Alignment A Provider's Guide to Managing the Practice of Health Care

• Introduction
• Chapter I. Changes in Health Care Practice: Prevention and Management of Disease
• Proactive Considerations
• Provider’s Self-Analysis, Targets, and Benchmarks
• Provider Group Self-Needs Assessment
• Optimizing the Physician’s Role
• The New Medical Economics
• Mental Attitude, Mind-Set, and Consciousness
• Changing Roles, Issues of Reimbursement, and Capitation
• Healthy Outcomes--One Patient at a Time
• Challenges of the Twenty-First Century
• Summary
• Chapter 2. Using Information
• Proactive Considerations
• Defining Alignment
• Selecting Targets for Business Success
• Implementing Action to Achieve Desired Outcomes
• Summary
• Chapter 3. Top Down, Bottom-Up Planning
• Proactive Considerations
• Organization-Wide Participation
• Case Example: Strategic Plan Development for Metropolitan-Based Multispecialty Physician Group and Regional Tertiary Care Hospital
• Outcomes Management and Continuous Improvement
• Case Example: Developing a Community-Based Primary Care Group and Hospital Strategic Plan
• Case Example: Health Plans’ Managed Care Strategic Plan
• Summary
• Chapter 4. Aligning Focus, Measurement, and Outcomes
• Proactive Considerations
•  Inferntial Management and Continuous Improvement
• Begin with the Desired Outcomes in Mind
• Establishing a Basis for Health Care Decision Support
• Outcome Management System
• Summary
• Chapter 5. Proactive Considerations
• Understanding that Consumer Satisfaction Is the Only Way of Doing Business Successfully
• Excellence in Everything
• Quality, Consumer Satisfaction, and the Practice of Medicine
• Myths and Other Misunderstandings About Medical Practice
• Looking at Health Care from the Patient’s Perspective
•  Making Consumer Satisfaction a Way of Doing Business
• Becoming Consumer Oriented
• The Physician’s Role in Developing a Consumer-Oriented Initiative
• How Consumers Select and Evaluate Physicians
• The Role of Management in Developing a Consumer-Oriented Initiative
• The Role of Non-Physician Staff in Making a Consumer-Oriented Initiative Work
• From Initial Call for Appointment to Billing: Treating the Patient Right
• Tips for Providing High-Quality Service
• Consumer Satisfaction: An Overview
• Summary
• Chapter 6. Proactive Considerations
• Consumer Satisfaction Redefined
• Rank Ordering Clinical Priorities
• Benchmarking: The Search for Best Practices
• Forecasting/Predicting Outcomes: The Inferential Evaluation Model (IEM)
• Enhanced Data System Methodology (EDSM)
• Process Mapping: Physician, Hospital, and Health Plan Billing Cycle Redesign
• Integration: Physician/Hospital Outcomes Analysis
• Goals and Results of Clinic/Hospital Integration of Business Office
• Key Indicator Definitions and Drill-Down Analysis: Preparation for Action Plan Development
• Report Cards
• Physician/Practitioner Information Systems
• Developing Trust Between Providers and a Health Plan
• 1995 Physican-Focused Wellness Member Satisfaction Survey Done by Wellness Health Plan
• 1996 Internal All Physicians Guide
• Summary
• Resources
• Notes
• Glossary
•  Bibliography
• Index

Biography

Winston, William; Sommers, Paul A