This volume on patient safety revolves around a central question: How can the increased emphasis on patient safety among healthcare managers be translated into better policy and reduced clinical risk? The twelve contributions in this volume are divided between four sections: theoretical perspectives on managing patient safety; top management perspectives on patient safety; health information technology perspectives on patient safety; and organizational behavior and change perspectives on patient safety. The issue of patient safety provides a fertile niche for management researchers to test existing theories and develop new ones. For example, the goal of reducing medical errors while maximizing patient health requires not only an awareness of the tenets of evidence-based medicine, but also the managerial theories of human relations, organizational culture, organizational development, organizational learning, organizational structure, quality improvement, and systems thinking. Indeed, these and other managerial theories are drawn upon and applied by the various contributors. Taken together, the thirty-five authors of this volume demonstrate that the future of patient safety requires healthcare professionals and managers who can successfully engage in multi-faceted projects that are socially and technically complex.

Pravention lasst sich am besten mit vorausschauender Problemvermeidung ubersetzen. Seit der Ottawa-Charta der Weltgesundheitsorganisation gelten Pravention und Gesundheitsforderung als die geeignetsten Instrumente, dem Kostenanstieg im Gesundheitswesen durch Vermeidung des Sozialversicherungsfalls entgegenzuwirken; mit andern Worten: durch Vermeidung von Bedarf an Behandlung, Rehabilitation und Pflege. Die lange politische Missachtung des Praventionsansatzes und seine kaum mehr nennenswerte offentliche Forderung haben zu einer volligen Unterentwicklung hierzulande beigetragen. Der 1. Nationale Praventionskongress will einen Neuanfang in Sachen Pravention und Gesundheitsforderung, und er will in diesem Zusammenhang eine zukunftig starkere Zusammenarbeit zwischen Wissenschaft und Praxis anstossen."

The planning and design of healthcare facilities has evolved over the previous decades from "function follows design" to "design follows function." Facilities stressed the functions of healthcare providers but patient experience was not fully considered. The design process has now crucially evolved, and currently, the impression a hospital conveys to its patients and community is the primary concern. The facilities must be welcoming, comfortable, and exude a commitment to patient well-being. Rapid changes and burgeoning technologies are now major considerations in facility design. Without flexibility, hospitals face quicker obsolescence if designs are not forward-thinking. Planning and Designing Healthcare Facilities: A Lean, Innovative, and Evidence-Based Approach explores recent developments in hospital design. Medical facilities have been adapted to the requirements of clinical functions. Recently, the needs of patients and clinical pathways have been recognized. With the patient at the center of the process, the flow of tasks becomes the guiding principle as hospital design must employ evidence-based thinking, and process management methods such as Lean become central. The authors explain new concepts to reduce healthcare delivery cost, but keep quality the primary consideration. Concepts such as sustainability (i.e., Green Hospitals) and the use of new tools and technologies, such as information and communication technology (ICT), Lean, and evidence-based planning and innovations are fully explained.

Written by two therapists with extensive business experience, Mastering the Financial Dimension of Your Psychotherapy Practice addresses the clinical and financial challenges of establishing and maintaining a successful private practice. This book contains updated content on investing strategies, changes in the insurance marketplace, and trends in the marketing of a psychotherapy practice. The first of five sections explores the life cycle of the modern therapy practice, offering best business and investing practices for each phase. In the second and third sections, the authors consider the emotional dimension in the development of a private practice. The fourth section offers a basic course in financial planning, including an investigation into five common financial mistakes therapists make and various solutions to each situation. The fifth section is designed to offer a road map of actions to take in establishing a financial plan. Concluding the book is an inspirational discussion of how the therapist in private practice can create a career with meaning, fulfillment, personal satisfaction, and solid financial rewards.

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

This title is a comprehensive account of the key aspects of medical leadership. A highly accessible, text book-style resource, it explores how the medical profession has evolved in tandem with administrative and structural aspects of the NHS. Assuming leadership roles at all stages of their training and career is a progressively vital component of the definition of a good doctor. This book will provide invaluable support and guidance to anyone engaged in leadership within the NHS, but particularly to junior doctors in the primary and secondary care arenas taking on leadership roles for the first time.

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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Master the fundamentals of medical transcription and meet the challenges of the evolving medical transcription field with Medical Transcription: Techniques and Procedures, 7th Edition. Respected authority Marcy O. Diehl delivers proven, practical training in the skills and technology essential to your success, including proofreading, editing, speech recognition technology, and more. This new edition also reflects an increased emphasis on medical editing and other related fields to keep you current with the changing medical transcription profession and fully prepare you for your role in health information management. Comprehensive coverage and practical exercises demonstrate fundamental editing/transcription concepts and boost your proficiency in: Punctuation Capitalization Numbers Abbreviations and symbols Word endings Formation of plural forms Exercises and helpful hints enhance your proofreading and editing skills and help you prevent common errors. Extensive practice and review exercises on Evolve reinforce your understanding and give you the experience to confidently move into the transcription workforce. New chapter highlights the transcriptionist's emerging role as a medical editor and how it impacts health information management and patient safety. Take Note boxes provide quick access to key editing/transcription tips. From the Field sections deliver helpful insight from practicing medical transcriptionists. Updated information familiarizes you with the latest medical transcription equipment. Live transcription exercises help you meet the Association for Healthcare Documentation Integrity (ADHI)'s live transcription requirement and practice applying your transcription skills to scenarios commonly encountered in practice. Additional exercises test your ability to edit voice recognition software-generated reports.

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.

'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.

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. -- .

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.

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.

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.

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.

Die zweite, voellig uberarbeitete Auflage des Buches beschaftigt sich mit den Herausforderungen und Zielen, mit den wissenschaftlichen Grundlagen und Optionen Betrieblicher Gesundheitspolitik. Weitere Themen sind Standards und wichtige Einzelthemen des Betrieblichen Gesundheitsmanagements wie z. B. Mitarbeiterbefragungen und Kennzahlenentwicklung. Im Zentrum stehen die Arbeits- und Organisationsbedingungen, ihre Diagnose und gesundheitsfoerderliche Gestaltung. Zentrale Konzepte sind dabei Fuhrung, Sozialkapital, Sinnhaftigkeit und Kontrollierbarkeit der Arbeit sowie Mitarbeiterorientierung.

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.

While the implementation of evidence-based medicine guidelines is well studied, there has been little investigation into the extent to which a parallel evidence-based management movement has been influential within health care organizations. This book explores the various management knowledges and associated texts apparent in English health care organizations, and considers how the local reception of these texts was influenced by the macro level political economy of public services reform evident during the period of the politics of austerity. The research outlined in this volume shows that very few evidence-based management texts are apparent within health care organizations, despite the influence of certain knowledge producers, such as national agencies, think tanks, management consultancies, and business schools in the industry. Bringing together the often disconnected academic literature on management knowledge and public policy, the volume addresses the ways in which preferred management knowledges and texts in these publicly funded settings are sensitive to the macro level political economy of public services reform, offering an empirically grounded critique of the evidence-based management movement.

Die Mitarbeiterbefragung als Instrument der Feedbackgewinnung und Organisationsentwicklung wird in grossen und mittleren Unternehmen zunehmend haufiger eingesetzt. In vielen Fallen wird es aber versaumt, die nach der eigentlichen Befragung notwendigen Follow-up-Massnahmen zu ergreifen. Dadurch bleiben Erkenntnisse ungenutzt, wichtige Veranderungen werden nicht angeschoben und die Unzufriedenheit der Mitarbeiter steigt. Mittlerweile erkennen die Verantwortlichen, dass das zeit- und kostenaufwandige Verfahren MAB nur dann nachhaltig wirksam ist, wenn Folgeprozesse bereits von Beginn an eingeplant und nach der Befragung konsequent durchgefuhrt werden. In der Praxis besteht zur Zeit eine grosse Nachfrage, wie man ein gutes Follow-up gestaltet. Dieses Buch beschreibt - aufbauend auf den Grundlagen zur Durchfuhrung einer Mitarbeiterbefragung - praxisnahe Tools fur die Steuerung der Folgeprozesse und stellt konkrete Firmenbeispiele vor. Es schliesst eine Lucke in der Literatur und ist ein unverzichtbarer Werkzeugkasten fur alle, die Mitarbeiterbefragungen durchfuhren oder beratend tatig sind."

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.