Introduction
Author: Alex R. Rodriguez, MD

Chapter I
Quality Management Principles and Practices
Author:  Arthur L. Pelberg, MD, MPA

1.0. Introduction
2.0. The Quality Management Movement to the Present
3.0. The Purpose and Philosophy of Quality Management
4.0. Methods and Procedures
5.0. Benefits and Outcomes of Quality Management
6.0. Organizational Supports and Obstructions
7.0. Accrediting and Regulatory Oversight Organizations
8.0. Summary
References
Web Sites for Health Care Quality
Figure Legends

Chapter II
Utilization Management
Authors:  Eric Z. Silfen, MD, MHSA
Ralph H Rosenblum, Jr., DDS, MHA
  
1.0. Introduction
2.0. Development of Utilization Management
3.0. Purpose and Perspective of Utilization Management
4.0. The Process of Utilization Management
5.0. Outcomes and Benefits
6.0. Organizational Barriers
7.0. Accrediting and Regulatory Oversight Organizations
8.0. Summary
References

Chapter III
Organization Design and Management
Author: James T. Ziegenfuss, Jr., PhD

1.0. Introduction
2.0. Organizational Systems Thinking
3.0. Responsibilities and Competencies
4.0. Roles, Authority and Power
5.0. Planning and Vision
6.0. Group Dynamics
7.0. Strategy, Formulation and Implementation
8.0. Evaluation
9.0. Education through Feedback
10.0. Organization and Management Summary
References

Chapter IV
Economics, Finance and Government in Medical Quality Management
Authors:  Donald Fetterolf, MD, MBA
  Joseph L. Braun, MD, JD, MBA

1.0. Introduction
2.0. Historical Perspective
3.0. Basic Concepts in Business and Economics
4.0. Making the Business Case for Medical Quality
5.0. The Role of Government in Medical Management and Quality
6.0. Health Care as a Public Good
7.0. Conclusion
References

Appendix A: Terms and Abbreviations for Study and Reference
Appendix B: Legislative Actions That Impact Health Plans in Pennsylvania
 

Chapter V
Medical Informatics and Information Systems:
The Information Infrastructure Needed to Support
Quality Measurement and Improvement
Author:  Louis H. Diamond, MD, ChB

1.0. Introduction
2.0. Development of an Information Infrastructure: Historical Background
3.0. The Purpose and Philosophy of an Information Infrastructure
4.0. Components of an Information Infrastructure for Quality Management
5.0. Evaluating an Information Infrastructure
6.0. Barriers to Development of a Health Information Infrastructure
7.0. A Case Study of Disease Management Interventions
References

Chapter VI
Legal and Ethical Issues in Medical Quality Management
Authors: Joseph Mislove, JD
Jeffrey Zale, MD, MPH
Joseph L. Braun, MD, JD, MBA

1.0. Introduction to Part I, Legal Issues
2.0. Regulatory and Accreditation Requirements for Medical Quality Management
3.0. Risk Management Incentives to Conduct Medical Quality Management
4.0. Legal Responsibility for Conducting Medical Quality Management
5.0. Legal Protections for Conducting Peer Review: Confidentiality and Immunity
6.0. Conclusion
7.0. Introduction to Part II, Ethical Issues
8.0. What is Medical Ethics?
9.0. The Relevance of Medical Ethics to Medical Professionals
10.0. A Short History of Ethical Thought
11.0. Ethical Principles in Medical Care
12.0. A Three-Step Approach to Ethical Analysis
13.0. Common Ethical Dilemmas
14.0. Ethics Committees
15.0. An Ethical Dilemma Case: The Right to Die