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Books > Medicine > General issues > Health systems & services > Hospital administration & management
Managing in Health and Social Care is about developing skills to manage and improve health and social care services. The focus throughout is on the role that a manager can play in ensuring effective delivery of high-quality services. Examples from social care and health settings are used to illustrate techniques for managing people, resources, information, projects and change. This new edition has been extensively revised and updated, and includes many new case studies and examples, as well as a new chapter on motivation. It covers topics such as:
The authors explore how managers can make a real and positive difference to the work of organisations providing health and social care. They consider what effectiveness means in managing care services, the values that underpin the services, the roles of leaders and managers in developing high-quality service provision, and the necessary skills and systems to enable service users to contribute to planning and evaluation. Managing in Health and Social Care is a practical textbook for students of management in health and social care, whether at undergraduate or postgraduate level. It includes case studies with textual commentary to reinforce learning, activities, key references and clear explanations of essential management tools and concepts. The first edition of this book was published in association with The Open University for the Managing Education Scheme by Open Learning (MESOL)
This book describes how the creation of new digital services-through vertical and horizontal integration of data coming from sensors on top of existing legacy systems-that has already had a major impact on industry is now extending to healthcare. The book describes the fourth industrial revolution (i.e. Health 4.0), which is based on virtualization and service aggregation. It shows how sensors, embedded systems, and cyber-physical systems are fundamentally changing the way industrial processes work, their business models, and how we consume, while also affecting the health and care domains. Chapters describe the technology behind the shift of point of care to point of need and away from hospitals and institutions; how care will be delivered virtually outside hospitals; that services will be tailored to individuals rather than being designed as statistical averages; that data analytics will be used to help patients to manage their chronic conditions with help of smart devices; and that pharmaceuticals will be interactive to help prevent adverse reactions. The topics presented will have an impact on a variety of healthcare stakeholders in a continuously global and hyper-connected world. * Presents explanations of emerging topics as they relate to e-health, such as Industry 4.0, Precision Medicine, Mobile Health, 5G, Big Data, and Cyber-physical systems; * Provides overviews of technologies in addition to possible application scenarios and market conditions; * Features comprehensive demographic and statistic coverage of Health 4.0 presented in a graphical manner.
Modern medicine generates, almost daily, huge amounts of heterogeneous data. For example, medical data may contain SPECT images, signals lik e ECG, clinical information like temperature, cholesterol levels, etc., as well as the physician's interpretation. Those who deal with such data understand that there is a widening gap between data collection a nd data comprehension. Computerized techniques are needed to help huma ns address this problem. This volume is devoted to the relatively youn g and growing field of medical data mining and knowledge discovery. As more and more medical procedures employ imaging as a preferred diagno stic tool, there is a need to develop methods for efficient mining in databases of images. Other significant features are security and confi dentiality concerns. Moreover, the physician's interpretation of image s, signals, or other technical data, is written in unstructured Englis h which is very difficult to mine. This book addresses all these speci fic features.
It is ironic that those whose job it is to save lives often find themselves injured in the course of performing their duties. In fact, according to the Bureau of Labor Statistics, healthcare workers have higher injury rates than agriculture workers, miners, and construction workers. The Handbook of Modern Hospital Safety, Second Edition covers exposure paradigms and offers solutions and models of protection for these individuals, presenting the latest science and intervention strategies that have proven successful in the scientific community. Extensively revised, this second edition explores a host of hazardous conditions that are faced by healthcare workers in today's hospitals, including: * infection and infectious diseases * back injuries * needlesticks * workplace violence * slip, trip, and fall injuries * ergonomic issues * electrocautery smoke * toxic drugs * ethylene oxide * aldehydes * pentamidine * ribavirin In this long-awaited update to William Charney's seminal work, experts from leading hospitals, universities, and health organizations explore these health risks and suggested preventive measures, discuss recent research and new information on technology to protect workers, cover new legislation and regulations, and provide insight into the philosophy of creating a safe hospital culture.
Most economic evaluations of health care programmes at the moment are cost effectiveness and cost-utility analyses. The problem with these methods is that their theoretical foundations are unclear. This has led to confusion about how to define the costs and health effects and how to interpret the results of these studies. In the environmental and traffic safety fields it is instead common to carry out traditional cost-bene: fit analyses of health improving programmes. This striking difference in how health programmes are assessed in different fields was the original motivation for writing this book. The aim of the book is to tty and provide a coherent framework within cost-bene: fit analysis and welfare economics for the different methods of economic evaluation in the health care field. The book is written in an easily accessible manner and several examples of applications of the different methods are provided. It is my hope that it will be useful both for teaching purposes and as a guide for practitioners in the field. Glenn C. Blomquist, John D. Graham, Rich O'Conor and four anonymous referees provided helpful comments on previous versions of the manuscript. I would also like to express my gratitude to the following persons for helping me to prepare the manuscript: Carl-Magnus Berglund, Carin Blanksvard, Ann Brown, and Ziad Obeid."
This book demonstrates how to successfully manage and lead healthcare institutions by employing the logic of business model innovation to gain competitive advantages. Since clerk-like routines in professional organizations tend to overlook patient and service-centered healthcare solutions, it challenges the view that competition and collaboration in the healthcare sector should not only incorporate single-end services, therapies or diagnosis related groups. Moreover, the authors focus on holistic business models, which place greater emphasis on customer needs and put customers and patients first. The holistic business models approach addresses topics such as business operations, competitiveness, strategic business objectives, opportunities and threats, critical success factors and key performance indicators.The contributions cover various aspects of service business innovation such as reconfiguring the hospital business model in healthcare delivery, essential characteristics of service business model innovation in healthcare, guided business modeling and analysis for business professionals, patient-driven service delivery models in healthcare, and continuous and co-creative business model creation. All of the contributions introduce business models and strategies, process innovations, and toolkits that can be applied at the managerial level, ensuring the book will be of interest to healthcare professionals, hospital managers and consultants, as well as scholars, whose focus is on improving value-generating and competitive business architectures in the healthcare sector.
Financial identity theft is well understood with clear underlying motives. Medical identity theft is new and presents a growing problem. The solutions to both problems however, are less clear. The Economics of Financial and Medical Identity Theft discusses how the digital networked environment is critically different from the world of paper, eyeballs and pens. Many of the effective identity protections are embedded behind the eyeballs, where the presumably passive observer is actually a fairly keen student of human behavior. The emergence of medical identity theft and the implications of medical data privacy are described in the second section of this book. The Economics of Financial and Medical Identity Theft also presents an overview of the current technology for identity management. The book closes with a series of vignettes in the last chapter, looking at the risks we may see in the future and how these risks can be mitigated or avoided.
Cancer Informatics: Essential Technologies for Clinical Trials describes the National Cancer Institute¿s vision of a Cancer Informatics Infrastructure (CII). By exploiting the best that the Internet and information technology have to offer, the CII will facilitate clinical trials, for all who are involved, including the patient along with the myriad of health professionals involved in cancer trials. To bridge the chasm between discoveries and best clinical practices, the editors describe the CII and how it can function to expedite the clinical trial life cycle, facilitate faster and safer drug development, and make more appropriate treatment choices available to cancer patients. Presented in four comprehensive sections edited by leading experts, the book highlights: ¿ E-commerce ¿ Digital libraries ¿ Standards development ¿ Public health informatics ¿ Common data elements (CDEs) ¿ Clinical trials information systems ¿ Consumer education and support Cancer Informatics: Essential Technologies for Clinical Trials is an indispensable guide to clinical trials. Its contributors speak to oncologists and primary care physicians, as well as researchers, trial managers, administrators, informaticians, and consumers. Today, science is extending our knowledge of genes, proteins, and pathways, and pharmaceutical companies are developing more and more new therapies. In this rapidly changing world, the technologies that cancer informatics provides are essential to efforts to translate cancer research into cancer care, control, and, ultimately, prevention. John S. Silva, M.D., Center for Bioinformatics, National Cancer Institute Marion J. Ball, Ed.D., Vice President, Clinical Solutions, Healthlink, Inc.; Adjunct Professor, The Johns Hopkins University School of Nursing Christopher G. Chute, M.D., Dr.P.H., Professor of Medical Informatics, Head, Section of Medical Information Resources, Mayo Clinic Judith V. Douglas, M.A., M.H.S., formerly Associate, First Consulting Group Curtis P. Langlotz, M.D., Ph.D., Assistant Professor of Radiology, Epidemiology, and Computer and Information Science, University of Pennsylvannia Joyce. C. Niland, Ph.D., Chair, Division of Information Sciences, Director, Department of Biostatistics, City of Hope National Medical Center William L. Scherlis, Ph.D., Principal Research Scientist, School of Computer Science, Carnegie Mellon University
It has become clear that managing and maintaining state-of-the-art healthcare facilities is more important than ever before. Healthcare consists of many different institutions and supports personnel ranging from laboratories of universities, public and private hospitals, research centers of health institutions, public health institutes, institutions, and organizations engaged in research and development in the field of medicine. For all these entities to be successful, there needs to be coordination among the bodies and quality must be kept at a very high level. Perspectives on Quality and Competitiveness in the Healthcare Services Sector considers the current state of the healthcare services sector and examines future directions. Covering topics such as quality excellence models, accreditation, and e-health, this premier reference source is an essential resource for economists, healthcare specialists, government officials, consultants, business leaders and executives, healthcare professionals, IT managers, students and educators of higher education, researchers, and academicians.
This book shows healthcare professionals how to turn data points into meaningful knowledge upon which they can take effective action. Actionable intelligence can take many forms, from informing health policymakers on effective strategies for the population to providing direct and predictive insights on patients to healthcare providers so they can achieve positive outcomes. It can assist those performing clinical research where relevant statistical methods are applied to both identify the efficacy of treatments and improve clinical trial design. It also benefits healthcare data standards groups through which pertinent data governance policies are implemented to ensure quality data are obtained, measured, and evaluated for the benefit of all involved. Although the obvious constant thread among all of these important healthcare use cases of actionable intelligence is the data at hand, such data in and of itself merely represents one element of the full structure of healthcare data analytics. This book examines the structure for turning data into actionable knowledge and discusses: The importance of establishing research questions Data collection policies and data governance Principle-centered data analytics to transform data into information Understanding the "why" of classified causes and effects Narratives and visualizations to inform all interested parties Actionable Intelligence in Healthcare is an important examination of how proper healthcare-related questions should be formulated, how relevant data must be transformed to associated information, and how the processing of information relates to knowledge. It indicates to clinicians and researchers why this relative knowledge is meaningful and how best to apply such newfound understanding for the betterment of all.
Alignment: A Provider s Guide to Managing the Practice of Health Care uses the method of alignment with proven examples and strategies to help health care providers achieve and maintain optimum effectiveness through continuous enhancement. Focusing on defining information and using it to distinguish your company or practice from the competition, this book is designed to help you take a proactive and cooperative role in health care to benefit patients or your business. From Alignment: A Provider s Guide to Managing the Practice of Health Care, you ll receive proven solutions to current problems in order to deliver the best possible services to clients and patients.This book defines alignment as the shortest distance from initiation to successful completion of any desired activity. With this goal in mind, Alignment offers you dozens of recommendations, proven strategies, and examples that will improve your services, including: designing health care systems to meet patient needs and accreditations by stressing clear communication and keeping up with current medical technology developing a checklist that includes four-year goals, defining your capabilities, analyzing finances for cost-effectiveness, and deciding important features to attract new patients and satisfy customers improving service quality by evaluating satisfaction surveys and developing short-term and long-term health care packages that meet employees'individual needs ensuring customer satisfaction by asking patients about their expectations and their needs educating physicians on customer-oriented service and rewarding them for competence and caring reducing the time between the initial patient visit and when the final bill is paid to enhance revenue flow Alignment is complete with graphs, tables, recommendations, objectives and solutions, examples, and a glossary to give you a thorough understanding of current concepts and ideas. Within Alignment: A Provider s Guide to Managing the Practice of Health Care, you ll discover innovative and proven techniques that will improve physician/administrator and physician/patient relationships to make your business effective and successful for you and your clients.
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 issues Predicting 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.
This volume provides the important concepts necessary for a physician to participate in a reengineering process, develop decision-making skills based on probability and logic rather than "rules," and to measure and analyze meaningful outcomes of care delivery. This approach has been developed over ten years in a medical student-based program and has been enthusiastically embraced by medical students without backgrounds in engineering or statistics. More specifically, this text will introduce physicians to relevant and available computer software, combined with an in depth knowledge of measurement, variation, and uncertainty. It provides a basis for the transformation of data into information, information into knowledge, and knowledge into wisdom. The first quarter of the book will address understanding and visualizing data, using statistical and graphic analysis. The next quarter addresses the fundamentals of applied statistics, and the application of conditional probability to clinical decision making. The next quarter addresses the four "cornerstones" of modern analytics: regression, classification, association analysis, and clustering. The final section addresses the identification of outliers and their importance in understanding, the assessment of cause and effect and the limitations associated with retrospective data analysis. This toolbox will prepare the interested physician to actively engage in the identification of problem areas, the design of process-based solutions, and the continuous assessment of outcomes of clinical practice. Armed with this toolbox, the reader will be "prepared to make a difference" in the rapidly changing world of healthcare delivery. Measurement and Analysis in Transforming Healthcare Delivery is an excellent resource for general practitioners, health administrators, and all medical professionals interacting with healthcare delivery.
Many aspects of modern life have become personalized, yet healthcare practices have been lagging behind in this trend. It is now becoming more common to use big data analysis to improve current healthcare and medicinal systems, and offer better health services to all citizens. Applying Big Data Analytics in Bioinformatics and Medicine is a comprehensive reference source that overviews the current state of medical treatments and systems and offers emerging solutions for a more personalized approach to the healthcare field. Featuring coverage on relevant topics that include smart data, proteomics, medical data storage, and drug design, this publication is an ideal resource for medical professionals, healthcare practitioners, academicians, and researchers interested in the latest trends and techniques in personalized medicine.
The book presents the latest advances, innovations, and applications in the field of innovative medicine facilities, as presented by architects and engineers at the International Scientific and Practical Conference Engineering, Construction and Infrastructure Solutions for Innovative Medicine Facilities, held in St. Petersburg, Russia, on May 19-21, 2021. It covers a wide diversity of topics, including the global challenges of our time and the challenges of developing the infrastructure of innovative medicine; current issues of engineering and construction of medical facilities during the pandemic; current issues of engineering and construction of biomedical research infrastructure; formation and development of a comfortable environment for the protection of public health; biological and environmental safety in the engineering, construction and technical operation of biomedical facilities. The contributions, which were selected by means of a rigorous international peer-review process, highlight numerous exciting ideas that will spur novel research directions and foster multidisciplinary collaborations.
Patient safety and quality improvement in health care remain a global priority. Subpar performance in health care, however, is still common more than a decade after the christening of patient safety in Africa. The core principle of safety and quality improvement systems is to identify and assess the root cause of failures in order to learn from them and devise a means to improve and to avoid recurrence. This book is designed to encourage, facilitate and empower healthcare workers in the development and implementation of strategically driven patient safety and quality improvement initiatives for safer healthcare systems and healthcare facilities in low- and middle-income countries (LMICs) of Africa. It also highlights some of the profound challenges and barriers to designing and implementing patient safety and quality improvement interventions or programmes in the region and reiterates the need to remain focused and determined to work out solutions with confidence and overcome these barriers. In the book, chapters highlight six essential components crucial for achieving evolutionary progress in safety and quality improvement in a healthcare system: Standard operating procedure Audit Research Safety management Quality management Evaluation Practical steps in planning and conducting these six essential components are outlined with some specific features to aid learning and facilitate their implementation. The authors have experience and expertise in the medical practice gained in Africa and a decade of knowledge and experience from consultancy work in safety and quality improvement in health care within and outside the region. Essentials for Quality and Safety Improvement in Health Care: A Resource for Developing Countries is authored for both medical professionals and those from other professions who are interested in and enthusiastic about patient safety and healthcare quality and therefore willing to build a career in this field. It is relevant to all health institutions, health and non-health workers, and can be used as a checklist while rendering quality and safe health care.
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.
While the use of database technology is ubiquitous throughout IT (and health IT in particular), it is not generally appreciated that, as a database increases in scope, certain designs are far superior to others. In biomedical domains, new knowledge is being generated continually, and the databases that must support areas such as clinical care and research must also be able to evolve while requiring minimal or no logical / physical redesign. Appropriately designed metadata, and software designed to utilize it effectively, can provide significant insulation against change. Many of the larger EMR or clinical research database vendors have realized this, but their designs are proprietary and not described in the literature. Consequently, numerous misconceptions abound among individuals who have not had to work with large-scale biomedical systems, and graduates of a health or bioinformatics program may find that they need to unlearn what they were taught in database and software design classes in order to work productively with such systems. A working knowledge of such systems is also important for individuals who are not primarily software developers, such as health informaticians, medical information officers and data analysts. This book is, in a sense, intended to prepare all of the above individuals for the real world.
Leadership and Collaboration provides international examples of how leadership of interprofessional education and practice has developed in various countries and examines how interprofessional education and collaborative practice can make a difference to the care of the patient, client and community. |
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