'This excellent primer offers useful, simple practical advice: where to start, how to know how you're doing, and how to take simple steps to improve care for patients. It will be useful and used by clinicians across the health service.' Professor Martin Roland, in his Foreword 'The concept of clinical governance places a central responsibility for quality on the shoulders of those managing and leading within the health system. To one degree or another, that means all of us.' From the Introduction This book provides readers with an invaluable set of tools to convert the endless challenges for quality and myriad opportunities for improvement into meaningful and useful change. It begins by considering how to manage primary care organisations in order to improve quality of care. Patient perspectives on quality are examined initially, moving onto market mechanisms and commissioning which are increasingly being used as levers for change. It also considers how general practices are regulated and held accountable for the quality of the services they provide. All healthcare professionals work within teams, organisations and the wider health system. How these are designed and managed greatly determines individual and team effectiveness. Refl ecting on this, leadership, management and the right organisational culture are reviewed. Prompts for personal refl ection are included throughout the book, enabling practitioners and students to use personal experiences to transform the services provided. It also explores various techniques used for assessing and measuring quality of care, commonly used quality improvement frameworks along with the burgeoning sciences of process control, systems and spread. Quality Improvement in Primary Care is a highly practical introductory primer for quality improvement, relevant to every individual working and learning in primary healthcare and the wider health service.

Increasing evidence has demonstrated that caregivers of dementia victims are at risk for depression and other medical problems. In what ways can health care providers improve or maintain the well-being of dementia caregivers?

This volume provides an overview of emerging themes in dementia caregiving research and presents a broad array of practical strategies for reducing caregiver distress, including interventions for specific populations such as ethnic minority caregivers, male caregivers, and caregivers with diverse sexual orientations. Innovative approaches include the value of partnering with primary care physicians to improve quality of life for both patient and caregiver and the use of technological advances to help distressed caregivers.

A timely, cutting edge book written for clinicians of varying backgrounds who provide direct services to families of dementia victims.
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Organising care around patients is not for the fainthearted. Naomi Chambers and Jeremy Taylors have curated twenty-five accounts from people who agreed to tell the story of what happened when they or their loved ones came into contact with the NHS. The authors defy you not to laugh or cry, or hold your breath in disbelief, at some point when reading this book. In these true and compelling accounts, we learn the experiences - good and bad - of people grappling with birth and death, caring for loved ones, living with mental illness, coping with long-term conditions, and struggling in older age. This book is a call to action aimed at healthcare professionals, managers and politicians: a manifesto for more patient-centred care. These stories show the NHS at its very best - and also when it falls significantly short. Patients or carers currently battling with the system will derive some hope and encouragement, and clues about what to expect, what to ask for, and from whom. -- .

There is a transformation of equity occurring in the health care industry with hospitals and health systems purchasing physician practices. As traditional hospital structures meet the entrepreneurial physician manager in today's rapidly changing environment, numerous transitional challenges are emerging. Medical Staff Integration: Transactions and Transformation fills the void that exists between hospital management texts and physician management literature. It examines the cultural and functional issues that must be addressed when hospitals and health systems purchase physician practices. Written by a leading consultant in the health care industry, the book covers the changes occurring in a nonjudgmental fashion and from a business case perspective. It supplies an understanding of the basics behind the various types of relationships that are forming as well as the nuts and bolts of the transitions that will result. The book focuses on the challenges readers will most likely face when merging systems, culture, and functions. It explains how to assure that the acquisitions will meet the needs of all parties-emphasizing the income determination structures required for the continued motivation of physicians. Addressing some of the limitations hospitals face with physician practice integrations, including the traditional medical staff structure, hospital-based physicians, and contracted physicians, the book also discusses the growing role and impact of compliance. A companion website allows readers to download forms and models which can assist in the practical application of the ideas presented in the book. www.medicalstaffintegration.com

The Electronic Health Record (EHR) is a reflection of the way your organization conducts business. If you're looking to make lasting improvements in the delivery of care, you must start with looking at the system from your patient's perspective to understand what is of value and what is simply waste. When you begin seeing in this way, you'll begin building in this way. When you begin building in this way, you'll begin driving improvements in your care delivery. Only then will your EHR be able to support lasting improvements, driving better patient care and outcomes at lower costs. Healthcare organizations are under increasing pressure to improve on all fronts. This can be achieved, but only by changing the very way we look at care. No longer can we look at care just from the organization or provider's perspective; we must start with the end in mind - the patient. Compelling case studies, discussed throughout this book, demonstrate that modifying processes and workflows using Lean methodologies lead to substantial improvements. These changes must be undertaken in a clear, consistent, and methodical manner. When implementing an EHR based on existing workflows and sometimes antiquated processes, organizations struggle to sustain improvements. Many organizations have deployed an EHR and now face optimization challenges, including the decision to move to a new EHR vendor. The financial implications of upgrading, optimizing or replacing an EHR system are significant and laden with risk. Choose the wrong vendor, the wrong system, or the wrong approach and you may struggle under the weight of that decision for decades. Organizations that successfully leverage the convergence of needs - patients demanding better care, providers needing more efficient workflows and organizations desiring better financials - will survive and thrive. This book ties together current healthcare challenges with proven Lean methodologies to provide a clear, concise roadmap to help organizations drive real improvements in the selection, implementation, and on-going management of their EHR systems. Improving patient care, improving the provider experience and reducing organizational costs are the next frontier in the use of EHRs and this book provides a roadmap to that desired future state.

Die wirtschaftlichen Rahmenbedingungen fur Krankenhauser werden anspruchsvoller. Eine qualitativ hochwertige medizinische Versorgung mussen die Verantwortlichen aber weiterhin gewahrleisten. Dass dies mit geschicktem Management durchaus moglich ist, zeigen die Beispiele in diesem Buch. Die Stellhebel, die Klinik-Managern generell zur Verfugung stehen, um die Leistungs- und Wettbewerbsfahigkeit ihrer Hauser zu verbessern und sie fit fur die Zukunft" zu machen, werden in kompakter Form dargelegt. Anschliessend wird dieses Know-how um nutzwertige Co-Autoren-Beitrage aus der Praxis erganzt: erfahrene Klinikmanager und Spezialisten aus der Gesundheitswirtschaft nehmen hier zu ausgewahlten Herausforderungen der Branche Stellung und skizzieren, wie sie diese angegangen sind und welche Erkenntnisse sich aus ihrem" Einzelfall verallgemeinernd ableiten lassen."

This highly practical guide has been completely revised, updated and expanded, highlighting the changing face of dental practice today. It considers characteristics common to successful organisations and applies them to the profession of dentistry. Focusing on 8 key strategies, it is specially designed to develop a thriving dental practice whilst maintaining a healthy personal and professional balance. Profitable Dental Practice, Second Edition reveals, to all members of the practice team, how applying better management of time, finances, staff and marketing can have remarkable and lucrative results.

Die Kenntnis des Schwerbehindertenrechts ist fur alle AErzte in Klinik und Praxis von grosser Bedeutung. Immer wieder werden Fragen zur Begutachtung an sie herangetragen, die sie ohne spezielle Kenntnisse nicht beantworten koennen. Hier finden Sie die Antworten. Die Autoren erlautern theoretische Grundlagen und das Schwerbehindertenrecht in der Praxis. Sie benennen Grenzen und Fehlerquellen der Begutachtung. Zudem erlautern sie die Materie aus sozialgerichtlicher Sicht und gehen auf die Rolle koerperlicher und seelischer Stoerungen im Schwerbehindertenrecht ein. Sie aussern sich zu den sozialmedizinischen Aspekten des Schwerbehindertengesetzes und zur Zukunft des Schwerbehindertenrechts. Plus: Begutachtungsrichtlinien mit GdB/ MdE-Tabellen.

Designed for professionals and aspiring professionals in public policy, public health, and related programs, Public Health Leadership illustrates the complexity of contemporary issues at the intersection of public health and healthcare and the compelling need to engage numerous public and private stakeholders to effectively advance population health. Offering real-world case studies and cutting-edge topics in public health and healthcare, this book will complement existing primers and introductory books in public health to help students and practitioners bridge concepts and practice. The work is divided into three parts that focus on the new role of public health departments, emerging challenges and opportunities following the enactment of the Patient Protection and Affordable Care Act (ACA), and recent trends in innovation and investment. Each chapter is practice-oriented to provide insight into the changing landscape of public health while offering practical tips based on the experiences and expertise of leading practitioners. Topics include cross-sector partnership-building, innovations in investment strategies, public health operations, performance management, advances in big data tracking, and more that address the social determinants of health and improve population health. Cases draw on a wide range of perspectives and regions, encouraging the reader, whether a professional or student, to apply the lessons learned to one's local context.

Good communication is at the heart of strategies for effective health promotion and public health. At a time when lifestyle and preventable diseases are still on the rise, practitioners are in need of the skills to deliver effective health messages to the right audience, at the right time.

Responding to this demand, Working on Health Communication provides a practical guide to the process of designing, implementing and evaluating campaigns.

The book follows the campaign design process step-by-step. It covers every stage from selecting theoretical models and identifying the message and target audience, right through to running the campaign and evaluating its success. "Real-life examples" of actual campaigns are used throughout to show how theoretical ideas work in practice.

Working on Health Communication is ideal for students and practitioners in public health, health promotion and other health-related areas who are working on health campaigns.

This book takes an in-depth look at the emerging technologies that are transforming the way clinicians manage patients, while at the same time emphasizing that the best practitioners use both artificial and human intelligence to make decisions. AI and machine learning are explored at length, with plain clinical English explanations of convolutional neural networks, back propagation, and digital image analysis. Real-world examples of how these tools are being employed are also discussed, including their value in diagnosing diabetic retinopathy, melanoma, breast cancer, cancer metastasis, and colorectal cancer, as well as in managing severe sepsis. With all the enthusiasm about AI and machine learning, it was also necessary to outline some of criticisms, obstacles, and limitations of these new tools. Among the criticisms discussed: the relative lack of hard scientific evidence supporting some of the latest algorithms and the so-called black box problem. A chapter on data analytics takes a deep dive into new ways to conduct subgroup analysis and how it's forcing healthcare executives to rethink the way they apply the results of large clinical trials to everyday medical practice. This re-evaluation is slowly affecting the way diabetes, heart disease, hypertension, and cancer are treated. The research discussed also suggests that data analytics will impact emergency medicine, medication management, and healthcare costs. An examination of the diagnostic reasoning process itself looks at how diagnostic errors are measured, what technological and cognitive errors are to blame, and what solutions are most likely to improve the process. It explores Type 1 and Type 2 reasoning methods; cognitive mistakes like availability bias, affective bias, and anchoring; and potential solutions such as the Human Diagnosis Project. Finally, the book explores the role of systems biology and precision medicine in clinical decision support and provides several case studies of how next generation AI is transforming patient care.

The question of how to allocate scarce medical resources has become an important public policy issue in recent decades. Cost-utility analysis is the most commonly used method for determining the allocation of these resources, but this book counters the argument that overcoming its inherent imbalances is simply a question of implementing methodological changes. The Economics of Resource Allocation in Health Care represents the first comprehensive analysis of equity weighting in health care resource allocation that offers a fundamental critique of its basic framework. It offers a critique of health economics, putting the discourse on economic evaluation into its broader socio-political context. Such an approach broadens the debate on fairness in health economics and ties it in with deeper-rooted problems in moral philosophy. Ultimately, this interdisciplinary study calls for the adoption of a fundamentally different paradigm to address the distribution of scarce medical resources. This book will be of interest to policy makers, health care professionals, and post-graduate students looking to broaden their understanding of the economics of the health care system.

Analysing Health Care Organizations seeks to link the world of health policy and management with the academic field of organization studies in a novel and additive way. It outlines the main developments in UK health care management apparent over the last thirty years and explores how they might be (re)seen with the application of some important organizational theories and perspectives. This book draws out contemporary and enduring themes from current literature on health care organization and considers them from a range of theoretical perspectives. Drawing on robust areas of research and some key academics who contribute to work in this field, it is a book relevant both to experts in the field and to those seeking to develop an understanding of health care organization from a theoretical perspective. Analysing Health Care Organizations provides a state of the art introduction foundation for subsequent works that will extend its content; providing a broad introductory overview of this theoretical terrain and setting the scene for further research.

While the investigations and reports which have followed recent health care scandals in the UK have highlighted the very important issue of addressing organizational culture and the need for more effective leadership at every level, patients and their families have struggled to comprehend how such things can occur in a health service that is supposed to be the envy of the world. This book has been written to address both the 'why' and the 'how', in the pursuit of excellence and accountability in health care leadership at all levels and in order to prescribe the most effective treatment for the problems that exist in the leadership of hospitals in the UK and beyond. Based on the principles that underpin 'good medicine' in the broadest sense, the text includes detailed assessment, diagnosis, review of the evidence and the application of the experiences shared by a group of senior successful health care leaders.

The true story of an A&E doctor that became a huge word-of-mouth hit. Forget what you have seen on Casualty or Holby City, this is what it is really like to be working in A&E. Dr Nick Edwards writes with shocking honesty about life as an A&E doctor. He lifts the lid on government targets that led to poor patient care. He reveals the level of alcohol-related injuries that often bring the service to a near standstill. He shows just how bloody hard it is to look after the people who turn up at the hospital door. But he also shares the funny side - the unusual 'accidents' that result in with weird objects inserted in places they really should have ended up - and also the moving, tragic and heartbreaking. It really is an unforgettable read.

Data availability is surpassing existing paradigms for governing, managing, analyzing, and interpreting health data. Big Data and Health Analytics provides frameworks, use cases, and examples that illustrate the role of big data and analytics in modern health care, including how public health information can inform health delivery. Written for health care professionals and executives, this is not a technical book on the use of statistics and machine-learning algorithms for extracting knowledge out of data, nor a book on the intricacies of database design. Instead, this book presents the current thinking of academic and industry researchers and leaders from around the world. Using non-technical language, this book is accessible to health care professionals who might not have an IT and analytics background. It includes case studies that illustrate the business processes underlying the use of big data and health analytics to improve health care delivery. Highlighting lessons learned from the case studies, the book supplies readers with the foundation required for further specialized study in health analytics and data management. Coverage includes community health information, information visualization which offers interactive environments and analytic processes that support exploration of EHR data, the governance structure required to enable data analytics and use, federal regulations and the constraints they place on analytics, and information security. Links to websites, videos, articles, and other online content that expand and support the primary learning objectives for each major section of the book are also included to help you develop the skills you will need to achieve quality improvements in health care delivery through the effective use of data and analytics.

Offering an introduction to Cloud-based healthcare IT system, this timely book equips healthcare providers with the background necessary to evaluate and deploy Cloud-based solutions to today 's compliance and efficiency issues. Divided into three sections, it first discusses Cloud Service technologies and business models as well as the pros and cons of Cloud Services as compared to traditional in-house IT solutions. The second reviews applications in healthcare and a review of HIPAA and HITECH provisions. Finally, the book addresses the process of adopting Cloud solutions, including vendor evaluation, migration strategies, and managing transition risks. It concludes with a look at related topics and real-world case studies.

In Industriel ndern ist der Einsatz von Pharmaka fester Bestandteil des Alltags. Der Verbleib dieser Stoffe nach ihrer Verwendung sowie die Entsorgung ungebrauchter Produkte sind wichtige Fragen, die unmittelbar aus der Bef rchtung m glicher Auswirkungen auf die Umwelt erwachsen. Der Titel "Heil-Lasten" spiegelt die ambivalente Rolle der Pharmaka wider. Standortbestimmung und Diskurs zum aktuellen Informationsstand und weiteren Forschungsbedarf.

The growing number of networks delivering healthcare, and professionals learning together to improve care, has created a need for new kinds of management and leadership. This timely book highlights key lessons for network leaders in a world where care must increasingly be managed through partnerships and networks as a response to complex health needs requiring better solutions across health economies. Using their own research and case studies, the authors set out the context: why networks are here to stay; the benefits: why networks work well and for what; the difference between networks and hierarchies and when to use each form to improve care and learn; the different types of network; and how to lead a network effectively. Written for health and social care professionals wanting to set up or currently leading a network, this book by two leading experts is practical, informative, but theoretically grounded. Also useful for academics teaching health care leadership, it includes practical diagnostic materials and up to date examples from care sectors world-wide.

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.

Authentic leadership is an approach to leadership that emphasizes building the leader's legitimacy through honest relationships with followers which value their input and are built on an ethical foundation. By building trust and generating enthusiastic support from their subordinates, authentic leaders are able to improve individual and team performance. Many scholars and practitioners of authentic leadership say that the number one quality of an authentic leader is self-awareness. Self-aware leaders are transformational. Armed with self-awareness they build engaging, cooperative teams. How to gain and sustain self-awareness is the focus of the book. This book addresses current leadership challenges in health care and gives leaders guidelines for finding, living and sharing their authentic voice at home and at work. It is a much needed handbook to give current leaders perspective and practical tips to being more authentic, communicating more effectively while building engaging rapport across the organization. Additionally, a focus of the book is patient satisfaction. With a focus on nurse and physician leadership, this book provides new perspectives and action plans to increase patient satisfaction through communication that speaks to the needs of the patient in authentic and engaging ways.

Leading Reliable Healthcare describes 'state of the art' healthcare management systems. The key focus of the publication is 'reliable'; describing how leadership can ensure never less than reliable standards of care for patients and how excellence can be achieved. The focus throughout is on ensuring that patients and their families can depend on a reliable healthcare system for their needs, fulfilling their expectations that hospitals are trustworthy, stable and capable of dealing with their health, from the simplest to the most complex illnesses. Each of the chapters focuses on a different aspect of building a reliable healthcare system, concentrating on the leadership necessary to deliver and manage the different component elements of the healthcare system. The nominated contributors for this book are recognized leaders from various healthcare systems around the globe, including the UK, USA, Canada and South Korea/Singapore. The contributors have been selected to ensure a wide perspective of healthcare management, building on diverse approaches, practices and experiences, and are currently practicing healthcare management in their respective systems. The book aims to focus on the pragmatic rather than theoretical and will provide a series of practical methodologies and case studies to help improve decision making in healthcare management. With contributions by: Sallie J. Weaver, PhD, MHS, Associate Professor, Armstrong Institute for Patient Safety and Quality and Dept. of Anesthesiology & Critical Care Medicine, John Hopkins University School of Medicine Susan Mascitelli, Senior Vice President, Patient Services & Liaison to the Board of Trustees, New York-Presbyterian Hospital Dr. Sandra Fenwick, Chief Executive Officer, Boston Children's Hospital Martin A. Makary, MD, MPH, Professor of Surgery, Johns Hopkins University School of Medicine; Professor of Health Policy and Management, John Hopkins Bloomberg School of Public Health Frank Federico, RPh, Vice President, Institute for Healthcare Improvement Dr. Hanan Edrees, Manager, Quality Management, KAMC-Riyadh Dr. Hee Hwang, CIO and Associate Professor; Seoul National University Bundang Hospital, Department of Pediatrics, Division of pediatric Neurology, Center of Medical Informatics Dr. M. Andrew Padmos, Chief Executive Officer, The Royal College of Physicians and Surgeons of Canada Professor Richard Hobbs, Professor of Primary Care Health Sciences, Director, NIHR English School for Primary Care Research, Nuffield Department of Primary Care Health Sciences, University of Oxford Ms. Jules Martin, Managing Director, Central London Clinical Commissioning Group Dr. Bruno Holthof, Chief Executive Officer, Oxford University Hospitals Tara Donnelly, Chief Executive, Health Innovation Network, South London Goeran Henriks, Chief Executive of Learning and Innovation, Qulturum, County Council of Joenkoeping, Sweden

The Definitive Guide to Complying with the HIPAA/HITECH Privacy and Security Rules is a comprehensive manual to ensuring compliance with the implementation standards of the Privacy and Security Rules of HIPAA and provides recommendations based on other related regulations and industry best practices. The book is designed to assist you in reviewing the accessibility of electronic protected health information (EPHI) to make certain that it is not altered or destroyed in an unauthorized manner, and that it is available as needed only by authorized individuals for authorized use. It can also help those entities that may not be covered by HIPAA regulations but want to assure their customers they are doing their due diligence to protect their personal and private information. Since HIPAA/HITECH rules generally apply to covered entities, business associates, and their subcontractors, these rules may soon become de facto standards for all companies to follow. Even if you aren't required to comply at this time, you may soon fall within the HIPAA/HITECH purview. So, it is best to move your procedures in the right direction now. The book covers administrative, physical, and technical safeguards; organizational requirements; and policies, procedures, and documentation requirements. It provides sample documents and directions on using the policies and procedures to establish proof of compliance. This is critical to help prepare entities for a HIPAA assessment or in the event of an HHS audit. Chief information officers and security officers who master the principles in this book can be confident they have taken the proper steps to protect their clients' information and strengthen their security posture. This can provide a strategic advantage to their organization, demonstrating to clients that they not only care about their health and well-being, but are also vigilant about protecting their clients' privacy.

Dieses Buch setzt sich mit der Fuhrung der in Medizinbetrieben Beschaftigten auseinander. Ausgehend von allgemeinen Grundlagen werden branchenspezifische Probleme der Personalfuhrung in Medizinbetrieben dargestellt und Erfolgsfaktoren sowie Losungsansatze z. B. fur arztliche Praxen, Institutsambulanzen, Tageskliniken, poliklinische Ambulanzen, medizinische Versorgungszentren, Praxiskliniken, Krankenhauser, Belegabteilungen an Krankenhausern, Rehabilitationskliniken, Pflegeheime, Rettungsdienste und Gesundheitsamter beschrieben.

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