Health Policy

Access to Health Care Services

Access to Health Care Services
in Health Care Delivery in the United States, Seventh Edition Kovner A., Jonas, S. Eds. New York: Springer Publishing Company,

Billings, J. & Cantor, J.
01/01/2001

How do we understand and also assess the health care of America? Where is health care provided? What are the characteristics of those institutions which provide it? Over the short term, how are changes in health care provisions affecting the health of the population, the cost of care, and access to care? Health Care Delivery in the United States, 8 th Edition discusses these and other core issues in the field. Under the editorship of Dr. Kovner and with the addition of Dr. James Knickman, Senior VP of Evaluation, Robert Wood Johnson Foundation, leading thinkers and practitioners in the field examine how medical knowledge creates new healthcare services. Emerging and recurrent issues from wide perspectives of health policy and public health are also discussed. With an easy to understand format and a focus on the major core challenges of the delivery of health care, this is the textbook of choice for course work in health care, the handbook for administrators and policy makers, and the standard for in-service training programs.

Better Information for the Board

Better Information for the Board
Journal of Healthcare Management, 46:1, Jan-Feb 2001, pp 53-66.

Kovner, A.R.
01/01/2001

Focuses on the importance of adequate management information for the performance of hospital boards in the United States. Responsibilities of board members in healthcare organizations; Adaptation of organization mission and strategy; Key recommendations to board members and managers.

Birth Weight and Income: Interactions Across Generations

Birth Weight and Income: Interactions Across Generations
Journal of Health and Social Behavior. 2001, Vol. 42, pp. 450-465.

Conley, D. & Bennett, N.
01/01/2001

This paper attempts to answer a series of questions regarding the interaction of income and birth weight across generations. First, does the effect of the income of a mother during her pregnancy on her infant's birth weight depend on the family's birth weight history (genetic predisposition)? Second, does the effect of low birth weight status on adult life chances depend on income during early childhood? These questions have implications for the way we envision the biological and social worlds as interacting across generations. To address these issues, this study uses intergenerational data from the Panel Study of Income Dynamics, survey years 1968 through 1992. Results of sibling comparisons (family-fixed-effects models) demonstrate that maternal income has a significant impact on birth weight for those infants who are already at high risk hereditarily (i.e., who have a low birth weight parent). However, it is not clear whether income acts as a developmental buffer for low birth weight infants as their lives progress. These findings suggest the existence of biosocial interactions between hereditary predisposition and socio-economic environment.

Budgeting Concepts for Nurse Managers

Budgeting Concepts for Nurse Managers
3rd Edition, W.B. Saunders, Philadelphia, 480 pages.

Finkler, S.A.
01/01/2001

This book helps nurses develop and refine good budgeting skills - a necessity in today's economy-driven health care system. Clearly written and thoroughly understandable, this new edition shows first-line nurse managers and their immediate supervisors how to work effectively with financial staff and management, and how to develop, monitor, and maintain departmental and institutional budgets. It is written at a level that assumes no previous financial management experience or expertise on the part of the reader.

Child Health and Development Services in Medicaid Managed Care Organizations

Child Health and Development Services in Medicaid Managed Care Organizations
Ambulatory Child Health, 7, 157-167.

Berry, C., P. & Budetti, P.
01/01/2001

Objective: We explored the current state of developmental screens, child development services, mechanisms to fund screens and services, and incentives for adopting new services within managed care organizations serving Medicaid enrolees.

Design: National, cross-sectional mail survey. Survey of 388 Medicaid managed care organizations (MMCO) enrolling children in 1998–99.

Results: Most of the 155 plans that responded provided an array of developmental screenings and services, funded primarily through internal mechanisms or under Early and Periodic Screening, Diagnostic and Treatment (EPSDT) programs. Plan contacts expressed interest in implementing new services, particularly if additional funding was available. The most important motivators included requiring services in the Medicaid contract, enhanced capitation rates, and demonstration that providing child development services would reduce other utilization costs.

Conclusions: If state Medicaid agencies want to enhance the child development services available through health plans, they could initiate steps such as requiring child development services in contracts with plans or providers; revising EPSDT language and engaging in more consistent enforcement; and enhancing capitation rates. More research on effectiveness and benefits of specific developmental screens and services is needed.

Financial Management for Public, Health, and Not-for-Profit Organizations

Financial Management for Public, Health, and Not-for-Profit Organizations
Pearson/Prentice Hall,

Finkler, S.A.
01/01/2001

One of the few books that addresses financial and managerial accounting within the three major areas of the public sector � government, health, and not-for-profit�the Second Edition provides the fundamentals of financial management for those pursuing careers within these fields. With a unique presentation that explains the rules specific to the public sector, this book outlines the framework for readers to access and apply financial information more effectively. Employing an engaging and user-friendly approach, this book clearly defines essential vocabulary, concepts, methods, and basic tools of financial management and financial analysis that are imperative to achieving success in the field. This book is intended for financial managers and general managers who are required to obtain, understand, and use accounting information to improve the financial results of their organizations, specifically within the areas of government or public policy and management, not-for-profit management, and health policy and management.

Health Policies for the 21st Century: Challenges and Recommendations for the USDHHS

Health Policies for the 21st Century: Challenges and Recommendations for the USDHHS
Milbank Memorial Fund, Fall

Boufford, J.I. & Lee, P.R.
01/01/2001

This report recommends a comprehensive reassessment of federal health policies, programs, and processes, including federal-state roles and relationships, and some immediate actions to promote and protect the nation's health and to provide leadership in world health. The report concentrates on the challenges facing the secretary of the U.S. Department of Health and Human Services (DHHS) as the head of the lead health agency in the federal government. The federal government is responsible for five main functions related to health policy: financing; public health protection; collecting and disseminating information about U.S. health and health care delivery systems; capacity building for population health; and direct management of services.

Unlike the current categorical, or highly specialized, approach leading to policies and programs addressing the needs of a specific population, illness, or organizational constituency, a new, comprehensive approach to policy for the 21st century should promote coordinated efforts across programs in order to achieve three goals:

* create conditions that lead to longer, healthier lives for all Americans;
* eliminate health disparities;
* protect communities from avoidable health hazards and help them to address their own health problems.

 

Health Services Management: Readings and Commentary

Health Services Management: Readings and Commentary
Chicago, Health Administration Press, 7th edition,

Kovner, A.R. & Neuhauser, D. (eds.)
01/01/2001

Managers of a healthcare organization have numerous demands on their time, their skills, their knowledge, and their budgets. They are responsible for adapting to change, managing their office, making effective decisions, among countless other tasks. This text-newly revised to include readings, commentary, and cases-offers a bridge from management theory to the actual world of healthcare management that will help your students learn the role of manager in a healthcare organization.

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