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Status One : Breakthroughs in High Risk Population Health Management - Samuel Forman

Status One

Breakthroughs in High Risk Population Health Management

Hardcover

Published: 29th June 1999
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A Proactive Framework for Organizational Change<br> <br> <br> <br> Learn to apply the principles of total quality management to the management of high-risk patients and improve quality of care, patient outcomes-and the bottom line.<br> <br> <br> <br> "Finally, a model of managed health care that resonates with physicians and patients. A new direction for care management that makes sense on both humanitarian and financial grounds."--Sanford T. Kurtz, M.D., vice president and chief medical officer, Lahey Clinic<br> <br> <br> <br> "An exciting, promising, practical, and brand new approach to solving the cost/quality dilemma in managed care--high-risk population health management. This well thought-out program focuses on managing patients, not physicians."--Stuart Baker, M.D., executive vice president of clinical affairs, Voluntary Hospital Association

"Forman and Kelliher present a compelling, field-tested approach to health care delivery and a new direction for case management that makes sense on humanitarian and financial grounds." --Kate Jennison Goonan, vicepresident, clinical performance improvement, UMass Memorial Health Care

"An exciting, promising, practical, and brand new approach to solving the cost/quality dilemma in managed care-high risk population health management. This well thought-out program focuses on managing patients, not physicians." --Stuart Baker, MD, executive vice president of clinical affairs, Voluntary Hospital Association

"Status One represents a critical development for delivering on the promise of improving the quality of care while simultaneously controlling 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 future managed care success." --Joseph I. Berman, MD, chief medical officer, Anthem Blue Cross and Blue Shield

"Finally, a model of managed health care that resonates with physicians and patients. A new direction for care management that makes sense on both humanitarian and financial grounds." --Sanford T. Kurtz, MD, vice president and chief medical officer, Lahey Clinic

Overview.

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-Risk People.

10. Intervening on Behalf of the Severely Afflicted: Case Management.

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 Care Populations.

Putting it Together16. Summary: Best Practices in High-Risk Population Management.

References.

Exhibits.

Index.

ISBN: 9780787941543
ISBN-10: 0787941549
Audience: General
Format: Hardcover
Language: English
Number Of Pages: 272
Published: 29th June 1999
Publisher: John Wiley & Sons Inc
Country of Publication: US
Dimensions (cm): 23.4 x 15.85  x 2.33
Weight (kg): 0.49
Edition Number: 1