The Nurse's Guide to Managed Care

The Nurse's Guide to Managed Care PDF Author: Susan Odegaard Turner
Publisher: Jones & Bartlett Learning
ISBN: 9780834212350
Category : Business & Economics
Languages : en
Pages : 332

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Book Description
An essential reference for nursing students in developing and implementing the competencies necessary in caring for critically ill patients! Synergy for Clinical Excellence: The AACN Synergy Model for Patient Care enhances the understanding of The Synergy Model in practice. Based on a decade of work by the American Association of Critical-Care Nurses, the text encompasses the history and development of the nurse and patient characteristic inherent in The Synergy Model, and then thoroughly addresses each characteristic individually and applies the model in practice. Includes sample test questions relevant to the model that will assist nursing students in preparing for certification through AACN, and provide further examples of the integration of the Synergy Model in practice.

The Nurse's Guide to Managed Care

The Nurse's Guide to Managed Care PDF Author: Susan Odegaard Turner
Publisher: Jones & Bartlett Learning
ISBN: 9780834212350
Category : Business & Economics
Languages : en
Pages : 332

Get Book Here

Book Description
An essential reference for nursing students in developing and implementing the competencies necessary in caring for critically ill patients! Synergy for Clinical Excellence: The AACN Synergy Model for Patient Care enhances the understanding of The Synergy Model in practice. Based on a decade of work by the American Association of Critical-Care Nurses, the text encompasses the history and development of the nurse and patient characteristic inherent in The Synergy Model, and then thoroughly addresses each characteristic individually and applies the model in practice. Includes sample test questions relevant to the model that will assist nursing students in preparing for certification through AACN, and provide further examples of the integration of the Synergy Model in practice.

Care of the Difficult Patient

Care of the Difficult Patient PDF Author: Peter James Manos
Publisher: Psychology Press
ISBN: 9780415358231
Category : Nurse and patient
Languages : en
Pages : 168

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Book Description
Whether patient problems stem from mental distress and ill health, historic substance abuse, demanding family members or abusive behaviour, difficult patients place extra demands on nurses both personally and professionally. This is a practical guide to dealing with these patients.

Nurses and the Law

Nurses and the Law PDF Author: Nancy J. Brent
Publisher: Saunders
ISBN:
Category : Law
Languages : en
Pages : 548

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Book Description
Winner of two 1997 AJN Book of the Year awards in its previous edition, this comprehensive and readable text addresses questions regarding the law and legal/ethical issues affecting nurses. It explains what the law is, how the law works, and how it applies to nursing practice. It provides the knowledge needed to respond appropriately to a broad range of situations.

Essential Readings in Nursing Managed Care

Essential Readings in Nursing Managed Care PDF Author: Susan Odegaard Turner
Publisher: Jones & Bartlett Learning
ISBN: 9780834213265
Category : Business & Economics
Languages : en
Pages : 374

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Book Description
PART OF THE NEW JONES & BARTLETT LEARNING INFORMATION SYSTEMS SECURITY & ASSURANCE SERIES!More than 90 percent of individuals, students, educators, businesses, organizations, and governments use Microsoft Windows, which has experienced frequent attacks against its well-publicized vulnerabilities. Written by an industry expert, Security Strategies in Windows Platforms and Applications focuses on new risks, threats, and vulnerabilities associated with the Microsoft Windows operating system. Particular emphasis is placed on Windows XP, Vista, and 7 on the desktop, and Windows Server 2003 and 2008 versions. It highlights how to use tools and techniques to decrease risks arising from vulnerabilities in Microsoft Windows operating systems and applications. The book also includes a resource for readers desiring more information on Microsoft Windows OS hardening, application security, and incident management. With its accessible writing style, and step-by-step examples, this must-have resource will ensure readers are educated on the latest Windows security strategies and techniques.

Making Them Pay

Making Them Pay PDF Author: Rhonda D. Orin
Publisher: Macmillan + ORM
ISBN: 1429979100
Category : Business & Economics
Languages : en
Pages : 274

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Book Description
Most people don't understand health insurance, and insurance companies know it. Unfair denials, late payments, and hopeless confusion are the norm. At last there is a solution. In eight easy steps, Making Them Pay gives practical advice about the things that drive people crazy. Like: -Figuring out what health plans really say -Understanding what benefits they provide -Finding, and understanding, the exclusions -Determining what health plans really cost -How to talk to customer service, and other painful details -Easy ways to keep good records -Laws that can change your life-like the mandatory benefits laws in all fifty states -How to prepare successful appeals Along with this useful advice, Making Them Pay offers a much-needed sense of humor. It's filled with cartoons, sidebars, and vignettes that will make you laugh as you learn. Based on Rhonda D. Orin's extensive experience as a litigator, a journalist, and a mother fighting her own family's insurance battles, Making Them Pay is the book your health insurer doesn't want you to read. "A compact reference [that] simplifies a convoluted subject. -

Managing Managed Care

Managing Managed Care PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175054
Category : Medical
Languages : en
Pages : 394

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Book Description
Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.

Care Planning

Care Planning PDF Author: Benita Wilson
Publisher: Routledge
ISBN: 1317902688
Category : Medical
Languages : en
Pages : 290

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Book Description
Why is care planning important? How can you use care planning effectively in your own practice? Being able to plan the care of patients is one of most important aspects of a nurse’s role. Using an interactive approach, this book explores the reasons why care planning is so important and explains the theory behind the practice, providing a step-by-step guide to assessing patients, diagnosing problems, planning goals and interventions, and evaluating progress.

Nurse-Led Health Clinics

Nurse-Led Health Clinics PDF Author: Tine Hansen-Turton, MGA, JD, FCPP, FAAN
Publisher: Springer Publishing Company
ISBN: 0826128033
Category : Medical
Languages : en
Pages : 300

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Book Description
Delivers a wealth of information for nurses who wish to open and manage their own health clinics Public health nursing—with its focus on compassionate, holistic care and services to the poor, the aged, those suffering from social injustice, and those without adequate health facilities—had its origins over a century ago with the founding of the Henry Street Settlement in New York City. Embracing the same foundational principles, Nurse-Led Health Clinics is the first book to describe innovative, nurse-managed solutions for improving health care today. It addresses the key business, policy, medical, financial, and operational considerations necessary for successfully opening and operating nurse-led health facilities. With the mission to dramatically expand access to primary and preventive health care, these clinics provide a full range of services—including primary care, health promotion, disease prevention, and behavioral health care—to residents of underserved communities throughout the United States. The book delivers a wealth of comprehensive information for nurses who are considering opening their own clinics. Reinforced with best-practice models and case studies, it discusses what it takes to successfully start and run a nurse-managed health center. The book addresses the history and growth of nurse-led clinics and describes the nurse-led paradigm of care. It identifies the different types of nurse-led clinics (primary care, school based, wellness, and more) and the clinical services offered within them. Also discussed are the requirements and mind-set of potential consumers and strategies for sustainability along with the role of the collaborative team. The pros and cons of a variety of business and operations models are examined along with quality metrics and initiatives. The book also covers various state and federal policy challenges and opportunities and explores the future of nurse-led care in view of ongoing health care reform. Helpful appendices include a start-up checklist, sample bylaws, and a managed-care contracting toolkit. KEY FEATURES: Describes key business, policy, medical, financial, and operational considerations for running a nurse-managed health center Addresses the pros and cons of a variety of business models for nurse-led care Identifies the most common clinical services offered Presents quality metrics, best-practice models, and case studies Includes state and federal policy and regulatory challenges and opportunities

Case Management

Case Management PDF Author: Suzanne K. Powell
Publisher: Lippincott Williams & Wilkins
ISBN: 1496384261
Category : Medical
Languages : en
Pages : 914

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Book Description
Prepare for a new career as a case manager—or just upgrade your skills to a whole new level—with the newly updated Case Management: A Practical Guide for Education and Practice, 4th Edition. Ideal for case management certification (CCMC) exam preparation, this is a thorough review of the case manager’s many roles and skills, from acute to post-acute care. Whether you are a nurse transitioning to case management or already active in it, this is your road map to coordinating successful patient care, from hospital to home. Build a strong case management career foundation, with expert, evidence-based direction: NEW chapter on case manager orientation programs that offers orientation checklists, competency assessment, and learning profiles, with available online tools NEW topics on current practice issues and developments, including the impact of the Patient Protection and Affordable Care Act and value-based care NEW content on experiential, problem-based learning—learning practices, training programs, case management team professional development Offers in-depth, evidence-based guidance on: The case manager’s roles, functions, and tasks Key concepts—quality management and outcomes evaluation, legal and ethical considerations, case management process, utilization management, transitions of care The role of the nurse case manager versus social worker role Strategies that ensure effectiveness of case management models Coordinating care, protecting privacy and confidentiality, health insurance benefit analysis, practice standards The Case Management Code of Professional Conduct, accreditation agencies and standards, specialty board certifications Management of resources and reimbursement concepts Case management in various settings—acute care, emergency department, admissions, perioperative services, disease management, insurance case management, palliative care, end-of-life care, hospice, home health care, physician groups, public health/community-based care, rehabilitation Ideal preparation for the CCMC exam—offers a large portion of CCMC exam content—and for Continuing Education Unit (CEU) for Case Management study A must-have desk reference that offers plentiful case studies—considered to be “the bible” of case management

Nursing in the Storm

Nursing in the Storm PDF Author: Denise Danna, DNS, RN
Publisher: Springer Publishing Company
ISBN: 0826118380
Category : Medical
Languages : en
Pages : 279

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Book Description
2010 PROSE Award Winner for Nursing & Allied Health Sciences! 2010 AJN Book of the Year Award Winner in Public Interest and Creative Works! "The accounts are vivid, colorful, descriptive, intense, and often horrific and give cross-sectional views of life in the trenches during this disasterÖThis book is a rich primary source for both historians and disaster preparedness planners. It's not only a tribute to the courage of the nurses, but should also serve as a guide for policy planners hoping to avoid less than optimal responses to future crises."--AJN "[T]he book...fascinates simply for its raw documentation of the dreadful events and conditions endured by nurses, doctors, and ancillary staff as they struggled to care for critically ill patients without electricity, running water, air conditioning systems, and other resources. Five years after the levees broke, the horror and chaos of Katrina is still fresh in these accounts. Through the stories, readers are transported into the hospitals as nurses heroically work together to evacuate babies from NICUs and vented patients from ICU, try to calm patients, family members, and coworkers, and make do with the equipment and supplies theyíve got."--National Nurse "Don't ever think that this can't happen to you. You are going to read this and it's going to sound like we created this scenario, but this is a real scenario that happened." --Pam, Memorial Medical Center "Everything that was battery operated eventually died. There were no monitors...we tried to take care of people in the most humane way possible." --Lois, Lindy Boggs Medical Center Nursing in the Storm: Voices from Hurricane Katrina takes you inside six New Orleans hospitals-cut off from help for days by flooding-where nurses cared for patients around the clock. In this book, nurses from Hurricane Katrina share what they did, how they coped, what they lost, and what they are doing now in a city and health care infrastructure still rebuilding, still in jeopardy. In their own words, the nurses tell what happened in each hospital just before, during, and after the storm. Danna and Cordray provide an intimate portrait of the experience of Katrina, which they and their colleagues endured. Just a few of the heroic nurses you'll find inside: Rae Ann and twenty others, including her husband and children, who wait on a hospital roof for help to come Lisa, in the midst of caring for patients, who has not heard from her husband in 5 days Roslyn, who has 800 people in her hospital when the power generators shut down Linda, who uses bed sheets to write out help messages on a hospital roof, hoping someone will see them The book also discusses how to plan and prepare for future disasters, with a closing chapter documenting the "lessons learned" from Katrina, including day-to-day health care delivery in a city of crisis. This groundbreaking work serves as a testament to nurses' professionalism, perseverance, and unwavering dedication.