Clinical Integration: Strategies and Practices forOrganized Delivery Systems
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More About This Title Clinical Integration: Strategies and Practices forOrganized Delivery Systems

English

Reengineering Organized Delivery Systems

The Center for Case Management

Managed care pressures are forcing the creation of larger andlarger delivery systems, but little is known about how tocoordinate clinical services within these complex systems.

This ground breaking resource outlines six specific mechanisms tosuccessfully accomplish clinical integration, and narrow the gapbetween those who manage patient care services and those who planoverall health systems. Written by experts-- executives, doctors,and nurses--the book offers down-to-earth guidance and testedstrategies for creating and improving clinical integration.

Throughout the book, the authors include vivid case examples aswell as illustrative tables, diagrams, and figures.

Tonges' book should be required reading in all health careadministration programs. Under one cover, this dynamic,up-to-the-moment book shows how clinical integration can and mustbe achieved in today's managed care environment.
--Barbara Barnum, RN, Ph.D., FAAN, professor of Clinical Nursing,Columbia University School of Nursing

English

MARY TONGES is senior vice president of nursing and patient services at the Robert Wood Johnson University Hospital, and a national and international consultant with the Center for Case Management.

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Foreward.

FRAMING CLINICAL INTEGRATION.

Clinical Integration in Organized Delivery Systems: Responding toNew Challenges in Health Care (M. Tonges).

Theory and Managerial Implications (J. Ritter-Teitel).

STRATEGIES FOR CLINICAL INTEGRATION.

Values and Value: Perspectives on Clinical Integration (B.Anderson).

Applying Systems Thinking to Clinical Integration (A. Blouin, etal.).

Administrative Integration Through Product and Service LineStructure (S. Henry).

Strengthening Provider System Integration (R. Williams).

CLINICAL INTEGRATION PRACTICES.

Achieving Information Systems Support for Clinical Integration (T.Jacobsen & M. Hill).

Clinical Paths and CareMaps (r): A System-level Care ManagementStrategy (S. Robertson).

Clinically Integrated Delivery Systems and Case Management (K.Bower).

Systemwide CQI and Education as an Integrative Engine (B.Pilon).

Common Themes and Concluding Thoughts (M. Tonges).

Index.

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"Tonges' book should be required reading in all health careadministration programs. Under one cover, this dynamic,up-to-the-moment book shows how clinical integration can and mustbe achieved in today's managed care environment." --Barbara Barnum,RN, Ph.D., FAAN, professor of clinicalnursing, Columbia UniversitySchool of Nursing

"Every biochemical system has a rate limiting reaction. In the caseof clinical integration, the limitations come from the vagaries ofphysician culture and the lack of a unified information system.Tonges and her colleagues in their new book provide us with all thenecessary enzymes to speed this rate limiting reaction along. Mostintegrated delivery systems want us to believe that they haveovercome these limitations and created a clinically integratedenterprise. The contributors to this volume know what a canard thisis, and the distillation of their observations, insights, advice,and case studies will help even the most incredulous physicianbelieve in clinical integration. The vocabulary may be foreign atfirst, but the chemical reaction when complete, will provide bothheat and light." --David B. Nash, associate dean and director,Health Policy and Clinical Outcomes, Thomas Jefferson UniversityHospital
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