HIMSS set out to develop a dynamic framework by which to easily catalogue the varied beneficial evidences of digital health. From this effort, HIMSS introduced to the market the HIMSS Value STEPS (TM) framework. This book will leverage the HIMSS Value STEPS (TM) model to identify and define the expressions of value the use of health IT systems can yield per the following domains: Satisfaction, Treatment/Clinical, Electronic Secure Data, Patient Engagement and Population Health, and Savings. Using this framework, HIMSS has developed a collection of over 2,000 cases reflecting the value that hospitals, health systems and other providers have experienced following implementation of their electronic health record and/or other IT-related applications. The more than 17,000 value statements that have been extracted from the 2,000+ case articles have been classified within 85 Standard Value Standard (SVS) within the five STEPS domains. The book will describe the STEPS model to demonstrate the impact of health IT in healthcare organizations, and the quality of care and overall financial and operational performance improvements that have been achieved.

The first edition of Handbook of Human Factors and Ergonomics in Health Care and Patient Safety took the medical and ergonomics communities by storm with in-depth coverage of human factors and ergonomics research, concepts, theories, models, methods, and interventions and how they can be applied in health care. Other books focus on particular human factors and ergonomics issues such as human error or design of medical devices or a specific application such as emergency medicine. This book draws on both areas to provide a compendium of human factors and ergonomics issues relevant to health care and patient safety. The second edition takes a more practical approach with coverage of methods, interventions, and applications and a greater range of domains such as medication safety, surgery, anesthesia, and infection prevention. New topics include: * work schedules * error recovery * telemedicine * workflow analysis * simulation * health information technology development and design * patient safety management Reflecting developments and advances in the five years since the first edition, the book explores medical technology and telemedicine and puts a special emphasis on the contributions of human factors and ergonomics to the improvement of patient safety and quality of care. In order to take patient safety to the next level, collaboration between human factors professionals and health care providers must occur. This book brings both groups closer to achieving that goal.

Based on the IOM's estimate of 44,000 deaths annually, medical errors rank as the eighth leading cause of death in the U.S. Clearly medical errors are an epidemic that needs to be contained. Despite these numbers, patient safety and medical errors remain an issue for physicians and other clinicians. This book bridges the issues related to patient safety by providing clinically relevant, vignette-based description of the areas where most problems occur. Each vignette highlights a particular issue such as communication, human facturs, E.H.R., etc. and provides tools and strategies for improving quality in these areas and creating a safer environment for patients.

With the NHS committed to making quality the centre of treatment, clinical audit - a proven and effective process for measuring quality and driving its improvement - has never been a more topical issue. Now thoroughly updated and rewritten, this new edition describes the process by which health professionals, managers and other NHS staff can assess the standard of care they deliver and how closely it corresponds with recommended best practice. It sets out the key principles of clinical audit practice, detailing advances in recent years such as simplified and accelerated audit, improved patient involvement, attention to ethics and methodology and the embedding of clinical audit in organisational governance as well as clinical practice. This book is essential reading for all those who undertake clinical audit or are training to do so, including health practitioners, managers and commissioners in the NHS. It will also be useful to patients who contribute to audit governance. Reviews from the first edition: This book should be available in all trusts and recommended to those of both junior and senior status who are about to invest time and energy in an audit project.' MEDICAL PROTECTION SOCIETY [W]ell-structured with summaries set out as key points throughout. The appendices give invaluable information on numerous websites for clinical guidelines, on clinical audit and clinical governance.' PHYSIOTHERAPY JOURNAL

This third edition to the award-winning book is a straightforward view of a clinical data warehouse development project, from inception through implementation and follow-up. Through first-hand experiences from individuals charged with such an implementation, this book offers guidance and multiple perspectives on the data warehouse development process - from the initial vision to system-wide release. The book provides valuable lessons learned during a data warehouse implementation at King Faisal Specialist Hospital and Research Center (KFSH&RC) in Riyadh, Saudi Arabia - a large, modern, tertiary-care hospital with an IT environment that parallels a typical U.S. hospital. This book also examines the value of the data warehouse from the perspectives of a large healthcare system in the U.S. and a corporate health services business unit. Special features of the book include a sample RFP, data warehouse project plan, and information analysis template. A helpful glossary and acronyms list are included.

Strategic management of HR in health care is important in delivering high-quality patient care. Given that salary and wages constitute about 65 to 80% of the total operating budget in a typical health care organization and also the fact that people play a critical role in delivering high quality patient care, it is imperative for health care organizations to manage their human resources more effectively. Unfortunately, the HR function remains one of the most neglected in health care organizations and 'warm body syndrome' seems to characterize the role of HRM in health care organizations. The purpose of the special issue of AHCM on Human Resource Management is to explore the strategic role that HR function can play in delivering high quality and affordable health care.

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.

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.

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.

Overwhelmingly, women are responsible for deciding how America's health care dollars are spent. If health care providers are to succeed in the coming years, they must meet the challenge of satisfying the needs of this powerful market. Written by an exceptional panel of experts in women's health, Winning in the Women's Health Care Marketplace synthesizes the nation's best strategies and practices for creating a health program that will capture the attention and loyalty of the emerging women's market.

'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.

This book presents a unique, in-depth examination of the effects that the popular approaches to management organizational change--downsizing, restructuring, and reengineering--had on a major American hospital. "The Human Cost of a Management Failure" shows what can happen when management insists on accomplishing its ends strictly by the numbers. The authors ask why top management so often, and with seemingly such a cavalier attitude, selects downsizing and similar methods when research indicates that they are all too often such poor choices. Based on a year-long longitudinal study, Allcorn, Baum, Diamond, and Stein report on their interviews with 23 senior and mid-level hospital administrators, then interpret their findings from a psychoanalytic perspective, to make clear that the human side of the workplace can only be ignored at great risk when change is contemplated and then implemented. This is essential reading not only for corporate management, but also for other professionals and academics throughout the social and behavioral sciences.

Readers of "The Human Cost of a Management Failure" are oriented to the literature on downsizing, restructuring and reengineering, and to the context of the study. Case material follows, enabling readers to draw their own conclusions with regard to the nature of the organizational change and its effects upon the hospital's employees, and consultants offer their own viewpoints. An update of events at the hospital after the study was conducted is provided along with summaries by each author of his own interpretation and how he interprets the others' views. In this way, readers will get an unusual opportunity to evaluate their own viewpoints against those of the psychoanalytically trained researchers, and to decide for themselves whether there are, in fact, better ways to make an organization economically competitive in the marketplace.

Caring for elders outside of institutions is the fastest growing sector of US health care. Building on their research study at the Park Ridge Center, editors Holstein and Mitzen, together with a team of experts, examine the complexities involved in developing an ethics for community-based long-term care. They also challenge policymakers to make home care a more viable option for older people in need. Chapters address many of the ethical and practical problems that arise in the care of older people with physical and mental disabilities--including how to allocate scarce funds, how to keep good caregivers, how to balance concerns of autonomy, risk and safety, and worker stress. The volume is an excellent resource for practitioners, policymakers, and students.

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.

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.

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.

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.

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.

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.

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.

Health care organizations around the world are judged in terms of a health care triple bottom line: ensuring employee and patient safety, maximizing employee and patient satisfaction, and meeting financial goals. Given the increasing burden of chronic diseases, the increasing complexity of medical interventions, and the increasing costs of care, innovative leadership is required to achieve this triple bottom line. The 14th volume of the Advances in Health Care Management research series addresses the links between leadership and safety, satisfaction or financial performance in health care management by exploring questions such as the following: (1) How does leadership impact employee safety? (2) How does leadership affect patient safety? (3) How does leadership impact employee satisfaction? (4) How does leadership affect patient satisfaction? (5) How does leadership affect financial performance? (6) How do health care organizations deploy multi-level leadership to achieve safety goals? Satisfaction goals? Financial goals? Multiple goals? (7) How do health care organization leaders establish and maintain a safety culture? A patient-centered culture? A high performance culture? Combined cultures?"

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.

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.

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.