Reviews"This one is a particularly good one in terms of internal consistency, clarity, and case study illustrations. The discussions of the linguistic confusion regarding goals, objectives, and treatment plans in both managed care and provider sectors is both amusing and on the mark, and the authors' reformulations are lucid. Practitioners bewildered by the diversity of questions and standards used by their managed care plans or frustrated at their reimbursement denials will probably find the documentation method and suggested data structures helpful in reducing managed care denials.... [I]t represents a practitioner friendly approach to addressing managed care's oversight questions and makes an important step toward a common language for mental health services accountability."- Contemporary Psychology
Grade FromCollege Graduate Student
Edition DescriptionRevised edition
Table Of ContentIntroduction. The public demand for practitioner accountability. The need for a behavior-based common language of treatment. Patient impairments and the diagnosis. Patient impairments and the justification for treatment. Impairment severity and appropriateness of treatment. Treatment goals and patient objectives. Practitioner interventions and the treatment plan. Patient progress and the effectiveness of treatment. Managing the future of managed care. Glossary. Appendix A: Patient impairment definitions. Appendix B: Severity rating qualifiers (critical impairments). Appendix C: Patient objectives reference list (critical impairments). References. Index.
SynopsisThis second edition provides an easy-to-learn, easy-to-use method for documenting and communicating the necessity, appropriateness, and course of treatment for managed care review. Using the Patient Impairment Profile method, practitioners can convey a rationale for treatment, efficiently track progress, and demonstrate favorable patient outcomes., Managing Managed Care II: A Handbook for Mental Health Professionals, second edition, provides an easy-to-learn, easy-to-use system for documenting quality of care and communicating with external reviewers. Its patient impairment profile system should guide practitioners through documenting and communicating treatment needs, developing a rationale for a treatment plan and treatment, and predicting the outcome of care., "Managing Managed Care II: A Handbook for Mental Health Professionals", second edition, provides an easy-to-learn, easy-to-use system for documenting quality of care and communicating with external reviewers. Its patient impairment profile system should guide practitioners through documenting and communicating treatment needs, developing a rationale for a treatment plan and treatment, and predicting the outcome of care. Keeping pace with the evolving and expanding presence of managed care required that the previous edition be extensively revised and enhanced. More than half of the chapters have new titles and content, and three of them have been completely rewritten. The authors added two new clinical appendixes and a glossary. They also updated all references to pertinent 1995 accreditation standards and federal regulations., Managing Managed Care II: A Handbook for Mental Health Professionals, Second Edition, provides an easy-to-learn, easy-to-use method for documenting and communicating the necessity, appropriateness, and course of treatment for managed care review. Using the Patient Impairment Profile method, practitioners can convincingly convey a clinical rationale for treatment, efficiently track progress over time, and demonstrate favorable patient outcomes. Keeping pace with the evolving and expanding presence of managed care, the authors have extensively revised and enlarged the previous edition. New clinical research on the validity and reliability of the impairment terminology has produced a much-improved, clinically valid, and statistically reliable impairment lexicon. Detailed severity rating qualifiers, reference lists of patient objectives, and a useful glossary have been added. All regulations have also been updated. Managing Managed Care II is reference and valuable resource for mental health practitioners and for the individuals who monitor and review treatment. By providing concise, relevant, and outcome-focused treatment information, practitioners become proactive participants in managed care while adeptly articulating the value and quality of their services.
LC Classification NumberRC465.5.G66 1996