Professional burnout is an epidemic in America. Approximately half of physicians and nurses are affected and at risk for themselves and their patients. Much has been written about professional burnout. The term was originally coined in the 1970s by American psychologist Herbert Freudenberger to describe the consequences of severe stress and high ideals experienced by people working in "helping" professions. Since then, many books have been written to address this looming national public health crisis. But, unfortunately, there has been much less written from a solution standpoint: getting to the root cause of why this is occurring now more than ever. The Resilient Healthcare Organization engages readers focusing on physicians and healthcare professionals and their experiences and how they overcame a loss of enthusiasm for work, feelings of cynicism, and a low sense of personal accomplishment. The feelings of emotional exhaustion are characterized by depersonalization and perceived ineffectiveness. These are the cardinal features that define "burnout" and affect almost 50% of physicians and 30-70% of nurses. This book addresses why burnout is viewed as a threat and how it can be fought. The author discusses the contributing factors and solutions at the health system and societal level. Additionally, this book explores the current and future etiology and impacts on physicians and healthcare professionals, with a significant emphasis on solutions at both the individual level and the system level. Contributors: Patricia S. Normand MD, Bruce Flareau, MD, Kathleen Ferket, MSN, APRN, Daniel Edelman, DO, and Peter B. Angood, MD.

Health Policy presents the key classic and contemporary articles and will be an important source of reference for health care professionals, academics and policymakers. It sheds light on the values and socio-political factors which underpin health policy, and will be invaluable in helping to assess and compare policymaking processes in different countries. The volume is divided into six sections and within each section the articles are presented chronologically. Thus the selection is suitable for both the beginner and the more advanced student; the beginner will benefit from the earlier readings by observing their cumulative impact on later writings, while the more advanced student may find the more up-to-date articles of particular interest. Section I introduces several basic values which underlie all health policies; section II reviews the socio-economic and political factors in health policy; section III deals with the experience and practice of American health care while section IV offers comparisons with other countries in Europe and also with Japan. Section V examines the opportunities and constraints for countries' learning from each other and finally section VI raises methodological issues and indicates the challenges which must be addressed in the future.

The NHS came into existence in an atmosphere of conflict centred on the strong ideological commitment of the Post-war Labour Government and the opposition of the Conservative Party of that time to the idea of a universally available and centrally planned medical care service. There was also opposition from some sections of the medical establishment who feared the loss of professional autonomy. Setting health policy in both an historical and modern context (post 1997) Carrier and Kendall weigh up the successes and failures of the National Health Service and examine the conflicts which have continued for over sixty years, in spite of efforts to solve financial problems in the NHS through increases in funding as well as structural and organisational change. After looking at recent responses to supposed failures of the NHS, they conclude that the NHS has successfully faced the challenges before it and is likely to continue to meet the changing health needs of the population. Financial stresses, concerns about the quality of care and demographic change, with consequent issues for the elderly and the chronically ill, continue to be urgent and politically contentious issues. This book is appropriate for a wide range of undergraduate and postgraduate students studying health policy and the NHS.

The book assesses the policy actions of select Asian governments (China, India, Hong Kong, South Korea, Singapore and Thailand) to address critical health system functions from a policy design perspective. The findings show that all governments in the region have made tremendous strides in focussing their attention on the core issues and, especially, the interactions among them. However, there is still insufficient appreciation of the usefulness of public hospitals and their efficient management. Similarly, some governments have not made sufficient efforts to establish an effective regulatory framework which is especially vital in systems with a large share of private providers and payers. A well-run public hospital system and an effective framework for regulating private providers are essential tools to support the governance, financing, and payment reforms underway in the six health systems studied in this book.

Health Tech: Rebooting Society's Software, Hardware and Mindset fulfills the need for actionable insight on what's truly driving change and how to become a changemaker, not just affected by it. The book introduces anybody who wishes to understand how global healthcare will change in the next decade to the key technologies, social dynamics, and systemic shifts that are shaping the future. Healthcare futurist, investor, and entrepreneur Trond Arne Undheim describes the complex history of public health, why it's so complicated and what the major challenges are right now. He includes a discussion of COVID, why it happened, the cultural factors that have slowed down traditional public health measures, and how innovation can help. He also discusses what is happening in health systems around the world as a result of the pandemic. The book explores certain health tech measures, tools (basic medical devices gradually being upgraded and digitally enhanced), processes, and innovations that are already working well along with others that are in their infancy, such as AI, wearables, robotics, sensors, and digital therapeutics. The book describes the movers and shakers in the healthcare system of the future, from startups to patient and service providers, as well as the health challenges of our time, including pandemics, aging, preventive healthcare, and much more. The book concludes with a look at how health tech may bring about the biggest opportunity to transform healthcare for decades to come.

Health Tech: Rebooting Society's Software, Hardware and Mindset fulfills the need for actionable insight on what's truly driving change and how to become a changemaker, not just affected by it. The book introduces anybody who wishes to understand how global healthcare will change in the next decade to the key technologies, social dynamics, and systemic shifts that are shaping the future. Healthcare futurist, investor, and entrepreneur Trond Arne Undheim describes the complex history of public health, why it's so complicated and what the major challenges are right now. He includes a discussion of COVID, why it happened, the cultural factors that have slowed down traditional public health measures, and how innovation can help. He also discusses what is happening in health systems around the world as a result of the pandemic. The book explores certain health tech measures, tools (basic medical devices gradually being upgraded and digitally enhanced), processes, and innovations that are already working well along with others that are in their infancy, such as AI, wearables, robotics, sensors, and digital therapeutics. The book describes the movers and shakers in the healthcare system of the future, from startups to patient and service providers, as well as the health challenges of our time, including pandemics, aging, preventive healthcare, and much more. The book concludes with a look at how health tech may bring about the biggest opportunity to transform healthcare for decades to come.

This book takes an in-depth look at the emerging technologies that are transforming the way clinicians manage patients, while at the same time emphasizing that the best practitioners use both artificial and human intelligence to make decisions. AI and machine learning are explored at length, with plain clinical English explanations of convolutional neural networks, back propagation, and digital image analysis. Real-world examples of how these tools are being employed are also discussed, including their value in diagnosing diabetic retinopathy, melanoma, breast cancer, cancer metastasis, and colorectal cancer, as well as in managing severe sepsis. With all the enthusiasm about AI and machine learning, it was also necessary to outline some of criticisms, obstacles, and limitations of these new tools. Among the criticisms discussed: the relative lack of hard scientific evidence supporting some of the latest algorithms and the so-called black box problem. A chapter on data analytics takes a deep dive into new ways to conduct subgroup analysis and how it's forcing healthcare executives to rethink the way they apply the results of large clinical trials to everyday medical practice. This re-evaluation is slowly affecting the way diabetes, heart disease, hypertension, and cancer are treated. The research discussed also suggests that data analytics will impact emergency medicine, medication management, and healthcare costs. An examination of the diagnostic reasoning process itself looks at how diagnostic errors are measured, what technological and cognitive errors are to blame, and what solutions are most likely to improve the process. It explores Type 1 and Type 2 reasoning methods; cognitive mistakes like availability bias, affective bias, and anchoring; and potential solutions such as the Human Diagnosis Project. Finally, the book explores the role of systems biology and precision medicine in clinical decision support and provides several case studies of how next generation AI is transforming patient care.

Richly illustrates the practice of programme theory driven evaluation with contemporary examples alongside the most recent advances in theory. Contains self-reflective chapters to allow the reader/novice evaluator to engage with and critique their own work. An excellent introduction to the basic concepts and approaches of theory-driven evaluation.

Provides a proficient guide on the relationship between AI and healthcare and how AI is changing all aspects of the health care industry Covers how deep learning will help in the diagnosis and the prediction of disease spread Presents a comprehensive review of research applying deep learning in health informatics in the fields of medical imaging, electronic health records, genomics, and sensing Highlights various challenges in applying the deep learning in health care Promotes research in deep learning application in understanding the biomedical process

The Covid-19 pandemic prompted healthcare systems around the globe to quickly explore and subsequently adopt digital health technologies and virtual care models that had been slowly growing in mainstream acceptance throughout the decade prior. In particular, telemedicine use skyrocketed as healthcare organizations and governments needed to provide access to infection risk-free health services. Telemedicine has been around in its current form for nearly two decades but grew significantly in utilization after the rapid acceleration of internet and smartphone adoption in the 2010s, and again in 2020 due to Covid-19. Beyond traditional audio-visual telemedicine modalities, newer, more advanced models of tech-enabled clinical services have begun to gain popularity. Fueled by ubiquitous modern telecommunication technologies (e.g., the Smartphone), a growing dissatisfaction with healthcare services among patients, and increasing chronic disease epidemics in developed countries, models like remote patient monitoring (RPM) and other hybrid virtual care models have entered the clinical toolbox. RPM-based care models can fill the gaps of transactional telemedicine in order to deliver longitudinal care appropriate for patients with chronic conditions. Despite the apparent recent acceleration of interest in and adoption of RPM-based virtual care models, substantial research exists on RPM covering patient reported outcomes, clinical effectiveness, and economic factors. In A Virtual Care Blueprint: How Digital Health Technologies Can Improve Health Outcomes, Patient Experience, and Cost-Effectiveness, Robert L. Longyear III explores the science, frontline clinical perspectives, and potential impact of RPM-based virtual care programs. Seeking to provide evidence-based information on RPM and virtual care in a market flooded with marketing materials, Longyear provides healthcare leaders, clinicians, and policymakers a clear outline of these increasingly important care models for a modern healthcare delivery system.

Talks about securing healthcare data using Blockchain and Cryptography Discusses challenges and solutions for Blockchain technology in the healthcare sector Presents digital transformation of the healthcare sector using different technologies Covers the handling of healthcare data/medical records using Blockchain technology Explores managing the medical supply chain using Blockchain technology

Addressing the challenges involved in achieving standard work in health care, Getting to Standard Work in Health Care, 2nd Edition describes how to incorporate the Training Within Industry (TWI) methods of Job Instruction (JI), Job Relations (JR) and Job Methods (JM) to facilitate performance excellence and boost employee morale in a health care organization. It not only examines the TWI methodologies but also explains how this program is as vital and applicable in today's health care environment as it was when it was developed to train replacements of an industrial workforce off to fight in WWII. Placing this methodology squarely within the health care paradigm, the book uses easy-to-understanding terminology to describe how these methods can make all the difference in the delivery of quality health care. Supplying the foundation for successful Lean practice in health care, it clearly defines the role of standard work and leadership skills in relation to Lean health care. The updated text includes new case studies of current TWI usage in health care that demonstrates how to successfully roll out a sustainable TWI initiative. All new chapters on Job Relations and Job Methods give insight into the full scope of TWI skills development. Including examples of TWI application during the Covid pandemic, the book provides readers with the understanding of how to use these time-tested methodologies to improve training, increase engagement, and deliver continuous improvement in your organization.

Addressing the challenges involved in achieving standard work in health care, Getting to Standard Work in Health Care, 2nd Edition describes how to incorporate the Training Within Industry (TWI) methods of Job Instruction (JI), Job Relations (JR) and Job Methods (JM) to facilitate performance excellence and boost employee morale in a health care organization. It not only examines the TWI methodologies but also explains how this program is as vital and applicable in today's health care environment as it was when it was developed to train replacements of an industrial workforce off to fight in WWII. Placing this methodology squarely within the health care paradigm, the book uses easy-to-understanding terminology to describe how these methods can make all the difference in the delivery of quality health care. Supplying the foundation for successful Lean practice in health care, it clearly defines the role of standard work and leadership skills in relation to Lean health care. The updated text includes new case studies of current TWI usage in health care that demonstrates how to successfully roll out a sustainable TWI initiative. All new chapters on Job Relations and Job Methods give insight into the full scope of TWI skills development. Including examples of TWI application during the Covid pandemic, the book provides readers with the understanding of how to use these time-tested methodologies to improve training, increase engagement, and deliver continuous improvement in your organization.

Five Stars. "Best book available if you want to learn about molecular techniques applied to clinical pathology." - Ruben A., Amazon Reviewer Five Stars. "Easy read. helped me to pass ASCP molecular bio certification exam." - Amazon Reviewer The only book you need to become certified. "Excellent book, full of details and clinical information. In addition, it describes very complexed concepts in a very easy way to understand including comprehensive diagrams." - Ruben G., Amazon Reviewer MB(ASCP) must read. "This is a must read for those laboratory professionals trying to advance their knowledge in molecular diagnostics especially for those people taking the MB(ASCP) exam. Sure it helped me pass the exam." - JR, Amazon Reviewer Meet the challenges of this rapidly expanding field: Molecular diagnostics continues to grow in importance in the clinical laboratory. This respected text will prepare your students with a grounding in the fundamental principles of molecular biology. current methods, and their clinical applications. With a focus on the application of molecular concepts to diagnostic purposes, the text explains and illustrate the use and interpretation of molecular-based assays in patient care. Now with an expanded discussion of nucleic acid sequencing, with added emphasis on next generation sequencing (NGS), and updated coverage of proteomics and mass spectrometry applications, your students will have the most current information available today.

China witnessed an unprecedented economic boom in the past four decades but will soon see the end of "demographic dividend". With shrinking labor, improving the quality of human capital could be one way to maintain China's remarkable growth. The population in rural China accounts for 41% of the total population in China but the human capital development in rural China lags far behind the urban cities. This book selects four major reforms on education and health in rural China and evaluates the impact of these reforms on human capital development. Through rigorous econometric analysis, the book looks at factors of the rural-urban gap in human capital and the causal relationship between the reforms and the human capital development. This book will be a useful reference for developing economies which are facing similar issues in the labor market.

Up to 70% and even more of corporate Analytics Efforts fail!!! Even after these corporations have made very large investments, in time, talent, and money, in developing what they thought were good data and analytics programs. Why? Because the executives and decision makers and the entire analytics team have not considered the most important aspect of making these analytics efforts successful. In this Book II of "It's All Analytics!" series, we describe two primary things: 1) What this "most important aspect" consists of, and 2) How to get this "most important aspect" at the center of the analytics effort and thus make your analytics program successful. This Book II in the series is divided into three main parts: Part I, Organizational Design for Success, discusses ....... The need for a complete company / organizational Alignment of the entire company and its analytics team for making its analytics successful. This means attention to the culture - the company culture culture!!! To be successful, the CEO's and Decision Makers of a company / organization must be fully cognizant of the cultural focus on 'establishing a center of excellence in analytics'. Simply, "culture - company culture" is the most important aspect of a successful analytics program. The focus must be on innovation, as this is needed by the analytics team to develop successful algorithms that will lead to greater company efficiency and increased profits. Part II, Data Design for Success, discusses ..... Data is the cornerstone of success with analytics. You can have the best analytics algorithms and models available, but if you do not have good data, efforts will at best be mediocre if not a complete failure. This Part II also goes further into data with descriptions of things like Volatile Data Memory Storage and Non-Volatile Data Memory Storage, in addition to things like data structures and data formats, plus considering things like Cluster Computing, Data Swamps, Muddy Data, Data Marts, Enterprise Data Warehouse, Data Reservoirs, and Analytic Sandboxes, and additionally Data Virtualization, Curated Data, Purchased Data, Nascent & Future Data, Supplemental Data, Meaningful Data, GIS (Geographic Information Systems) & Geo Analytics Data, Graph Databases, and Time Series Databases. Part II also considers Data Governance including Data Integrity, Data Security, Data Consistency, Data Confidence, Data Leakage, Data Distribution, and Data Literacy. Part III, Analytics Technology Design for Success, discusses .... Analytics Maturity and aspects of this maturity, like Exploratory Data Analysis, Data Preparation, Feature Engineering, Building Models, Model Evaluation, Model Selection, and Model Deployment. Part III also goes into the nuts and bolts of modern predictive analytics, discussing such terms as AI = Artificial Intelligence, Machine Learning, Deep Learning, and the more traditional aspects of analytics that feed into modern analytics like Statistics, Forecasting, Optimization, and Simulation. Part III also goes into how to Communicate and Act upon Analytics, which includes building a successful Analytics Culture within your company / organization. All-in-all, if your company or organization needs to be successful using analytics, this book will give you the basics of what you need to know to make it happen.

Our nation's capacity to care is becoming increasingly stressed as an aging and increasingly unhealthy population collides with a relative reduction in the numbers of clinicians and ever-tightening financial resources. If even the mildest of future-state predictions are to be believed, we need a significant restructuring of our entire healthcare system and its total Capacity to Care, such that we can simultaneously improve care capacity, cost, quality, accessibility, and resource gratification. Optimizing Your Capacity to Care: A Systems Approach to Hospital and Population Health Management provides comprehensive guidance to a new way to optimize and manage community-wide Care Capacity via a unique, holistic approach to healthcare operations. Through clear examples and actual project results, the book demonstrates the outcomes of a systems-level way of thinking about a community's Capacity to Care that incorporates and integrates the full spectrum of available clinical and communal resources into the care of patients, including hospitals, physicians, emergency departments, surgical services, local churches, civic organizations, pharmacies, and volunteers. The book details operational models for each major department of the hospital and a fully integrated communal resource pool to demonstrate how the optimization of capacity, resource utilization, cost, and clinical outcomes can be attained. And by providing healthcare leaders with a deeper understanding of key elements missing from the most common process improvement methodologies and approaches, this book offers fresh perspectives and bold alternatives for hospitals, health systems, and entire communities.

This book gives examples from healthcare institutions that are using IT automation and innovation to drive change and provides guidance on the strategic direction of HIT over the next five years. Improving the delivery of healthcare through HIT is vital for both the economic success of healthcare organizations and the care of the patient, but most EMR systems do not have an integrated and architected approach. This book provides a detailed approach on how to leverage IT for transformation. It also shows how to build upon the experiences of other industries and helps foster innovation by providing a vision of where technology can be an enabler.

Twenty-first century healthcare will be defined by better care, smarter spending, and healthier people. All eyes are on technology as the means to drive down costs and improve efficiency, enabling physicians to deliver care in a way that realizes the vision of a healthier planet. The transition from the acute care focus of the 20th century to the quality and data-driven organizations of tomorrow requires incredible effort and collaboration between all members of the healthcare community. Healthcare professionals are challenged to understand and rapidly adapt to new business models while achieving improved patient care and health outcomes. Physician engagement with the whole community has never been more important than it is today. Mastering Physician Engagement: A Practical Guide to Achieving Shared Outcomes explores strategies and tactics for engaging physicians in a meaningful way in a broad spectrum of change initiatives. Using proven techniques to create alignment with physicians, this book delivers practical approaches for effectively: Fostering engagement in revenue cycle, information technology, and population health initiatives Creating a data-driven culture Training physicians on new technologies and workflows Communicating insights and metrics Identifying and presenting return on investment Developing and achieving common goals

The evolution of the healthcare system in the U.S. has seen numerous changes in the last 30 years where fee-for-service was the mainstay of reimbursement models and hospitals were managed by physicians and patient care was key. The early 1990's saw the emergence of HMOs and other managed care models with physicians handing over leadership roles to corporate entities whose main concern was the bottom line and profitability while patient care and satisfaction suffered. The Healthcare Collapse: Where We've been and Where We Need to Go explores the low morale of physicians in this corporate healthcare culture as well as the expansion of hospitals owned by corporations. The author focuses on recovering healthcare morals and return value to the individuals who provide active care and not just business. This book also examines the possible repercussions of Medicare and Medicaid while address the question of single payer healthcare. This book looks at where healthcare has been, what has worked and what hasn't, and recommends solutions to create a system that focuses on the patient and providing quality care in this age of reimbursement cuts, demands for better technology and providing a safer environment for both the patient and clinicians who work in hospitals. The author also advocates for a shift in management and recommends hospitals leaders engage physicians and other clinicians in process improvement and other initiatives which can result in a more efficient system - one where quality patient care dominant. The book also outlines programs which can be championed by hospitals such as patient engagement activities, community health and other outreach and education programs.

The U.S. healthcare system is in "complete chaos-disarray." Medical costs have increased significantly over the past 6 years with 70% increase for deductibles and 24% or more for health insurance premiums. All the while, workers earnings have either not increased or if they did, the pay raises were for less than the increase in the cost of medical care. The situation is unsustainable and the public wants the system fixed. This book offers ways of fixing the problems in healthcare. HEALTHCARE's OUT SICK - PREDICTING A CURE - Solutions that WORK !!!! first defines the "healthcare in crisis" problem. Through real patient experiences, the book describes the difficulties of getting through the maze of complexity among the plethora of "silo providers" which make up the industry. The heart of the book provides readers with a comprehensive solution that can work, a disruption that is necessary to provide Americans the medical care they need without the US public and healthcare providers and payors going into bankruptcy, insolvency or closure. This book delves into digitized medicine, payor and provider reimbursement models, and value-based healthcare delivery. It also includes a philosophy or mode of thinking and operation for the solutions that are needed for diagnosis-effective, cost-effective, and time-efficient healthcare delivery, of which digitized medicine, value-based care, and payor reimbursement modes are just some of the factors. The authors propose that the real solution involves having the patient at the center of the issues and changing from an archaic gold standard way of thinking to a "Predictive Analytic thinking" where one gets at the real truth by doing "real science" that in the end becomes effective not only for the population but for the individual person. This all leads to real person-centered and person-directed medicine and healthcare delivery.

Organizations around the world are using Lean to redesign care and improve processes in a way that achieves and sustains meaningful results for patients, staff, physicians, and health systems. This book systematically describes how NHS Highland uses Lean principles and mindsets to improve safety, quality, access, and morale while reducing costs, and increasing capacity. Existing books often describe the gains obtained by using Lean methods, but often do not describe the underlying concepts and methods in details. Other books describe continuous improvement work, or specific techniques such as daily management in detail. This book seeks to occupy a middle space by providing an overview of the range of Lean ideas applicable to healthcare with sufficient examples and cases studies from NHS Highland and partner organizations so readers can see them in use and practice.

This book presents a wide variety of HIT failures so that students can dissect and understand in each case what went wrong and why and how to avoid such problems, without focusing on the involvement of specific people, organizations, or vendors. The lessons may be applied to future and existing projects, or used to understand why a previous project failed. The cases help students learn how common causes of failure affect different kinds of HIT projects and with different results. The book presents a model to discuss HIT failures in a safe and protected manner, providing an opportunity to focus on the lessons offered by a failed initiative as opposed to worrying about potential retribution for exposing a project as having failed. Cases are organized by the type of focus (hospital care, ambulatory care, and community). Each case provides analysis by an author who was involved in the project expert insight into key obstacles that must be overcome to leverage IT and transform healthcare. Cases include a list of key words and are categorized by project (e.g. CPOE, business intelligence). Each chapter or case contains discussion questions and study suggestions for the student. Thought provoking commentary chapters add additional context to the challenges faced during HIT projects, from social and organizational to legal and contractual. Whether you're a graduate student in a health administration or health IT program or attending training sessions sponsored by a healthcare organization, this valuable resource is for all who want to understand the dynamics of HIT projects and why some fail and others succeed.

Executives say that people are their most important asset, but most don't walk the talk. They don't have systematic strategies for how to get the people they want to want them. They don't have measures and metrics for how they are doing to be the employer of choice. They don't hold leaders accountable regarding those ambitions. In many cases, this is because top leaders don't have concrete tools to help them do what they know they should. This book fills that gap in three major sections. The first section supports with clear and compelling data what executives intuitively but somewhat superficially believe-that people are their most important asset. The second section provides a systematic process and set of tools to help leaders get the people they want to want them; it shows executives how to win the competition for human capital. The third section then helps leaders position people appropriately so that they can create a sustainable competitive advantage; its shows executives how to compete with human capital. When it comes to human capital, most books get it wrong. Strategy books place human capital to the side as an enabler of competitive advantage. HR books treat human capital as a support activity to business strategy. This book places human capital where it should be-not to the side and not as an enabler or a support activity, but at the center and as the source of competitive advantage.