Casebook for Managing Managed Care: A Self-Study Guide for Treatment Planning, Documentation, and Communication / Edition 1

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Overview

This Casebook is a teaching guide for mental health professionals lear ning to use the Impairment Lexican and Patient Impairment Profile (PIP ) documentation method. The impairment terminology, PIP, and various treatment plan components (i.e. the 'PIP system') provide a 'common la nguage' for describing behavior-based patient dysfunction and communic ation the clinical rationale for treatment...In an environment that is now quite competitive, with managed care referrals increaslingly perf ormance-based, we believe that the PIP system offers you a way to prov e the value of what you provide patients: cost-effective quality care with good outcomes.

The book contains no figures.

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Editorial Reviews

Doody's Review Service
Reviewer: John K. Larson, MD (Rush University Medical Center)
Description: This large, soft-cover book is a follow-up and companion to two previous volumes by Dr. Goodman, Managing Managed Care: A Mental Health Practitioner's Survival Guide (1992), andManaging Managed Care II: A Handbook for Mental Health Professionals, 2nd Edition (American Psychiatric Press, 1996).
Purpose: This volume is intended to be a practical workbook to guide providers in the use of the Patient Impairment Profile (PIP) system in treatment planning and to aid in communication with managed care case managers and reviewers.
Audience: The primary audience includes psychotherapists at all levels of experience who work with clients who have managed mental health benefits. Psychiatric residents and other psychotherapy trainees will also find it an extremely useful introduction to a pragmatic system of assessment and treatment planning.
Features: The book is based on Dr. Goodman's PIP system. The development of PIP arose out of a perceived need to communicate more effectively with managed care reviewers and ensure that patients and clients receive authorization for appropriate care. The system requires identification of specific impairments, a rating of each impairment's severity, treatment goals, patient objectives, specific interventions, and a discharge plan. Ongoing documentation is focused on assessment of progress using patient statements and actions. This volume contains twenty case vignettes for analysis and practice using the terminology of the PIP system. In nine chapters such topics as identifying impairments, rating severity, selecting interventions, and tracking patient progress are covered. Numerous useful tips on communicating patient needs to a third-party reviewer are sprinkled throughout.
Assessment: This volume is an extremely successful exploration of the practical application of the PIP system. It is intended as a "how to" guide and readers who desire a more thorough exploration may want to read one of the other treatises listed above.
John K. Larson
This large, soft-cover book is a follow-up and companion to two previous volumes by Dr. Goodman, Managing Managed Care: A Mental Health Practitioner's Survival Guide (1992), andManaging Managed Care II: A Handbook for Mental Health Professionals, 2nd Edition (American Psychiatric Press, 1996). This volume is intended to be a practical workbook to guide providers in the use of the Patient Impairment Profile (PIP) system in treatment planning and to aid in communication with managed care case managers and reviewers. The primary audience includes psychotherapists at all levels of experience who work with clients who have managed mental health benefits. Psychiatric residents and other psychotherapy trainees will also find it an extremely useful introduction to a pragmatic system of assessment and treatment planning. The book is based on Dr. Goodman's PIP system. The development of PIP arose out of a perceived need to communicate more effectively with managed care reviewers and ensure that patients and clients receive authorization for appropriate care. The system requires identification of specific impairments, a rating of each impairment's severity, treatment goals, patient objectives, specific interventions, and a discharge plan. Ongoing documentation is focused on assessment of progress using patient statements and actions. This volume contains twenty case vignettes for analysis and practice using the terminology of the PIP system. In nine chapters such topics as identifying impairments, rating severity, selecting interventions, and tracking patient progress are covered. Numerous useful tips on communicating patient needs to a third-party reviewer aresprinkled throughout. This volume is an extremely successful exploration of the practical application of the PIP system. It is intended as a "how to" guide and readers who desire a more thorough exploration may want to read one of the other treatises listed above.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780880487832
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 2/28/2000
  • Format: Spiral Bound
  • Edition description: SPIRAL
  • Edition number: 1
  • Pages: 276
  • Product dimensions: 8.50 (w) x 11.00 (h) x 0.80 (d)

Meet the Author

Jeffrey P. Bjorck, Ph.D., is an Associate Professor of Psychology at Fuller Theological Seminary's Graduate School of Psychology in Pasadena, California. He is also a licensed clinical psychologist in private practice. Dr. Bjorck obtained his Doctor of Philosophy degree from the University of Delaware, having completed his internship at the University of Oklahoma Health Sciences Center. He has served on the faculty of Fuller Seminary's Graduate School of Psychology for the past 9 years, where his teaching responsibilities include courses in Psychometric Theory, MCMI-III Assessment, Human Learning, and Multimodal Therapy. Dr. Bjorck also conducts empirical research, including the ongoing psychometric evaluation of the Patient Impairment Lexicon, which provides the basis for the Patient Impairment Profile system outlined in this text and its companion, Managing Managed Care II: A Handbook for Mental Health Professionals (Goodman, et al. 1996).

Janet A. Brown, R.N., C.P.H.Q., is a consultant in quality, utilization, and risk management with psychiatric and medical-surgical, acute and ambulatory, healthcare organizations, all of which are now positioning for managed care. Ms. Brown has 22 years of experience in the evaluation, development, and implementation of effective strategies, systems, and processes to meet federal and state regulations, accreditation standards, and review requirements, as well as managed care and employer/payer information needs. Ms. Brown is the author of The Healthcare Quality Handbook: A Professionals Resource and Study Guide, currently in its 14th edition, and serves as instructor for quality management professionals preparing for the certification examination. She has chaired the national Healthcare Quality Educational Foundation and was the 1995—1996 president of the National Association for Healthcare Quality.

Michael Goodman, M.D. (1945—1996), was a clinical psychiatrist in private practice in Beverly Hills and Pasadena, California. He attended Tufts Medical School and completed his psychiatry residency at Northwestern University in Chicago, Illinois. Dr. Goodman served for 14 years as a physician advisor with the former California Professional Standards Review Organization and its current successor, California Medical Review, Inc. He was also a consultant in managed mental healthcare with treatment programs and practitioner groups participating in newer managed deliver models. Dr. Goodman was an assistant professor at the UCLA School of Medicine, Department of Psychiatry and Neurobehavioral Sciences, Los Angeles, California. He was also a mental healthcare consultant for the American Medical Association's Doctors Advisory Network, which provides "hands-on" assistance with managed care to members of the American Medical Association. He died on June 17, 1996.

American Psychiatric Publishing

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Table of Contents

Introduction. The impairment inventory: identifying impairments. The impairment inventory: rating impairment severity. The Patient Impairment Profile. Goals and objectives: performance measures for managed care. The treatment plan: selecting interventions. Tracking patient progress. The discharge summary: documenting treatment course. Epilogue. Appendix. Index.

American Psychiatric Publishing

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