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Status One: Breakthroughs in High Risk Population Health Management

ISBN: 978-0-7879-4154-3
272 pages
June 1999, Jossey-Bass
Status One: Breakthroughs in High Risk Population Health Management (0787941549) cover image
A Proactive Framework for Organizational Change



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



"Finally, a model of managed health care that resonates with physicians and patients. A new direction for care management that makes sense on both humanitarian and financial grounds."--Sanford T. Kurtz, M.D., vice president and chief medical officer, Lahey Clinic



"An exciting, promising, practical, and brand new approach to solving the cost/quality dilemma in managed care--high-risk population health management. This well thought-out program focuses on managing patients, not physicians."--Stuart Baker, M.D., executive vice president of clinical affairs, Voluntary Hospital Association
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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-Risk People.

10. Intervening on Behalf of the Severely Afflicted: Case Management.

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 Care Populations.

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

References.

Exhibits.

Index.
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SAMUEL FORMAN, M.D., is chief medical officer of StatusOne Health Systems (www.statusone.com). He is an acknowledged authority on population health management, disease management, and outcomes studies. MATTHEW KELLIHER is president and chief executive officer of StatusOne Health Systems. A leading innovator in the health care field, Kelliher has more than twenty years experience with improving health care systems throughout the United States.
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"Forman and Kelliher present a compelling, field-tested approach to health care delivery and a new direction for case management that makes sense on humanitarian and financial grounds." --Kate Jennison Goonan, vicepresident, clinical performance improvement, UMass Memorial Health Care

"An exciting, promising, practical, and brand new approach to solving the cost/quality dilemma in managed care-high risk population health management. This well thought-out program focuses on managing patients, not physicians." --Stuart Baker, MD, executive vice president of clinical affairs, Voluntary Hospital Association

"Status One represents a critical development for delivering on the promise of improving the quality of care while simultaneously controlling 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 future managed care success." --Joseph I. Berman, MD, chief medical officer, Anthem Blue Cross and Blue Shield

"Finally, a model of managed health care that resonates with physicians and patients. A new direction for care management that makes sense on both humanitarian and financial grounds." --Sanford T. Kurtz, MD, vice president and chief medical officer, Lahey Clinic
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Status One: Breakthroughs in High Risk Population Health Management (US $80.00)

-and- Disease Management: A Systems Approach to Improving Patient Outcomes (US $132.00)

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