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Healthcare Delivery in the U. S. A. An Introduction

ISBN-10: 1439877947
ISBN-13: 9781439877944
Edition: 2nd 2012 (Revised)
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Description: With a focus on healthcare management, the second edition of this popular reference addresses financing, organizational structures, continuum of care providers, access to healthcare, and quality initiatives. It covers legal and regulatory issues,  More...

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Book details

List price: $36.99
Edition: 2nd
Copyright year: 2012
Publisher: Productivity Press
Publication date: 12/13/2012
Binding: Paperback
Pages: 239
Size: 7.00" wide x 10.00" long x 1.00" tall
Weight: 1.364
Language: English

With a focus on healthcare management, the second edition of this popular reference addresses financing, organizational structures, continuum of care providers, access to healthcare, and quality initiatives. It covers legal and regulatory issues, workforce, and the drivers and barriers that shape healthcare delivery. This edition provides updated case studies as well as a discussion of new legislation and initiatives such as Accountable Care Organizations and physician reimbursement cuts. The author explains how current market conditions are driving new organizational structures, such as the increase in mergers and acquisitions activity.

Acknowledgments
Introduction
About the Author
History of the U.S. Healthcare Delivery System
Introduction
1750 to 1850-The Early Days
1850 to the Late Nineteenth Century-Shift from Care to Cure
1900 to the Mid-Twentieth Century-Era of Standardization
Mid-Twentieth Century to Twenty-First Century
Start of the Twenty-First Century
Summary
References
Websites
Health Status: The Health of the Population
Introduction
Health Status
Mortality
Morbidity
Obesity
Health Determinants
Summary
References
Websites
Components of the Healthcare Delivery System
Introduction
Who Are the Players in Healthcare Delivery?
Healthcare Providers: Inpatient or Outpatient?
Scope and Size of Hospitals
Levels of Care
Other Categorizations of Healthcare Service Levels
Ambulatory Care
Subacute Care
Long-Term Care
Home Healthcare
Hospice Care
Respite and Day Care
Rehabilitation
Emergency Services
Mental Health and Substance Abuse
Summary
References
Websites
Structure of Healthcare Delivery
Introduction
Hospital Classifications
Ownership
Private Healthcare Entities
Community and Voluntary Providers of Care
Government/Public Hospitals and Clinics
Tax Status: Taxed or Tax-Exempt
Not-for-Profit
For-Profit
Geography
Types of Hospitals
General Acute Care Hospitals
Academic Medical Centers and Teaching Hospitals
Specialty Hospitals
Mental Health Hospitals
Hospital Operations
Structure of the Hospital-Physician Relationship
Integrated Delivery Networks
Summary
References
Websites
Doctors in the Healthcare Delivery Structure
Introduction
Physician Workforce
How Are Doctors Trained?
Number of Medical Schools and Their Enrollments
Typical Course of Study in Medical School
Preclinical Curriculum/Basic Sciences
Clinical Phase
Licensing
Graduate Medical Education: Becoming a Specialist
International Medical Graduates
Financial Support of Medical Education
How Doctors Work with Hospitals
The Physician's Source(s) of Income
Malpractice
Physician Supply
Summary
References
Websites
Workforce: Nurses and Others
Introduction
Nursing
Nursing Shortage
Registered Nurses
Registered Nursing (RN) Education
RN Licensing
Advanced Practice Nurses
Nurse Practitioners
Clinical Nurse Specialists
Licensed Practical Nurses
Physician Assistants
Pharmacists
Other Allied Health Professionals
Radiology Technologists
Physical, Occupational, and Speech Therapists
Other Allied Health Professionals
Supporting Professionals
Researchers
Shortage of Clinical Personnel in the United States
Administrative Management Professionals
Nursing Facility Administration
Summary
References
The Legal and Regulatory Environment
Introduction
Government as Regulator
The Legislature: Healthcare Statutes
Hill-Burton
Medicare and Medicaid (Titles XVIII and XIX of the Social Security Amendments)
Certificate of Need (1973)
Prospective Payment (1982)
HMO Act (1973)
Emergency Medical Treatment and Active Labor Act (1986)
Stark Law-The Physician Self-Referral Act (Stark 1-1989 and Stark 11-1993)
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Malpractice
Summary
References
Financing Healthcare
Introduction
How Much Does Healthcare Cost in the United States?
Medicare
Medicaid
Federal/State Matching Funding
Waivers
Medicaid Managed Care
State Children's Health Insurance Program
Impact of PPACA on Medicaid and SCHIP
Other Governmentally Financed Healthcare Programs
The VA
Indian Health Services
Private Sector in Healthcare Financing
Employer Plans
Managed Care Organizations
Fee for Service
PPACA: Health Reform
Summary
References
Quality
Introduction
Defining Quality
What Is the Problem with Healthcare Quality? The IOM Reports
Challenge of Quality and Safety in Healthcare Delivery
Standardization/Accreditation
Joint Commission
DNV
National Committee for Quality Assurance
Quality Improvement Initiatives
National Organizations and Agencies on Quality
The National Quality Forum
Centers for Medicare and Medicaid Services
The Leapfrog Group
The Institute for Healthcare Improvement (IHI) and Pursuing Perfection
Payer Initiatives
Evidence-Based Medicine
The Medical Home
Tools for Quality Improvement
Dashboards
Benchmarking
Summary
References
Public Health
Introduction
Role of Public Health
History of Public Health Service
Public Health at the Federal Level
Office of Public Health and Science
Office of the Surgeon General
U.S. Public Health Service Today
Summary
References
Technology: Medical and Information Technologies
Introduction
Medical Technology
Pharmaceuticals
Clinical Trials Research
Preclinical Research
Basic Scientific Research
Genomics
Information Technology
Introduction
Why the EHR?
EMR or EHR: Which Is It?
Components of the EHR
Health Information Exchange (HIE)
Personal Health Record
Types of Information Systems in Healthcare
Challenges to IT Adoption
Summary
References
Index

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