HMOs everywhere are experiencing rapid enrollment increases and an agi ng of their current enrollees. Managing the care of people with chroni c conditions can be challenging, and resource-intensive. Packed with c ase studies, lessons learned, tips for success, and pitfalls to avoid, this practical reference will help you explore new ways of managing c hronic conditions.
|Publisher:||Jones & Bartlett Learning, LLC|
|Product dimensions:||9.00(w) x 6.00(h) x 0.68(d)|
Table of ContentsContents: OVERVIEW * Managed Care and Chronic Illness: An Overview * Managed Care and Chronic Care: Challenges and Opportunities * Choosing Chronic Disease Measures for HEDIS: Conceptual Framework and Review of Seven Clinical Areas * CARE MANAGEMENT * Components of a Successful Case Management Program * Case Management: Meeting the Needs of Chronically Ill Patients in an HMO * The Role of Health Organizations in Integrating Care for Persons with Special Health Care Needs * REORGANIZING PRIMARY CARE * Improving Outcomes in Chronic Illness * Kaiser Colorado’ s Cooperative Health Care Clinic: A Group Approach to Patient Care * DISEASE MANAGEMENT * The Community Medical Alliance: An Integrated System of Care in Greater Boston for People with Severe Disability and AIDS * A Systems Approach to Asthma Care * The Treatment of Chronic Benign Pain Syndrome in Capitated Health Care * Physician Attitudes Toward Computerized Practice Guidelines * CHILDREN WITH SPECIAL NEEDS * Enhancing Preventive and Primary Care for Children with Chronic or Disabling Conditions Served in Health Maintenance Organizations * Caring for Children with Special Need in HMOs: The Consumer’ s Perspective * MENTAL HEALTH * Evolution of Services for the Chronically Mentally Ill in A Managed Care Setting: A Case Study * A Medicaid Mental Health Carve-Out Program: The Massachusetts Experience * Commentary: Managing Care for Mental Illness: Paradox and Pitfalls * USING DATA TO DESIGN PROGRAMS * USQA Health Profile Database as a Tool for Health Plan Quality Improvement * Using Clinical Data in Program Design: A Family Support Program for Families with Preterm Infants * Using Datato Design Systems of Care for Adults with Chronic Illness