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Books > Medicine > General issues > Health systems & services > Hospital administration & management
To accompany the hugely successful 'Methods for Economic Evalution of Health Care Programmes 2 e', this book is a thorough and rigorous discussion of the methodological principles and recent advances in the rapidly advancing field of theory and practice of economic evaluation in health care. Written by an internationally acclaimed group of authors, the book provides an in-depth discussion of the latest theoretical advances and gives comprehensive reviews of the available literature. The book covers the main areas of economic evaluation, including the methods for measuring costs and outcomes, the collection of data alongside clinical studies, ways of handling uncertainty, discounting and issues relating to the transferability of ecoonomic data. It is an ideal book for those studying economic evaluation on postgraduate or professional courses in health economics or public health.
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.
Drawing on the experience of the National Institute for Health and Care Excellence (NICE), Achieving High Quality Care is a practical guide on how to recognise and implement high quality evidence and guidance. This new title provides an overview of the evidence behind successful initiatives designed to change practice and improve the quality of health care. It provides an overall picture of change management, from understanding the barriers to change to how these barriers can best be overcome. It presents a concise summary of the evidence for change, plus examples of specific initiatives drawn from experience of putting NICE guidance into practice. The book includes a wide range of examples of positive change - plus key practical points highlighted throughout the text - to help readers achieve improvements in patient care. Finally, it shows how to measure change, assess improvement to agreed standards and to manage the ongoing process of change towards improving health care. Achieving High Quality Care is a helpful guide for busy health care professionals wanting to improve services and patient care. It is relevant to everyone involved in the organisation and provision of quality health care, including clinicians and health care managers, who are trying to lead change and improve care through implementing evidence-based guidance.
Over the last twenty years integrated care has been touted as a solution to many issues in health services, such as insufficient coordination between services, cumbersome organizational boundaries, interrupted patient journeys, as well as spiraling health care costs. However, despite volumes of research, the field has seen few innovative advances in recent years. In particular, prevailing integrated care implementation practice and research appear to be very health science centred, spurning approaches from other disciplines. Axel Kaehne argues that it is time to re-evaluate how we investigate care integration. He asks us to radically question our assumptions about integrated care as a managerial, organisational and behavioural endeavor. This is a profound departure from conventional thinking about integration in health and social care. Kaehne reveals the tacit assumptions we make when we manage and change health services and offers a fresh perspective on care integration whilst inviting readers to examine long established research orthodoxies. This eclectic conceptual and theoretical approach produces surprising insights for everyone who is ready to see things anew.
* Providing information to implement a new core healthcare requirement patient involvement * Including real case scenarios to illustrate the principles of effective PPI * Following the unique Toolkit series format of flowcharts and layouts that guide the reader through each section
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.
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
Drawing on the expertise of multi-degreed doctors, and multi-certified financial advisors, Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners (TM) will shape the industry landscape for the next generation as the current ecosystem strives to keep pace. Traditional generic products and sales-driven advice will yield to a new breed of deeply informed financial advisor or Certified Medical Planner (TM). The profession is set to be transformed by "cognitive-disruptors" that will significantly impact the $2.8 trillion healthcare marketplace for those financial consultants serving this challenging sector. There will be winners and losers. The text, which contains 24 chapters and champions healthcare providers while informing financial advisors, is divided into four sections compete with glossary of terms, CMP (TM) curriculum content, and related information sources. For ALL medical providers and financial industry practitioners For NEW medical providers and financial industry practitioners For MID-CAREER medical providers and financial industry practitioners For MATURE medical providers and financial industry practitioners Using an engaging style, the book is filled with authoritative guidance and healthcare-centered discussions, providing the tools and techniques to create a personalized financial plan using professional advice. Comprehensive coverage includes topics likes behavioral finance, modern portfolio theory, the capital asset pricing model, and arbitrage pricing theory; as well as insider insights on commercial real estate; high frequency trading platforms and robo-advisors; the Patriot and Sarbanes-Oxley Acts; hospital endowment fund management, ethical wills, giving, and legacy planning; and divorce and other special situations. The result is a codified "must-have" book, for all health industry participants, and those seeking advice from the growing cadre of financial consultants and Certified Medical Planners (TM) who seek to "do well by doing good," dispensing granular physician-centric financial advice: Omnia pro medicus-clientis.RAISING THE BARThe informed voice of a new generation of fiduciary advisors for healthcare
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
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.
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.
The 20th volume of Advances in Health Care Management showcases how health care management research helps to further understand grand challenges in health care: what they are, why they exist, the consequences that they have, and what can be done to address them. Grand challenges are large, unresolved problems. "Grand health care challenges" include current events such as the COVID-19 pandemic, and ongoing challenges related to the quadruple aim of health care: improving the health of populations, reducing the cost of healthcare, improving patient care experiences, and improving the experience of working in health care. The book demonstrates that these challenges are amenable to organizational and managerial solutions, and therefore health care management research has many important lessons to contribute. For this volume, The Contributions of Health Care Management to Grand Health Care Challenges, we define health care management as the planning, direction, and coordination of health services and the management of health care professionals. Included chapters consider five grand challenges facing the health care sector: (1) caring for vulnerable populations; (2) maintaining the health care workforce; (3) translating innovation into practice; (4) sustaining organizations; and (5) navigating pandemics. Each challenge is discussed in its own section and addressed by two chapters that offer different perspectives and approaches to the challenge. Across chapters a variety of methodologies are used including ethnographic case studies, survey data analysis, interviews, literature review, and informed commentary. Together, the chapters in this volume synthesize current information in the field, direct future research efforts, and generate actionable insights for managers and policymakers.
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.
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.
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.
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.
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.
From precision medicine to pandemics, from value-based healthcare to stakeholder engagement, European health systems are facing unprecedented change. How can health managers cope with these challenges and what skills and competencies will they need to deliver transformational change in the 'new normality'? This original volume presents a blueprint for Health Management 2.0 and helps set a path for long-term health system sustainability. Along with a comparative European framework to illustrate current developments in health management, the authors also highlight five key change drivers: integration; personalization; empowerment; digitalization; and life sciences, and examine how each is enabling the development of health systems that are fundamentally different from those of today. With fresh insights for managers, educators, researchers and policy makers, Health Management 2.0 promotes a modern interdisciplinary and dynamic approach to health leadership and management - one that focuses on skills and competencies - and outlines international best practice for future teaching and training.
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.
Why are hospitals so difficult to manage? It is agreed that cost-effectiveness is important, but knowledge-effectiveness is as equally essential as knowledge, skills and attitudes are the most critical competence factors in hospitals. Managing, controlling, and communicating knowledge within social systems, from the management perspective, as well as integrating information processes, vision, goals and altering the course which the system is leading can help ease the task of hospital management. The innovative contribution of The Soft Side of Knowledge Management in Health Institutions lies in its exploration of how a knowledge perspective and knowledge-effectiveness can contribute to improving hospital leadership and organisation from a continuous-change perspective. Focused on knowledge management, information, communication, organizational learning, tacit knowledge, and negotiations within hospitals, the lessons and insights in this volume will appeal to both researchers and hospital managers alike.
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. |
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