{"title":"Medical group practice applications for HEDIS: reality or myth?","authors":"R R Girouard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Through administrative review or random sample, health plan statisticians have ventured into group practice to collect indices that attempt to assess and measure quality. Yet group practice, as a means for assisting in the data collection processes of HEDIS, has had little participation in its development. This professional paper seeks to explore ways in which a group practice can play an important part in some area of HEDIS measurement and data collection.</p>","PeriodicalId":79579,"journal":{"name":"College review (Denver, Colo.)","volume":"14 1","pages":"39-60"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21054660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ethics of managed care: clinical and administrative implications for medical group practices.","authors":"D J Philip","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This professional paper reviews several current ethical dilemmas: situations that may compromise the patient's dignity; a social thrust towards \"universal\" care that has left providers in a no-man's land of \"to treat or not to treat\" decisions; financial models which reduce available services, or that directly incentivize practices to withhold care. Behind each of these issues are values that managers [and physicians] must consider if they are to protect and improve the quality of health care.</p>","PeriodicalId":79579,"journal":{"name":"College review (Denver, Colo.)","volume":"14 1","pages":"61-80"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21054662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The impact of managed care on academic Ob/Gyn departments.","authors":"S M Larch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In order to lead an organization into the 21st century. Ob/Gyn administrators and chairpersons must understand managed care models and markets. With a basic understanding of the history of managed care and its impact, administrators and physicians will be better prepared to position their organizations to maximize opportunities for contracts with managed care organizations or change operations to respond to capitation and other financing methodologies. There are no \"cookbooks\" available, but health care leaders can learn to recognize a broad range of markets and strategic choices. The strategies discussed in this professional paper identify and should help Ob/Gyn departments survive and thrive in the future.</p>","PeriodicalId":79579,"journal":{"name":"College review (Denver, Colo.)","volume":"13 1","pages":"5-22"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21055332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ambulatory surgical center: developing a health care opportunity.","authors":"P B Richards","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The objectives of this article include a review of the origin, reasons and rationale for developing an ambulatory surgical center (ACS) and the developmental process. In addition, opportunities and limitations are discussed in different developmental stages. Licensing, personnel and day-to-day operations are examined, and finally, impacts, implications and the future of ASCs are discussed.</p>","PeriodicalId":79579,"journal":{"name":"College review (Denver, Colo.)","volume":"13 1","pages":"51-89"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21055333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Coping with uncertainty: use of sensitivity and scenario analysis in the evaluation of financial and operational risks associated with capitation contracting.","authors":"J S Hagen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79579,"journal":{"name":"College review (Denver, Colo.)","volume":"13 2","pages":"21-49"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21055335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Internet: current status and future implications for health care administrators.","authors":"M E Duffy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79579,"journal":{"name":"College review (Denver, Colo.)","volume":"13 2","pages":"5-20"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21055336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CHINs: information superhighway or unpaved byway?","authors":"T P Vise","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In all successful systems it is the relationship--both formal and informal--that define how well organizations run and how they create value for their customers. Information systems' real benefit, therefore, is to add value to those relationships. No matter if the original business intent of the system was to speed delivery, cut costs, improve quality or provide integration of services, information systems' value resides in their ability to get the right people (not the computers) to talk to each other more efficiently and effectively. Take this simple premise, apply it to the creation of CHINs and ask, \"What relationships matter and how can CHIN participation most effectively enhance those relationships for our medical group?\" The answer, combined with the need to deliver high quality, lowest possible cost health care, is the goal of CHINs, as described in this professional paper.</p>","PeriodicalId":79579,"journal":{"name":"College review (Denver, Colo.)","volume":"13 1","pages":"35-50"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21055331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The evolving role of public health in an era of health care reform: opportunities for collaboration.","authors":"A M Hankey","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79579,"journal":{"name":"College review (Denver, Colo.)","volume":"13 2","pages":"85-99"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21055338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Electronic patient records: cost savings, efficiencies and competitive strategies for specialty physician groups.","authors":"M B Royer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Knowledge is power. Sharing information about patients and knowledge about practice guidelines with allied physicians through the electronic patient record can help strengthen and maintain referral relationships. Electronic patient records can support specialty physicians in managing care across the continuum. As this professional paper suggests, organizations should be open to the use of cutting-edge technologies as long as there is a compelling business reason for introducing them. Specialty practices that want to successfully meet the future certainly have compelling business reasons for embracing the electronic patient record.</p>","PeriodicalId":79579,"journal":{"name":"College review (Denver, Colo.)","volume":"13 1","pages":"23-33"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21055330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development of a pre-employment testing program in medical group practices.","authors":"M P Whaley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pre-employment testing requires rigorous groundwork which many managers may not be willing to do, nor pay a professional to do for them. The benefits, though, have been documented in a number of studies which have shown pre-employment testing to be a beneficial and cost-efficient part of the selection process. Pre-employment testing will not supplant traditional selection processes such as interviewing and reference checks, but rather will enhance the selection process and reduce costs associated with turnover, as this professional paper discusses.</p>","PeriodicalId":79579,"journal":{"name":"College review (Denver, Colo.)","volume":"13 1","pages":"91-110"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21055334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}