Over the last thirty years, scholars of health care organizations have been searching for concepts and images to illuminate their underlying, and shifting, modes of organizing. Nowhere has this controversy been more intense than in the United Kingdom, given the long succession of top down reorganizations within the National Health Service (NHS) over the last thirty years. This book characterises the nature of key reforms - namely managed networks - introduced in the UK National Health Service during the New Labour period (1997-2010), combining rich empirical case material of such managed networks drawn from different health policy arenas (clinical genetics, cancer networks, sexual health networks, and long term care) with a theoretically informed analysis. The book makes three key contributions. Firstly, it argues that New Labour's reforms included an important network element consistent with underlying network governance ideas, specifying conditions of 'success' for these managed networks and exploring how much progress was empirically evident. Secondly, in order to conceptualise many of the complex health policy arenas studied, the book uses the concept of 'wicked problems': problematic situations with no obvious solutions, whose scope goes beyond any one agency, often with conflicting stakeholder interests, where there are major social and behavioural dimensions to be considered alongside clinical considerations. Thirdly, it makes a contribution to the expanding Foucauldian and governmentality-based literature on health care organizations, by retheorising organizational processes and policy developments which do not fit either professional dominance or NPM models from a governmentality perspective. From the empirical evidence gathered, the book argues that managed networks (as opposed to alternative governance modes of hierarchy or markets) may well be the most suitable governance mode in those many and expanding policy arenas characterised by 'wicked problems', and should be given more time to develop and reach their potential.

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.

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 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.

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.

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.

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.

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.

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.

David M. Craig traveled across the United States to assess health care access, delivery and finance in this country. He interviewed religious hospital administrators and interfaith activists, learning how they balance the values of economic efficiency and community accountability. He met with conservatives, liberals, and moderates, reviewing their ideas for market reform or support for the Affordable Care Act. He discovered that health care in the US is not a private good or a public good. Decades of public policy and philanthropic service have made health care a shared social good.

"Health Care as a Social Good: Religious Values and the American Democracy" argues that as escalating health costs absorb more and more of family income and government budgets, we need to take stock of the full range of health care values to create a different and more affordable community-based health care system. Transformation of that system is a national priority but Americans have failed to find a way to work together that bypasses our differences. Craig insists that community engagement around the common religious conviction that healing is a shared responsibility can help us achieve this transformation -- one that will not only help us realize a new and better system, but one that reflects the ideals of American democracy and the common good.

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.

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

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

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.

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.

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

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.

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.