OSHA (29 CFR 1910.119) has recognized AIChE/DIERS two-phase flow publications as examples of "good engineering practice" for process safety management of highly hazardous materials. The prediction of when two-phase flow venting will occur, and the applicability of various sizing methods for two-phase vapor-liquid flashing flow, is of particular interest when designing emergency relief systems to handle runaway reactions. This comprehensive sourcebook brings together a wealth of information on methods that can be used to safely size emergency relief systems for two-phase vapor-liquid flow for flashing or frozen, viscous or nonviscous fluids. Design methodologies are illustrated by selected sample problems. Written by industrial experts in the safety field, this book will be invaluable to those charged with operating, designing, or managing today's and tomorrow's chemical process industry facilities.

Physician Compensation Means More Than Money

Physician compensation planning and methodology is a complex area that is influenced by many key factors. It takes experience and sharp analytical skills to manage. This invaluable handbook will serve as a guide for the physician compensation process and provide the medical practice industry with various alternatives, as there are no simple solutions to physician compensation modeling.

This volume:

• Provides the foundation to build compensation plans that are easily understood and accepted by physicians
• Covers compliance with government regulations
• Includes models addressing Stark, cost allocations, departing physicians, and new recruits
• Discusses hospital-owned practices
• Includes production measurements covering relative value units, charges, and collections

CPAs and health care management consultants and administrators, physician management companies, hospital CEOs and CFOs, attorneys, and actuaries will find the information in Physician’s Compensation indispensable to designing effective, equitable, and appropriate compensation plans.

www.wiley.com/accounting

Is emergency management education undoing an age-old tradition in the American Fire Service? Has the time arrived to educate emergency managers in college classrooms rather than in twenty years of tactical operations experience? Over one hundred forty-three (143) institutions of higher education are now offering certificate or degree programs in emergency management with no tactical operations experience required for admission. Resistance by veteran law enforcement officers and fire fighters may have to be overcome if we are to prepare emergency managers with required skill sets. Dr. Tom Phelan explores the skills being taught to emergency management students and addresses the concerns of experienced first responders in accepting their leadership.
*Discusses the value of emergency management education in the post-9/11 world
*Makes clear the need for educating emergency managers to prepare them for emergency manager leadership
*Helps bridge the gap between emergency management and first responders
*Should be required reading in every college emergency management curriculum
*The book is clear, concise, and an "easy read"

The final volume of Catanzaro's benchmark series on building a veterinary practice, this is also the series' keystone, providing the ways and means to keep a veterinary business going and growing under all sorts of circumstances. Creativity is the key to healthy change, and it is also the key to Catanzaro's approach as he helps the vet and clinic staff to "colour outside the lines"--to think in new ways that will enhance procedures and employee morale in any practice.

A noted veterinary practice management consultant, Catanzaro draws on his own extensive experience and that of other consultants, writers, and speakers to bring together the essential tools for individual brainstorming and organisational restructuring. Liberally illustrated with examples, tables, chats, and forms, and full of exercises for stimulating creativity, this volume focuses on hiring strategies and job redesign, establishing leadership and building a client base, learning and teaching new techniques, and, last but not least, money matters. It offers advice and insights on a wide range of particulars, from marketing gimmicks to computerised medical records to fiscal shelters. Culminating and capping an indispensable series, it will be essential to the ongoing success of any veterinary practice.

Fortress NHS A Philosophical Review of the National Health Service David Seedhouse University of Auckland, New Zealand and University of Liverpool, UK There are many books on the politics, history and sociology of the NHS which argue that all is not well. These books discuss the enormous complexity of the health service, assess the power of different professions and individuals and address apparently insurmountable administration difficulties. Most conclude by suggesting improvements to the various processes of the NHS, but leave its philosophy intact and unexamined. Fortress NHS takes a different path and reflects deeply upon the purpose of the health service. What inspires the NHS? What is its philosophy? What are its fundamental principles? Why are they so important? And do they hold up to careful scrutiny? This ingenious book tackles each of these questions and in so doing examines the strength of the philosophical foundations of the NHS. Fortress NHS is the sixth in a series of books from David Seedhouse, each of which applies philosophical analysis to the everyday problems of health service policy and practice. They are designed to be of interest to all those interested in health care including medical and health care professionals, health service economists and managers, social scientists, health service researchers, nurses and the informed lay person. Read together, the series constitutes a unique investigation into health care provision and offers numerous concrete proposals for philosophically justified reform. Also by David SeedhousePractical Medical Ethics David Seedhouse and Lisetta LovettMay 1992Liberating Medicine David SeedhouseMarch 1991Changing Ideas in Health CareDavid Seedhouse and Alan CribbJune 1989Ethics: The Heart of Health Care David SeedhouseJuly 1988Health: The Foundations for Achievement David SeedhouseSeptember 1986

Designed to enable practitioners and students to evaluate a variety of real-life emergencies from every angle, this new edition of Case Studies in Disaster Response and Emergency Management provides clear, thorough, step-by-step descriptions of more than 50 major disasters or emergencies. Arranged chronologically, the case studies involve incidents from around the globe, with topics including natural disasters, industrial accidents, epidemics, and terrorist attacks. A series of questions throughout each case study encourages the reader to think critically about the problem at hand, to select a course of action, and to then see the results of the decisions that were made. This hands-on approach invites practitioners and students to apply learned theoretical emergency management techniques in a safe test environment. Case Studies in Disaster Response and Emergency Management, 2e provides readers with the most modern and current case studies in disaster response and emergency management and can be used in group project settings, as individual homework assignments in training courses for first responders, law enforcement, and government employees, or to complement existing emergency management textbooks in Public Administration, Public Management, and Public Affairs programs.

The shift in the care of people with serious mental illness to community-based care has been the subject of intense policy, educational and research activity, yet the provision of effective services remains problematic. This book brings together experts from a range of disciplines to provide a comprehensive and contemporary account of community services. Section I: Contemporary Issues in Community Health Care Services provides an informed and critical overview of the effect of policy framework, organizational structures, economic issues and the principles of 'good' practice in the provision of community services for people with serious mental health problems. Section II: Specific Intervention strategies summarises much of the work to date on working effectively with people who have serious mental health problems. It combines research evidence and practical illustrations of approaches and interventions with informed comment on their efficacy and implementation in routine clinical practice. Chapters include key points, case studies, questions for reflection and discussion and suggested further reading. Relevant research and evidence is cited throughout and the need for further research in this area are emphasised. All students and practitioners involved in planning, providing and evaluating services for people who have serious mental health problems will find this book an invaluable source of information for developing and delivering effective services.Leading editors and contributors Multidisciplinary perspectives, includes contributions from nurses, social workers, OTs and clinical psychologistsEvidence-based First book to provide a comprehensive and practical overview of strategies for working in this areaFocuses on practice through case-studies

This book will provide a clear and practical guide to implementing clinical audit in practice. Divided into three parts, it introduces and contextualises what clinical audit is and how it fits in with other strategies such as evidence-based practice. The second part consists of a step-by step guide to conducting a clinical audit project in practice and part three sets out the issues which need to be considered when implementing a clinical audit programme and disseminating the results. By working through the manual, readers will be equipped to design, plan and implement a clinical audit project in order to develop patient care in line with the latest available evidence.Clearly written, practical handbook. RCN-Linked. Multi-disciplinary approach. Extensive use of case studies and exercises.Leading Authors in their field.

Chart a Course to Excellence

Sponsored by The American College of Physician Executives

A much-needed, practical guide to giving and receiving feedback . . . a guide that is essential to the successful conduct of one of humanity's most important activities?productive conversation.
--Edgar H. Schein, Sloan Fellows professor of management emeritus, MIT Sloan School of Management

Managing relationships, building trust, and communicating effectively are all essential skills to improving performance and ensuring the quality of patient care. This timely book offers the tools and techniques necessary to face the challenges of being a leader and resolving conflicts to produce win-win outcomes.

Irwin M. Rubin and Thomas Campbell show how to eliminate the pitfalls of traditional feedback approaches and enhance the win-win quality of all communication. With vignettes, a case study, and pithy cartoons, the authors detail two dynamic tools to help chart a course to excellence in giving and receiving championship-level feedback. Their integrated four-phase feedback model and practical behavioral tools provide the ingredients essential to plan for and learn from our daily experiences.

Clinical Audit in Mental Health Towards a Multidisciplinary Approach John Riordan Central Psychology Service, Thorpe Combe Hospital, Walthamstow, UK and Darren Mockler Neuropsychology Department, King's College Hospital, London, UK Clinical audit is central to current health care reforms. Although the concept of audit is now well accepted, the key challenge is its implementation in different specialities. In the field of mental health care a highly collaborative, team-based approach is essential, and audit practice must take into account the activities of the full range of multidisciplinary professional groups in hospital and community settings. The content of this book reflects the growing need to extend the principles of medical audit to encompass clinical audit in order to meet the demands of purchasers, providers, clinicians, carers and patients. An evaluation of key areas of care such as delivery, timeliness and outcome, with an emphasis on quality, is provided. The approach to clinical audit, here, is essentially practical and case-oriented and this book will appeal to a wide audience including psychiatric services managers, consultant psychiatrists, social services care managers and community care teams, and quality assurance professionals.

The Emerging U.S. Health Care System
The first comprehensive assessment of the new managed care and its potential for addressing the health delivery problems facing the nation.
--Stephen M. Shortell, A. C. Buehler, Distinguished Professor of Health Services Management and professor of organization behavior, J. L. Kellogg Graduate School of Management, Northwestern University
A distinguished group of sixteen health care experts identify and assess the challenges and opportunities raised by the U.S.'s emerging competitive health care system. This timely book looks at the managed forms of care that are thriving in today's competitive bottom line
environment. A thoughtful commentary on the major trAnds in health care, this book provides a much needed resource for health care providers and government policymakers.

Animals in Disasters is a comprehensive book on animal rescue written by Dr. Dick Green who shares his experiences, best practices and lessons learned from well over 125 domestic and international disasters. It provides a step-by-step process for communities and states to more effectively address animal issues and enhance their animal response capabilities. Sections include an overview of the history of animal rescue, where we are today, and the steps needed to better prepare for tomorrow. This how-to book for emergency managers who want to develop programs, craft policy, and build response capability/capacity is an ideal companion to their work.

Integrating Emergency Management and Disaster Behavioral Health identifies the most critical areas of integration between the profession of emergency management and the specialty of disaster behavioral health, providing perspectives from both of these critical areas, and also including very practical advice and examples on how to address key topics. Each chapter features primary text written by a subject matter expert from a related field that is accompanied by a comment by another profession that is then illustrated with a case study of, or a suggested method for, collaboration.

Urban Disasters and Resilience in Asia presents the latest information on the intensity and frequency of disasters. Specifically, the fact that, in urban areas, more than 50% of the world's population is living on just 2% of the land surface, with most of these cities located in Asia and developing countries that have high vulnerability and intensification. The book offers an in-depth and multidisciplinary approach to reducing the impact of disasters by examining specific evidence from events in these areas that can be used to develop best practices and increase urban resilience worldwide. As urban resilience is largely a function of resilient and resourceful citizens, building cities which are more resilient internally and externally can lead to more productive economic returns. In an era of rapid urbanization and increasing disaster risks and vulnerabilities in Asian cities, Urban Disasters and Resilience in Asia is an invaluable tool for policy makers, researchers, and practitioners working in both public and private sectors.

Prevention, preparedness, response and recovery--the key components of emergency planning--form the major sections of this work. The book first describes PSM (Process Safety Management) as the key to prevention, then goes on to consider the main features of a preparedness program, including recognizing credible incidents, planning practical strategy to deal with these incidents, selecting necessary physical support systems and equipment, and developing a complete emergency response plan. The Response section presents the functions implemented during an actual emergency and concludes with a section on managing cleanup and restoration of operations. The many tables and figures include Sample Incident Command System Plans for both large and small organizations, OSHA and EPA regulations affecting planning, sample Fire Emergency Action Levels, HAZMAT Responder Levels, and OSHA Emergency Training Requirements.

Presents a unique view of social problems and conflicts over urban space from the cab of an ambulance. While we imagine ambulances as a site for critical care, the reality is far more complicated. Social problems, like homelessness, substance abuse, and the health consequences of poverty, are encountered every day by Emergency Medical Services (EMS) workers. Written from the lens of a sociologist who speaks with the fluency of a former Emergency Medical Technician (EMT), Medicine at the Margins delves deeply into the world of EMTs and paramedics in American cities, an understudied element of our health care system. Like the public hospital, the EMS system is a key but misunderstood part of our system of last resort. Medicine at the Margins presents a unique prism through which urban social problems, the health care system, and the struggling social safety net refract and intersect in largely unseen ways. Author Christopher Prener examines the forms of marginality that capture the reality of urban EMS work and showcases the unique view EMS providers have of American urban life. The rise of neighborhood stigma and the consequences it holds for patients who are assumed by providers to be malingering is critical for understanding not just the phenomenon of non- or sub-acute patient calls but also why they matter for all patients. This sense of marginality is a defining feature of the experience of EMS work and is a statement about the patient population whom urban EMS providers care for daily. Prener argues that the pre-hospital health care system needs to embrace its role in the social safety net and how EMSs' future is in community practice of paramedicine, a port of a broader mandate of pre-hospital health care. By leaning into this work, EMS providers are uniquely positioned to deliver on the promise of community medicine. At a time when we are considering how to rely less on policing, the EMS system is already tasked with treating many of the social problems we think would benefit from less involvement with law involvement. Medicine at the Margins underscores why the EMS system is so necessary and the ways in which it can be expanded.

Decision-Making in Emergency Management examines decisions the authors have made over their careers based on their combined training, experience and instinct. Through a broad range of case studies, readers discover how experience impacts decision-making in conjunction with research and tools available. While the use of science, data and industry standards are always the best option when it comes to handling emergency situations, not all emergency situations fit one known solution. This book comprehensively explores the question "Is 'instinct' a viable factor when faced with a challenging situation and how close does it match up with the best science available?"

Emergency Response Planning outlines the essential roles of corporate and municipal managers and demonstrates the importance of their relationships with federal, state, and local government agencies as well as public and private community sectors. Author Paul Erickson, one of the leading experts in the field, focuses on proactively planning for emergencies, particularly in the recognition and advance coordination of response to incidents instead of simply implementing emergency measures.
The book is broken out into three sections. Section 1 outlines the overall scope of comprehensive emergency planning and discusses in detail the major elements that must be addressed in an Emergency Response Plan. Section 2 examines the types of hazards and risks faced by emergency response personnel, as well as the public, in typical emergencies, and provides specific recommendations regarding the immediate and long-term health and safety of emergency response personnel. Section 3 discusses a range of issues that must be given special attention in the development and implementation of any emergency response plan including: hazard and risk reduction, decontamination, data and information management, monitoring strategies and devices, terrorism, and the training of emergency response personnel.
* Helps you to develop and implement an Emergency Response Plan
* Provides specific recommendations regarding the immediate and long-term health and safety of emergency response personnel
* End of Chapter summaries and questions provide concise information on learning objectives and a review of important concepts

In most people's minds, ambulances are best avoided-we pull over to let them pass, perhaps briefly thanking the universe that the day's events have not necessitated our own swift passage to the ER, and then we go on with business as usual. But have you ever wondered, as that siren screeches by, what it would be like to work as a paramedic, when the most dire emergency is just another day at the office? In A Paramedic's Tales, Graeme Taylor reveals all-from the humorous to the horrific. Not knowing what's around the bend makes for a fast-paced adventure every time a paramedic goes on duty. Taylor, who worked as a paramedic for twenty-one years in Vancouver's Lower Mainland, the BC Interior and Victoria, shares true stories that are both gritty and uncensored, yet the compassion and courage of co-workers, patients, strangers-and people who had previously threatened to kill our narrator-shines through the gore. The author writes that as a paramedic, to stop from crying you have to keep laughing, and readers will find themselves doing the same. From the near-daily task of deciding whether to send someone to the ER or the drunk tank, to the occasional miracle, to the just plain ridiculous, readers will gain insight into everyday life in emergency medicine. With stories set across the province, from Vancouver's Downtown Eastside to down the side of a cliff, these rollicking tales explain the perils of life before GPS, what to do if a drunk mob surrounds your ambulance, and how to drive like a paramedic.

Mental Health Outcome Evaluation bridges the gap between traditional research and evaluation methods by presenting an alternative to the highly technical and statistical methods developed in the laboratory for mental health care professionals. It focuses on outcome evaluation of mental health services for adults, concentrating on the general principles that can be used to assess the service effectiveness of community health centers, clinics, and private practices. The book presents a formidable argument for descriptive outcome studies through its evaluation of the results and consequences of care and treatment as well as clinician ratings. It is written in a non-technical style, making it accessible to anyone in the mental health industry.
Key Features
* Addresses industry efforts to monitor and assess information about results and consequences of mental health care and treatment
* Evaluates use of clinician ratings as outcome information
* Offers accessible general principles for managers and mental health services researchers
* Presents the best argument for descriptive outcome studies