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.

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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.

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.

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.

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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.

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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.

Healthcare transformation requires us to continually look at new and better ways to manage insights - both within and outside the organization today. Increasingly, the ability to glean and operationalize new insights efficiently as a byproduct of an organization's day-to-day operations is becoming vital to hospitals and health systems ability to survive and prosper. One of the long-standing challenges in healthcare informatics has been the ability to deal with the sheer variety and volume of disparate healthcare data and the increasing need to derive veracity and value out of it. Demystifying Big Data and Machine Learning for Healthcare investigates how healthcare organizations can leverage this tapestry of big data to discover new business value, use cases, and knowledge as well as how big data can be woven into pre-existing business intelligence and analytics efforts. This book focuses on teaching you how to: Develop skills needed to identify and demolish big-data myths Become an expert in separating hype from reality Understand the V's that matter in healthcare and why Harmonize the 4 C's across little and big data Choose data fi delity over data quality Learn how to apply the NRF Framework Master applied machine learning for healthcare Conduct a guided tour of learning algorithms Recognize and be prepared for the future of artificial intelligence in healthcare via best practices, feedback loops, and contextually intelligent agents (CIAs) The variety of data in healthcare spans multiple business workflows, formats (structured, un-, and semi-structured), integration at point of care/need, and integration with existing knowledge. In order to deal with these realities, the authors propose new approaches to creating a knowledge-driven learning organization-based on new and existing strategies, methods and technologies. This book will address the long-standing challenges in healthcare informatics and provide pragmatic recommendations on how to deal with them.

As part of the pre-registration education for students who intend to enter health care work, periods of work experience are bullt into the curriculum. Students are placed in work settings, generally termed clinical settings, for specified periods, ranging from single days to extended periods of time. Ouring these placements the students are 'supervised' by qualified staff whose first responsibility is to the care of patients. It is therefore important that provi sion is made to support these clinicians in their role of teaching and super vising students. Initiatives have therefore been taken to enhance clinicians' knowledge and skills in the teaching process. The principles and procedures to be used in the supervision and teaching of students are generic in nature and therefore applicable to a number of fields. This book has been prepared for use by a wide range of professionals in health fields. There is particular attention to chiropody/podiatry, dietetics, occupational therapy, orthoptics, physiotherapy, speech and language therapy and radiography, although the principles covered are also applicable to a wider spectrum of professions. The content draws on the experience of clinicians and teachers and will, it is hoped, help to disseminate the good practice which already exists."

Advances in health information technology (health IT) have the potential to improve the quality of healthcare, to increase the availability of health information for treatment, and to implement safeguards that cannot be applied easily or cost-effectively to paper-based health records. However, the digitization of health information is also raising new privacy risks and concerns. Sensitive health information in digital form is more easily aggregated, used, and shared. In addition, the rising cost of healthcare and the search for efficiency may create incentives to use the information in new ways. Research has consistently shown that while the public sees the potential value of health information exchange and technological advancements, it remains gravely concerned about the privacy of their sensitive health information. As a result, it is becoming increasingly clear that ensuring public trust will be critical to the successful implementation of nationwide health information exchange. The purpose of this second edition is two-fold: 1) to educate readers about privacy concepts and 2) highlight key privacy issues facing the nation and the healthcare community as it moves towards electronic health records and health information exchange. The first three chapters are descriptive in nature, defining privacy and distinguishing it from security, defining the complex legal landscape for health information privacy, and setting the stage for the following chapters by describing the current landscape of the evolving healthcare environment. The following chapters discuss specific privacy issues and challenges in detail. The book concludes with a chapter providing a view to the future of healthcare and the association privacy implications. This is an updated version of one of HIMSS' best-selling books on information privacy.

A systematic review of the most current decision models and techniques for disease prevention and treatment Decision Analytics and Optimization in Disease Prevention and Treatment offers a comprehensive resource of the most current decision models and techniques for disease prevention and treatment. With contributions from leading experts in the field, this important resource presents information on the optimization of chronic disease prevention, infectious disease control and prevention, and disease treatment and treatment technology. Designed to be accessible, in each chapter the text presents one decision problem with the related methodology to showcase the vast applicability of operations research tools and techniques in advancing medical decision making. This vital resource features the most recent and effective approaches to the quickly growing field of healthcare decision analytics, which involves cost-effectiveness analysis, stochastic modeling, and computer simulation. Throughout the book, the contributors discuss clinical applications of modeling and optimization techniques to assist medical decision making within complex environments. Accessible and authoritative, Decision Analytics and Optimization in Disease Prevention and Treatment: Presents summaries of the state-of-the-art research that has successfully utilized both decision analytics and optimization tools within healthcare operations research Highlights the optimization of chronic disease prevention, infectious disease control and prevention, and disease treatment and treatment technology Includes contributions by well-known experts from operations researchers to clinical researchers, and from data scientists to public health administrators Offers clarification on common misunderstandings and misnomers while shedding light on new approaches in this growing area Designed for use by academics, practitioners, and researchers, Decision Analytics and Optimization in Disease Prevention and Treatment offers a comprehensive resource for accessing the power of decision analytics and optimization tools within healthcare operations research.

Beyond Return on Investment: Expanding the Value of Healthcare Information Technology, 2nd Edition this updated and revised edition provides lessons learned from healthcare IT adoption and the opportunity to drive value realization. From providing a basic primer on 'how-to' complete a Return on Investment analysis for a single project to developing a comprehensive program of value management to support the transition to high value healthcare, this book addresses emerging trends, practical approaches and measurement methods to help drive value. Beyond Return on Investment, 2nd Edition views IT as a strategic asset in the transformation of healthcare. Based on previous editions, this book updates and identifies the components of an integrated value management strategy including value driven decision-making culture, an integrated approach to strategy development, a value based governance model, a process that defines business case development through ROI analysis, value measurement and value scorecard development. New chapters in this addition include a Framework for Value Management, validating vendor defined value and ROI, and new methods for realizing value.

As the healthcare market moves toward an era of patient engagement, population health and patient advocates, practitioners need a practical how-to guide that helps facilitate their teaching with patients and family members on not just writing down or accumulating a personal health record, but an interactive process that converts the personal health information into a data-driven decision-making process. Through numerous forms, templates and real life examples, the author provides the tools to help patients gather critical health information while minimizing their exposure to medical and financial errors.

Ein Screening auf angeborene endokrine und metabole Stoerungen ermoeglicht die Fruherkennung von Krankheiten wie Hypothyreose, AGS (adrenogenitales Syndrom), Phenylketonurie, Galaktosamie, Biotinidasemangel, Cystische Fibrose oder Homocystinurie. Je nach Land und politischen Bestimmungen unterscheiden sich jedoch die routinemassig durchgefuhrten Untersuchungen. Dieses Handbuch beschreibt praxisbezogen die biochemischen Grundlagen, die Grundsatze der Labor- und Bestatigungsdiagnostik sowie Therapiemoeglichkeiten zu insgesamt zwoelf Krankheiten. Daruber hinaus werden praanalytische Fragen, wie Zeitpunkt und Art der Blutentnahme oder moegliche Stoerfaktoren, umfassend behandelt. Der allgemeine Teil geht auf ethische und psychosoziale Aspekte des Screenings ein. Ein Verzeichnis der Screeningzentren und jener Labors, die fur die Bestatigungsdiagnostik Dienste anbieten, sowie ein Adressenverzeichnis von Elterngruppen und Informationsquellen im Internet komplettieren dieses Buch.

The Fourth International Working Conference on Statistical and Scientific Data Base Management (IV SSDBM) held on June 21-23, 1988 in Rome, Italy, continued the series of conferences initiated in California in December 1981. The purpose of this conference was to bring together database researchers, users and system builders, working in this specific field, to discuss the particular points of interest, to propose new solutions to the problems of the domain and to expand the topics of the previous conferences, both from the theoretical and from the applicational point of view. The papers of four scientific sessions dealt with the following topics: knowledge base and expert system, data model, natural language processing, query language, time performance, user interface, heterogeneous data classification, storage constraints, automatic drawing, ranges and trackers, and arithmetic coding. Two other special sessions presented work on progress papers on geographical data modelling, spatial database queries, user interface in an Object Oriented SDB, interpretation of queries, graphical query language and knowledge browsing front ends. The conference also had three invited papers on topics of particular interest such as "Temporal Data," "Statistical Data Management Requirements" and "Knowledge Based Decision Support Systems," included in this volume. The introductory paper by M. Rafanelli provides both an introduction to the general concepts helpful to people outside the field and a survey of all the papers in these Proceedings. Furthermore, there were three open panels. Papers by the chairmen, contributions of the panelists and a summary of the respective discussions are included in this volume, too.

Anwender, die mit Hilfe statistischer Verfahren experimentell ermittelte Resultate auswerten und grafisch darstellen wollen, finden in diesem Buch ein nutzliches Werkzeug. 15 Kernanwendungen aus den Bereichen Physik, Biologie, Chemie, Pharmazie, Medizin, Psychologie, Pharmakologie und Okonomie sind auch fur Mathematica-Einsteiger leicht einzusetzen und eigenen Bedurfnissen anzupassen. Dem Mathematica-Kenner werden eine Reihe statistischer Befehle an die Hand gegeben, mit denen er auch ohne Kenntnisse der Mathematica-Programmierung eigene Auswertungs-Routinen erstellen kann. Daruber hinaus werden grafische Darstellungsformen entwickelt, um komplexe Sachverhalte ubersichtlich und publikationsreif zu prasentieren. Eine CD-ROM mit Anwendungstools liegt bei."

The 33rd Annual Meeting of the German Association for Medical Documentation, Informatics and Statistics was combined with a Special Topic Conference of the European Federation for Medical Informatics and takes place at Hannover, F. R. of Germany, from September 26 to 29, 1988. It was planned and initililly prepared by the late Prof. P. L Reichertz, who headed the Hannover institute from 1969 to 1987. To commemorate his contribution to the development of medicine the conference was devoted to him "Peter Reichertz Memorial Conference on Expert Systems and Decision Support in Medicine" Since computers in the early Fifties were first applied to support medical reasoning, various phases of euphoria and resi ation have . followed. Every new methodology which became technically possible was and will be applied to the old questlon of how to diagnose diseases more reliably. Artificial Intelligence is just one new approach to the old challenge. Over the years some. authors have been very optimistic and put forward opinions which motivated the common press to coin the phrase 'Dr. med. computer'. Papers printed under this heading rebuffed the majority of physiCians for many years. Today we know that medical decision making is a most complex buman performance. And 30 years of research on decision support have given us only limited insight into the underlying processes. Most of the principal methodological questions were already asked very early on."

This book gives examples from healthcare institutions that are using IT automation and innovation to drive change and provides guidance on the strategic direction of HIT over the next five years. Improving the delivery of healthcare through HIT is vital for both the economic success of healthcare organizations and the care of the patient, but most EMR systems do not have an integrated and architected approach. This book provides a detailed approach on how to leverage IT for transformation. It also shows how to build upon the experiences of other industries and helps foster innovation by providing a vision of where technology can be an enabler.

This third edition to the award-winning book is a straightforward view of a clinical data warehouse development project, from inception through implementation and follow-up. Through first-hand experiences from individuals charged with such an implementation, this book offers guidance and multiple perspectives on the data warehouse development process - from the initial vision to system-wide release. The book provides valuable lessons learned during a data warehouse implementation at King Faisal Specialist Hospital and Research Center (KFSH&RC) in Riyadh, Saudi Arabia - a large, modern, tertiary-care hospital with an IT environment that parallels a typical U.S. hospital. This book also examines the value of the data warehouse from the perspectives of a large healthcare system in the U.S. and a corporate health services business unit. Special features of the book include a sample RFP, data warehouse project plan, and information analysis template. A helpful glossary and acronyms list are included.

The European Federation for Medical Informatics (EFMI) is a regional coordinating body for the National Informatics Societies of Europe. EFMI has organized a number of congresses. The Congresses in Cambridge 1978, Berlin 1979, Toulouse 1981, Dublin 1982 and Brussels 1984 were all successful in providing the wide variety of people in the caring and specialists in the computing profession with up-to-date inform ation from the expanding multidisciplinary field of medical inform atics. We hope that the sixth European Congress on Medical Informatics, MIE-85 in Helsinki will be equally successful. You have in your hand the pre-publication of papers to be presented at MIE-85 as well as the short abstracts of the posters. The proceed ings enable the participants to follow work presented at sessions that they are unable to attend. It also provides a permanent record with relevant bibliography for workers in the field of medical com puting. All the papers have been refereed and the referees' suggest ions incorporated in the final text. Rapid publication, using camera ready paper, reduces the time required for editing and indexing. The editorial board has worked hard to improve the standard of the communications and to reduce the number of errors. Very few papers did not arrive in time to be included in the proceedings: these are marked with * in the table of contents."

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.