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Delivering Health Care in America, Seventh Edition is the most current and comprehensive overview of the basic structures and operations of the U.S. health system—from its historical origins and resources, to its individual services, cost, and quality. Using a unique “systems” approach, the text brings together an extraordinary breadth of information into a highly accessible, easy-to-read resource that clarifies the complexities of health care organization and finance while presenting a solid overview of how the various components fit together.
Delivering Health Care in America, Third Edition provides readers with a comprehensive understanding of the basic structures and operations of one of the largest sectors of the U.S. economy. With the most current data, legislation, and overall system changes addressed, the third edition covers the conceptual basis for the system, its historical origins, the structures of ambulatory care, inpatient care, and other important services structures, the translation of these structures into health services themselves, and the manifestations of their impact on costs and quality. The text includes learning objectives, review questions, and key terminology.
Delivering Health Care in America, Sixth Edition is the most current and comprehensive overview of the basic structures and operations of the U.S. health system—from its historical origins and resources, to its individual services, cost, and quality. Using a unique “systems” approach, the text brings together an extraordinary breadth of information into a highly accessible, easy-to-read resource that clarifies the complexities of health care organization and finance while presenting a solid overview of how the various components fit together. While the book maintains its basic structure and layout, the Sixth Edition is nonetheless the most substantive revision ever of this unique text. Because of its far-reaching scope, different aspects of the Affordable Care Act (ACA) are woven throughout all 14 chapters. The reader will find a gradual unfolding of this complex and cumbersome law so it can be slowly digested. Additionally, as U.S. health care can no longer remain isolated from globalization, the authors have added new global perspectives, which the readers will encounter in several chapters. Key Features: - Comprehensive coverage of the ACA and its impact on each aspect of the U.S. health care system woven throughout the book - New “ACA Takeaway” section in each chapter as well as a new Topical Reference Guide to the ACA at the front of the book - Updated tables and figures, current research findings, data from the 2010 census, updates on Healthy People 2020, and more - Detailed coverage of the U.S. health care system in straightforward, reader-friendly language that is appropriate for graduate and undergraduate courses alike
In a clear, cohesive format, Delivering Health Care in America provides a comprehensive overview of the basic structures and operations of the US health system—from its historical origins and resources, to its individual services, cost, and quality. Using a unique “systems” approach, it brings together an extraordinary breadth of information into a highly accessible, easy-to-read text that clarifies the complexities of health care organization and finance, while presenting a solid overview of how the various components fit together. The fourth edition has been thoroughly updated with the latest information on: The global threat of avian influenza Health policy agenda of the Bush administration Progress towards Healthy People 2010 goals The effects of corporatization, information revolution, and globalization on health care delivery. The role of hospitals in the U.S. healthcare system The continuing nursing shortage Prospective payment initiatives for inpatient psychiatric facilities and inpatient rehabilitation facilities Pay-for-performance initiatives Trends in home health care services The role of long-term care hospitals and reimbursement for their services Disease management as a strategy to manage utilization The role of inpatient rehabilitation facilities Updated information on health services for special populations State strategies to provide universal coverage State Children’s Health Insurance Plan reauthorization issues The President’s Emergency Plan for AIDS Relief High-deductible health plans Insurance restructuring in Massachusetts Challenges in long-term care The era of evidence-based medicine Mandates of recent legislation such as the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 and the Deficit Reduction Act of 2005 New Fifth Edition Now Available
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nationâ€™s public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Publicâ€™s Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nationâ€™s health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the publicâ€™s health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Covering the basic structures and operations of the U.S. health system, Essentials of the U.S. Health Care System is a clear and concise distillation of the important topics covered in Delivering Health Care in America by the same authors. Ideal for courses in health policy, allied health, health administration and more, this comprehensive revision clarifies the complexities of health care organization and finance and presents a solid overview of how the various components fit together. the Second Edition has been thoroughly updated with all new data, charts, and tables throughout. New content
Based on a study of eleven health care systems and their response to managed care and cost containment pressures, this provocative book challenges the nation to create a supportive environment for the evolution of our health care system. Written by the country?s foremost authority on health services management and a team of experts, Remaking Health Care in America promotes an integrated approach to health care?one that focuses on alliances, linkages, and partnerships with public health and community/social service agencies. As a concrete guide to achieving this transformation, the authors present a conceptual framework for the integration of finance, human resources, strategic planning, total quality management, information systems, physician integration, and clinical integration that will ultimately result in an effective community health care management system. Second Edition Flap copy "This is a must-read book for those interested in understanding the current state of health care delivery organization and the promise and difficulties of creating integrated health care delivery systems. The authors describe the challenging steps that must be taken to convert the nation's fragmented delivery system into an integrated delivery system capable of providing care in a consistent, high quality and safe way."—David Lawrence, M.D., president and CEO, Kaiser-Permanente The original edition of Remaking Health Care in America transformed ideas about managed care and systems integration across the health care field and has become a standard reference for building organized delivery systems. To meet the challenge of the changing state of today's health care field this second edition includes updated information on topics such as the need for more clinically integrated care, greater accountability, stronger links between health systems and their communities, and new ways of creating value. This essential resource-written by a team of scholars led by Stephen Shortell, the country's foremost health services management researcher, examines the progress of nine health care delivery systems that were analyzed in the book's first edition. On the basis of this recent research, the authors reveal the successes, failures, and lessons learned and take on important and timely health care concerns such as the public backlash against managed care and the challenges of providing care to people with chronic illness. The book is filled with a wealth of illustrative cases and practical recommendations. In addition, the authors identify the key factors for implementing a new model of delivering health care services in a cost-effective way to individuals and communities. [Back Jacket] [headline] A new prescription for curing the ills of our ever-changing health care system Stephen Shortell, one of the country's leading health care management authorities, and his team of experts use the most current data available to update their classic book Remaking Health Care in America. This expanded second edition includes a clear conceptual framework for health care leaders who must develop more integrative systems of care to meet the challenge of the evolving health care industry. The book also provides practical suggestions and myriad recommendations for developing cost-effective delivery systems across the United States. "This book is deep in understanding of what it will really take to reform our nation's health care system."—Don Berwick, M.D., president and CEO, The Institute for Healthcare Improvement "Shortell and colleagues simply know more about organizing and managing delivery systems to produce superior health outcomes. Their vision of the community health management system points the way for realistically creating health value for individuals and populations."—David Kindig, M.D., professor and director, Graduate Programs in Health Services Management, Department of Preventive Medicine, School of Medicine, University of Wisconsin-Madison "This book will prove a useful tool for anyone who is interested in helping the United States move toward a more integrated, community-oriented health care system."—William C. Richardson, president and CEO, W.K. Kellogg Foundation "Shortell and colleagues outline some of the underlying requirements for creating value in health care delivery. This second edition provides important information to academics and practitioners and is well worth reading."—Leonard D. Schaeffer, chairman and CEO, Wellpoint Health Networks, Inc. "The second edition of Remaking Health Care in America is a 'must read' for system CEOs and physician leaders as well as faculty and students in health care management and policy."—Gail Warden, president and CEO, Henry Ford Health System "A path-breaking work that should be read by policymakers and practitioners alike. The most comprehensive and insightful treatment of integrated health systems available."—Gail Wilensky, John M. Olin senior fellow, Project Hope, and chair, MedPAC
America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009--roughly $750 billion--was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.