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Books > Medicine > General issues > Health systems & services > Hospital administration & management
The healthcare industry is on the cutting edge of voice-user interface (VUI) design and making great progress to improve patient care through developing technologies, literally transforming the voice of the industry. The advantages of VUI extend far beyond simple conveniences for patients or a healthcare employee's saved phone call. VUI has a profound impact on care improvement. Just like a person, a well-designed VUI can use tone of voice, inflection and other elements in conversation to shape behaviors or calm nerves. With VUI, physicians and patients become empowered to make informed decisions about healthcare. The use of voice technology across smart speakers, IoT, clinical and home devices, and wearables for improving the patient experience and clinical outcomes was recently identified as one of most significant emerging technologies in healthcare. Smart speakers are the #1 selling consumer item in the world and major competition is heating up between Amazon Alexa, Apple Siri, Microsoft Cortana, Google Voice Assistant, and a host of other specialty platforms specific to healthcare. From Orbita and Macadamia to voice-enabled robotics from Pillo, Intuitive, Vivify, and RealView Imaging, voice technology is pervasive across the gamut of levels of devices. Voice technology is not just pervasive in smart speakers and smart phones - it is finding its way into wearables, vehicles, homes, and even consumer and clinical medical devices. We even have smart jewelry emerging with health, wellness, and safety features built in. Best of all, this trend spans intergenerational health and wellness that goes beyond clinical care into long term health and wellbeing and the potential for increased patient engagement. In this book, the editors review information from the top thought-leaders in this space and examine real-world case studies of the outcomes and potential of voice technology in healthcare. Topics include a market survey, clinical use cases, home health use cases, health and wellness topics - fitness, nutrition, and wellbeing; next generation fitness facilities; voice and wearables in smart, connected communities; voice technology in social companions/robots; voice technology in the future surgical suites; a roadmap for the future from top technology; standards in voice technology; and the future of voice technology and artificial intelligence.
Expertly mixing theory with practice, this text makes a unique and important contribution to the area of health management. Through examples and case studies drawn from across Europe, Managing for Health explores the management challenge in public health policy and offers pointers to equip students of health management and public health managers with the necessary perspectives and skills to function effectively in the twenty-first century. This book takes a comparative perspective on the issues of health improvement and the struggle between the needs of acute care providers, such as hospitals and those that provide preventative measures to promote health. The key issues addressed by this book include:
This comprehensive and balanced textbook is an essential read for students and those engaged with health management, public health and public management .
Expertly mixing theory with practice, this text makes a unique and important contribution to the area of health management. Through examples and case studies drawn from across Europe, Managing for Health explores the management challenge in public health policy and offers pointers to equip students of health management and public health managers with the necessary perspectives and skills to function effectively in the twenty-first century. The book takes a uniquely comparative perspective on the issues of health improvement and the struggle between the needs of acute care providers, such as hospitals and those that provide preventative measures to promote health. The key issues addressed by this book include:
This comprehensive and balanced textbook is an essential read for students and those engaged with health management, public health and public management .
Growing literature around the benefits ofanimal-assisted intervention (AAI) spurs health care professionals andadministrators to start new programs. Yet the trend also raises questions ofhow best to begin and run successful AAI programs-under what circumstances,with what staff, and within what guidelines. Animal-Assisted Interventions in Health Care Settings: A BestPractices Manual for Establishing New Programs succinctly outlines how best to develop, implement, run, andevaluate AAI programs. Drawing on extensive professional experiences andresearch from more than fifteen years leading the Center for Human-AnimalInteraction in the Virginia Commonwealth University School of Medicine, theauthors discuss both best practices and best reasons for establishing AAIprograms. For thorough consideration, the text explores benefits from a varietyof perspectives, including how AAI can improve patient experience, provideadditional career development for staff, and contribute favorably toorganizational culture as well as to the reputation of the facility in thesurrounding community. Developed for administrators as well as forvolunteers and staff, Animal-AssistedInterventions in Health Care Settings includes practical, case-basedexamples for easy comprehension and offers user-friendly templates that can beadapted to develop practice-specific training, evaluation, and proceduremanuals.
This book offers a new perspective on improving healthcare that draws inspiration from sources as diverse as American healthcare history, Lean Six Sigma, patient experience, employee engagement, clinical microsystems, physician burnout, and industrial design thinking. This work focuses on the three value streams that form the foundation of all healthcare service processes: healthcare-worker value stream, patient value stream, and organizational process. The interaction of patients and healthcare workers in the context of these three value streams creates the meaningful experience that is essential to healing and to the success of healthcare organizations. Meaningful healthcare experience design guides the work of designing these value streams and improving them to promote experiences that are meaningful and healing for both patients and healthcare workers.
We invest more in health care than ever before, yet we are more anxious about doctors, hospitals, and the NHS in general. As perceptions of patients' rights have expanded, so has the transparency of the difficult choices that are routine. Government has become more critical of the NHS and the public less willing to wait for treatment. Why does demand for health care consistently exceed supply and how should Government manage the problem? There is a danger that improved rights for the strong and articulate will ignore less visible, or unpopular interests. How should the rights of elderly patients, or children, or those with terminal illnesses be balanced? Who should decide: the government, doctors, NHS managers, citizens, or the courts? How should decision-makers be held accountable, and by whom? How should governance regulate the NHS? As patients become 'consumers' of medical care, what choice do they have as to how, where, and when they will be treated; and should this include hospitals abroad? This completely revised new edition puts patients' rights into their political, economic and managerial contexts. It considers the implications of the Bristol Inquiry and the rhetoric of patients as 'consumers' of care. In balancing the rights of individuals with those of the community as a whole, it deals with one of the most pressing problems in contemporary society.
This unique text is the first to explore leadership in the context of healthcare systems across Europe. It investigates leadership and management learning against the backdrop of increasing European parliamentary influence, the expansion of EU membership, and the increasing number of patients, staff, governments and healthcare employers viewing Europe as a single market for healthcare provision and employment. This book: contains new research on leadership in healthcare; takes a unique European perspective; bridges the gulf between the worlds of academia and practicing management. Written by leading authority Neil Goodwin, this timely book provides an assessment of the literature as well as practical guidance for developing personal leadership. It includes case studies and examples and is a must buy for all students studying health management, leadership and public management as well as professionals within health services across Europe. This is the fourth text in the Routledge Health Management series.
A visit to a physician these days is cold: physicians spend most of their time typing at computers, making minimal eye contact. Appointments generally last only a few minutes, with scarce time for the doctor to connect to a patient's story, or explain how and why different procedures and treatments might be undertaken. As a result, errors abound: indeed, misdiagnosis is the fourth-leading cause of death in the United States, trailing only heart disease, cancer, and stroke. This is because, despite having access to more resources than ever, doctors are vulnerable not just to the economic demand to see more patients, but to distraction, burnout, data overload, and their own intrinsic biases. Physicians are simply overmatched. As Eric Topol argues in Deep Medicine, artificial intelligence can help. Natural-language processing could automatically record notes from our doctor visits; virtual psychiatrists could better predict the risk of suicide or other mental health issues for vulnerable patients; deep-learning software will make every physician a master diagnostician; and we could even use smartphone apps to take our own medical "selfies" for skin exams and receive immediate analysis. . On top of that, the virtual smartphone assistants of today--Alexa, Siri, Cortana--could analyze our daily health data to reduce the need for doctor visits and trips to the emergency room, and support for people suffering from asthma, epilepsy, and heart disease. By integrating tools like these into their daily medical practice, doctors would be able to spend less time collecting and cataloging information, and more time providing thorough, intimate, and meaningful care for their patients, as no machine can. Artificial intelligence can also help remedy the debilitating cost of healthcare, both for individuals and the economy writ large. The medical sector now absorbs 20 percent of the US gross domestic product--it is largest sector by dollars and jobs. And it's very inefficient. Take the cost of medical scans: There are over 20 million medical scans performed in the US every day, and an MRI, for example, costs hundreds to thousands of dollars. AI could process 260 million medical scans (more than 2 weeks' worth) in less than 24 hours for a cost of only $1000. We pay billions and billions of dollars for the same work today. The American health care system needs a serious reboot, and artificial intelligence is just the thing to press the restart button. As innovative as it is hopeful, Deep Medicine ultimately shows us how we can leverage artificial intelligence for better care at lower costs with more empathy, for the benefit of patients and physicians alike.
In den letzten Jahren hat sich der Workshop "Bildverarbeitung fur die Medizin" durch erfolgreiche Veranstaltungen etabliert. In ubersichtlicher Form wird das breite Spektrum universitarer und industrieller Anwendung und Forschung dargestellt. Dieser Band enthalt 131 Beitrage, davon einige in englischer Sprache, u. a. zu folgenden Themen: Segmentierung, Registrierung, Visualisierung, Optische 3D-Sensoren in der Medizin, bildgebende Diagnostik, Mammographie, Mikroskopie und Endoskopie sowie Bilderzeugung in der Mikromedizin. "
Mit wachsender Komplexitat des Versorgungssystems gewinnt die Erfassung gesundheitsbezogener Daten an Bedeutung. Der Band versammelt die Diskussionsergebnisse des Hauptstadtsymposiums der Deutschen Gesellschaft fur Psychiatrie, Psychotherapie und Nervenheilkunde (Juni 2008). Darin geht es um den Umgang mit Routinedaten, die die Versorgung psychisch kranker Menschen in Deutschland abbilden, die relevante Veranderungen erfassen und eine valide Grundlage fur die Qualitatssicherung und die gesundheitsokonomische wie -politische Diskussion liefern."
Leistungstrager wollen leistungsgerecht gefuhrt werden Personalakquisition * Wie ermittle - und begrunde - ich den Personalbedarf? * Wie wahle ich die richtigen Mitarbeiter aus? Personalfuhrung und -entwicklung * Welcher Fuhrungsstil passt zu welchem Mitarbeiter? * Wer passt zu welchen Aufgaben am besten? * Gehaltsverhandlung * Arbeitsrecht: Arbeitszeitmodelle, Gleichstellung, Korruption ... * AErzte aus dem Ausland * OEkonomie und Ethik Gesundheitsfoerderung - physisch und psychisch * Altersgerechte Arbeitsbedingungen * Konflikt-Management * Mobbing: Pravention, Kosten ... Zukunftsfahigkeit - Veranderungen gestalten * Change-Management * Prozessverbesserung * Diversity-Management - soziale Vielfalt konstruktiv nutzen Das essentielle Know-how fur alle AErzte, die Fuhrungsverantwortung tragen - oder demnachst ubernehmen werden.
Im Jahr 2009 verabschiedete der Deutsche Bundestag das Gesetz ber
Patientenverf gungen. F r rzte, Kliniken und Pflegeeinrichtungen
ist eine Patientenverf gung eine bindende Vorgabe. Daher sollte die
Verf gung so pr zise wie m glich abgefasst werden, am besten
mithilfe sachkundiger Beratung. Das Handbuch erl utert beratenden
rzten und anderen Berufsgruppen die relevanten Sachverhalte und
Kriterien und behandelt neben den medizinischen und juristischen
auch die ethischen, weltanschaulichen und religi sen Aspekte einer
Patientenverf gung.
Mit den Medizinischen Versorgungszentren hat der Gesetzgeber eine Versorgungsform geschaffen, die mehr Kooperation, aber auch Wettbewerb er ffnen soll. Nicht wenige der neuen Regelungen sind jedoch mit anderen Vorgaben des Gesundheitswesens nur unzureichend abgestimmt. Dadurch entstehen in der Rechtsanwendungspraxis erhebliche Probleme f r Berater und potentielle Betreiber. Ziel des Buches ist es, diese Probleme aufzuzeigen und wo m glich, L sungsans tze anzubieten.
Ulrich Franke geht auf die Schwierigkeiten des Kapitalmarktzugangs fur Non-Profit-Unternehmen ein und analysiert, inwieweit ABS als Eigenkapital schonende Finanzierungsform eingesetzt werden kann. Grundlage fur die Diskussion verschiedener Ansatze in Deutschland bieten die ausfuhrlich dargelegten Erfahrungen in den USA und in anderen Landern."
Das Buch richtet sich an Gynakologen, die in vertrauter Sprache und Form Antworten auf spezifische juristische Fragen und Probleme suchen. Die gemeinsame Erarbeitung durch einen Juristen und Gynakologen erlauben eine hohe Praxisrelevanz bei gleichzeitiger juristischer Genauigkeit. Typische Situationen und Probleme des gynakologischen Alltags in Klinik und Praxis werden juristisch durchleuchtet. Sofort umsetzbare Antworten werden erganzt durch Checklisten und Praxistipps. Zukunftige Entwicklungen wie der Einfluss des europaischen Rechts auf die tagliche Arbeit oder auch Netzstrukturen werden berucksichtigt. Ein detailliertes Stichwortverzeichnis erleichtert das Auffinden der entsprechenden Themen. Das Buch richtet sich an Gynakologen aber auch an Arzte in der gynakologischen Weiterbildung in Klinik, Praxis und Verwaltung, um insbesondere Unsicherheiten in Bezug auf juristische Fragen dieses Fachgebietes zu nehmen. "
Over the last thirty years, scholars of health care organizations have been searching for concepts and images to illuminate their underlying, and shifting, modes of organizing. Nowhere has this controversy been more intense than in the United Kingdom, given the long succession of top down reorganizations within the National Health Service (NHS) over the last thirty years. This book characterises the nature of key reforms - namely managed networks - introduced in the UK National Health Service during the New Labour period (1997-2010), combining rich empirical case material of such managed networks drawn from different health policy arenas (clinical genetics, cancer networks, sexual health networks, and long term care) with a theoretically informed analysis. The book makes three key contributions. Firstly, it argues that New Labour's reforms included an important network element consistent with underlying network governance ideas, specifying conditions of 'success' for these managed networks and exploring how much progress was empirically evident. Secondly, in order to conceptualise many of the complex health policy arenas studied, the book uses the concept of 'wicked problems': problematic situations with no obvious solutions, whose scope goes beyond any one agency, often with conflicting stakeholder interests, where there are major social and behavioural dimensions to be considered alongside clinical considerations. Thirdly, it makes a contribution to the expanding Foucauldian and governmentality-based literature on health care organizations, by retheorising organizational processes and policy developments which do not fit either professional dominance or NPM models from a governmentality perspective. From the empirical evidence gathered, the book argues that managed networks (as opposed to alternative governance modes of hierarchy or markets) may well be the most suitable governance mode in those many and expanding policy arenas characterised by 'wicked problems', and should be given more time to develop and reach their potential.
Angestossen durch die Publikation "To Err is Human" des Institute of Medicine aus dem Jahre 2000 fokussiert sich die Diskussion uber Qualitatssicherung im Gesundheitswesen immer starker auf das Thema Patientensicherheit. Ein gezieltes Risikomanagement kann diese erhoehen und damit als wesentlicher Teil eines umfassenden Qualitatsmanagements fungieren. Krankenhausinterne Fehlerberichtssysteme (CIRS) stellen ein wichtiges Instrument des Risikomanagements zur Sammlung und Analyse von Zwischenfallen, Komplikationen, Fehlern und Beinahe-Fehlern dar. Die vorliegende Schrift verfolgt das Ziel, die rechtlichen Rahmenbedingungen des Critical Incident Reportings de lege lata und de lege ferenda zu ermitteln und bietet eine umfassende Darstellung der in diesem Zusammenhang aufgeworfenen Rechtsfragen.
Autoren aus Wissenschaft und Praxis stellen in diesem Buch die Grundlagen und Besonderheiten des Business-to-Business-Marketing fur Profifussballvereine umfassend und verstandlich dar."
The Emergence of Modern Hospital Management and Organisation in the World 1880s-1930s uses a range of empirical evidences and case studies drawn from previously unpublished archival sources to offer one of the first international comparative studies on the transformation and modernization of hospital management globally, a century ago. Focusing in the key years between the 1880s and the 1930s, when millions of people crossed the globe and created new large health care needs in the largest cities of the world, Paloma Fernandez-Perez analyzes core themes from a business history perspective, like organization, ownership and the professionalization of management, to reach a new understanding about the history of modern large scale healthcare institutions from the United States to China, with particular attention to Spain. The book analyses how varying institutional factors, as well as specific national elements, have influenced the application of Taylorist ideas about standardization, efficiency, and productivity, to large scale hospitals. It also demonstrates the complexities in the dissemination of Taylorist styles of management in large hospitals in the world, by presenting the diversity of situations and how they depended not just on national differences but also on the balance of power of interest groups in private and public hospitals.
Planung, Gestaltung und Steuerung von Behandlungsleistungen im Krankenhaus Mit der Einfuhrung des G-DRG-Systems gilt fur die strategische und operative Planung und Gestaltung von Krankenhausleistungen: Der Einzelfall und nicht der tagesgleiche Pflegesatz, der Behandlungsprozess und nicht das Bett sind die neuen Planungskategorien. Erfahren Sie in diesem Buch nachvollziehbar, was Leistungsmanagement bieten muss: - Erkennen von Marktpotenzialen und Einflussfaktoren - Behandlungsstufen - und Prozessgestaltung, - Definition von Ergebnisqualitatszielen - Sicherstellung und Messung der Ergebnisqualitat. Das G-DRG System sowie der Katalog der ambulanten Operationen und stationsersetzenden Massnahmen fuhren zu kurzfristigen Kapazitatsanpassungen und Organisationsveranderungen im Leistungsgeschehen der Krankenhauser. Dieses Buch zeigt Ihnen erstmals Schritt fur Schritt wie Sie vorgehen mussen, um ihr Leistungsgeschehen optimal zu planen, zu gestalten und zu steuern, um im Wettbewerb um Patienten erfolgreich zu sein."
Der Gemeinsame Bundesausschuss (G-BA) ist das oberste Beschlussgremium der gemeinsamen Selbstverwaltung von Vertragsarzten, Krankenhausern und Krankenkassen. Er legt massgeblich fest, welche Leistungen der medizinischen Versorgung von der GKV erstattet werden. Das vorliegende Werk setzt sich mit dem Normsetzungsinstrument der Richtlinie auseinander. Besondere Beachtung findet dabei die Frage der Einordnung der Richtlinien in die Rechtsquellensystematik und die Problematik der demokratischen Legitimation des G-BA zur Normsetzung. Daran schliesst sich eine ausfuhrliche Darstellung der Verfahren zur Integration neuer Untersuchungs- und Behandlungsmethoden in die ambulante und stationare Versorgung an. In diesem Zusammenhang wird auch die Vorgehensweise des G-BA beim Richtlinienbeschluss auf der Grundlage seiner Verfahrensordnung erlautert. Dabei spielen die Grundsatze der evidenzbasierten Medizin und Gesundheitsversorgung eine besondere Rolle. "
Das Buch richtet sich an Chirurgen, die in vertrauter Sprache und Form Antworten auf spezifische juristische Fragen und Probleme suchen. Die gemeinsame Erarbeitung durch einen Juristen und Chirurgen erlauben eine hohe Praxisrelevanz bei gleichzeitiger juristischer Genauigkeit. Typische Situationen und Probleme des chirurgischen Alltags in Klinik und Praxis werden juristisch durchleuchtet. Sofort umsetzbare Antworten werden erganzt durch Checklisten und Praxistipps. Zukunftige Entwicklungen wie der Einfluss des europaischen Rechts auf die tagliche Arbeit oder auch Netzstrukturen werden berucksichtigt. Ein detailliertes Stichwortverzeichnis erleichtert das Auffinden der entsprechenden Themen. Das Buch richtet sich an Chirurgen aber auch an Arzte in der chirurgischen Weiterbildung in Klinik, Praxis und Verwaltung, um insbesondere Unsicherheiten in Bezug auf juristische Fragen dieses Fachgebietes zu nehmen. "
Applies the Principles of Informatics to the Pharmacy Profession Emphasizes Evidence-Based Practice and Quality Improvement Approaches Leading the way in the integration of information technology with healthcare, Pharmacy Informatics reflects some of the rapid changes that have developed in the pharmacy profession. Written by educators and professionals at the forefront in this field, the book shows how informatics plays a central role in providing productive and efficient healthcare services. After defining pharmacy informatics, the text explores the information and biomedical technologies that are the drivers of change. It then discusses the basics of maintaining the reliability and security of computers in a connected world, the need for standardization in the healthcare industry, and effective strategies for searching, evaluating, and managing the wide variety of information resources available today. The next section covers the types of information systems that exist in hospitals and pharmacies, including bar coding. The book then presents tools for evidence-based practice, computerized clinical pharmacokinetics methods, clinical decision support, and data mining methods to improve therapy, reduce adverse outcomes, and cut costs. The final section examines various developments driven by the Internet and how current informatics solutions must evolve to maximize their potential. The continual growth and increasing complexity of therapeutic information necessitate new ways for effectively handling medical data and ultimately providing better patient care. This book discusses how these changes affect pharmacy students and practicing pharmacists, preparing them for what lies ahead in this evolving field. |
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