Status One
Breakthroughs in High Risk Population Health Management

Samuel Forman (Author), Matthew Kelliher (Author)

9780787941543, Wiley

Hardback, published 15 June 1999

271 pages
23.4 x 15.8 x 2.3 cm, 0.499 kg

"Forman and Kelliher present a compelling, field-tested approach tohealth care delivery and a new direction for case management thatmakes sense on humanitarian and financial grounds." --Kate JennisonGoonan, vicepresident, clinical performance improvement, UMassMemorial Health Care

"An exciting, promising, practical, and brand new approach tosolving the cost/quality dilemma in managed care-high riskpopulation health management. This well thought-out program focuseson managing patients, not physicians." --Stuart Baker, MD,executive vice president of clinical affairs, Voluntary HospitalAssociation

"Status One represents a critical development for delivering on thepromise of improving the quality of care while simultaneouslycontrolling costs." --Sam Nussbaum, MD, executive vice president,Medical Affairs and System Integration, BJC Health System

"The management of this high risk group is critical to futuremanaged care success." --Joseph I. Berman, MD, chief medicalofficer, Anthem Blue Cross and Blue Shield

"Finally, a model of managed health care that resonates withphysicians and patients. A new direction for care management thatmakes sense on both humanitarian and financial grounds." --SanfordT. Kurtz, MD, vice president and chief medical officer, LaheyClinic

A Proactive Framework for Organizational Change

Learn to apply the principles of total quality management to themanagement of high-risk patients and improve quality of care,patient outcomes-and the bottom line.

"Finally, a model of managed health care that resonates withphysicians and patients. A new direction for care management thatmakes sense on both humanitarian and financial grounds."--SanfordT. Kurtz, M.D., vice president and chief medical officer, LaheyClinic

"An exciting, promising, practical, and brand new approach tosolving the cost/quality dilemma in managed care--high-riskpopulation health management. This well thought-out program focuseson managing patients, not physicians."--Stuart Baker, M.D.,executive vice president of clinical affairs, Voluntary HospitalAssociation

Overview.

1. High-Risk Population Health ManagementComponents.

2. Segmenting the Population.

3. Information: The Right Kind, in the Right Place, in Time.

4. Structure: Building a Supportive Environment.

5. Assessing the Patient: Getting to the Heart of the Matter.

6. Formulating Care Plans: To Each According to Their Needs.

7. Renewals and Endings: Reassessment and Discharge.

8. Gauges on the Dashboard: Process and Outcome Measures.

Alternate Approaches to Medical Management.

9. Theory of the Case: Varied Ways to Identify High-RiskPeople.

10. Intervening on Behalf of the Severely Afflicted: CaseManagement.

11. Intervening by Clinical Condition: Disease Management.

12. AgAnda for the Future.

Sources and Rationale13. Total Quality Management: Concepts,High-Risk Patient Customers, Measures and Focus.

14. Epidemiology: Power and Limits of Statistical Approaches.

15. Economics: Structural Aspects and Costs in Managed CarePopulations.

Putting it Together16. Summary: Best Practices in High-RiskPopulation Management.

References.

Exhibits.

Index.

Subject Areas: Medicine: general issues [MB]