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About the Author/Editor | |
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Contributors | |
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Preface | |
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Acknowledgments | |
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Planning, Implementing, and Managing Organized Delivery Systems | |
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International Health Care: A 12-Country Comparison | |
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The Financing, Organization, and Outcomes from the Provision of Health Care | |
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Tax-Funded Models for Direct Provision of Health Services | |
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Tax-Funded Model for Indirect Provision of Health Services | |
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Compulsory Insurance Models for Indirect Provision of Health Services | |
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Mixed Models for Provision of Health Services | |
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Shared Concerns and Learning Opportunities | |
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Organized Delivery Systems | |
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Healthcare System Development | |
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System Characteristics | |
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The Impact of Managed Care | |
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System Integration | |
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System Performance | |
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A View from the Real World | |
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In-Depth Case Study: Southeast Medical Center | |
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Managerial Implications and Recommendations | |
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Legal Implications of Business Arrangements in the Healthcare Industry | |
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Legal Structure of the Healthcare Delivery System | |
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Federal Anti-Kickback Statute | |
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Physician Self-Referral--Stark Law | |
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Comparison of the Federal Anti-Kickback Statute to the Physician Self-Referral Act | |
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False Claims Act | |
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Professional Liability | |
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Antitrust Laws and the Healthcare Industry | |
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Other Considerations | |
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Stakeholder Management--Strategies and Styles | |
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Stakeholder Management Styles and Performance | |
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The Strategic Web | |
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Identification of Organizational Stakeholders | |
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Diagnosis of Key Stakeholder Relationships | |
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Types of Stakeholder Relationships | |
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Generic Strategies for Managing Stakeholder Relationships | |
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Strategy Implementation and Outcomes | |
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Stakeholder Management Styles: Changing the Focus to Types of Organizations | |
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Stakeholder Management Priorities | |
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Managerial Responsibility for Stakeholder Relationships | |
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Conclusion | |
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Financial Management of Organized Health Care Delivery Systems | |
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Financial Information Needs | |
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Understanding Financial Statements | |
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Types of Financial Statements | |
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Long-Range Decisions | |
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Short-Range Decisions | |
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Conclusion | |
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Present Value Tables | |
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Human Resources Management in Organized Delivery Systems | |
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Human Resources Management: Historical Background | |
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Functions and Responsibilities of the Human Resources Department | |
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Placement of the Human Resources Department in the Institution's Organizational Structure | |
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Future Direction of Human Resources Management | |
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The Effect of Managed Care and Mergers on Human Resources Management | |
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Great Places to Work | |
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Labor and Employment Laws Applicable to Organized Delivery Systems | |
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Introduction | |
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Federal and State Civil Rights Laws | |
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Affirmative Action/Federal Contractor Requirements | |
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Individual Employment Rights | |
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Wage and Hour Laws | |
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Employee Benefits in the Healthcare Industry | |
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Privacy Issues in the Workplace | |
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Safety in the Workplace | |
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Collective Bargaining and Protected Concerted Activities | |
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Employment Eligibility Verification | |
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Conducting an Effective Internal Investigation | |
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Employment Records and Recordkeeping | |
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The Management of Nursing Services | |
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The Evolving Practice of Nurse-Executives | |
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Organization of Nursing/Patient Care Services | |
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Changing Health Care Delivery Methods | |
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Emerging Models for Nursing Care Delivery | |
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New Competencies for Nurses in Executive Practice | |
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Challenges for Nurses in Executive Practice | |
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The Future of Nurse-Executive Practice | |
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Planning Healthcare Facilities and Managing the Development Process | |
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Background | |
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Facility Planning in Healthcare Systems | |
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Future Facility Planning Trends | |
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Facility Development Process | |
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Functional Considerations in Facility Planning | |
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Key Participants | |
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Design and Construction Approaches | |
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Conclusion | |
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Potential External Team Members and Responsibilities | |
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Financing of Healthcare Facilities | |
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Tax-Exempt Financings | |
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Pooled Financing | |
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Taxable Bonds | |
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Equity Financing as a Capital-Raising Technique | |
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Joint Venture Structures | |
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Legal Issues: Control and Liability Exposure | |
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Federal Income Taxation of a Business Corporation | |
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Federal Income Taxation of a Partnership and Limited Liability Corporation | |
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Sale as a Capital-Raising Technique | |
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Conversion | |
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Private Placements and Public Offerings of Securities | |
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Conclusion | |
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Marketing Healthcare Services | |
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Marketing Mission and Objectives | |
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The Competition Defined | |
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Business-to-Business Marketing | |
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Derived Demand | |
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Consumer Behavior: Information Search and Use | |
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Consumer Behavior: Differentiation | |
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Customer Retention | |
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Customer Satisfaction | |
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Data-Driven Marketing | |
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Health Care Information Systems: An Organized Delivery System Perspective | |
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An Organized Delivery System HCIS Infrastructure | |
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Trends in Organized Healthcare Delivery Systems | |
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Emergence and Scope of Organized Delivery System HCIS Technologies | |
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SSADM for Multiprovider HCIS Design and Development | |
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Management and Administration of Organized Delivery System HCISs | |
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Conclusion | |
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Management Engineering | |
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History | |
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Cost Containment | |
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Productivity Management | |
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Quality Control Program | |
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Management Engineering for Future Operations | |
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Ambulatory Care | |
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Ambulatory Care Services: Past and Present | |
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Organization and Management of Ambulatory Care Services | |
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Reimbursement | |
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Future Considerations | |
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Conclusion | |
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Managed Health Care | |
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What It is | |
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Introduction | |
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Forms of Bearing Risk for Medical Costs | |
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Types of Payor-Based Managed Health Care Organizations | |
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Managed Health Care Provider Organizations--Integrated Delivery Systems | |
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How It Works | |
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Introduction | |
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Provider Reimbursement | |
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Management of Utilization | |
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Benefits Administration and Claims Payment | |
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Finance and Underwriting | |
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Conclusion | |
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Ethical Considerations in the Provision of Healthcare Services and Investigational Research | |
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Tragic Choices | |
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Ethics in Human Clinical Investigation and in the Use of New Drugs and Devices | |
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Bioterrorism Preparedness | |
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The Broader Context of Bioterrorism | |
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The Specific Context of Terrorism | |
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Biological Agents | |
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Bioterrorism Preparedness by Healthcare Organizations | |
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Conclusion Regarding Preparedness | |
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Epilogue | |
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The Hospital in an Organized Delivery System | |
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The History of Hospitals | |
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Medicine and Hospitals as Political Factors | |
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Mesopotamia | |
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Greek Hospitals | |
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Indian Hospitals | |
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Roman Hospitals | |
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Islamic Hospitals | |
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The Middle Ages | |
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Hospitals during the Renaissance | |
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Hospitals on the American Continent | |
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Hospitals in the Seventeenth, Eighteenth, and Nineteenth Centuries | |
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The Modern Hospital and Health Systems | |
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Classification of Hospitals | |
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Hospital Organization and Management | |
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Services Provided by Hospitals | |
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Change in the Hospital Industry | |
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The Major Changes and Their Implications | |
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What is an Organization? | |
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The Structure of the Hospital Organization | |
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The Bureaucratic Principles | |
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A Team of Three | |
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Governance | |
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The Trustee in an Organized Delivery System | |
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The CEO and the Administration | |
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Conclusion | |
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Patient Access Services: Into, Through, and Out of the Healthcare Process | |
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Areas of Responsibilities | |
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Departmental Functions | |
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Management Responsibilities | |
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Staff Responsibilities | |
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Emerging Technologies and Trends | |
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Conclusion | |
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Laboratories | |
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Service Levels | |
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Organization | |
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Staffing | |
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Information Systems | |
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Physical Plant and Equipment | |
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Laboratory Regulation/Compliance | |
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Strategic Planning | |
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Conclusion | |
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Sample of Test Type by Section | |
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Job Analysis Checklist: Medical Director | |
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Pharmacy | |
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Pharmacy Practice | |
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Pharmacy Management and Leadership | |
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Pharmacist Training and Education | |
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Pharmacy Technician Training and Education | |
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Pharmacy Information Systems | |
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Inpatient Pharmacy Services | |
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Inpatient Drug Distribution and Management | |
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Sterile Products Preparation | |
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Pharmacy Service Location | |
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Ambulatory Care and Outpatient Pharmacy Systems | |
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Patient Care Committees | |
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Financial Management | |
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Cost and Productivity Management | |
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Managing Drug Costs | |
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Conclusion | |
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Material and Resource Management | |
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Supply Chain | |
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Managing the Core Functions | |
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Materials Management in Alternate Site Locations | |
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Future Trends in Materials Management and Purchasing | |
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Bidding Instructions (Simple Format) | |
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Bidding Instructions (Complex Format) | |
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Designing and Implementing a Hospital Compliance Program | |
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The Value of an Effective Compliance Program | |
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Basic Elements of an Effective Compliance Program | |
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The Initial Needs Assessment/Compliance Review | |
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Integrating the Compliance Program | |
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HIPAA Privacy Rule Compliance | |
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Investigations and Corrective Action | |
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Disability Access Compliance | |
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Conclusion | |
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Quality Assurance and Improvement | |
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Contributors to Quality Health Care | |
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Organizations | |
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Methods | |
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Tools | |
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Conclusion | |
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Physician Practice: Organization and Operation | |
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Forms of Physician Practice | |
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Managed Care Delivery Systems and Forms of Physician Organizations | |
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Operational Aspects of Physician Practice | |
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The Future | |
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Implementing a Physician Practice Compliance Program | |
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The Compliance Plan within the Context of a Physician Practice | |
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The Elements of Compliance Plans and Programs | |
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A Planning and Implementation Work Plan | |
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Sample Compliance Plan and Program Work Plan | |
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Index | |