Managing Outcomes, Process, and Cost in a Managed Care Environment

Increasing constraints on reimbursement, budgets, and personnel do not permit a quality-at-any-cost mindset. High-quality results within cost constraints are possible only when middle managers clearly define clinical and service outcomes, efficient and effective processes for service delivery, and realistic time targets to help employees prioritize workloads. Managing Outcomes, Process, and Cost in a Managed Care Environment provides the means for managers to define these outcomes and processes for their specific setting. Each of the book's five parts addresses a fundamental management function: planning, designing processes and systems, measurement/data collection, assessment/analysis, and performance improvement. An action section in each part provides concrete resources and tools for implementing the ideas and strategies presented. Winner of three AJN Book of the Year Awards in the categories of Managed Care, Nursing Management, and Quality Improvement/Risk Management.