Last edited by Goltit
Saturday, November 21, 2020 | History

1 edition of Measuring access to care through population-based surveys in a managed care environment found in the catalog.

Measuring access to care through population-based surveys in a managed care environment

Measuring access to care through population-based surveys in a managed care environment

  • 269 Want to read
  • 28 Currently reading

Published by Foundation of the American College of Healthcare Executives in Chicago, Ill .
Written in English

    Subjects:
  • Health services accessibility -- United States -- Evaluation.,
  • Managed care plans (Medical care) -- United States -- Evaluation.

  • Edition Notes

    StatementAndrew B. Bindman and Marsha R. Gold, guest editors.
    SeriesHealth services research, $x 0017-9124 ; $v vol. 33, no. 3, pt. 2 (August 1998), Health services research. $p Special supplement ; $v vol. 33, no. 3, pt. 2
    ContributionsBindman, Andrew B., Gold, Marsha R.
    The Physical Object
    Paginationvi, p. 611-766 ; $c 23 cm.
    Number of Pages766
    ID Numbers
    Open LibraryOL22367558M

      Health disparities data, datasets, statistical reports, measurements and validations, as well as tools to manipulate and visualize disparity data. Disparities Measurements. Statistical Reports. Gender Equality Toolbox. Toolbox is made up of tools that can guide foundation staff and partners in designing, managing and measuring the results and. Dental Care Denti-Cal Facts and Figures California HealthCare Foundation > This site provides an overview of California's Medicaid dental program, known as Denti-Cal. It highlights key statistics and trends related to access, utilization, expenditures, and providers. Dental Managed Care Plan Utilization.


Share this book
You might also like
Millergate

Millergate

UTOPIAN LONGIN AND THE CONSTRAINTS OF RACIAL AND SEXUAL DIFFERENCE IN ELSA MORANTE

UTOPIAN LONGIN AND THE CONSTRAINTS OF RACIAL AND SEXUAL DIFFERENCE IN ELSA MORANTE

Hydrology of area 60, northern Great Plains, and Rocky Mountain coal provinces, New Mexico, Colorado, Utah, and Arizona

Hydrology of area 60, northern Great Plains, and Rocky Mountain coal provinces, New Mexico, Colorado, Utah, and Arizona

Shughart Thomson & Kilroy fifty years.

Shughart Thomson & Kilroy fifty years.

Entry and re-entry into penitentiary during the criminal career

Entry and re-entry into penitentiary during the criminal career

Surface analytical studies of base metal overlayers on selected electroactive ceramics.

Surface analytical studies of base metal overlayers on selected electroactive ceramics.

parsons counsellor

parsons counsellor

dictionary of geography

dictionary of geography

Television violence

Television violence

Gesamtverzeichnis des deutschsprachigen Schrifttums

Gesamtverzeichnis des deutschsprachigen Schrifttums

Wilmington, NC (City Wall Maps)

Wilmington, NC (City Wall Maps)

TONG YANG CONFECTIONERY CORP.

TONG YANG CONFECTIONERY CORP.

ecology of information work

ecology of information work

Measuring access to care through population-based surveys in a managed care environment Download PDF EPUB FB2

Donabedian's (,a, b, c) approach to quality assessment examines structure, process, and outcome. Access is typically considered part of the structural component of quality measurement.

Research, 33(3, Part II, Special Supplement on Measuring Access to Care Through Population- based Surveys in a Managed Care Environment): Short, P.F., and P. Butler. Whether one reads Computerworld (e.g., “How big data will save your life”),55 Healthcare Executive (e.g., “The power of analytics: Harnessing big data to improve the quality of care”),56 or Health Affairs (e.g., “Creating value in health care through big data”),57 most people now accept the idea that electronic clinical data and Cited by: 8.

In general terms, measurement of the quality of health care is driven by different forces in the private and public sectors. In the private sector, quality measurement is a reflection of the requirements of the accreditation process and, increasingly, is also a response to the demands of employers and other purchasers through contracting, report cards, and other means.

Data Sources on Access and Health Disparities. A issue brief by Mathematica Policy Research, Inc. states that “achieving ‘equitable’ access to health care has long been valued in this country, although there is little consensus about what the term actually means.”(1) The Institute of Medicine (IOM), however, in its report on primary care defined accessibility as “the.

Note: Table reports a critical potential access measure: health care coverage for persons under sixty-five years of age from to The uninsured proportion of.

Waters (), in measuring health care access equity in Ecuador, proposes a modified Gini coefficient, an Atkinson distributional measure and weighted utilitarian social Author: Hugh Waters. Health Care Quality Movement. Quality has been a topic of attention in American health care since the early years of this century (Donabedian, ).Although quality has not been neglected in the intervening years, the focus on quality is a fairly recent phenomenon, beginning in the late s (O'Leary and Walker, ).Since then, quality has become a front-and-center issue for Cited by: The Patient Protection and Affordable Care Act of (PPACA) has further expanded support for those with financial constraints and preexisting conditions through improved access to health care services in the US.

58 Additionally, the PPACA has recognized the need for more comprehensively assembled national data to measure and address racial. This banner text can have markup.

web; books; video; audio; software; images; Toggle navigation. How does the transition from a fee-for-service to a managed care system affect cost, quality, and access to care for persons with HIV/AIDS in NY State.

The information will be used to establish HIV adjusted actuarial rates, evaluate utilization thresholds, monitor quality of care and access to care, and monitor changes in service delivery systems. Established in by the Centers for Disease Control and Prevention (CDC), the Behavioral Risk Factor Surveillance System (BRFSS) is a state-based system of health surveys that collects information on health risk behaviors, preventive health practices, and health care access primarily related to chronic disease and injury.

Healthcare reimbursement is rapidly evolving from primarily fee-for-service to value-based, risk sharing accountable care contracts. Health systems with employed physicians primarily paid on productivity-based compensation plans face the challenge of aligning their physician’s financial incentives with the new market requirements for quality, outcomes, and patient experience.

Criteria for Dental Sealants and caries -arresting care have not been _____ for oral epidemiologic surveys. standardized ______ is characterized by localized inflammation, swelling, and bleeding of the soft tissues surrounding a tooth without loss of connective tissue or bone support. Introduction.

InWennberg and Gittleson published a landmark study in the journal study was an analysis of small-area variation in health-care utilization across the state of Vermont. 1 They used large amounts of data from an entire population to show how significant discrepancies in health care existed when comparing one Vermont county to the by: 2.

Missouri Care’s Medicaid Managed Care Plans Missouri Care is a managed care organization contracted with the MO HealthNet Division (MHD), which offers products to MO HealthNet participants.

These products are offered in select markets to allow flexibility and offer a distinct set of benefits to fit Member needs in each area. MANAGED CARE ••• With the growth of employer-based medical insurance following World War II, fee-for-service indemnity insurance became the prevailing mode of financing healthcare prior to the rise of indemnity insurance, care was provided—for those who could afford it—in exchange for a fee or as part of a barter arrangement.

Health care quality measurement for children is the process of using a scientifically sound tool to assess the extent to which children are receiving quality health care in any of the IOM quality domains.

"Quality measures" can be used to evaluate a: Managed care organization (MCO). Health plan or program. Hospital. Health care practitioner. The preparation of pediatric residents to function optimally in managed care environments challenges educators to create a new set of educational objectives and competencies and to incorporate these into curricula that are already full.

Many of the skills needed to practice managed care are those that have been required for the practice of Cited by: 4. Structural access-to-care barriers make it difficult for persistent Lyme disease patients to obtain care through their usual health care channels and relegate patients to marginalized health care.

Access to care may be affected by institutional and structural health care barriers as well as by hidden barriers, such as non-physician gatekeepers.

Patient experience reflects quality of care from the patients’ perspective; therefore, patients’ experiences are important data in the evaluation of the quality of health services.

The development of an abbreviated, reliable and valid instrument for measuring inpatients’ experience would reflect the key aspect of inpatient care from patients’ perspective as well as facilitate Cited by:   Practice patterns occurring within the general FFS environment almost certainly extend to the managed care setting through clinical practice patterns, standards of care, and patients’ by: Robert H.

Brook holds the Distinguished Chair in Health Care Services at the RAND Corporation, where he previously served for 19 years as vice president and director of RAND Health. He is also a senior principal physician policy researcher at the RAND Corporation and professor emeritus of Medicine and Health Services at UCLA.

There are three types of managed care plans: Health Maintenance Organizations (HMO) usually only pay for care within the network where you choose a primary care doctor who coordinates most of your care; Preferred Provider Organizations (PPO) usually pay more if you get care within the network, but they still pay a portion if you go outside; and.

From the early s, the Kingdom of Bhutan began to develop its modern health care system. By the early s, the country had developed an extensive network of health care facil.

Chronic illness care is largely performed within the primary care setting, and the chronic care model has become a major rethinking and contributing factor for primary care.

The chronic care model (CCM) delivers integrated management for noncommunicable diseases and has been successfully applied in : Joel Rodriguez-Saldana. TITLE: Assessment of the Feasibility of Creating a Managed Care Encounter-Level Data base.

ABSTRACT: The rapid growth of managed care in recent years is transforming the Nation's health care system. In the process, it is also changing the ability of health services researchers and policy analysts to answer fundamental questions about access. care costs mainly by strictly limiting the use of important medical care, drugs, and technology, through its power over patients and doctors as the payer.

By File Size: KB. Improving the U.S. health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per Cited by:   Chronic obstructive pulmonary disease (COPD) is underdiagnosed in general practice.

Our aim was to implement a population-based approach for the early detection of COPD and to assess its impact on Cited by: •access to health care, quality of education, and reports Social media can be used to communicate with, and hold accountable, political, economic, and other kinds of organizations.

The increasing role of big data in our daily lives The world today is more connected, interdependent, and data-rich than at any time in human history. About 44 percent of Americans received their health care through managed care plans during Most of them were served through health maintenance organizations (HMOs; %) or preferred provider organizations (PPOs; %), with the balance (%) receiving service through either a point-of-service (POS) plan or a high-deductible health plan.

However, the usefulness of these breakthroughs in clinical practice depends on the availability of population-based data to determine the prevalence of gene variants among different populations, the population-based risk for disease associated with gene variants, gene-environment interactions, and the effectiveness of genetic tests and services.

Managing the Competencies in Ophthalmology. Acknowledgement: This work was supported in part by an unrestricted grant from Research to Prevent Blindness, Inc., N.Y., N.Y.A hard copy version of more detailed published versions of the materials contained on this website can be found in the following articles.

DOWNLOAD. Given the complicated nature of outcomes improvement and the numerous requirements for building and maintaining an effective, continuous quality improvement program with sustained outcomes, it’s no surprise health systems feel overwhelmed.

Successfully sustaining quality improvement in healthcare is a tall order to fill—consider this partial list of. Managed Care Data Requirements. All managed care organizations shall maintain an information system that collects, analyzes, integrates and reports data as set forth at 42 CFR § This system shall include encounter data that can be reported in a standardized format.

Encounter data requirements shall include the following. Access to Care Contractors should identify potential barriers for patients receiving appropriate access to care.

Access to care issues include obtaining the care that the patient and/or physician deemed necessary, obtaining timely urgent care, locating a personal doctor, or receiving adequate assistance when calling a physician office.

Chronic diseases represent a high cost for healthcare systems, for individuals, families, businesses and governments. The World Health Organization (WHO) estimates that an increase of 10% of chronic diseases is associated with a reduction of % of annual economic growth.

Primary care has proven to ensure high levels of efficiency, effectiveness, equity, safety, Author: O. Capelli, B. Quattrini, F.

Abate, B. Casalgrandi, I. Cacciapuoti. The National Health Care Surveys are designed to answer key questions of interest to health care policy makers, public health professionals, and researchers.

These can include the factors that influence the use of health care resources, the quality of health care, including safety, and disparities in health care services provided to population. Research into the impact of managed care programs suggests that quality of care and outcomes have not deteriorated under these initiatives.

3 However, despite initial success in reducing healthcare spending and stabilizing premiums for patients, costs continued to increase, in part due to the development of new technologies and drugs, thus. Kolbasovsky A. Strategies for measuring outcomes and ROI for managed care programs.

Manag Care. ;20(11)– Landon BE, Hicks LS, O’Malley AJ, et al. Improving the management of chronic disease at community health centers. N Engl J Med. ;(9)– Loveman E, Royle P, Waugh N. Specialist nurses in diabetes mellitus.Aim and objectives: The aim of this study was to explore family caregivers’ experiences with palliative care for a close family member with severe dementia in long-term care ound: Dementia not only affects individuals but also affects and changes the lives of close family increasing number of dementia-related deaths occur in long-term .Primary care serves as the cornerstone in a strong healthcare system.

However, it has long been overlooked in the United States (USA), and an imbalance between specialty and primary care exists. The objective of this focused review paper is to identify research evidence on the value of primary care both in the USA and internationally, focusing on the importance of effective Cited by: