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

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.

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.

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.

Marketing in the pharmaceutical and healthcare sector requires a particular set of skills; its intricacies mean planning is an essential prerequisite. The marketing planning system described in this book has been designed to enable marketing and product executives to produce a plan which serves as a dynamic management tool which will help them to get from where they are now to where they want to be next year and thereafter. Now in its second edition, this bestselling book has become the standard text for all product managers, marketing managers and directors working in this demanding industry. John Lidstone and Janice MacLennan have updated the book to embrace best current practice. A new orientation to external analysis and a reworking of the application of SWOT analysis, along with fresh material on sales forecasting and strategy implementation, bring the book up to date with current thinking and industry trends. Marketing Planning for the Pharmaceutical Industry is based on real life experience built up over many years. Each chapter takes the reader through the sequential stages of planning so that by the end they will be able to produce a practical plan ready for implementation. It is the only book of this type which tailors marketing to those working in the sector and as such is a unique, invaluable and indispensable resource.

"Clinical Governance: A Guide to Implementation for Healthcare Professionals "provides a comprehensive overview of what is meant by clinical governance and how it can be implemented in practice. It explores the evolution of clinical governance, its key components, legal implications, the barriers to implementing it, and its impact.

"Clinical Governance" provides step-by-step practical advice, facilitating better understanding of the key principles of clinical governance. This third edition has been fully updated throughout to incorporate a more integrated approach to achieving clinical governance, with an additional chapter on education and training. Each chapter includes reflective questions, activities and case studies taken from clinical practice as well as a full list of references and further reading.

This book combines models, theory and practical advice that guides clinicians, managers and facilitators to lead integrated primary health care. Using case studies and real life examples, the practical sections are cross-referred to theoretical sections that show how theories of whole system learning and change can be applied in different situations. Exercises help the reader to devise their own tailor-made interventions in small organisations, in networks, and in large institutions. The latest theories about leadership in complex situations are covered and challenges to traditional approaches to research and understandings of health are made. This book is perfect for those who lead or teach change in health care institutions such as primary care organisations, in small organisations such as general practices, and through networks. In particular practitioners and managers who wish to make sense of complex interacting factors will find it of great benefit.

The competition for limited health care resources is intensifying. We urgently need an acceptable method for deciding how they should be allocated. But the goods that health care produces are of very different kinds. Health care can extend the lives of children and of older people. It can make it possible for a person to walk, when without health care that person would be permanently bedridden; and it can reduce the pain and distress of people who are terminally ill. How can we possibly decide which of these - and many more - diverse achievements of health care are more deserving than others? We need a common unit by which we might be able to measure these very different goods. The Quality-Adjusted Life Year, or QALY, is the most developed proposal for such a unit of measure. In this book a distinguished team of ethicists and economists defend the core of the QALY proposal: that health care resources should be used so as to produce more years of life, of the highest possible quality. This leads to a discussion of such fundamental questions as whether all lives are of equal value, whether health care should be allocated on the basis of need and whether the QALY approach incorporates an adequate account of fairness or justice. The result is the most thorough account yet of the ethical issues raised by the use of the QALY as a basis for allocating health care resources.

The American system of healthcare is rapidly changing. Today, more and more of an emphasis is being placed on management skills-organizing, coordinating and managing the resources required for providing quality patient care. Medical practitioners are now expected to be efficient administrators as well as skilled clinicians.
Although some may see this as a difficult hurdle, The Healthcare Practitioner's Handbook of Management shows that many healthcare providers are already well-prepared to perform management roles effectively. Through their education and clinical experience, most clinicians now have the problem-solving skills required for management - it's simply a matter of applying these skills to a different arena.
In keeping with this idea, each chapter of The Healthcare Practitioner's Handbook of Management links a management topic to a clinical analogy and presents diagnostic and treatment approaches to the issue at hand. In addition, the book introduces the healthcare professional to the vocabulary and basic theories of management and shows how to transform clinical skills into managerial skills. In today's complex health care environment, these management skills are not just helpful, but essential.

As managed care continues to increase in the United States, hospital and system executives consider mergers and acquisitions more frequently for both aggressive and defensive reasons. Predicting Successful Hospital Mergers and Acquisitions can help you learn to analyze data to determine which hospitals are potential candidates for merger and which are risky business ventures. You will learn to take into account not only the marketing and financial elements of mergers and acquisitions, but also the operational factors crucial for success. You will also acquire a set of guidelines and financial analytical approaches that prepare you for forecasting the results of proposed mergers or acquisitions between acute units.Because few new markets are available for hospitals and competition is increasing, performing mergers and acquisitions may be the only route available for organizations wishing to grow. Predicting Successful Hospital Mergers and Acquisitions teaches hospital, system, and other health service industry executives how to keep abreast of their market positions to remain competitive and efficient in the current, intense managed care environment.As you read Predicting Successful Hospital Mergers and Acquisitions, you learn to identify significant financial variables in the market that will differentiate between merger candidates and non-targeted hospitals. The book's coverage of the following topics is important to your understanding of the health care market and the options available: market penetration product development market development diversification significant variables one year prior to merger use of accounting numbers to predict takeovers managed care staffing issuesPredicting Successful Hospital Mergers and Acquisitions gives you a practical, proven model for predicting the outcome of merger and acquisition maneuvers. This model is developed from accurate, consistent, and complete data from California, a trendsetting market in health care delivery, during the years 1984 to 1992. It can be applied not only to hospital mergers and acquisitions, but also to skilled nursing facilities, psychiatric care centers, and rehabilitation facilities seeking growth. Educators and program directors in health care administration programs and executives and boards of imaging centers, surgi-centers, and home health agencies can also employ this model to stimulate growth and expansion.

A comprehensive, approachable guide to hospital insurance billing and coding, Understanding Hospital Billing and Coding, 2nd Edition covers everything hospital billers need to know, from patient admission to accounts receivable management and HIPAA. It builds on your knowledge so that you can make a successful transition from the physician/outpatient environment to the hospital setting. Written by coding expert Debra P. Ferenc, this book covers the hospital regulatory setting, the structure and functions of hospital departments, patient accounts and data flow, the billing process, coding, claim forms, reimbursement, accounts receivable management, HIPAA requirements, and much more. UB-04 Claim Simulation on the companion Evolve website lets you practice entering information from source documents into the claim form. Over 300 illustrations and graphics bring important concepts to life. Detailed chapter objectives highlight what you are expected to learn. Key terms, acronyms, and abbreviations with definitions are included in each chapter. Concept Review boxes reinforce key concepts. Test Your Knowledge exercises reinforce lessons as you progress through the material. Chapter summaries review key concepts. Practice hospital cases let you apply concepts to real-life scenarios. UPDATED content reflects the most current industry changes in ICD-10, MR-DRGs, PPS Systems, and the Electronic Health Record. NEW Hospital Introduction chapter includes a department-by-department overview showing how today's hospitals really work NEW Health Care Payers and Reimbursement section follows the workflow of the hospital claim by including successive chapters on payers, prospect payment systems, and accounts receivable management.

The rapid changes in health care including novel technologies as well as the changing economic, political, and social landscapes are all forcing physicians as well as most types of health care practitioners to re-think their role in leadership. This is particularly true in the US in recent years, but the same issues are widely prevalent affecting health care workers around the globe. Developing capable medical leaders who can navigate these challenges will be essential. Physicians and other health care practitioners usually receive little or no leadership training in the course of their education. At the next steps in their training: internship, residency and fellowship, gaining clinical acumen takes precedence over developing other skills that are at the core of leadership training. Leadership Lessons for Health Care Providers will allow all types of health professionals to gain a better understanding of what leadership is, how to develop their skills while still early in their careers, how to understand and handle common leadership conundrums and chart a path towards increasing their leadership capabilities as they reach mid-career and beyond. This book will provide a great start for those who are interested in learning more about leadership and includes recommendations for next steps at all stages in leadership work.

Informed and Healthy: Theoretical and Applied Perspectives on the Value of Information to Health Care focuses on two major issues: the value attributed to information by users and its effect on health care; and, a new model of information behavior in which the value of information drives various information activities (unlike many information models which tend to give prominence to information needs). The inductive development of the model is explained, with associated implications for theory and transferability or applicability elsewhere. The book uses a case study of the health information system in Uganda and expands the analysis by comparing it to other systems utilized by different countries in diverse levels of development. Topics such as access and use of information; value attribution and effect on health outcomes; and modelling information behavior and its implications on health informatics are discussed in detail. This book is a valuable resource for health professionals, planners, and policy makers, as well as researchers interested in health information systems and their applicability in different environments.

This work provides the reader with an understanding of team building in a health care environment, and shows managers how to build a team that is committed to delivering quality. Topics covered include key quality concepts, team exercises, how to be a team member, team empowerment and continuous quality improvement. The facilitator's guide provides all the lesson plans, overhead projection masters and guides to all the exercises necessary for the team leader or trainer to run a teambuilding workshop.

While the implementation of evidence-based medicine guidelines is well studied, there has been little investigation into the extent to which a parallel evidence-based management movement has been influential within health care organizations. This book explores the various management knowledges and associated texts apparent in English health care organizations, and considers how the local reception of these texts was influenced by the macro level political economy of public services reform evident during the period of the politics of austerity. The research outlined in this volume shows that very few evidence-based management texts are apparent within health care organizations, despite the influence of certain knowledge producers, such as national agencies, think tanks, management consultancies, and business schools in the industry. Bringing together the often disconnected academic literature on management knowledge and public policy, the volume addresses the ways in which preferred management knowledges and texts in these publicly funded settings are sensitive to the macro level political economy of public services reform, offering an empirically grounded critique of the evidence-based management movement.

Healthcare service systems are of profound importance in promoting the public health and wellness of people. This book introduces a data-driven complex systems modeling approach (D2CSM) to systematically understand and improve the essence of healthcare service systems. In particular, this data-driven approach provides new perspectives on health service performance by unveiling the causes for service disparity, such as spatio-temporal variations in wait times across different hospitals.The approach integrates four methods -- Structural Equation Modeling (SEM)-based analysis; integrated projection; service management strategy design and evaluation; and behavior-based autonomy-oriented modeling -- to address respective challenges encountered in performing data analytics and modeling studies on healthcare services. The thrust and uniqueness of this approach lies in the following aspects: Ability to explore underlying complex relationships between observed or latent impact factors and service performance. Ability to predict the changes and demonstrate the corresponding dynamics of service utilization and service performance. Ability to strategically manage service resources with the adaptation of unpredictable patient arrivals. Ability to figure out the working mechanisms that account for certain spatio-temporal patterns of service utilization and performance. To show the practical effectiveness of the proposed systematic approach, this book provides a series of pilot studies within the context of cardiac care in Ontario, Canada. The exemplified studies have unveiled some novel findings, e.g., (1) service accessibility and education may relieve the pressure of population size on service utilization; (2) functionally coupled units may have a certain cross-unit wait-time relationship potentially because of a delay cascade phenomena; (3) strategically allocating time blocks in operating rooms (ORs) based on a feedback mechanism may benefit OR utilization; (4) patients' and hospitals' autonomous behavior, and their interactions via wait times may bear the responsible for the emergence of spatio-temporal patterns observed in the real-world cardiac care system. Furthermore, this book presents an intelligent healthcare decision support (iHDS) system, an integrated architecture for implementing the data-driven complex systems modeling approach to developing, analyzing, investigating, supporting and advising healthcare related decisions. In summary, this book provides a data-driven systematic approach for addressing practical decision-support problems confronted in healthcare service management. This approach will provide policy makers, researchers, and practitioners with a practically useful way for examining service utilization and service performance in various ``what-if" scenarios, inspiring the design of effectiveness resource-allocation strategies, and deepening the understanding of the nature of complex healthcare service systems.

"Why Nobody Believes the Numbers" introduces a unique viewpoint to population health outcomes measurement: Results/ROIs should be presented as they are, not as we wish they would be. This viewpoint contrasts sharply with vendor/promoter/consultant claims along two very important dimensions:

(1) "Why Nobody Believes" presents outcomes/ROIs achievable "right here on this very planet..."

(2) ...calculated using actual data rather than controlled substances.

Indeed, nowhere in healthcare is it possible to find such sharply contrasting worldviews, methodologies, and grips on reality.

"Why Nobody Believes the Numbers i"ncludes 12 case studies of vendors, carriers, and consultants who were apparently playing hooky the day their teacher covered fifth-grade math, as told by an author whose argument style can be so persuasive that he was once able to convince a resort to sell him a timeshare. The book's lesson: " "no need to believe what your vendor tells you -- instead you can estimate your own savings using "ingredients you already have in your kitchen." Don't be intimidated just because you lack a PhD in biostatistics, or even a Masters, Bachelor's, high-school equivalency diploma or up-to-date inspection sticker.

"Why Nobody Believes the Numbers "explains how to determine if the ROIs are real...and why they usually aren't. You'll learn how to: Figure out whether you are "moving the needle" or just crediting a program with changes that would have happened anyway Judge whether the ROIs your vendors report are plausible or even arithmetically possible Synthesize all these insights into RFPs and contracts that truly hold vendors accountable for results

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.

More than any other product on the market, the most successful medical assistants begin their careers with Kinn. Known for more than 60 years for its alignment with national curriculum standards, Kinn's The Administrative Medical Assistant: An Applied Learning Approach, 15th Edition teaches the real-world administrative skills essential for a career in the modern medical office - always with a focus on helping you apply what you've learned. This edition features new and expanded content on insurance, coding, privacy and security, telehealth logistics, and much more. With its easier-to-read format and a full continuum of separately sold adaptive solutions, EHR documentation experience, and HESI remediation and assessment - you will quickly master the leading skills to prepare for certification and a successful career in the dynamic and growing administrative medical assisting profession! Step-by-step, illustrated procedures include rationales and a focus on professionalism. Electronic health record (EHR) coverage provides access to hands-on activities using SimChart (R) for the Medical Office (sold separately). Applied learning approach incorporates threaded case scenarios and critical thinking applications. Patient education and legal and ethical features at the end of each chapter reinforce legal and communications implications within medical assisting practice. Key vocabulary terms and definitions are presented at the beginning of each chapter, highlighted in text discussions, and summarized in a glossary for quick reference. Robust Evolve companion website offers procedure videos, practice quizzes, mock certification exams, and interactive learning exercises. NEW! Content aligns to 2022 Medical Assisting educational competencies. NEW and UPDATED! Comprehensive coverage of all administrative functions complies with accreditation requirements and includes insurance, coding, privacy and security, telehealth logistics, and more. NEW! Artwork familiarizes you with the modern medical office and equipment.

Like other critical organizational assets, information is a strategic asset that requires high level of oversight in order to be able to effectively use it for organizational decision-making, performance improvement, cost management, and risk mitigation. Adopting an information governance program shows a healthcare organization's commitment to managing its information as a valued strategic asset. Information governance serves the dual purpose of optimizing the ability to extract clinical and business value from healthcare information while meeting compliance needs and mitigating risk. Healthcare organizations that have information governance programs will have a competitive edge over others and contributes to safety and quality of care, population health, operational efficiency and effectiveness, and cost reduction initiatives. This is a much-needed book in the healthcare market space. It will explain, in clear terms, how to develop, launch, and oversee an Information Governance program. It also provides advice and insights from leading IG, cybersecurity and information privacy professionals in healthcare.

New Perspectives in Healthcare: Impacts of Regulation, Organization, Reform and Change in the United States Health System is a new collection of topical articles that represent the very highest level of scholarship in health care management. A mixture of original research and thought leadership pieces combine to examine the changing landscape of the US healthcare system, looking at the impact of changing structures, legislation and policies over recent years. Covering key topics such as: - the 2010 Affordable Care Act;- the impacts of Medicare and Medicaid;- mandatory public reporting;- changes in technology including electronic personal health records; and - coping with an ageing population. This unique collection also considers the impacts of changes on all health sectors including primary care, hospital and acute settings and social care organizations. This book provides researchers, professionals, managers and policy makers with an easy-to-read summary of how the US healthcare system has evolved and provides food for thought on how to prepare for the challenges of the future.

Significant variations in the quality of health care management practices are present both within and across local, regional, and international health systems. With increasing globalization of health services, both quality and efficiency of care can benefit from shared learning on a regional and global basis. Although systems and quality of health care delivery differ across the world, empirical research has found that people involved in health care, whether in the role of patients or health care providers, have similar wants and needs. Identifying and documenting best practices within and across countries is more important than ever. Best practices in health care management organize clinical and administrative processes in ways that achieve leapfrog results as compared to normal standards in industry, potentially earning brand status. Advances in Health Care Management Volume 17 helps to shape emerging thinking about best practices in international health care management. The volume is divided into two sections: a set of commentaries from US and European scholars, and research articles that compare two or more health systems and focus on specific topics in health care delivery.

Contents: Classification of mental disorders in the International Classification of Diseases (ICD-10). Organic, including symptomatic, mental disorders. Mental and behavioral disorders due to psychoactive substance use. Schizophrenia, schizotypal, and delusional disorders. Mood (affective) disorders. Neurotic, stressrelated, and somatoform disorders. Behavioral syndromes associated with physiological disturbances and physical factors. Disorders of adult personality and behavior. Appendix: categories of mental and behavioral disorders according to ICD-10. Index of case titles with ICD-10 classification codes. Index of ICD-10 classification codes with case titles. Index of diagnoses.

The mission of healthcare organizations has undergone a remarkable transformation from curing disease to caring for the well-being of populations. While health care policy has explored this domain before, notably in Health Maintenance Organizations, the current efforts to create Patient-Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs) represent a broader effort to move organizational responsibilities towards population health and care management. Volume 16 of AHCM presents papers that explore this topic across various levels of the healthcare system and employing multiple research designs including case studies, theoretical pieces, secondary data analyses, survey research and qualitative methodologies. Aspects of health care organization discussed in this volume include the PCMH, ACOs, integration with the public health and mental health systems, hospital-physician alignment, and resource planning. Population health management is presented as a factor driving these organizational changes and as a mechanism to facilitate this change.

The Diabetes LIFEMAP changes the way chronic diabetes care is delivered forever. The LIFEMAP raises diabetes care for the primary care and ancillary healthcare provider to the level of world renown diabetes expert, David Bleich, MD. For patients, the LIFEMAP provides real-time diabetes care that changes a "tough-to-manage" disease into a shared, personal, and efficient management experience. The LIFEMAP can be used as a stand-alone diabetes management tool or can be combined with our cloud based LIFEMAP platform through GoMo Health. Now care can be delivered seamlessly at home for both provider and patient. The Diabetes LIFEMAP is the playbook for 21st century diabetes care. It starts with an understanding of the basic principles of insulin secretion and moves to a discussion of how the LIFEMAP evolved and why it is such a powerful management tool. Finally, case studies are provided to reinforce basic concepts of LIFEMAP diabetes care with real world examples. Taken together, The Diabetes LIFEMAP succeeds in helping healthcare providers overcome a difficult to manage disease and provides patients with an optimal diabetes outcome with the least amount of effort necessary to achieve high level results.