Managed Care Systems and Emerging Infections -- Copyright -- REVIEWERS -- Preface -- Contents -- Summary -- BASIC AND CLINICAL RESEARCH -- CLINICAL PRACTICE GUIDELINES -- SURVEILLANCE AND MONITORING -- EDUCATION AND OUTREACH -- DRUG FORMULARIES -- 1 Introduction -- BACKGROUND -- ABOUT THE WORKSHOP AND ORGANIZATION OF THE WORKSHOP SUMMARY -- 2 Conducting Basic and Clinical Research in the Managed Care Setting -- PERSPECTIVE OF ASSOCIATION OF AMERICAN MEDICAL COLLEGES ON BASIC AND CLINICAL RESEARCH -- OPPORTUNITIES FOR POPULATION-BASED CLINICAL RESEARCH USING DATA FROM MANAGED CARE ORGANIZATIONS -- CONDUCTING CLINICAL RESEARCH WITHIN MANAGED CARE ORGANIZATIONS -- NIH ACTIVITIES RELATED TO CLINICAL RESEARCH AND MANAGED CARE -- SUMMARY OF CHALLENGES AND OPPORTUNITIES -- Supporting the Functions of Academic Health Centers -- Ensuring Adequate Databases for Clinical Research -- Exploiting the Unique Advantages of Managed Care for Surveillance and Research -- Promoting Collaboration -- Summary -- 3 Clinical Practice Guidelines -- CLINICAL PRACTICE GUIDELINES FOR EMERGING INFECTIONS AND MANAGED CARE -- REALITIES OF IMPLEMENTING GUIDELINES -- MAKING GUIDELINES INSTRUMENTAL: THEORY VERSUS PRACTICE -- SUMMARY OF CHALLENGES AND OPPORTUNITIES -- Promoting Adoption and Use of Guidelines in Managed Care Organizations -- Involving Clinicians in Guideline Development and Implementation -- The Need for Systemwide, Standardized Guidelines -- Promoting Professional and Public Education -- Summary -- 4 Surveillance and Monitoring -- AN EMPLOYER'S PERSPECTIVE -- MANAGED CARE AND INFECTIOUS DISEASE SURVEILLANCE: OPPORTUNITIES FOR COLLABORATION -- COLLABORATIVE SURVEILLANCE EFFORTS AND MONITORING OF DATA -- LATTER DAY SAINTS HOSPITAL'S SYSTEM -- LABORATORY-BASED REPORTING AND MANAGING ENCOUNTER-LEVEL DATA -- LABORATORY-BASED REPORTING ISSUES -- LEGAL CONCERNS.

SUMMARY OF CHALLENGES AND OPPORTUNITIES -- Understanding Professional Roles in Surveillance and Monitoring -- Ensuring Availability of Data -- Promoting Sharing of Data -- Tracking Nosocomial Infections -- Accurate Reporting of Encounter-Level Data -- Overcoming Structural Barriers -- Summary -- 5 Education and Outreach -- COORDINATING HEALTH PLAN RESEARCH AND EDUCATIONAL EFFORTS -- IMPACTS OF MANAGED CARE SYSTEM'S EDUCATIONAL EFFORTS ON CONTROL OF ANTIBIOTIC USE -- EDUCATION AND OUTREACH PERSPECTIVES OF THE NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES -- MANAGED CARE SYSTEMS AND EMERGING INFECTIONS: EDUCATION AND OUTREACH -- SUMMARY OF CHALLENGES AND OPPORTUNITIES -- Promote Professional Education Efforts -- Encourage Judicious Antibiotic Use -- Invest in Educational Programs -- Summary -- 6 Drug Formularies -- REGULATORY ISSUES -- RELATIONSHIP BETWEEN MANAGED CARE FORMULARIES AND TREATMENT OUTCOMES -- BACTERIAL RESISTANCE, THE ANTIBIOTIC FORMULARY, AND OTHER MANAGEMENT STRATEGIES -- ECONOMICS OF RESTRICTIONS ON PHARMACEUTICALS -- SUMMARY OF CHALLENGES AND OPPORTUNITIES -- Ensuring Availability of Current Information on New Drugs -- Managing Antibiotic Selective Pressure -- Need for New Management Strategies for Cost Reduction -- Achieving Quality Care and Cost Containment -- Summary -- 7 Concluding Remarks -- References -- Appendix A Veterans Health Administration and Infectious Disease -- CLINICAL RESEARCH -- CLINICAL PRACTICE -- Information Technology -- Homelessness -- SURVEILLANCE AND MONITORING -- Emerging Pathogens Initiative -- Annual Infectious Diseases and Infection Control Report -- EDUCATION -- DRUG FORMULARY -- Appendix B Glossary and Acronyms -- Acronyms -- Glossary -- Appendix C Workshop Agenda -- Appendix D Forum Member and Staff Biographies -- FORUM MEMBERS -- STUDY STAFF.