Written specifically for nurses by nurses, this new resource helps nurses at all levels to understand and efficiently work within todays complex managed care system. Beginning with an overview of managed care, it then discusses how the business of managed care affects the practice of nursing...the impact of managed care on individual nursing specialties...and the myriad of legal and ethical issues that can arise in our complex healthcare system. Finally, it presents a wealth of strategies for providing quality care and analyzing cost information-as well as practical tips on utilization management, outcomes management, disease state management, and workers compensation and disability.
INTRODUCTION TO MANAGED CARE · Nurses Voice and Presence in Todays Managed Healthcare Environment · Historical Perspectives on Managed Care · The Business of Managed Care: How a Managed Care Company Works · Managed Care Fundamentals · THE BUSINESS OF MANAGED CARE · Operationalizing Managed Care · Wall Street and Healthcare: Understanding our New Partner · Managed Care: Whats Next · NURSING PERSPECTIVES · The Impact of Managed Care on the Staff Nurse · Nurse Practitioners and Managed Care · The Role of the Chief Nurse Executive in Managed Care · Person and Community: Coauthors of Health and Care · RN/Physician Partnerships: Essential to Care Management: Fact or Fantasy? · Integrating Concepts of Managed Care and Nursing Case Management into Academic Curriculum · LEGAL/ETHICAL ISSUES · Legal Issues of Managed Care · Managed Care and the Nurse - Legal Issues · Ethics, Integrity, and Managed Care · Ethics in a Managed Care Environment · STRATEGIES FOR SUCCESS IN A MANAGED CARE ENVIRONMENT · A Systems Approach to Hospital-Based Nurse Case Management · Community-Based Health Programs in a Managed Care Environment · Quality Management in Managed Care · Strategies for Accessing and Analyzing Meaningful Information · Utilization Management · Outcomes Management in a Managed Care Environment · Disease Management in Managed Care · Workers Compensation Managed Care
Comments (0)
Your review appreciation cannot be sent
Report comment
Are you sure that you want to report this comment?
Report sent
Your report has been submitted and will be considered by a moderator.