This textbook begins with an introduction to the US healthcare delivery system, its many systemic challenges and the prior efforts to develop and deploy informatics tools to help overcome those problems. It goes on to discuss health informatics from an historical perspective, its current state and its likely future state now that electronic health record systems are widely deployed, the HL7 Fast Healthcare Interoperability standard is being rapidly accepted as the means to access the data stored in those systems and analytics is increasing being used to gain new knowledge from that aggregated clinical data. It then turns to some of the important and evolving areas of informatics including population and public health, mHealth and big data and analytics. Use cases and case studies are used in all of these discussions to help readers connect the technologies to real world challenges. Effective use of informatics systems and tools by providers and their patients is key to improving the quality, safety and cost of healthcare. With health records now digital, no effective means has existed for sharing them with patients, among the multiple providers who may care for them and for important secondary uses such as public/population health and research. This problem is a topic of congressional discussion and is addressed by the 21st Century Cures Act of 2016 that mandates that electronic health record (EHR) systems offer a patient-facing API. HL7's Fast Healthcare Interoperability Resources (FHIR) is that API and this is the first comprehensive treatment of the technology and the many ways it is already being used. FHIR is based on web technologies and is thus a far more facile, easy to implement approach that is rapidly gaining acceptance. It is also the basis for a 'universal health app platform' that literally has the potential to foster innovation around the data in patient records similar to the app ecosystems smartphones created around the data they store. FHIR app stores have already been opened by Epic and Cerner, the two largest enterprise EHR vendors. Provider facing apps are already being explored to improve EHR usability and support personalized medicine. Medicare and the Veteran's Administration have announced FHIR app platforms for their patients. Apple's new IOS 11.3 features the ability for consumers to aggregate their health records on their iPhone using FHIR. Health insurance companies are exploring applications of FHIR to improve service and communication with their providers and patients. SureScripts, the national e-Prescribing network, is using FHIR to help doctors know if their patients are complying with prescriptions. This textbook is for introductory health informatics courses for computer science and health sciences students (e.g. doctors, nurses, PhDs), the current health informatics community, IT professionals interested in learning about the field and practicing healthcare providers. Though this textbook covers an important new technology, it is accessible to non-technical readers including healthcare providers, their patients or anyone interested in the use of healthcare data for improved care, public/population health or research.

This book constitutes the proceedings of the Fourth International Conference on Internet of Things (IoT) Technologies for HealthCare, HealthyIoT 2017, held in Angers, France, in October 2017. The IoT as a set of existing and emerging technologies, notions and services can provide many solutions to delivery of electronic healthcare, patient care, and medical data management. The 17 revised full papers presented were carefully reviewed and selected from 23 submissions. The papers cover topics such as healthcare support for the elderly, real-time monitoring systems, security, safety and communication, smart homes and smart caring environments, intelligent data processing and predictive algorithms in e-Health, emerging e-Health IoT applications, signal processing and analysis , the smartphones as a healthy thing, machine learning and deep learning, and cloud computing.

This book discusses current health care challenges and new strategies for innovative solutions in this area from an interdisciplinary perspective of health care management, business economics, and medicine. It presents the idea of a "boundaryless hospital", a conceptual model of a patient-centric, value-based health network that overcomes typical sectorial, organizational, and geographical boundaries and offers greater efficiency and better quality outcomes for patients. Effective health care for a growing and aging population is a major challenge for economies all over the world. New breakthroughs in medical technology and pharmaceuticals as well as digitization provide scope for more efficiency and for a better quality of health care. Novel organization forms and management concepts are key for coping with the increasing cost pressure observed in most health care systems. The contributions in this volume present innovative strategies for developing and implementing the concept of a boundaryless hospital. They highlight experiences from various countries and with different treatments. The book project was initiated and carried out by the Center for Advanced Studies in Management (CASiM), the interdisciplinary research center of HHL Leipzig Graduate School of Management for business administration in the 21st century.

How do survivors of child abuse, bullying, chronic oppression and discrimination, and other developmental traumas adapt to such unimaginable situations? It is taken for granted that experiences such as hearing voices, altered states of consciousness, dissociative states, lack of trust, and intense emotions are inherently problematic. But what does the evidence actually show? And how much do we still need to learn?

This book presents the latest in decision-making tools, techniques, and solutions for policy makers to utilize in overcoming the challenges faced by healthcare systems. With contributions from experts world-wide, an array of healthcare management models, techniques, and integrative solutions are presented, drawing on econometric, system dynamics, and agent-based models as well as state-of-the-art empirical studies. As total healthcare spending (both total expenditures on health as a percentage of GDP and average spending on per capita) increases across most of the world's economies, healthcare systems continue to face challenges in terms of cost, quality, and access, as a result of its fragmented nature. Consequently, healthcare managers and policy makers require innovative integrative approaches and solutions to better manage complex, dynamic healthcare systems. This volume offers researchers and policy makers an insightful and critical review of the state of the art in healthcare modeling, with a particular focus on system dynamics, agent-based models, and modern empirical studies. It will be of interest to those in the fields of health, business management, and information systems.

In today's chaotic health reform environment, it is especially important for non-financial health care managers to have a practical guide to the tools and concepts they need to manage their human, supply, and equipment resources. Today's health care managers, frequently, were yesterday's technicians, physicians, and nurses. This puts them in an interesting predicament, since they know the health care side of the business but often lack the financial management skills necessary to create budgets and manage finances in a health care setting. In this guide, William J. Ward Jr. offers easy-to-understand explanations of basic accounting concepts, including cash flow, operating cost and cost behavior, revenue and reimbursement, and so much more. Providing clearly presented financial information in the context of health care, Ward's book is a one-stop desk reference that provides practical, useful tools and knowledge that readers can immediately put to use. It will help managers, directors, and clinical leaders who work in hospitals, physician practices, and other provider organizations to effectively manage their financial resources on a day-to-day basis, providing guidance for essential tasks such as preparing budgets, managing their departments, and making decisions around financial issues. Offers simple and complex financial terms and concepts in an easily digestible and comprehensive format Provides relatable real-world examples to illustrate concepts Updates the highly regarded and widely used text, Health Care Budgeting and Financial Management for Non-Financial Managers Supplies the perspective of a person managing resources rather than that of an academic theorist Offers a unique perspective connecting clinical, operational, and financial themes

Discover how top health care leaders envision the decades ahead and ensure your future as a 21st century health care leader. The 21st Century Health Care Leader brings together today's most influential and successful health care professionals whose valuable insight will assist current and future leaders exchange reactivity for proactivity, remain effective, and transform their organizations.

In 37 original chapters, this distinguished group of contributors describe the skills and competencies that will be required of tomorrow's health care executives and caregivers who desire to renew their organizations. With insight and candor, the authors show what it will take to prevail as a health care leader of tomorrow. Meet the myriad challenges of health care delivery including how to eliminate unnecessary duplication, competition, and inefficiency. In addition, health care professionals will learn how they can combine creativity and knowledge to design new business approaches and innovative organizations.

The 21st Century Health Care Leader offers a unique and compelling perspective on health care leadership and a powerful tool for any leader who wants to guarantee their future in the health care industry.

An AHA Press/Jossey-Bass Resource

Untapped Options is an invaluable resource for health care leaders who want to help their organizations succeed. Bea Northcott and Janette Helm, experts in the field of health care management, have created a practical approach that explores how human resources and marketing managers can combine forces and work together to create mission, vision, and values statements that will drive a common strategy to organizational excellence. Step-by-step, Northcott and Helm show how to implement this innovative approach that, once in place, will contain costs, bolster employee satisfaction and productivity, and increase customer satisfaction.

Using the success of other industries as a model, this book promotes methodologies, indicators, and ideas that health care organizations can use to streamline their practices and maintain strong profit margins. Based on the core principles embodied in lean logistics-the systematic process of removing waste and inefficiency throughout the purchasing, supply, distribution, and business operations chain-Streamlining Health Care Operations shows health care leaders how to fundamentally restructure their organizations and effectively balance costs, quality, and patient access to excellent care.

A real-world education for the twenty-first-century physician

Being a good doctor is no longer enough. The twenty-first-century physician who wants to deliver quality medical care to patients and operate a successful practice must develop expertise in a variety of business and management skills. The Yale Management Guide for Physicians identifies these critical skills and provides both the theoretical understanding and the practical training physicians need to become competent, confident managers as well as accomplished healers.

From healthcare policy and health economics to healthcare marketing and negotiating, this comprehensive guide addresses all of the major issues affecting the delivery of healthcare services in the twenty-first century. This remarkably effective manual helps doctors acquire the skills they need to expand their practices; develop, articulate, and advocate ideas; discuss and manage financial issues; manage the decision-making process; and assume a leadership role in the healthcare industry.

Meticulously cross-referenced and organized, The Yale Management Guide for Physicians is destined to become the most important nonmedical volume in any physician’s library, providing easy access to management principles and practical solutions to management problems faced by physicians every day.

E-Health, Telehealth, and Telemedicine is a hands-on resource that shows how communication technologies can be designed, implemented, and managed to help health care professionals expand and transform their organizations. Step by step the authors reveal how to introduce innovative communication tools to a wide range of health care settings. This indispensable book contains a wealth of information, suggestions, and advice about program development, ethical, legal and regulatory issues, and and technical options.

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.

This book develops and assesses a decision-making model for resource management in complex work systems in line with the "Systems Engineering" method. It applies the Balanced Scorecard to the development of the criteria system for decision-making, and employs fuzzy linguistics theory to evaluate the alternatives. Further, the book assesses the application of this model in a hospital that has to decide whether or not to outsource its sterile goods. The use of the model opens up a diverse range of fields for decision-making in the area of complex work systems.

It is imperative that we train leaders who are able to intervene efficiently with service users and to support a better organization of the workplace. It is especially important to look at the many issues related to postsecondary training and human resources, such as recruiting and keeping these leading professionals. Accessibility and Active Offer thus combines theory and empirical data to help future professionals understand the workplace issues of accessibility and active offer of minority-language services. This English-language adaptation of Accessibilite et offre active features an additional chapter by Richard Bourhis on issues specific to Anglophone communities in Quebec. This multidisciplinary collective work is the first to unite researchers in health, social work, sociology, political science, public administration, law and education, in order to gain more thorough knowledge of linguistic issues in health and social services, as well as of active offer of French-language services.

Translating the realities of healthcare reform and healthcare costs into competitive hospital practice is the goal of this accessible, jargon-free guide. Taking its cue from Michael Porter's highly-regarded business strategies, it offers a sound framework for hospitals looking to develop efficient, patient-centered service delivery, identifying keys to clinical, administrative, and marketing success. The book organizes business and clinical priorities where they intersect so that physicians throughout healthcare systems can understand their role in building and sustaining innovation, and leverage their strengths and system resources toward meeting patient needs. In addition, chapters review eight core strategic tools, describe possibilities for their implementation, and provide in-depth findings on Porter's methods as used in a diverse group of hospitals across Lebanon. Included in the coverage: * Porter's strategies in health care: cost leadership versus differentiation strategy * Sources of competitive advantage * How to prepare an organization for innovation * Strategic framework in a hospital setting * Application of Porter's strategies in Lebanese hospitals * Correlation between type of strategy and performance A well-designed blueprint for enhancing patient satisfaction and system cost-effectiveness, Strategic Thinking in a Hospital Setting is aimed at both frontline physicians in practice and those assuming administrative positions in healthcare facilities and in hospital settings in particular.

Originally published by Stevenson, Inc., this practical resource features a variety of procedures for working with and managing volunteers in hospitals and other health-related organizations. It is rich with ideas for general and targeted recruitment, screening and placement, training and education, nurturing volunteers, appreciation and recognition, evaluating and improving volunteer programs, and more. Additional topics covered include: * Volunteer guidelines * Prospective volunteers * Volunteer assessment * Supplemental training * Placement questionnaires * Online resources * Internships * Volunteer awards * Volunteer reviews * Strategic partnerships * Self-evaluations * Marketing volunteer programs * Online tools Please note that some content featured in the original version of this title has been removed in this published version due to permissions issues.

This book offers readers a fantastic introduction into creating CareKit based applications using the Swift language. It starts with the basics and provides a step-by-step guide to learning all aspects of creating a CareKit iOS application that could serve as the basis for a patient care plan. Beginning Carekit Development introduces the key modules and concepts of CareKit starting off by installing and building the open source framework. Developers will then dive deeper, learning how to implement their own care plan by example. The book will present an illness and complete care plan utilizing all the key modules. Readers will then be able to fully use CareKit to develop health care plans. This is the future of patient care and health tracking apps that put patients in control of their day to day care. Throughout the book, app developers, hardware manufacturers, and health care professionals will get tips and suggestions that show how to use and talk about this exciting new technology. The CareKit framework has the simple interface and the secure functionality that will change existing markets. Beginning Carekit Development is the guide to the new world of CareKit.What you'll learn: The basics of CareKit development from creating a simple "Hello World" app up to full fledged care plan application. How to integrate CareKit with HealthKit, ResearchKit, and other Apple devices to create an ecosystem of connected health care devices. How to assess and share treatment insights with caregivers and key contacts through CareKit with access to key health information. Who this book is for: Developers working in healthcare and medical device fields will use this book to develop medical apps meant to integrate directly with the ubiquitous Apple devices everyone has.

Decentralizing Health Services A Global Perspective Krishna Regmi, editor Current economic, demographic, and environmental shifts are presenting major challenges to health care systems around the world. In response, decentralization--the transfer of control from central to local authorities--is emerging as a successful means of meeting these challenges and reducing inequities of care. But as with health care itself, one size does not fit all, and care systems must be responsive to global reality as well as local demand. Decentralizing Health Services explores a variety of applications of decentralization to health care delivery in both the developing and developed worlds. Outfitted with principles, blueprints, and examples, this ambitious text clearly sets out the potential role of decentralized care as a major player in public health. Its models of service delivery illustrate care that is effective, inclusive, flexible, and in tune with the current era of preventive and evidence-based healthcare . Contributors point out opportunities, caveats, and controversies as they: Clarify the relationships among decentralization, politics, and policy Differentiate between political, fiscal, and administrative decentralization in health care systems Consider public/private partnerships in health systems Explain how the effects of decentralization can be evaluated. Present the newest data on the health outcomes of decentralization Explore some challenges and global issues of health systems in the 21st century And each chapter features learning goals, discussion questions, activities, and recommendations for further reading Heralding changes poised to revolutionize care, Decentralizing Health Services will broaden the horizons of researchers and administrators in health services, health economics, and health policy

This book provides a detailed description of how to apply Lean Six Sigma in the health care industry, with a special emphasis on process improvement and operations management in hospitals. The book begins with a description of the Enterprise Performance Excellence (EPE) improvement methodology developed by the author that links several methodologies including systems thinking, theory of constraints, Lean and Six Sigma to provide an enterprise-wide prioritization and value-chain view of health care. The EPE methodology helps to improve flow at the macro or value-chain level, and then identifies Lean Six Sigma detailed improvements that can further improve processes within the value-chain. The book also provides real-world health care applications of the EPE and Lean Six Sigma methodologies that showed significant results on throughput, capacity, operational and financial performance. The Enterprise Performance Excellence methodology is described, and also the Six Sigma DMAIC (Define-Measure-Analyze-Improve-Control) problem solving approach which is used to solve problems for health care processes as they are applied to real world cases. The case studies include a wide variety of processes and problems including: emergency department throughput improvement; operating room turnaround; operating room organization; CT imaging diagnostic test reduction in an emergency department; linen process improvement; implementing sepsis protocols in an emergency department; critical success factors of an enterprise performance excellence program.

This book presents the theory of integrating implification and it provides a profound evidence based study of Buurtzorg Nederland. The case itself, forming the building block of the theory, has received tremendous interest in the Netherlands and abroad. This is the first international book on Buurtzorg Nederland and the first one departing from a management multidisciplinary perspective. The book demonstrates theory building by using the Grounded Theory Methodology as a way to contribute to management theory. Integrating simplification gives room for context specific implementation of organizational innovation to different industries.

The book comprehensively discusses the various determinants shaping the health sector in India. Based on intensive research, it quantitatively identifies the determinants of health status in India within a macroeconomic framework, taking both the demand and the supply side into consideration. The book also discusses the various economic tools of analysis for understanding the challenges facing the health sector and explains why policy makers should refrain from applying uniform health policies in the urban and the rural sectors: uniform health policies for the urban and the rural sector cannot be expected to yield uniform outcomes, since the two sectors are characterized by two sets of entirely different challenges. The book further examines health challenges and their determinants separately for India's rural and urban sector. The work also draws attention to the fact that, though finance is extremely important for better health outcomes, how the funds allocated to the health sector are utilised is even more critical. Highlighting the role of health management in this regard, the book provides an in-depth analysis of its role in achieving expected health outcomes, which it claims should constitute a pivotal part of India's health policies.

The most difficult part of making decisions in the health care field on all levels (national, regional, institutional, patient) is linked to the very complexity of the system itself, to the intrinsic uncertainty involved and its dynamic nature. This requires not only the ability to analyze and interpret a large amount of information but also arrange it so that it becomes a cognitive base for appropriate decision-making. Moreover, decisions in the health care field are subjected to many challenges and constraints: fast change and uncertain outcomes, aging population, increasing citizen expectations, equity considerations and limited resources. Operations research, statistical and economic-related quantitative methods supply these decisions making tools and methodology. The contributed book presents a collection of applications to concrete situations detailing the problem area, the methodology employed, the implementation and results. Each topic addressed in the book will be structured in such a way that an interdisciplinary and wide audience will be able to use the materials presented. As an example the book chapters will address health policies issues, planning health services, epidemiology and disease modelling, home-care modelling, logistics in health care, capacity planning, quality and appropriateness.

After graduating from Tripoli, Libya in 1990, Dr Benamer came to the United Kingdom in 1991 to further his training in medicine. He obtained the MRCP in 1994 and trained in neurology in Glasgow. He obtained a PhD and CCST in 2000 and was appointed a consultant neurologist in Wolverhampton and Birmingham the same year. He has been the lead neurologist in New Cross Hospital in Wolverhampton since 2006. Dr Benamer is a general neurologist with special interest in movement disorders. Dr Benamer is honorary clinical senior lecturer in Birmingham University and has an interest in medical education, in which he obtained a postgraduate certificate from Keele University in 2007. He has published more than 35 papers and two books. He is currently a senior editor of the Libyan Journal of Medicine. He was also an examiner of the MRCP Diploma from 2005 to 2009. Dr Benamer's publications relevant to the subject of the book: 1. Benamer HT. 2007. Neurological disorders in Libya: an overview. Neuroepidemiology 29:143-9 2. Benamer HT. 2008. The ancestry of LRRK2 Gly2019Ser parkinsonism. Lancet neurology 7:769-70; author reply 70-1 3. Benamer HT, de Silva R, Siddiqui KA, Grosset DG. 2008. Parkinson's disease in Arabs: a systematic review. Movement disorders: official journal of the Movement Disorder Society 23:1205-10 4. Benamer HT, Ahmed ES, Al-Din AS, Grosset DG. 2009. Frequency and clinical patterns of multiple sclerosis in Arab countries: a systematic review. Journal of the neurological sciences 278:1-4 5. Benamer HT, Grosset D. 2009. Stroke in Arab countries: a systematic literature review. Journal of the neurological sciences 284:18-23 6. Benamer HT, Grosset DG. 2009. A systematic review of the epidemiology of epilepsy in Arab countries. Epilepsia 50:2301-4 7. Benamer HT, Shakir RA. 2009. The neurology map of the Arab world. Journal of the neurological sciences 285:10-2 8. Benamer HT. 2010. Neurology expertise and postgraduate training programmes in the Arab world: a survey. European neurology 64:313-8 9. Benamer HT, de Silva R. 2010. LRRK2 G2019S in the North African population: a review. European neurology 63:321-5 10. Benamer HT, Deleu D, Grosset D. 2010. Epidemiology of headache in Arab countries. The journal of headache and pain 11:1-3 11. Benamer HT. 2011. More epidemiological studies of neurological disorders are needed in the Arab countries. Neuroepidemiology 36:70.

A growing, aging population; the rise to epidemic proportions of various chronic diseases; competing, often overlapping medical technologies; and of course, skyrocketing costs compounded by waste and inefficiency - these are just a few of the multifarious challenges currently facing healthcare delivery. An unexpected source of solutions is being imported from the manufacturing sector: lean thinking. Lean Principles for Healthcare presents a conceptual framework, management principles, and practical tools for professionals tasked with designing and implementing modern, streamlined healthcare systems or overhauling faulty ones. Focusing on core components such as knowledge management, e-health, patient-centeredness, and collaborative care, chapters illustrate lean concepts in action across specialties (as diverse as nursing, urology, and emergency care) and around the globe. Extended case examples show health systems responding to consumer needs and provider realities with equal efficiency and effectiveness, and improved quality and patient outcomes. Further, contributors tackle the gamut of technological, medical, cultural, and business issues, among them: Initiatives of service-oriented architecture towards performance improvement Adapted lean thinking for emergency departments Lean thinking in dementia care through smart assistive technology Supporting preventive healthcare with persuasive services Value stream mapping for lean healthcare A technology mediated solution to reduce healthcare disparities Geared toward both how lean ideas can be carried out and how they are being used successfully in the real world, Lean Principles for Healthcare not only brings expert knowledge to healthcare managers and health services researchers but to all who have an interest in superior healthcare delivery.

Over the years, medical informatics has matured into a true scientific discipline. Fundamental and applied aspects are now taught in various fields of health, including medicine, dentistry, pharmacy, nursing and public health. Medical informatics is also often included in the curricula of many other disciplines, including the life sciences, engineering and economics. Medical informatics is a complex and rapidly changing discipline. Relatively few books have been published on the subject, and they rapidly become obsolete. This book is the fruit of a collaborative effort between authors teaching medical informatics in France and others who are conducting research in this field. In addition, an international perspective was pursued, as reflected in the inclusion of various developments and actions in both the USA and Europe. This book is divided into 18 chapters, all of which include learning objectives, recommendations for further reading, exercises and bibliographic references.