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Managed Care : Nursing Perspective

Managed Care : Nursing Perspective - 01 edition

ISBN13: 978-0805381528

Cover of Managed Care : Nursing Perspective 01 (ISBN 978-0805381528)
ISBN13: 978-0805381528
ISBN10: 080538152X
Cover type:
Edition/Copyright: 01
Publisher: Prentice Hall, Inc.
Published: 2001
International: No

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Managed Care : Nursing Perspective - 01 edition

ISBN13: 978-0805381528

Anita W. Finkelman

ISBN13: 978-0805381528
ISBN10: 080538152X
Cover type:
Edition/Copyright: 01
Publisher: Prentice Hall, Inc.

Published: 2001
International: No
Summary

Focusing on the impact of managed care on the health care delivery system and its effect on nursing, this book provides advanced practitioners with a comprehensive understanding of how managed care works. It guides readers through the maze of managed care with solid coverage of a wide variety of topics related to health care organizations, reimbursement, quality care, legal and ethical issues, changes in roles and responsibilities, tools and strategies used to monitor care, and changes in clinical practice.

FEATURES

  • FREE Interactive Companion Website (www.prenhall.com/finkelman) includes key terms with definitions, current events, internet exercises, study guide, message board, and faculty resources.
  • Internet Activities offer suggestions for further research on the World Wide Web and contain URLs for activities that correlate to each chapter.
  • Covers topics that expand upon managed care, such as the health care delivery system, legislation, nursing professional practice issues, and case management.
  • Four major themes of the book -- The Health Care Environment: What It Is and How It Is Affected by Managed Care; Managed Care: What It Is and How It Works; Issues Affecting the Results of Managed Care; Managed Care: Implementations for the Nurse -- are divided into separate units to help readers better understand managed care.
  • Questions and Activities for Thought present readers with material that addresses critical issues related to content in each chapter, and encourages them to relate and apply this information to their own communities.
  • Chapter objectives and summaries serve as a valuable guide for establishing and reviewing learning goals.

Author Bio

Finkelman, Anita : University of Cincinnati

Anita Finkelman, MSN, RN, is founder and president of Resources for Excellence, a health care consulting firm. She is currently Adjunct Associate Professor/Clinical Nursing at the University of Cincinnati College of Nursing. She has served as Director of Continuing Education and Associate Professor/Clinical Nursing at the University of Cincinnati College of Nursing. Her 30 years of experience in psychiatric nursing includes clinical, educational, and administrative roles in a variety of health care settings. In her administrative positions, she has had experience with managed care and has developed and taught a course on managed care. Ms. Finkelman has authored many books and lectured frequently on administration, managed care, continuing education, and psychiatric nursing, both nationally and internationally, and has also been active in many professional organizations such as the American Psychiatric Nurses Association and Sigma Theta Tau. She also serves on the Editorial Advisory Committee and Editorial Board for Home Care Provider. Ms. Finkelman has published many books and journal articles throughout her career, including Psychiatric-Mental Health Case Studies published inCritical Thinking in Nursing: Case Studies Across the Curriculum, Carol Green (Ed.), Prentice Hall Health, 1999; Psychiatric Home Care, Aspen Publishers, Inc., 1997; Psychiatric Administration Manual, Aspen Publishers, Inc., 1994 (annual supplements 1995, 1996); Quality Assurance for Psychiatric Nursing, Aspen Publishers, Inc., 1990 (annual supplements: 1991, 1992, 1993, 1994). She has also contributed chapters on the topic of health care delivery and managed care for other new textbooks to be published in 2001, including "The Health Care Delivery System," in Community Health Nursing" Promoting the Health of Aggregates, Mary Nies and Melanie McEwen (Eds.), W.B. Saunders Company.

Table of Contents

I. THE HEALTH CARE ENVIRONMENT.

1. The Changing Health Care Environment.
2. Reimbursement: A Driving Force.

II. MANAGED CARE: WHAT IT IS AND HOW DOES IT WORK?

3. Managed Care Organization: The Managed Care Maze.
4. Managed Care Strategies: Performance and Cost.
5. Case Management and Collaborative Care.
6. Clinical Pathways and Other Tools for Managing Care.

III. ISSUES AFFECTING THE RESULTS OF MANAGED CARE.

7. Legal and Ethical Issues.
8. Quality Care in the Managed Care Environment.
9. Managed Care and the Consumer.
10. Medicare and Medicaid: A Managed Care Approach.

IV. MANAGED CARE: IMPLICATIONS FOR THE NURSE.

11. The Nurse and Managed Care.
12. Managed Care and Its Effect on Patient Care.
13. Advanced Practice Nurse and Managed Care.
14. Future: Are We Up to the Challenge?

Appendix A: Internet Web Site Guidelines.
Appendix B: Web Sites.
Appendix C: Resources for Senior Citizens.

Glossary.
Index.

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