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The Healthcare Collapse

Name: The Healthcare Collapse
Brand: Taylor & Francis Ltd
Price: 81.75 AUD
Availability: BackOrder

Where We've Been and Where We Need to Go

By: Eldo Frezza

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Hardcover | 21 November 2018 | Edition Number 1

At a Glance

Hardcover
214 Pages

Dimensions(cm)
16.2 x 24.0 x 2.0

Hardcover

RRP $88.99

$81.75

or 4 interest-free payments of $20.44 with

Available for Backorder. We will order this from our supplier however there isn't a current ETA.

The evolution of the healthcare system in the U.S. has seen numerous changes in the last 30 years where fee-for-service was the mainstay of reimbursement models and hospitals were managed by physicians and patient care was key. The early 1990's saw the emergence of HMOs and other managed care models with physicians handing over leadership roles to corporate entities whose main concern was the bottom line and profitability, and patient care and satisfaction suffered.

While managed care reimbursement models have improved and are more patient centric, the vast majority of hospitals and health systems are still run by business people with very little knowledge of medicine and what is truly involved in caring for the patient. With reimbursement cuts to Medicare and Medicaid and private insurance, administrators are still very much focused on the bottom line. Physicians, for the most part, are not participating on committees where patient related decisions are being made and many are paid employees of the hospital. Incentive programs such as ACOs and pay for performance are not improving patient care and have been failing.

This book looks at where healthcare has been, what has worked and what hasn't and recommends solutions to create a system that focuses on the patient and providing quality care in this age of reimbursement cuts, demands for better technology and providing a safer environment for both the patient and clinicians who work in hospitals. The author also advocates for a shift in management and recommends hospitals leaders engage physicians and other clinicians in process improvement and other initiatives which can result in a more efficient system - one where quality patient care dominant. The book also outlines programs which can be championed by hospitals such as patient engagement activities, community health and other outreach and education programs.

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