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CHAPTER 1: PATIENT DEMOGRAPHICS AFFECTING HEALTH CARE A. AGING PATIENT POPULATION B. HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION CHAPTER 2: THE BUSINESS OF HEALTH CARE AND THE PROSPECTIVE PAYMENT SYSTEM A. COST CONTAINMENT—THE ADVENT OF THE PROSPECTIVE PAYMENT SYSTEM B. CONTEMPORARY APPROACHES TO COST CONTAINMENT C. NON-NURSING CASE MANAGEMENT MODELS D. CASE MANAGEMENT AND CATASTROPHIC ILLNESS CHAPTER 3: PATIENT MIX AND COST RELATED TO LENGTH OF HOSPITAL STAY A. PATIENT DEMOGRAPHICS B. CLINICALLY RELATED VARAIBLES C. NONCLINICAL VARIABLES CHAPTER 4: CASE MANAGEMENT LEGISLATION: NATIONAL ATTEMPTS TO PROVIDE EFFICIENT HEALTH CARE A. HISTORICAL LEGISLATION B. LEGISLATION SUPPORTING THE DELIVERY OF CASE MANAGEMENT SERVICES CHAPTER 5: THE MANAGED CARE MARKET: NURSE CASE MANAGEMENT AS A STRATEGY FOR SUCCESS A. WHY MANAGED CARE? B. HOW DOES MANAGED CARE WORK? C. RESPONSES TO MANAGED CARE D. NURSE CASE MANAGEMENT IN A CHANGING ENVIRONMENT CHAPTER 6: FINANCING HEALTH CARE IN THE U.S.: ECONOMIC AND POLICY IMPLICATIONS A. FINANCING MECHANISMS FOR HEALTH CARE B. CURRENT LEVELS OF EXPENDITURES C. ISSUES AND TRENDS
CHAPTER 7: PUBLIC POLICY, MANAGED, AND CASE MANAGEMENT: THE EMERGING ROLE OF THE COMMUNITY NURSE ORGANIZATION A. MANAGED CARE: PUBLIC POLICY TARGET B. UNDERSTANDING THE TERMINOLOGY OF MANAGED CARE C. POLICY LINKAGES OF CASE MANAGEMENT AND MANAGED CARE D. MEDICAID AND MEDICARE: THE FEDERAL PRESENCE IN MANAGED CARE E. CURRENT CHARACTERISTICS OF THE U.S HEALTH CARE SYSTEM
F. THE COMMUNITY NURSING ORGANIZATION: CASE MANAGEMENT AS AN ELEMENT OF POLICY G. SUMMARY |