The Risk Manager's Desk Reference / Edition 2

The Risk Manager's Desk Reference / Edition 2

by Barbara Youngberg
     
 

ISBN-10: 0834210169

ISBN-13: 9780834210165

Pub. Date: 03/03/1998

Publisher: Jones & Barlett Learning

The Risk Manager's Desk Reference, Second Edition is the definitive guide to ensure quality in your organization and save thousands of dollars in costly lawsuits. It puts at your fingertips the information you need on integrating quality assurance and risk management, understanding risk management in a managed care environment, and program development. With this book…  See more details below

Overview

The Risk Manager's Desk Reference, Second Edition is the definitive guide to ensure quality in your organization and save thousands of dollars in costly lawsuits. It puts at your fingertips the information you need on integrating quality assurance and risk management, understanding risk management in a managed care environment, and program development. With this book you learn how to integrate patient support services and facilitate physician participation. This handy reference offers concise information on your most challenging issues and various ethical issues.

Product Details

ISBN-13:
9780834210165
Publisher:
Jones & Barlett Learning
Publication date:
03/03/1998
Edition description:
2E
Pages:
519
Product dimensions:
7.00(w) x 10.10(h) x 1.30(d)

Table of Contents

Contributors
Introduction
Ch. 1Introduction to Risk Management1
Ch. 2Risk Management in Managed Care5
Ch. 3The Risk Manager's Role in the Integrated Delivery System19
Ch. 4Integrating Risk Management, Utilization Management, and Quality Management: Maximizing Benefit through Integration27
Ch. 5Incorporating Quality Improvement Strategies and Benchmarking into Risk Management43
Ch. 6Benchmarking in Risk Management56
Ch. 7Risk Management Strategic Planning for a Changed Health Care Delivery System61
Ch. 8Developing Tools To Identify and Manage the Risks of Managed Care72
Ch. 9Setting Up a Risk Management Department88
Ch. 10Understanding the Need for a Corporate Compliance Program107
Ch. 11Developing a Risk Management Manual121
Ch. 12Risk Management Program Development130
Ch. 13The Risk Manager's Responsibility for Off-Premises Locations152
Ch. 14Managing the Data Needs of Managed Care164
Ch. 15Education As a Valuable Risk Management Tool182
Ch. 16Consent Issues in the Medical Environment190
Ch. 17A Basic Insurance Primer202
Ch. 18Understanding Provider Excess and Stop-Loss Insurance215
Ch. 19Insurance Products To Minimize the Financial Risks of Managed Care220
Ch. 20Risk Financing: An Important Risk Management Function232
Ch. 21Risk Financing Issues Facing Medical Providers245
Ch. 22Guidelines for In-House Claims Management253
Ch. 23Risk Management Issues Associated with Anesthesia266
Ch. 24Developing a Comprehensive Risk Management Program in Obstetrics280
Ch. 25Risk Management Issues in the Emergency Department295
Ch. 26Risk Management in the Pediatric Setting305
Ch. 27Risk Management in the Psychiatric Setting328
Ch. 28Managing the Risks Associated with Clinical Research341
Ch. 29Managing the Risks Associated with Telemedicine363
Ch. 30Managing the Risks of Home Health Care380
Ch. 31Legal Issues Associated with the Use and Development of Practice Guidelines384
Ch. 32Managing the Risks of Workers' Compensation399
Ch. 33Credentialing Issues and Managed Care414
Ch. 34The Physician As Gatekeeper - What Are the Risks?426
Ch. 35Ethics, Accreditation, and Managed Care: A Guide for Risk Managers435
Ch. 36Legislative and Regulatory Issues445
Ch. 37COBRA Risks and Managed Care461
Ch. 38Managed Care Contracting477
Index503

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