Prepare for an uncertain future with a solid vision and innovative practices. Is your healthcare organization spending too much time on strategy--with too little to show for it? If you read nothing else on strategy, read these 10 articles. We've combed through hundreds of Harvard Business Review articles and selected the most important ones for healthcare professionals to help you catalyze your organization's strategy development and execution. Leading strategy experts, such as Michael E. Porter, Jim Collins, W. Chan Kim, and Renee Mauborgne, provide the insights and advice you need to: Understand how the rules of corporate competition translate to the healthcare sector Craft a vision for an uncertain future Segment your market to better serve diverse patient populations Achieve the best health outcomes--at the lowest cost Learn what disruptive innovation means for healthcare Use the Balanced Scorecard to measure your progress This collection of articles includes "What Is Strategy?" by Michael E. Porter; "The Five Competitive Forces That Shape Strategy," by Michael E. Porter; "Health Care Needs Real Competition," by Leemore S. Dafny and Thomas H. Lee; "Building Your Company's Vision," by Jim Collins and Jerry I. Porras; "Reinventing Your Business Model," by Mark W. Johnson, Clayton M. Christensen, and Henning Kagermann; "Will Disruptive Innovations Cure Health Care?" by Clayton M. Christensen, Richard Bohmer, and John Kenagy; "Blue Ocean Strategy," by W. Chan Kim and Renee Mauborgne; "Rediscovering Market Segmentation," by Daniel Yankelovich and David Meer; "The Office of Strategy Management," by Robert S. Kaplan and David P. Norton; and "The Strategy That Will Fix Health Care," by Michael E. Porter and Thomas H. Lee.

"Nathan Tierney's powerful storytelling is rarely seen in today's health care business environment. We must redesign the health care delivery system---a team sport in service of patients, hold it accountable with measurement to improve outcomes, and quantify the resource costs over the full cycle of care. Value-based health care is a framework through which these goals are achieved, and Tierney provides a detailed playbook to get your organization there. Outlined in incredible detail and clarity, he presents core concepts and dives into the key metrics needed to build, maintain, and scale a successful value-based health care organization. Nathan shares a realistic vision of what any CEO should expect when developing their own Value Management Office. Nothing is more important to me than improving the lives of those I love. My personal mission is to create systemic change with an impact on the global stage. This playbook needs to be on the desk of every executive, clinician, and patient today." -Mahek Shah, MD, Senior Researcher and Senior Project Leader, Harvard Business School Our current healthcare system's broken. The Organization for Economic Co-Operation and Development (OECD) predicts health care costs could increase from 6% to 14% of GDP by 2060. The cause of this increase is due to (1) a global aging population, (2) growing affluence, (3) rise in chronic diseases, and (4) better-informed patients; all of which raises the demand for healthcare. In 2006, Michael Porter and Elizabeth Teisberg authored the book 'Redefining Health Care: Creating Value-Based Competition on Results.' In it, they present their analysis of the root causes plaguing the health care industry and make the case for why providers, suppliers, consumers, and employers should move towards a patient-centric approach that optimizes value for patients. According to Porter, "value for patients should be the overarching principle for our broken system." Since 2006, Professor Porter, accompanied by his esteemed Harvard colleague, Profesor Robert Kaplan, have worked tirelessly to promote this new approach and pilot it with leading healthcare delivery organizations like Cleveland Clinic, Mayo Clinic, MD Anderson, and U.S. Department of Veteran Affairs. Given the current state of global healthcare, there is urgency to achieve widespread adoption of this new approach. The intent of this book is to equip all healthcare delivery organizations with a guide for putting the value-based concept into practice. This book defines the practice of value-based health care as Value Management. The book explores Profesor Porter's Value Equation (Value = Outcomes/ Cost), which is central to Value Management, and provides a step-by-step process for how to calculate the components of this equation. On the outcomes side, the book presents the Value Realization Framework, which translates organizational mission and strategy into a comprehensive set of performance measures and contextualizes the measures for healthcare delivery. The Value Realization Framework is based on Professor Kaplan's ground-breaking Balanced Scorecard approach, but specific to healthcare organizations. On the costs side, the book details the Harvard endorsed time-driven activity based costing (TDABC) methodology, which has proven to be a modern catalyst for defining HDO costs. Finally, this book covers the need and a plan to establish a Value Management Office to lead the delivery transformation and govern operations. This book is designed in a format where any organization can read it and acquire the fundamentals and methodologies of Value Management. It is intended for healthcare delivery organizations in need of learning the specifics of achieving the implementation of value-based healthcare.

The bestselling guide to the field, updated with a new, more relevant perspective Health Care Information Systems is the gold-standard textbook for the field, providing in-depth coverage of real-world health information management. Merging general concepts with practical detail, this book provides students with a highly transferable skill set that transitions seamlessly into practice. This new fourth edition has been completely reworked to reflect the health care system's evolving needs, providing a big-picture health system perspective on information systems throughout the continuum of care. Coverage of new and emerging technologies and population health management offers engaging discussion of current shifts in the health care industry, and case studies have been updated and expanded to provide additional illustration of important concepts. Recent years have brought significant changes to the health care industry, and information management is becoming an increasingly critical part of managing health and healthcare; this book provides essential guidance toward all aspects of the field. * Learn how information systems are used across the health care continuum * Discover the role of IT in managing health, patient engagement, and care management * Explore the latest technologies that facilitate the management of sensitive information * Delve into increasing trends, such as population health management Health care reform, accountable care, and an increasingly global focus has turned the health care data stream into a deluge. Information systems are becoming increasingly powerful, but they are of little use unless backed by practitioners with a deep understanding of both information management and the health care system. Health Care Information Systems equips future health care managers to serve the needs of any health care organization.

This edited collection focuses on the global growth of privatisation and private sector medicine in both developed and lesser developed countries, and the impact of this on patients, health workers, managers and policy-makers. Drawing upon sociological theories, concepts and insights, as well as experts from several countries with extensive experience in researching the field either nationally or internationally, the collection offers a unique perspective on healthcare services and healthcare systems: a view from those trying to access healthcare services, working inside health systems, or responsible for managing and organising services. Collectively, the chapters contribute an international perspective on the navigation of healthcare systems, and addresses the growing salience of 'choice' between public and private medicine in a variety of different national systems and contexts.

The growing number of networks delivering healthcare, and professionals learning together to improve care, has created a need for new kinds of management and leadership. This timely book highlights key lessons for network leaders in a world where care must increasingly be managed through partnerships and networks as a response to complex health needs requiring better solutions across health economies. Using their own research and case studies, the authors set out the context: why networks are here to stay; the benefits: why networks work well and for what; the difference between networks and hierarchies and when to use each form to improve care and learn; the different types of network; and how to lead a network effectively. Written for health and social care professionals wanting to set up or currently leading a network, this book by two leading experts is practical, informative, but theoretically grounded. Also useful for academics teaching health care leadership, it includes practical diagnostic materials and up to date examples from care sectors world-wide.

The Emergence of Modern Hospital Management and Organisation in the World 1880s-1930s uses a range of empirical evidences and case studies drawn from previously unpublished archival sources to offer one of the first international comparative studies on the transformation and modernization of hospital management globally, a century ago. Focusing in the key years between the 1880s and the 1930s, when millions of people crossed the globe and created new large health care needs in the largest cities of the world, Paloma Fernandez-Perez analyzes core themes from a business history perspective, like organization, ownership and the professionalization of management, to reach a new understanding about the history of modern large scale healthcare institutions from the United States to China, with particular attention to Spain. The book analyses how varying institutional factors, as well as specific national elements, have influenced the application of Taylorist ideas about standardization, efficiency, and productivity, to large scale hospitals. It also demonstrates the complexities in the dissemination of Taylorist styles of management in large hospitals in the world, by presenting the diversity of situations and how they depended not just on national differences but also on the balance of power of interest groups in private and public hospitals.

The Health Care Data Guide is designed to help students and professionals build a skill set specific to using data for improvement of health care processes and systems. Even experienced data users will find valuable resources among the tools and cases that enrich The Health Care Data Guide. Practical and step-by-step, this book spotlights statistical process control (SPC) and develops a philosophy, a strategy, and a set of methods for ongoing improvement to yield better outcomes.

Provost and Murray reveal how to put SPC into practice for a wide range of applications including evaluating current process performance, searching for ideas for and determining evidence of improvement, and tracking and documenting sustainability of improvement. A comprehensive overview of graphical methods in SPC includes Shewhart charts, run charts, frequency plots, Pareto analysis, and scatter diagrams. Other topics include stratification and rational sub-grouping of data and methods to help predict performance of processes.

Illustrative examples and case studies encourage users to evaluate their knowledge and skills interactively and provide opportunity to develop additional skills and confidence in displaying and interpreting data.

Companion Web site: www.josseybass.com/go/provost

With medication errors in healthcare an internationally recognised problem, this much-needed book delivers a comprehensive approach to understanding medication safety in the perioperative period. It reviews what medication adverse events are, and how often and where these errors occur, as well as exploring human cognitive psychology and explaining why things can go wrong at any time in a complex system. Detailed discussions around mistakes, judgement errors, slips and lapses, and violations, are presented alongside real-life examples of the indistinct line between negligence and inevitable error. The co-authors bring a wide and practical perspective to the theories and interventions that are available to improve medication safety, including legal and regulatory actions that further or impede safety. Essential reading for anesthesiologists, nurses, pharmacists and other perioperative team members committed to improving medication safety for their patients, and also an invaluable resource for those who fund, manage and regulate healthcare.

Operations management is increasingly a critical skill needed in today's health care leader. Managing your organization's complex interdisciplinary processes, labor and asset productivity, and operational performance involves quantitative and qualitative skills. Covering a range of topics from quality management to data analyses, Health Care Operations Management: A Systems Approach clearly explains the important concepts and skills necessary to lead a modern health care organization. Logically organized in four parts, Health Care Operations Management: A Systems Approach looks at operations, systems and financial management; methods for improving operations; analytical tools and technology; and health care supply chain. Thoroughly revised, the new Third Edition offers new content on health plan operations, use of information technology in operations management, and analytics - topics often overlooked in most health care operational management texts. Additional noteworthy updates include: * Expanded systems perspective that emphasizes the interconnection between the hospital and the health care system. * 4 new chapters cover health insurance plan operations (4), Six Sigma quality improvement (7), information technology (13) and statistical analysis (12) * Updated and expanded content on information technology including how to leverage existing information technology assets to improve operational performance. * Thoroughly revised chapter on supply chain management * New cases studies and end of chapter discussion questions and calculations challenge reader to apply concepts. * Practical guidance on analyzing operational performance using everyday management tools such as MS Excel.

The landmark 2010 Patient Protection and Affordable Care Act (ACA), or "Obamacare," is a topic of great debate in mainstream, academic, and scientific media that generated strong opinions across the political spectrum and our nation. Soon after the enactment of the ACA and the fierce debate that ensued, The Affordable Care Act as a National Experiment was published by Springer in 2014. Now five years later, just finishing an election year in which the ACA was a hotly debated issue, the second edition of this title examines the history, lessons, and impact of this ground-breaking legislation. Now a decade since implementation nationally, the ACA is the largest healthcare policy innovation in the United States in at least 50 years and one of our nation's largest healthcare experiments ever. The history of public health and medicine shows us that to develop better solutions for important health problems, we must innovate. And when we try a new strategy, we are reminded that to innovate is to experiment. This is the basis of all medical research, public health interventions, and health policy innovations. Moreover, in recent years, there is an increasing emphasis on "translational science," research that always has an ultimate focus on having real impact on medical care and the public's health - whether in translating from bench research to the bedside, or from limited clinical use into widespread practice, public health interventions or policy. As with the previous edition, the book opens with a chapter that gives a basic overview of The Affordable Care Act. The second chapter, which previously discussed the objectives of the ACA, now takes a look at the successes, unfinished work and impact of the ACA in the past ten years. The third chapter now ponders the question of whether the ACA has protected patients since its implementation while its previous counterpart gave predictions for the future. The chapters that follow highlight things such as Medicaid expansion and insurance reform under the ACA, the Supreme Court Review of the ACA, social determinants of health, stories of the uninsured and stabilization of the ACA, among others. The book rounds out with a summary of what's next and the push for universal healthcare followed by an epilogue. Due to the timely nature of the subject matter, some chapters from the previous edition have been dropped and seven new chapters have been added in their place. The remaining seven chapters from the previous edition have also been fully revised and updated. Written by nationally known healthcare policy leaders who were involved directly in the creation and implementation of the ACA, the second edition of The Affordable Care Act as a National Experiment again will examine the history and impact of this ground-breaking legislation as well as recommend priorities, objectives, and next steps for translational research. It is an essential resource for all healthcare providers as well as policy makers and academics.

Innovation in medical technology generates a remarkable supply of new drugs, devices, and diagnostics that improve health, reduce risks, and extend life. But these technologies are too often used on the wrong patient, in the wrong setting, or at an unaffordable price. The only way to moderate the growth in health care costs without undermining the dynamic of medical innovation is to improve the process of assessing, pricing, prescribing, and using new technologies. Purchasing Medical Innovation analyzes the contemporary revolution in the purchasing of health care technology, with a focus on the roles of the Food and Drug Administration (FDA), Medicare and private health insurers, physicians and hospitals, and consumers themselves. The FDA is more thoroughly assessing product performance under real-world conditions as well as in laboratory settings, accelerating the path to market for breakthroughs while imposing use controls on risky products. Insurers are improving their criteria for coverage and designing payment methods that reward efficiency in the selection of new treatments. Hospitals are aligning adoption of complex supplies and equipment more closely with physicians' preferences for the best treatment for their patients. Consumers are becoming more engaged and financially accountable for their health care choices. This book describes both the strengths and deficiencies of the current system of purchasing and highlights opportunities for buyers, sellers, and users to help improve the value of medical technology: better outcomes at lower cost.

In today s challenging health care environment, health care organizations are faced with improving patient outcomes, redesigning business processes, and executing quality and risk management initiatives. Health Care Quality Management offers an introduction to the field and practice of quality management and reveals the best practices and strategies health care organizations can adopt to improve patient outcomes and program quality. * Filled with illustrative case studies that show how business processes can be restructured to achieve improvements in quality, risk reduction, and other key business results and outcomes * Clearly demonstrates how to effectively use process analysis tools to identify issues and causes, select corrective actions, and monitor implemented solutions * Includes vital information on the use of statistical process control to monitor system performance (variables) and outcomes (attributes) * Also contains multiple data sets that can be used to practice the skills and tools discussed and reviews examples of where and how the tools have been applied in health care * Provides information on root cause analysis and failure mode effects analysis and offers, as discussion, the clinical tools and applications that are used to improve patient care By emphasizing the tools of statistics and information technology, this book teaches future health care professionals how to identify opportunities for quality improvement and use the tools to make those improvements.

"I have eagerly awaited the follow up to Bond and Holland's ground breaking first edition published some 12 years ago. This second edition is completely revisited, retaining the readable chapter structure, but tackling the key questions head on pertinent to clinical supervision development for nursing in the 21st century. Once again the authors do not pull any punches critically reviewing the nature of and challenges posed for its full implementation in practice. The strengths of this book are its practical application in and for practice. The continued emphasis on skills development in the clinical supervision relationship is evident, embroidered within the emotional work of everyday nursing practice. This is an essential read for all those still wrestling with full implementation in practice and presents a treasure trove of ideas for those actively engaging in the process." John Driscoll, Continuing Professional Development (CPD) Consultant (Healthcare)This perennial bestseller provides a practical and accessible, skills-based text on how to implement and engage in clinical supervision. It provides clear frameworks to guide learning, with real-life examples from across the range of nursing specialisms.Offering grounded perspectives on supervision for nurses, it has been thoroughly updated to reflect changes and developments in the profession. The book includes: Exploration of the theory and development of clinical supervisionAn analysis of the process and skills of in-depth reflectionGuidelines on developing key skills for both supervisors and superviseesA critique of group supervision and ways to make it more effective New ideas for developing organizational frameworks for supervision The authors' wealth of experience is reflected in their outline for a code of ethics that addresses self-disclosure and accountability issues in clinical supervision.This book is key reading for nurses, midwives and health visitors and their managers as well as professional support workers and educators who have an interest in the practical implementation of clinical supervision.

This book brings together all the major components of the private health care sector in India, with detailed description of its evolution, the foundational ideas, its development, the positives and ill effects on the population. It suggests intelligible and practical remedies for public good. The book presents a comprehensive review of private health care sector's resistance to Indian Government's reforms like the national medical commission, NEET, clinical establishment act and the new boost to the traditional medicine by the Indian government. The author has discussed contentious areas like Corporate Hospitals, Capitation Fee Colleges, Pharmaceutical Industry, Western Models in Health Care, Integration of Medical Systems, Ayushman Bharat Scheme, Health Insurance and Public Private Partnership on a massive scale.

This book presents cutting-edge surgical techniques and the new operating rooms supporting them, as well as their future developments.In recent years, with the advances in surgical medicine, surgical techniques have undergone great changes. However, safety and reliability are still the major requirements of the operating room, and these are closely linked to the patients' wellbeing. The new medical instruments and medical materials being developed to perform surgery more safely, reliably and efficiently are vital technologies supporting this. "New techniques" involve the introduction of innovative medical instruments and medical materials, and these, too, are increasing in terms of performance and size every year. Surgery and Operating Room Innovation discusses these issues from the perspective of various professionals involved with operating rooms.

Cystic fibrosis (CF) is one of the most common autosomal recessive disorders in the Caucasian population with an estimated incidence of 1 in 2,500 childbirths. While this disease affects several organ systems of the body, morbidity and mortality is chiefly related to the extent of pulmonary involvement. Idiopathic pulmonary fibrosis (IPF) is the most common idiopathic interstitial disease of the lung of unknown etiology with a median survival time of about 3 years. IPF occurs mainly in men older than 60 years who have comorbidities such as pulmonary hypertension, COPD, lung cancer, gastro-esophageal reflux, ischemic heart disease and obstructive sleep apnoea. This book provides current research on risk factors of CF and IPF, as well as management options and long-term health outcomes of the disorders.

Psoriasis is a common, non-infectious, chronic inflammatory skin disease characterised by distinctive erythematous plaques that multiply and scale over with silvery patches. Psoriasis can affect any cutaneous site and is frequently found on the extensor skin surface of elbows and knees, scalp and sacral regions. Psoriasis is also associated with systemic conditions, including psoriatic arthritis, Crohns disease and lymphoma. This book discusses the epidemiology, diagnosis and management strategies of psoriasis. Chapter One provides an overview of the challenging medical condition. Chapter Two discusses the possible factors raised by literature as main contributors to sleep disturbances and its correlation to psoriasis. Chapter Three gives an overview of the current results where blood plasma thermal changes have been detected by Differential Scanning Calorimetry (DSC) technique on psoriatic patients with different clinical stages, and monitored patients with no symptoms to patients with serious symptoms. Chapter Four discusses psoriasis treatment that targets the IL-23/Th17 axis. Chapter Five reviews natural health products for managing psoriasis.

Foundations of Health Care Management

Leaders and managers throughout the health care system are facing ever more challenging changes in the way care is delivered, paid for, and evaluated. "Foundations of Health Care Management: Principles and Methods" offers an innovative, concise, reader-friendly introduction to health care management and administration. It addresses the need for new skills in managers of health care facilities and for those planning to enter health care management positions. The book covers such critical topics as leadership training, change management, conflict management techniques, culture building, quality improvement, and communications skills, as well as collaboration in the improvement of population health.

"Foundations of Health Care Management" also concentrates on innovations and describes steps in the transition to more decentralized and creative approaches to the management of health care facilities. The book covers physician management from the physician's viewpoint, a valuable perspective for health care managers.

The book serves important dual purposes for faculty and students by providing both insights into the health care field as well as foundational content on essential management and leadership competencies. A full set of support materials is available for instructors at the book's companion Web site.