Kevin Fickenscher | The University of Texas Health Science Center at Houston (original) (raw)

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Papers by Kevin Fickenscher

Research paper thumbnail of The National Health Care Reform Debate

PubMed, Oct 1, 1994

Because of increasing costs and decreasing access, most policymakers agree with the public percep... more Because of increasing costs and decreasing access, most policymakers agree with the public perception that the health care system in the United States is in need of change. This chapter summarizes the various proposals under consideration, which ranges from a single-payer model similar to the system in Canada to the less radical concept of managed competition.

Research paper thumbnail of Elements and strategies of an effective provider integration strategy

PubMed, Dec 1, 1994

Regardless of the outcome of the debate in our nation's capitol, a health care revolution is swee... more Regardless of the outcome of the debate in our nation's capitol, a health care revolution is sweeping the nation. In fact, if the debate lasts much longer, policy makers will be playing catch-up and responding to policies already in place in the trenches. Everywhere we turn as health care leaders, there is evidence of major change on the horizon. Reimbursement methodologies are undergoing radical alteration, traditionally stable institutions are being challenged, new organizational models are evolving, the types and roles of providers best suited to provide care are being questioned, and consumer expectations are being heightened. One of the basic strategies that is receiving attention throughout the country as a response to all this change relates to the development of integrated delivery organizations (IDO), integrated delivery systems (IDS), or integrated delivery networks (lDN). This article discusses these emerging systems in terms of health care reform, describes the rationale for their creation, and provides some strategies for their successful development.

Research paper thumbnail of Do Y2K glitches deserve liability caps?

Research paper thumbnail of The computer and medicine in the year 2002

Research paper thumbnail of Elements of the American Health Security Act of 1993

PubMed, Oct 5, 1993

Over the past several decades, there has been a plethora of proposals that were developed in resp... more Over the past several decades, there has been a plethora of proposals that were developed in response to the ongoing debate on how best to solve the problems of the American health care delivery system. In the past decade, calls for modification of our health system have become even more resonant, as measures to control rising costs were unsuccessful and access to basic services was diminished for many Americans. The most recent addition to the list of proposals for modifying the health care system is the American Health Security Act of 1993, introduced by President Clinton in September 1993. This article will examine the position of the Clinton Administration on health reform and the core elements of the reform package.

Research paper thumbnail of The rest of the spectrum: alternatives to managed competition

PubMed, Mar 1, 1994

In the November-December 1993 and January 1994 issues of Physician Executive, Kevin Fickenscher, ... more In the November-December 1993 and January 1994 issues of Physician Executive, Kevin Fickenscher, MD, and David A. Kindig, MD, PhD, described the Clinton health reform plan and the Senate Republican Task Force proposals. At either end of the political spectrum are other proposals that are options to the managed competition model. This entry in the column is the last in a series that outlines the major proposals pending before Congress. It and the others are intended to highlight the major elements of the proposals, not their details. "A Matter of Policy" is jointly edited by Drs. Fickenscher and Kindig of the College's Forum on Health Policy.

Research paper thumbnail of Benefit realization

Research paper thumbnail of Are Doctors Becoming Obsolete?

World Futures Review, Aug 1, 2010

Research paper thumbnail of CEO/supplier dialogue on patient safety. Panel discussion

Health Forum journal

Leaders and vendors candidly explore new opportunities for industry standards, work-force trainin... more Leaders and vendors candidly explore new opportunities for industry standards, work-force training, and patient-focused care.

Research paper thumbnail of The Turnaround Imperative: A Leaderʼs Guide for Survival in a Turbulent Health Care Environment

Journal For Healthcare Quality, 1997

Research paper thumbnail of The transformation of healthcare through telecare applications

Journal of health & medical informatics, Aug 18, 2015

Research paper thumbnail of 64 PEJ march•april/2011 Change Management in Health Care IT IT Insights

is associate medical director, PCHI.

Research paper thumbnail of Clinician adoption of technology

Research paper thumbnail of President's column: the community imperative--Share to Care and Cure

Journal of the American Medical Informatics Association, 2013

Research paper thumbnail of President's column: making a difference

Journal of the American Medical Informatics Association, 2012

Research paper thumbnail of President's column: AMIA -- Expanding and Extending Our Reach

Journal of the American Medical Informatics Association, 2013

Research paper thumbnail of Putting the 'i' in iHealth

Journal of the American Medical Informatics Association, 2014

Research paper thumbnail of President's column: Informatics professionals--leading the way?

Journal of the American Medical Informatics Association, 2012

Research paper thumbnail of President's column: interoperability--the 30% solution: from dialog and rhetoric to reality

Journal of the American Medical Informatics Association, 2013

Research paper thumbnail of Emerging Technologies in the OR and Their Effect on Perioperative Professionals

AORN Journal, 2007

W hen it comes to health care delivery, Americans are demanding an increase in quality and servic... more W hen it comes to health care delivery, Americans are demanding an increase in quality and services and a decrease in cost. Particularly in the perioperative area, increasing the quality of health care delivery may require that a health care facility invest in new technologies, which may be costly and often involves a steep learning curve for practitioners. Change is the only constant in health care, however, so practitioners need to be aware of the changes that are on the horizon for the health care industry and find ways to successfully deal with the inevitable challenges these changes will bring. NEW AND EMERGING TECHNOLOGIES can help increase the quality of health care, but implementing these technologies in a perioperative setting can create many challenges. Practitioners need to be aware of premises underlying future trends in health care and the kinds of technological changes that they can expect. ROBOTS, DIGITAL DISPLAYS, patient tracking systems, artificial organs, and magnetic sensors are some of the emerging technologies that are changing the perioperative landscape. PRACTITIONERS MUST BE PREPARED to implement strategies that address the practical aspects of integrating these new technologies into the perioperative area. AORN J 86 (December 2007) 958-969.

Research paper thumbnail of The National Health Care Reform Debate

PubMed, Oct 1, 1994

Because of increasing costs and decreasing access, most policymakers agree with the public percep... more Because of increasing costs and decreasing access, most policymakers agree with the public perception that the health care system in the United States is in need of change. This chapter summarizes the various proposals under consideration, which ranges from a single-payer model similar to the system in Canada to the less radical concept of managed competition.

Research paper thumbnail of Elements and strategies of an effective provider integration strategy

PubMed, Dec 1, 1994

Regardless of the outcome of the debate in our nation's capitol, a health care revolution is swee... more Regardless of the outcome of the debate in our nation's capitol, a health care revolution is sweeping the nation. In fact, if the debate lasts much longer, policy makers will be playing catch-up and responding to policies already in place in the trenches. Everywhere we turn as health care leaders, there is evidence of major change on the horizon. Reimbursement methodologies are undergoing radical alteration, traditionally stable institutions are being challenged, new organizational models are evolving, the types and roles of providers best suited to provide care are being questioned, and consumer expectations are being heightened. One of the basic strategies that is receiving attention throughout the country as a response to all this change relates to the development of integrated delivery organizations (IDO), integrated delivery systems (IDS), or integrated delivery networks (lDN). This article discusses these emerging systems in terms of health care reform, describes the rationale for their creation, and provides some strategies for their successful development.

Research paper thumbnail of Do Y2K glitches deserve liability caps?

Research paper thumbnail of The computer and medicine in the year 2002

Research paper thumbnail of Elements of the American Health Security Act of 1993

PubMed, Oct 5, 1993

Over the past several decades, there has been a plethora of proposals that were developed in resp... more Over the past several decades, there has been a plethora of proposals that were developed in response to the ongoing debate on how best to solve the problems of the American health care delivery system. In the past decade, calls for modification of our health system have become even more resonant, as measures to control rising costs were unsuccessful and access to basic services was diminished for many Americans. The most recent addition to the list of proposals for modifying the health care system is the American Health Security Act of 1993, introduced by President Clinton in September 1993. This article will examine the position of the Clinton Administration on health reform and the core elements of the reform package.

Research paper thumbnail of The rest of the spectrum: alternatives to managed competition

PubMed, Mar 1, 1994

In the November-December 1993 and January 1994 issues of Physician Executive, Kevin Fickenscher, ... more In the November-December 1993 and January 1994 issues of Physician Executive, Kevin Fickenscher, MD, and David A. Kindig, MD, PhD, described the Clinton health reform plan and the Senate Republican Task Force proposals. At either end of the political spectrum are other proposals that are options to the managed competition model. This entry in the column is the last in a series that outlines the major proposals pending before Congress. It and the others are intended to highlight the major elements of the proposals, not their details. "A Matter of Policy" is jointly edited by Drs. Fickenscher and Kindig of the College's Forum on Health Policy.

Research paper thumbnail of Benefit realization

Research paper thumbnail of Are Doctors Becoming Obsolete?

World Futures Review, Aug 1, 2010

Research paper thumbnail of CEO/supplier dialogue on patient safety. Panel discussion

Health Forum journal

Leaders and vendors candidly explore new opportunities for industry standards, work-force trainin... more Leaders and vendors candidly explore new opportunities for industry standards, work-force training, and patient-focused care.

Research paper thumbnail of The Turnaround Imperative: A Leaderʼs Guide for Survival in a Turbulent Health Care Environment

Journal For Healthcare Quality, 1997

Research paper thumbnail of The transformation of healthcare through telecare applications

Journal of health & medical informatics, Aug 18, 2015

Research paper thumbnail of 64 PEJ march•april/2011 Change Management in Health Care IT IT Insights

is associate medical director, PCHI.

Research paper thumbnail of Clinician adoption of technology

Research paper thumbnail of President's column: the community imperative--Share to Care and Cure

Journal of the American Medical Informatics Association, 2013

Research paper thumbnail of President's column: making a difference

Journal of the American Medical Informatics Association, 2012

Research paper thumbnail of President's column: AMIA -- Expanding and Extending Our Reach

Journal of the American Medical Informatics Association, 2013

Research paper thumbnail of Putting the 'i' in iHealth

Journal of the American Medical Informatics Association, 2014

Research paper thumbnail of President's column: Informatics professionals--leading the way?

Journal of the American Medical Informatics Association, 2012

Research paper thumbnail of President's column: interoperability--the 30% solution: from dialog and rhetoric to reality

Journal of the American Medical Informatics Association, 2013

Research paper thumbnail of Emerging Technologies in the OR and Their Effect on Perioperative Professionals

AORN Journal, 2007

W hen it comes to health care delivery, Americans are demanding an increase in quality and servic... more W hen it comes to health care delivery, Americans are demanding an increase in quality and services and a decrease in cost. Particularly in the perioperative area, increasing the quality of health care delivery may require that a health care facility invest in new technologies, which may be costly and often involves a steep learning curve for practitioners. Change is the only constant in health care, however, so practitioners need to be aware of the changes that are on the horizon for the health care industry and find ways to successfully deal with the inevitable challenges these changes will bring. NEW AND EMERGING TECHNOLOGIES can help increase the quality of health care, but implementing these technologies in a perioperative setting can create many challenges. Practitioners need to be aware of premises underlying future trends in health care and the kinds of technological changes that they can expect. ROBOTS, DIGITAL DISPLAYS, patient tracking systems, artificial organs, and magnetic sensors are some of the emerging technologies that are changing the perioperative landscape. PRACTITIONERS MUST BE PREPARED to implement strategies that address the practical aspects of integrating these new technologies into the perioperative area. AORN J 86 (December 2007) 958-969.