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Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 811 records · Page 45Linked to original sources
PubMed1999

Information systems for IDSs: meeting the challenges.

Integrated delivery systems (IDSs) face many challenges in implementing information systems. An IDS's senior management staff can meet these challenges by choosing the right information systems design team and ensuring that information systems staff have sufficient training and expertise to successfully assemble the needed information systems capabilities. To effectively fulfill its role, the information systems design team needs to understand the IDS's managed care strategy, know the level of information systems functionality required, obtain components from a limited number of vendors while using technology that integrates disparate components, build or enhance communication networks, consolidate where possible, and be willing to adopt new tools.

Communication↗
PubMed1999

Implementing Medicaid managed care: the New York City story.

Across the nation, public officials are encouraging or requiring Medicaid beneficiaries to enroll in managed care. In this article, we report on a study of the implementation of Medicaid managed care in New York City. Several findings are clear. First, government officials need to treat health plans as partners rather than adversaries; in New York, the relationship between the state and the plans is far too adversarial. Second, effective managed care requires good management information systems; New York officials are collecting an enormous amount of data but not much useful information. Third, effective implementation of Medicaid managed care is slow going; New York's effort to dramatically accelerate the enrollment process did not work.

Health Policy↗
PubMed1999

A supervisory level self-directed work team in health care.

Nationwide changes in health care delivery precipitated shifts in management within health care facilities. Connecticut experienced growth of 24 percent in managed care contracting between 1992 and 1994, a result of private sector initiatives set in motion by the proposed Clinton Administration health care plan. The shift from fixed rate to capitated payment structures was expected to have a negative impact on health care facilities and hospitals in particular. Further, it was anticipated that managed care would push services out of hospitals and into price-competitive, freestanding facilities. The response of Hospital for Special Care included development of a supervisory self-directed work team.

Connecticut↗