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Books > Medicine > General issues > Health systems & services > Hospital administration & management
This is a practical book for health and IT professionals who need to ensure that patient safety is prioritized in the design and implementation of clinical information technology. Healthcare professionals are increasingly reliant on information technology to deliver care and inform their clinical decision making. Health IT provides enormous benefits in efficiency, communication and decision making. However a number of high-profile UK and US studies have concluded that when Health IT is poorly designed or sub-optimally implemented then patient safety can be compromised. Manufacturers and healthcare organizations are increasingly required to demonstrate that their Health IT solutions are proactively assured. Surprisingly the majority of systems are not subject to regulation so there is little in the way of practical guidance as to how risk management can be achieved. The book fills that gap. The author, a doctor and IT professional, harnesses his two decades of experience to characterize the hazards that health technology can introduce. Risk can never be eliminated but by drawing on lessons from other safety-critical industries the book systematically sets out how clinical risk can be strategically controlled. The book proposes the employment of a Safety Case to articulate and justify residual risk so that not only is risk proactively managed but it is seen to be managed. These simple techniques drive product quality and allow a technology's benefits to be realized without compromising patient safety.
Described in the New York Times as "an astonishingly clear 'user's manual' that explains our health care system and the policies that will change it," The Health Care Handbook, by Drs. Elisabeth Askin and Nathan Moore, offers a practical, neutral, and readable overview of the U.S. health care system in a compact, convenient format. The fully revised third edition provides concise coverage on health care delivery, insurance and economics, policy, and reform-all critical components of the system in which health care professionals work. Written in a conversational and accessible tone, this popular, highly regarded handbook serves as a "one stop shop" for essential facts, systems, concepts, and analysis of the U.S. health care system, providing the tools you need to confidently evaluate current health care policy and controversies. Provides essential introductory coverage while also offering depth and focus gained through the authors' experience over three editions of this best-selling handbook Features new, realistic narratives throughout that provide a more human focus on the effects of today's policies and issues Contains a new chapter that synthesizes multifaceted issues such as breast cancer screening guidelines, readmissions and value, and the rising cost of insulin Includes more data visualization such as maps and infographics for quick comprehension of complex information Offers multiple viewpoints and suggested readings so readers can develop their own opinions on key topics Used as a curricular resource in more than 150 training programs nationwide, including schools of medicine, nursing, physician assistant, pharmacy, physical therapy, occupational therapy, business, sociology, pre-medical, health administration, health law, and health policy; also used for employee training in a variety of organizations within the pharmaceutical, medical device, health care system, health insurance, and health IT fields Features supplemental digital content for instructors, ideal for classroom use Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.
Analysing Health Care Organizations seeks to link the world of health policy and management with the academic field of organization studies in a novel and additive way. It outlines the main developments in UK health care management apparent over the last thirty years and explores how they might be (re)seen with the application of some important organizational theories and perspectives. This book draws out contemporary and enduring themes from current literature on health care organization and considers them from a range of theoretical perspectives. Drawing on robust areas of research and some key academics who contribute to work in this field, it is a book relevant both to experts in the field and to those seeking to develop an understanding of health care organization from a theoretical perspective. Analysing Health Care Organizations provides a state of the art introduction foundation for subsequent works that will extend its content; providing a broad introductory overview of this theoretical terrain and setting the scene for further research.
This text is part of a practical tool-kit designed to help managers take control of their budgets. It should enable managers to understand the reports from management accounts and to know what to expect or demand from them. It has been exclusively developed to suit the specific needs of the NHS.
This book is vital for health service managers and clinicians, in both purchaser and provider organizations, in community and hospital settings. It helps the reader understand the principles and purposes of casemix and provides practical examples of using casemix groupings to manage services better. Its lessons are not just for acute services, but provide a way of understanding the complete spectrum of services required for a wide range of conditions, from individuals at risk to those with irreversible and progressive disease. The book explains why casemix groups are useful and the reasons for grouping and analysing patient records. It focuses on the difference between groupings of patients with conditions, and groupings of intervention episodes. Using both enables better identification of the services required to meet the needs of the population, and better communication between purchasers and providers. It has potential for managing the whole healthcare system from a population based perspective.
Offers an account of economic concepts relevant to the nursing profession. The aims of the book are to explain the economic theory underlying health care policy in the National Health Service with particular reference to nursing, and to examine the economic techniques which may be used to improve the understanding of efficiency and cost-effectivenes in the nursing profession.
Managed care organizations are paving the way to the future of health care delivery in the United States and countries around the world. As managed care systems evolve, a major concern is quality. Managed Care Quality: A Practical Guide is a collection of applications and experiences gathered from practicing health professionals in the field of managed care. This first "how to" guide was written to help managed care organizations meet the common objective of ensuring the best quality of services and care. Managed Care Quality: A Practical Guide presents successive steps in implementing quality in health care organizations. It introduces the methods, skills, and practices involved in quality health care programs and offers solutions to problems typically encountered in managed care.
This second edition reviews recent reforms and the likely impact of future developments in management and competition in the NHS. In particular, it reflects the growing importance of primary care and the continuing debates about health care rationing. It concentrates on the realities and how they can be interpreted to help strategists, managers, clinicians, students and those supplying the NHS understand the mechanism of efficient health care delivery.
The Juran Prescription surveys the breadth of knowledge and skills and identifies the practical steps needed if clinicians are to build quality programs that are tailored to their individual organizations. Based on the highly effective management techniques of renowned Dr. Joseph Juran, this book outlines management strategies and techniques that transform health care organizations. The author examines the principle at the heart of Juran's teachings - total quality management - as reflected in such impressive management innovations as outcomes measurement, guidelines for practice, reengineering, and patient-focused care. The Juran Prescription is a comprehensive primer written for physicians, administrators, managers, and other health care personnel who play a leadership role in today's highly complex and competitive environment.
Rationalization is concerned with making the most effective use of the resources available. In many places where this process is taking place it is plagued with public opposition and misunderstanding. Hitherto, rationalization in the acute care sector has primarily been concerned with closing sites, closing beds, moving beds between services, and moving beds from one site to another. This book discusses the need for rationalization in the context of health service reforms and future strategy. It considers recent changes in the health service, the case for rationalization, health care needs, the role of public relations, the future of the acute care hospital, site and facilities appraisal, and the costs of rationalization. The text is essential reading for managers and clinicians involved in acute care services, non-executive members of boards and trusts, and students of health services management.
This study examines management systems and their appropriateness to the National Health Service. The text considers the role of clinicians in management, recommending increased involvement by clinicians, and arguing that they must take on a greater management role in the reformed health service. The author suggests that conultants are best placed to manage the NHS efficiently and cost-effectively. In a system where non-clinical staff have come to dominate NHS management, and where purchasers determine what services are to be provided and the Patient's Charter defines the parameters of practice, doctors have genuine reasons to be hostile to the idea of involvement in hospital management. However, the author of this book warns of the danger to the health service and to patient care if consultants are sidelined. He considers management systems and the most suitable roles of clinicians in practice. In proposing models for change, he aims to transform the professional lives of clinicians.
Why did President Clinton's efforts to reform the financing of American health care fail? For years to come, politicians and scholars of public policy will revisit the debate over Clinton's health care plan. What did planners do right? And what did they do wrong? How can the mistakes of that experience be avoided in the future? What steps can now be taken to achieve some measure of reform in smaller pieces? In The Problem That Won't Go Away, economists, political scientists, sociologists, public opinion experts, and government staff offer answers to these and other crucial questions. They recount the history of the Clinton health care plan, present several alternative strategies the administration might have pursued, and conclude that none was likely to achieve the administration's goals of universal coverage and cost containment. Many support the view that the administration, Congress, and the nation lacked the political consensus and the information to credibly describe the effects of any single bill to reform the U.S. health care system. In that case, was the only option available to the administration to reach for goals far more modest than those it sought? Health care financing as a national political issue will not go away. Pressure to cut public spending to balance the budget means that medicare and medicaid will stay in the legislative spotlight; the retirement of the baby-boom generation in the beginning of the next century promises large increases in the cost of medicare; and a flood of new and costly medical technologies will continue to put financial pressure on everyone responsible for paying for health insurance. But, as this book illustrates, the nature of the debate inthe years after the demise of the Clinton plan will be altogether different from that of the past several decades.
The need for a more conscious, focused and proactive approach to the management of health-care organizations has increased substantially. One consequence of this is that health-care managers are having to look at managerial approaches and techniques that previously were the province of the private sector. Prominent among those is the whole area of marketing. This work takes a broad approach to the marketing process, highlighting some of the challenges that health-care managers and medical professionals are having to face. Having done this, the authors move on to examine some of the characteristics of good and bad management practice. It is against this background that, in subsequent chapters, they turn their attention to the question of marketing and how it might best contribute to the management of organizations throughout the health sector. Each chapter includes questions and checklists offering scope for applying marketing principles to primary and secondary health-care organizations of all types, sizes and specialities.
When hospitals began implementing their electronic medical records/electronic health records systems (EMR/HER) the pharmaceutical companies that were conducting clinical trials at those hospitals wanted to sue the date from those systems instead of having the hospitals enter the data in their EHR systems and also in the study data entry system. However, the FDA regulations would require that the hospital systems be "validated". The hospitals and the companies developing the systems argued that was "over-regulation." HIMSS published their Developer Code of Conduct where they said instead they would use Quality Management techniques. This book covers how to use Quality Management (ISO 9001) to develop computer systems, specifically EMR systems. It gives a basic introduction to how to implement computer systems. It also covers the topic of compliance because the hospitals are required to comply with regulations other than FDS regulations. The book also discusses the topics of risk management and conducting audits, both of which are part of ISO 9001 quality management of computer systems. The book is designed to give the reader an introduction to the things you have to do when implementing a computer system that has to satisfy some standards and where the accuracy of the information could impact the accuracy of a person's medical treatment.
This comprehensive guide covers all aspects of action learning, one of the most widely used development methods in health, social and community care. The book addresses the theory and practice of action learning in these fields, and considers action learning as an adult educational ethos as well as a helpful tool. Based upon emerging experience, it identifies good practice in action learning and offers a wide range of resources to enable individuals and organisations extract maximum benefit from this approach. Offering practical tips grounded in sound educational principles, this book is invaluable reading for all senior managers and professionals considering using action learning for leadership, management and organisation development purposes, including organisation development practitioners and action learning facilitators, and for medical and healthcare educators and their counterparts in social and community care looking for a general introduction to this growing field.
In the face of the relentless rise in health costs, many countries have had to set priorities so that maximum benefit can be made of unlimited funds. This book shares the experience of those which have taken a lead in this field, and draws on models being developed in Oregon, New Zealand, The Netherlands and Sweden as well as the UK. It discusses the strengths and weaknesses of each system from which healthcare planners and managers can draw their own conclusions and apply to the situation for which they are responsible.
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.
Approved by the Dietary Managers Association for 9 CEUs through September 1998 Here is a useful guide that helps both administrators and food service workers understand the daily functions of their dietary departments. Dietetic Service Operation Handbook enhances extended caregivers'knowledge of basic food service and clinical dietetics operations and serves as a functional tool they can use to initiate effective organization of dietetic services. It explains proper techniques and tips for everything from how to plan a menu and care for equipment to special adaptive eating devices and modifying texture for swallowing disorders. Packed with general and specific guidelines, this book also teaches food service employees how to allocate time more wisely, making them effective members of the interdisciplinary medical team--and saving their facility time and money as well. Administrators who wish to understand the functions of their dietary department so they can communicate more effectively with its staff will find this book a most useful resource, full of meaningful interpretations of routine tasks found in the daily operation of a food service.The author, registered with the American Dietetic Association, has prioritized the topics in the book to assist the systematic organization of any dietary department. Chapters cover both administrative and clinical topics, including food purchasing and production, the policy and procedure manual, quality assurance, current trends in geriatric nutrition, the effects of medicine on diet, enteral feeding, and documentation of the medical record. Dietetic Service Operation Handbook includes a wide variety of standardized recipes for the pureed diet, a resource list, handy calculations, and many useful forms for record-keeping which are compatible with OBRA laws. Beginning dietitians and dietary managers will find this book to be an extremely helpful and practical guide in their day-to-day work. Beginning or expert administrators and nursing directors will discover it improves their understanding of and communication with their food service operations.
This title is a comprehensive account of the key aspects of medical leadership. A highly accessible, text book-style resource, it explores how the medical profession has evolved in tandem with administrative and structural aspects of the NHS. Assuming leadership roles at all stages of their training and career is a progressively vital component of the definition of a good doctor. This book will provide invaluable support and guidance to anyone engaged in leadership within the NHS, but particularly to junior doctors in the primary and secondary care arenas taking on leadership roles for the first time.
Until now, no textbook on TQ has emerged that was written specifically for the healthcare industry. The Textbook of TQ in Healthcare is the first true text prepared by healthcare professionals for healthcare professionals. It provides a discussion of the tools, techniques and principles of TQ. Academic programs will find this text very useful for courses in TQ, quality management, general and strategic management and leadership.The Textbook is also an excellent reference for students and professionals in medicine, nursing, allied health services, pharmacy and healthcare administration.
This multidisciplinary text is an essential introduction to leadership in health care, combining the underpinning theory with a practical approach to help you come to decisions and solutions in everyday practice. * Written in an accessible and easy to understand style by an international team of practitioners who will engage, inspire and empower you to really make a difference in practice * Evidence based and with a focus on patient care and service delivery to ensure best practice * Includes case studies from a range of disciplines as well as questions and reflective activities to help you apply theory to practice * Provides practical tools from a number of disciplines including NLP, positive psychology, coaching and transactional analysis * Free HodderPlus website provides PowerPoints, case studies, questions, reflection activities and annotated web links This practical guide is an invaluable tool for all students and professionals in nursing and allied health, including radiographers, physical therapists, occupational therapists, dieticians and paramedics.
Build a working medical vocabulary quickly with Chabner's Medical Terminology: A Short Course, 9th Edition! Omitting time-consuming, nonessential information, this text helps you master the basics of medical vocabulary - including the most frequently encountered suffixes, prefixes, and word roots. A text/workbook format lets you practice and interact with medical terminology on almost every page through exercises, labeling, and pronunciations. Case studies and real-world vignettes demonstrate how medical terms are used in practice. With all this plus medical animations, word games, and flash cards on the Evolve website, you'll be amazed at how easily medical terminology becomes part of your vocabulary. Easy-to-read and understandable language allows you to quickly grasp and retain medical terminology even if you've had little or no background in biology or medicine. Text/workbook approach reinforces learning every step of the way with exercises, diagram labeling, review sheets, and pronunciation practice throughout the book. Full-color illustrations and photographs show parts of the body, diseases, conditions, and medical procedures. Picture Show activities, medical case reports, and vignettes demonstrate real-life applications of medical terms. First Person narratives help you to understand diseases and conditions from the patient's perspective. Principal Diagnosis feature shows how medical terms are used in clinical practice by asking you to read physician notes about a case and determine the patient's principal diagnosis. Medical Terminology Check Up at the end of each chapter reinforces your understanding of key concepts and easily confused terms. Evolve website includes resources optimized for tablet use, and mobile-optimized versions of the flash cards and quick quizzes make it easier for on-the-go study and review. Body Systems Challenge self-test assesses and reinforces your understanding at your own pace. NEW! Additional case studies provide examples of medical terminology in the context of patient care and procedures. NEW! Immunity and COVID-19 Vaccines appendix features topics of current interest, including infectious disease, cancer treatments, medical technologies, and pharmacology.
The healthcare industry is under privacy attack. The book discusses the issues from the healthcare organization and individual perspectives. Someone hacking into a medical device and changing it is life-threatening. Personal information is available on the black market. And there are increased medical costs, erroneous medical record data that could lead to wrong diagnoses, insurance companies or the government data-mining healthcare information to formulate a medical 'FICO' score that could lead to increased insurance costs or restrictions of insurance. Experts discuss these issues and provide solutions and recommendations so that we can change course before a Healthcare Armageddon occurs.
Encouraging a broad, compassionate, humanistic approach to spirituality, this book shows how patients' spiritual needs can be communicated well within interdisciplinary teams, leading to better patient wellbeing. This book describes the art of charting patients' spiritual perspectives in an open way that will help physicians and nurses to better direct medical care. It includes practical information on how to distil spiritual needs into pragmatic language, helping to demystify spiritual experience. Drawing on his extensive practical experience, the author also suggests key points to emphasise that will enrich chart notes for medical records, including brief, relative narratives, trusting one's own impressions, reflecting holistically on the patient's life, patient attitudes towards treatment and recovery, and describing families' opinions on the health care situation of their loved one. The book shows healthcare professionals of all disciplines how to engage in a shared responsibility for the spiritual care of their patients. |
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