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.

Care integration has become an important part of managing health and social care services all over the world. Bringing organisations together is thought to produce better access to care, reduce health care expenditure and improve quality of care for patients and service users. This book helps managers to think about how to collaborate in integrated care programmes. It provides practical advice on how to implement various aspects of care integration, such as finance, digital technology and evaluation. The book also contains chapters on the social and behavioural strategies, values and leadership approaches that should underpin integration. Each chapter contains key information based on the current state of research, illustrations from practical contexts and further reading.

This book presents the research that resulted from a fruitful collaboration between many CNRS research laboratories, health establishments and industrialists. This research contributes to the study and the development of logistical systems, in particular health-oriented logistical systems, in order to manage and optimize physical, informational and financial flows. The authors examine optimization and modeling methods to facilitate decision support for the management of logistics systems in the health field, including solutions to problems encountered in the management of logistics flows and the study of systems incorporating these flows. In the first chapter, logistics engineering is presented whilst the second chapter introduces the study of real cases of transport, management crisis and warehouse management logistics systems. The third chapter is devoted to the study of hospital systems and emergency services and in the fourth chapter, the authors highlight the operational aspect of the hospital system thanks to an innovative modeling approach. Finally, mathematical and algorithmic models of scheduling, and dynamic orchestration of the collaborative workflow by a multi-agent system, are introduced.

Artificial Intelligence for Improved Patient Outcomes provides new, relevant, and practical information on what AI can do in healthcare and how to assess whether AI is improving health outcomes. With clear insights and a balanced approach, this innovative book offers a one-stop guide on how to design and lead pragmatic real-world AI studies that yield rigorous scientific evidence-all in a manner that is safe and ethical. Daniel Byrne, Director of Artificial Intelligence Research at AVAIL (the Advanced Vanderbilt Artificial Intelligence Laboratory) and author of landmark pragmatic studies published in leading medical journals, shares four decades of experience as a biostatistician and AI researcher. Building on his first book, Publishing Your Medical Research, the author gives the reader the competitive advantage in creating reproducible AI research that will be accepted in prestigious high-impact medical journals. Provides easy-to-understand explanations of the key concepts in using and evaluating AI in medicine. Offers practical, actionable guidance on the mechanics and implementation of AI applications in medicine. Shares career guidance on a successful future in AI in medicine. Teaches the skills to evaluate AI tools and avoid being misled by the hype. For a wide audience of healthcare professionals impacted by Artificial Intelligence in medicine, including physician-scientists, AI developers, entrepreneurs, and healthcare leaders who need to evaluate AI applications designed to improve safety, quality, and value for their institutions. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

The 20th volume of Advances in Health Care Management showcases how health care management research helps to further understand grand challenges in health care: what they are, why they exist, the consequences that they have, and what can be done to address them. Grand challenges are large, unresolved problems. "Grand health care challenges" include current events such as the COVID-19 pandemic, and ongoing challenges related to the quadruple aim of health care: improving the health of populations, reducing the cost of healthcare, improving patient care experiences, and improving the experience of working in health care. The book demonstrates that these challenges are amenable to organizational and managerial solutions, and therefore health care management research has many important lessons to contribute. For this volume, The Contributions of Health Care Management to Grand Health Care Challenges, we define health care management as the planning, direction, and coordination of health services and the management of health care professionals. Included chapters consider five grand challenges facing the health care sector: (1) caring for vulnerable populations; (2) maintaining the health care workforce; (3) translating innovation into practice; (4) sustaining organizations; and (5) navigating pandemics. Each challenge is discussed in its own section and addressed by two chapters that offer different perspectives and approaches to the challenge. Across chapters a variety of methodologies are used including ethnographic case studies, survey data analysis, interviews, literature review, and informed commentary. Together, the chapters in this volume synthesize current information in the field, direct future research efforts, and generate actionable insights for managers and policymakers.

From precision medicine to pandemics, from value-based healthcare to stakeholder engagement, European health systems are facing unprecedented change. How can health managers cope with these challenges and what skills and competencies will they need to deliver transformational change in the 'new normality'? This original volume presents a blueprint for Health Management 2.0 and helps set a path for long-term health system sustainability. Along with a comparative European framework to illustrate current developments in health management, the authors also highlight five key change drivers: integration; personalization; empowerment; digitalization; and life sciences, and examine how each is enabling the development of health systems that are fundamentally different from those of today. With fresh insights for managers, educators, researchers and policy makers, Health Management 2.0 promotes a modern interdisciplinary and dynamic approach to health leadership and management - one that focuses on skills and competencies - and outlines international best practice for future teaching and training.

Since adapting the principles of the Toyota Production System to health care in 2002, Virginia Mason Health System has made enormous leaps forward in quality, safety, patient experience of care, and affordability. It has achieved world-class levels of patient satisfaction and has been honored as one of the safest hospitals in the country. A Leadership Journey in Health Care: Virginia Mason's Story supplies an inside look at process improvement from the world leader in applying Lean methods to health care. It presents key lessons learned as well as the best practices developed at Virginia Mason during its 12-year process improvement journey. Just as important, Virginia Mason's culture of leadership at all levels sets it apart from others in the health care universe. Describing why it's critical for leadership to be actively involved in any process improvement initiative, the book illustrates exactly what leadership looks like at all levels within Virginia Mason. In the book, bestselling author Charles Kenney introduces breakthrough new work at Virginia Mason that most health care audiences have yet to read about. He details the reasons why governance has played such a big role in Virginia Mason's success and discusses a game-changing initiative concerning respect for people. After reading this book, you will better understand the active leadership style that has propelled Virginia Mason's success. By following the best practices and lessons learned, you will be prepared to teach, coach, and encourage your team to achieve streamlined and standardized work, sustained improvements, and increased patient satisfaction. Foreword by Carolyn Corvi, Virginia Mason Health System/Virginia Mason Medical Center Boards of Directors; Retired Vice President and General Manager, Boeing Commercial Airplanes

CPT (R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services. Healthcare professionals want accurate reimbursement. Payers want efficient claims processing. Correct reporting and billing of medical procedures and services begins with CPT (R) 2022 Professional Edition. Only the AMA, with the help of physicians and other experts in the healthcare community, creates and maintains the CPT code set. No other codebook has the accurate, complete official guidelines for the latest and current procedural terminology for procedures and services to help you code medical services and procedures properly. The AMA also takes the copyright protection of its content very seriously and is committed to providing the most effective anti-piracy efforts for its authors and readers. To help combat print piracy, protect our intellectual properties, and ensure our customers' right to authentic AMA-certified content, the CPT (R) 2022 Professional is equipped with nonintrusive light-yellow dots on almost every page of the codebook. As a result of the implementation of this anti-piracy technology, this codebook cannot be reproduced by photocopy or scan in accordance with current copyright rules and laws. FEATURES AND BENEFITS The CPT (R) 2022 Professional Edition codebook covers hundreds of code, guideline and text changes and features: CPT (R) Changes, CPT (R) Assistant, and Clinical Examples in Radiology citations - provides cross-referenced information in popular AMA resources that can enhance your understanding of the CPT code set A comprehensive index - aid in locating codes related to a specific procedure, service, anatomic site, condition, synonym, eponym or abbreviation to allow for a clearer, quicker search Anatomical and procedural illustrations - help improve coding accuracy and understanding of the anatomy and procedures discussed Coding tips throughout each section - improve understanding of the nuances of the code set Enhanced codebook table of contents -enable a quick search of the codebook's content for quick access Section-specific table of contents - provide a useful tool to navigate effectively and quickly through each section's codes Summary of additions, deletions and revisions - provide a summary and quick reference of the 2022 changes in the codes without having to compare editions Multiple appendices - offer additional information for modifiers, clinical examples, add-on codes, vascular families re-sequenced codes, and MAAAs and PLA services New Appendix Q - provide coronavirus disease 2019 (COVID-19) vaccines and their associated administration codes New Appendix R - provide digital medicine services taxonomy Comprehensive E/M code selection tables - aid physicians and coders in assigning the most appropriate evaluation and management codes Notes pages at the end of every code set section and subsection

Why are hospitals so difficult to manage? It is agreed that cost-effectiveness is important, but knowledge-effectiveness is as equally essential as knowledge, skills and attitudes are the most critical competence factors in hospitals. Managing, controlling, and communicating knowledge within social systems, from the management perspective, as well as integrating information processes, vision, goals and altering the course which the system is leading can help ease the task of hospital management. The innovative contribution of The Soft Side of Knowledge Management in Health Institutions lies in its exploration of how a knowledge perspective and knowledge-effectiveness can contribute to improving hospital leadership and organisation from a continuous-change perspective. Focused on knowledge management, information, communication, organizational learning, tacit knowledge, and negotiations within hospitals, the lessons and insights in this volume will appeal to both researchers and hospital managers alike.

This textbook has been created to support the journey from emerging registered healthcare professional through to becoming a competent frontline care setting manager. It considers the seminal theories and research into leadership and management and places them firmly into the healthcare context providing the reader with thorough and robust guidance in the application of the knowledge base in the subject area. Key features: Integration of theory and practice using Action Points and case studies throughout Includes perspectives from a wide range of healthcare settings and professional groups Each chapter includes 'Guidance on good practice' showing what high-quality care and effective change looks like Written by a vastly experienced author, practitioner and educator, this latest book from Neil Gopee is essential reading for nursing, health and social care students taking modules on leadership, management and transition to practice in their final year. It is also ideal for newly qualified professionals or those moving into band 5 or 6 roles with managerial responsibilities.

In a world where there is increasing demand for the performance of health providers to be measured, there is a need for a more strategic vision of the role that performance measurement can play in securing health system improvement. This volume meets this need by presenting the opportunities and challenges associated with performance measurement in a framework that is clear and easy to understand. It examines the various levels at which health system performance is undertaken, the technical instruments and tools available, and the implications using these may have for those charged with the governance of the health system. Technical material is presented in an accessible way and is illustrated with examples from all over the world. Performance Measurement for Health System Improvement is an authoritative and practical guide for policy makers, regulators, patient groups and researchers.

The healthcare industry is on the cutting edge of voice-user interface (VUI) design and making great progress to improve patient care through developing technologies, literally transforming the voice of the industry. The advantages of VUI extend far beyond simple conveniences for patients or a healthcare employee's saved phone call. VUI has a profound impact on care improvement. Just like a person, a well-designed VUI can use tone of voice, inflection and other elements in conversation to shape behaviors or calm nerves. With VUI, physicians and patients become empowered to make informed decisions about healthcare. The use of voice technology across smart speakers, IoT, clinical and home devices, and wearables for improving the patient experience and clinical outcomes was recently identified as one of most significant emerging technologies in healthcare. Smart speakers are the #1 selling consumer item in the world and major competition is heating up between Amazon Alexa, Apple Siri, Microsoft Cortana, Google Voice Assistant, and a host of other specialty platforms specific to healthcare. From Orbita and Macadamia to voice-enabled robotics from Pillo, Intuitive, Vivify, and RealView Imaging, voice technology is pervasive across the gamut of levels of devices. Voice technology is not just pervasive in smart speakers and smart phones - it is finding its way into wearables, vehicles, homes, and even consumer and clinical medical devices. We even have smart jewelry emerging with health, wellness, and safety features built in. Best of all, this trend spans intergenerational health and wellness that goes beyond clinical care into long term health and wellbeing and the potential for increased patient engagement. In this book, the editors review information from the top thought-leaders in this space and examine real-world case studies of the outcomes and potential of voice technology in healthcare. Topics include a market survey, clinical use cases, home health use cases, health and wellness topics - fitness, nutrition, and wellbeing; next generation fitness facilities; voice and wearables in smart, connected communities; voice technology in social companions/robots; voice technology in the future surgical suites; a roadmap for the future from top technology; standards in voice technology; and the future of voice technology and artificial intelligence.

Of previous editions: '... breaks new ground in its readability ... It is concise, wise, and firmly pragmatic'. British Medical Journal 'Since it was first published in 1994, Peter Tate's The Doctor's Communication Handbook has been essential reading to improve GP registrars' communication skills'. Practical Diabetes International This bestselling title has established itself as the ultimate guide to patient communication for all doctors, whatever their experience and wherever they practice. Highly respected by many and acclaimed for its light, conversational tone, this completely updated and expanded eighth edition remains a key text for doctors at all levels and in all settings, particularly candidates sitting for the Membership of the Royal College of General Practitioners. Key features: Unique and accessible approach to this vital and frequently poorly practiced aspect of medicine Addresses the change in practice where traditional doctor consultations are increasingly being done by other health professionals, including nurse practitioners and paramedics Reflects the dissolution of the primary/secondary care boundary, and the increasing importance of shared responsibility for patient communication in clinical and social care Covers the new types of consultation including telephone triage and virtual consultation and the associated risks and benefits Retains all the features praised in previous editions brevity, readability and humour As patients become participants, doctors are increasingly adjusting to new roles and forms of communication from orators and governors to confidants and interpreters. The Doctor's Communication Handbook continues to provide an invaluable 'one stop shop' to help students, practicing doctors, nurses and other healthcare practitioners value and improve their skills in this area.

Community development, planning and partnerships have become important terms in health promotion but, up until now, debate around these concepts have been discussed more in planning science than in public health literature. Roar Amdam draws on theories and new empirical evidence from local, regional and international planning and public health in order to develop a new model for health promotion: empowerment planning. Much health promotion planning has focused on top-down approaches, and while efforts to be participative are made, it is often without having a clear understanding of how community empowerment can be accommodated within health promotion programs. Amdam's innovative concept combines top-down and bottom-up approaches to enable people to take more responsibility for their own health and for individual and collective capacity building. Planning in Health Promotion Work is suitable for all students and researchers of health promotion and health planning and development, whilst the numerous applied examples make it an invaluable resource for policymakers and practitioners working in public health.

Proven to increase efficiencies in the manufacturing sector, Standard Work has become a key element in reducing process waste, ensuring patient safety, and improving healthcare services. Part of the Lean Tools for Healthcare Series, this reader-friendly book builds on the success of the bestselling, Standard Work for the Shopfloor.

Standard Work for Lean Healthcare explains how to apply this powerful Lean tool to increase patient safety and reduce the cost of providing healthcare services. It illustrates how standardization can help you establish best practices for performing daily work and why it should be the cornerstone for all of your continuous improvement efforts. Presented in an easy-to-assimilate format, the book describes work in terms of cycle time, work in process, takt time, and layout. It also:

• Defines the key concepts of standard work and explores the essential elements of a continuous improvement culture
• Provides detailed guidance through the process of creating, maintaining, and improving standards
• Illustrates the application of standardization and standard work in healthcare with a range of examples
• Includes access to helpful websites and further reading on standardization, standard work, the 5S System, and Lean healthcare

A joint effort between the Rona Consulting Group and Productivity Press, this book presents invaluable insights from pioneers in Lean thinking to help you avoid common mistakes that can lead to unnecessary wastes of time and resources. Each richly illustrated chapter includes a chapter summary, reflection questions, and margin assists that highlight key terms, how-to steps, and healthcare examples making this an essential resource for healthcare professionals starting out on their Lean journey. "

Beyond Return on Investment: Expanding the Value of Healthcare Information Technology, 2nd Edition this updated and revised edition provides lessons learned from healthcare IT adoption and the opportunity to drive value realization. From providing a basic primer on 'how-to' complete a Return on Investment analysis for a single project to developing a comprehensive program of value management to support the transition to high value healthcare, this book addresses emerging trends, practical approaches and measurement methods to help drive value. Beyond Return on Investment, 2nd Edition views IT as a strategic asset in the transformation of healthcare. Based on previous editions, this book updates and identifies the components of an integrated value management strategy including value driven decision-making culture, an integrated approach to strategy development, a value based governance model, a process that defines business case development through ROI analysis, value measurement and value scorecard development. New chapters in this addition include a Framework for Value Management, validating vendor defined value and ROI, and new methods for realizing value.

Community development, planning and partnerships have become important terms in health promotion but, up until now, debate around these concepts have been discussed more in planning science than in public health literature. Roar Amdam draws on theories and new empirical evidence from local, regional and international planning and public health in order to develop a new model for health promotion: empowerment planning. Much health promotion planning has focused on top-down approaches, and while efforts to be participative are made, it is often without having a clear understanding of how community empowerment can be accommodated within health promotion programs. Amdam's innovative concept combines top-down and bottom-up approaches to enable people to take more responsibility for their own health and for individual and collective capacity building. Planning in Health Promotion Work is suitable for all students and researchers of health promotion and health planning and development, whilst the numerous applied examples make it an invaluable resource for policymakers and practitioners working in public health.

Learn how to handle the legal and ethical challenges you will encounter in healthcare practice! Comprehensive yet easy to understand, Legal and Ethical Issues for Health Professionals, 5th Edition provides a guide to legal concepts and ethical principles and how they are applied in common healthcare scenarios. Content includes key topics such as the legal system, bioethical issues, employment laws, torts, and medical malpractice and liability, as well as current issues such as medical marijuana, the opioid crisis, gender identity, and public health and immunization policies. Questions in each chapter ask you to think critically as you relate concepts to real-world situations. Updated to meet the needs of today's workplace, this text prepares you to fulfill the moral and professional responsibilities of the healthcare provider. Case studies reflect the issues faced in a variety of healthcare settings. Specialty practice cases provide practical application of legal and ethical issues in specialties such as medical assisting, MIBC, and pharm tech. What If? boxes present ethical dilemmas and help you apply concepts to real-life scenarios. Internet Activities at the end of every chapter suggest related topics for further research and study. Chapter objectives and key terms are listed at the beginning of each chapter, providing learning goals and definitions of important terminology. Relate to Practice boxes help you respond to situations that may occur in healthcare practice. Self-Reflection Questions challenge you to analyze and evaluate various legal and ethical issues. NEW! Mandatory Reporting and Public Duties in Healthcare chapter covers public health law, including the role of state and federal health agencies in managing infectious diseases, emergencies, chronic diseases, and injury prevention. NEW! Conflict Management chapter addresses aspects of this important workplace topic.

This book offers a new perspective on improving healthcare that draws inspiration from sources as diverse as American healthcare history, Lean Six Sigma, patient experience, employee engagement, clinical microsystems, physician burnout, and industrial design thinking. This work focuses on the three value streams that form the foundation of all healthcare service processes: healthcare-worker value stream, patient value stream, and organizational process. The interaction of patients and healthcare workers in the context of these three value streams creates the meaningful experience that is essential to healing and to the success of healthcare organizations. Meaningful healthcare experience design guides the work of designing these value streams and improving them to promote experiences that are meaningful and healing for both patients and healthcare workers.

Financial Management for Nurse Managers is a text designed for financial management courses in graduate level nursing programs and for practicing nurses or nurse entrepreneurs who are seeking a better understanding of financial management. It covers financial topics all nurse managers need to know and use in their roles as managers. Nursing-focused content thoroughly describes health care finance and accounting from the nurse manager's point of view. Numerous worksheets and tables including healthcare spreadsheets, budgets, and calculations illustrate numerous financial and accounting methods. Chapter opener features include learning objectives and an overview of chapter content to help you organize and summarize your notes. Key concepts definitions found at the end of each chapter help summarize your understanding of chapter content. Suggested Readings found at the end of each chapter give additional reading and research opportunities. NEW! Major revision of chapter 2 (The Health Care Environment), with additions on healthcare reform, initiatives to stop paying for hospital or provider errors, hospice payment, and funding for nursing education; plus updates of health care expenditure and pay for performance; provide a strong start to this new edition. NEW! Major revision of chapter 5 (Quality, Costs, and Financing), with updates to quality-financing, Magnet organizations, and access to care, provides the most up-to-date information possible. NEW! Reorganization and expansion of content in chapter 15 (Performance Budgeting) with updated examples better illustrates how performance budgeting could be used in a pay-for-performance environment. NEW! Major revision of the variance analysis discussion in chapter 16 (Controlling Operating Results) offers a different approach for computation of variances that is easier to understand. NEW! Addition of comparative effectiveness research to chapter 18 (Benchmarking, Productivity, and Cost Benefit and Cost Effectiveness Analysis) covers a recently developed approach informs health-care decisions by providing evidence on the effectiveness of different treatment options. NEW! Addition of nursing intensity weights, another approach for costing nursing services, to chapter 9 (Determining Health Care Costs and Prices), lets you make decisions about what method works best for you.

Across the country ambulances are turned away from emergency departments (EDs) and patients are waiting hours and sometimes days to be admitted to a hospital room. Hospitals are finding it hard to get specialist physicians to come to treat emergency patients. Our EDs demand a new way of thinking. They are not at a tipping point; they are at a breaking point. Under current loads and trends they are going to begin to break and these breakdowns will be painful and ultimately dangerous to society. Recognizing that the ideal in health care is presently beyond our immediate grasp, this book instead focuses on providing health care leaders with the tools they can employ to optimize the performance of EDs and thereby improve service to patients, employees, and communities. Written by 20 of the most progressive and successful health care reformers in the country, the approaches described can be utilized to quantify improvements, enhance predictability of workflow, and improve staff scheduling. The data derived using these techniques can serve as powerful evidence in support of change. While a common discussion among ED professionals is the perception that many patients are not really emergency patients and could be treated in another setting at another time, that argument is not germane until we as a nation elect to reform the way we chose to deliver healthcare to the underserviced. In the meantime this book provides invalauable information to help individual hospitals to retool their ED's. It offers new approaches that think outside of the box for all stakeholders. It also provides the statistical evidence that administrators need to make their cases for changes and added resources. It will help you forecast the demand for services and give your center an approach that will allow the ED to become a source of income rather than one that continues to hemorrhage needed limited health care funding.

In no industry is the concept of quality more essential than it is in healthcare, which is why the lean quality principles learned through the example of the Toyota Production System are so applicable. Two fundamental principles of Toyota's push for excellence are especially relevant to healthcare: ensuring quality at every step and keeping improvement processes simple enough that they are viable, reproducible, and teachable. Developed with the input of more than 60 healthcare organizations, Value Stream Mapping for Healthcare Made Easy introduces healthcare managers to the essential method developed by Toyota known as the Value Stream Map (VSM). The first half of the book provides an introduction to VSMs that shows healthcare workers at all levels how to look at any process with eyes that probe all the value-added and non-value-added activities in the delivery of a requested service or product. This will allow all stakeholders the opportunity to evaluate, create, and communicate innovation in their workplace. The second half reviews real value stream maps at real healthcare facilities created by teams of administrators, managers, physicians, and staff members. Most participants were not experienced with lean thinking and for many this was their first engagement with lean methods. What becomes clear through these examples is the importance of initiating realistic improvements that can quickly demonstrate successful change and encourage even more problem solving. This ability to be involved with creating a better way to work has been exceptionally well received by workers both at Toyota and now throughout the healthcare industry. Lean thinking involves employees in improving work that is meaningful to them, at a level where they can see and appreciate the changes they have participated in creating. This satisfaction is essential to retaining good workers, as well as to the everyday improvement of safety, patient satisfaction, and affordability. VSM is a proven high-level view tool that can be used in every aspect of healthcare to identify, understand, and improve processes. Information included illustrates the simplicity and completeness of the tool and describes its applications to staff communication, regulatory documentation, and activities of daily work. The book also highlights simple-to-use data collection and interpretation as part of the VSM process.

The current healthcare system is under attack by market, government, and consumer forces. To stay solvent, organizations must be performing at the top of their game. This book provides detailed instructions to bring organizations to the next level of performance by teaching all the secrets straight from the healthcare consultant's playbook in less than 100 days. This book defines the coming challenges in the healthcare environment and provides a 10-step solution to develop the infrastructure for peak performance. These solutions include detailed implementation plans, software, reports, metrics, and the top projects that yield the highest financial rewards. This is the first book of its kind to not just discuss the top strategies, but also provide step-by-step instructions to achieve results. The book defines the strategy, the tactics, the infrastructure, the targets, the solutions, the barriers, and the leadership required to achieve a high performing organization. With these simple instructions, any organization with the will to achieve a brighter future can be poised for success in the next decade in less than 100 days.