Healthcare Evolution

Healthcare Evolution PDF

Author: Jonathan G. Wiik

Publisher:

Published: 2020-02-20

Total Pages:

ISBN-13: 9780578615318

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Payment uncertainty in the U.S. healthcare system has become an exhaustive burden for all stakeholders. Healthcare expenses continue to climb, with little to no effective efforts to develop a holistic, long-term strategy to curb them. At the same time, legislative reform and regulatory attempts to address shortfalls in quality, rates, and outcome have stalled, perpetuating inefficiencies and onerous rules that add costs instead of removing them. As expenditures keep rising, all stakeholders-patient, provider, payer and employer-are trying to find new ways to provide access to affordable, effective healthcare in our country.This leaves providers stuck in the middle. A healthcare provider's number one priority is to provide high-quality patient care. They are tasked with achieving the patient-centered Triple Aim outcomes defined by the Institute for Healthcare Improvement. ?Improving the patient experience of care ?Improving the health of populations?Reducing the per capita cost of healthcare Sounds simple and easy, right? But the providers who are finding success in achieving these goals will quickly tell you it's a difficult task. Especially when the system is so out of alignment. Revenue cycle managers can have a significant impact on a healthcare organization's revenue picture, if they have a clear understanding of what the new challenges are-and if they're equipped with the resources and tools available to help them deal with these challenges.This book shares the author's learnings, provides context as to why the traditional approaches no longer apply, and suggests some effective strategies for addressing the new realities of healthcare RCM. Despite the chaos that exists in the market, Healthcare Evolution: Helping Providers Get Paid in an Era of Uncertainty offers effective strategies to help healthcare providers protect their earned revenue and empower frictionless, positive patient experiences.

The History and Evolution of Healthcare in America

The History and Evolution of Healthcare in America PDF

Author: Thomas W. Loker

Publisher: iUniverse

Published: 2012-04

Total Pages: 402

ISBN-13: 1475900732

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From the beginning of mankind, health and health issues have played a major role in life, but the issues and care have evolved enormously from the time when the first settlers set foot in America to the present. In The History and Evolution of Healthcare in America, author Thomas W. Loker provides a historical perspective on the state of healthcare and offers fresh views on changes to Obamacare. Insightful and thorough, The History and Evolution of Healthcare in America offers a look at - what healthcare was like at the birth of the nation; - how the practice of providing healthcare has changed for both caregivers and receivers; - why the process has become so corrupt and expensive; - what needs to happen to provide both choice and effective and efficient care for all; - where we need to most focus efforts to get the biggest change; - what is needed to get control over this out-of-control situation. Loker narrates a journey through the history of American healthcare-where we've been, how we arrived where we are today, and determine where we might need to go tomorrow. The history illustrates how parts of the problem have been solved in the past and helps us understand what might be necessary to solve our remaining problems in the future.

The Economic Evolution of American Health Care

The Economic Evolution of American Health Care PDF

Author: David Dranove

Publisher: Princeton University Press

Published: 2009-01-10

Total Pages: 224

ISBN-13: 1400824680

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The American health care industry has undergone such dizzying transformations since the 1960s that many patients have lost confidence in a system they find too impersonal and ineffectual. Is their distrust justified and can confidence be restored? David Dranove, a leading health care economist, tackles these and other key questions in the first major economic and historical investigation of the field. Focusing on the doctor-patient relationship, he begins with the era of the independently practicing physician--epitomized by Marcus Welby, the beloved father figure/doctor in the 1960s television show of the same name--who disappeared with the growth of managed care. Dranove guides consumers in understanding the rapid developments of the health care industry and offers timely policy recommendations for reforming managed care as well as advice for patients making health care decisions. The book covers everything from start-up troubles with the first managed care organizations to attempts at government regulation to the mergers and quality control issues facing MCOs today. It also reflects on how difficult it is for patients to shop for medical care. Up until the 1970s, patients looked to autonomous physicians for recommendations on procedures and hospitals--a process that relied more on the patient's trust of the physician than on facts, and resulted in skyrocketing medical costs. Newly emerging MCOs have tried to solve the shopping problem by tracking the performance of care providers while obtaining discounts for their clients. Many observers accuse MCOs of caring more about cost than quality, and argue for government regulation. Dranove, however, believes that market forces can eventually achieve quality care and cost control. But first, MCOs must improve their ways of measuring provider performance, medical records must be made more complete and accessible (a task that need not compromise patient confidentiality), and patients must be willing to seek and act on information about the best care available. Dranove argues that patients can regain confidence in the medical system, and even come to trust MCOs, but they will need to rely on both their individual doctors and their own consumer awareness.

Quality in Health Care

Quality in Health Care PDF

Author: Nancy O. Graham

Publisher: Jones & Bartlett Learning

Published: 1995

Total Pages: 392

ISBN-13: 9780834206250

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Here's a reference book that will explore the difficult issues facing quality management professionals and energize your approach to concerns you face daily. Examines quality in healthcare from both a historical, and current perspective. You'll get proven strategies on how to survive in today's managed care environment. Explore the extensive framework of quality in healthcare and discover how it relates to other industries. Examine real life situations, explore the benefits, And The pitfalls to avoid. Plus, visualize the quality process with the help of charts and tables, and easy-to-understand diagrams.

Annual Review of Health Care Management

Annual Review of Health Care Management PDF

Author: Leonard H. Friedman

Publisher: Emerald Group Publishing

Published: 2013-12-14

Total Pages: 342

ISBN-13: 1783507160

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This volume will interest healthcare researchers and health system designers alike. It revisits the evolution of health systems organization in light of regulatory and organizational evolution in health care, as well as assessing the latest evidence on physician integration, complexity, and system redesign.

Making Healthcare Safe

Making Healthcare Safe PDF

Author: Lucian L. Leape

Publisher: Springer Nature

Published: 2021-05-28

Total Pages: 450

ISBN-13: 3030711234

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This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care.

Humanizing Healthcare: Hardwire Humanity into the Future of Health

Humanizing Healthcare: Hardwire Humanity into the Future of Health PDF

Author: Summer Knight

Publisher: McGraw Hill Professional

Published: 2021-04-06

Total Pages: 289

ISBN-13: 1264267282

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From a top healthcare futurist, frontline innovator, and Deloitte consultant comes a bold new vision for Humanizing Healthcare—hardwiring humanity at every point of care—that is good for people and good for business. Our nation’s healthcare and life science industry has changed dramatically over the past few decades—and not always for the better. In addition to rising costs and access challenges, the current system has caused needless suffering for patients and clinicians alike: physically, emotionally, financially, and socially. There have been numerous efforts to overhaul the system, but nothing has yet cured healthcare of its illnesses. In Humanizing Healthcare, paramedic-turned-physician executive and Deloitte Managing Director Summer Knight draws on her years of experience on the frontlines of healthcare to offer a powerful road map for real reform. Her refreshingly human approach to transforming our healthcare system provides practical strategies to: Identify core problems in the current system—and find the best workable solutions. Combine healthcare with social services—and build stronger networks of support. Use digital technology and virtual visits to provide expert care at lower costs. Empower healthcare consumers to make smarter choices in their treatment and purchasing options. Form therapeutic alliances between the clinical team (physicians and staff) and the home team (family and friends). Build a solid foundation for ongoing improvements that are truly sustainable, affordable, and humane. This is a clear, compassionate guide to how the industry can transform to embody a more human perspective and use it as a collective north star that will positively impact all stakeholders—consumers, providers, caregivers, staff, executives, shareholders, and the government—alike. Most importantly, this book will open your eyes to what’s possible when you create high-quality, deeply felt alliances that deliver consumer-driven care with value to all. Humanizing Healthcare is the future of health.

Remaking Health Care in America

Remaking Health Care in America PDF

Author: Stephen M. Shortell

Publisher: Jossey-Bass

Published: 2000-07-07

Total Pages: 376

ISBN-13:

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Stephen Shortell, one the country's leading health care management authorities, and his team of experts use the most current data available to update their classic book Remaking Health Care in America. This expanded second edition includes a clear conceptual framework for health care leaders who must develop more integrative systems of care to meet the challenge of the evolving health care industry. The book also provides practical suggestions and myriad recommendations for developing cost-effective delivery systems across the United States.

The Evolution of the US Healthcare System: A Legacy of Opportunism and Greed

The Evolution of the US Healthcare System: A Legacy of Opportunism and Greed PDF

Author: Richard Douglass

Publisher: Cambridge Scholars Publishing

Published: 2023-02-27

Total Pages: 187

ISBN-13: 1527594467

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This book tells the story of the United States’ healthcare system, which is built by and for the opportunistic motives of powerful corporations, politicians, and government initiatives. It answers questions that most people have about why it is that American healthcare claims to be the best in the world, yet Americans do not enjoy the longest or healthiest lives. Why is it that the United States spends much more on its healthcare system but gets less in return? How did the United States develop a healthcare system that is expensive, hard to use, and seems to be guided by profit seeking corporations instead of the health needs of the people? How did the US healthcare system respond to the COVID-19 pandemic, and what did the pandemic teach us about the strengths and weaknesses of the American way of health care? Legislators, health care students, consumers, policy makers, and advocates for health care justice can take this book as an introduction to the failing health care system that the author calls a threat to national security.

Care Evolution: Essays on Health as a Social Imperative

Care Evolution: Essays on Health as a Social Imperative PDF

Author: Steven Merahn

Publisher:

Published: 2021-11-10

Total Pages: 212

ISBN-13: 9781735941523

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Healthcare: Beyond Reform. The discussions about healthcare in America are fundamentally flawed, because we're more focused on how we pay for care than how we care. Author Steven Merahn, MD, cuts through the debate with one question: Do we have a social imperative to equitably improve and sustain the quality of health of all citizens? In a series of essays, Merahn crafts an aspirational vision for the health of our nation based on the value a healthy citizenry brings to society. Written for policymakers and healthcare providers, this book provides a deep understanding of the chaotic forces that have shaped our current system and outlines a framework of organizing principles and interaction design to support its productive and positive evolution.