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Books > Medicine > General issues > Health systems & services > Hospital administration & management

Dimensions Of Healthcare Management (Paperback, 3rd ed): S.W. Booyens, M. Bezuidenhout Dimensions Of Healthcare Management (Paperback, 3rd ed)
S.W. Booyens, M. Bezuidenhout
R654 Discovery Miles 6 540 Ships in 4 - 6 working days

Dimensions of healthcare management is the well-known and established source of management information healthcare professionals have come to trust. This third edition has been thoroughly revised to include the latest information in the field, with a new chapter on Project management and special attention paid to the chapters on Information Systems and Finance. All the relevant legislation has been updated. The text applies universal principles and components of management and leadership, as well as popular modern theories and approaches, to the healthcare environment. It also addresses the unique needs of a manager in the healthcare environment with topics such as assignment of nursing staff and patient classification. There is in-depth focus on human resources issues, such as recruitment, staff development, leadership, absenteeism, motivation and staff turnover. Every manager knows that managing an organisation's greatest asset - its people - is a very important part of her or his portfolio.

Determined to Practice - An Ancient Calling to Provide the Highest Quality of Healthcare (Paperback): Leonard Richardson M D Determined to Practice - An Ancient Calling to Provide the Highest Quality of Healthcare (Paperback)
Leonard Richardson M D
R343 R321 Discovery Miles 3 210 Save R22 (6%) Ships in 18 - 22 working days
Beyond Medical School - Secrets of Successful Doctors (Paperback): Gregory Corradino Beyond Medical School - Secrets of Successful Doctors (Paperback)
Gregory Corradino
R441 R408 Discovery Miles 4 080 Save R33 (7%) Ships in 18 - 22 working days
The Crux of Care Management - Steps to Managed Care and Patient-Centric Service Excellence for Leaders (Paperback): Tramico... The Crux of Care Management - Steps to Managed Care and Patient-Centric Service Excellence for Leaders (Paperback)
Tramico Herman
R365 R342 Discovery Miles 3 420 Save R23 (6%) Ships in 18 - 22 working days
The Modernization of the Nursing Workforce - Valuing the healthcare assistant (Paperback): Ian Kessler, Paul Heron, Sue Dopson The Modernization of the Nursing Workforce - Valuing the healthcare assistant (Paperback)
Ian Kessler, Paul Heron, Sue Dopson
R2,529 Discovery Miles 25 290 Ships in 10 - 15 working days

The Modernization of the Nursing Workforce: Valuing the healthcare assistant is based on recently completed research exploring the role of healthcare assistants (HCA) in acute hospitals. Whilst a support role working alongside registered nurses has been a longstanding feature of the NHS, the contemporary HCA role has become increasingly central to the process of health service modernization. The role is now assuming even greater importance as the ramifications of financial constraints, restructuring and other pressures on the NHS play out. The issue is becoming increasingly relevant as the government has commissioned an independent review into the role of healthcare assistants, the Cavendish Review, which uses this book extensively. The HCA role is unregulated and low paid, but by taking-on direct care tasks from registered nurses, the role has become politically sensitive. The HCA remains a cheap and flexible source of labour, but the unregulated role encourages dilemmas and public scrutiny over risk and patient safety. The book explores how public policy reform of the health service feeds through to impact upon the management and structure of the healthcare workforce. More specifically, the book provides a timely evidence base for the extended and growing use of the HCA role. The book draws upon a multi-method research design from four geographically located hospital trusts in England, which during a three year period saw over 270 staff interviewed, focus groups and interviews with over 100 patients, some 275 hours of ward-based observation, and detailed survey responses from over 3,000 members of staff and hospital patients. The unusual richness of the data allows a definitive examination of who undertakes the HCA role, its shape, nature and diversity, along with the consequences for those with a stake in the role - hospital managers, the assistants themselves, the patients they care for and the nurses they work alongside, making The Modernization of the Nursing Workforce: Valuing the healthcare assistant essential reading for health care studies and public management communities, and those charged with training and education policy.

Der Corona Atlas (German, Hardcover): No Contributor Der Corona Atlas (German, Hardcover)
No Contributor
R2,448 R1,949 Discovery Miles 19 490 Save R499 (20%) Ships in 18 - 22 working days
Process Improvement with Electronic Health Records - A Stepwise Approach to Workflow and Process Management (Paperback):... Process Improvement with Electronic Health Records - A Stepwise Approach to Workflow and Process Management (Paperback)
Margret Amatayakul
R2,179 Discovery Miles 21 790 Ships in 10 - 15 working days

Although physicians and hospitals are receiving incentives to use electronic health records (EHRs), there is little emphasis on workflow and process improvement by providers or vendors. As a result, many healthcare organizations end up with incomplete product specifications and poor adoption rates. Process Improvement with Electronic Health Records: A Stepwise Approach to Workflow and Process Management walks you through a ten-step approach for applying workflow and process management principles regardless of what stage your organization is in its EHR journey. Introducing workflow and process mapping as essential elements in healthcare improvement, it includes detailed guidance, helpful tools, and case studies in each chapter. It also: Compares EHR workflow and process management to other continuous quality improvement methodologies Highlights the processes that need to be addressed in EHR workflow and process redesign Describes the level of detail necessary for workflow and process mapping to be effective Explains how to create change agents and offers time-tested change management tools The book describes the process for getting stakeholders to create, document, and validate new workflows and processes. Using case studies to illustrate the unique requirements of health information technology (HIT) and EHR acquisition, this reference provides you with simple yet powerful tools-along with step-by-step guidance-for the effective use of workflow and process mapping within healthcare.

Design Details for Health - Making the Most of Design's Healing Potential 2e (Hardcover, 2nd Edition): CA Leibrock Design Details for Health - Making the Most of Design's Healing Potential 2e (Hardcover, 2nd Edition)
CA Leibrock
R2,657 Discovery Miles 26 570 Ships in 18 - 22 working days

Praise for Design Details for Health

"Cynthia Leibrock and Debra Harris have developed a vitally important reference. They draw upon and compile a rich source of evidence that supports the application of specific research-based details for particular health-related settings."--From the Foreword by Dr. Wayne Ruga, AIA, FIIDA, Hon. FASID

The revised edition on implementing design details to improve today's health care facilities--an inspiring, comprehensive guide

In this significantly revised second edition, Cynthia Leibrock and Debra Harris offer up-to-date information on design details that can improve patient outcomes and user experience by returning authority to the patient, along with fascinating case studies and research demonstrating the positive role design can play in reducing health care costs. Design Details for Health, Second Edition offers contemporary examples showing how design can improve patient comfort and independence, and demonstrates how to design highly functional health care facilities that operate at peak performance. The book addresses a range of health care facility types including hospitals, ambulatory care, wellness centers, subacute care and rehabilitation, adult day care and respite, assisted living, hospice, dementia care, and aging in place. This Second Edition includes:

The latest research, which was only anecdotal in nature as recently as a decade ago, illustrating how design through evidence produces measurable outcomes

Real-world case studies of a range of excellent health care facilities that have been designed and built in the twenty-first century

Updated contributions with leading practitioners, researchers, and providers conveying how design has a positive impact on health care delivery

When design empowers rather than disables, everybody wins. Sensitive to the needs of both patients and providers, Design Details for Health, Second Edition is essential reading for today's architects, interior designers, facility managers, and health care professionals.

Lessons from Problem-based Learning (Hardcover, New): Henk van Berkel, Albert Scherpbier, Harry Hillen, Cees van der Vleuten Lessons from Problem-based Learning (Hardcover, New)
Henk van Berkel, Albert Scherpbier, Harry Hillen, Cees van der Vleuten
R3,514 Discovery Miles 35 140 Ships in 10 - 15 working days

Problem-based learning (PBL) has excited interest among educators around the world for several decades. Among the most notable applications of PBL is the approach taken at the Faculty of Health, Medicine and Life sciences (FHML) at Maastricht University, the Netherlands. Starting in 1974 as a medical school, the faculty embarked on the innovative pathway of problem-based learning, trying to establish a medical training program which applied recent insights of education which would be better adapted to the needs of the modem physician. The medical school, currently part of the FHML, can be considered as an 'established' school, where original innovations and educational changes have become part of a routine.
The first book to bring this wealth of information together, Lessons from Problem-based Learning documents those findings and shares the experiences of those involved, to encourage further debate and refinement of problem-based learning in specific applications elsewhere and in general educational discussion and thought. Each chapter provides a description of why and what has been done in the Maastricht program, followed by reflection on the benefits and issues that have arisen for these developments. The final section of the book examines the application of PBL in the future, and how it is likely to develop further.

Focus On Management Principles - A Generic Approach (Paperback, 2nd edition): Andreas de Beer, Dirk Rossouw Focus On Management Principles - A Generic Approach (Paperback, 2nd edition)
Andreas de Beer, Dirk Rossouw
R287 Discovery Miles 2 870 Ships in 4 - 6 working days

Focus on Management Principles starts with a historical overview of management and a brief discussion about functions and roles. Thereafter, leadership requirements and contemporary issues influencing a manager’s decision-making processes are discussed in detail.

These issues include organisational culture, social responsibility, organisational politics and HIV/AIDS.

This important book follows a practical approach and provides the learner with an understanding of the principles relevant for managers in contemporary society.

Lean Daily Management for Healthcare - A Strategic Guide to Implementing Lean for Hospital Leaders (Paperback): Brad White Lean Daily Management for Healthcare - A Strategic Guide to Implementing Lean for Hospital Leaders (Paperback)
Brad White
R1,177 Discovery Miles 11 770 Ships in 10 - 15 working days

You likely don't need any more tools, programs, or workshops to improve your hospital. What you need is a simple and consistent approach to manage problem-solving. Filling this need, this book presents a Lean management system that can help break down barriers between staff, directors, and administration and empower front-line staff to resolve their own problems. Lean Daily Management for Healthcare: A Strategic Guide to Implementing Lean for Hospital Leaders provides practical, step-by-step guidance on how to roll out Lean daily management in a hospital setting. Ideal for leaders that may feel lost in the transition process, the book supplies a roadmap to help you identify where your hospital currently is in its Lean process, where it's headed, and how your role will change as you evolve into a Lean leader. Illustrating the entire process of implementing Lean daily management, the book breaks down the cultural progression of units into discreet, objectively measurable phases. It identifies what leaders at all levels of the organization must do to progress units into the next phase of development. Complete with case studies from different service areas in the hospital, the book explains how to link problem-solving boards together to achieve meaningful and measurable improvements in: the emergency department, the operating room, discharge times, clinics, quality, and patient satisfaction. After reading this book you will understand how consistent rounding, a few whiteboards, pen-and-paper data, and a focused effort on working the Plan-Do-Study-Act cycle can help you build a common problem-solving bench strength throughout your organization-establishing the framework upon which future improvement can be built.

Honorarkurzungen, Arzneimittelregresse, Heilmittelregresse - AErzte in der Wirtschaftlichkeitsprufung (German, Hardcover, 2006... Honorarkurzungen, Arzneimittelregresse, Heilmittelregresse - AErzte in der Wirtschaftlichkeitsprufung (German, Hardcover, 2006 ed.)
Beate Bahner
R1,518 Discovery Miles 15 180 Ships in 10 - 15 working days

Regresse und Honorarkurzungen konnen eine Arztpraxis finanziell schwer belasten. Mit der Gesundheitsreform 2004 hat die Wirtschaftlichkeitsprufung - seit Jahrzehnten ein Kontrollinstrument in der gesetzlichen Krankenversicherung - erhebliche Anderungen und Verscharfungen erfahren. Die Wirtschaftlichkeitsprufung bleibt daher auch kunftig eine erhebliche Bedrohung fur Arzte.

Das Buch beschreibt Voraussetzungen, Ablauf und Folgen einer Wirtschaftlichkeitsprufung anhand der aktuellen Gesetzgebung und hochstrichterlichen Rechtsprechung. Praxisnah und anschaulich werden die Angriffspunkte und Reaktionsmoglichkeiten der Arzte aufgezeigt. So erweist sich auch das neue Buch der Heidelberger Rechtsanwaltin ("Das neue Werberecht fur Arzte. Auch Arzte durfen werben") fur den betroffenen Arzt als wertvolle Hilfe und Unterstutzung zur Abwehr und Vermeidung finanzieller Einbussen."

Advances in Health Economics (Hardcover): A Scott Advances in Health Economics (Hardcover)
A Scott
R3,931 Discovery Miles 39 310 Ships in 9 - 17 working days

In celebration of the 25th anniversary of the Health Economics Research Unit (HERU) this book brings together contributions from existing and former HERU staff which draw on their specialist interests and work records. The chapters reflect the 'state of the art' methodologies in which HERU has played, and still plays, a leading developmental role.

HERU was established at the University of Aberdeen in 1977 to develop new methods within health economics and to encourage the use of the techniques of economic appraisal within the health service. As such, it was the first research unit in Europe focussing solely on Health Economics. The importance of the Unit's work cannot be underestimated and all health economists as well as those working within the health service and the field of health policy will benefit from reading this text and appreciating HERU's contribution to the field.

Advances in Health Economics does not only reflect on the past 25 years, but is also a driving force for the next 25.

  • reflects the distinct and unique contribution of HERU to Health Economics

  • addresses policy issues existing within the health service

  • identifies a programme for future research
Themes covered include
  • methodologies

  • performance and behaviour

  • equity in health care
Methods for the Economic Evaluation of Health Care Programmes (Paperback, 3rd Revised edition): Michael F. Drummond, Mark J.... Methods for the Economic Evaluation of Health Care Programmes (Paperback, 3rd Revised edition)
Michael F. Drummond, Mark J. Sculpher, George W. Torrance, Bernie J. O'Brien, Greg L. Stoddart
R936 Discovery Miles 9 360 Ships in 4 - 6 working days

The highly successful textbook Methods for the Economic Evaluation of Health Care is now available in its third edition. Over the years it has become the standard textbook in the field world-wide. It mirrors the huge expansion of the field of economic evaluation in health care.
This new edition builds on the strengths of previous editions being clearly written in a style accessible to a wide readership. Key methodological principles are outlined using a critical appraisal checklist that can be applied to any published study. The methodological features of the basic forms of analysis are then explained in more detail with special emphasis of the latest views on productivity costs, the characterization of uncertainty and the concept of net benefit. The book has been greatly revised and expanded especially concerning analyzing patient-level data and decision-analytic modeling. There is discussion of new methodological approaches, including cost effectiveness acceptability curves, net benefit regression, probalistic sensitivity analysis and value of information analysis. There is an expanded chapter on the use of economic evaluation, including discussion of the use of cost-effectiveness thresholds, equity considerations and the transferability of economic data.
This new edition is required for anyone commissioning, undertaking or using economic evaluations in health care, and will be popular with health service professionals, health economists, pharmacists and health care decision makers. It is especially relevant for those taking pharmacoeconomics courses.

Who Should We Treat? - Rights, Rationing, and Resources in the NHS (Paperback, 2nd Revised edition): Christopher Newdick Who Should We Treat? - Rights, Rationing, and Resources in the NHS (Paperback, 2nd Revised edition)
Christopher Newdick
R2,264 Discovery Miles 22 640 Ships in 10 - 15 working days

The NHS has undergone substantial reform and investment since 1980, yet demand for care still exceeds supply and difficult choices remain between patients. Why is this so? On what basis should these decisions be made and by whom? As patients become 'consumers' of care, Who Should We Treat? puts patients' rights into their political, economic, and managerial perspectives to consider one of the most pressing problems in contemporary society.

Empfehlungen Zur Aufklarung Von Krankenhauspatienten Uber Vorgesehene Arztliche Massnahmen - Unter Mitwirkung Der... Empfehlungen Zur Aufklarung Von Krankenhauspatienten Uber Vorgesehene Arztliche Massnahmen - Unter Mitwirkung Der Bundesarztekammer (German, Paperback, 8th ed.)
Kohlhammer Verlag
R361 Discovery Miles 3 610 Ships in 10 - 15 working days
The Business of Healthcare Innovation (Paperback, 3rd Revised edition): Lawton Robert Burns The Business of Healthcare Innovation (Paperback, 3rd Revised edition)
Lawton Robert Burns
R1,326 Discovery Miles 13 260 Ships in 10 - 15 working days

The tech sectors are the least understood portion of the healthcare system, but the ones that supply most of the innovation in healthcare services and generate most revenue. Fully updated for this third edition, The Business of Healthcare Innovation is a wide-ranging analysis of business models and trends in the tech sectors of the healthcare industry. It provides a thorough overview of and introduction to the innovative sectors that fuel improvements in healthcare: pharmaceuticals, biotechnology, life science startups, medical devices and information technology. For each sector, the book examines the trends in scientific innovation, the science behind that innovation, the business and revenue models pursued to commercialize that innovation, the regulatory constraints within which each sector must operate and the growing issues posed by activist payers and consumers. From a combination of academic and industry perspectives, the authors show why healthcare sectors are such an important source of growth in any nation's economy.

Economic Evaluation in Health Care - Merging theory with practice (Paperback): Michael Drummond, Alistair McGuire Economic Evaluation in Health Care - Merging theory with practice (Paperback)
Michael Drummond, Alistair McGuire
R2,766 Discovery Miles 27 660 Ships in 10 - 15 working days

To accompany the hugely sccessful 'Methods for Economic Evaluation of Health Care Programmes 2e', this book is a thorough and rigorous discussion of the methodological principles and recent advances in the rapidly advancing field of theory and practice of economic evaluation in health care. Written by an internationally acclaimed group of authors, the book provides an in-depth discussion of the latest theoretical advances and gives comprehensive reviews of the available literature. The book covers the main areas of economic evaluation, including the methods for measuring costs and outcomes, the collection of data alongside clinical studies, ways of handling uncertainty, discounting and issues relating to the transferability of economic data.

Deep Medicine - How Artificial Intelligence Can Make Healthcare Human Again (Hardcover): Eric Topol Deep Medicine - How Artificial Intelligence Can Make Healthcare Human Again (Hardcover)
Eric Topol 1
R842 R636 Discovery Miles 6 360 Save R206 (24%) Ships in 10 - 15 working days

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.

Philosophy of Care - New Approaches to Vulnerability, Otherness and Therapy (Paperback, 1st ed. 2021): Joaquim Braga, Mario... Philosophy of Care - New Approaches to Vulnerability, Otherness and Therapy (Paperback, 1st ed. 2021)
Joaquim Braga, Mario Santiago de Carvalho
R4,034 Discovery Miles 40 340 Ships in 18 - 22 working days

In this book, authors from a wide interdisciplinary spectrum discuss the issue of care. The book covers both philosophical and therapeutic studies and contains a three-pronged approach to discussing the concepts of care: vulnerability, otherness, and therapy. Above all, it is a matter of combining, in a plural form, a path with multiple theoretical and conceptual bifurcations, but which always point to an observation of society from the perspective of human vulnerability.

The Affordable Care Act as a National Experiment - Health Policy Innovations and Lessons (Paperback, 2nd ed. 2021): Harry P.... The Affordable Care Act as a National Experiment - Health Policy Innovations and Lessons (Paperback, 2nd ed. 2021)
Harry P. Selker
R1,017 Discovery Miles 10 170 Ships in 10 - 15 working days

The landmark 2010 Patient Protection and Affordable Care Act (ACA), or "Obamacare," is a topic of great debate in mainstream, academic, and scientific media that generated strong opinions across the political spectrum and our nation. Soon after the enactment of the ACA and the fierce debate that ensued, The Affordable Care Act as a National Experiment was published by Springer in 2014. Now five years later, just finishing an election year in which the ACA was a hotly debated issue, the second edition of this title examines the history, lessons, and impact of this ground-breaking legislation. Now a decade since implementation nationally, the ACA is the largest healthcare policy innovation in the United States in at least 50 years and one of our nation's largest healthcare experiments ever. The history of public health and medicine shows us that to develop better solutions for important health problems, we must innovate. And when we try a new strategy, we are reminded that to innovate is to experiment. This is the basis of all medical research, public health interventions, and health policy innovations. Moreover, in recent years, there is an increasing emphasis on "translational science," research that always has an ultimate focus on having real impact on medical care and the public's health - whether in translating from bench research to the bedside, or from limited clinical use into widespread practice, public health interventions or policy. As with the previous edition, the book opens with a chapter that gives a basic overview of The Affordable Care Act. The second chapter, which previously discussed the objectives of the ACA, now takes a look at the successes, unfinished work and impact of the ACA in the past ten years. The third chapter now ponders the question of whether the ACA has protected patients since its implementation while its previous counterpart gave predictions for the future. The chapters that follow highlight things such as Medicaid expansion and insurance reform under the ACA, the Supreme Court Review of the ACA, social determinants of health, stories of the uninsured and stabilization of the ACA, among others. The book rounds out with a summary of what's next and the push for universal healthcare followed by an epilogue. Due to the timely nature of the subject matter, some chapters from the previous edition have been dropped and seven new chapters have been added in their place. The remaining seven chapters from the previous edition have also been fully revised and updated. Written by nationally known healthcare policy leaders who were involved directly in the creation and implementation of the ACA, the second edition of The Affordable Care Act as a National Experiment again will examine the history and impact of this ground-breaking legislation as well as recommend priorities, objectives, and next steps for translational research. It is an essential resource for all healthcare providers as well as policy makers and academics.

E-Health Care Information Systems - An Introduction for Students and Professionalss (Paperback): J Tan E-Health Care Information Systems - An Introduction for Students and Professionalss (Paperback)
J Tan
R3,113 Discovery Miles 31 130 Ships in 18 - 22 working days

"E-Health Care Information Systems" is a comprehensive collection written by leading experts from a range of disciplines including medicine, health sciences, engineering, business information systems, general science, and computing technology. This easily followed text provides a theoretical framework with sound methodological approaches and is filled with numerous case examples. Topics include e-health records, e-public information systems, e-network and surveys, general and specific applications of e-health such as e-rehabilitation, e-medicine, e-homecare, e-diagnosis support systems, and e-health intelligence. "E-Health Care Information Systems" also covers strategies in e-health care technology management, e-security issues, and the impacts of e-technologies. In addition, this book reviews new and emerging technologies such as mobile health, virtual reality and nanotechnology, and harnessing the power of e-technologies for real-world applications.

Lean Hospitals - Improving Quality, Patient Safety, and Employee Engagement, Third Edition (Paperback, 3rd Edition): Mark Graban Lean Hospitals - Improving Quality, Patient Safety, and Employee Engagement, Third Edition (Paperback, 3rd Edition)
Mark Graban
R1,485 Discovery Miles 14 850 Ships in 9 - 17 working days

Organizations around the world are using Lean to redesign care and improve processes in a way that achieves and sustains meaningful results for patients, staff, physicians, and health systems. Lean Hospitals, Third Edition explains how to use the Lean methodology and mindsets to improve safety, quality, access, and morale while reducing costs, increasing capacity, and strengthening the long-term bottom line.

This updated edition of a Shingo Research Award recipient begins with an overview of Lean methods. It explains how Lean practices can help reduce various frustrations for caregivers, prevent delays and harm for patients, and improve the long-term health of your organization.

The second edition of this book presented new material on identifying waste, A3 problem solving, engaging employees in continuous improvement, and strategy deployment. This third edition adds new sections on structured Lean problem solving methods (including Toyota Kata), Lean Design, and other topics. Additional examples, case studies, and explanations are also included throughout the book.

Mark Graban is also the co-author, with Joe Swartz, of the book Healthcare Kaizen: Engaging Frontline Staff in Sustainable Continuous Improvements, which is also a Shingo Research Award recipient. Mark and Joe also wrote The Executive’s Guide to Healthcare Kaizen.

Table of Contents

The Need for Lean Hospitals

Better Results with Lean

Why Do Hospitals Need Lean?

A Renewed Sense of Purpose

Lean Methods Are Not New to Healthcare

Toyota’s Role in Popularizing Lean

Origins of the Term Lean

Lean Is Proven to Work outside Automotive Factories

Lean Is Helping Hospitals Improve

Problems in Healthcare

Good Quality Costs Less

Interconnected Benefits

A Snapshot of Department Success: Laboratory, Children’s Health Dallas

From Departmental to Hospital- and System-Wide Success

Conclusion

Lean Lessons

Points for Group Discussion

Notes

Overview of Lean for Hospitals and Health Systems

What Is Lean?

Ohno’s Definition of Lean

Lean Thinking

The Toyota Triangle: Tools, Culture, and Management System

The "Toyota Way" Philosophy

Four Organizational Capabilities for Lean

Lean and Other Methodologies

What Lean Is Not

Conclusion

Lean Lessons

Points for Group Discussion

Notes

Value and Waste

Waste: A Global Problem with Local Solutions

Reducing Waste Is a Better Goal Than Reducing Cost

What Is Waste?

What Is Value? Start with the Customer

How Do We Define Value in a Broad Sense?

How Does Lean Define "Value?"

Examples of Value-Added and Non-Value-Added Activities

Learning to Identify and Describe Waste

There’s Not Always an Easy Answer

What Non-Value-Added Activities Are Required?

Non-Value-Added, Pure Waste

Conclusion

Lean Lessons

Points for Group Discussion

Notes

Observing the Process and Value Streams

Learning to See

How Do We Find Waste? Go and See

What Is a Value Stream?

Value Stream Mapping

Creating a Current-State Value Stream Map

The Future-State Maps

Breaking Down Silos and Reducing Suboptimization

Observing the Process

Activity of the Product

Activity of the Employee

Conclusion

Lean Lessons

Points for Group Discussion

Notes

Standardized Work as a Foundation of Lean

Helpful Standardization: From 171 Forms to Just Six

The Need for Standardized Work

The Toyota House Metaphor

Overview of the Lean Foundations

Lean Foundations: Standardized Work

Definition of Standardized Work

Standardized, Not Identical

Written by Those Who Do the Work

Considering How Long Tasks Take

Staffing Based on Data

Types of Standardized Work Documents

Standardizing Daily Routines

Defining Roles and Responsibilities

Quick Changeover as Standardized Work

Explaining Why through Standardized Work

Standardized Work Documents and the Standardized Work System

Measuring and Observing for Standardized Work Adherence

"Resistance" to Standardized Work?

Asking Why When Standardized Work Is Not Followed

Standardized Work Can Apply to Physicians

Lean and Checklists

Standardized Work for Raising Concerns

Standardized Work Can Apply to Leaders

Training through Standardized Work

Conclusion

Lean Lessons

Points for Group Discussion

Notes

Lean Methods: Visual Management, 5S, and Kanban

Lean Is More Than Tools, but Tools Can Help

Reducing Waste through Visual Management

Examples of Visual Management for Patient Flow

Examples of Visual Management to Prevent Process Problems

5S: Sort, Store, Shine, Standardize, and Sustain

Safety as a Sixth S?

Kanban: A Lean Approach to Managing Materials

Problems with Traditional Materials Systems

Trade-Offs with Inventory

Using Kanban to Replenish Supplies

Conclusion

Lean Lessons

Points for Group Discussion

Notes

Proactive Root Cause Problem Solving

The Tragic and Preventable Mary McClinton Story

Improving Quality and Patient Safety

Cultural Obstacles to Quality Improvement

Why Do Errors Occur?

Examples of Quality Improvement

Finding Root Causes and Preventing Errors

Workarounds and the Need for Fixing Root Causes

Asking Why Instead of Who

Start at the Gemba

Find Root Causes Using Simple Methods

A3 Problem Solving

Toyota’s Practical Problem Solving

Be Proactive and Use Failure Modes and Effects Analysis

Proactive Resolution of Near-Miss Problems

The Heinrich Safety Pyramid

Conclusion

Lean Lessons

Points for Group Discussion

Notes

Preventing Errors and Harm

A Serious Problem with Large, Unknowable Numbers

Moving beyond Blaming Individuals

The Darrie Eason Case

Creating Quality at the Source through Error Proofing

Being Careful Is Not Enough

Why 100% Inspection Is Not 100% Effective

Types of Error Proofing

Error Proofing, Not Dummy Proofing

Examples of Error Proofing in Hospitals

Stopping the Line (Andon)

Error Proofing the Error Proofing

Conclusion

Lean Lessons

Points for Group Discussion

Notes

Improving Flow

Lean Is Both Quality and Flow

Waiting: A Worldwide Problem

Targets without a Means for Improvement Might Lead to Improvement or Dysfunction

Focusing on Flow

Value Streams Should Flow Like a River

Uneven Workloads as a Barrier to Flow

Addressing Mura by Matching Staffing to Workloads

Improving Patient Flow

Improving Flow for Ancillary Support Departments

Conclusion

Lean Lessons

Points for Group Discussion

Notes

Lean Design

Better, Faster, and Cheaper

Understanding the Current State before Designing the Future

Lean Design at East Tennessee Children’s Hospital

Integrated Lean Project Delivery at Akron Children’s Hospital

Conclusion

Lean Lessons

Points for Group Discussion

Notes

Engaging and Leading Employees

Improving the Way We Manage

What Is a Manager’s Role?

Strategy Deployment

Common Management Problems

Lean as a Management System and Philosophy

A Daily Lean Management System

Performance Measures

Conclusion

Lean Lessons

Points for Group Discussion

Notes

Getting Started with Lean

How Do We Start?

The LEI Lean Transformation Model

Where Do We Start?

What Do We Call It?

Getting Started with Kaizen

Kaizen Events

Lean Transformation Projects

The Lean Project Team

Executive Sponsorship and Leadership

Starting from the Middle

Establishing a Model Line and a Road Map

Dedicating People to Lean Beyond Projects

The Lean Department

The Importance of Change Management

A Snapshot of Hospital Success: Avera McKennan Hospital & University Health Center

Conclusion

Lean Lessons

Points for Group Discussion

Notes

A Vision for a Lean Hospital and Health System

Introduction

When Is a Health System Lean?

What Would a Lean Health System Look Like?

What Would a Patient Experience in a Lean Health System?

What Would It Be Like to Work in a Lean Health System?

How Would We Describe a Lean Health System?

In Conclusion

Points for Group Discussion

Notes

Glossary

Index

Successful Leadership in Academic Medicine (Paperback): David M. Greer Successful Leadership in Academic Medicine (Paperback)
David M. Greer
R443 R312 Discovery Miles 3 120 Save R131 (30%) Ships in 9 - 17 working days

Good leadership in medicine is crucial, but unfortunately, often woefully inadequate. Those chosen to lead often have limited experience in leadership themselves, or worse, are appointed because of achievements that have nothing to do with their ability to lead. Serving as a guide for those in, or considering, leadership positions in medicine, this book demonstrates how to play to one's strengths and effectively recognise and overcome weaknesses. Describing how to form a functional team, and align your goals with those of upper leadership, advice is applicable to all disciplines and hierarchy structures. The author, David Greer, is a renowned clinician and educator, and has held department chair positions in several prestigious institutions, positioning him perfectly to educate on the qualities of a successful leader. Readers will learn how to work within a team, manage unforeseen crises and to embrace mistakes as opportunities for growth.

Know Yourself - The Individual's Guide to Career Development in Healthcare (Paperback, 1 New Ed): Anita Houghton Know Yourself - The Individual's Guide to Career Development in Healthcare (Paperback, 1 New Ed)
Anita Houghton
R1,245 Discovery Miles 12 450 Ships in 10 - 15 working days

If you work through this book I can guarantee that by the end of it two things will have happened - you will be in a much better position to plan and execute your future career, and you will feel a lot better than you do now This user-friendly guide will help health professionals take control of their careers. By involving the reader in a personal journey of positive reflection the book focuses on abilities, enjoyment and personal satisfaction in the workplace, then based on this new-found knowledge, offers advice on practical ways forward. Know Yourself is unique in using two types of therapeutic approaches to self-development; understanding the relationship between job satisfaction and personality type based on the Myers-Briggs Type Indicator, and understanding how both external indicators and internal thought patterns contribute to career problems, using the principles of Neuro-Linguistic Programming (NLP). Every healthcare professional who may be dissatisfied with some aspects of their work or work/life balance and will find this book inspirational and potentially life changing. It will also be of use to career advisors and counsellors.

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