Description
Book SynopsisA Proactive Framework for Organizational Change
Learn to apply the principles of total quality management to themanagement of high-risk patients and improve quality of care,patient outcomes-and the bottom line.
Finally, a model of managed health care that resonates withphysicians and patients. A new direction for care management thatmakes sense on both humanitarian and financial grounds.--SanfordT. Kurtz, M.D., vice president and chief medical officer, LaheyClinic
An exciting, promising, practical, and brand new approach tosolving the cost/quality dilemma in managed care--high-riskpopulation health management. This well thought-out program focuseson managing patients, not physicians.--Stuart Baker, M.D.,executive vice president of clinical affairs, Voluntary HospitalAssociation
Trade Review"Forman and Kelliher present a compelling, field-tested approach tohealth care delivery and a new direction for case management thatmakes sense on humanitarian and financial grounds." --Kate JennisonGoonan, vicepresident, clinical performance improvement, UMassMemorial Health Care
"An exciting, promising, practical, and brand new approach tosolving the cost/quality dilemma in managed care-high riskpopulation health management. This well thought-out program focuseson managing patients, not physicians." --Stuart Baker, MD,executive vice president of clinical affairs, Voluntary HospitalAssociation
"Status One represents a critical development for delivering on thepromise of improving the quality of care while simultaneouslycontrolling costs." --Sam Nussbaum, MD, executive vice president,Medical Affairs and System Integration, BJC Health System
"The management of this high risk group is critical to futuremanaged care success." --Joseph I. Berman, MD, chief medicalofficer, Anthem Blue Cross and Blue Shield
"Finally, a model of managed health care that resonates withphysicians and patients. A new direction for care management thatmakes sense on both humanitarian and financial grounds." --SanfordT. Kurtz, MD, vice president and chief medical officer, LaheyClinic
Table of ContentsOverview.
1. High-Risk Population Health ManagementComponents.
2. Segmenting the Population.
3. Information: The Right Kind, in the Right Place, in Time.
4. Structure: Building a Supportive Environment.
5. Assessing the Patient: Getting to the Heart of the Matter.
6. Formulating Care Plans: To Each According to Their Needs.
7. Renewals and Endings: Reassessment and Discharge.
8. Gauges on the Dashboard: Process and Outcome Measures.
Alternate Approaches to Medical Management.
9. Theory of the Case: Varied Ways to Identify High-RiskPeople.
10. Intervening on Behalf of the Severely Afflicted: CaseManagement.
11. Intervening by Clinical Condition: Disease Management.
12. AgAnda for the Future.
Sources and Rationale13. Total Quality Management: Concepts,High-Risk Patient Customers, Measures and Focus.
14. Epidemiology: Power and Limits of Statistical Approaches.
15. Economics: Structural Aspects and Costs in Managed CarePopulations.
Putting it Together16. Summary: Best Practices in High-RiskPopulation Management.
References.
Exhibits.
Index.
