Changing Physician Practice Patterns: Strategies for Success in a Capitated Health Care System

Front Cover
Jones & Bartlett Learning, 1995 - Medical - 199 pages
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This resource provides a concise overview of the techniques used to change physician behavior in a health industry ruled by newly-formed networks & under increasing pressure to remain cost-efficient, often in a capitated environment.Techniques used by managed care organizations from across the country will be highlighted.Topical summaries on key issues will include how to develop practice guidelines, how to win physician support, data gathering, liability issues, & probably most important, how to get started.
 

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Contents

Sharing Data with Physicians
3
Small Area Analysis and Physician Profiling
13
Report CardsPediatric Immunizations and Mammography
19
4Practice Guidelines
25
Breast Cancer
49
Asthma Practice Guideline and Systemic Change
59
PSA Practice Guideline
73
LowRisk Chest Pain Guideline
83
Community Involvement
95
Pharmaceuticals
113
PART IVCONTINUOUS QUALITY IMPROVEMENT
117
Head Scans and OR Start Time
125
Critical Paths and Cardiac Length of Stay
139
A Fully Integrated Capitated System
161
18Sun Health AlliancePhysician Practice Management Institute
169
NCQA AccreditationHypertension CQI Project
175

Serving Medicare Patients
89

Common terms and phrases

Bibliographic information