attention must be paid to analyzing and controlling costs. This book will provide physicians and practice administrators with practical guidelines for approaching cost containment issues within the practice. The authors will address the eight areas of the practice where costs most often get out of control, and will present strategies for managing practice costs effectively. Readers will come away with practical, tested solutions and ideas for cost savings that will enhance the bottom line.
Download or read book Essentials of Physician Practice Management written by Blair A. Keagy and published by John Wiley & Sons. This book was released on 2004-07-21 with total page 587 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essentials of Physician Practice Management offers a practical reference for administrators and medical directors and provides a comprehensive text for those preparing for a career in medical administration, practice management, and health plan administration. Essentials of Physician Practice Management is filled with valuable insights into every aspect of medical practice management including operations, financial management, strategic planning, regulation and risk management, human resources, and community relations.
Download or read book EBRI Issue Brief written by and published by . This book was released on 1995 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Alliances written by Douglas E. Goldstein and published by Jones & Bartlett Learning. This book was released on 1995 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: This executive report takes you step-by-step through the process of developing integrated delivery systems. You'll learn eleven fundamental building blocks for integration and how to apply these methods to redesign and improve your existing processes and systems.
