Managed Care Quality: A Practical Guide

by A. F. Al-Assaf, R. Robyn Assaf

Overview

Managed care organizations are paving the way to the future of health care delivery in the United States and countries around the world. As managed care systems evolve, a major concern is quality. Managed Care Quality: A Practical Guide is a collection of applications and experiences gathered from practicing health professionals in the field of managed care. This first "how to" guide was written to help managed care organizations meet the common objective of ensuring the best quality of services and care. Managed Care Quality: A Practical Guide presents successive steps in implementing quality in health care organizations. It introduces the methods, skills, and practices involved in quality health care programs and offers solutions to problems typically encountered in managed care.

Product Details

ISBN-13:	9781000162141
Publisher:	CRC Press
Publication date:	07/26/2020
Sold by:	Barnes & Noble
Format:	eBook
Pages:	296
File size:	5 MB

About the Author

A. F. Al-Assaf (University of Oklahoma, Oklahoma City, Oklahoma, USA) (Author) ,  R. Robyn Assaf (Author)

Table of Contents

Managed Care: An Introduction, Historical Evolution of Managed Care Quality, The Concept of Health Care Quality, Perceptions of Quality in Managed Care: Defining and Improving Providers' Performance and Quality, Implementing Quality in Managed Health Care, Quality Assurance Activities, Monitoring of Quality, Quality Improvement Activities, Quality Improvement in Managed Care: Using Preventative Medicine Guidelines, Institutionalization of Health Care Quality, Balancing Quality with Costs in a Managed Care Setting, Managed Care Accreditations and Certifications, Alternative Quality Management Strategies in Managed Care, Quality Excellence Awards.

Editorial Reviews

3 Stars from Doody

This is a practical guide for healthcare professionals who are responsible for quality. The concepts of quality management, quality improvement, quality assurance and monitoring are defined, outlined, and discussed. The book also covers cost and quality, accreditation, alternative management strategies, and awards for excellence. The purpose is to introduce the various methods, desired skills, and practices of healthcare quality. Although managed care organizations are the focus, the different techniques and tasks associated with healthcare quality can be applied to other healthcare organizations. The author presents practical applications and solutions to questions related to healthcare quality. The target audience is healthcare professionals and students of healthcare quality. The book is applicable to a variety of disciplines: administration, nursing, medicine, and pharmacy. The author and the contributors are experienced and credentialed professionals. The book is well laid out and appropriately referenced. The chapter that describes the various quality improvement tools provides pertinent illustrations of the various graphs and charts used in process analysis. In addition to the table of contents, each chapter contains its own table of contents which pinpoints the topics discussed within. I recommend this book for anyone with an interest in healthcare quality. The book presents a step-by-step introduction to the practical application of the concept of quality in healthcare organizations. It will serve as a valuable resource for both professionals and students. The book is filled with practical examples and tools. It is perfect as a text for courses in quality management,managed care, and healthcare leadership.

Marie Thayer

Introduces methods, skills, and practices involved in implementing quality in health care organizations, and offers solutions to problems typically encountered in managed care. Summarizes the history of quality in health care, explains ideas about quality control, and presents a step-by-step methodology for implementing health care quality, using the US Preventive Medicine Task Force Guidelines as an example. For health care administrators, health care quality and managed care professionals, medical directors, health insurance professionals, and advanced students in health care management. Annotation c. by Book News, Inc., Portland, Or.

Booknews

Reviewer: Marie Thayer, RN, MS, CPHQ (St. Vincents Hospital)
Description: This is a practical guide for healthcare professionals who are responsible for quality. The concepts of quality management, quality improvement, quality assurance and monitoring are defined, outlined, and discussed. The book also covers cost and quality, accreditation, alternative management strategies, and awards for excellence.
Purpose: The purpose is to introduce the various methods, desired skills, and practices of healthcare quality. Although managed care organizations are the focus, the different techniques and tasks associated with healthcare quality can be applied to other healthcare organizations. The author presents practical applications and solutions to questions related to healthcare quality.
Audience: The target audience is healthcare professionals and students of healthcare quality. The book is applicable to a variety of disciplines: administration, nursing, medicine, and pharmacy. The author and the contributors are experienced and credentialed professionals.
Features: The book is well laid out and appropriately referenced. The chapter that describes the various quality improvement tools provides pertinent illustrations of the various graphs and charts used in process analysis. In addition to the table of contents, each chapter contains its own table of contents which pinpoints the topics discussed within.
Assessment: I recommend this book for anyone with an interest in healthcare quality. The book presents a step-by-step introduction to the practical application of the concept of quality in healthcare organizations. It will serve as a valuable resource for both professionals and students. The book is filled with practical examples and tools. It is perfect as a text for courses in quality management, managed care, and healthcare leadership.

Doody's Review Service

"I recommend this book for anyone with an interest in healthcare quality...[It] presents a step-by-step introduction to the practical application of the concept of quality in healthcare organizations. It will serve as a valuable resource for both professionals and students...filled with practical examples and tools....perfect as a text for courses in quality management, managed care, and healthcare leadership."
-Doody's Weekly E-Mail Bulletin

From the Publisher