Integrated Health Care Delivery

Preliminary data analysis suggests these measures not only provide insight into physician - system integration activity itself but also the way in which physician - system integration is linked to both clinical integration and some ...

Integrated Health Care Delivery

This compilation of authoritative articles drawn from the highly respe cted journal Health Care Management Review gives practical information on offering a comprehensive continuum of health care services. You'll benefit from detailed information covering physician-hospital network ing, strategies for small community hospitals, managing partnerships, and more.

Psychology Christianity Integration

M. Elizabeth Lewis Hall Family Life Counseling and Educational Center Todd W. Hall Raymond W. Bliss Army Community Hospital Clinical integration refers to the incorporation of religious or spiritual beliefs, values, and methods into the ...

Psychology   Christianity Integration


Integrating Complementary Medicine Into Health Systems

formance improvement , and continuous quality improvement processes within a matrix system 4. common educational programming for clinicians and patients 5. payment incentives for clinical integration through capitation for covered lives ...

Integrating Complementary Medicine Into Health Systems

Comprehensive and in-depth guide provides the expertise of more than 100 of the nation's top professionals.

Handbook of Health Administration and Policy

None of these pictures is right per se , and all factually represent different versions of integrated systems . ... Clinical integration , the third model , focuses on coordinated patient care , multi - disciplinary ...

Handbook of Health Administration and Policy

This comprehensive text offers a broad view of health care policy, health services delivery and organization, and health care management. Drawing on the insights of over 100 scholars and leading practitioners, it highlights organizational changes reflected in health care mergers, networks, and affiliations and describes the role of funding agencies in the direct provision of services. Providing over 2350 references, tables, and drawings, the book charts the influences of managed care on provisions, funding, and the configuration of providers and services, and portrays the increasingly influential and challenging role of health administrators.

Leading Health Care Transformation

One of the difficulties in vertical integration through physician employment is the significant investment required to acquire clinical practices. This may be cost prohibitive or completely unfeasible depending on the extent of ...

Leading Health Care Transformation

A succinct and practical primer on healthcare transformation, Leading Healthcare Transformation is a key resource for all clinicians in leadership positions. It summarizes high-profile healthcare topics and includes a synopsis of the evidence, examples, lessons learned, and key action steps for each topic covered.Providing cutting-edge insights fro

Antitrust Laws and Their Effects on Healthcare Providers Insurers and Patients

The MedSouth and GRIPA FTC staff advisory letters demonstrate how high the bar has been set for physician networks seeking to qualify for rule of reason treatment through clinical integration . Both MedSouth and GRIPA made significant ...

Antitrust Laws and Their Effects on Healthcare Providers  Insurers and Patients


Big Med

Research confirms that physician prices increase more when the acquiring hospital has more market power.18 Impact on Clinical Integration The thirty- thousand- foot view of integration provided by academic research on cost and quality ...

Big Med

There is little debate that health care in the United States is in need of reform. But where should those improvements begin? With insurers? Drug makers? The doctors themselves? In Big Med, David Dranove and Lawton Robert Burns argue that we’re overlooking the most ubiquitous cause of our costly and underperforming system: megaproviders, the expansive health care organizations that have become the face of American medicine. Your local hospital is likely part of one. Your doctors, too. And the megaproviders are bad news for your health and your wallet. Drawing on decades of combined expertise in health care consolidation, Dranove and Burns trace Big Med’s emergence in the 1990s, followed by its swift rise amid false promises of scale economies and organizational collaboration. In the decades since, megaproviders have gobbled up market share and turned independent physicians into salaried employees of big bureaucracies, while delivering on none of their early promises. For patients this means higher costs and lesser care. Meanwhile, physicians report increasingly low morale, making it all but impossible for most systems to implement meaningful reforms. In Big Med, Dranove and Burns combine their respective skills in economics and management to provide a nuanced explanation of how the provision of health care has been corrupted and submerged under consolidation. They offer practical recommendations for improving competition policies that would reform megaproviders to actually achieve the efficiencies and quality improvements they have long promised. This is an essential read for understanding the current state of the health care system in America—and the steps urgently needed to create an environment of better care for all of us.

Hospital Joint Ventures Legal Handbook

59 Integration Among Participating Providers Providers participating in a Contracting Joint Venture can achieve cost efficiencies benefiting consumers ( and potentially justifying joint pricing ) through financial or clinical ...

Hospital Joint Ventures Legal Handbook

This new book summarizes the pertinent federal laws, identifies risks, and presents strategies by which hospital executives can structure and operate joint venture.

Antitrust health care handbook

Also helpful in understanding clinical integration are the materials from a May 29 , 2008 one - day FTC workshop on the subject42 and the discussion of clinical integration in the federal agencies ' 2004 joint report on competition in ...

Antitrust health care handbook


Data Integration in the Life Sciences

Process Based Data Logistics: a Solution for Clinical Integration Problems* Stefan J ablonski, Rainer Lay, Christian Meiler, Sascha Müller Lehrstuhl fur Datenbanksysteme - Institut fur Informatik Universität Erlangen-Ntirnberg ...

Data Integration in the Life Sciences

This book constitutes the refereed proceedings of the First International Workshop on Data Integration in the Life Sciences, DILS 2004, held in Leipzig, Germany, in March 2004. The 13 revised full papers and 2 revised short papers presented were carefully reviewed and selected from many submissions. The papers are organized in topical sections on scientific and clinical workflows, ontologies and taxonomies, indexing and clustering, integration tools and systems, and integration techniques.

Handbook of Nursing Case Management

Because of the potential to enhance access to services , reduce fragmentation , and avoid duplication , a compelling argument is made that optimal clinical outcomes can be achieved in highly integrated systems .

Handbook of Nursing Case Management

AACN Protocols for Practice: Healing Environments discusses the benefits of creating a healing environment for critically ill patients and their families and how changes to a patient's environment can promote healing. Family needs, visitation, complementary therapies, and pain management are also covered.

Comparative Health Systems

There is talk of “clinical integration,” “functional integration,” “organizational integration,” “normative integration,” “professional integration,” “vertical integration,” “horizontal integration,” “system integration,” “virtual ...

Comparative Health Systems

The standard classifications of health systems don't allow for the complexity and variety that exists around the world. Federico Toth sets out a new framework for understanding the many ways in which health systems can be organized and systematically analyses the health systems chosen by 27 OECD countries. He provides a great deal of up-to-date data on financing models, healthcare spending, insurance coverage, methods of organizing providers, healthcare personnel, remuneration methods for doctors and hospitals, development trajectories and recent reforms. For each of the major components of the healthcare system, the organizational models and the possible variants from which individual countries can ideally select are defined. Then, based on the organizational solutions actually adopted, the various national systems are grouped into homogeneous families. With its clear, jargon-free language and concrete examples, this is the most accessible comparative study of international healthcare arrangements available.

The Integration of Psychology and Christianity

We will first examine some forms of implicit clinical integration. We see this in the development of religiously sensitive clinical practice, as when a clinician is trained to think of religion and spirituality as potentially important ...

The Integration of Psychology and Christianity

Done properly, integration enriches our understanding of both Christianity and psychology. Through biblical and theological grounding, this expert overview takes stock of the integration project to date, provides an introduction for those who wish to come on board, highlights work yet to be done, and offers a framework to strategically organize next steps.

Health Care Law and Ethics

See generally Scott Danzis, Revising the Revised Guidelines: Incentives, Clinically Integrated Physician Networks, and the Antitrust ... In the latter case, the focus is on the degree of financial risk sharing or clinical integration.

Health Care Law and Ethics

Health Care Law and Ethics, Ninth Edition offers a relationship-oriented approach to health law—covering the essentials, as well as topical and controversial subjects. The book provides thoughtful and teachable coverage of every aspect of health care law. Current and classic cases build logically from the fundamentals of the patient/provider relationship to the role of government and institutions in health care. The book is adaptable to both survey courses and courses covering portions of the field. Key Features: New authors Nick Bagley and Glenn Cohen Incorporated anticipated changes to the Affordable Care Act More current cases and more streamlined notes, including ones on medical malpractice, bioethics, and on finance and regulation More coverage of “conscientious objection” and “big data” - Discussion of new “value based” methods of physician payment - Expanded coverage of “fraud and abuse” Current issues in public health (e.g., Ebola, Zika) and controversies in reproductive choice (e.g., Hobby Lobby) Coverage of cutting-edge genetic technologies (e.g., gene editing and mitochondrial replacement)

Health Informatics Vision From Data via Information to Knowledge

Results But what is the situation of the actual clinical integration of these innovations or developments, in the published research results? In addition to the classification of the articles on the areas of application and topics, ...

Health Informatics Vision  From Data via Information to Knowledge

The latest developments in data, informatics and technology continue to enable health professionals and informaticians to improve healthcare for the benefit of patients everywhere. This book presents full papers from ICIMTH 2019, the 17th International Conference on Informatics, Management and Technology in Healthcare, held in Athens, Greece from 5 to 7 July 2019. Of the 150 submissions received, 95 were selected for presentation at the conference following review and are included here. The conference focused on increasing and improving knowledge of healthcare applications spanning the entire spectrum from clinical and health informatics to public health informatics as applied in the healthcare domain. The field of biomedical and health informatics is examined in a very broad framework, presenting the research and application outcomes of informatics from cell to population and exploring a number of technologies such as imaging, sensors, and biomedical equipment, together with management and organizational aspects including legal and social issues. Setting research priorities in health informatics is also addressed. Providing an overview of the latest developments in health informatics, the book will be of interest to all those working in the field.

Physician Alignment

What Is Clinical Integration? There are many different definitions of clinical integration. They all focus on collaboration among healthcare providers and geographical locations pushing for higher-quality, better-coordinated, ...

Physician Alignment

Through healthcare reform, payment modifications, transparency, and a renewed focus on value, the healthcare industry is changing its organizational structure from one of a multitude of individual entities to one of a system-of-care model. This restructuring and subsequent alignment of information presents new risks and opportunities for physicians, hospitals, and other healthcare providers. Emphasizing effective interactions between physicians and the health system, Physician Alignment: Constructing Viable Roadmaps for the Future examines the different ways physicians and hospitals can create systems to not only survive, but thrive through the changes facing healthcare. It draws on experienced authors in the area of physician purchasing to explain the various integrative models for physicians and hospitals. Provides an accessible introduction to the different types of healthcare delivery models Covers the various types of integration—starting with the simplest and evolving into full employment models with full integration Includes helpful information for doctors considering a transition to physician employment Highlights emerging trends in healthcare Explaining how these systems should be constructed and aligned, the book provides healthcare organizations with a roadmap for planning for the future. The book concludes with a chapter on accountable care organizations and patient-centered medical homes that moves from the conceptual to administrative embodiments of the principles of an integrated health system as we now know it.

The Integrated Behavioral Health Continuum

Lack of commitment at the very top may also impede efforts within single organizations pursuing clinical integration. Often, clinical integration is championed by midlevel program directors or the chief ...

The Integrated Behavioral Health Continuum

Until recently, behavioral health was defined within the strict dichotomy of inpatient and outpatient care -- a dichotomy that failed to mirror the range and complexity of human experience and clinical needs. Today's integrated system renders this dichotomy obsolete. Instead, service delivery integration processes offer an organized system of care rooted in a common vision and defined by processes intended to promote continuity and quality of care, coordination of efforts, efficiencies of operation, and seamless patient movement through an otherwise bewildering array of health care services. Unique in the literature, this volume brings together distinguished clinicians and policymakers who focus on the operational aspects of developing state-of-the-art integrated delivery systems. History and concept -- Why we need integrated health care delivery systems, including a model of service delivery integration that incorporates current barriers (e.g., ambiguous roles and responsibilities and lack of strategic alignment; how to design integrated delivery systems improving clinical outcomes, achieving fiscal and operating efficiencies, and aligning clinical and fiscal incentives) Structural foundations -- Access to the system of care for patients, payors, and employers; how to design level-of-care criteria; eight strategies that help clients move along the continuum; how to define level of care in today's managed care world; and the process of following therapeutic processes (i.e., philosophies, procedures, and practices used to create or support recovery and wellness) across the continuum Administrative and management processes -- How to reorient staff toward minimizing barriers and making the patient central to the system; documentation/information management and reimbursement (rates and rate structures, risk assumption); current research and its enormous potential to improve every aspect of care; quality assessments based on examining the driving forces behind the needs for monitoring and evaluating quality and outcomes; and the relation of behavioral health care systems, which seek to fully integrate clients and families into the fabric of their community and culture, to other systems A case vignette that highlights -- from the consumer's viewpoint -- the vital role of self-help during an episode of hospitalization and a discussion of future directions in integrated behavioral health care round out this remarkable volume. With its wealth of strategic and "nuts and bolts" information -- useful for alliances and single entities alike -- on how to harness operational forces in establishing an effective integrated behavioral health continuum, this volume will be welcomed by those who deliver direct services (psychiatric professionals) and those who administer and manage the integrated financing and delivery of quality care from public (U.S. government agencies) and private (managed care and insurance providers) sectors alike.

Annual Review of Health Care Management

Burns and Muller (2008) group the variety of HPRs into three integration categories: clinical, noneconomic, and economic integration. Clinical integration involves hospital systems that ensure coordination of patient care between the ...

Annual Review of Health Care Management

This volume will interest healthcare researchers and health system designers alike. It revisits the evolution of health systems organization in light of regulatory and organizational evolution in health care, as well as assessing the latest evidence on physician integration, complexity, and system redesign.

Variation in Health Care Spending

Depending on the organizational setting and degree of clinical integration, different decision makers have varying abilities to maximize efficiencies and improve value. RECOMMENDATION 3: To improve value, the Centers for Medi- care ...

Variation in Health Care Spending

Health care in the United States is more expensive than in other developed countries, costing $2.7 trillion in 2011, or 17.9 percent of the national gross domestic product. Increasing costs strain budgets at all levels of government and threaten the solvency of Medicare, the nation's largest health insurer. At the same time, despite advances in biomedical science, medicine, and public health, health care quality remains inconsistent. In fact, underuse, misuse, and overuse of various services often put patients in danger. Many efforts to improve this situation are focused on Medicare, which mainly pays practitioners on a fee-for-service basis and hospitals on a diagnoses-related group basis, which is a fee for a group of services related to a particular diagnosis. Research has long shown that Medicare spending varies greatly in different regions of the country even when expenditures are adjusted for variation in the costs of doing business, meaning that certain regions have much higher volume and/or intensity of services than others. Further, regions that deliver more services do not appear to achieve better health outcomes than those that deliver less. Variation in Health Care Spending investigates geographic variation in health care spending and quality for Medicare beneficiaries as well as other populations, and analyzes Medicare payment policies that could encourage high-value care. This report concludes that regional differences in Medicare and commercial health care spending and use are real and persist over time. Furthermore, there is much variation within geographic areas, no matter how broadly or narrowly these areas are defined. The report recommends against adoption of a geographically based value index for Medicare payments, because the majority of health care decisions are made at the provider or health care organization level, not by geographic units. Rather, to promote high value services from all providers, Medicare and Medicaid Services should continue to test payment reforms that offer incentives to providers to share clinical data, coordinate patient care, and assume some financial risk for the care of their patients. Medicare covers more than 47 million Americans, including 39 million people age 65 and older and 8 million people with disabilities. Medicare payment reform has the potential to improve health, promote efficiency in the U.S. health care system, and reorient competition in the health care market around the value of services rather than the volume of services provided. The recommendations of Variation in Health Care Spending are designed to help Medicare and Medicaid Services encourage providers to efficiently manage the full range of care for their patients, thereby increasing the value of health care in the United States.