Health Care Finance, Economics, and Policy for Nurses: A Foundational Guide

Editor/Author Rambur, Betty
Publication Year: 2015
Publisher: Springer Publishing Company

Single-User Purchase Price: $64.99
Unlimited-User Purchase Price: $97.48
ISBN: 978-0-82-612322-0
Category: Health & Medicine - Nursing
Image Count: 14
Book Status: Available
Table of Contents

Written specifically for RN to BSN and second-degree nursing programs, the book is the only such text grounded in nurses own understanding and experience. Concise and practical, it supports foundational concepts with real-life case studies and clinical applications and reinforces information with interactive quizzes and multimedia materials. The books content fulfills one of the AACNs key Essentials of Baccalaureate Education. Written by a health economics and policy expert, former dean, and award-winning teacher, the text synthesizes the vast scope of health economics to create an easily understandable guide for nursing action from bedside to boardroom.

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Table of Contents

  • About the Author
  • Foreword - Susan B. Hassmiller, PhD, RN, FAAN, and Susan Reinhard, PhD, RN, FAAN
  • Preface
  • Acknowledgments
  • SECTION I. THE CONTEXT OF HEALTH CARE AND HEALTH CARE REFORM
  • Preface
  • 1. What Is Health Economics and Why Is It Important to Nurses?
  • Theoretical Economic Approaches
  • Social Determinants of Health
  • How Economics Differs From Financing and Reimbursement
  • Insurance Industry Changes Since the Passage of the ACA
  • Conclusion
  • 2. A Story of Unintended Consequences: How Economic and Policy Solutions Create New Challenges
  • The Influence of the Flexner Report
  • Early Hospitals
  • Social Reform Addressing Unintended Consequences of Employer-Based Insurance
  • Attempts to Change Finanical Incentives to Contain Costs
  • The ACA and New (and Renewed) Payment Models
  • 3. Payment Reform
  • From Volume to Value: Payment Models That Move Away From Fee-for-Service Reimbursement
  • Nursing Roles Within Emerging Payment Models
  • SECTION II. HEALTH CARE ECONOMICS: AN OVERVIEW
  • Preface
  • 4. How Health Care Markets Differ From Classic Markets
  • What Does It Mean to Bear the Consequences of Financial Decision Making?
  • What Ideas Help Us Understand Overtreatment? The Example of Small-Area Variation and Supplier-Induced Demand
  • 5. The Role of Information in Health Care Markets and Decision Making
  • The Need for Information
  • Data on Quality
  • Big Data
  • Meaningful Use
  • Information Science, Quality Science, and Data
  • 6. Market Entry, Exit, and Antitrust Law
  • Entering and Exiting the Market
  • Merge, Consolidate, or Stand Alone: An Overview of Antitrust Law
  • Is Consolidation the Same as Integration?
  • SECTION III. ETHICS AND ECONOMICS IN AN AGE OF REFORM
  • Preface
  • 7. What Is Ethinomics?
  • Can Economics Coexist With the Intention of “Doing Good”?
  • Social Determinants of Health, Health Disparities, Ethics, and Economics
  • Moral Conduct of Nurses in Contemporary Complexity
  • 8. Additional Models to Guide Ethical Decision Making
  • Consequence-Based Decision Making
  • Deontology: Rule-Based Decision Making
  • Virtue Ethics
  • Using These Models in Clinical Decision Making
  • Moral Distress
  • Ethics of Reform and Cost Containment
  • Sustainability Is an Ethical Issue
  • Nurses on Boards and in Politics
  • SECTION IV. PULLING IT ALL TOGETHER: USING YOUR KNOWLEDGE OF HEALTH FINANCE, ECONOMICS, AND ETHICS TO INFLUENCE HEALTH AND HEALTH CARE
  • Preface
  • 9. Governance and Organizational Type
  • Role of the Board of Trustees
  • Types of Hospitals and Health Systems
  • Navigating Governance–Management Boundaries
  • The Relationship Between Organizational Structure and Organizational Values
  • The Role of Board Committees
  • The Sarbanes–Oxley Act
  • 10. Building Skills for Board Membership
  • Zeal, Organizational Fit, and Philanthophy
  • Types of Board Appointments
  • What a Governing Board Is Not
  • Other Types of Boards
  • Building the Skill Set for Board Membership
  • Next Steps
  • 11. Applying Health Economics to Influence Health Care Through State and Federal Policy Formation
  • Ways of Influence
  • How to Contact Policymakers
  • Maintaining a Connection with Policymakers to Influence Health and Health Care
  • Overcoming Impediments to Involvement
  • 12. Epilogue: Reflections on Living and Leading in a Changing Nursing World
  • Tell Me One More Time: What Does All This Financing, Economics, and Policy Have to Do With Nursing?
  • How to Retain and Expand on What You Have Learned
  • Appendix: Quiz Answers
  • Glossary