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Books > Medicine > General issues > Health systems & services > Hospital administration & management
This book describes the Sustainable High Quality Healthcare (SustHealth) project, which had the goal of developing an original multidisciplinary evaluation tool that can be applied to assess and improve hospitals' overall sustainability. The comprehensive nature of the appraisal offered by this tool exceeds the scope of most current rating systems, which typically permit a thorough evaluation of relevant environmental factors when designing a new building but fail to consider social and economic impacts of the design phase or the performance of the hospital's operational structure in these fields. The multidisciplinary evaluation system was developed, from its very inception through to its testing, by following a scientific experimental method in which a global perspective was constantly maintained, as opposed to a focus only on specific technical issues. Application of the SustHealth rating tool to a currently functioning hospital, or one under design, will identify weaknesses and guide users to potential low-cost short-term solutions and longer-term strategies for improvement.
'In these pages you will find a rich mixture of the best in leadership and organisation development practice and theory, based on a lifetime of studying and applying the principles of why some healthcare organisations succeed and why some fail.' This inspirational book analyses the attitudes and disciplines which make people and the organizations for which they work more effective, more productive and generally more successful. The author, who has experience of working in healthcare and manufacturing and with senior civil servants, and is also familiar with key academic literature, sets out a highly practical combination of practice, theory and policy applicable in a wide variety of healthcare situations. Now revised, including an entirely new chapter on being patient-focused, this remains an invaluable resource for health service leaders and future leaders including managers, clinicians, policy makers and academics.
While most healthcare facilities have an extremely high success rate at the most challenging lifesaving work and we all know of friends and relatives who have had supreme care, mistakes are still made and patients' lives have been put at risk and lost. How often have we heard politicians say after some disastrous report, "Lessons must be learned", but what does this really mean. Will responsible parties carry out a careful cause and effect analysis and methodically get to the root causes of the problem? Will sufficient steps be taken to permanently eradicate those causes and provide a permanent solution so that the problem will not reoccur? This is what is done in the aviation industry with the result that air travel is very safe. The low accident rate is achieved by studying the causes and using the methods of continuous improvement explained in this book. These methods are now becoming better known in the medical profession have been recommended in recent reports but are perhaps misunderstood at operational levels. This book is a basic level manual for those who have never been involved in any form of quality improvement project and is also suitable as a refresher for anyone wishing to familiarize themselves with the various techniques discussed. The aim of this book is to explain what continuous improvement is and why it's needed; explain how individual departments can explain how and why continuous improvement is important, and helps readers recognize quality control methods in their own workplace and understand how to contribute to existing continuous improvement activities. While many of the case studies and examples are from the NHS, the author includes similar examples from around the world.
The steady expansion of the European Union's involvement in health over the past 20 years has been accelerated by recent events. This Handbook offers an up-to-date analytical overview of the most important topics in EU health law and policy. It outlines, as far as possible, the direction of travel for each topic and suggests research agendas for the future. Split into five parts, this book brings together international, interdisciplinary contributions to consider the past, present and future of EU health law and policy. The changing membership of the EU could see dramatic changes for EU health law and policy: the contributors consider current developments in the light of past trajectories. The book covers key institutions; policies on people and products; health systems; public health; and the health implications of the EU's external trade policies and laws. Wide-ranging and accessible, this Handbook will appeal to academics and students focussing on EU health law or policy. It will also be of interest to lawyers and policy makers working in or with the EU as well as health managers and NGOs. Contributors include: A. Alemanno, O. Bartlett, L.E. Bishop, E. Brosset, A. de Ruijter, A. den Exter, G. Dussault, M.L. Flear, M. Frischhut, A. Garde, I. Goldner Lang, S.L Greer, M. Guy, T.K. Hervey, H. Jarman, M. Koivusalo, E. Kuhlmann, C. Larsen, A. Mahalatchimy, C.B. Maier, D.S Martinsen, J.V. McHale, N. Mijatovic, E. Pavolini, M. Pilgerstorfer, C. Rieder, C.S. Rusu, W. Sauter, T. Sokol, M.-I. Ungureanu, J.W. van de Gronden, C.A. Young
The book examines applications in two disparate fields linked by the importance of valuing information: public health and space. Researchers in the health field have developed some of the most innovative methodologies for valuing information, used to help determine, for example, the value of diagnostics in informing patient treatment decisions. In the field of space, recent applications of value-of-information methods are critical for informing decisions on investment in satellites that collect data about air quality, fresh water supplies, climate and other natural and environmental resources affecting global health and quality of life.
Written by two therapists with extensive business experience, Mastering the Financial Dimension of Your Psychotherapy Practice addresses the clinical and financial challenges of establishing and maintaining a successful private practice. This book contains updated content on investing strategies, changes in the insurance marketplace, and trends in the marketing of a psychotherapy practice. The first of five sections explores the life cycle of the modern therapy practice, offering best business and investing practices for each phase. In the second and third sections, the authors consider the emotional dimension in the development of a private practice. The fourth section offers a basic course in financial planning, including an investigation into five common financial mistakes therapists make and various solutions to each situation. The fifth section is designed to offer a road map of actions to take in establishing a financial plan. Concluding the book is an inspirational discussion of how the therapist in private practice can create a career with meaning, fulfillment, personal satisfaction, and solid financial rewards.
Coding and Documentation Compliance for the ICD and DSM provides professionals, professors, and students with a logical and practical way of understanding a difficult topic in healthcare for the clinician: coding. Established professionals will find the tools they need to comply with the ICD series, HIPAA, and integrated care models. Professors and students will appreciate having a systemized, standardized approach to teaching and learning the more complex aspects of ICD compliance. The interplay between the ICD and DSM manuals is also explicated in clear terms.
Until now, research has given us only a limited understanding of how managers actually make sense of and apply management knowledge; how networks of interaction amongst managers help or hinder processes of knowledge diffusion and the sharing of best practice; and how these processes are all influenced both by the organisations in which managers act and by the professional communities of practice they belong to. Managing Modern Healthcare fills these important gaps in our understanding by drawing upon an in-depth study of management networks and practice in three healthcare organisations in the UK. It draws from the primary research a number of important and grounded lessons about how management networks develop and influence the spread of management knowledge and practice; how management training and development relates to the needs of managers facing challenging conditions; and how those conditions are themselves shaping the nature of management in healthcare. This book reveals how managers in practice are responding to the many contemporary challenges facing healthcare (and the NHS in particular) and how they are able or not to effectively exploit sources of knowledge, learning and best practice through the networks of practice they engage in to improve healthcare delivery and healthcare organisational performance. Managing Modern Healthcare makes a number of important theoretical contributions as well as practical recommendations. The theoretical and empirical contributions the book makes relate to wider work on networks and networking, management knowledge, situated learning/communities of practice, professionalization/professional identity and healthcare management more generally. The practical contribution comes in the form of recommendations for healthcare management practitioners and policy makers that are intended to impact upon and help enhance healthcare management delivery and performance.
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.
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.
Coding and Documentation Compliance for the ICD and DSM provides professionals, professors, and students with a logical and practical way of understanding a difficult topic in healthcare for the clinician: coding. Established professionals will find the tools they need to comply with the ICD series, HIPAA, and integrated care models. Professors and students will appreciate having a systemized, standardized approach to teaching and learning the more complex aspects of ICD compliance. The interplay between the ICD and DSM manuals is also explicated in clear terms.
A COMPLETE UPDATE AND REVISION OF THE CLASSIC TEXT "At last, a manual of operations for comparing the cost-effectiveness of a preventive service with a treatment intervention." -American Journal of Preventive Medicine Twenty years after the first edition of COST-EFFECTIVENESS IN HEALTH AND MEDICINE established the practical benchmark for cost-effectiveness analysis, this completely revised edition of the classic text provides an essential resource to a new generation of practitioners, students, researchers, and policymakers. Produced by the Second Panel on Cost-Effectiveness in Health and Medicine-a team of 13 experts from fields including decision science, economics, ethics, psychology, and medicine-this new edition is a comprehensive guide to the use of cost-effectiveness analysis as an evaluative tool at the institutional and policy levels. As health care systems face increasing pressure to derive maximum value from expenditures, the guidelines in this new text represent not just the best information available, but a vital guide to health care decision-making in a challenging new era. Completely revised and enriched with examples and expanded coverage, this second edition of COST-EFFECTIVENESS IN HEALTH AND MEDICINE builds on its predecessor's excellence, offering required reading for both analysts and decision makers.
Health care is one of today's most discussed and debated topics. From issues such as accessibility to costs to quality, the debates range widely among doctors, patients, employers, and insurers. A popular topic in political campaigns and the media, health care and health care management is also a quiet and unremitting concern in the private and personal lives of individuals who worry about someday having to choose between food and prescription drugs. For this reason, in today's health care industry, good business practices may be as important as the practice of medicine in assuring the continued health of the industry. The Encyclopedia of Health Care Management will prove invaluable to libraries serving students and professionals in health and business. It will also be an essential reference for physicians, providers and their employees, and students and professors in health and management for responsible and successful practice and administration in the health care industry. This encyclopedia is the most comprehensive reference work on the business of health care, with up-to-date information across a broad range of issues affecting every aspect of the industry and the people it serves, employs, and influences. Key Features
About the Editor Michael J. Stahl, Ph.D. is Director of the Physician Executive MBA Program and Distinguished Professor of Management in the College of Business at the University of Tennessee, Knoxville. Dr. Stahl received his B.S. in Electrical Engineering from the State University of NY at Buffalo and his Ph.D. in Management from Rensselaer Polytechnic Institute. From 1982-1989, Stahl was Head of the Management Department at Clemson University He was Associate Dean in the College of Business at the University of Tennessee from 1989-1997. Dr. Stahl has published over 50 journal articles in a variety of areas including Strategic Management, TQ, and healthcare, as well as twelve books including Strategic Management, Perspectives in TQ, and The Physician's Essential MBA. He teaches strategy and business planning in the Physician EMBA, Taiwan EMBA, and MBA Programs. Recommended Libraries Academic, Public, Special, Private/Corporate
This book concerns itself with the key question: how to improve health in a cost effective and politically acceptable way. What makes people healthy? Why are the poor less healthy than the rich? Why do some countries have a better health record than others? An Introduction to Health is divided into four parts comprising the determinants of health, health service planning, health service financing, and controlling costs and securing user-friendly services.
This book gives healthcare leaders a practical guide to implementing the 4 key components of lean daily management system - 1. LDM boards; 2. Leadership rounds 3. Leader daily disciplines and 4. Lean projects. Although lean is not new to healthcare, effective LDM is just now taking hold with the best lean healthcare organizations in the U.S. and Canada. Leaders are realizing that sustaining their lean projects over time has proven to be a challenge without first addressing the organizations management system/model. LDM gives leaders a straightforward approach to do just that as well as improve their ability to spread and deploy lean to other areas of the organization and tie back to strategy.
This book covers the new field of healthcare organization ethics from theory to practical application. It can be used as a text for courses on the subject, as a reference for those interested in the present status of the field, and as a practical guide for healthcare executives, clinicians and committee members who are beginning to develop an organizational ethics program for their institution.
Introducing Statistics & Data Analytics for Health Data Management by Nadinia Davis and Betsy Shiland, an engaging new text that emphasizes the easy-to-learn, practical use of statistics and manipulation of data in the health care setting. With its unique hands-on approach and friendly writing style, this vivid text uses real-world examples to show you how to identify the problem, find the right data, generate the statistics, and present the information to other users. Brief Case scenarios ask you to apply information to situations Health Information Management professionals encounter every day, and review questions are tied to learning objectives and Bloom's taxonomy to reinforce core content. From planning budgets to explaining accounting methodologies, Statistics & Data Analytics addresses the key HIM Associate Degree-Entry Level competencies required by CAHIIM and covered in the RHIT exam. Meets key HIM Associate Degree-Entry Level competencies, as required by CAHIIM and covered on the RHIT registry exam, so you get the most accurate and timely content, plus in-depth knowledge of statistics as used on the job. Friendly, engaging writing style offers a student-centered approach to the often daunting subject of statistics. Four-color design with ample visuals makes this the only textbook of its kind to approach bland statistical concepts and unfamiliar health care settings with vivid illustrations and photos. Math review chapter brings you up-to-speed on the math skills you need to complete the text. Brief Case scenarios strengthen the text's hands-on, practical approach by taking the information presented and asking you to apply it to situations HIM professionals encounter every day. Takeaway boxes highlight key points and important concepts. Math Review boxes remind you of basic arithmetic, often while providing additional practice. Stat Tip boxes explain trickier calculations, often with Excel formulas, and warn of pitfalls in tabulation. Review questions are tied to learning objectives and Bloom's taxonomy to reinforce core content and let you check your understanding of all aspects of a topic. Integrated exercises give you time to pause, reflect, and retain what you have learned. Answers to integrated exercises, Brief Case scenarios, and review questions in the back of the book offer an opportunity for self-study. Appendix of commonly used formulas provides easy reference to every formula used in the textbook. A comprehensive glossary gives you one central location to look up the meaning of new terminology. Instructor resources include TEACH lesson plans, PowerPoint slides, classroom handouts, and a 500-question Test Bank in ExamView that help prepare instructors for classroom lectures.
Managing a Dental Practice the Genghis Khan Way shows you how to turn your practice into a successful business. Being an effective practice manager demands a clear vision, sufficient business knowledge and, above all, wise judgement. Never intended to be a theoretical book, this is a "warts-and-all" guide to managing a dental practice, written by someone who's been there, made mistakes and survived. It will show you the importance of teamwork and communication, staying close to your patients and prudent financial management. So why Genghis Khan? Well, Genghis Khan was a charismatic leader in the late twelfth and early thirteenth centuries who created one of the world's greatest empires. His hugely successful strategies included intelligence gathering, being quick to learn and adopt new technologies and successful people management. Whichever way you look at it, you will need all of Genghis Khan's skill, strength and tenacity to be a successful dentist and business owner. This revised edition has been thoroughly updated and adds a section on buying and setting up a practice as well as much more about managing patients and employees. You will find information on leadership, team building and working with other clinicians. The Policies and Procedures section now includes a new chapter on how to manage the Care Quality Commission. In many ways, this book reflects the author's own odyssey through the choppy waters of practice ownership and the resulting insights and understanding of how to successfully manage a dental practice.
The Institute of Medicine, Centers for Medicare and Medicaid, The Joint Commission, and other regulatory and accrediting bodies all agree that hospitals must be transformed into places where each patient receives quality care, every single time. In other words, zero defects. Helping to ensure quality at every level, high-reliability methods offer healthcare leaders the tools they need to achieve this noble goal. Leading High-Reliability Organizations in Healthcare details the attributes and practices that help high-reliability organizations (HROs) excel in the service they provide to their customers. Explaining what it takes to achieve high reliability in healthcare settings, it defines reliability as much more than just being safe, it describes how to measure reliability and paves the way to higher reliability. The book presents proven tools, concepts, and skills that leading healthcare organizations are using to improve safety and quality, including mistake proofing, Lean Six Sigma, and reliability engineering. It details the roles and responsibilities of the two key organizational components involved in achieving high reliability: leadership and the reliability "engineers" who apply reliability methods both technically and socially throughout the healthcare value stream. Rick Morrow, executive in HROs and now System Director of Quality, Safety, and Process Improvement at CHRISTUS Health, one of the largest non-profit healthcare systems, identifies the necessary infrastructure, methods, and analytics required to achieve and sustain higher reliability. He also suggests applications of high reliability concepts that have proven to work well in healthcare settings. The book includes numerous case studies that illustrate success stories of healthcare organizations achieving higher reliability, some achieving zero defects for years. It also contains case studies that examine examples of failures, so you can avoid making the same mistakes.
Innovations in management are becoming more numerous and diverse, and are appearing in organizations providing many different kinds of products and services. The purpose of this book is to examine whether some widely-promoted examples of these management innovations - ranging from techniques such as Kaizen to styles of leadership and the management of learning - can usefully be applied to organizations which provide healthcare, and applied in different kinds of health systems. Management Innovations for Healthcare Organizations is distinctive in selecting a wide and diverse range and selection of managerial innovations to examine. No less distinctively, it makes an adaptive, critical scrutiny of these innovations. Neither evangelist nor nihilist, the book instead considers how these innovations might be adapted for the specific task of providing healthcare. Where evidence on these points is available, the book outlines that too. Consequently the book takes an international approach, with contributions from Europe, the Middle East, Australia and North America. Each contributor is an expert in the management innovation which they present. This combination of features makes the book unique.
The successful implementation of health information systems in complex health care organizations ultimately hinges on the receptivity and preparedness of the user. Although the Information Age is well underway, user resistance to information systems is still a valid concern facing the informatics community. This book provides effective management strategies to health care administrators for the productive integration and maintainence of such information systems. The Second Edition covers three main areas: technical skills, project management skills, and organizational and people skills, including the practical implementation strategies necessary to make the system an operational success. The audience for this book consists of health care administrators, CEOs, clinicians, IT developers, librarians, and professors.
This book presents healthcare logistics solutions that have been successfully implemented at a variety of healthcare facilities. In each case, a major challenge is presented, along with the solution approach and implementation steps, followed by the impact on hospital operations. Problems encountered when implementing the results in practice are also discussed. Much of the work presented is drawn from the experiences of members of the Center for Healthcare Operations Improvement and Research (CHOIR) at Twente, along with the CHOIR spin-off company, Rhythm.
Introduction to Health Care Quality explores the issues of quality management in today's health care environment, and provides clear guidance on new and perennial challenges in the field. The idea of 'quality' is examined in the context of a variety of health care situations, with practical emphasis on assessment, monitoring, analysis, and improvement. Students will learn how to utilize statistical tools, patient data, and more to understand new models of reimbursement, including pay for performance and value-based purchasing. They will also learn how to learn how to incorporate technology into everyday practice. Each chapter centers on an essential concept, but builds upon previous chapters to reinforce the material and equip students with a deeper understanding of the modern health care industry. Real-world situations are highlighted to show the intersection of theory and application, while cutting-edge methodologies and models prepare students for today's data-driven health care environment. Health care quality is defined and assessed according to setting, with factors such as standards, laws, regulations, accreditation, and consumerism impacting measurement and analysis in tremendous ways. This book provides an overview of this complex field, with insightful discussion and expert practical guidance. Health care today is worlds away from any other point in history. As the field grows ever more complex, quality management becomes increasingly critical for ensuring optimal patient care. Introduction to Health Care Quality helps students and professionals make sense of the issues, and provide top-notch service in today's rapidly changing health care environment.
Financing Medicine brings together a collection of essays dealing with the financing of medical care in Britain since the mid-eighteenth century, with a view to addressing two major issues: Why did the funding of the British health system develop in the way it did? What were the ramifications of these arrangements for the nature and extent of health care before the NHS? The book also goes on to explore the 'lessons' and legacies of the past which bear upon developments under the NHS. The contributors to this volume provide a sustained and detailed examination of the model of health care which preceded the NHS - an organization whose distinctive features hold such fascination for the scholars of health systems - and their insights illuminate current debates on the future of the NHS. For students and scholars of the history of medicine, this will prove essential reading.
This book is part of a series of titles that are a spin-off of the Shingo Prize-winning book Leveraging Lean in Healthcare: Transforming Your Enterprise into a High Quality Patient Care Delivery System. Each book in the series focuses on a specific aspect of healthcare that has demonstrated significant process and quality improvements after a Lean implementation. There are many departments within a hospital that support the primary function of caregiving and each can benefit from implementing Lean methodologies. Leveraging Lean in Ancillary Hospital Services: Creating a Cost Effective, Standardized, High Quality, Patient-Focused Operation provides a functional understanding of Lean processes and quality improvement techniques in nutritional services, inpatient floors, pharmacy, and radiology. This book is ideal for healthcare executives, leaders, process improvement team members, and inquisitive frontline workers who want to implement and leverage Lean. Supplying detailed descriptions of Lean tools and methodologies, it identifies powerful Lean solutions specific to the needs of ancillary hospital services. The first section provides an overview of Lean concepts, tools, methodologies, and applications. The second section focuses on the application of Lean in the ancillary hospital services environment. Presenting numerous examples, stories, case studies, and lessons learned, it examines the normal operation of each area in radiology, pharmacy, and nutritional services and highlights the areas where typical problems occur. The case studies walk readers through various Lean initiatives and demonstrate how Lean tools and concepts have been used to achieve lasting improvements to processes and quality of care. It also introduces actionable blueprints that readers can duplicate or modify for use in their own institutions. Illustrating leadership's role in achieving departmental goals, this book will provide you with a well-rounded understanding of how Lean can be applied to achieve significant improvements throughout the entire continuum of care. |
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