This practical, "hands-on" guide includes vital information every case manager and administrator of a case management program need to be successful. A useful resource for working in the changing face of healthcare, it addresses case managers in all settings with an emphasis on nurse case managers and their role in providing patient care and containing costs. Focusing on the "nuts and bolts" aspects of case management, it discusses the operations of case management programs based on the authors' first hand experiences. Case Management Tip boxes in each chapter highlight important tips and provide easy access to this information. Case studies in several chapters address possible situations the case manager may confront along with the most effective solutions. Key points at the end of each chapter summarize pertinent information. Appendices provide extensive examples of forms and multi-disciplinary action plans used in various healthcare settings. Six new chapters have been added on Utilization Management (Chapter 5), Transitional Planning (Chapter 6), Disease Management (Chapter 7), Application of Legal Concepts in Case Management Practice (Chapter 17), Ethical Issues in Case Management (Chapter 18), and Internet Resources and Case Management (Chapter 19). Content on Financial Reimbursement Systems has been expanded to cover community case management issues such as the new community reimbursement systems for ambulatory, home, and long-term care. Information on community-based models is covered in more detail in response to growth in this area - including managed care, telephonic, rehabilitation, sub-acute, and long-term and emergency department case management. The chapter on Skills for Successful Case Management has been expanded to include a discussion of additional skills such as clinical reasoning, cost-effectiveness, and negotiation among others. Content on Developing Case Management Plans has been updated to include more content on community plans and a detailed review of the types of case management plans, including algorithms. The chapter on Quality Patient Care has been updated to include an historical review, minimum data sets, report cards, and the relationships between outcomes and quality. Quality indicators and organizations across the continuum are included. Appendices have been expanded to include community-based case management plans, home care plans, and long term care plans.

This data-rich work examines today's most compelling and controversial public health issues, including alcohol and drug abuse, AIDS, abortion, black and infant mortality, drug-affected babies, child abuse, teenage pregnancy, and cigarette smoking. Hammerle's theme is that individual behavioral choices often have far-reaching and costly effects. When practiced by large numbers of people, the human and fiscal costs can be monumental, taxing virtually all of our social systems as well as our financial resources. Hammerle enumerates these costs and, employing economic analytical tools, recommends public policies that will reduce the incidence of such behavior or otherwise reduce its social cost. Some recommendations are outside the mainstream, but all are well substantiated and soundly argued.

This volume will be of great interest to academics, practitioners, and policy-makers in the fields of public health, health care administration, public policy, child protection, and family planning. The work will also interest economists and sociologists in the field of social welfare, as well as lay persons who are concerned about these timely public health issues.

This books provides an essential study of communicable diseases, by integrating the diagnosis, treatment and cure of communicable diseases in developing countries with the practical aspects of delivery of these services to the public.

Commissioning is now a key task for health and social care - and yet policy aspirations often outstrip the infrastructure needed to support commissioners as they take difficult decisions about future services and to make commissioning a career of choice for future leaders. While commissioning was important under New Labour, it seems set to be even more fundamental now as commissioners think about future services in an era of austerity. Against this background, this is the first comprehensive text on a key area of management practice , exploring what commissioning is, where it has come from and where it might be taking us. With a wide range of leading contributors from fields including health care, social care, local government , the book takes students, practitioners and managers through key stages of the commissioning cycle as well as addressing cross-cutting themes such as the economics of commissioning, user involvement and commissioning in an era of personalisation. It is essential reading for everyone involved in the planning and delivery of health and social care - for social policy students, health and social care practitioners, managers and policy makers alike.

This book explore assumptions underpinning contemporary health policy discourses that emphasize personal responsibility for health, consider how they attach to changing information technologies, and discuss their influence on emerging forms of health 'work'.

As the field of counseling continues to experience major growth, the need for clinical supervisors is growing proportionally. This stand-alone text for graduate and post-Masters level supervision courses contains all of the information clinical supervisors will need to practice effectively in community mental health and private practice settings. It aligns with current supervision standards issued by the Association for Counselor Education and Supervision, and with the recommendations of the American Association for State Counseling Boards.

The book integrates theoretical and practical information while addressing all stages of the supervision process, from initial conceptualization and preparation to direct application and advanced skill utilization. Special attention is paid to ethical and legal issues, professional development, multicultural competence, evaluation, supervisory alliance, parallel process, and advanced supervision strategies. The text presents helpful tools for effective problem solving, including the supervisor self-concept exercise that guides the student in solidifying his or her identity as a supervisor. It will be useful for all levels of experience from novice to advanced supervisors. Key Features:

Aligns with current national and state-specific supervision standards Engages readers in multiple exercises that readily facilitate application of concepts and theories Provides solutions to common and emerging supervision dilemmas Addresses such underrepresented supervision components as group supervision and dilemmas specific to private practice or agencies

"The healthcare industry in the United States consumes roughly 20% of the gross national product per year. This huge expenditure not only represents a large portion of the country's collective interests, but also an enormous amount of medical information. Information intensive healthcare enterprises have unique issues related to the collection, disbursement, and integration of various data within the healthcare system.Information Systems and Healthcare Enterprises provides insight on the challenges arising from the adaptation of information systems to the healthcare industry, including development, design, usage, adoption, expansion, and compliance with industry regulations. Highlighting the role of healthcare information systems in fighting healthcare fraud and the role of information technology and vendors, this book will be a highly valued addition to academic, medical, and health science libraries."

This book describes and discusses a practice-oriented approach to understanding and researching interprofessional simulation-based education and simulation. It provides empirical findings from research on this topic and is informed by practice-oriented perspectives. It identifies critical features of the simulation practice and discusses how these can be used in reforming simulation pedagogy. The book is divided into three sections. Section 1 sets the scene for understanding the practices of interprofessional simulation-based education and simulation. It provides a theoretical and methodological framework for the conceptualisation of practices and for the empirical studies on which the book is based. Section 2 revisits the dimensions of the simulation process/exercise, i.e. the briefing, simulation, and debriefing, and provides empirical analyses of how the practice of simulation unfolds. Based on these analyses, section 3 identifies and discusses how pedagogies for simulation can be reformed to meet the demands of future healthcare and research.

Medicaid is the primary means for providing medical care to the nation's indigent and disabled populations. Almost 13 percent of all Americans received some form of medical coverage, such as physician services or long-term care, through Medicaid in the early 1990s. The costs continue to rise dramatically, and state governments have become alarmed by the growing share of their budgets that Medicaid consumes.

Daniels and his contributors present the efforts of 16 states to reform their Medicaid programs through a system of managed care--programs that seek to control or manage the use by patients of physicians and other heath care services. They present an overview of the inconsistency and paradox of American health care, pointing to the ways each state's unique political and economic variables give rise to individually stylized approaches to the delivery of Medicaid services. The most comprehensive look at state efforts in Medicaid reform, the book will be an invaluable resource for scholars and researchers in the fields of public and health administration, for practitioners, and for policymakers.

In 2004, Charles Cullen was arrested and charged in the deaths of more than 30 patients in his care. Crossing several jurisdictions in seven counties in New Jersey and Pennsylvania, he was stopped after a fifteen-year spree at ten institutions. While many people do not think of healthcare workers as serial killers, their profession is disproportionately represented among the serial killer population, and they tend to be more prolific than other serial killers, having more opportunities, better cover, and easy alibis. Healthcare professionals who kill have learned how to exploit the atmosphere of trust in the healthcare community and to hasten deaths that may go unnoticed in an already vulnerable arena. This book delves into the world of the healthcare serial killer, looking at the special characteristics of the different groups of murderers, the motives, the methods, and the outcomes. Crime specialists have long suspected that many healthcare serial killers have gone undetected. Because it is easier to cover up their crimes, it is harder to uncover that a crime has even been committed. Here, Ramsland identifies some of the warning signs that a serial killer may be on the loose in a healthcare setting. Further, she offers suggestions for reform in the healthcare and criminal justice communities that would help identify potential killers before they have a chance to strike, or strike again. Using numerous real-life cases in every chapter, she provides a fuller picture of this most deadly type of serial killer and helps readers understand how they work, and how they can be stopped.

This issue of Clinics in Perinatology reviews Healthcare Associated Infections in the Neonatal Intensive Care Unit. Guest Editors Drs. Karen Fairchild and Richard Polin have assembled a panel of expert contributors to pen articles on Epidemiology and Risk Factors for NICU HAI: Genes and Environment; Strategies to Reduce NICU HAI: Line, Tube, and Hand Hygiene;? Candida in the NICU: Pros and Cons of Prophylaxis; MRSA in the NICU; New Concepts of Microbial Translocation in the Neonatal Intestine: Mechanisms and Prevention; Antibiotic Resistance in NICU Pathogens: Mechanisms, Clinical Impact, and Prevention; Biomarkers for LONS: Cytokines and Beyond; Heart Rate Variability: A Novel Physiomarker for Sepsis Detection in the NICU; Ventilator-Associated Pneumonia; Perinatal Infection and Prematurity; and Meningitis in Neonates: Bench to Bedside.

This book offers a clear, yet comprehensive guide to how to structure a design project, focusing in particular on the key questions designers, architects, policy makers and health professionals should consider when working towards inclusion through design. The book is based on a series of lessons held by the author and his colleague Avril Accolla, whose aim was to train technicians at all levels to be capable of catering for the needs of the elderly. It clearly draws the outline of their "Ask the Right Question" approach, whose purpose is to help convey the notions in question appropriately to people with such widely different backgrounds, curricula, interests and cultures. Using a minimalist approach, based mainly on the discussion of eye-catching real-life examples placed in logical order and a crystal clear, engaging style, this book is a must-have for designers, technicians, customers and health practitioners, as well as social scientists and policy makers who deal with inclusive design at different levels and anyone interested in topics related to technological evolution and social integration.

In 1927 in the field of health care an unusual event occurred. Morris Aaron Cohen, M.D. founded the Boston Evening Clinic, an unusual and never before conceived facility for the treatment of the indigent and low-wage earners who could not afford to lose a day s pay. It was an endeavor that achieved success against overwhelming odds: the objections of the Massachusetts Medical Society, major hospitals, banks, and businesses. Often denounced as unethical or even called a liar by an outstanding member of the Society who believed Morris Cohen was taking money from the poor and placing it in his own pockets, the besieged man never surrendered. None of the criticisms was justified and all were proved false. Why? Because Dr. Morris Cohen, as his memoir attests, persisted; because he believed there were many among us who required the kind of care he believed in. Eventually, this humane man who believed in the dignity of human beings, who recognized the needs of people unable to pay for medical care during the day, rose in stature with his clinic until eventual recognition by Presidents of the United States and persons, both medical and lay, within the United States and beyond.

Critical Reviews:
Even though the concept and mission of the Boston Evening Clinic was the first of its kind in the nation, and a model that pre-dated and influenced the sweeping health care laws that ultimately created Medicare and Medicaid, Dr. Cohen s vision was repeatedly thwarted by the myopic business and medical leadership, who apparently failed to grasp the longer term social value of improved health, cost savings, and job preservation that resulted from the Boston Evening Clinic s model of unfettered, timely and preventive care.
- Roseanna H. Means, M.D.
President and Chief Medical Officer, Women of Means, Inc.
Internal Medicine, Brigham & Women's Hospital
Associate Clinical Professor of Medicine, Harvard Medical School

Healing After Dark is an inspiration for the next generation of health care reformers. It is a reminder to the current ones that the requirements of perseverance, hard work, with little financial remuneration and movement to overcome the inertia of status quo are practically a guarantee that you are on to something of great importance.
- Margaret A. Caudill-Slosberg, MD, PhD, MPH

Dr. Cohen gives readers an exciting insight into the founding and operation of a unique medical facility that still serves a model for these times, as well as an evocation of the life and culture of early twentieth-century Boston.
- Bernard M. Hyatt, publisher emeritus of "The Jewish Advocate," Boston

About the Author:
Richard Shain Cohen of Cape Elizabeth, Maine, is originally from Boston. He retired from the University of Maine at Presque Isle after serving as Vice President of Academic Affairs and Professor of English. He holds B.S., M.A., and Ph.D. degrees.
He served as editor of the journal "Husson Review" and was principal participant in a National Endowment for the Arts Grant for Images of Aroostook that was exhibited throughout the State of Maine.
His own publications, in addition to this book include: "The Forgotten Longfellow: Man in the Shadows" (2010), "Only God Can Make a Tree," poetry from himself and his brother, Alfred Robert Cohen; and the novels "Monday: End of the Week, Be Still, My Soul," and "Petal on a Black Bough." He also wrote chapters for "Aroostook: Land of Promise," academic reviews, other articles, and with the help of a Shell Grant a monograph on Samuel Richardson that can be found in major library holdings.
Aside from the present book, in progress is a fourth novel.

"Kroll-Smith and Floyd have, with both clarity and sensitivity, provided considerable insight into an important arena of contemporary experience."
--"American Journal of Sociology"

"Elegantly written. . . . the book is built around the narratives of multiple chemical sensitivity (MCS) sufferers themselves. . . . Due to its relevant subject matter, its interdisciplinary approach, its readability, and its interesting theoretical arguments, "Bodies in Protest" should be appealing to a wide audience."
--"Organization and Environment"

"This engagingly written and thought-provoking book provides one of the first sustained sociological analyses of a baffling, controversial, and spectacular medical condition."
--"Social Forces"

Gulf War Syndrome: Is It a Real Disease? asks a recent headline in the "New York Times," This question--are certain diseases real?--lies at the heart of a simmering controversy in the United States, a debate that has raged, in different contexts, for centuries. In the early nineteenth century, the air of European cities, polluted by open sewers and industrial waste, was generally thought to be the source of infection and disease. Thus the term miasma--literally deathlike air--came into popular use, only to be later dismissed as medically unsound by Louis Pasteur.

While controversy has long swirled in the United States around such illnesses as chronic fatigue syndrome and Epstein-Barr virus, no disorder has been more aggressively contested than environmental illness, a disease whose symptoms are distinguished by an extreme, debilitating reaction to a seemingly ordinary environment. The environmentally ill range from those who have adverse reactionsto strong perfumes or colognes to others who are so sensitive to chemicals of any kind that they must retreat entirely from the modern world.

"Bodies in Protest" does not seek to answer the question of whether or not chemical sensitivity is physiological or psychological, rather, it reveals how ordinary people borrow the expert language of medicine to construct lay accounts of their misery. The environmentally ill are not only explaining their bodies to themselves, however, they are also influencing public policies and laws to accommodate the existence of these mysterious illnesses. They have created literally a new body that professional medicine refuses to acknowledge and one that is becoming a popular model for rethinking conventional boundaries between the safe and the dangerous.

Having interviewed dozens of the environmentally ill, the authors here recount how these people come to acknowledge and define their disease, and themselves, in a suddenly unlivable world that often stigmatizes them as psychologically unstable. "Bodies in Protest" is the dramatic story of human bodies that no longer behave in a manner modern medicine can predict and control.

This book presents the findings of the highly respected eight-year Cornell-New York Hospital second opinion elective surgery program. The study covered 470,000 people in voluntary second opinion programs and an additional 273,000 people through a health insurance program mandating consultation. The authors present evidence that second opinion programs can effect significant medical cost reductions, even while enhancing the quality of care.

The international community has an interest in providing the global public good of infectious disease control. This requires surveillance, but efforts to implement surveillance programs have provoked resistance, particularly when outsiders and international organizations are involved. Are they collecting information to help or to discipline states? "Biopolitical Surveillance and Public Health in International Politics "examines the role of biopolitical surveillance in international politics. How can the international community balance the need to engage in surveillance for disease control while simultaneously allaying fears about the purpose of such programs? Using historical and contemporary case studies, Youde traces the shifting balance between surveillance and global public good provision and suggests that a human rights-based strategy offers a stable compromise.

A major objective of this volume is to create and share knowledge about the socio-economic, political and cultural dimensions of climate change. The authors analyze the effects of climate change on the social and environmental determinants of the health and well-being of communities (i.e. poverty, clean air, safe drinking water, food supplies) and on extreme events such as floods and hurricanes. The book covers topics such as the social and political dimensions of the ebola response, inequalities in urban migrant communities, as well as water-related health effects of climate change. The contributors recommend political and social-cultural strategies for mitigate, adapt and prevent the impacts of climate change to human and environmental health. The book will be of interest to scholars and practitioners interested in new methods and tools to reduce risks and to increase health resilience to climate change.

This book presents the healthcare reform experiences of six small- to mid-sized, but dynamic, economies spanning the Asia-Pacific, the Middle East and Europe. Usually not given serious consideration in major international comparisons because of their small size, each in fact provides a fascinating case study that illuminates the understanding of the dynamics of healthcare reform. Although dissimilar in historical and cultural backgrounds, they share some important features: all faced very similar pressures for change in the 1970s and 1980s; all considered a very similar range of policy options; and all did not only discuss but actually implemented fundamental changes in their healthcare funding, organization, contracting and governance structures with strikingly different outcomes.All of the authors have lived and worked in one or more of the countries studied in this volume. The analytic frameworks they use reflect their broad range of professional and disciplinary backgrounds in health economics and political science. Beyond mere descriptions of reform processes and superficial analyses based on aggregate data from the usual OECD or WHO sources, they seek to understand - and explain - the variations in country experiences by examining the politico-socio-economic factors driving health reform as seen through the respective country lenses. In coming together in this unique international collaboration, they make an important contribution to the growing field of international comparative health policy studies.Contributors: Tsung-Mei Cheng (Princeton University, USA), David Chinitz (The Hebrew University of Jerusalem, Israel), Luca Crivelli and Iva Bolgiani (University of Lugano, Switzerland), Meng-Kin Lim (National University of Singapore, Singapore), Kieke G H Okma and Hans Maarse (Maastricht University, The Netherlands), Toni Ashton and Tim Tenbensel (University of Auckland, New Zealand).

This book provides an overview of the global pharmaceutical pricing policies. Medicines use is increasing globally with the increase in resistant microbes, emergence of new treatments, and because of awareness among consumers. This has resulted in increased drug expenditures globally. As the pharmaceutical market is expanding, a variety of pharmaceutical pricing strategies and policies have been employed by drug companies, state organizations and pharmaceutical pricing authorities.