Research Catalog

Title

Physician profiling and risk adjustment / edited by Norbert Goldfield, Peter Boland.

Publication

Gaithersburg, Md. : Aspen, 1996.

Items in the Library & Off-site

Holdings

Details

Additional Authors

• Boland, Peter.
• Goldfield, Norbert.

Description

xvii, 389 pages : illustrations; 24 cm

Subjects

• Medical care > Evaluation > Mathematical models
• Practice Patterns, Physicians'
• Physicians > Rating of > Mathematical models
• Diagnosis related groups
• Managed Care Programs
• Managed care plans (Medical care) > Mathematical models
• Medicine > Practice > Mathematical models
• Quality Assurance, Health Care
• Patients > Classification > Mathematical models
• Risk (Insurance) > Mathematical models
• United States

Bibliography (note)

• Includes bibliographical references and index.

Contents

• 1. Public Disclosure of Case Mix Adjusted Clinical Information: Practical and Theoretical Challenges / Norbert Goldfield -- 2. Public Disclosure: A Response from a HCFA Experience / Stephen F. Jencks -- 3. Public Disclosure: A Researcher's Perspective / Lisa I. Iezzoni -- 4. Public Disclosure: A Media Perspective / Josh Barbanel -- 5. Public Disclosure: A Media Perspective / Michael L. Millenson -- 6. Public Disclosure: A Hospital Chief Executive's Perspective / Ronald Goodspeed -- 7. Public Disclosure: A Hospital Quality Improvement Project's Perspective / Vahe A. Kazandjian -- 8. Public Disclosure: An Employer Response / Robert W. Hungate -- 9. Public Disclosure: A Response from the Pennsylvania Health Care Cost Containment Council Experience / Ernest J. Sessa -- 10. Public Disclosure: A Response from "Health Care for All" / Robert Restuccia -- 11. Public Disclosure: A State Agency Response / Tim Lynch and Randy Mutter --
• 12. Public Disclosure: A Reconsideration / Maria R. Traska -- 13. Overview: Case Mix, Risk Adjustment, Reinsurance, and Managed Care / Norbert Goldfield -- 14. Understanding Your Managed Care Practice: The Critical Role of Case Mix Systems / Norbert Goldfield -- 15. DRGs and Quality Management in Hospitals / Robert B. Fetter -- 16. Methods of Compensating Managed Care Physicians and Hospitals / Norbert Goldfield, Harris Berman, Arlen Collins, Richard Cooper, Daniel Dragalin, Peter Kongstvedt, Norman Payson, David Siegel, Arthur Southam and Ernest Weis -- 17. Using Claims Data to Select Primary Care Physicians / Philip Nathanson, Monica Noether, Ronald J. Ozminkowski, Kevin M. Smith, Brendan E. Ramey, Dale Mickey and Philip M. Hawley, Jr. -- 18. Applying Population-based Case Mix Adjustment to Managed Care: The Johns Hopkins Ambulatory Care Group System / Norman S. Smith and Jonathan P. Weiner -- 19. Blue Shield California Outpatient Payment Program / John F. Roughan --
• 20. Case Mix Measurement Using Outpatient Pharmacy Data / Douglas W. Roblin -- 21. Use of Ambulatory Patient Groups in Iowa Hospitals / James C. Vertrees, Joshua S. Pollatsek, Kimberley Y. Sheets and Marcia J. Stark -- Concluding Comments / Norbert Goldfield -- 22. Designing and Using Case Mix Indices / Michael Pine and Dwain L. Harper -- 23. Measuring the Ability of Severity-adjusted DRGs to Capture Differences in Severity of Illness Across Hospital Types / James C. Vertrees and Joshua S. Pollatsek -- 24. Pediatrics and DRG Case Mix Classification / John Muldoon -- 25. Risk Adjustment in the Assessment of Medical Practice in Managed Care / Henry Krakauer -- 26. Commentary on Krakauer: Statistical Tools in Data Analysis / Norbert Goldfield -- 27. Logic and Applications of the All Patient-refined DRGs: The Greater Southeast Community Hospital Experience / Patricia Jones and George Strudgeon --
• 28. Physician Profiling in Seattle: A Case Study / Gregg Bennett, William McKee and Laura Kilberg -- 29. Dual Medicare/Medicaid Populations: Analyzing the Reasons for Greater Length of Stay / Raymond R. Arons, Brenda J. Milo, Raymond Yee, David L. Ginsberg and James S. Lieberman -- 30. Prospective Per-case Payment in New York State: An Analysis / Henry C. Miller and William P. Kelly -- Concluding Comments / Norbert Goldfield -- 31. Conclusion: Afterthoughts on Risk Adjustment and Payment / Maria R. Traska.

ISBN

0834207835 (alk. paper) (canceled/invalid)

LCCN

95046672

Owning Institutions

Columbia University Libraries