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Books > Medicine > General issues > Health systems & services > Hospital administration & management
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.
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.
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.
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.
This textbook has been created to support the journey from emerging registered healthcare professional through to becoming a competent frontline care setting manager. It considers the seminal theories and research into leadership and management and places them firmly into the healthcare context providing the reader with thorough and robust guidance in the application of the knowledge base in the subject area. Key features: Integration of theory and practice using Action Points and case studies throughout Includes perspectives from a wide range of healthcare settings and professional groups Each chapter includes 'Guidance on good practice' showing what high-quality care and effective change looks like Written by a vastly experienced author, practitioner and educator, this latest book from Neil Gopee is essential reading for nursing, health and social care students taking modules on leadership, management and transition to practice in their final year. It is also ideal for newly qualified professionals or those moving into band 5 or 6 roles with managerial responsibilities.
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.
A comprehensive guide to effective strategic management of health care organizations. Strategic Management of Health Care Organizations provides essential guidance for leading health care organizations through strategic management. This structured approach to strategic management examines the processes of strategic thinking, consensus building and documentation of that thinking into a strategic plan, and creating and maintaining strategic momentum - all essential for coping with the rapidly evolving health care industry. Strategic Management of Health Care Organizations fully explains how strategic managers must become strategic thinkers with the ability to evaluate a changing industry, analyze data, question assumptions, and develop new ideas. The book guides readers through the strategic planning process demonstrating how to incorporate strategic thinking and create and document a clear and coherent plan of action. In addition, the all-important processes of creating and maintaining the strategic momentum of the organization are fully described. Finally, the text demonstrates how strategic managers in carrying out the strategic plan, must evaluate its success, learn more about what works, and incorporate new strategic thinking into operations and subsequent planning. This strategic management approach has become the de facto standard for health care management as leadership and strategic management are more critical than ever in coping with an industry in flux. This book provides heath care management students as well as health care administrators with foundational guidance on strategic management concepts and practices, tailored to the unique needs of the health care industry. Included are a clear discussion of health services external analysis, organizational internal analysis, the development of directional strategies, strategy alternative identification and evaluation, and the development and management of implementation strategies providing an informative and insightful resource for anyone in the field. This new eighth edition has been fully updated to reflect new insights into strategic thinking, new methods to conceptualize and document critical environmental issues, practical steps for carrying out each of the strategic management processes, industry and management essentials for strategic thinkers, and new case studies for applying the strategic management processes. More specifically, readers of this edition will be able to: Create a process for developing a strategic plan for a health care organization. Map and analyze external issues, trends, and events in the general environment, the health care system, and the service area. Conduct a comprehensive service area competitor analysis. Perform an internal analysis and determine the competitive advantages and competitive disadvantages. Develop directional strategies. Identify strategic alternatives and make rational strategic decisions for a health care organization. Develop a comprehensive strategy for a health care organization. Create effective value-adding service delivery and support strategies. Translate service delivery and support plans into specific action plans. The health care industry's revolutionary change remains ongoing and organizational success depends on leadership. Strategic management has become the single clearest manifestation of effective leadership of health care organizations and the strategic management framework's strengths are needed now more than ever. The Strategic Management of Health Care Organizations provides comprehensive guidance and up-to-date practices to help leaders keep their organizations on track.
Dimensions of healthcare management is the well-known and established source of management information healthcare professionals have come to trust. This third edition has been thoroughly revised to include the latest information in the field, with a new chapter on Project management and special attention paid to the chapters on Information Systems and Finance. All the relevant legislation has been updated. The text applies universal principles and components of management and leadership, as well as popular modern theories and approaches, to the healthcare environment. It also addresses the unique needs of a manager in the healthcare environment with topics such as assignment of nursing staff and patient classification. There is in-depth focus on human resources issues, such as recruitment, staff development, leadership, absenteeism, motivation and staff turnover. Every manager knows that managing an organisation's greatest asset - its people - is a very important part of her or his portfolio.
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
Within the international discussion on the structure of healthcare systems, managed care is an increasingly important topic. Over more than twenty years managed care approaches have fundamentally influenced healthcare systems in terms of patient orientation, efficiency, and quality. Experts assume that up to 20% of healthcare expenses can be saved by applying high-quality managed care approaches. By using suitable organisational forms and management principles, not only can costs be reduced, but the quality of medical service provision can be augmented. Managed care is therefore much more than a cost-cutting strategy. The goal of this book is to offer a systematic overview of the organisational forms and management instruments implemented in managed care. Advocates consider managed care to be a logical and necessary developmental step in modern healthcare systems. An increase in quality and at the same time a reduction of costs is not seen as contradictory but rather as consistent. Therefore, managed care is a response to changed challenges in the provision of healthcare.
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 describes the Sustainable High Quality Healthcare (SustHealth) project, which had the goal of developing an original multidisciplinary evaluation tool that can be applied to assess and improve hospitals’ overall sustainability. The comprehensive nature of the appraisal offered by this tool exceeds the scope of most current rating systems, which typically permit a thorough evaluation of relevant environmental factors when designing a new building but fail to consider social and economic impacts of the design phase or the performance of the hospital’s operational structure in these fields. The multidisciplinary evaluation system was developed, from its very inception through to its testing, by following a scientific experimental method in which a global perspective was constantly maintained, as opposed to a focus only on specific technical issues. Application of the SustHealth rating tool to a currently functioning hospital, or one under design, will identify weaknesses and guide users to potential low-cost short-term solutions and longer-term strategies for improvement.
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.
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 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.
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.
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.
This practical, concise book will help every medical manager survive and thrive in the increasingly challenging world of healthcare. It offers a hands-on introduction to the knowledge, skills, attitudes and behaviour required to succeed in a modern healthcare setting. Focussing on common issues and challenges, the authors examine organisational structures and strategies for productive relationship-building, goal-setting and quality maintenance. This edition updates every chapter, while three new chapters focus on encouraging innovation, how to lead and manage in difficult circumstances, and the major developments in the professionalization of medical management and leadership.
This text provides a comprehensive review of the ethical issues involved with the development, evaluation, and introduction of new treatments of gastrointestinal diseases. How several landmark surgical innovations were developed are described to show the challenges faced, and the ethical dilemmas these innovators dealt with. The challenges of dealing with regulatory issues, and how to work with industry partners, and investors when working on a new therapy is described. Once a new technology has been brought to the market, standards need to be developed regarding the training, credentialing and adoption of the new technology. There are insufficient standards of how to balance the desire to provide patients the latest therapy with the obligation that patients receive informed consent about the new technology, and the relationship that the physician may have had with product development. The book describes the national perspective of paying for new technology, and provides one insurance company's approach to the introduction of innovative therapy. The Sages Manual Ethics of Surgical Innovation will be a resource for surgeons, researchers and health policy personnel to understand the ethical issues related to the development, introduction and adoption of innovative therapies for gastrointestinal diseases. Although the context for discussion is the application of innovation to gastrointestinal disease, the ethical issues are applicable to any discussion of innovative medical or procedural therapies.
This book explores a rapidly growing area of discussion in the health care industry, disruptive behavior in medical providers. The presence of disruptive behavior adversely impacts the providers of all disciplines: paraprofessional personnel, nurses, physicians and administrators. But more importantly, there may be a greater detrimental effect on quality and patient safety. This has led to mandated regulatory requirements that assist healthcare institutions in developing programs to address the problem. The book presents an evidence-based analysis of the disruptive provider behavior that defines the incidence, demographics, and profile of the behavior; discusses the specialties and work locations predisposed, as well as the interface with residents and nurses. The importance of patient safety, economic, and legal issues are addressed by a comprehensive, management strategy to effect positive, sustainable culture change in healthcare.
The present book aims to assist and guide medical doctors in any specialty to manage his/her own clinic or office, allowing a higher and better development of its team/staff and providing tools for a high quality service to patients and customers. It is devoted to be the background for any medical doctor's success in personal career, serving as a foundation for professional growth. In last instance, Medical Office Management is intended to be a practical manual for easy day to day application in medical clinics. |
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