Key Features

  • The author has more than 23 years of experience consulting with insurance companies, employers, and the legal sector, and offers proven strategies for collaboration between providers and others involved with the health care system.
  • Filled with numerous illustrations, graphics, and tables, many of which are useful for training and education of staff or clients.
  • The appendix contains a large and diverse collection of helpful information that is not readily available from other sources. It also provides an essential list of resources for further reading about this constantly changing field.
  • Chapters cover theoretical issues (management models, definitions of disability) as well as disability management in long-term care, worker's compensation, outcomes management, legal implications, and more.
  • Case studies throughout the book present realistic examples of situations to improve the reader's technical and critical thinking skills.
  • Focused on managing disabilities (i.e., functional problems) rather than on treating impairments (i.e., diseases), encouraging rehabilitation providers to think "out of the box" and to position themselves better within and beyond managed care.

Table of Contents

I. UNDERSTANDING DISABILITY

1. Disablement Models
2. Disability: Costs and Demographics

II. UNDERSTANDING DISABILITY MANAGEMENT FUNDAMENTALS

3. Disability Management: Principles and Practices
4. Disability Management in Long-Term Care
5. Disability Management in Workers' Compensation
6. Disability Management: An Insurer's Perspective
7. Confounding Obstacles to Disability Management

III. DISABILITY ASSESSMENT

8. Disability Determinations
9. Functional Capacity Evaluation
10. Utilization Review and Management
11. Descriptive Study of Physical Therapy Case Management

IV. HEALTH INFORMATION MANAGEMENT

12. Information Technology in Disability Management
13. The Search for Quality
14. Outcomes Management
15. How to Locate Sources of Disability-Related Data

V. ETHICAL-LEGAL-REGULATORY-COMPLIANCE ISSUES

16. Risk Management
17. Ethical Considerations in Disability Management
18. Fraud and Abuse Prevention: Legislative and Regulatory Issues of Importance for Rehabilitation
19. Federal Reimbursement-Focused Statutes for Rehabilitation Providers

VI. TRENDS AND ISSUES IN HEALTH CARE FINANCE AND DELIVERY

20. Transition to Change in a Complex Healthcare Sector
21. Delivery Paradigm Shifts
22. Chronicity: Rehabilitation's New Horizon?
23. Evolution of Managed Care
24. Complementary and Alternative Medicine
25. Beyond Managed Care: A Vision of the Future

VII. FROM CLINICIANS TO CONSULTANTS

26. Profiles in Disability Management
27. Consulting Opportunities for Rehabilitation Providers

APPENDIX: Resource Compendium

Details

No. of pages:
480
Language:
English
Copyright:
© 2005
Published:
Imprint:
Saunders
Print ISBN:
9780721684741
Electronic ISBN:
9781416065395

About the editor

David Clifton

Affiliations and Expertise

Dolphin and Associates, Media, PA