While there are a growing number of books based on the Toyota Production System, or lean, focused on healthcare, there are very few that detail the tools that make lean more than just a way of thinking and put the methodology into practice. Based on Hiroyuki Hirano's classic 5 Pillars of the Visual Workplace and modeled after the Shingo Prize-winning Shopfloor Series for Lean Manufacturers, 5S for Healthcare adopts a proven reader-friendly format to impart all the information needed to understand and implement this essential lean methodology. It provides examples and cased studies based on the experiences of the principals involved with the Rona Consulting Group, who were responsible for the groundbreaking implementation of the Toyota Production System at the Virginia Mason Medical Center. Written to readily assist with hands-on implementation efforts, this volume offers innovative features designed to improve understanding and support application. This includes helpful how-to-steps and practical examples taken directly from the healthcare industry.

The U.S. health care system faces well-known problems: 47 million people without health insurance, rapidly rising costs that consume 16 percent of the country's economic output, and widely uneven quality of care. Even many people with coverage are experiencing serious problems paying for the rapidly rising costs of health care and insurance.This book - a joint product of the National Academy of Public Administration and the National Academy of Social Science - undertakes a sweeping analysis of the management and administrative issues that arise in expanding health care coverage. The book identifies the core administrative functions that need to be performed in assuring access to health coverage, describes how these functions are performed at present and under proposed alternatives, draws lessons from experience in the U.S. and abroad, and assesses suggested administrative approaches designed to facilitate the improvement and expansion of health care coverage.Adequate health care is one of today's most crucial domestic policy concerns. "Expanding Access to Health Care" is designed to bring together in one place some of the best thinking on the subject, not as an exercise in advocacy, but rather to lay out the issues in a balanced way so that policymakers, researchers, and citizens can better understand the complex details of health care reform.

A groundbreaking prescription for health care reform-from a legendary leader in innovation Our health care system is in critical condition. Each year, fewer Americans are able to afford health care and fewer businesses are able to provide it. We need a cure, and we need it now. Lead author Clayton M. Christensen is the foremost expert in the field of disruptive innovation. In this thought-provoking book, Christensen and his coauthors, health care pioneers Jerome Grossman, MD, and Jason Hwang, MD, present a comprehensive analysis of the strategies needed to improve health care. They examine a range of symptoms and offer proven solutions. You'll learn how disruptive business models improve quality, accessibility, and affordability by changing the way hospitals and doctors work.

Quality care of patients requires evaluating large amounts of data at the right time and place and in the correct context. With the advent of electronic health records, data warehouses now provide information at the point of care and facilitate a continuous learning environment in which lessons learned can provide updates to clinical, administrative, and financial processes. Given the advancement of the information tools and techniques of today's knowledge economy, utilizing these resources are imperative for effective healthcare. Thus, the principles of Knowledge Management (KM) are now essential for quality healthcare management.

The Healthcare Knowledge Management Primer explores and explains essential KM principles in healthcare settings in an introductory and easy to understand fashion. This concise book is ideal for both students and professionals who need to learn more about key aspects of the KM field as it pertains to effecting superior healthcare delivery. It provides readers with an understanding of approaches to KM by examining the purpose and nature of its key components and demystifies the KM field by explaining in an accessible manner the key concepts of KM tools, strategies and techniques, and their benefits to contemporary healthcare organizations.

Quality care of patients requires evaluating large amounts of data at the right time and place and in the correct context. With the advent of electronic health records, data warehouses now provide information at the point of care and facilitate a continuous learning environment in which lessons learned can provide updates to clinical, administrative, and financial processes. Given the advancement of the information tools and techniques of today s knowledge economy, utilizing these resources are imperative for effective healthcare. Thus, the principles of Knowledge Management (KM) are now essential for quality healthcare management.

The Healthcare Knowledge Management Primer explores and explains essential KM principles in healthcare settings in an introductory and easy to understand fashion. This concise book is ideal for both students and professionals who need to learn more about key aspects of the KM field as it pertains to effecting superior healthcare delivery. It provides readers with an understanding of approaches to KM by examining the purpose and nature of its key components and demystifies the KM field by explaining in an accessible manner the key concepts of KM tools, strategies and techniques, and their benefits to contemporary healthcare organizations.

The U.S. health care system faces well-known problems: 47 million people without health insurance, rapidly rising costs that consume 16 percent of the country's economic output, and widely uneven quality of care. Even many people with coverage are experiencing serious problems paying for the rapidly rising costs of health care and insurance.This book - a joint product of the National Academy of Public Administration and the National Academy of Social Science - undertakes a sweeping analysis of the management and administrative issues that arise in expanding health care coverage. The book identifies the core administrative functions that need to be performed in assuring access to health coverage, describes how these functions are performed at present and under proposed alternatives, draws lessons from experience in the U.S. and abroad, and assesses suggested administrative approaches designed to facilitate the improvement and expansion of health care coverage.Adequate health care is one of today's most crucial domestic policy concerns. "Expanding Access to Health Care" is designed to bring together in one place some of the best thinking on the subject, not as an exercise in advocacy, but rather to lay out the issues in a balanced way so that policymakers, researchers, and citizens can better understand the complex details of health care reform.

Primarily intended for DNP and PhD students in nursing and health care who are expected to design research to identify health-related problems and solutions, this book focuses on the concepts, theories and processes of how social determinants affect the health of populations. Using specific social determinants as an organizing framework, it presents ample scientific evidence from health and social disciplines of the universal processes that produce the social patterning of health inequities. This book is organized into three major parts, beginning with the social pathways to health vulnerability, followed by research methods and subsequently frameworks for action. The methods section provides selected research approaches suitable for studying the impact of social variables on population health, as well as the outcomes of multilevel interventions. Each chapter provides an in-depth presentation of relevant theoretical knowledge and research-based examples of work conducted in the area. The book addresses the specific implications for health professional leaders such as nurses or health policy makers, highlighting their role in achieving macrosocial changes to promote health among specific vulnerable populations. Both of the book's editors are prominent and highly respected scholars in their field. The team of authors is highly multidisciplinary, including experts from the fields of medicine, public health, education and epidemiology who have conducted research on the social determinants of population health. Combining their varied perspectives, this book offers a valuable resource for graduate students (PhD, MD, DNP, MSN, etc.), faculty, researchers and clinicians in health professions.

In 1905, the University of Kansas School of Medicine opened in the basement of a building in downtown Kansas City, Kansas. By 1991 it occupied 2.3 million square feet of space in Kansas City and many thousands more in Wichita and area health education centers; it had an annual budget of over $235 million and a staff of over 5,000.

A lot has happened in the last eighty-seven years.

In 385 black-and-white photographs, historians Lawrence Larsen and Nancy Hulston portray the tremendous changes that have taken place and illustrate a story of dramatic institutional growth from the humblest of beginnings.

From its opening in the fall of 1905, the University of Kansas School of Medicine grew in fits and starts. Progress depended on legislative and public support, which was often unreliable, especially at first. Larsen and Hulston chronicle the development of the school in a brief text, in quotations from contemporary sources, and in carefully chosen photographs. "Photographic evidence was so complete," the authors note in their introduction, "that had we wanted to, we could have devoted an entire chapter to the development of the Medical Center power plant."

Instead, they focused on the changes in the physical facilities at 39th and Rainbow and the accompanying evolution of medical education there. Action shots show buildings under construction, as well as doctors and students in settings that range from primitive, turn-of-the-century laboratories to the gleaming present-day facilities. Many photographs portray doctors, nurses, and students going about their daily activities-conducting clinical examinations, performing nursing demonstrations, rehabilitating children, and caring for patients. Others depict social life, fraternal activities, and fun. One fascinating set of photographs documents the changes in operating rooms through the years.

Larsen and Hulston also place the development of the school in its larger social context, exploring programs like the Murphy Plan, designed to bring medical care to outlying areas of Kansas, and the effect of the two world wars on the school.

"This is a good bit more than a 'coffee table' book It should do well in its institutional role, but should also attract attention from historians of medicine and education more generally."--Charles E. Rosenberg, coauthor (with Janet Golden) of "Pictures of Health: A Photographic History of Health Care in Philadelphia" and president of the American Association for the History of Medicine.

This comprehensive, yet accessible, text demystifies the challenging area of competence assessement in medicine and the health sciences, providing a clear framework and the tools for anyone working or studying in this area. Written by a single, highly experienced, author, the content benefits from uniformity of style and is supported and enhanced by a range of pedagogic features including cases, questions and summaries. Essential reading for all students and practitioners of medical education, it will also be an invaluable guide for allied health professionals and psychologists with a general interest in assessment, evaluation and measurement and a useful library reference.

Financing Medicine brings together a collection of essays dealing with the financing of medical care in Britain since the mid-eighteenth century, with a view to addressing two major issues:

• Why did the funding of the British health system develop in the way it did?
• What were the ramifications of these arrangements for the nature and extent of health care before the NHS?

The book also goes on to explore the 'lessons' and legacies of the past which bear upon developments under the NHS.

The contributors to this volume provide a sustained and detailed examination of the model of health care which preceded the NHS - an organization whose distinctive features hold such fascination for the scholars of health systems - and their insights illuminate current debates on the future of the NHS.

For students and scholars of the history of medicine, this will prove essential reading.

A fundamental problem of public sector governance relates to the very way of thinking it reflects; where organization is thought of as a 'thing', a system designed to deliver what its designers choose. This volume questions that way of thinking and takes a perspective in which organizations are complex responsive processes of relating between people. Bringing together the work of participants on the Doctor of Management program at Hertfordshire University, this book focuses on the move to marketization and managerialism, paying particular attention to human relationships and group dynamics. The contributors provide narrative accounts of their work addressing questions of management, pressures, accountability, responsiveness and traditional systems perspectives. In considering such questions in terms of their daily experience, they explore how the perspective of complex responsive processes assists them in making sense of experience and developing practice. Including an editors' commentary which introduces and contextualizes these experiences as well as drawing out key themes for further research, this book will be of value to academics, students and practitioners looking for reflective accounts of real life experiences rather than further prescriptions of what organizational life ought to be.

A fundamental problem of public sector governance relates to the very way of thinking it reflects; where organization is thought of as a 'thing', a system designed to deliver what its designers choose. This volume questions that way of thinking and takes a perspective in which organizations are complex responsive processes of relating between people. Bringing together the work of participants on the Doctor of Management program at Hertfordshire University, this book focuses on the move to marketization and managerialism, paying particular attention to human relationships and group dynamics. The contributors provide narrative accounts of their work addressing questions of management, pressures, accountability, responsiveness and traditional systems perspectives. In considering such questions in terms of their daily experience, they explore how the perspective of complex responsive processes assists them in making sense of experience and developing practice. Including an editors' commentary which introduces and contextualizes these experiences as well as drawing out key themes for further research, this book will be of value to academics, students and practitioners looking for reflective accounts of real life experiences rather than further prescriptions of what organizational life ought to be.

This unique text is the first to explore leadership in the context of healthcare systems across Europe. It investigates leadership and management learning against the backdrop of increasing European parliamentary influence, the expansion of EU membership, and the increasing number of patients, staff, governments and healthcare employers viewing Europe as a single market for healthcare provision and employment.

Written by leading authority Neil Goodwin, this timely book provides an assessment of the literature as well as practical guidance for developing personal leadership. It includes case studies and examples and is a must-buy for all students studying health management, leadership and public management as well as professionals within health services across Europe.

This is the fourth text in the Routledge Health Management Series.

Analysing Health Care Organizations seeks to link the world of health policy and management with the academic field of organization studies in a novel and additive way. It outlines the main developments in UK health care management apparent over the last thirty years and explores how they might be (re)seen with the application of some important organizational theories and perspectives. This book draws out contemporary and enduring themes from current literature on health care organization and considers them from a range of theoretical perspectives. Drawing on robust areas of research and some key academics who contribute to work in this field, it is a book relevant both to experts in the field and to those seeking to develop an understanding of health care organization from a theoretical perspective. Analysing Health Care Organizations provides a state of the art introduction foundation for subsequent works that will extend its content; providing a broad introductory overview of this theoretical terrain and setting the scene for further research.

Employment relations within the health sector have undergone radical reform over recent years. This book is an important new study that examines the responses of managers and workers to these different reforms, at both national and local level. Bringing together analyses of both employment relations and public sector management, the book focuses on understanding why certain initiatives have been adopted, how managers have responded to them and the consequences of the HR modernisation agenda. Topics covered include: HR strategy and structure at the workplace employee involvement and union influence pay modernisation management of work. Featuring detailed case study research in three NHS trusts, the book illustrates precisely how government policies are implemented in the workplace and in doing so offers a unique insight into the sector's changing work environment. A comprehensive study of atopical area, this book will be of interest to students and academics in health service management, human resource management and employment relations.

Statistics and evidence-based medicine are assessed in most postgraduate and undergraduate medical examinations and degrees in health sciences. All clinicians have to acquire skills in this area. This book aims to provide a brief overview of basic medical statistics and the numerical aspects of evidence-based medicine to give realistic worked examples to illustrate the interpretation of studies relevant to clinical practice and to allow examination practice. It aims to cover all major topics covered in the undergraduate and postgraduate examinations. Each chapter begins with an overview and summary of the main points followed by worked examples and exercises with full answers. It will be ideal for all postgraduate medical examination candidates. Other clincians and undergraduate students in medicine and health sciences will also find it useful.

"Misadventures in Health Care: Inside Stories" presents an alternative approach to attributing the cause of medical error solely to the health care provider. That alternative, the systems approach, pursues why an incident occurs in terms of factors in the context of care that affect the care provider to induce an error. The basis for this approach is the fact that an error is an act, an act is behavior, and behavior is a function of the person interacting with the environment. Eleven vignettes illustrate the importance of the systems approach by describing health care incidents from the perspective of the care providers--the perspective that can identify the factors that actually affect the provider. These stories provide general readers with opportunities to apply their knowledge in analyzing incidents to identify error-inducing factors.
This book is important reading for policymakers, researchers and practitioners in law and in all medical specialties, and professionals in the social sciences, human factors, and engineering. In addition to sensitizing the reader to the importance of contextual factors in error, "Misadventures in Health Care" is a case study reference to supplement texts in professional schools such as law and medicine, as well as the full range of academic disciplines. It also is important reading for the general public because it presents an approach for addressing a very pressing social problem-- that of misadventures in health care.

Misadventures in Health Care: Inside Stories presents an alternative approach to attributing the cause of medical error solely to the health care provider. That alternative, the systems approach, pursues why an incident occurs in terms of factors in the context of care that affect the care provider to induce an error. The basis for this approach is the fact that an error is an act, an act is behavior, and behavior is a function of the person interacting with the environment. Eleven vignettes illustrate the importance of the systems approach by describing health care incidents from the perspective of the care providers--the perspective that can identify the factors that actually affect the provider. These stories provide general readers with opportunities to apply their knowledge in analyzing incidents to identify error-inducing factors. This book is important reading for policymakers, researchers and practitioners in law and in all medical specialties, and professionals in the social sciences, human factors, and engineering. In addition to sensitizing the reader to the importance of contextual factors in error, Misadventures in Health Care is a case study reference to supplement texts in professional schools such as law and medicine, as well as the full range of academic disciplines. It also is important reading for the general public because it presents an approach for addressing a very pressing social problem-- that of misadventures in health care.

This Reader includes material relevant to everyone involved in developing new relationships in health and social care. Alongside articles on social care as traditionally conceived, it offers articles from a wide variety of settings, including those in health and education. It brings together classic management texts and material with a management focus, providing a stimulating range of perspectives on the manager's role. In the management of something as complex as care, this must involve:
* listening to service users
* maintaining professional values
* enabling participation
* facilitating learning.
The Managing Care Reader reflects these imperatives as it focuses in on the experience of being in the front line. In four parts, it looks at how managers experience what they do, their managerial responsibilities, the key professional issues, and the importance of the organisational environment. It offers a rich resource for all those undertaking management courses or moving into frontline management roles in the new world of social care.

When hospitals began implementing their electronic medical records/electronic health records systems (EMR/HER) the pharmaceutical companies that were conducting clinical trials at those hospitals wanted to sue the date from those systems instead of having the hospitals enter the data in their EHR systems and also in the study data entry system. However, the FDA regulations would require that the hospital systems be "validated". The hospitals and the companies developing the systems argued that was "over-regulation." HIMSS published their Developer Code of Conduct where they said instead they would use Quality Management techniques. This book covers how to use Quality Management (ISO 9001) to develop computer systems, specifically EMR systems. It gives a basic introduction to how to implement computer systems. It also covers the topic of compliance because the hospitals are required to comply with regulations other than FDS regulations. The book also discusses the topics of risk management and conducting audits, both of which are part of ISO 9001 quality management of computer systems. The book is designed to give the reader an introduction to the things you have to do when implementing a computer system that has to satisfy some standards and where the accuracy of the information could impact the accuracy of a person's medical treatment.

This comprehensive guide covers all aspects of action learning, one of the most widely used development methods in health, social and community care. The book addresses the theory and practice of action learning in these fields, and considers action learning as an adult educational ethos as well as a helpful tool. Based upon emerging experience, it identifies good practice in action learning and offers a wide range of resources to enable individuals and organisations extract maximum benefit from this approach. Offering practical tips grounded in sound educational principles, this book is invaluable reading for all senior managers and professionals considering using action learning for leadership, management and organisation development purposes, including organisation development practitioners and action learning facilitators, and for medical and healthcare educators and their counterparts in social and community care looking for a general introduction to this growing field.

This book takes the readers step by step through the key skills and knowledge, to enable them to take control of their budget. It is helpful for the reader to learn how to find out the rules governing their budget, why budgets overspend and underspend and how to make a bid for increased funding.

This title is a comprehensive account of the key aspects of medical leadership. A highly accessible, text book-style resource, it explores how the medical profession has evolved in tandem with administrative and structural aspects of the NHS. Assuming leadership roles at all stages of their training and career is a progressively vital component of the definition of a good doctor. This book will provide invaluable support and guidance to anyone engaged in leadership within the NHS, but particularly to junior doctors in the primary and secondary care arenas taking on leadership roles for the first time.

Risk management, assessment and reduction, alongside patient involvement, is an essential part of the current NHS reforms. This book draws together and summarises the latest information on risk in healthcare. It outlines the facts patients need and the level of involvement they require to make informed decisions, and emphasises the practical aspects of how practitioners can best explain risk. The first section of the book concentrates on defining risk and the factors influencing individuals as they make decisions about risk, and the latter part focuses on how clinical teams make decisions about organisational matters and the working environment. All health professionals, including doctors, nurses and managers throughout primary and secondary care will find it an essential reference.

Despite more than a decade of change, the U.S. health care delivery system is still in the early stages of its transformation into a truly effective, cost efficient and compassionate system. In Healthcare.com: RX for Reform, Dr. David Friend, trained in both medicine and business, delineates the symptoms of our ailing healthcare system and offers a vision for the future.

Even with the enormous turmoil our health care system has undergone - from the proliferation managed care to the closing of hospitals - large numbers of people continue to receive sub-optimal care. The author discusses several symptoms including:
· increasing costs
· uncertain quality of care
· eroding trust in health care vendors
· increasing prospect of shareholder liability
· declining access to providers
· unclear impact on employee productivity

It is time to discard the old, traditional way of thinking about healthcare and take a fresh look at its issues and challenges. To tackle these challenges we must strike a balance between the seemingly dissimilar disciplines of economics, medicine, technology, and politics. Dr. Friend proposes that we tear down the brick and mortar delivery model and replace it with a Virtual Health Care System.

This new model changes the roles of everyone involved in the healthcare system, from the patient to the healthcare provider. It utilizes technology to redesign health care so that it can be delivered with higher quality and greater efficiency. Healthcare.com: RX for Reform examines the actions necessary for the evolution of our current system into a Virtual Health Care System.

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