Managerial Epidemiology for Health Care Organizations

The real-world primer to managerial epidemiology and population health--updated and expanded Managerial Epidemiology for Health Care Organizations has been a cornerstone resource for students and practitioners of health care management who need an authoritative introduction to epidemiology principles, how epidemiology is practiced today, and the most up-to-date applications of epidemiology in planning, evaluating, and managing health care for populations. This fully revised Third Edition features brand-new coverage on reimbursement approaches and managing infection outbreaks, as well as updated case studies. Most importantly, it provides dependable information on everything you need to know about Patient Protection and Affordable Care Act and the incorporation of ICD-10. From such practical basics as how to strategically organize your provider network to preparing for large-scale emergency responses to bioterrorism threats, this step-by-step guidebook enables you to:

• Enhance any health care facility by optimizing the bond between clinical medicine and managing health care facilities
• Apply a powerful collection of best practices in epidemiology to every function of your operations management
• Streamline and continuously improve clinical performance, integration of health care services, organizational quality and efficiency, and much more

For everyone looking for a comprehensive primer to managerial epidemiology, Managerial Epidemiology for Health Care Organizations, Third Edition covers all the essential theories, methods, and applications through illuminating examples, concepts, and case studies. Did You Know? This book is available as a Wiley eBook. The Wiley eBook is a complete digital version of the text that makes time spent studying more efficient. Course materials can be accessed on a desktop, laptop, or mobile device--so that learning can take place anytime, anywhere. A more affordable alternative to traditional print, the Wiley eBook creates a flexible user experience:

• Access on-the-go
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The Wiley eBook can be purchased in the following ways: Check with your bookstore for available e-textbook options Directly from: www.wiley.com

List of contents

List of Tables, Figures, and Exhibits xiii
Preface xxiii
The Authors xxvii
1 Epidemiology in Health Care Administration 1
Introduction 2
Philosophical Framework 5
Focus and Uses of Epidemiology 6
Health Care Reform 8
The Concept of Populations and Communities 11
Managing Health Care for Populations and Communities 12
Role of Epidemiology 14
Summary 16
Study Questions 16
2 Description of Health 19
Introduction 20
Health and Disease 21
Descriptive Information 25
Other Descriptive Variables 41
Sources of Descriptive Information 43
Reportable Diseases 47
Managerial Applications 47
Summary 52
Study Questions 52
3 Measurement of Health 55
Introduction 56
Measures 56
Measuring Morbidity 65
Measuring Mortality 73
Measuring Health 83
Other Rates 85
Summary 86
Study Questions 86
4 Studying the Health Needs of Populations 89
Introduction 90
Risk and Causation 91
Study Designs 93
Association of Risk Factors and Health and Disease 103
Measuring Association in Prospective Studies 104
Measuring Association in Retrospective Studies 108
Application to Population Health Management 110
Sampling 113
Summary 115
Study Questions 115
5 Standardizing Population Health Information 117
Introduction 118
Stratification 120
Matching 121
Standardization of Information 123
Risk Adjustment 136
Summary 139
Study Questions 140
6 Medical Management in Population Health Care 149
Introduction 150
Medical Management 151
Chronic Disease Management 169
Summary 170
Study Questions 171
7 Management of Infectious Epidemics 175
Introduction 175
Infectious Disease Epidemiology 176
Infectious Epidemics
Health Care-Associated Infections 182
Surveillance 186
Summary 188
Study Questions 188
8 Reimbursement Approaches and Marketing 191
Introduction 192
Reimbursement Methods 193
Marketing and Population Health 202
Market Research 204
Summary 214
Study Questions 215
9 Population Health Outcomes and Quality of Care 219
Introduction 220
Assessing Health Outcomes 220
Health Status Assessment 225
Patient Satisfaction and Patient Expectations Assessment 227
Monitoring Health Outcomes 231
Managing with Health Outcomes 232
Quality of Health Care 241
Summary 250
Study Questions 251
10 Economic Analysis of Health Care for Populations 253
Introduction 254
Economic Evaluation 257
Cost Analysis 259
Cost-Benefit Analysis 261
Cost-Effectiveness Analysis 262
Cost-Utility Analysis 264
Discounting 265
Sensitivity Analysis 269
Burden of Disease Analysis 269
Examples of Economic Analysis 272
Summary 275
Study Questions 276
11 Expanding Hospital Health Care Services 281
Introduction 282
Service Area Population 283
Hospital Care Utilization 284
Discharges 287
Length of Hospital Stay 289
Hospital Description 292
Payment Sources 293
Service Area Population Health 296
12 Long-Term Care 303
Introduction 303
Population Characteristics 304
Westside Elderly Care, Inc. 308
Utilization of Services 308
Staffing 319
13 Emergency Department Services 321
Introduction 321
Emergency Department Utilization 322
Payment Sources 331
Time Analysis 332
Primary Diagnosis at Arrival 336
Patient Disposition 337
14 Physician Practices 341
Introduction 342
Population Characteristics 342
Resource Utilization 343
Time Since Last Visit 346
Insurance Coverage 349
Reason for Visit 351
Preventive Care Visits 355
Chronic Conditions 356
References 359
Index 375

About the author

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.

Product details

• Authors: David J Fine, David J. Fine, Peter J Fos, Peter J. Fos, Peter J. (Louisiana State University Health S Fos, Peter J. Fine Fos, Pj Fos, Fos Peter J., Miguel A. Z. Niga, Miguel A. Z?niga, Miguel A. Zã°niga, Miguel A Zúniga, Miguel A. Zúniga
• Publisher: Wiley, John and Sons Ltd
• Languages: English
• Product format: Paperback / Softback
• Released: 24.04.2018
• EAN: 9781119398813
• ISBN: 978-1-119-39881-3
• No. of pages: 432
• Series: Public Health/Epidemiology and; Public Health/Epidemiology and Biostatistics; Public Health/Epidemiology and
• Subjects: Natural sciences, medicine, IT, technology > Mathematics; Epidemiology & medical statistics, MEDICAL / Epidemiology, Epidemiology and Medical statistics