Managing Managed Care II: A Handbook for Mental Health Professionals

American Psychiatric Pub, 1996 - 238 sider
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Managing Managed Care II: A Handbook for Mental Health Professionals, Second Edition, provides an easy-to-learn, easy-to-use method for documenting and communicating the necessity, appropriateness, and course of treatment for managed care review. Using the Patient Impairment Profile method, practitioners can convincingly convey a clinical rationale for treatment, efficiently track progress over time, and demonstrate favorable patient outcomes.

Keeping pace with the evolving and expanding presence of managed care, the authors have extensively revised and enlarged the previous edition. New clinical research on the validity and reliability of the impairment terminology has produced a much-improved, clinically valid, and statistically reliable impairment lexicon. Detailed severity rating qualifiers, reference lists of patient objectives, and a useful glossary have been added. All regulations have also been updated.

Managing Managed Care II is reference and valuable resource for mental health practitioners and for the individuals who monitor and review treatment. By providing concise, relevant, and outcome-focused treatment information, practitioners become proactive participants in managed care while adeptly articulating the value and quality of their services.

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The Public Demand for Practitioner Accountability
The Need for a CommonLanguage Treatment Terminology
Impairments and the Diagnosis
Impairments and the Justification for Treatment
Impairment Severity and the Appropriateness of Treatment
Treatment Goals and the Patient Objectives
Practitioner Interventions and the Treatment Plan
Managing the Future of Managed Care
Impairment Lexicon
Severity Rating Qualifiers critical Impairments
Patient Objectives Reference List Critical Impairments

Patient Progress and Outcome

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Om forfatteren (1996)

Michael Goodman, M.D., was a clinical psychiatrist in private practice in Beverly Hills and Pasadena, California. Dr. Goodman has 14 years of experience as a physician adviser with the former California Professional Standards Review Organization and its current successor, California Medical Review, Inc.

Janet A. Brown, R.N., C.P.H.Q., is a consultant in quality, utilization, and risk management with psychiatric and medical-surgical, acute and ambulatory health care organizations, all of which are now positioning for managed care. Ms. Brown is the author of The Quality Management Professional's Study Guide, now in its 10th edition, and serves as an instructor for quality management professionals preparing for the certification exam. She has chaired the National Healthcare Quality Educational Foundation and is the 1995--1996 president of the National Association for Healthcare Quality.

Pamela M. Deitz, L.C.S.W., M.F.C.C., is a psychotherapist in private practice. Ms. Deitz has continued to work in both agency and hospital settings. Her role as developer and clinical director of an adolescent treatment program heightened her awareness of and interest in the impact of managed care on all clinical disciplines providing mental health services.

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