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The use of a prioritization matrix to preserve quality resources.

Journal for healthcare quality : official publication of the National Association for Healthcare Quality 1999年第5期21卷 36-38页

作者： Pelletier, L.R. Beaudin, C.L. van Leeuwen, D.

The prioritization of QI activities and clinical studies is necessary in identifying and developing programs that improve care and service. In practice, significant factors that contribute to higher matrix scores are as follows: The activity affects both high-volume and high-risk populations The activity uses secondary rather than primary data sources The activity incorporates outcome as well as process measures. Through the use of formal, systematic procedures and an objective tool such as the prioritization matrix, quality professionals can develop and successfully implement QI activities and clinical studies. The process described here is useful when resources are limited or fixed or when the activity supports integrated methods used by both MCO clients and other MBHOs, because it can reduce the overall costs of designing a study, implementation, analysis, reporting, and monitoring.

关键词：决策组织卫生工作重点管理医疗规划/组织和管理管理医疗规划/标准精神卫生服务/经济学精神卫生服务/组织和管理规划技术全面质量管理/方法美国

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Medical management committees promote quality and cost-effective managed care.

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Journal for healthcare quality : official publication of the National Association for Healthcare Quality 1997年第3期19卷 37-39页

作者： Cook, J.V. Wetstone, H.J. MedSpan Inc. Hartford CT United States

MedSpan, a managed care organization, believes it should provide physicians with maximum input regarding utilization management and practice guidelines. This has been accomplished through nine committees, all of which report to a Medical Management/Quality Management Committee. This committee structure has allowed MedSpan to avoid the unilateral imposition of guidelines and has enhanced the quality of care and service while decreasing utilization and reducing costs. Examples of specific physician committee actions are included in this article.

关键词：康涅狄格费用效益分析管理医疗规划/经济学管理医疗规划/组织和管理管理医疗规划/标准医务人员专家委员会全面质量管理

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The strategic role of health informatics in integrated delivery systems.

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Journal for healthcare quality : official publication of the National Association for Healthcare Quality 1998年第5期20卷 4-7;quiz15页

作者： Currie, G.A. Critical Edge Inc. Montclair NJ United States

Having accurate measures and high-quality health information is critically important for all providers today. Integrated delivery systems are faced with increasing demands for numerous redundant, sometimes conflicting, performance measurement and reporting data from managed care customers, regulators, and accreditors. When implemented independently within each organizational subunit, these measurement systems are costly and difficult to manage. Centralization of all measurement services can maximize the productivity of the costly resources required to deliver them and can achieve efficiencies, cost savings, and a better balance between internal and external resources while collecting information that is of a higher quality for managerial and clinical decision making.

关键词：教育继续效率组织信息管理/经济学信息管理/组织和管理信息系统/经济学信息系统/组织和管理管理医疗规划/组织和管理结果评价(卫生保健) 人员配备和时间安排社会责任美国

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Implementing a system of care: Findings from the Fort Bragg Evaluation project

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JOURNAL OF MENTAL HEALTH ADMINISTRATION 1996年第1期23卷 16-29页

作者： Heflinger, CA VANDERBILT INST PUBL POLICY STUDIES CTR MENTAL HLTH POLICY1207 18TH AVE SNASHVILLETN 37212 USA

The Implementation Study of the Fort Bragg Evaluation documented how the Demonstration was executed and whether it met the expectations of the continuum of care philosophy upon which it was based. Based on the theory-driven and component approaches to program evaluation, a case study methodology was employed. First, the theories and assumptions about the Demonstration were explicated to derive a program model. Next, the program-as-implemented was compared to the program-as-planned. Barriers responsible for diluting full-scale implementation were documented. This study provides a comprehensive description of how the Demonstration was put into place and the evidence necessary to conclude that the Demonstration was executed with high fidelity, despite barriers, to provide an excellent test of the program theory.

关键词：青少年保健服务/组织和管理儿童保健服务/组织和管理病人医护连续性/组织和管理政府机构保健福利计划雇员/组织和管理管理医疗规划/组织和管理精神卫生服务/组织和管理军事医学模型组织管理北卡罗来纳试点项目方案评价青少年儿童人类

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The national outcomes management project: A benchmarking collaborative

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JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH 2000年第4期27卷 431-436页

作者： Dewan, NA Daniels, A Zieman, G Kramer, T Alliance Behav Care Cincinnati OH USA Ctr Outcomes Res & Effectiveness Little Rock AR USA

Traditional evaluation of health care quality usually involves the measurement of the structure, process, and outcome of care. Most quality improvement programs involve a cycle that includes a setting of goals, a measurement of either process or outcomes, and a real-time or retrospective feedback of the results of data measurement. Benchmarking, a well-known efficient business technology, can lead to practice innovations necessary to survive in an environment that has a need for decreasing cost and increasing quality. The purpose of this article is to present a novel use of benchmarking in managed ambulatory behavioral health care and its application in a model collaborative outcome management project at more than 16 sites and nine states in the United States.

关键词：门诊医疗设施/组织和管理门诊医疗设施/标准规范社区精神卫生服务/组织和管理社区精神卫生服务/标准管理医疗规划/组织和管理管理医疗规划/标准病案模型组织管理结果与过程评价(卫生保健)/方法地区医疗规划/组织和管理美国人类

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Managed care positives and negatives for health care marketing

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Health Marketing Quarterly 1996年第2期13卷 55-61页

作者： Cooper, Philip D. Department of Management and Marketing East Tennessee State University Johnson City TN 37614 United States

No abstract available for this article.

关键词：评价研究管理医疗规划/组织和管理卫生服务使用研究预防卫生服务生活质量美国志愿工作者

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The Massachusetts Behavioral Health Program year 5: Transition to a new managed care organization

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ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 1999年第5期26卷 313-327页

作者： Beinecke, RH Keane, RJ Symanzick, M Casey, D Suffolk Univ Dept Publ Management Boston MA 02108 USA Boston Coll Sch Social Work Chestnut Hill MA 02167 USA

Year 5 of the Massachusetts Behavioral Health Program was a transition to management by a new private managed care organization. Fifty-eight providers interviewed for an ongoing panel survey reported slightly lower levels of quality, access, utilization, and length of stay than a year earlier. Relationships with providers and advocates improved after an initial difficult period, while consumer and family involvement at all levels remained low. The greatest changes in managed care appeared to take place during the initial transition from fee-for-service care, but intractable problems continue, and full participation of stakeholders seems difficult to achieve.

关键词：医务工作者的态度行为医学/组织和管理行为医学/发展趋势用户满意/统计学和数值数据合同业务/组织和管理卫生保健调查卫生服务易得程度/统计学和数值数据管理医疗规划/组织和管理管理医疗规划/标准管理医疗规划/利用马萨诸塞 Medicaid/组织和管理精神障碍/康复规划制订卫生保健质量/统计学和数值数据物质相关性障碍/康复美国人类

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A new way of thinking: How managed care networks will affect physician and hospital marketing efforts

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Journal of Hospital Marketing 1996年第2期10.0卷 3-10页

作者： Costello, M.M. West, D.J. Corporate Development Moses Taylor Hospital Scranton PA United States

The formation of integrated delivery networks will cause physicians and hospitals to rethink their marketing strategies. As providers align themselves into networks in conjunction with managed care plans, new approach... 详细信息

关键词：用户参与费用控制医院-医师联合医疗协议/发展趋势医院/发展趋势管理医疗规划/组织和管理管理竞争卫生服务使用研究/发展趋势病人满意度医师/发展趋势美国

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Integrating mental health into the Oregon Health Plan.

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New directions for mental health services 2000年第85期2000卷 49-56页

作者： Penner, N.R. Lynch, F.L. Oregon Health Sciences University United States

Public mental health has long struggled to be accepted as a part of health care. Its interface with social services and its broad spectrum of professionals make a clear definition of public mental health's boundaries difficult, fueling policymakers' skepticism about such acceptance. The Oregon Health Plan was the result of a process that explicitly included mental health but recognized that the tools for doing so need to be carefully developed.

关键词：卫生计划实施管理医疗规划/组织和管理 Medicaid/组织和管理精神卫生服务/组织和管理模型组织管理俄勒冈州卫生计划/组织和管理美国人类

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The multi-hospital emergency medicine group: Catalyst for effective contracting

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Journal of Ambulatory Care Marketing 1987年第2期1卷 85-94页

作者： Sweeney, Robert E. Donovan, Raymond Weeker, Ellis California Emergency Physicians United States Samaritan Healthcare Medical Group United States Samarian Healthcare Medical Group United States

No abstract available for this article.

关键词：加利福尼亚合同业务/组织和管理急救医学急诊室医院/组织和管理财务管理/组织和管理管理医疗规划/组织和管理多机构系统/组织和管理组织隶属关系

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