Edited by a professor at Harvard Medical School who has extensive experience in this field, this important and timely book presents a variety of perspectives on the organization of patient medical records around patient problems, presenting a more effective problem-oriented approach rather than the traditional data-oriented approach. It is comprehensive, covering the history and importance of the electronic health record, the attitudes toward and use of problem lists, strategies to improve the problem list, and applications in practice of the problem list.

Foundation Training is mandatory for the majority of UK dental graduates who wish to practise NHS dentistry. Considered by many dentists as being a rite of passage, it underpins the development of a career in all branches of dentistry. Dental Foundation Training is a highly practical resource for all dentists interested in Foundation Training. It walks both current and prospective foundation dentists through the realities and unknowns of the year. Easy-to-read and comprehensive, it includes an essential survival guide and offers a detailed snapshot of the various directions available in the career crossroads which await after Foundation Training.

Care integration has become an important part of managing health and social care services all over the world. Bringing organisations together is thought to produce better access to care, reduce health care expenditure and improve quality of care for patients and service users. This book helps managers to think about how to collaborate in integrated care programmes. It provides practical advice on how to implement various aspects of care integration, such as finance, digital technology and evaluation. The book also contains chapters on the social and behavioural strategies, values and leadership approaches that should underpin integration. Each chapter contains key information based on the current state of research, illustrations from practical contexts and further reading.

This case studies book is an indispensable resource for educators, students, and practitioners of nursing. It is innovative in its application of lessons from the communication sciences to common challenges in the delivery of safe patient care. The authors apply basic tenets of human communication to the context of nursing to provide a foundation for practices that can advance the safety and quality of care. The cases, which describe "close calls" and adverse events, are organized along the continuum of healthcare delivery, providing quick access to solutions in commonly encountered care situations. Each case is accompanied by a discussion of how skillful communication can be key to preventing and recovering from errors and adverse events. Thought-provoking discussion questions and references for further reading make this book a valuable reference for nursing educators, students, and practitioners across the world.

Improving health care is one of the most pressing and complex challenges facing western societies. Beyond the Toolkit provides practical help, hope, energy and ideas about how to combine the toolkit of improvement methods with the leadership and humanity required to ensure success in practice over time. It argues that understanding the methods is necessary but not sufficient. Beyond the Toolkit is readable and accessible, packed full of learning, insights, research and experiences, appealing equally to those setting out on the journey of improvement as well as those ready to make improvements on a larger scale. It will leave readers informed, energised and hopeful about their own ability to make a difference in their local health contexts. Beyond the Toolkit includes chapters written by leaders in health care who have been involved in improving the quality of patient care in practice, and who share their experiences, warts and all. These stories are powerful, empathetic, first-person narratives that are very different from the sanitised case studies that are often published. The authors co-lead GenerationQ, a Master's programme in Leading for Quality Improvement for senior leaders in health, social care and health charities. The programme is sponsored by the Health Foundation and designed and delivered at Ashridge Executive Education, Hult Business School.

This forward-looking volume challenges professionals and interested lay readers to reconsider our ways of looking at health and wellness, illness and disease, and the goals of health/healthcare systems. Reframing health systems as complex adaptive systems, the book identifies health care as a central aspect of social care and security for all people, particularly the most vulnerable. From there, the author outlines necessary organizational, design, medical, and community steps toward building health systems that view and practice health care as a human right and can produce optimum care in the long term. And extensive illustrations display effective collaborative problem solving within these systems, in both intriguing theoretical models and the real world. Highlights of the coverage: * Systems and complexity thinking in health and health care * Redesign based on "first principles" * Redesign from an organizational perspective * Working together effectively and efficiently to achieve a common purpose * Analyzing "the workings" of health systems as complex adaptive systems * Person-centered, equitable, and sustainable health systems: achieving the goal Health System Redesign brings a voice and a vision to the most pressing problems in healthcare service delivery, and offers new goals and purpose to health policymakers, health financiers, organizational leaders, clinicians, and concerned members of the local community

The healthcare environment is in flux. On the one hand, doctors are being driven into ever larger group practices by increasing regulatory and administrative burdens and the need for greater negotiating power. At the same time, growing infrastructure costs and the threat of payment reform is pushing them into closer alignment with hospital systems. This rapidly changing environment requires a more sophisticated set of leadership skills.

This book introduces a unique and practical coaching style as a way of interacting with colleagues, managing direct-reports, helping others solve problems, responding to change, making effective choices and developing professionally. It draws from four evidence-based models for interacting with others and facilitating change - solution-focused therapy, cognitive-behavioral therapy, motivational interviewing, and transactional analysis and reframes them so that they are congruent with managerial and leadership terminology and provide a practical set of methods and tools for today s healthcare leader.

This book provides an overview of the challenges in electronic health records (EHR) design and implementation along with an introduction to the best practices that have been identified over the past several years. The book examines concerns surrounding EHR use and proposes eight examples of proper EHR use. It discusses the complex strategic planning that accompanies the systemic organizational changes associated with EHR programs and highlights key lessons learned regarding health information including technology errors and risk management concerns."

As a manager you will be expected to resolve a range of legal, ethical, operational, human resource, and financial issues that affect your organization. Essential Management Skills for Pharmacy and Business Managers supplies the understanding you will need to manage the day-to-day challenges in this increasingly competitive environment. Presenting a wealth of information on how to resolve common issues across all sectors of the pharmacy environment, it uses case studies to illustrate the methods required to create a patient-focused business where teamwork flourishes and continuous improvement becomes a reality. The book describes the kinds of things that will most often go wrong in organizations of all types and sizes and provides proven methods for resolving these issues. It explains how to develop and implement an effective quality management system in the pharmacy or a retail operation that complies with external standards. Outlining an efficient performance appraisal system, it describes how to manage diversity and details time-tested problem solving, conflict management, and stress management techniques. With coverage that includes employee management, quality management, and quality assurance, the book describes how to create a harmonious work environment that promotes effective communication between pharmacy staff, medical professionals, care givers, patients, and customers. Complete with links to further information in each chapter, it arms you with the tools to empower and motivate your employees to provide world-class patient and customer care.

Dr. Connie Vuong helps readers start their Ortho-K specialty practice and inspire them to join her mission in preserving children's eyesight for a brighter future. Fed up with low revenue and long hours, veteran eye care physician Dr. Connie Vuong decided to pivot. Dr. Vuong took her passion for eye care to the front lines of the fight against myopia (near-sightedness) in children. Her weapon of choice? Ortho-K therapy. In The Profitable & Stress-Free Eye Doctor, Dr. Vuong invites readers to learn how she was able to create a successful Ortho-K specialty practice, where she works just two days a week and 98% of her patients pay without using any type of insurance. She even expands on: How to start and be known as an Orthokeratology expert in your area How to build a clientele of patients who mainly pay out-of-pocket How to earn more with less work hours How to attract patients who desperately need you for their nearsighted children How you can make a significant contribution to so many young lives

This book presents an advanced systematic mapping review (SMR) and state-of-the-art taxonomy of emergency departments (EDs). Focusing on the patients' level of fulfilment and how it can be enhanced, it examines existing problems like waiting periods and overcrowding and how these can be alleviated to provide a better service. The author examined research papers from 1964 to 2018, and developed six research questions, organising them using mapping studies, the primary objectives of which were firstly, to obtain a common understanding of the problems that need to be highlighted in EDs, and secondly, to re-analyse the methods used. Focusing on quality, the book encourages citations of experimental methods from important studies concerning EDs that can improve services. Through different research papers, various thematic areas in the healthcare sector were examined, like the determination of the relative efficiency of pre-discharge interventions; the analysis of care and managing common indications during the last stages of life; using e-Health to enhance effectiveness and proficiency; the seriousness of patient differences among EDs; the identification of quality problems in healthcare contexts; existing opportunities and the suggested plans. The book concludes that an analytical decision-making process should be used to assess a health technology on the basis of its performance. It stresses the importance of updating this analytical system frequently.

This book focuses on the public policy and political dimensions of Alzheimer's Disease and other dementias (AD/D) in the United States, with coverage of the global dimensions and relevant examples from other countries. Starting off with a discussion on the characteristics of AD/D and competing theories of their causes, their human and financial costs, and the increasing burden they place on all societies as populations age, the book examines in detail the range of policy issues they raise. These include funding policies, payment policy and regulatory functions, long-term services and support (LTCS), public health and prevention policies. The book analyses the big business surrounding AD/D and shows that the strong public fear of developing dementia heightens the likelihood of exploitation of vulnerable people looking for a technological fix. It examines both informal and formal caregivers and the heavy burden placed on families, primarily women, and recent policy attempts to strengthen LTCS. It also examines the latest evidence of potential risk-reduction and prevention strategies and the difficult issues surrounding advance directives, assisted suicide, and definitions of death that increasingly face policy makers. It concludes by analyzing the policy implications on possible technological scenarios.

Practitioners, organisations and policy makers in health and social care settings are increasingly recognising the need for trauma-informed approaches in organisational settings, with morbidity and financial burdens being of growing concern. Servant leadership has a unique focus on emotional healing, service to others as the first priority, in addition to the growth, well-being and personal and professional development of key stakeholders. Mahon provides a 'how to' approach to the systematic implementation of the Trauma Ecology Model for those working in both trauma specific, and non-specific organisations. He goes beyond the idea of trauma-informed care principles only, and seeks to incorporate trauma responsiveness at all levels, including leadership, supervision, treatment, through an implementation framework. Unique to this approach is the focus on servant leadership, the first of its kind. Servant leadership is used as the foundation to operationalize several of the six principles of trauma-informed care, making organizations a safer and healthier environment for employees and service users.

How does a medical practice thrive in a business environment where the margin of management error has all but disappeared? Profit margins are being squeezed by declining reimbursement rates, capitation plans, gamesmanship on the part of the payors, and increasing operating costs. Addressing the specific needs of today's medical practice, Medical Practice Business Plan Workbook, Third Edition supplies a detailed and ordered work plan to tackle some of the most pressing issues facing the field. Peter D. Lucash delves into decades of experience helping physician groups develop business plans to guide you along the process of building the profitable practice you want and deserve. This updated edition of a bestseller begins with a review of the fundamentals, including the questions your plan should answer, how to get started, how to organize and develop your plan, and the staff support and resources you will need. Complete with a wealth of helpful sample plans and worksheets, this workbook: Reflects recent changes in the healthcare industry, including federal healthcare reform Offers a one-of-a-kind design and approach tailored to the medical practice Covers conceptualization, organization, and implementation of your business plan This updated edition reflects current and forecasted challenges for practices, including the Affordable Care Act, data security, and quality and outcome measures. It supplies detailed coverage of the different types of organizations, governance and management, personnel needs, key business relationships and contacts, demographics and economic factors, patients as customers, competitor analysis, marketing, information technology, disaster and business continuity planning, and financial strategies. The final section outlines a process for implementing your plan. Sticking to this process will help ensure your plan covers what is needed to succeed in today's complex medical environment. Visit www.Lucash.com for videos and other resources to help you develop and implement your practice business plan.

There is no shortage of issues to be addressed in healthcare, and no shortage of good ideas. What is often lacking is an approach to influencing change that has genuine integrity and trust built in from the start. And integrity is not just a word or a vaguely held value. It has to be demonstrated practically through the way managers and clinicians engage with their colleagues. From the Preface This highly practical book provides clinicians and managers with the knowledge and tools that will enable them to successfully influence their staff and colleagues. Built on the conviction that the way to influence others is through respect and understanding - not threat or manipulation - it promotes an optimistic, confident approach to leadership where trust and respect is fostered.

Since more and more surgeries and procedures are being performed in outpatient settings, the policies, plans, and procedures for these services are of increasing importance. 50 Policies and Plans for Outpatient Services details commonly used policies and plans in free-standing ambulatory care centers. Included are plans and policies concentrating on emergency management, medication safety, informed consent, and medical staff credentialing to name a few. As an introduction to the model documents presented, the book begins with a how-to chapter to guide readers through the process of formatting the documents and making them their own. The policies and plans discussed serve as templates and can apply to licensing and regulatory agencies such as Medicare, the Joint Commission, and AAAHC. The documents included in this book are excellent templates to use as a starting point for producing policies and plans that help create the flow and process in an organization. Knowing their specific local, state, and other governing agency requirements, readers can customize the documents to reflect the unique structure and qualities of their organization through the use of the downloadable resources. The resulting policies, procedures, and plans are the back-up documents that provide rationale, vision, and theory, and can be valuable tools for making effective clinical and administrative decisions. In addition to the documents provided on the downloadable resources, the book also includes a list of helpful resources.

The concept of managed care evolved in the USA as a way of containing costs and promoting quality in health care. Some vital lessons can be learned from this experience, and many of its benefits can be applied to the UK as the NHS internal market develops. However, there are also pitfalls which it is equally important to avoid. This is the first book to provide an in-depth analysis of the contracting techniques seen in managed care. The author is in the rare position of being an NHS manager with practical experience of the US health care system, and has produced a first hand contemporary guide to managed care, highlighting its strengths and weaknesses and its relevance to the UK. To set the current debate about the future of the internal market and GP fundholding in context, the author offers a critical review of the NHS reforms and current management and clinician competencies. Citing American experience of the role of doctors in management, he demonstrates both the power and limitations of such initiatives.

Practical and evidence-based, this unique book is the first comprehensive text focused on person-centered approaches to people with serious mental illness such as schizophrenia and bipolar disorder. It reflects a range of views and findings regarding assessment, treatment, rehabilitation, self-help, policy-making, education and research. It is highly recommended for all healthcare professionals, students, researchers and educators involved in general practice, psychiatry, nursing, social work, clinical psychology and therapy. Healthcare service providers, and policy makers and shapers, will find the book's wide-ranging, multi-professional approach enlightening. 'Serious Mental Illness reflects a continued distancing from the outmoded and unsubstantiated belief that people with severe mental illnesses could not recover, and that they would respond positively only to goals and treatment plans chosen, designed and implemented by providers in order to prevent their further deterioration. Anyone with an interest in the concept of person-centered approaches will discover new ideas in this book. Indeed, anyone with an interest in person-centered approaches has to read this book. Not only is it the first such book on person-centered approaches, but it will serve as the gold standard in this topic area for years to come.' William A Anthony, in the Foreword

Panacea or revolution? 'Evidence-based medicine' and 'cost-effectiveness' have become buzz-phrases for a wide variety of initiatives and planning processes which aim to give patients treatments that will benefit them. On the surface this seems a reasonable idea, but there are underlying currents which cast doubt on the process and reveal methodological problems, which must be understood if the concepts are to be properly used. Assuming no prior knowledge of the field, and written in the clear, straightforward manner the author uses in the highly successful Health Economics for the Uninitiated, this book is a short practical guide on how to use these concepts, and how to avoid their pitfalls. It will appeal to doctors, nurses, health service managers, patient organizations, academics and students of health care. It will provide essential support to those working in health care companies, and in the pharmaceutical and medical equipment industry.

Rewritten with the new primary care environment in mind, this greatly expanded and updated edition of Child Mental Health in Primary Care extends the structured approach of the first edition to adoelscent mental health. As in the first edition, Primary Child and Adolescent Mental Health covers each problem in a uniform way, offering definitions, assessment outlines, detailed management options and indications for referral. Numerous case examples further illuminate aspects of many conditions. Comprehensive and practical, the forty-eight chapters of Primary Child and Adolescent Mental Health cover the full range of difficulties and disabilities affecting the mental health of children and young people. The book is divided into three volumes, and can either be read from cover to cover or used as a resource to be consulted for guidance on specific problems. This book is vital for all healthcare professionals including general practitioners, health visitors and other staff working in primary care to assess, manage and refer children and adolescents with mental health problems. School medical officers, social workers and educational psychologists, many of whom are in the front line of mental health provision for children and young people, will also find it extremely useful. Reviews of the first edition: 'This very comprehensive and detailed book provides the tools for primary care health professionals not only to assess a child's needs but in many cases also to implement an initial package of care.' JUST FOR NURSES 'I have no reservation in recommending the book to all people working with children and families in any capacity. An important training text for a variety of professions. A very effective text to be used in daily practice for quick reference.' CHILD AND ADOLESCENT MENTAL HEALTH 'This book is well produced and clearly written. A useful book for anyone interested or involved with children.' FAMILY PRACTICE 'I looked through the book again and again but could not find anything missing.' NURSING TIMES

The book shows readers exactly how to use Lean tools to design healthcare work that is smooth, efficient, error free and focused on patients and patient outcomes. It includes in-depth discussions of every important Lean tool, including value stream maps, takt time, spaghetti diagrams, workcell design, 5S, SMED, A3, Kanban, Kaizen and many more, all presented in the context of healthcare. For example, the book explains the importance of quick operating room or exam room changeovers and shows the reader specific methods for drastically reducing changeover time. Readers will learn to create healthcare value streams where workflows are based on the pull of customer/patient demand. The book also presents a variety of ways to continue improving after initial Lean successes. Methods for finding the root causes of problems and implementing effective solutions are described and demonstrated. The approach taught here is based on the Toyota Production System, which has been adopted worldwide by healthcare organizations for use in clinical, non-clinical and administrative areas.

This open access book describes the results of natural language processing and machine learning methods applied to clinical text from electronic patient records. It is divided into twelve chapters. Chapters 1-4 discuss the history and background of the original paper-based patient records, their purpose, and how they are written and structured. These initial chapters do not require any technical or medical background knowledge. The remaining eight chapters are more technical in nature and describe various medical classifications and terminologies such as ICD diagnosis codes, SNOMED CT, MeSH, UMLS, and ATC. Chapters 5-10 cover basic tools for natural language processing and information retrieval, and how to apply them to clinical text. The difference between rule-based and machine learning-based methods, as well as between supervised and unsupervised machine learning methods, are also explained. Next, ethical concerns regarding the use of sensitive patient records for research purposes are discussed, including methods for de-identifying electronic patient records and safely storing patient records. The book's closing chapters present a number of applications in clinical text mining and summarise the lessons learned from the previous chapters. The book provides a comprehensive overview of technical issues arising in clinical text mining, and offers a valuable guide for advanced students in health informatics, computational linguistics, and information retrieval, and for researchers entering these fields.

This book offers a new, practical approach to healthcare reform. Departing from the priorities applied in traditional approaches, it instead assesses - both theoretically and practically - the successful lessons learned in other safety-critical industries, and applies them to healthcare settings. The authors focus on the importance of human factors and performance measures to establish proactive, systematic methods for healthcare system design. This approach helps to identify potential hazards before accidents occur, enhancing patient safety. In addition, the book details the new approach on the basis of real-world applications in the NHS and insights from NHS staff. Case studies and results are presented, demonstrating the significant improvements that can be achieved in risk reduction and safety culture. Lastly, the book outlines what steps healthcare organisations need to take in order to successfully adopt this new approach. The approach and experiential learning is brought together through the development of a new holistic patient safety education syllabus.

Of previous editions: '... breaks new ground in its readability ... It is concise, wise, and firmly pragmatic'. British Medical Journal 'Since it was first published in 1994, Peter Tate's The Doctor's Communication Handbook has been essential reading to improve GP registrars' communication skills'. Practical Diabetes International This bestselling title has established itself as the ultimate guide to patient communication for all doctors, whatever their experience and wherever they practice. Highly respected by many and acclaimed for its light, conversational tone, this completely updated and expanded eighth edition remains a key text for doctors at all levels and in all settings, particularly candidates sitting for the Membership of the Royal College of General Practitioners. Key features: Unique and accessible approach to this vital and frequently poorly practiced aspect of medicine Addresses the change in practice where traditional doctor consultations are increasingly being done by other health professionals, including nurse practitioners and paramedics Reflects the dissolution of the primary/secondary care boundary, and the increasing importance of shared responsibility for patient communication in clinical and social care Covers the new types of consultation including telephone triage and virtual consultation and the associated risks and benefits Retains all the features praised in previous editions brevity, readability and humour As patients become participants, doctors are increasingly adjusting to new roles and forms of communication from orators and governors to confidants and interpreters. The Doctor's Communication Handbook continues to provide an invaluable 'one stop shop' to help students, practicing doctors, nurses and other healthcare practitioners value and improve their skills in this area.