Managed care systems and emerging infections : challenges and opportunities for strengthening surveillance, research, and prevention : workshop summary, based on a workshop of the Forum on Emerging Infections, Division of Health Sciences Policy, Institute of Medicine / Jonathan R. Davis, editor.

Format:

Book

Contributor:

Davis, Jonathan R.

Institute of Medicine (U.S.)

Language:

English

Subjects (All):

Emerging infectious diseases.

Managed care plans (Medical care).

Physical Description:

1 online resource (127 p.)

Edition:

1st ed.

Place of Publication:

Washington, DC : National Academy Press, 2000.

Language Note:

English

Summary:

Managed Care Systems and Emerging Infections: Challenges and Opportunities for Strengthening Surveillance, Research, and Prevention Jonathan R. Davis, Editor; Based on a Workshop of the Forum on Emerging Infections, Institute of Medicine This workshop summary report from the IOM Forum on Emerging Infections, Managed Care Systems and Emerging Infections: Challenges and Opportunities for Strenghening Surveillance, Research and Prevention This book examines how the managed care revolution has created both problems and opportunities in the fight against infectious diseases. It highlights ways in which managed care systems can aid research, develop clinical guidelines, manage the use of antibiotics, support public education efforts, and monitor the spread of emerging infections and microbial resistance.

Contents:

Managed Care Systems and Emerging Infections

Copyright

REVIEWERS

Preface

Contents

Summary

BASIC AND CLINICAL RESEARCH

CLINICAL PRACTICE GUIDELINES

SURVEILLANCE AND MONITORING

EDUCATION AND OUTREACH

DRUG FORMULARIES

1 Introduction

BACKGROUND

ABOUT THE WORKSHOP AND ORGANIZATION OF THE WORKSHOP SUMMARY

2 Conducting Basic and Clinical Research in the Managed Care Setting

PERSPECTIVE OF ASSOCIATION OF AMERICAN MEDICAL COLLEGES ON BASIC AND CLINICAL RESEARCH

OPPORTUNITIES FOR POPULATION-BASED CLINICAL RESEARCH USING DATA FROM MANAGED CARE ORGANIZATIONS

CONDUCTING CLINICAL RESEARCH WITHIN MANAGED CARE ORGANIZATIONS

NIH ACTIVITIES RELATED TO CLINICAL RESEARCH AND MANAGED CARE

SUMMARY OF CHALLENGES AND OPPORTUNITIES

Supporting the Functions of Academic Health Centers

Ensuring Adequate Databases for Clinical Research

Exploiting the Unique Advantages of Managed Care for Surveillance and Research

Promoting Collaboration

3 Clinical Practice Guidelines

CLINICAL PRACTICE GUIDELINES FOR EMERGING INFECTIONS AND MANAGED CARE

REALITIES OF IMPLEMENTING GUIDELINES

MAKING GUIDELINES INSTRUMENTAL: THEORY VERSUS PRACTICE

Promoting Adoption and Use of Guidelines in Managed Care Organizations

Involving Clinicians in Guideline Development and Implementation

The Need for Systemwide, Standardized Guidelines

Promoting Professional and Public Education

4 Surveillance and Monitoring

AN EMPLOYER'S PERSPECTIVE

MANAGED CARE AND INFECTIOUS DISEASE SURVEILLANCE: OPPORTUNITIES FOR COLLABORATION

COLLABORATIVE SURVEILLANCE EFFORTS AND MONITORING OF DATA

LATTER DAY SAINTS HOSPITAL'S SYSTEM

LABORATORY-BASED REPORTING AND MANAGING ENCOUNTER-LEVEL DATA

LABORATORY-BASED REPORTING ISSUES

LEGAL CONCERNS.

SUMMARY OF CHALLENGES AND OPPORTUNITIES

Understanding Professional Roles in Surveillance and Monitoring

Ensuring Availability of Data

Promoting Sharing of Data

Tracking Nosocomial Infections

Accurate Reporting of Encounter-Level Data

Overcoming Structural Barriers

5 Education and Outreach

COORDINATING HEALTH PLAN RESEARCH AND EDUCATIONAL EFFORTS

IMPACTS OF MANAGED CARE SYSTEM'S EDUCATIONAL EFFORTS ON CONTROL OF ANTIBIOTIC USE

EDUCATION AND OUTREACH PERSPECTIVES OF THE NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

MANAGED CARE SYSTEMS AND EMERGING INFECTIONS: EDUCATION AND OUTREACH

Promote Professional Education Efforts

Encourage Judicious Antibiotic Use

Invest in Educational Programs

6 Drug Formularies

REGULATORY ISSUES

RELATIONSHIP BETWEEN MANAGED CARE FORMULARIES AND TREATMENT OUTCOMES

BACTERIAL RESISTANCE, THE ANTIBIOTIC FORMULARY, AND OTHER MANAGEMENT STRATEGIES

ECONOMICS OF RESTRICTIONS ON PHARMACEUTICALS

Ensuring Availability of Current Information on New Drugs

Managing Antibiotic Selective Pressure

Need for New Management Strategies for Cost Reduction

Achieving Quality Care and Cost Containment

7 Concluding Remarks

References

Appendix A Veterans Health Administration and Infectious Disease

CLINICAL RESEARCH

CLINICAL PRACTICE

Information Technology

Homelessness

Emerging Pathogens Initiative

Annual Infectious Diseases and Infection Control Report

EDUCATION

DRUG FORMULARY

Appendix B Glossary and Acronyms

Acronyms

Glossary

Appendix C Workshop Agenda

Appendix D Forum Member and Staff Biographies

FORUM MEMBERS

STUDY STAFF.

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references.

ISBN:

9786610185634

9780309172288

0309172284

9781280185632

1280185635

9780309593885

0309593883

9780585259901

0585259909

OCLC:

45731829