There is little debate that health care in the United States is in need of reform. But where should those improvements begin? With insurers? Drug makers? The doctors themselves? In Big Med, David Dranove and Lawton Robert Burns argue that we're overlooking the most ubiquitous cause of our costly and underperforming system: megaproviders, the expansive health care organizations that have become the face of American medicine. Your local hospital is likely part of one. Your doctors, too. And the megaproviders are bad news for your health and your wallet. Drawing on decades of combined expertise in health care consolidation, Dranove and Burns trace Big Med's emergence in the 1990s, followed by its swift rise amid false promises of scale economies and organizational collaboration. In the decades since, megaproviders have gobbled up market share and turned independent physicians into salaried employees of big bureaucracies, while delivering on none of their early promises. For patients this means higher costs and lesser care. Meanwhile, physicians report increasingly low morale, making it all but impossible for most systems to implement meaningful reforms. In Big Med, Dranove and Burns combine their respective skills in economics and management to provide a nuanced explanation of how the provision of health care has been corrupted and submerged under consolidation. They offer practical recommendations for improving competition policies that would reform megaproviders to actually achieve the efficiencies and quality improvements they have long promised. This is an essential read for understanding the current state of the health care system in America-and the steps urgently needed to create an environment of better care for all of us.

Gesundheitswesen im Umbruch: Steigende Anspr che der Patienten stehen restriktiver Ausgabebereitschaft der ffentlichen medizinischen Versorgung gegen ber. Kurzfristige budgetorientierte "Gesundheitspolitik" macht vern nftige Reformen beinahe unm glich. Der Mut zu notwendigen Ver nderungen fehlt. Die "Zweiklassenmedizin" hat sich bereits etabliert. Der niedergelassene Arzt von morgen braucht Strategien, um sich in diesem Umfeld zu behaupten.

Discover today's most complete, easy-to-use medical coding guide, written specifically for beginning coders. Green's best-selling 3-2-1 CODE IT!, 7E presents the latest updates for ICD-10-CM, ICD-10-PCS, CPT (R) and HCPCS Level II coding sets, conventions and guidelines. Focused examples, understandable language and clearly defined terms help you master each concept, while extensive exercises, reviews and coding cases let you practice concepts and prepare to earn coding credentials. This well-organized, intuitive approach begins with diagnosis coding before progressing to more in-depth instruction on coding procedures and services. You'll find clear coverage of both ICD-10 code sets with separate, thorough chapters on inpatient and outpatient coding. HCPCS level II and CPT coding are also covered in separate chapters. In addition, MindTap interactive digital tools further reinforce the coding skills you need for success.

With the realization that many clues and hints preceded the September 11 terrorist attacks, statisticians became an important part of the global war on terror. This book surveys emerging research at the intersection of national security and statistical sciences. In it, a diverse group of talented researchers address such topics as Syndromic Surveillance; Modeling and Simulation; Biometric Authentication; and Game Theory. The book includes general reviews of quantitative approaches to counterterrorism, for decision makers with policy backgrounds, as well as technical treatments of statistical issues that will appeal to quantitative researchers.

In den letzten Jahren hat sich der Workshop "Bildverarbeitung fur die Medizin" durch erfolgreiche Veranstaltungen etabliert. Ziel ist auch 2006 wieder die Darstellung aktueller Forschungsergebnisse und die Vertiefung der Gesprache zwischen Wissenschaftlern, Industrie und Anwendern. Die Beitrage dieses Bandes - einige in englischer Sprache - behandeln alle Bereiche der medizinischen Bildverarbeitung, insbesondere Algorithmen, Soft- und Hardwaresysteme sowie deren klinische Anwendungen. "

Sylvia Ballke geht der Frage nach, welche faktische Bedeutung die Corporate Governance im deutschen Krankenhaussektor hat. Sie ruckt sowohl auf konzeptioneller als auch auf empirischer Basis die Corporate Governance fur Krankenhauser, die Hospital Governance, in den Fokus der Betrachtung."

The current healthcare system is under attack by market, government, and consumer forces. To stay solvent, organizations must be performing at the top of their game. This book provides detailed instructions to bring organizations to the next level of performance by teaching all the secrets straight from the healthcare consultant's playbook in less than 100 days. This book defines the coming challenges in the healthcare environment and provides a 10-step solution to develop the infrastructure for peak performance. These solutions include detailed implementation plans, software, reports, metrics, and the top projects that yield the highest financial rewards. This is the first book of its kind to not just discuss the top strategies, but also provide step-by-step instructions to achieve results. The book defines the strategy, the tactics, the infrastructure, the targets, the solutions, the barriers, and the leadership required to achieve a high performing organization. With these simple instructions, any organization with the will to achieve a brighter future can be poised for success in the next decade in less than 100 days.

- Practical in its scope and coverage, the authors have provided a tool-kit for the medical professional in the often complex field of medical informatics

- All editors are from the Geisinger Health System, which has one of the largest Electron Health systmes in the USA, and is high in the list of the AMIA "100 Most Wire" healthcare systems

- Describes the latest successes and pitfalls

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:

• the concept of managing for health, or public health management
• the importance of public health management
• the skills and frameworks required of managers and practitioners working in health systems
• the implications for training and development.

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:

• the concept of managing for health, or public health management
• the importance of public health management
• the skills and frameworks requires of managers and practitioners working in health systems
• the implications for training and development.

This comprehensive and balanced textbook is an essential read for students and those engaged with health management, public health and public management .

Is leadership just a fashion that is blowing through the healthcare sector and will blow out again? Is it just new fancy language to describe what has always happened in hospitals, surgeries, and schools across the land? The authors think not, and there are many reasons why leadership - across the organization and across healthcare networks - needs to be taken seriously. Clear and convincing with practical applications, Leadership for Healthcare includes a systematic literature review of the academic and policy literature of healthcare leadership in the UK in the last 10 years. The book provides an evidence-based framework which synthesizes the literature from health services management and business. It draws out lessons for policy, practice, and future research in the area of leadership in healthcare, and it provides a clear 'road map' of the terrain of leadership which will help to avoid some of the pitfalls, fallacies, and fantasies about leadership.

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.

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.