Overview

""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.

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9780880487726

Table of Contents

Reviews

<p> 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

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 *

Author Information

Michael Goodman, M.D., was a clinical psychiatrist in private practice in Beverly Hills and Pasadena, California. Dr. Goodman has 14 years of experience as a physician adviser with the former California Professional Standards Review Organization and its current successor, California Medical Review, Inc. Janet A. Brown, R.N., C.P.H.Q., is a consultant in quality, utilization, and risk management with psychiatric and medical-surgical, acute and ambulatory health care organizations, all of which are now positioning for managed care. Ms. Brown is the author of The Quality Management Professional�s Study Guide, now in its 10th edition, and serves as an instructor for quality management professionals preparing for the certification exam. She has chaired the National Healthcare Quality Educational Foundation and is the 1995�1996 president of the National Association for Healthcare Quality. Pamela M. Deitz, L.C.S.W., M.F.C.C., is a psychotherapist in private practice. Ms. Deitz has continued to work in both agency and hospital settings. Her role as developer and clinical director of an adolescent treatment program heightened her awareness of and interest in the impact of managed care on all clinical disciplines providing mental health services.

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