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E-raamat: Managerial Epidemiology for Health Care Organizations

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(University of Alabama, Birmingham), (Sam Houston State University), (Louisiana State University Health Sciences Center, School of Public Health)
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A new edition of the comprehensive and practical introduction to managerial epidemiology and population health

Managerial Epidemiology for Health Care Organizations has introduced the science of epidemiology and population health to students and practitioners in health management and health services for over sixteen years. The book covers epidemiology basics, introducing principles and traditional uses, and then expertly showing its contemporary uses in planning, evaluating, and managing health care for populations and the practical application in health care management. The book’s practical and applied approach, with real-world examples sprinkled throughout, has made it the go-to book for managerial epidemiology and population health courses.

Since the second edition was published in 2005, the health care landscape has undergone significant changes. Passage of the Patient Protection and Affordable Care Act and the incorporation of ICD-10 have impacted the entire health care system. This newly updated third edition will address these two significant changes, as well as several others that have taken place. It also features new chapters on reimbursement approaches and managing infection outbreaks, as well as updates to the four case study chapters that anchor the book.

  • Witness how epidemiological principles are applied to the delivery of health care services and the management of health care organizations
  • Examine the major changes brought on by the passage of health care reform and incorporation of ICD-10
  • Discover the core epidemiology principles and see how they are applied in planning, evaluating, and managing health care for populations

If you’re a student or professional in any area of health services, including health administration, nursing, and allied health, then Managerial Epidemiology for Health Care Organizations is the perfect book for you. It successfully demonstrates how health care executives can incorporate the practice of epidemiology into their various management functions and is rich with current examples, concepts, and case studies that reinforce the essential theories, methods, and applications of managerial epidemiology.

List of Tables, Figures, and Exhibits xiii
Preface xxiii
The Authors xxvii
1 Epidemiology in Health Care Administration 1(18)
Introduction
2(3)
Philosophical Framework
5(1)
Focus and Uses of Epidemiology
6(5)
Observational Epidemiology
Experimental Epidemiology
Preventive Medicine Health Care Reform
8(3)
The Concept of Populations and Communities
11(1)
Managing Health Care for Populations and Communities
12(2)
Role of Epidemiology
14(2)
Summary
16(1)
Study Questions
16(3)
2 Description of Health 19(36)
Introduction
20(1)
Health and Disease
21(4)
Definitions
International Classification of Diseases and Related Problems
Health Status
Descriptive Information
25(16)
Person Variables
Place Variables
Time
Other Descriptive Variables
41(2)
Sources of Descriptive Information
43(4)
Vital Statistics
Medical Records
Reportable Diseases
47(1)
Managerial Applications
47(5)
Summary
52(1)
Study Questions
52(3)
3 Measurement of Health 55(34)
Introduction
56(1)
Measures
56(9)
Counts
Rates
Ratios
Proportions
Measuring Morbidity
65(8)
Incidence Rate
Prevalence Rate
Period Prevalence Rate
Measuring Mortality
73(10)
Death Rates
Potential Years of Life Lost
Measuring Health
83(2)
Survival Rate
Health-Related Quality of Life
Other Rates
85(1)
Summary
86(1)
Study Questions
86(3)
4 Studying the Health Needs of Populations 89(28)
Introduction
90(1)
Risk and Causation
91(2)
Study Designs
93(10)
Experimental
Clinical Trials
Observational
Descriptive Studies
Cross-Sectional Studies
Ecological Studies
Prospective Studies
Retrospective Studies
Association of Risk Factors and Health and Disease
103(1)
Measuring Association in Prospective Studies
104(4)
Measuring Association in Retrospective Studies
108(2)
Application to Population Health Management
110(3)
Sampling
113(2)
Summary
115(1)
Study Questions
115(2)
5 Standardizing Population Health Information 117(32)
Introduction
118(2)
Stratification
120(1)
Matching
121(2)
Standardization of Information
123(13)
Direct Method of Standardization
Indirect Method of Standardization
Risk Adjustment
136(3)
Summary
139(1)
Study Questions
140(9)
6 Medical Management in Population Health Care 149(26)
Introduction
150(1)
Medical Management
151(18)
Clinical Effectiveness
Validity
Managerial Aspects of Validity
Reliability
Impact of Test Information
Clinical Practice Analysis
Chronic Disease Management
169(1)
Summary
170(1)
Study Questions
171(4)
7 Management of Infectious Epidemics 175(16)
Introduction
175(1)
Infectious Disease Epidemiology
176(6)
Infectious Epidemics
Health Care-Associated Infections
182(4)
Surveillance
186(2)
Summary
188(1)
Study Questions
188(3)
8 Reimbursement Approaches and Marketing 191(28)
Introduction
192(1)
Reimbursement Methods
193(9)
Current Procedural Terminology
Capitation
Diagnosis-Related Groups
Outpatient Prospective Payment System
Inpatient Rehabilitation Facility Prospective Payment System
Skilled Nursing Facility Prospective Payment System
Home Health Prospective Payment System
Resource-Based Relative Value Scale
Accountable Care Organizations
Pay for Performance
Marketing and Population Health
202(2)
Marketing
The Role of Marketing
Marketing the Health Care System
Market Research
204(10)
Sampling
Market Research Data Analysis
Patient Satisfaction
Demand Estimation
Validity and Reliability of Market Research
Summary
214(1)
Study Questions
215(4)
9 Population Health Outcomes and Quality of Care 219(34)
Introduction
220(1)
Assessing Health Outcomes
220(5)
Health Status Assessment
225(2)
Patient Satisfaction and Patient Expectations Assessment
227(4)
Monitoring Health Outcomes
231(1)
Managing with Health Outcomes
232(9)
Uses of Outcomes Assessment
Benchmarking
Best Practices and Practice Guidelines
Application of Best Practice Assessment
Root Cause Analysis
Quality of Health Care
241(9)
Rapid Improvement Cycle Process
Statistical Process Control
The Malcolm Baldrige National Quality Program
Summary
250(1)
Study Questions
251(2)
10 Economic Analysis of Health Care for Populations 253(28)
Introduction
254(3)
Economic Evaluation
257(2)
Cost Analysis
259(2)
Cost-Benefit Analysis
261(1)
Cost-Effectiveness Analysis
262(2)
Cost-Utility Analysis
264(1)
Discounting
265(4)
Sensitivity Analysis
269(1)
Burden of Disease Analysis
269(3)
Examples of Economic Analysis
272(3)
Summary
275(1)
Study Questions
276(5)
11 Expanding Hospital Health Care Services 281(22)
Introduction
282(1)
Service Area Population
283(1)
Hospital Care Utilization
284(3)
Discharges
287(2)
Length of Hospital Stay
289(3)
Hospital Description
292(1)
Payment Sources
293(3)
Service Area Population Health
296(7)
12 Long-Term Care 303(18)
Introduction
303(1)
Population Characteristics
304(4)
Westside Elderly Care, Inc.
308(1)
Utilization of Services
308(11)
Staffing
319(2)
13 Emergency Department Services 321(20)
Introduction
321(1)
Emergency Department Utilization
322(9)
Payment Sources
331(1)
Time Analysis
332(4)
Primary Diagnosis at Arrival
336(1)
Patient Disposition
337(4)
14 Physician Practices 341(18)
Introduction
342(1)
Population Characteristics
342(1)
Resource Utilization
343(3)
Time Since Last Visit
346(3)
Insurance Coverage
349(2)
Reason for Visit
351(4)
Preventive Care Visits
355(1)
Chronic Conditions
356(3)
References 359(16)
Index 375
PETER J. FOS is professor of Health Policy and Systems Management at Louisiana State University Health Sciences Center, School of Public Health.

DAVID J. FINE is former president and CEO of Catholic Health Initiatives (CHI) Institute for Research and Innovation. Previously he served at St. Luke's Health System (SLHS) as president, CEO, and principal executive.

MIGUEL A. ZÚNIGA is associate professor and chair of the Department of Health Services and Promotion in the College of Health Sciences at Sam Houston State University.
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