Chart a Course to Excellence

Sponsored by The American College of Physician Executives

A much-needed, practical guide to giving and receiving feedback . . . a guide that is essential to the successful conduct of one of humanity's most important activities?productive conversation.
--Edgar H. Schein, Sloan Fellows professor of management emeritus, MIT Sloan School of Management

Managing relationships, building trust, and communicating effectively are all essential skills to improving performance and ensuring the quality of patient care. This timely book offers the tools and techniques necessary to face the challenges of being a leader and resolving conflicts to produce win-win outcomes.

Irwin M. Rubin and Thomas Campbell show how to eliminate the pitfalls of traditional feedback approaches and enhance the win-win quality of all communication. With vignettes, a case study, and pithy cartoons, the authors detail two dynamic tools to help chart a course to excellence in giving and receiving championship-level feedback. Their integrated four-phase feedback model and practical behavioral tools provide the ingredients essential to plan for and learn from our daily experiences.

In this book, a world-class editorial advisory board and an independent team of contributors draw on their experience in operations, leadership, and Lean managerial decision making to share helpful insights on the valuation of hospitals in today's changing reimbursement and regulatory environments. Using language that is easy to understand, Financial Management Strategies for Hospitals and Healthcare Organizations: Tools, Techniques, Checklists and Case Studies integrates prose, managerial applications, and regulatory policies with real-world case studies, models, checklists, reports, charts, tables, and diagrams. It has a natural flow, starting with costs and revenues, progressing to clinic and technology, and finishing with institutional and professional benchmarking. The book is organized into three sections: Costs and Revenues: Fundamental Principles Clinic and Technology: Contemporary Issues Institutional and Professional Benchmarking: Advanced Applications The text uses healthcare financial management case studies to illustrate Lean management and operation strategies that are essential for healthcare facility administrators, comptrollers, physician-executives, and consulting business advisors. Discussing the advancement of financial management and health economic principles in healthcare, the book includes coverage of the financial features of electronic medical records, financial and clinical features of hospital information systems, entity cost reduction models, the financial future of mental health programs, and hospital revenue enhancements.

Medical care is an industry and private providers and hospitals are the major service providers. They operate on business principles. Hospitals are getting highly specialized and complex. The diagnostics and therapeutics are technology intensive. Private establishments have to compete with one another to remain in business. They strive to induct the best talent and latest technical know-how, resulting in ever-increasing costs to patients. Patients, who pay high charges, demand quality as a matter of right. To meet the challenge, hospitals are constrained to bring in professionalism in their systems and services. They appoint qualified professional managers to manage their clinics and hospitals with a view to sparing health professionals to focus on clinical care. Whether right or wrong, 'management' is often associated with authority and power. As a result, the medical professionals are reduced to secondary level in some organizations. To retain commanding positions in medical organizations, it has become necessary for the healthcare professionals to learn 'management', at least its basics. On the other hand, non-medical managers while managing healthcare services do not get the required cooperation from the medical professionals, as the latter are often secretive and not willing to share medical knowledge. If medical knowledge is demystified, non-medical managers can perform many functions in healthcare organizations proficiently. Both medical and non-medical managers can complement each other in providing quality healthcare services. The book aims to orient clinicians (including physicians and nurses) and other healthcare professionals on the essentials of business management and to familiarize them with management terms and jargon. They can learn to be effective managers besides being health professionals. Similarly, non- medical managers can get familiarized to nuances of clinical care and special managerial requirements of healthcare facilities. They all will be able to relate processes in healthcare settings with the concepts of business management. They can develop expertise on patient relationship management

Authentic leadership is an approach to leadership that emphasizes building the leader's legitimacy through honest relationships with followers which value their input and are built on an ethical foundation. By building trust and generating enthusiastic support from their subordinates, authentic leaders are able to improve individual and team performance. Many scholars and practitioners of authentic leadership say that the number one quality of an authentic leader is self-awareness. Self-aware leaders are transformational. Armed with self-awareness they build engaging, cooperative teams. How to gain and sustain self-awareness is the focus of the book. This book addresses current leadership challenges in health care and gives leaders guidelines for finding, living and sharing their authentic voice at home and at work. It is a much needed handbook to give current leaders perspective and practical tips to being more authentic, communicating more effectively while building engaging rapport across the organization. Additionally, a focus of the book is patient satisfaction. With a focus on nurse and physician leadership, this book provides new perspectives and action plans to increase patient satisfaction through communication that speaks to the needs of the patient in authentic and engaging ways.

Hospital Capacity Management: Insights and Strategies details many of the key processes, procedures, and administrative realities that make up the healthcare system we all encounter when we visit the ED or the hospital. It walks through, in detail, how these systems work, how they came to be this way, why they are set up as they are, and then, in many cases, why and how they should be improved right now. Many examples pulled from the lifelong experiences of the authors, published studies, and well-documented case studies are provided, both to illustrate and support arguments for change. First and foremost, it is necessary to remember that the mission of our healthcare system is to take care of patients. This has been forgotten at times, causing many of the issues the authors discuss in the book including hospital capacity management. This facet of healthcare management is absolutely central to the success or failure of a hospital, both in terms of its delivery of care and its ability to survive as an institution. Poor hospital capacity management is a root cause of long wait times, overcrowding, higher error rates, poor communication, low satisfaction, and a host of other commonly experienced problems. It is important enough that when it is done well, it can completely transform an entire hospital system. Hospital capacity management can be described as optimizing a hospital's bed availability to provide enough capacity for efficient, error-free patient evaluation, treatment, and transfer to meet daily demand. A hospital that excels at capacity management is easy to spot: no lines of people waiting and no patients in hallways or sitting around in chairs. These hospitals don't divert incoming ambulances to other hospitals; they have excellent patient safety records and efficiently move patients through their organization. They exist but are sadly in the minority of American hospitals. The vast majority are instead forced to constantly react to their own poor performance. This often results in the building of bigger and bigger institutions, which, instead of managing capacity, simply create more space in which to mismanage it. These institutions are failing to resolve the true stumbling blocks to excellent patient care, many of which you may have experienced firsthand in your own visit to your hospital. It is the hope of the authors that this book will provide a better understanding of the healthcare delivery system.

The follow-up to Clinical Governance: Making It Happen considers the implications of clinical governance for a wide range of health care professionals including nurses, medical directors, and chief executives. The contributors examine the role of the new government organization, NICE, the responsibilities of those working for NHS organizations, and the benefits of patient involvement. Advancing Clinical Governance will enable health professionals to implement clinical governance effectively and with confidence.

Serious scholarly analyses of the types and roles of accountability in health care first appeared in the late 1980s. That issue, along with the related issue of responsibility in health care, has continued to interest policymakers, analysts and scholars ever since. Indeed, there has been a renewed surge of interest in recent years, with growing attention to the notion of accountable care organizations in the US, clinical audits in the UK, and governance as stewardship in many other countries. Accountability and responsibility in health care was also the theme of a major international conference organized by the Israel National Institute for Health Policy Research, which was held in Jerusalem in 2009.This book is a collection of scholarly articles on the themes of accountability and responsibility in health care and seeks to be the premier book in that field. It includes selected papers from the 2009 Jerusalem Conference, analytic essays on how accountability and responsibility are playing out in eight different countries, and reprints of some of the classic articles in the field.The book will interest policymakers, managers, researchers and students, and many of the ideas presented here will help shape the development of this field in the years ahead. Some of these ideas have appeared in other forums; the unique contribution of this volume is that it is the first to bring together so many different perspectives on accountability and responsibility in health care. This volume will both acquaint readers with some of the latest thinking on accountability and responsibility in health care, and will serve as a catalyst for future reflection, research and writing in this area.

This book highlights views on responsive, participatory and democratic approaches to evaluation from an ethos of care. It critically scrutinizes and discusses the invisibility of care in our contemporary Western societies and evaluation practices that aim to measure practices by external standards. Alternatively, the book proposes several foci for evaluators who work from a care perspective or wish to encourage a caring society. This is a society that sees evaluation and care as a continuously unfolding relational practice of moral-political learning contributing to life-sustaining webs.

Build a working medical vocabulary quickly with Chabner's Medical Terminology: A Short Course, 9th Edition! Omitting time-consuming, nonessential information, this text helps you master the basics of medical vocabulary - including the most frequently encountered suffixes, prefixes, and word roots. A text/workbook format lets you practice and interact with medical terminology on almost every page through exercises, labeling, and pronunciations. Case studies and real-world vignettes demonstrate how medical terms are used in practice. With all this plus medical animations, word games, and flash cards on the Evolve website, you'll be amazed at how easily medical terminology becomes part of your vocabulary. Easy-to-read and understandable language allows you to quickly grasp and retain medical terminology even if you've had little or no background in biology or medicine. Text/workbook approach reinforces learning every step of the way with exercises, diagram labeling, review sheets, and pronunciation practice throughout the book. Full-color illustrations and photographs show parts of the body, diseases, conditions, and medical procedures. Picture Show activities, medical case reports, and vignettes demonstrate real-life applications of medical terms. First Person narratives help you to understand diseases and conditions from the patient's perspective. Principal Diagnosis feature shows how medical terms are used in clinical practice by asking you to read physician notes about a case and determine the patient's principal diagnosis. Medical Terminology Check Up at the end of each chapter reinforces your understanding of key concepts and easily confused terms. Evolve website includes resources optimized for tablet use, and mobile-optimized versions of the flash cards and quick quizzes make it easier for on-the-go study and review. Body Systems Challenge self-test assesses and reinforces your understanding at your own pace. NEW! Additional case studies provide examples of medical terminology in the context of patient care and procedures. NEW! Immunity and COVID-19 Vaccines appendix features topics of current interest, including infectious disease, cancer treatments, medical technologies, and pharmacology.

The authors discuss useful tools and tricks of the trade in pathology practice management. In-depth chapters on coding and billing by nationally known consultant Dennis Padget will prepare you to evaluate coding and billing practices. Noted law experts Jane Pine Wood and Amelia Larsen, attorneys at McDonald Hopkins, highlight key issues in employment, insurance, and hospital contracts and provide examples of how to deal with tricky issues. Sections on human resources and group dynamics take on the vexing issues that people bring to work. Finally, the authors identify current trends and reason how these might play out. In providing a broad overview of pathology practice management, each chapter employs a didactic framework, including one or more scenarios to illustrate challenges encountered by the writers. This case-based approach facilitates interactive learning and will thus be particularly useful to pathology training programs. Whatever your stage in the field-from resident to senior pathologist, including those in leadership roles-Pathology Practice Management: A Case-Based Guide is essential reading.

101 Careers in Healthcare Management, Second Edition continues to be the only comprehensive guide to careers in health administration, ranging from entry-level management positions to the most senior executive opportunities. The second edition has been updated throughout and includes three new chapters that will assist students and healthcare managers alike. Additional content includes a quick historical overview of the field including its growth and transformation, essential traits that will prepare a professional for career change and advancement, and a call for new leadership competencies which every job candidate should adopt and master in a rapidly adapting industry. The book is replete with over 40 new interviews spanning those in entry-level positions to CEOs that reflect a greater diversity of careers and demographics in an evolving job market. Based on the most current data from the U.S. Department of Labor and professional societies in healthcare management, this guide describes careers in acute and long-term care, physician practices, international and government organizations, commercial insurance, consulting firms, executive search firms, pharmaceuticals and biotechnology, medical devices, public health organizations, information technology and informatics, and regulatory agencies. In each setting, experts explain job responsibilities, educational requirements, opportunities, and cover traditional and nontraditional career pathways. Authored by two senior and highly respected leaders in health administration education and written in clear, jargon-free text, the second edition like its predecessor is easy-to-navigate and now offers even more insider advice for students of healthcare management, career-changers, and those working in the field who are considering career advancement. New to this Edition: New chapters on A Brief History of Healthcare Management, Preparation and Professionalism, and Leadership Competencies for an Uncertain Future. Over 40 new interviews with healthcare managers who have changed careers or advanced in their professional track

Both the demographics and lack of resources in the health and well-being industry are increasingly forcing us to find alternative solutions for individualized health and social care. In an effort to address this issue, smart technologies present enormous potential in solving this challenge. This book strives to enhance communication and collaboration between technology and health and social care sectors. The reader will receive an extensive overview of the possibilities of various technologies in care sectors (including ICT, electronics, automation, and sensor technology) written by experts from various countries. It will prove extremely useful for engineers developing well-being related systems, software, or other devices that can be used by professionals working with people with specialist needs, well-being and health service providers, educators teaching related courses, and upper level undergraduate students and graduate student studying related topics. The technology focus of the book is widespread and addresses elderly care and hospitals, in addition to solutions for various user groups, devices, and technologies. Beyond serving as a resource for nurses and people working in care sector, the book is also meant to give guidelines for engineers developing person-centered systems by exploring the integration of these technologies into service systems.

The question of how to allocate scarce medical resources has become an important public policy issue in recent decades. Cost-utility analysis is the most commonly used method for determining the allocation of these resources, but this book counters the argument that overcoming its inherent imbalances is simply a question of implementing methodological changes. The Economics of Resource Allocation in Health Care represents the first comprehensive analysis of equity weighting in health care resource allocation that offers a fundamental critique of its basic framework. It offers a critique of health economics, putting the discourse on economic evaluation into its broader socio-political context. Such an approach broadens the debate on fairness in health economics and ties it in with deeper-rooted problems in moral philosophy. Ultimately, this interdisciplinary study calls for the adoption of a fundamentally different paradigm to address the distribution of scarce medical resources. This book will be of interest to policy makers, health care professionals, and post-graduate students looking to broaden their understanding of the economics of the health care system.

This book unravels the role of Point-of-Care (POC) glucose monitoring as an essential part of diabetes management. It provides the reader with an in-depth knowledge and understanding of diabetes management, including: the need for POC glucose monitoring the glucose detection technologies (invasive, noninvasive and continuous) being used in the POC devices the analytical performance, characteristics, pros and cons of the POC devices developed to date the importance and role of glycated hemoglobin (HbA1c) monitoring for diabetes management the various POC devices and analyzers for the determination of HbA1c. This is the first book to provide complete up-to-date information on POC glucose detection technologies and devices for diabetic monitoring and management. It will be an important reference for healthcare professionals, biomedical engineers, researchers, economists and policy makers. This book also serves as an asset and teaching aid for professionals and researchers in diabetic monitoring and management.

A real eye-opener, this riveting anti/critical psychiatry book is comprised of original cutting-edge dialogues between Burstow (an antipsychiatry theorist and activist) and other leaders in the "revolt against psychiatry," including radical practitioners, lawyers, reporters, activists, psychiatric survivors, academics, family members, and artists. People in dialogue with the author include Indigenous leader Roland Chrisjohn, psychiatrist Peter Breggin, survivor Lauren Tenney, and scholar China Mills. The single biggest focus/tension in the book is a psychiatry abolition position versus a critical psychiatry (or reformist) position. In the scope of this project, Burstow considers the ways racism, genocide, Indigeneity, sexism, media bias, madness, neurodiversity, and strategic activism are intertwined with critical and antipsychiatry.

This comprehensive and much-needed resource helps health care ethicists to meet the demand of challenges such as managed care, medical technology, and patient activism. Through a review of core principles and a rich selection of cases, practitioners and students will learn to apply ethics in the day-to-day administration of health care organizations. The authors are from the Park Ridge Center, the nationally acclaimed consulting and research firm.

More than any other product on the market, the most successful Medical Assistants begin their careers with Kinn. Known for more than 60 years for its alignment with national curriculum standards, Kinn's The Medical Assistant: An Applied Learning Approach, 15th Edition teaches the real-world administrative and clinical skills essential for a career in the modern medical office - always with a focus on helping you apply what you've learned. This edition features new and expanded content on telemedicine, infection control related to COVID-19, IV therapy, radiology, rehabilitation, insurance, coding, privacy, data security, and much more. With its easier-to-read format and a full continuum of separately sold adaptive solutions, real-world simulations, EHR documentation experience, and HESI remediation and assessment - you will quickly master the leading skills to prepare for certification and a successful career in the dynamic and growing Medical Assisting profession! Comprehensive coverage of all administrative and clinical procedures complies with accreditation requirements. Step-by-step, illustrated procedures include rationales and a focus on professionalism. Electronic health record (EHR) coverage provides access to hands-on activities using SimChart (R) for the Medical Office (sold separately). Applied learning approach incorporates threaded case scenarios and critical thinking applications. Patient education and legal and ethical features at the end of each chapter reinforce legal and communications implications within Medical Assisting practice. Key vocabulary terms and definitions are presented at the beginning of each chapter, highlighted in text discussions, and summarized in a glossary for quick reference. NEW! Content aligns to 2022 Medical Assisting educational competencies. NEW! Advanced Clinical Skills unit features three new chapters on IV therapy, radiology basics, and radiology positioning to support expanded medical assisting functions. NEW! Coverage of telemedicine, enhanced infection control related to COVID-19, and catheterization. NEW! Procedures address IV therapy, limited-scope radiography, applying a sling, and coaching for stool collection. UPDATED! Coverage of administrative functions includes insurance, coding, privacy, data security, and more. UPDATED! Online practice exam for the Certified Medical Assistant matches 2021 test updates. EXPANDED! Information on physical medicine and rehabilitation. EXPANDED! Content on specimen collection, including wound swab, nasal, and nasopharyngeal specimen collections.

Healthcare Technology Management: A Systematic Approach offers a comprehensive description of a method for providing safe and cost effective healthcare technology management (HTM). The approach is directed to enhancing the value (benefit in relation to cost) of the medical equipment assets of healthcare organizations to best support patients, clinicians and other care providers, as well as financial stakeholders. The authors propose a management model based on interlinked strategic and operational quality cycles which, when fully realized, delivers a comprehensive and transparent methodology for implementing a HTM programme throughout a healthcare organization. The approach proposes that HTM extends beyond managing the technology in isolation to include advancing patient care through supporting the application of the technology. The book shows how to cost effectively manage medical equipment through its full life cycle, from acquisition through operational use to disposal, and to advance care, adding value to the medical equipment assets for the benefit of patients and stakeholders. This book will be of interest to practicing clinical engineers and to students and lecturers, and includes self-directed learning questions and case studies. Clinicians, Chief Executive Officers, Directors of Finance and other hospital managers with responsibility for the governance of medical equipment will also find this book of interest and value. For more information about the book, please visit the website.

Theory of illness causation is an important issue in all biomedical sciences, and solid etiological explanations are needed in order to develop therapeutic approaches in medicine and preventive interventions in public health. Until now, the literature about the theoretical underpinnings of illness causation research has been scarce and fragmented, and lacking a convenient summary. This interdisciplinary book provides a convenient and accessible distillation of the current status of research into this developing field, and adds a personal flavor to the discussion by proposing the etiological stance as a comprehensive approach to identify modifiable causes of illness. Key Features * Provides a synthesis of the epidemiological and philosophical concepts in this growing research area * Gives an accessible overview of current methods in biomedical causal metaphysics what is a cause of illness? and epistemology how do we identify it? * Proposes a novel approach that integrates modern epidemiological methodology and recent theories from philosophy of science Written for postgraduate students and researchers in the health and biomedical sciences, including those undertaking courses in the philosophy of medicine/science, public and global health, introduction to epidemiology, research methods, and advanced reasoning, the content will also be of interest to practicing public health workers, biomedical scientists, and physicians. ABOUT THE AUTHOR Olaf Dammann is Professor and Vice Chair of Public Health and Community Medicine at Tufts University School of Medicine, Boston, Massachusetts, USA; as well as a Professor in the Department of Gynecology and Obstetrics at Hannover Medical School, Hannover, Germany. Cover image: Mask used by "Eskimo" shaman in causation of illness. Credit: Wellcome Collection. CC BY https://creativecommons.org/licenses/by/4.0

Personal health budgets are an important new tool to improve the lives of people living with long-term conditions and disabilities by giving them greater choice and control over their healthcare.This is the first step-by-step guide to their implementation. Using current evidence and best practice identified by pilot sites, Delivering personal health budgets contains everything there is to know about the purpose and history of personal health budgets, the evidence for their effectiveness and the challenges they pose to traditional healthcare systems. It describes the essential infrastructure needed for personal health budgets and includes implementation checklists.The book focuses on how personal health budgets can be implemented to achieve the best possible outcomes for individuals, while real life stories from personal health budget holders bring their potential vividly to life. Delivering personal health budgets is essential reading for commissioners, healthcare providers, clinicians and policy makers who are looking for an informative and authoritative guide.

Personal health budgets are an important new tool to improve the lives of people living with long-term conditions and disabilities by giving them greater choice and control over their healthcare.This is the first step-by-step guide to their implementation. Using current evidence and best practice identified by pilot sites, Delivering personal health budgets contains everything there is to know about the purpose and history of personal health budgets, the evidence for their effectiveness and the challenges they pose to traditional healthcare systems. It describes the essential infrastructure needed for personal health budgets and includes implementation checklists.The book focuses on how personal health budgets can be implemented to achieve the best possible outcomes for individuals, while real life stories from personal health budget holders bring their potential vividly to life. Delivering personal health budgets is essential reading for commissioners, healthcare providers, clinicians and policy makers who are looking for an informative and authoritative guide.

Medical Data Management is a systematic introduction to the basic methodology of professional clinical data management. It emphasizes generic methods of medical documentation applicable to such diverse tasks as the electronic patient record, maintaining a clinical trials database, and building a tumor registry. This book is for all students in medical informatics and health information management, and it is ideal for both the undergraduate and the graduate levels. The book also guides professionals in the design and use of clinical information systems in various health care settings. It is an invaluable resource for all health care professionals involved in designing, assessing, adapting, or using clinical data management systems in hospitals, outpatient clinics, study centers, health plans, etc. The book combines a consistent theoretical foundation of medical documentation methods outlining their practical applicability in real clinical data management systems. Two new chapters detail hospital information systems and clinical trials. There is a focus on the international classification of diseases (ICD-9 and -10) systems, as well as a discussion on the difference between the two codes. All chapters feature exercises, bullet points, and a summary to provide the reader with essential points to remember. New to the Third Edition is a comprehensive section comprised of a combined Thesaurus and Glossary which aims to clarify the unclear and sometimes inconsistent terminology surrounding the topic.

This volume focuses on management issues in the international context of health information technology (HIT). Nations around the globe have established policies designed to improve the computerization of their health care systems. It is believed that the adoption of HIT including clinical information systems, decision support systems, and networks or systems that facilitate the exchange of clinical and other health data will yield various desirable outcomes. These outcomes may include improvements in the quality of care, a reduction in medical errors, boosts in efficiencies, and improved provider and patient satisfaction. The purpose of this volume on HIT in the international context is to facilitate the exchange of management theory, best practice, implementation challenges, and the impact of adoption as it pertains to HIT adoption in one or more international settings. It offers a holistic viewpoint on health information technology use in health care organizations and systems, providing a managerial perspective from authors around the world that will prove useful for health care practitioners across a variety of settings.

Rapid Response Teams (RRTs) are a recent innovation in hospitals that makes critical care teams available to a nurse within seconds. When these teams function properly, studies have shown that they can reduce a hospital's mortality rate by almost forty percent. Yet, in spite of the possible benefits, doctors and nurses at hospitals that have committed to adopt RRTs can be reluctant to do so. Making Rapid Response Real discusses a study that identifies several reasons why people in organizations resist this kind of change, and offers recommendations for how leaders can fuel successful adoption of an innovative practice. Applying ideas from sociology and psychology to a management context, Jason D. Park offers research-driven insights for managers in a variety of implementation situations.

Leaders in healthcare today face many challenges ranging from managing interprofessional teams and teamwork, to payment reform, to tackling issues such as homelessness and the opioid crisis. Leaders have access to depth of information and resources to help them solve these complex and real-world problems. However, it is our belief that given the complexities of healthcare, there is value in sharing and learning from those who have first-hand experience with interprofessional leadership in healthcare. Challenges and Opportunities in Healthcare Leadership: Voices from the Crowd in Today's Complex and Interprofessional Healthcare Environment, is a volume in a book series titled, Contemporary Perspectives in Business Leadership. In this book, authors share their true, authentic reflections and professional stories describing the lived experience(s) of the author/leaders and how the experience changed the author/leaders' approach as an interprofessional leader. Each chapter includes a (1) story about the topic and the lived experience, (2) perspectives, and (3) lessons of the author(s). Additionally, scholarly commentary and discussion questions included within each chapter create opportunity for application to leadership theories and strategies as well as allow for reflection and further dialogue on the topic. The intended audience is broad, including faculty and students in institutions of higher education, interprofessional healthcare team leaders and members, and other healthcare stakeholders who have experience in interprofessional healthcare leadership. The book is applicable for leadership growth and development at a personal, group, or organizational level.