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This book is designed to give students and researchers the confidence to understand, assess, treat, and research test anxiety. Marty Sapp presents the various cognitive and behavioral theories of test anxiety along with instruments for measuring test anxiety. He integrates statistical methodology, measurement, and research designs with actual research situations that occur within the test anxiety field. In addition, the SPSS codes for conducting sample reliability and validity are provided along with the codes for finding confidence intervals around population reliability measures. Like the previous edition, the logic of structural equations modeling is presented with the EQS structural equations program. Many researchers view test anxiety as existing of factors such as Sarasons's four-factor model or Spielberger's two-factor model. Both models can be easily analyzed by EQS. In terms of treatment, affective, cognitive, behavioral, hypnosis, systematic desensitization, Eye-Movement Desensitization and Reprocessing (EMDR), and the Eye-Movement Technique (EMT) are presented. This book integrates applied research designs and statistical and measurement methodology that frequently occur in the test anxiety literature, but the methodological treatment of research is nonmathematical. Finally, extensive discussions of treatments for test anxiety are provided.

Product Identifiers

PublisherProductivity Press

ISBN-101439812888

ISBN-139781439812884

eBay Product ID (ePID)77859995

Product Key Features

Number of Pages294 Pages

Publication NamePerformance-Based Medicine : Creating the High Performance Network to Optimize Managed Care Relationships

LanguageEnglish

SubjectHealth Care Delivery, Industrial Management, Management Science, Quality Control

Publication Year2011

TypeTextbook

AuthorWilliam J. De Marco Cmc,Massachusetts

Subject AreaBusiness & Economics, Medical

FormatHardcover

Dimensions

Item Height0.9 in

Item Weight20.8 Oz

Item Length9.1 in

Item Width6.4 in

Additional Product Features

LCCN2011-026879

ReviewsBill De Marco draws upon his extensive experience to provide a comprehensive and detailed discussion of performance-driven improvement in healthcare. There is much here of value to policy makers, healthcare system leaders and anyone who wishes to have an in-depth and practical understanding of how to improve healthcare performance and how to align payment to drive better performance. Healthcare continues to be in crisis and in need of further reform, and Bill helps leaders understand the steps they need to take to get that done. -George J. Isham, MD, Chief Health Officer, HealthPartners Real health reform must solve deep systemic problems in the delivery of medical services, not just the way we pay for care. This latest book by Bill De Marco presents a realistic and practical blueprint for fixing the system at its base. Performance-Based Medicine: Creating the High Performance Network to Optimize Managed Care, not the Affordable Care Act, should be required reading for all who really want to build a new and better health system. -Jeff Bauer, PhD, author of Paradox and Imperatives in Health Careand Statistical Analysis for Decision-Makers in Health Care I feel fortunate to have been given the opportunity to review and endorse Mr. De Marco's amazing new book, Performance-Based Medicine: Creating the High Performance Network to Optimize Managed Care.This book is particularly remarkable in that it focuses not just on pay-for-performance and performance-based medicine, but truly on the provider side of innovating managed care and embracing pay-for-performance. This provider focus emphasizes physician organizations, and transitioning the delivery of actual healthcare to one that rewards clinical excellence, benchmarked performance attainment, and improving purchaser value. This focus of the managed care enterprise from the physician's perspective, especially in the contexts of performance benchmarking and Lean engineering, is truly unique just by itself. But Bill De Marco, goes a few steps further. As we're now seeing with the rise of state healthcare exchanges, accountable care organizations, and attempts by purchasers to narrow their provider markets according to their own metrics, Mr. De Marco has hit a "home run" with his book: He has shown how to re-engineer clinical pathways and disease processes even with free, public-domain tools to add value in ways that most emerging ACOs and healthcare exchanges have not yet realized how limited their value will be without moving toward value-based care and performance-based contracting. I was particularly impressed with the findings shared by Bill De Marco in describing Episode Treatment Groups®(ETGs®) and their syntheses of complex and statistically-valid disease management datasets in ways that the healthcare market is just beginning to realize. For example, I can easily see Bill's descriptions of ETGs as transforming pharmacy benefit managers (PBMs) and Third-Party Administrators (TPAs) away from micro-managing consumption to setting clinical pathways, specific to disease states and their co-morbidities, and therein rewarding benchmark attainments and disease adaptations of specific people. This model is truly the ultimate goal of Paying-for-Performance and transitioning to Performance-Based Metrics, designed to improve clinical care, adherence to healthier lifestyles, optimal disease adaptation, morbidity and mortality prevention, as well as assurance of improved clinical outcomes all of which purchasers (including CMS) have always wanted to buy from health plans and managed care organizations but have never been able to do so. With Mr. De Marco's new book, Performance-Based Medicine,these market transformations can finally occur and at the broadest levels within a newly re-emerging U.S. healthcare delivery system. Great job, Bill! -David I. Samuels, author of Managed Health Care in the New Millennium, Real health reform must solve deep systemic problems in the delivery of medical services, not just the way we pay for care. This latest book by Bill De Marco presents a realistic and practical blueprint for fixing the system at its base. Performance-Based Medicine: Creating the High Performance Network to Optimize Managed Care, not the Affordable Care Act, should be required reading for all who really want to build a new and better health system. -Jeff Bauer, PhD, author of Paradox and Imperatives in Health Careand Statistical Analysis for Decision-Makers in Health Care I feel fortunate to have been given the opportunity to review and endorse Mr. De Marco's amazing new book, Performance-Based Medicine: Creating the High Performance Network to Optimize Managed Care.This book is particularly remarkable in that it focuses not just on pay-for-performance and performance-based medicine, but truly on the provider side of innovating managed care and embracing pay-for-performance. This provider focus emphasizes physician organizations, and transitioning the delivery of actual healthcare to one that rewards clinical excellence, benchmarked performance attainment, and improving purchaser value. This focus of the managed care enterprise from the physician's perspective, especially in the contexts of performance benchmarking and Lean engineering, is truly unique just by itself. But Bill De Marco, goes a few steps further. As we're now seeing with the rise of state healthcare exchanges, accountable care organizations, and attempts by purchasers to narrow their provider markets according to their own metrics, Mr. De Marco has hit a "home run" with his book: He has shown how to re-engineer clinical pathways and disease processes even with free, public-domain tools to add value in ways that most emerging ACOs and healthcare exchanges have not yet realized how limited their value will be without moving toward value-based care and performance-based contracting. I was particularly impressed with the findings shared by Bill De Marco in describing Episode Treatment Groups®(ETGs®) and their syntheses of complex and statistically-valid disease management datasets in ways that the healthcare market is just beginning to realize. For example, I can easily see Bill's descriptions of ETGs as transforming pharmacy benefit managers (PBMs) and Third-Party Administrators (TPAs) away from micro-managing consumption to setting clinical pathways, specific to disease states and their co-morbidities, and therein rewarding benchmark attainments and disease adaptations of specific people. This model is truly the ultimate goal of Paying-for-Performance and transitioning to Performance-Based Metrics, designed to improve clinical care, adherence to healthier lifestyles, optimal disease adaptation, morbidity and mortality prevention, as well as assurance of improved clinical outcomes all of which purchasers (including CMS) have always wanted to buy from health plans and managed care organizations but have never been able to do so. With Mr. De Marco's new book, Performance-Based Medicine,these market transformations can finally occur and at the broadest levels within a newly re-emerging U.S. healthcare delivery system. Great job, Bill! -David I. Samuels, author of Managed Health Care in the New Millennium, Real health reform must solve deep systemic problems in the delivery of medical services, not just the way we pay for care. This latest book by Bill De Marco presents a realistic and practical blueprint for fixing the system at its base. Performance-Based Medicine: Creating the High Performance Network to Optimize Managed Care, not the Affordable Care Act, should be required reading for all who really want to build a new and better health system. "Jeff Bauer, PhD, author of Paradox and Imperatives in Health Careand Statistical Analysis for Decision-Makers in Health Care I feel fortunate to have been given the opportunity to review and endorse Mr. De Marco "s amazing new book, Performance-Based Medicine: Creating the High Performance Network to Optimize Managed Care.This book is particularly remarkable in that it focuses not just on pay-for-performance and performance-based medicine, but truly on the provider side of innovating managed care and embracing pay-for-performance. This provider focus emphasizes physician organizations, and transitioning the delivery of actual healthcare to one that rewards clinical excellence, benchmarked performance attainment, and improving purchaser value. This focus of the managed care enterprise from the physician "s perspective, especially in the contexts of performance benchmarking and Lean engineering, is truly unique just by itself. But Bill De Marco, goes a few steps further. As we "re now seeing with the rise of state healthcare exchanges, accountable care organizations, and attempts by purchasers to narrow their provider markets according to their own metrics, Mr. De Marco has hit a "home run" with his book: He has shown how to re-engineer clinical pathways and disease processes " even with free, public-domain tools " to add value in ways that most emerging ACOs and healthcare exchanges have not yet realized how limited their value will be without moving toward value-based care and performance-based contracting. I was particularly impressed with the findings shared by Bill De Marco in describing Episode Treatment Groups (ETGs ) and their syntheses of complex and statistically-valid disease management datasets in ways that the healthcare market is just beginning to realize. For example, I can easily see Bill "s descriptions of ETGs as transforming pharmacy benefit managers (PBMs) and Third-Party Administrators (TPAs) away from micro-managing consumption to setting clinical pathways, specific to disease states and their co-morbidities, and therein rewarding benchmark attainments and disease adaptations of specific people. This model is truly the ultimate goal of Paying-for-Performance and transitioning to Performance-Based Metrics, designed to improve clinical care, adherence to healthier lifestyles, optimal disease adaptation, morbidity and mortality prevention, as well as assurance of improved clinical outcomes " all of which purchasers (including CMS) have always wanted to buy from health plans and managed care organizations but have never been able to do so. With Mr. De Marco "s new book, Performance-Based Medicine,these market transformations can finally occur and at the broadest levels within a newly re-emerging U.S. healthcare delivery system. Great job, Bill! "David I. Samuels, author of Managed Health Care in the New Millennium, Bill De Marco draws upon his extensive experience to provide a comprehensive and detailed discussion of performance-driven improvement in healthcare. There is much here of value to policy makers, healthcare system leaders and anyone who wishes to have an in-depth and practical understanding of how to improve healthcare performance and how to align payment to drive better performance. Healthcare continues to be in crisis and in need of further reform, and Bill helps leaders understand the steps they need to take to get that done. --George J. Isham, MD, Chief Health Officer, HealthPartners Real health reform must solve deep systemic problems in the delivery of medical services, not just the way we pay for care. This latest book by Bill De Marco presents a realistic and practical blueprint for fixing the system at its base. Performance-Based Medicine: Creating the High Performance Network to Optimize Managed Care, not the Affordable Care Act, should be required reading for all who really want to build a new and better health system. --Jeff Bauer, PhD, author of Paradox and Imperatives in Health Care and Statistical Analysis for Decision-Makers in Health Care I feel fortunate to have been given the opportunity to review and endorse Mr. De Marco's amazing new book, Performance-Based Medicine: Creating the High Performance Network to Optimize Managed Care. This book is particularly remarkable in that it focuses not just on pay-for-performance and performance-based medicine, but truly on the provider side of innovating managed care and embracing pay-for-performance. This provider focus emphasizes physician organizations, and transitioning the delivery of actual healthcare to one that rewards clinical excellence, benchmarked performance attainment, and improving purchaser value. This focus of the managed care enterprise from the physician's perspective, especially in the contexts of performance benchmarking and Lean engineering, is truly unique just by itself. But Bill De Marco, goes a few steps further. As we're now seeing with the rise of state healthcare exchanges, accountable care organizations, and attempts by purchasers to narrow their provider markets according to their own metrics, Mr. De Marco has hit a "home run" with his book: He has shown how to re-engineer clinical pathways and disease processes - even with free, public-domain tools - to add value in ways that most emerging ACOs and healthcare exchanges have not yet realized how limited their value will be without moving toward value-based care and performance-based contracting. I was particularly impressed with the findings shared by Bill De Marco in describing Episode Treatment Groups® (ETGs®) and their syntheses of complex and statistically-valid disease management datasets in ways that the healthcare market is just beginning to realize. For example, I can easily see Bill's descriptions of ETGs as transforming pharmacy benefit managers (PBMs) and Third-Party Administrators (TPAs) away from micro-managing consumption to setting clinical pathways, specific to disease states and their co-morbidities, and therein rewarding benchmark attainments and disease adaptations of specific people. This model is truly the ultimate goal of Paying-for-Performance and transitioning to Performance-Based Metrics, designed to improve clinical care, adherence to healthier lifestyles, optimal disease adaptation, morbidity and mortality prevention, as well as assurance of improved clinical outcomes - all of which purchasers (including CMS) have always wanted to buy from health plans and managed care organizations but have never been able to do so. With Mr. De Marco's new book, Performance-Based Medicine, these market transformations can finally occur and at the broadest levels within a newly re-emerging U.S. healthcare delivery system. Great job, Bill! --David I. Samuels, author of Managed Health Care in the New Millennium, Bill De Marco draws upon his extensive experience to provide a comprehensive and detailed discussion of performance-driven improvement in healthcare. There is much here of value to policy makers, healthcare system leaders and anyone who wishes to have an in-depth and practical understanding of how to improve healthcare performance and how to align payment to drive better performance. Healthcare continues to be in crisis and in need of further reform, and Bill helps leaders understand the steps they need to take to get that done. e"George J. Isham, MD, Chief Health Officer, HealthPartners Real health reform must solve deep systemic problems in the delivery of medical services, not just the way we pay for care. This latest book by Bill De Marco presents a realistic and practical blueprint for fixing the system at its base. Performance-Based Medicine: Creating the High Performance Network to Optimize Managed Care, not the Affordable Care Act, should be required reading for all who really want to build a new and better health system. e"Jeff Bauer, PhD, author of Paradox and Imperatives in Health Care and Statistical Analysis for Decision-Makers in Health Care I feel fortunate to have been given the opportunity to review and endorse Mr. De Marcoe(tm)s amazing new book, Performance-Based Medicine: Creating the High Performance Network to Optimize Managed Care. This book is particularly remarkable in that it focuses not just on pay-for-performance and performance-based medicine, but truly on the provider side of innovating managed care and embracing pay-for-performance. This provider focus emphasizes physician organizations, and transitioning the delivery of actual healthcare to one that rewards clinical excellence, benchmarked performance attainment, and improving purchaser value. This focus of the managed care enterprise from the physiciane(tm)s perspective, especially in the contexts of performance benchmarking and Lean engineering, is truly unique just by itself. But Bill De Marco, goes a few steps further. As wee(tm)re now seeing with the rise of state healthcare exchanges, accountable care organizations, and attempts by purchasers to narrow their provider markets according to their own metrics, Mr. De Marco has hit a "home run" with his book: He has shown how to re-engineer clinical pathways and disease processes e" even with free, public-domain tools e" to add value in ways that most emerging ACOs and healthcare exchanges have not yet realized how limited their value will be without moving toward value-based care and performance-based contracting. I was particularly impressed with the findings shared by Bill De Marco in describing Episode Treatment Groups (ETGs) and their syntheses of complex and statistically-valid disease management datasets in ways that the healthcare market is just beginning to realize. For example, I can easily see Bille(tm)s descriptions of ETGs as transforming pharmacy benefit managers (PBMs) and Third-Party Administrators (TPAs) away from micro-managing consumption to setting clinical pathways, specific to disease states and their co-morbidities, and therein rewarding benchmark attainments and disease adaptations of specific people. This model is truly the ultimate goal of Paying-for-Performance and transitioning to Performance-Based Metrics, designed to improve clinical care, adherence to healthier lifestyles, optimal disease adaptation, morbidity and mortality prevention, as well as assurance of improved clinical outcomes e" all of which purchasers (including CMS) have always wanted to buy from health plans and managed care organizations but have never been able to do so. With Mr. De Marcoe(tm)s new book, Performance-Based Medicine, these market transformations can finally occur and at the broadest levels within a newly re-emerging U.S. healthcare delivery system. Great job, Bill! e"David I. Samuels, author of Managed Health Care in the New Millennium, Bill De Marco draws upon his extensive experience to provide a comprehensive and detailed discussion of performance-driven improvement in healthcare. There is much here of value to policy makers, healthcare system leaders and anyone who wishes to have an in-depth and practical understanding of how to improve healthcare performance and how to align payment to drive better performance. Healthcare continues to be in crisis and in need of further reform, and Bill helps leaders understand the steps they need to take to get that done. 'e"George J. Isham, MD, Chief Health Officer, HealthPartners Real health reform must solve deep systemic problems in the delivery of medical services, not just the way we pay for care. This latest book by Bill De Marco presents a realistic and practical blueprint for fixing the system at its base. Performance-Based Medicine: Creating the High Performance Network to Optimize Managed Care, not the Affordable Care Act, should be required reading for all who really want to build a new and better health system. 'e"Jeff Bauer, PhD, author of Paradox and Imperatives in Health Care and Statistical Analysis for Decision-Makers in Health Care I feel fortunate to have been given the opportunity to review and endorse Mr. De Marco'e(tm)s amazing new book, Performance-Based Medicine: Creating the High Performance Network to Optimize Managed Care. This book is particularly remarkable in that it focuses not just on pay-for-performance and performance-based medicine, but truly on the provider side of innovating managed care and embracing pay-for-performance. This provider focus emphasizes physician organizations, and transitioning the delivery of actual healthcare to one that rewards clinical excellence, benchmarked performance attainment, and improving purchaser value. This focus of the managed care enterprise from the physician'e(tm)s perspective, especially in the contexts of performance benchmarking and Lean engineering, is truly unique just by itself. But Bill De Marco, goes a few steps further. As we'e(tm)re now seeing with the rise of state healthcare exchanges, accountable care organizations, and attempts by purchasers to narrow their provider markets according to their own metrics, Mr. De Marco has hit a "home run" with his book: He has shown how to re-engineer clinical pathways and disease processes 'e" even with free, public-domain tools 'e" to add value in ways that most emerging ACOs and healthcare exchanges have not yet realized how limited their value will be without moving toward value-based care and performance-based contracting. I was particularly impressed with the findings shared by Bill De Marco in describing Episode Treatment Groups® (ETGs®) and their syntheses of complex and statistically-valid disease management datasets in ways that the healthcare market is just beginning to realize. For example, I can easily see Bill'e(tm)s descriptions of ETGs as transforming pharmacy benefit managers (PBMs) and Third-Party Administrators (TPAs) away from micro-managing consumption to setting clinical pathways, specific to disease states and their co-morbidities, and therein rewarding benchmark attainments and disease adaptations of specific people. This model is truly the ultimate goal of Paying-for-Performance and transitioning to Performance-Based Metrics, designed to improve clinical care, adherence to healthier lifestyles, optimal disease adaptation, morbidity and mortality prevention, as well as assurance of improved clinical outcomes 'e" all of which purchasers (including CMS) have always wanted to buy from health plans and managed care organizations but have never been able to do so. With Mr. De Marco'e(tm)s new book, Performance-Based Medicine, these market transformations can finally occur and at the broadest levels within a newly re-emerging U.S. healthcare delivery system. Great job, Bill! 'e"David I. Samuels, author of Managed Health Care in the New Millennium

Dewey Edition23

Target AudienceCollege Audience

IllustratedYes

Dewey Decimal362.1/04258

Lc Classification NumberRa399.A1

Table of ContentIntroduction Integration and HMOs: How Did We Get This So Wrong? Reimbursement Coordination Performance Performance Measurement: A Science with No Followers Furthering Measurement and Informed Purchasing Reimbursement: From Fee for Service to Risk Adjusters More Than a Trend The Current Status of P4P Early Pay for Performance Decile Thresholds More Than a Trend The Current Status of P4P Performance Language and Practice Where Health Care Delivery and Information Technology Intersect The Solution Is within Our Four Walls Can We Get Our Terminology Correct First? Short Term vs. Long Term Efficiency Effectiveness Grades and Effectiveness Risk Adjusters and Comparative Effectiveness Organizational Issues of Planning and Control Quality Data Outcomes Data EvidenceBased Outcomes Data Lean Engineering Six Sigma Learning Organizations Reengineering Early Guidelines Savings Estimates Summary of Selected Savings Options Guidelines and Episodes of Care Grouping Bundles of Services ValueBased Purchasing and PerformanceBased Contracting Setting Benchmarks and Attainment Thresholds Small Numbers on Individual Performance Measures What the Regulations Are Saying about Pay-for-Performance Challenges The PayforPerformance Rumors and Issues What Types of Performance Targets? Cost Effectiveness Commitment The Vision Just Another Program Lean Engineering International Classification of Diseases WebBased Processing Comparative Effectiveness and Ethical Limitations Lung Volume Reduction Surgery as a QALY Example International Reform Competition through Improved Performance Results Getting Started Introduction to Planning Environmental Scan Managed Care's Involvement Feasibility and First Steps What Are We Trying to Prove? Legal Issues That Might Affect What You Are Trying to Do Tasks to Move toward an Integrated Care System Feasibility Study for Nonaligned Hospitals and Physicians Financial Steps Planning Steps General Issues to Avoid Issues to Decide upon Early On No Guarantee That Any of These Steps Will Produce a Result The Future of PerformanceBased Medicine Once We Have Baseline Operating Your PerformanceBased Strategy Episode Treatment Group Sharing Benchmarks and Eliminating Unhealthy Conflict Normal vs. Abnormal Conflict Constructive Conflict Gap Analysis as an Ongoing Operational Management Goal Disease Grouping Connected to Delivery Systems Patient Health Status Improvement Building the "Front End" and the "Back End" of the PatientCoordinated System Patient Health Records Gain Sharing and Risk Management CommunityBased Analysis versus National Standards Payment as a Meaningful Driver of Permanent Behavioral Change for Physician and Patient Managed Care Opportunity to Share or Suppress Data Decision Tools and Artificial Intelligence Building a Collaborative Model Deinstitutionalize the Institutional Services Moving Toward Life Sciences Approach to Managing Care Appendices