Without new ways to think and manage itself strategically, academic healthcare faces terminal deterioration. Heightened competition and changing dynamics have brought turbulence to teaching hospitals, and the main impact has been financial. Langabeer and Napiewocki give health care executives the tools and concepts of strategic management they need and ways to strengthen analytic skills, all based on up-to-date empirical research, cast in language they can grasp and relate to, and specially tailored to help teaching hospital administrators cope successfully with today's marketplace challenges. Board members, trustees, and others with decision- and policy-making responsibilities will also find the book essential, as well as their teaching colleagues and students on their way up in the hospital industry. The authors maintain that if nonprofit teaching hospitals are to compete successfully with private for-profit hospital chains, not only must they learn the terrain of the playing fields, they must also learn how the game itself is played. Langabeer and Napiewocki offer that knowledge, and in doing so have written the first book of its kind to address comprehensively the entire realm of strategic management aimed clearly at teaching hospitals and major academic medical centers. With findings from primary empirical research into a large sample of teaching hospitals and focusing on the statistical relationships to economic performance, they provide crucial insights into why certain hospitals are more effective than others. Their book will also help healthcare executives relate strategy research on industrial organizations to their own teaching hospital environments. In doing so, their book fills a void in the literature on business strategy that for too long has caused consternation among healthcare administrators and aspirants alike.

A union list of serials commencing publication after Dec. 31, 1949.

The Ethics of Managed CareA Pragmatic Approach Mary R. Anderlik A breakthrough reappraisal of the managed healthcare debate. Discussions of managed care frequently begin and end with an opposition between the Hippocratic ethic of dedication to patient welfare and a business ethic of self-interest in the service of efficiency. Mary R. Anderlik approaches managed care as a problem of organizations. Rejecting a simple "medicine vs. business" analysis, she directs attention to management as manipulation, the neglect of such personal goods as satisfaction in professional accomplishment, and organizational moral myopia. In this account, "pragmatic" suggests practical idealism, not the jettisoning of principle in the interests of expediency. In The Ethics of Managed Care, Anderlik favors a broad empiricism and a moral vision centered on values of democracy and community. She describes how organizations can nourish or destroy openness, creativity, cooperation, and faithfulness -- and display "virtues" such as justice, integrity, responsiveness, and efficiency, rightly understood. She uses community care clinics, asthma outreach programs, and new contexts for participatory decision-making to show the promise of managed care. She also explains the complexities of financial arrangements, arguing for an end to schemes that reward clinicians for providing less care and profiting from avoiding people who need a lot of it. The book concludes with a look at the future of managed care, proposing a program for reform. Mary R. Anderlik is Research Professor at the Health Law and Policy Institute, University of Houston Law Center. Medical Ethics SeriesDavid H. Smith and Robert M. Veatch, editors April 2001352 pages, 6 1/8 x 9 1/4cloth 0-253-33848-4 $39.95 s / £30.50

A state-by-state analysis of the certificate of need statutes, regulations, case law, and key state health department personnel.

Discover how the psychiatric nursing profession must evolve to meet the opportunities and challenges of the next century! This forward-thinking book prepares psychiatric nurses for emerging advanced practice roles as clinicians, managers, educators, consultants, policy makers, researchers and leaders. This joint effort between Mosby and the American Psychiatric Nurses Association (APNA) critically examines the current knowledge base, clinical practice, roles, and issues that will continue to have a major impact on the specialty of psychiatric nursing. The book presents the latest information in science and research, relevant concepts and models, technology and informatics, role development, ethical and legal considerations, and policy implications affecting advanced practice psychiatric nurses. * An official publication of the American Psychiatric Nurses Association (APNA). * Covers all major aspects of advanced practice mental health nursing. * Contributed by experts from APNA, other psychiatric nursing associations, and consumer groups. * Lists web sites and other available resources in a special Resources and Connections section in each chapter. * Provides policy statements, standards, listing of graduate programs, and resources in helpful appendixes.