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Books > Medicine > General issues > Health systems & services > Hospital administration & management
Individuelle Gesundheitsleistung wird zunehmend wichtig für den wirtschaftlichen Erfolg der Arztpraxis. Analyse, Organisation, Vermarktung: Welche Bedürfnisse haben meine Patienten? Welche IGeL-Leistungen will ich in meiner Praxis anbieten? Wie organisiere ich Termine, Personal, Räume? Wie biete ich meine IGeL-Leistungen an? IGeLn aus betriebswirtschaftlicher, rechtlicher und kommunikativer Sicht. Mit hilfreichen Tipps zum Umgang mit Patienten und Mitarbeitern, zur Abrechnung und Fehlervermeidung. Das interdisziplinäre Autorenteam – Arzthelferin, Ärztin, Rechtsanwalt – liefert praxisrelevant und kompakt die optimale Strategie für Ihren Erfolg.
Controlling costs in health care is rarely something that can be tackled in isolation. Cost control invariably interacts with issues of quality and health care access. Thus, this diverse collection of papers is concerned not just with costs but more importantly with value. Both macro and micro concerns are covered. At the macro level, health care reforms (and especially the 'marketisation' of health care systems) receive some attention. Papers explore how policy prescriptions get translated and modified during implementation, and assess how these prescriptions impact on both the incentive context and subsequent patterns of service delivery. Resource allocation within bureaucratic health systems continues to pose problems and these too are analysed with new solutions being proposed. At the micro level, a number of contributors wrestle with the difficulties of carrying out the economic evaluation of new drugs and technologies. In each case, the wider theoretical and practical implications of balancing costs and benefits are explored. This collection should prove helpful to health care policy specialists, managers and researchers interested in gaining a feel for the real-world application of cost-focused health services research.
This book contains two Open Access chapters. The 21st volume of Advances in Health Care Management presents informed commentaries solicited from leaders across the field of health care management. Each chapter tackles a specific health care challenge, describing the state of the research on the challenge, identifying appropriate organizational innovations to respond to the challenge, and setting out a future research agenda. Expert authors consider what is known, what is not known, and what is needed to fill the gaps and advance knowledge. Responding to The Grand Challenges in Healthcare Via Organizational Innovation explores in detail varied scenarios and suggestions for dealing with unexpected crises, improving diversity, equity and inclusion in health care, building strategic alliances for inter-sector collaboration, as well as analyzing organizational governance and physician financial risk models.
"Clinical Governance: A Guide to Implementation for Healthcare Professionals "provides a comprehensive overview of what is meant by clinical governance and how it can be implemented in practice. It explores the evolution of clinical governance, its key components, legal implications, the barriers to implementing it, and its impact. "Clinical Governance" provides step-by-step practical advice, facilitating better understanding of the key principles of clinical governance. This third edition has been fully updated throughout to incorporate a more integrated approach to achieving clinical governance, with an additional chapter on education and training. Each chapter includes reflective questions, activities and case studies taken from clinical practice as well as a full list of references and further reading.
* Providing information to implement a new core healthcare requirement patient involvement * Including real case scenarios to illustrate the principles of effective PPI * Following the unique Toolkit series format of flowcharts and layouts that guide the reader through each section
Marketing in the pharmaceutical and healthcare sector requires a particular set of skills; its intricacies mean planning is an essential prerequisite. The marketing planning system described in this book has been designed to enable marketing and product executives to produce a plan which serves as a dynamic management tool which will help them to get from where they are now to where they want to be next year and thereafter. Now in its second edition, this bestselling book has become the standard text for all product managers, marketing managers and directors working in this demanding industry. John Lidstone and Janice MacLennan have updated the book to embrace best current practice. A new orientation to external analysis and a reworking of the application of SWOT analysis, along with fresh material on sales forecasting and strategy implementation, bring the book up to date with current thinking and industry trends. Marketing Planning for the Pharmaceutical Industry is based on real life experience built up over many years. Each chapter takes the reader through the sequential stages of planning so that by the end they will be able to produce a practical plan ready for implementation. It is the only book of this type which tailors marketing to those working in the sector and as such is a unique, invaluable and indispensable resource.
The competition for limited health care resources is intensifying. We urgently need an acceptable method for deciding how they should be allocated. But the goods that health care produces are of very different kinds. Health care can extend the lives of children and of older people. It can make it possible for a person to walk, when without health care that person would be permanently bedridden; and it can reduce the pain and distress of people who are terminally ill. How can we possibly decide which of these - and many more - diverse achievements of health care are more deserving than others? We need a common unit by which we might be able to measure these very different goods. The Quality-Adjusted Life Year, or QALY, is the most developed proposal for such a unit of measure. In this book a distinguished team of ethicists and economists defend the core of the QALY proposal: that health care resources should be used so as to produce more years of life, of the highest possible quality. This leads to a discussion of such fundamental questions as whether all lives are of equal value, whether health care should be allocated on the basis of need and whether the QALY approach incorporates an adequate account of fairness or justice. The result is the most thorough account yet of the ethical issues raised by the use of the QALY as a basis for allocating health care resources.
Thoroughly revised and updated since its initial publication in 2010, the second edition of this gold standard guide for case managers again helps readers enhance their ability to work with complex, multimorbid patients, to apply and document evidence-based assessments, and to advocate for improved quality and safe care for all patients. Much has happened since Integrated Case Management (ICM), now Value-Based Integrated Case Management (VB-ICM), was first introduced in the U.S. in 2010. The Integrated Case Management Manual: Valued-Based Assistance to Complex Medical and Behavioral Health Patients, 2nd Edition emphasizes the field has now moved from "complexity assessments" to "outcome achievement" for individuals/patients with health complexity. It also stresses that the next steps in VB-ICM must be to implement a standardized process, which documents, analyzes, and reports the impact of VB-ICM services in removing patient barriers to health improvement, enhancing quality and care coordination, and lowering the financial impact to patients, providers, and employer groups. Written by two expert case managers who have used VB-ICM in their large fully disseminated VB-ICM program and understand its practical deployment and use, the second edition also includes two authors with backgrounds as physician support personnel to case managers working with complex individuals. This edition builds on the consolidation of biopsychosocial and health system case management activities that were emphasized in the first edition. A must-have resource for anyone in the field, The Integrated Case Management Manual: Value-Based Assistance to Complex Medical and Behavioral Health Patients, 2nd Edition is an essential reference for not only case managers but all clinicians and allied personnel concerned with providing state-of-the-art, value-based integrated case management.
As managed care continues to increase in the United States, hospital and system executives consider mergers and acquisitions more frequently for both aggressive and defensive reasons. Predicting Successful Hospital Mergers and Acquisitions can help you learn to analyze data to determine which hospitals are potential candidates for merger and which are risky business ventures. You will learn to take into account not only the marketing and financial elements of mergers and acquisitions, but also the operational factors crucial for success. You will also acquire a set of guidelines and financial analytical approaches that prepare you for forecasting the results of proposed mergers or acquisitions between acute units.Because few new markets are available for hospitals and competition is increasing, performing mergers and acquisitions may be the only route available for organizations wishing to grow. Predicting Successful Hospital Mergers and Acquisitions teaches hospital, system, and other health service industry executives how to keep abreast of their market positions to remain competitive and efficient in the current, intense managed care environment.As you read Predicting Successful Hospital Mergers and Acquisitions, you learn to identify significant financial variables in the market that will differentiate between merger candidates and non-targeted hospitals. The book's coverage of the following topics is important to your understanding of the health care market and the options available: market penetration product development market development diversification significant variables one year prior to merger use of accounting numbers to predict takeovers managed care staffing issuesPredicting Successful Hospital Mergers and Acquisitions gives you a practical, proven model for predicting the outcome of merger and acquisition maneuvers. This model is developed from accurate, consistent, and complete data from California, a trendsetting market in health care delivery, during the years 1984 to 1992. It can be applied not only to hospital mergers and acquisitions, but also to skilled nursing facilities, psychiatric care centers, and rehabilitation facilities seeking growth. Educators and program directors in health care administration programs and executives and boards of imaging centers, surgi-centers, and home health agencies can also employ this model to stimulate growth and expansion.
The American system of healthcare is rapidly changing. Today, more and more of an emphasis is being placed on management skills-organizing, coordinating and managing the resources required for providing quality patient care. Medical practitioners are now expected to be efficient administrators as well as skilled clinicians.
Health care is everywhere under tremendous pressure with regard to efficiency, safety, and economic viability - to say nothing of having to meet various political agendas - and has responded by eagerly adopting techniques that have been useful in other industries, such as quality management, lean production, and high reliability. This has on the whole been met with limited success because health care as a non-trivial and multifaceted system differs significantly from most traditional industries. In order to allow health care systems to perform as expected and required, it is necessary to have concepts and methods that are able to cope with this complexity. Resilience engineering provides that capacity because its focus is on a system's overall ability to sustain required operations under both expected and unexpected conditions rather than on individual features or qualities. Resilience engineering's unique approach emphasises the usefulness of performance variability, and that successes and failures have the same aetiology. This book contains contributions from acknowledged international experts in health care, organisational studies and patient safety, as well as resilience engineering. Whereas current safety approaches primarily aim to reduce or eliminate the number of things that go wrong, Resilient Health Care aims to increase and improve the number of things that go right. Just as the WHO argues that health is more than the absence of illness, so does Resilient Health Care argue that safety is more than the absence of risk and accidents. This can be achieved by making use of the concrete experiences of resilience engineering, both conceptually (ways of thinking) and practically (ways of acting).
This work provides the reader with an understanding of team building in a health care environment, and shows managers how to build a team that is committed to delivering quality. Topics covered include key quality concepts, team exercises, how to be a team member, team empowerment and continuous quality improvement. The facilitator's guide provides all the lesson plans, overhead projection masters and guides to all the exercises necessary for the team leader or trainer to run a teambuilding workshop.
A comprehensive guide to effective strategic management of health care organizations. Strategic Management of Health Care Organizations provides essential guidance for leading health care organizations through strategic management. This structured approach to strategic management examines the processes of strategic thinking, consensus building and documentation of that thinking into a strategic plan, and creating and maintaining strategic momentum - all essential for coping with the rapidly evolving health care industry. Strategic Management of Health Care Organizations fully explains how strategic managers must become strategic thinkers with the ability to evaluate a changing industry, analyze data, question assumptions, and develop new ideas. The book guides readers through the strategic planning process demonstrating how to incorporate strategic thinking and create and document a clear and coherent plan of action. In addition, the all-important processes of creating and maintaining the strategic momentum of the organization are fully described. Finally, the text demonstrates how strategic managers in carrying out the strategic plan, must evaluate its success, learn more about what works, and incorporate new strategic thinking into operations and subsequent planning. This strategic management approach has become the de facto standard for health care management as leadership and strategic management are more critical than ever in coping with an industry in flux. This book provides heath care management students as well as health care administrators with foundational guidance on strategic management concepts and practices, tailored to the unique needs of the health care industry. Included are a clear discussion of health services external analysis, organizational internal analysis, the development of directional strategies, strategy alternative identification and evaluation, and the development and management of implementation strategies providing an informative and insightful resource for anyone in the field. This new eighth edition has been fully updated to reflect new insights into strategic thinking, new methods to conceptualize and document critical environmental issues, practical steps for carrying out each of the strategic management processes, industry and management essentials for strategic thinkers, and new case studies for applying the strategic management processes. More specifically, readers of this edition will be able to: Create a process for developing a strategic plan for a health care organization. Map and analyze external issues, trends, and events in the general environment, the health care system, and the service area. Conduct a comprehensive service area competitor analysis. Perform an internal analysis and determine the competitive advantages and competitive disadvantages. Develop directional strategies. Identify strategic alternatives and make rational strategic decisions for a health care organization. Develop a comprehensive strategy for a health care organization. Create effective value-adding service delivery and support strategies. Translate service delivery and support plans into specific action plans. The health care industry's revolutionary change remains ongoing and organizational success depends on leadership. Strategic management has become the single clearest manifestation of effective leadership of health care organizations and the strategic management framework's strengths are needed now more than ever. The Strategic Management of Health Care Organizations provides comprehensive guidance and up-to-date practices to help leaders keep their organizations on track.
The definitive guide to clinical leadership, by Dickon Weir-Hughes, the Chief Executive of the NMC. Dickon takes a unique slant on the teaching of Leadership and Management through an A-Z format, making this subject very accessible. The book provides a helpful and practical summary of the key leadership principles within healthcare. Dickon has drawn on his personal experience of the 'sharp end' of clinical leadership in a number of organisations. Utilising his experience as a leadership programme facilitator, mentor and coach. he understands the need for students and practitionners to grasp leadership concepts and terminology, to assess their competence against such a framework and to have some suggestions for taking forward personal development. This book fulfils that in and accessible and novel way.
This book provides an overview of the US laws that affect clinical practice for healthcare professionals with no legal background. Divided into thirteen sections, each chapter starts with a summary of the chapter's content and relevant legal concepts in bullet points before discussing the topics in detail. An application section is provided in many chapters to clarify essential issues by reflecting on clinically relevant case law or clinical vignette(s). Filling a crucial gap in the literature, this comprehensive guide gives healthcare professionals an understanding or a starting point to legal aspects of healthcare.
Features of statistical and operational research methods and tools being used to improve the healthcare industry With a focus on cutting-edge approaches to the quickly growing field of healthcare, Healthcare Analytics: From Data to Knowledge to Healthcare Improvement provides an integrated and comprehensive treatment on recent research advancements in data-driven healthcare analytics in an effort to provide more personalized and smarter healthcare services. Emphasizing data and healthcare analytics from an operational management and statistical perspective, the book details how analytical methods and tools can be utilized to enhance healthcare quality and operational efficiency. Organized into two main sections, Part I features biomedical and health informatics and specifically addresses the analytics of genomic and proteomic data; physiological signals from patient-monitoring systems; data uncertainty in clinical laboratory tests; predictive modeling; disease modeling for sepsis; and the design of cyber infrastructures for early prediction of epidemic events. Part II focuses on healthcare delivery systems, including system advances for transforming clinic workflow and patient care; macro analysis of patient flow distribution; intensive care units; primary care; demand and resource allocation; mathematical models for predicting patient readmission and postoperative outcome; physician patient interactions; insurance claims; and the role of social media in healthcare. Healthcare Analytics: From Data to Knowledge to Healthcare Improvement also features: Contributions from well-known international experts who shed light on new approaches in this growing area Discussions on contemporary methods and techniques to address the handling of rich and large-scale healthcare data as well as the overall optimization of healthcare system operations Numerous real-world examples and case studies that emphasize the vast potential of statistical and operational research tools and techniques to address the big data environment within the healthcare industry Plentiful applications that showcase analytical methods and tools tailored for successful healthcare systems modeling and improvement The book is an ideal reference for academics and practitioners in operations research, management science, applied mathematics, statistics, business, industrial and systems engineering, healthcare systems, and economics. Healthcare Analytics: From Data to Knowledge to Healthcare Improvement is also appropriate for graduate-level courses typically offered within operations research, industrial engineering, business, and public health departments. HUI YANG, PhD, is Associate Professor in the Harold and Inge Marcus Department of Industrial and Manufacturing Engineering at The Pennsylvania State University. His research interests include sensor-based modeling and analysis of complex systems for process monitoring/control; system diagnostics/ prognostics; quality improvement; and performance optimization with special focus on nonlinear stochastic dynamics and the resulting chaotic, recurrence, self-organizing behaviors. EVA K. LEE, PhD, is Professor in the H. Milton Stewart School of Industrial and Systems Engineering at the Georgia Institute of Technology, Director of the Center for Operations Research in Medicine and HealthCare, and Distinguished Scholar in Health System, Health Systems Institute at both Emory University School of Medicine and Georgia Institute of Technology. Her research interests include health-risk prediction; early disease prediction and diagnosis; optimal treatment strategies and drug delivery; healthcare outcome analysis and treatment prediction; public health and medical preparedness; large-scale healthcare/medical decision analysis and quality improvement; clinical translational science; and business intelligence and organization transformation.
The business side of running a medical practice may be unappealing but it's crucial "How to Manage Your GP Practice" is written for GPs and other health professionals running their own practices.It tells you in simple, engaging style what the pitfalls are and how to avoid them.It illustrates the good and bad ways of negotiating through management issues, using case examples and lightening the messages with witty cartoons. Written by a GP with over 10 years' experience editing a leading GP magazine, and an accountant whose firm advises over 2500 GPs, the information here is sound, relevant and up to date. It provides reliable and reassuring information for doctors starting out in their careers as well as those looking to refresh their management skills.
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.
Practitioners, organisations and policy makers in health and social care settings are increasingly recognising the need for trauma-informed approaches in organisational settings, with morbidity and financial burdens being of growing concern. Servant leadership has a unique focus on emotional healing, service to others as the first priority, in addition to the growth, well-being and personal and professional development of key stakeholders. Mahon provides a 'how to' approach to the systematic implementation of the Trauma Ecology Model for those working in both trauma specific, and non-specific organisations. He goes beyond the idea of trauma-informed care principles only, and seeks to incorporate trauma responsiveness at all levels, including leadership, supervision, treatment, through an implementation framework. Unique to this approach is the focus on servant leadership, the first of its kind. Servant leadership is used as the foundation to operationalize several of the six principles of trauma-informed care, making organizations a safer and healthier environment for employees and service users.
Over the last twenty years integrated care has been touted as a solution to many issues in health services, such as insufficient coordination between services, cumbersome organizational boundaries, interrupted patient journeys, as well as spiraling health care costs. However, despite volumes of research, the field has seen few innovative advances in recent years. In particular, prevailing integrated care implementation practice and research appear to be very health science centred, spurning approaches from other disciplines. Axel Kaehne argues that it is time to re-evaluate how we investigate care integration. He asks us to radically question our assumptions about integrated care as a managerial, organisational and behavioural endeavor. This is a profound departure from conventional thinking about integration in health and social care. Kaehne reveals the tacit assumptions we make when we manage and change health services and offers a fresh perspective on care integration whilst inviting readers to examine long established research orthodoxies. This eclectic conceptual and theoretical approach produces surprising insights for everyone who is ready to see things anew.
This book is one of the first to comprehensively summarise the latest thinking and research in the rapidly evolving field of quality management in intensive care. Quality indicators and outcome measures are discussed with a practical focus on patient-centred, evidence-based implementation for safer and more effective clinical practice. Chapters on topics such as teambuilding, patient satisfaction, mortality and morbidity, and electronic management systems are organised into three sections, covering quality management at the scale of the individual patient, the intensive care unit, and the national and international level. Written by a team of over forty international experts in the specialty, with editors who have been heavily involved for many years with the European Society of Intensive Care Medicine, the book reflects commonly accepted goals and guidelines for best practice, and will be valuable for practitioners worldwide. The ideal one-stop resource for intensive care physicians as well as ICU and hospital managers.
Most Americans-even those with significant disability-want to live in their homes and communities. Unpaid family members or friends often work as "informal" caregivers, helping those who need assistance- and many feel they have no option but to serve. In contrast, paid personal assistance services workers (PAS) provide a lifeline to those consumers with complex needs and limited social networks. However, there is a crisis looming in the increasing needs for paid PAS and the limited available PAS workforce. Making Their Days Happen explores disability, health, and civil rights, along with relevant federal and state labor policies related to personal assistance services. Lisa Iezzoni addresses the legal context of paid PAS as well as financing mechanisms for obtaining home-based personal assistance. She also draws upon interviews she conducted with paid PAS consumers and PAS workers to explore PAS experiences and their perspectives about their work. Offering recommendations for improving future experiences of PAS consumers and providers, Iezzoni emphasizes that people with disabilities want to be a part of society, and PAS workers who do this low-wage work find satisfaction in helping them achieve their goals.
This practical, concise book will help every medical manager survive and thrive in the increasingly challenging world of healthcare. It offers a hands-on introduction to the knowledge, skills, attitudes and behaviour required to succeed in a modern healthcare setting. Focussing on common issues and challenges, the authors examine organisational structures and strategies for productive relationship-building, goal-setting and quality maintenance. This edition updates every chapter, while three new chapters focus on encouraging innovation, how to lead and manage in difficult circumstances, and the major developments in the professionalization of medical management and leadership.
This practical, hands-on book introduces human resources to those who are preparing to work in any area of health care or health service. Written for practitioners and students in all disciplines related to health, it covers important topics such as recruitment, training, termination, legal issues, labor unions, and more. Each chapter is introduced by a case study related to the material that follows. The case study is resolved at the conclusion of each chapter along with expert commentary and practical suggestions that can be used in the real world. Chapters also feature learning objectives, discussion points, and questions to ponder. Many examples and a number of sample forms and documents are included. The Second Edition has been completely re-organized to reflect a better chapter flow and organization. It also offers: * All data updated throughout * New section on health care legislation * New section in each chapter, "Customer Service Box", that emphasizes the importance of customer service in the context of the material presented in the chapter. * Completely revised instructor ancillary material.
This practical guide provides a focus on the implementation of healthcare simulation operations, as well as the type of professional staff required for developing effective programs in this field. Though there is no single avenue in which a person pursues the career of a healthcare simulation technology specialist (HSTS), this book outlines the extensive knowledge and variety of skills one must cultivate to be effective in this role. This book begins with an introduction to healthcare simulation, including personnel, curriculum, and physical space. Subsequent chapters address eight knowledge/skill domains core to the essential aspects of an HSTS. To conclude, best practices and innovations are provided, and the benefits of developing a collaborative relationship with industry stakeholders are discussed. Expertly written text throughout the book is supplemented with dozens of high-quality color illustrations, photographs, and tables. Written and edited by leaders in the field, Comprehensive Healthcare Simulation: Operations, Technology, and Innovative Practice is optimized for a variety of learners, including healthcare educators, simulation directors, as well as those looking to pursue a career in simulation operations as healthcare simulation technology specialists. |
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