2 edition of Cost, management, and utilization of human resources program evaluation, 1977 found in the catalog.
Cost, management, and utilization of human resources program evaluation, 1977
United States. Congress. Senate. Committee on Human Resources.
Includes bibliographical references.
|The Physical Object|
|Pagination||v, 556 p. :|
|Number of Pages||556|
Utilization management helps ensure that patients have the proper care and the required services without overusing resources. NCQA Utilization Management Accreditation helps guarantee that organizations making these decisions are following objective, evidence-based best practices. Utilization Management 1. What is Utilization Management Utilization management is the evaluation of the appropriateness, medical need and efficiency of health care services procedures and facilities according to established criteria or guidelines and under the provisions of an applicable health benefits plan.
Program Evaluation (by Carter McNamara, PhD; last revision: ) Some Myths About Program Evaluation Many people believe evaluation is a useless activity that generates lots of boring data with useless conclusions. This was a problem with evaluations in the past when program evaluation methods were. Program staff also should consider factors such as target population, interventions, resource availability, time for a pilot program, and strategies for measurement and evaluation. Planning these components early will allow staff to design an appropriate care management program for their members.
The long-awaited new edition is here! Evaluation: A Systematic Approach, by Peter H. Rossi, Mark W. Lipsey, and Gary T. Henry, is the best-selling comprehensive introduction to the field of program evaluation, covering the range of evaluation research activities used in appraising the design, implementation, effectiveness, and efficiency of social programs. Utilization Management Program Evaluation 2 Table of Contents I. EXECUTIVE SUMMARY page 3 A. OVERVIEW OF THE QM PROGRAM page 3 Director of Human Resources Director of Finance Director of Provider Relations The QMC met on a quarterly basis in and the focus of the committee was to review the.
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Cost, management, and utilization of human resources program evaluation, hearings before the Committee on Human Resources, United States Senate, Ninety-fifth Congress, first session, on oversight hearings on the scope and extent of the federal government's efforts to evaluate its programs, October 6 Utilization Focused Evaluation: A primer for evaluators: This book, written by Ricardo Ramírez and Dal Brodhead, is designed to support evaluators and program managers implement Utilization-focused evaluation (UFE).
It includes detailed discussion 1977 book the 12 steps for implementing UFE and also provides a number of case studies to guide the user. The cost management is not popular. Managers would like to have a full freedom.
The top management cannot afford to delegate the full cost management authority to managers. The top management needs functions focused on the cost management. It is the role of Human Resources to manage the personnel expenses of the organization.
3 The private sector is not alone in providing meager resources for program evaluation. The utilization and quality review components of Medicare's peer Cost organization (PRO) program have not been very rigorously examined (General Accounting Office.
The basic hypothesis tested in the article is that the existence of Freedom of Information legislation in a state enhances utilization of evaluation research.
The investigation of this research question leads to a tentative rejection of this hypothesis. Factors such as weak Freedom of Information Acts, unsympathetic implementation, and the lack of useful and timely information in agency Author: R.
Segsworth. Utilization management as a cost-containment strategy by Howard L. Bailit and Cary Sennett. Utilization management (UM) is now an integral part of most public and private health plans.
Hospital review, until recently the primary focus of UM, is associated with and utilization of human resources program evaluation reduction in bed days and rate of hospital cost increases. The Practice of Program Evaluation: The Art and Craft of Fitting Round Pegs Into Square Holes 10 A Typical Program Evaluation: Assessing the Neighbourhood Integrated Service Team Program 13 Implementation Concerns 13 The Evaluation 14 Connecting the NIST Evaluation to This Book 15 Key Concepts in Program Evaluation Human resources management and training is crucial for the modernisation of 1 The paper is a revised and updated version of the paper Contemporary issues on HRM and Training in National Statistical Institutes that was presented at the HRMT workshop in September in Budapest, Hungary.
background, training and experience. Human resource or a person at work is the most important component of the undertaking. Management cannot afford to ignore human resource at any cost.
Management is the process of efficiently getting activities completed with and through other people. The management process includes planning. Program evaluation is essential to public health. The Centers for Disease Control and Prevention sets standards for evaluation, develops evaluation tools and resources, and provides support for evaluation capacity-building.
Utilization-focused evaluation: The new century text. 3rd ed. Thousand Oaks, CA: Sage, Human resource cost analysis is the study of behavior of cost in relation to one or more HR criteria.
Controlling manpower costs has now become important for organizations, particularly when we are required to look within for cost savings to sustain organizational growth and enforce control on HR costs, it is essential to develop a check-list at the outset. Evaluation Program for Support Clinicians UM Program and for the management of support resources in conjunction with the Senior Clinical Director.
The scope of the Utilization Management Program consists of a continuum of processes associated with utilization management. These processes include the review of relevant UM. Managed care is "an organized system of care which attempts to balance access, quality, and cost effectively by using utilization management, intensive case management, provider selection, and cost-containment methods" (CSAT, d).Despite the antipathy that many public sector health care providers feel toward managed care, those providers are actually striving toward the same ends using.
Deciding on the resources that will be committed to a general program evaluation involves simultaneous consideration of (1) the importance of the program decisions to which the evaluation will contribute, (2) the resources needed to satisfy the evaluation's objectives, and (3) the resources that the program can afford.
[email protected]® is an employer-based training program. The ultimate aim of the program is to improve the organizational health of participating employers and certified trainers, with an emphasis on strategies to reduce chronic disease and injury risk to employees and an eye to improving overall worker productivity.
Medicare utilization statistics for Part B (Supplementary Medical Insurance SMI) are included in the Downloads area below. Medicare utilization statistics for Part A & B including Medicare Provider Analysis and Review (MEDPAR) of Short-Stay Hospitals are.
Board of Directors. The CMO or designee will be involved in the implementation, supervision, oversight and evaluation of the program.
Utilization management activities apply to all MAHP enrollees and providers (including Community Plan members and providers). MAHP Medicare members must abide by the Medicare coverage guidelines.
The great majority of Americans are now enrolled in privately or publicly funded health plans that use utilization management (UM) programs as a primary cost-containment strategy. This includes 90 percent of privately insured employees and all Medicare and Medicaid participants.
Chapter 5. MONITORING AND EVALUATION 1. Monitoring and evaluation (M&E) are integral and individually distinct parts of programme preparation and implementation.
They are critical tools for forward-looking strategic positioning, organisational learning and for sound management. A key part of the challenge is recognizing that high resource utilization is not an indication of good resource management.
The key is ensuring that your resources are working on projects aligned to strategic corporate goals, that match their skill sets and where they have adequate bandwidth. rationale or theory as the basis of an evaluation to understand the program’s development and impact” (Smith,p.
83). By developing a plausible model of how the program is supposed to work, the evaluator can consider social science theories related to the program as well as program resources.CARE MANAGEMENT PROGRAM OVERVIEW Paramount’s Care Management Program is designed to ensure the delivery of high quality, cost efficient health care for the members.
Departments within the Care Management umbrella include Utilization Management, Case Management (Intensive, High-Risk, Medium, Low, and Monitoring risk stratifications, and Pharmacy.The PHC UM program serves to ensure that appropriate, high quality cost-effective utilization of health care resources is available to all members.
This is accomplished through the systematic and consistent application of utilization management processes based on current, relevant medical review criteria and expert clinical opinion when needed.