About the Book
In clear, easy--to--understand terms, Designing Health Care for Populations reveals how the science of epidemiology----the study of the causes, distribution, and control of disease in a population----can be implemented to lead all health care organizations. The authors, experts in health care management, decision science, and epidemiology, offer health care managers an essential resource for understanding the common bond between clinical medicine and the management of health care facilities. The book is filled with step--by--step guidelines for applying the discipline of epidemiology to the full spectrum of management operations.Tapping into the knowledge, information, and guidelines in this book, health care professionals can learn to apply the principles of managerial epidemiology to help them achieve clinical improvement, integrate health care services, organize providers into networks, and evaluate and document organizational quality.
Table of Contents:
List of Figures and Tables; Preface; The Authors; Introduction: Definition of Epidemiology Focus of Epidemiology: Observational, Experimental Uses of Epidemiology Health Care Reform Traditional Role of Health Care Management The Concept of Populations New Role of Health Care Management: Managing Health Care for Populations Summary Study Questions; Describing Health and Needs of Populations Health and Disease: International Classification, Current Procedural Terminology, Diagnosis Related Groups Sources of Descriptive Information: Vital Statistics, Medical Records Person Variables: Age, Sex, Race or Ethnicity, Marital Status, Social Class, Population Pyramids Place Variables Time Other Descriptive Variables Summary Study Questions; Measuring Health and Needs of Populations Counts Rates: Incidence, Prevalence, Period Prevalence, Mortality, Other Ratios Proportions Summary Study Questions; Designs to Study the Health and Needs of Populations Risk and Causation Typology of Study Designs Descriptive Study Designs Analytic Study Designs: Prevalence, Prospective, Measuring Effect of Exposure in Cohort Studies, Retrospective, Measuring Effect of Exposure in Retrospective Studies Application to Managerial Epidemiology Summary Study Questions References; Standardizing Population Health Information Standardization of Information: Direct Method, Indirect Method Stratification Risk Adjustment Summary Study Questions; Clinical Considerations in Population Health Care Clinical Trials Clinical Effectiveness: Validity, Reliability, Impact of Test Information Managerial Aspects of Validity Disease Management Infectious Disease Epidemiology: Infectious Epidemics Managerial Concerns of Infectious Epidemics Surveillance Summary Study Questions; Assessing Population Health Outcomes Health Outcomes: Assessment, Measurement, Monitoring, Uses of Outcomes Assessment Benchmarking Best Practice and Practice Guidelines: Application of Best Practice Assessment Health Status Assessment Quality of Health Care Services: Medical Care Assessment of Quality: The Malcolm Baldrige National Quality Program, Standard of Care, Quality Measures, Data Sources; Marketing Health Care for Populations Marketing New Role of Marketing: Marketing the Health Care System, Community Health Status Evaluation, Integrated Health Care Services Data Types Sampling Market Research: Data Collection, Data Analysis, Patient Satisfaction, Demand Estimation, Validity and Reliability of Summary Study Questions; Economic Analysis of Health Care for Populations Economic Evaluation Cost Analysis Discounting Cost - Benefit Analysis Cost - Effectiveness Analysis Cost - Utility Analysis Role of Epidemiology Summary Study Questions; Applied Epidemiology for Managers: Emergency Health Care Population Characteristics Demographics: Age, Sex, Race, Payment Source System Utilization TrAnds: Hospital Type Utilized, Major Reason for Visit, Patient Disposition, Risk of Inpatient Hospital Admission, Risk of Urgent Visit, Risk of Alcohol or Drug Related Visit, Resource Utilization, Risk of Resource Utilization Community - Based Education Health Care System Expansion Summary; Applied Epidemiology for Managers: Hospital Care Population Characteristics Demographics: Age, Sex, Race, Payment Source System Utilization TrAnds: Diagnosis Coding, Risk of Long Stay Hypothesis Testing Management Decisions Managed Care Contracting Quality of Care; Applied Epidemiology for Managers: Health and Work Productivity Population Characteristics Health Status System Resources Utilization TrAnds Population Description Community Relations Managerial Decision Making and Strategic Planning; Applied Epidemiology for Managers: Regional Pediatric Inpatient Services Population Characteristics System Resources Utilization TrAnds Population Description; Applied Epidemiology for Managers: Senior Care Population Characteristics System Resources Utilization TrAnds Managerial Decision Making: Population Description Managerial Decision Making: Negotiating Contracts Summary; Appendix I: Overview of Hypothesis Testing; Appendix II: One - sided Hypothesis Tests; Appendix III: Statistical Power; Appendix IV: Sample Size; Appendix V: Hypothesis Testing using Categorical Data; Appendix VI: Extreme Values: Outliers; References; Index
