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From The CriticsReviewer: Ruth Hanson, MS, RN (MeritCare Health Systems)
Description: This handbook on managed care and home care is the third in an AHPI series on home care.
Purpose: Home care is at a crossroads as payment methodologies change and the demand and requirements for services increase. This book addresses issues facing home care, specifically those related to managed care, a trend that will have significant impacts on home care.
Audience: Intended for multidisciplinary hospital, home care leaders, financial managers, payers, and regulators, this text offers a wealth of information, from several credible sources, for new and seasoned home care stakeholders.
Features: Readers will value the book's glossary of managed care terms and extensive annotated bibliography, as well as its concise overview of outpatient case management models and other critical success factors for home care organizations. It is well organized with appropriate use of sub-headings and tables, but it lacks an index.
Assessment: The book clearly articulates challenges and opportunities that face home care organizations as they prepare for increasing levels of managed care. It is a useful resource for home care and hospital leaders in many disciplines, including physicians, nurses, case managers, and fiscal managers as they pursue greater integration of patient services across settings. The positive impact that home care can have on clinical quality and financial outcomes is stressed, but a warning is issued that many home care organizations are as yet not able to document quality outcomes that satisfy managed care organizations and consumer expectations. The book is appropriate for individual, organizational, and library purchase.