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Books > Medicine > General issues > Health systems & services > Hospital administration & management
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.
The challenges faced by those rationing scarce health care resources have intensified following the economic downturn. This book tackles this challenge by exploring the latest thinking and practice on priority setting methods. In an accessible style the book brings together theories, practice and evidence from a wide range of disciplines and provides practical, evidence-based prescriptions for decision makers. It will be of interest to all health care managers and students of health care policy and management.
This completely revised and updated edition of an outstanding text addresses the fundamental knowledge of epidemiological methods and statistics that can be applied to evolving systems, programs, technologies, and policies. This edition presents new chapters on causal thinking, ethics, and web resources, analyzes data on multinational increases in poverty and longevity, details the control of transmissible diseases, and explains quality management, and the evaluation of healthcare system performance.
This book demonstrates how hospitals can be transformed into dynamic, patient-centered, and cost-effective organizations. It describes systems for providing safe, high-quality medical services and outlines the importance of data for health outcomes. In this regard, the book underscores the importance of decision-making and delegation, as well as the effective use of administrative staff, new technologies, and evidence-based medicine to benefit patients and boost efficiency. At the same time, it emphasizes the importance of applying metrics to improve cost-effectiveness. Although primarily intended as a hands-on book for clinical leaders, it also considers hospitals from a broader societal perspective, making it of interest to leaders at all organizational levels in hospitals and to policymakers alike.
Clinical training and background are not synonymous with leadership. So where does a potential clinical leader turn to for advice? This small handy volume is specifically written for this purpose with information about the softer skills of leadership. It is not linked to any particular healthcare system or clinical discipline. Focus on leadership as a means to influence healthcare culture is attracting attention internationally currently. There is a lack of published material aimed at clinical leadership and the time is ripe to channel and develop formal pathways to support this unmet need. There is an appetite for understanding what leadership involves and the book is aimed at that. It provides useful information presented in a highly readable style. Readers will find the style a refreshing change from the usual academic material. Accounts of hands-on experience with non-pedantic pragmatic advice are reflected strongly in the book. It draws heavily on the concept that perceptions may not be shared. This may be the basis for fruitful communication and mutual understanding, if not necessarily agreement. Clinical leadership is an evolving discipline and seldom do currently practicing individuals have an accredited qualification. They rather build up 'on -the -job' experience. This compendium of real life experiences and educational facts attempts to bridge the gap and prepare healthcare professionals to hit the ground running in their leadership roles. The book's narrative pace will make it a good holiday or long journey read. The subject matter is neither dry, trivial nor trite.
The challenges faced by those rationing scarce health care resources have intensified following the economic downturn. This book tackles this challenge by exploring the latest thinking and practice on priority setting methods. In an accessible style the book brings together theories, practice and evidence from a wide range of disciplines and provides practical, evidence-based prescriptions for decision makers. It will be of interest to all health care managers and students of health care policy and management.
The business side of running a medical practice may be unappealing but it's crucial "How to Manage Your GP Practice" is written for GPs and other health professionals running their own practices.It tells you in simple, engaging style what the pitfalls are and how to avoid them.It illustrates the good and bad ways of negotiating through management issues, using case examples and lightening the messages with witty cartoons. Written by a GP with over 10 years' experience editing a leading GP magazine, and an accountant whose firm advises over 2500 GPs, the information here is sound, relevant and up to date. It provides reliable and reassuring information for doctors starting out in their careers as well as those looking to refresh their management skills.
Updated and thoroughly revised, the second edition of this foundational text continues to cover all major topics of organization, financing, workforce, goals, initiatives, accountability, and metrics from the perspectives of academicians and officials in public health. This second edition is the only public health text to encompass the new legislation implemented by the Affordable Care Act, with its focus on prevention and increase in funding for prevention research. It also examines resulting job opportunities and expanded interest in the public health field. Comprehensive and accessible, the text discusses a variety of new trends in public health, particularly regarding primary care and public health partnerships. The second edition also includes information about new accountability initiatives and workforce requirements to contribute to "public health services and systems research," better known as health services research and clinical outcomes research in medical care. The text stresses the increasing emphasis on efficiency, effectiveness, and equity in achieving population health improvements, and goes beyond merely presenting information to analyze the question of whether the practice of public health achieves its promise. Each chapter includes objectives, review questions, and case studies. Also included are an instructor's manual (containing every major public health improvement initiative and introducing every major data system sponsored by the U.S. public health system), PowerPoint slides, and a test bank. New to the Second Edition: Completely updated and revised Addresses changes wrought by Obamacare Focuses on the workforce, job opportunities, and job training Discusses building healthy communities and the determinants of health Covers new developments in treating Lyme disease, West Nile virus, and other illnesses Considers variation in public health-globally and nationally by state Investigates intentional injuries such as suicide, homicide, and war Key Features: Provides information that is holistic, comprehensive, and accessible Covers all major topics of organization, financing, leadership, goals, initiatives, accountability, and metrics Relates current public health practice to the field's history and mission Includes a global health component Analyzes successful and unsuccessful aspects of health care delivery
Hardbound. Dramatic social, political, technological, and economic changes are occurring in the health care industry. The Advances in Health Care Management research series was developed in response to this ongoing turbulence in the health care industry coupled with the decreasing number of scholarly outlets for complex and originative health care management research. The field needs new perspectives on organization, innovative management theory and superior empirical research that offer exciting ways to approach existing and emerging problems in health care management. Management scholarship should benefit from diverse conceptual and empirical health care research that examines all levels of analysis. The series provides a forum for the highest quality research, whether theoretical or empirical, in the field of health care management. It is endorsed and supported by the Health Care Management Division of the Academy of Management.
Transformation and Your New EHR offers a robust communication and change leadership approach to support electronic health record (EHR) implementations and transformation journeys. This book highlights the approach and philosophy of communication, change leadership, and systems and process design, giving readers a practical view into the successes and failures that can be experienced throughout the evolution of an EHR implementation.
In a world where there is increasing demand for the performance of health providers to be measured, there is a need for a more strategic vision of the role that performance measurement can play in securing health system improvement. This volume meets this need by presenting the opportunities and challenges associated with performance measurement in a framework that is clear and easy to understand. It examines the various levels at which health system performance is undertaken, the technical instruments and tools available, and the implications using these may have for those charged with the governance of the health system. Technical material is presented in an accessible way and is illustrated with examples from all over the world. Performance Measurement for Health System Improvement is an authoritative and practical guide for policy makers, regulators, patient groups and researchers.
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.
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.
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.
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.
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.
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. |
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