Negotiating the Crisis

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A01=Monica Hardesty
A01=Patricia Geist
Allocation Work
Author_Monica Hardesty
Author_Patricia Geist
Category=JKSW
Category=JPQB
Category=KJ
Contested Terrain
Diagnosis Work
dialectical
Dirty Work
Discharge Work
DRG System
dual
Dual Lines
eq_bestseller
eq_business-finance-law
eq_isMigrated=1
eq_isMigrated=2
eq_nobargain
eq_non-fiction
eq_society-politics
HCFA
head
Head Nurse
Health Care Financing Administration
Health Care Team
health policy analysis
healthcare policy implementation
hospital organizational change
hospital reimbursement policy transformation
interprofessional collaboration
lines
medical
medical sociology research
MRBs
Multiple Subordination
nurses
Patient Chart
Patient's Length
Patient’s Length
payment
PROs
prospective
Prospective Payment
Prospective Payment System
Provide Quality Care
qualitative case study
Quality Assurance Coordinator
records
Referee's Position
Rhetorical Standpoints
Strategic Documentation
system
Utilization Review
Vice Versa

Product details

  • ISBN 9780805804584
  • Weight: 560g
  • Dimensions: 156 x 234mm
  • Publication Date: 01 Oct 1996
  • Publisher: Taylor & Francis Inc
  • Publication City/Country: US
  • Product Form: Hardback
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In 1984 Congress revamped Medicare to save a financially distraught health care system, thus transforming the hospital as an organization. Diagnosis Related Groups (DRGs) -- the cornerstone of this extensive reorganization -- have triggered repercussions that are still adversely affecting health care professionals.

This volume cuts to the heart of this crisis, examining the difficulties and foibles of going from DRG Legislation to DRG practices and giving voice to the professionals who must carve out a new reality under DRGs. It exposes the disputes between the various professional groups -- administrators, physicians, and nurses --over the implementation of DRGS, and how these professionals maneuver to manage the health service problems created by the policy. The book's authors provide an insightful analysis of the way policy innovations can wreak havoc on an organization and how professionals working together eventually negotiate order out of the chaos of change.

The volume's narrative style of research is one feature that makes the presentation of the authors' findings unique from other works on Medicare legislation. Additionally, the book offers a case study approach to communication and sociological matters of a significant health care issue.

Geist, Patricia; Hardesty, Monica

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