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Legal aspects of health care administration
\"The most trusted resource in healthcare law is this classic text from George Pozgar, now completely revised. With new case studies and news clippings in each chapter, the 13th edition continues to serve as an ideal introduction to the legal and ethical issues in the healthcare workplace. This authoritative guide presents a wide range of health care topics in a comprehensible and engaging manner that will carefully guide your students through the complex maze of the legal system. This is a book they will hold on to throughout their careers. Healthcare administrators face an increasingly complex maze of legal issues as government regulation and health care reform evolves and corporate structures adapt to meet the changing demands of their constituencies. With a continued emphasis on the ethical challenges of providing quality care amidst these powerful and often chaotic industry forces, the 13th Edition helps future administrators navigate the core industry issues of patient centered care, the future workforce and the culture of compassion. With over 40 years of experience as an administrator, consultant, and surveyor across 650 hospitals, author George D. Pozgar provides a uniquely accessible tool for grasping the legal complexities of health care through an array or real-life case studies, precedent-making court cases, and key statistical data. In the 13th Edition, Mr. Pozgar once again invites the reader to explore the comprehensive range of legal issues--from tort reform and healthcare fraud to reporting requirements and patient rights. Legal Aspects of health Care Administration, 13th Edition is an indispensable text for future healthcare administrators and one that will serve them throughout their professional lives. The 13th edition presents a wide range of health care topics in a comprehensible and engaging manner that will carefully guide your students through the complex maze of the legal system. This is a book they will hold on to throughout their careers.\"-- Provided by publisher.
Book
Pragmatic Vision
On March 23, 2010, President Barack Obama signed the Patient
Protection and Affordable Care Act into law, providing every
American with the opportunity to have guaranteed health care
coverage. The Affordable Care Act-frequently referred to as
Obamacare-is almost synonymous with Obama's presidential legacy and
reflects a series of key decisions that he made beginning before he
took office. As Meena Bose shows, it was Obama's particular brand
of pragmatic politics that ultimately shaped the passage of the
Affordable Care Act and made a lasting mark on health care reform
in the United States.
Pragmatic Vision examines eight of Obama's decisions
that resulted in the landmark enactment of health care reform,
starting with his commitment to health care reform in the 2008
presidential campaign and concluding with his decision to allow for
flexibility with its implementation, following technical hurdles
and Supreme Court rulings. Bose shows that Obama's steadfast
commitment to the issue was crucial to its passing, especially
after the Democrats lost their filibuster-proof majority in the
Senate. Obama's direct engagement built key political support for
the legislation and was aided by the senior White House staff and
Democratic leaders in Congress who skillfully navigated the bill to
passage just fourteen months after Obama took office.
The story of Obama's leadership in enacting the Affordable Care
Act is a tale of today's partisan divide and the polarization of
Congress. The legislation passed on a party-line vote and continued
to divide politicians long after its passage. Nevertheless, despite
repeated efforts by Republicans to repeal the law, it is more
popular today than ever and seems destined to remain in force until
the next stage of reform. Pragmatic Vision is an
authoritative guide to this singular achievement of the Obama
administration.
eBook
THE PATIENT PROTECTION AND AFFORDABLE CARE ACT: IMPLICATIONS FOR PUBLIC HEALTH POLICY AND PRACTICE
Rosenbaum discusses the implications of the Patient Protection and Affordable Care Act. The legislation will take years to implement, and its full meaning can only be conceptualized at this point. But January 2014 will arrive in the blink of an eye. In sum, the Affordable Care Act is transformational, and enormous implementation challenges lie ahead. But the opportunities for major advances in public health policy and practice are simply unparalleled. The Act represents a singular opportunity not only to transform coverage and care, but also to rethink the basic mission of public health in a nation with universal coverage.
Journal Article
Measuring the Performance of the Hollow State
Measuring the Performance of the Hollow Stateis the first in-depth look at the influence of performance measurement on the effectiveness of the federal government. To do this, the authors examine the influence of the Government Performance and Results Act of 1993 (with consideration of the later Program Assessment Rating Tool of 2002) on federal performance measurement, agency performance, and program outcomes. They focus a systematic examination on five agencies in the U.S. Department of Health and Human Services-the Food and Drug Administration, the Centers for Medicare and Medicaid Services, the Health Resources and Services Administration, the National Institutes of Health, and the Indian Health Service. Besides representing a wide range of federal government organizational structures and program formats, these agencies offer a diverse array of third-party arrangements including states, native American tribes, scientists, medical schools, and commercial and nonprofit health care intermediaries and carriers. Exploring the development of performance measures in light of widely varying program mandates, the authors look at issues that affect the quality of this measurement and particularly the influence of program performance by third parties. They consider factors such as goal conflict and ambiguity, politics, and the critical role of intergovernmental relations in federal program performance and performance measurement. Through their findings, they offer illumination to two major questions in public management today-what are the uses and limitations of performance measurement as a policy and management tool and how does performance measurement work when applied to the management of third-party government? While scholars and students in public administration and governmental reform will find this book of particular interest, it will also be of use to anyone working in the public sector who would like to have a better understanding of performance measurement.
eBook
Making the Case for Laws That Improve Health: A Framework for Public Health Law Research
Context: Public health law has received considerable attention in recent years and has become an essential field in public health. Public health law research, however, has received less attention. Methods: Expert commentary. Findings: This article explores public health law research, defined as the scientific study of the relation of law and legal practices to population health. The article offers a logic model of public health law research and a typology of approaches to studying the effects of law on public health. Research on the content and prevalence of public health laws, processes of adopting and implementing laws, and the extent to which and mechanisms through which law affects health outcomes can use methods drawn from epidemiology, economics, sociology, and other disciplines. The maturation of public health law research as a field depends on methodological rigor, adequate research funding, access to appropriate data sources, and policymakers' use of research findings. Conclusions: Public health law research is a young field but holds great promise for supporting evidence-based policymaking that will improve population health.
Journal Article
The role of the outer setting in implementation: associations between state demographic, fiscal, and policy factors and use of evidence-based treatments in mental healthcare
Background
Despite consistent recognition of their influence, empirical study of how outer setting factors (e.g., policies, financing, stakeholder relationships) influence public systems’ investment in and adoption of evidence-based treatment (EBT) is limited. This study examined associations among unmodifiable (e.g., demographic, economic, political, structural factors) and modifiable (e.g., allocation of resources, social processes, policies, and regulations) outer setting factors and adoption of behavioral health EBT by US states.
Methods
Multilevel models examined relationships between state characteristics, an array of funding and policy variables, and state adoption of behavioral health EBTs for adults and children across years 2002–2012, using data from the National Association for State Mental Health Program Directors Research Institute and other sources.
Results
Several
unmodifiable
state factors, including per capita income, controlling political party, and Medicaid expansion, predicted level of state
fiscal investments
in EBT. By contrast,
modifiable
factors, such as interagency collaboration and investment in research centers, were more predictive of state
policies
supportive of EBT. Interestingly, level of adult EBT adoption was associated with state fiscal supports for EBT, while child EBT adoption was predicted more by supportive policies. State per capita debt and direct state operation of services (versus contracting for services) predicted both child and adult EBT adoption.
Conclusions
State-level EBT adoption and associated implementation support is associated with an interpretable array of policy, financing, and oversight factors. Such information expands our knowledge base of the role of the outer setting in implementation and may provide insight into how best to focus efforts to promote EBT for behavioral health disorders.
Journal Article
Critical Health Care Challenges for the Next U.S. President
Public opinion polls indicate that reproductive health care is a central issue in the 2024 U.S. elections, with other public health and health care issues figuring less prominently among voters’ priorities. Yet the next U.S. president, as well as Congress and state governments, will have to address some major challenges to Americans’ health and health care. On September 27, 2024, the
Journal
and the Department of Health Policy and Management at the Harvard T.H. Chan School of Public Health hosted a symposium exploring three critical topics: access to health care, affordability of care, and health and health care equity.
Journal Article
Does Universal Coverage Improve Health? The Massachusetts Experience
In 2006, Massachusetts passed health care reform legislation designed to achieve nearly universal coverage through a combination of insurance market reforms, mandates, and subsidies that later served as the model for national reform. Using data from the Behavioral Risk Factor Surveillance System, we provide evidence that health care reform in Massachusetts led to better overall self-assessed health. Various robustness checks and placebo tests support a causal interpretation of the results. We also document improvements in several determinants of overall health: physical health, mental health, functional limitations, joint disorders, and body mass index. Next, we show that the effects on overall health were strongest among those with low incomes, nonwhites, near-elderly adults, and women. Finally, we use the reform to instrument for health insurance and estimate a sizeable impact of coverage on health. © 2013 by the Association for Public Policy Analysis and Management.
Journal Article
The Evolution of Health Care Advance Planning Law and Policy
Context: The legal tools of health care advance planning have substantially changed since their emergence in the mid-1970s. Thirty years of policy development, primarily at the state legislative level addressing surrogate decision making and advance directives, have resulted in a disjointed policy landscape, yet with important points of convergence evolving over time. An understanding of the evolution of advance care planning policy has important implications for policy at both the state and federal levels. Methods: This article is a longitudinal statutory and literature review of health care advance planning from its origins to the present. Findings: While considerable variability across the states still remains, changes in law and policy over time suggest a gradual paradigm shift from what is described as a \"legal transactional approach\" to a \"communications approach,\" the most recent extension of which is the emergence of Physician Orders for Life-Sustaining Treatment, or POLST. The communications approach helps translate patients' goals into visible and portable medical orders. Conclusions: States are likely to continue gradually moving away from a legal transactional mode of advance planning toward a communications model, albeit with challenges to authentic and reliable communication that accurately translates patients' wishes into the care they receive. In the meantime, the states and their health care institutions will continue to serve as the primary laboratory for advance care planning policy and practice.
Journal Article
A Public Health Strategy for the Opioid Crisis
Drug overdose is now the leading cause of injury death in the United States. Most overdose fatalities involve opioids, which include prescription medication, heroin, and illicit fentanyl. Current data reveal that the overdose crisis affects all demographic groups and that overdose rates are now rising most rapidly among African Americans. We provide a public health perspective that can be used to mobilize a comprehensive local, state, and national response to the opioid crisis. We argue that framing the crisis from a public health perspective requires considering the interaction of multiple determinants, including structural factors (eg, poverty and racism), the inadequate management of pain, and poor access to addiction treatment and harm-reduction services (eg, syringe services). We propose a novel ecological framework for harmful opioid use that provides multiple recommendations to improve public health and clinical practice, including improved data collection to guide resource allocation, steps to increase safer prescribing, stigma-reduction campaigns, increased spending on harm reduction and treatment, criminal justice policy reform, and regulatory changes related to controlled substances. Focusing on these opportunities provides the greatest chance of making a measured and sustained impact on overdose and related harms.
Journal Article