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.

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.

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.

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.

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.

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

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

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.

Winner of a 2013 Shingo Research and Professional Publication Award This practical guide for healthcare executives, managers, and frontline workers, provides the means to transform your enterprise into a High-Quality Patient Care Business Delivery System. Designed for continuous reference, its self-contained chapters are divided into three primary sections: Defines what Lean is and includes some interesting history about Lean not found elsewhere. Describes and explains the application of each Lean tool and concept organized in their typical order of use. Explains how to implement Lean in various healthcare processes-providing examples, case studies, and valuable lessons learned This book will help to take you out of your comfort zone and provide you with new ways to extend value to your customers. It drives home the importance of the Lean Six Sigma journey. The pursuit of continuous improvement is a journey with no end. Consequently, the opportunities are endless as to what you and your organization can accomplish. Forty percent of the authors' profits from this book will be donated to help the homeless through two Baltimore charities. Praise for the book: ... well-timed and highly informative for those committed to creating deep levels of sustainable change in healthcare.- Peter B. Angood, MD, FACS, FCCM, Senior Advisor - Patient Safety, in National Quality Forum ... the most practical and healthcare applicable book I have ever read on LEAN thinking and concepts. - Gary Shorb, CEO, Methodist Le Bonheur Healthcare ... well written ... an essential reference in the library of all healthcare leaders interested in performance improvement.- Lee M. Adler, DO, VP, Quality and Safety Innovation & Research, Florida Hospital, Orlando; Associate Professor, University of Central Florida College of Medicine ... a must read for all Leadership involved in healthcare. ... I can see reading this book over and over.- Brigit Zamora, BSN, RN, CPAN, CAPA, Administrative Nurse Manager, Florida Hospital, Orlando

Over the past three decades, guidance on the selection of art in hospitals has suggested realistic art that depicts soothing and comforting images such as tranquil waters, green vegetation, flowers, and open spaces. Based on these findings, curators have been cautioned to avoid art with uncertain meaning that risks upsetting viewers in stressful states. However, some hospitals exhibit ambiguous or abstract art and cite anecdotal evidence of its appropriateness for healthcare settings. More recent research is going beyond anecdotal evidence, and indicates that the ambiguity of meaning in abstract compositions can have positive effects. 'Purpose-built' Art in Hospitals is built on an international study of artwork in hospitals around the globe. Exploring 'purpose-built' (specially commissioned) artwork in hospitals through the dual lens of an artist and healthcare professional, Rollins identifies 15 specific 'purposes' of visual artwork in hospitals and presents a compelling case for their use that is grounded in research. The book builds the reader's understanding of the many functions of artwork in hospitals, with the goal of encouraging greater variety in art offerings to better serve the many diverse needs of patients, families, visitors and staff within the hospital environment.

Finance has become a key issue in dentistry following major recent changes in legislation that allow dentists to conduct business as a corporate body. However, many dentists receive little formal training in finance and can often miss out on extra profits and tax savings, or become reliant upon accountants and financial advisers who may lack dental expertise. This book aims to equip dentists with the knowledge needed to take an active role in their own finances - including taxes, income and expenditure, property matters and retirement - and provide an insight into what they should expect from a specialist financial adviser to the dental profession. Finance for Dentists has been written primarily for dentists and orthodontists currently in or planning to set up in practice, but will also be of interest to dentists employed in hospitals and other organisations within the NHS.

Exploiting the rich information found in electronic health records (EHRs) can facilitate better medical research and improve the quality of medical practice. Until now, a trivial amount of research has been published on the challenges of leveraging this information. Addressing these challenges, Information Discovery on Electronic Health Records explores the technology to unleash the data stored in EHRs.

Assembling a truly interdisciplinary team of experts, the book tackles medical privacy concerns, the lack of standardization for the representation of EHRs, missing or incorrect values, and the availability of multiple rich health ontologies. It looks at how to search the EHR collection given a user query and return relevant fragments from the EHRs. It also explains how to mine the EHR collection to extract interesting patterns, group entities to various classes, or decide whether an EHR satisfies a given property. Most of the book focuses on textual or numeric data of EHRs, where more searching and mining progress has occurred. A chapter on the processing of medical images is also included.

Maintaining a uniform style across chapters and minimizing technical jargon, this book presents the various ways to extract useful knowledge from EHRs. It skillfully discusses how EHR data can be effectively searched and mined.

This book analyses changes which have occurred in the organization and management of the UK public services over the last 15 years, looking particularly at the restructured NHS. The authors present an up to date analysis around three main themes: 1. the transfer of private sector models to the public sector 2. the management of change in the public sector 3. management reorganization and role change In doing so they examine to what extent a New Public Management has emerged and ask whether this is a parochial UK development or of wider international significance. This is a topical and important issue in management training, professional and policy circles. Important analytic themes include: an analysis of the nature of the change process in the UK public services: characterisation of quasi markets; the changing role of local Boards and possible adaptation by professional groupings. The book also addresses the important and controversial question of accountability, and contributes to the development of a general theory of the New Public Management.

Over 7,500 terms, definitions, and acronyms for medical insurance, billing and coding (MIBC) make this the perfect pocket dictionary for both students and practitioners in the MIBC professions! With its small size and concise definitions, this dictionary is ideal for use in class and in the medical office. Practical, consistent alphabetical organization with no subentries and screened thumb tabs make it easy to find the information you need. Etymologies for most entries help you understand the origins of the terminology and build your professional vocabulary. A list of commonly used abbreviations printed in the front and back covers make this your go-to reference for everyday practice.

Features of statistical and operational research methods and tools being used to improve the healthcare industry With a focus on cutting-edge approaches to the quickly growing field of healthcare, Healthcare Analytics: From Data to Knowledge to Healthcare Improvement provides an integrated and comprehensive treatment on recent research advancements in data-driven healthcare analytics in an effort to provide more personalized and smarter healthcare services. Emphasizing data and healthcare analytics from an operational management and statistical perspective, the book details how analytical methods and tools can be utilized to enhance healthcare quality and operational efficiency. Organized into two main sections, Part I features biomedical and health informatics and specifically addresses the analytics of genomic and proteomic data; physiological signals from patient-monitoring systems; data uncertainty in clinical laboratory tests; predictive modeling; disease modeling for sepsis; and the design of cyber infrastructures for early prediction of epidemic events. Part II focuses on healthcare delivery systems, including system advances for transforming clinic workflow and patient care; macro analysis of patient flow distribution; intensive care units; primary care; demand and resource allocation; mathematical models for predicting patient readmission and postoperative outcome; physician patient interactions; insurance claims; and the role of social media in healthcare. Healthcare Analytics: From Data to Knowledge to Healthcare Improvement also features: Contributions from well-known international experts who shed light on new approaches in this growing area Discussions on contemporary methods and techniques to address the handling of rich and large-scale healthcare data as well as the overall optimization of healthcare system operations Numerous real-world examples and case studies that emphasize the vast potential of statistical and operational research tools and techniques to address the big data environment within the healthcare industry Plentiful applications that showcase analytical methods and tools tailored for successful healthcare systems modeling and improvement The book is an ideal reference for academics and practitioners in operations research, management science, applied mathematics, statistics, business, industrial and systems engineering, healthcare systems, and economics. Healthcare Analytics: From Data to Knowledge to Healthcare Improvement is also appropriate for graduate-level courses typically offered within operations research, industrial engineering, business, and public health departments. HUI YANG, PhD, is Associate Professor in the Harold and Inge Marcus Department of Industrial and Manufacturing Engineering at The Pennsylvania State University. His research interests include sensor-based modeling and analysis of complex systems for process monitoring/control; system diagnostics/ prognostics; quality improvement; and performance optimization with special focus on nonlinear stochastic dynamics and the resulting chaotic, recurrence, self-organizing behaviors. EVA K. LEE, PhD, is Professor in the H. Milton Stewart School of Industrial and Systems Engineering at the Georgia Institute of Technology, Director of the Center for Operations Research in Medicine and HealthCare, and Distinguished Scholar in Health System, Health Systems Institute at both Emory University School of Medicine and Georgia Institute of Technology. Her research interests include health-risk prediction; early disease prediction and diagnosis; optimal treatment strategies and drug delivery; healthcare outcome analysis and treatment prediction; public health and medical preparedness; large-scale healthcare/medical decision analysis and quality improvement; clinical translational science; and business intelligence and organization transformation.

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.

Ten Days in a Mad-House (1887) is a book by American investigative journalist Nellie Bly. For her first assignment for Joseph Pulitzer's famed New York World newspaper, Bly went undercover as a patient at a notorious insane asylum on Blackwell's Island. Spending ten days there, she recorded the abuses and neglect she witnessed, turning her research into a sensational two-part story for the New York World later published as Ten Days in a Mad-House. Checking into a New York boardinghouse under a false identity, Bly began acting in a disturbed, unsettling manner, prompting the police to be summoned. In a courtroom the next morning, she claimed to be suffering from amnesia, leading to her diagnosis as insane from several doctors. Sent to the Women's Lunatic Asylum, Bly spent ten days witnessing and experiencing rampant abuse and neglect. There, she noticed that many of the patients, who were constantly beaten and belittled by violent nurses and staff members, seemed perfectly sane or showed signs of having their conditions severely worsened during their time at the asylum. Served spoiled food, forced to live in squalor, and given ice-cold baths by unsympathetic attendants, the patients she met during her stay seemed as though abandoned by a city that had sent them there for the supposed purpose of healing. Showcasing her skill as a reporter and true pioneer of investigative journalism, Bly published her story to a captivated and inspired audience, setting in motion a process of reform that would change the city's approach to its asylums for the better. With a beautifully designed cover and professionally typeset manuscript, this edition of Nellie Bly's Ten Days in a Mad-House is a classic work of American investigative journalism reimagined for modern readers.

As global health inequities continue to widen, policymakers are redoubling their efforts to address them. Yet the effectiveness and quality of these programs vary considerably, sometimes resulting in the reverse of expected outcomes. While local political issues or cultural conflicts may play a part in these situations, an important new book points to a universal factor: the prevailing deficit model of assessing health needs, which puts disadvantaged communities on the defensive while ignoring their potential strengths. The asset model proposed in Health Assets in a Global Context International Health and Development offers a necessary complement to the problem-focused framework by assessing multiple levels of health-promoting aspects in populations, and promoting joint solutions between communities and outside agencies. The book provides not only rationales and methodologies (e.g., measuring resilience and similar elusive qualities) but also concrete examples of asset-based initiatives in use across the world on the individual and community levels.

Patient-Centered Care Series Series Editors: Moira Stewart Judith Belle Brown and Thomas R Freeman Primary care clinicians are often unfamiliar with new and effective methods for detecting substance abuse problems in their earliest stages and the majority of patients with substance abuse problems remain undiagnosed. Substance Abuse is written by primary care clinicians and focused to meet the needs of primary care providers demonstrating how the patient-centered clinical method can assist clinicians in learning how to diagnose this complex psychosocial disorder. This book describes how to use state-of-the-art screening techniques and how to understand and motivate patients to decrease or eliminate harmful use of alcohol and drugs. It presents the latest scientific findings and gives examples of using a patient-centered approach as well as describing specific communication skills with samples of dialogue illustrating their use in helping substance-abusing patients. This is essential reading for all family doctors paediatricians gynaecologists psychiatrists nurses social workers psychologists and all clinicians whose practices include substance abusing patients. It will also appeal to counsellors education personnel and all professionals working with substance abusing individuals. For more information on other titles in this series please click here

Written in a clear, engaging style, Plunkett's Procedures for the Medical Administrative Assistant, 5th Edition provides instruction for all the essential office procedures required by today's medical office administrative assistants in Canada - whether they work in a medical office, a complementary care office, or in a hospital setting. It contains the most current information available in the field, and specifically reflects health care in Canada. Chapters address the diverse skills and knowledge required by a medical office administrative assistant, such as good communication, privacy, customer service, stress management, medical transcription, filing, appointment booking, physical and virtual meetings, billing (ICD-10-CA), and more. This new edition covers Electronic Medical Records (EMR), and features an eye-catching new four colour design and a new Evolve companion site with invaluable instructor and student resources. Written in an accessible, clear, engaging, and easy to understand style. Key terms, learning objectives, end-of-chapter assignments, and discussion questions throughout. Examples and exercises delve deeper into topic areas. Extensive offering of working papers and templates allow for extra practice on tasks and scenarios encountered in the medical office environment. Quintessentially Canadian content and viewpoint. Continuation of the beloved Dr. Plunkett theme. NEW! Four Colour design with new art programme better illustrates current concepts and improves readability and visual appeal. UPDATED! Expanded coverage of healthcare plans across Canada. NEW! Coverage of Electronic Medical Records (EMR). NEW! Evolve site including chapter review questions, review questions, videos, forms and templates, audio glossary, and more! UPDATED! Reflects contemporary standards, technological tools, and terminology used in day-to-day modern health care practice. NEW! New and revised learning tools - including: learning objectives, key terms, assignment boxes, tips, critical thinking boxes, and Did You Know boxes. UPDATED! Reflects current privacy legislation (PIPEDA) and changes to provincial and territorial Freedom of Information acts. NEW! Chapter order and comprehensive Table of Contents.

This book is designed to enable and encourage health professionals and family support workers to include fathers in the process of their work. It focuses on the enormous potential value of accessing men at a time they are known to be particularly receptive - before and after the birth - within the context of providing solutions in the debate about problematic aspects of masculinity and fatherhood. It looks at how important the father's role is within the family environment and how fathers should be encouraged to take part in the upbringing of their children.

Providing care and treatment for patients usually requires moving and handling activities, associated with high rates of back injuries for nursing staff. Over the last 20 years a number of guidelines have been published based on professional consensus. Evidence-Based Patient Handling uackles the challenge of producing an evidence base to support clinical practice and is presented in three sections: tasks, equipment and interventions. This book challenges previously held opinions about moving and handling and provides the foundation for future practices.

Most Americans-even those with significant disability-want to live in their homes and communities. Unpaid family members or friends often work as "informal" caregivers, helping those who need assistance- and many feel they have no option but to serve. In contrast, paid personal assistance services workers (PAS) provide a lifeline to those consumers with complex needs and limited social networks. However, there is a crisis looming in the increasing needs for paid PAS and the limited available PAS workforce. Making Their Days Happen explores disability, health, and civil rights, along with relevant federal and state labor policies related to personal assistance services. Lisa Iezzoni addresses the legal context of paid PAS as well as financing mechanisms for obtaining home-based personal assistance. She also draws upon interviews she conducted with paid PAS consumers and PAS workers to explore PAS experiences and their perspectives about their work. Offering recommendations for improving future experiences of PAS consumers and providers, Iezzoni emphasizes that people with disabilities want to be a part of society, and PAS workers who do this low-wage work find satisfaction in helping them achieve their goals.

Controlling costs in health care is rarely something that can be tackled in isolation. Cost control invariably interacts with issues of quality and health care access. Thus, this diverse collection of papers is concerned not just with costs but more importantly with value. Both macro and micro concerns are covered. At the macro level, health care reforms (and especially the 'marketisation' of health care systems) receive some attention. Papers explore how policy prescriptions get translated and modified during implementation, and assess how these prescriptions impact on both the incentive context and subsequent patterns of service delivery. Resource allocation within bureaucratic health systems continues to pose problems and these too are analysed with new solutions being proposed. At the micro level, a number of contributors wrestle with the difficulties of carrying out the economic evaluation of new drugs and technologies. In each case, the wider theoretical and practical implications of balancing costs and benefits are explored. This collection should prove helpful to health care policy specialists, managers and researchers interested in gaining a feel for the real-world application of cost-focused health services research.