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Books > Medicine > General issues > Health systems & services > Hospital administration & management
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
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.
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.
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.
In this monograph, journalist Rinke van den Brink takes a closer look at the limitations and risks of today's antibiotic use. Though all developed societies have grown accustomed to successfully treating bacterial infections with these wonder drugs, the author focuses on the increasing number of antibiotic-resistant infections. By examining recent mass outbreaks, readers will gain a better understanding of the global impact of antimicrobial resistance - one of the most serious public health threats today. Following this somewhat disquieting review of the status quo, interviews with a number of specialists provide an outlook on possible solutions. In a world that is more connected than ever, partnerships between different healthcare systems are becoming all the more important. Rinke van den Brink uses the example of a border-spanning collaboration between the Netherlands and Germany to demonstrate how effective lines of communication can be established. The book offers a wealth of useful background information for healthcare personnel. Not only does it share insights into the functional microbe-antibiotic relationship; it also discusses how clinics can effectively address outbreaks, helping readers to learn from past experiences and develop effective new strategies.
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.
The modern-day practice of health care was imported into Nigeria over 500 years ago. In 1947, the first national health plan was developed in Nigeria with the primary goal of providing universal health care (UHC), but this goal remains elusive to date. This comprehensive book presents the roadmap needed to attain UHC in Nigeria and offers a blueprint for achieving high-quality health care in the nation. Starting with a brief overview of the Nigerian state, the fundamentals of health care, including the challenges to affordable quality healthcare delivery, the author critically examines the healthcare system in Nigeria and offers specific recommendations to invigorate the system and improve interprofessional collaborations. Each chapter includes case studies to allow readers to contextualize the information presented and behavioral learning objectives to test readers' knowledge. Among the topics covered: The Organizational Structure and Leadership of the Nigerian Healthcare System The Vulnerabilities of the Nigerian Healthcare System The Spectrum of Complementary and Alternative Medicine Emerging Developments in Traditional Medicine Practice in Nigeria The Plight of Persons Living with Disabilities: The Visible Invisibles in Nigeria A Comparative Analysis of the Health System of Nigeria and Six Selected Nations Around the World A Qualitative Investigation of the Barriers to the Delivery of High-Quality Healthcare Services in Nigeria The Political and Economic Reforms Needed to Achieve Universal and High-Quality Health Care in Nigeria Reimagining the Nigerian Healthcare System to Achieve Universal and High-Quality Health Care by 2030 The Nigerian Healthcare System: Pathway to Universal and High-Quality Health Care is ideal for adoption as a textbook in health services administration, health policy and management, health informatics, healthcare delivery systems, and primary health care courses offered at universities in Nigeria. It also would appeal to students and faculty in African diaspora programs internationally. The book is also essential for policymakers, health systems technocrats, researchers, and professionals in various health disciplines, including medicine, nursing, and allied health.
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.
This practical, concise book will help every medical manager survive and thrive in the increasingly challenging world of healthcare. It offers a hands-on introduction to the knowledge, skills, attitudes and behaviour required to succeed in a modern healthcare setting. Focussing on common issues and challenges, the authors examine organisational structures and strategies for productive relationship-building, goal-setting and quality maintenance. This edition updates every chapter, while three new chapters focus on encouraging innovation, how to lead and manage in difficult circumstances, and the major developments in the professionalization of medical management and leadership.
Offering an introduction to Cloud-based healthcare IT system, this timely book equips healthcare providers with the background necessary to evaluate and deploy Cloud-based solutions to today 's compliance and efficiency issues. Divided into three sections, it first discusses Cloud Service technologies and business models as well as the pros and cons of Cloud Services as compared to traditional in-house IT solutions. The second reviews applications in healthcare and a review of HIPAA and HITECH provisions. Finally, the book addresses the process of adopting Cloud solutions, including vendor evaluation, migration strategies, and managing transition risks. It concludes with a look at related topics and real-world case studies.
The best healthcare organizations have developed effective approaches to develop compelling strategic visions and strategies based on long-term thinking and continue to apply Lean principles across their organizations to create a culture of continuous improvement. Establishing effective strategies and Toyota style Hoshin Kanri enables healthcare organizations to align everyone in the organizations and creates a unique competitive advantage. This book follows a regional hospital's journey through the creation of long-term strategic goals and Toyota Style strategy deployment.
In Industriel ndern ist der Einsatz von Pharmaka fester Bestandteil des Alltags. Der Verbleib dieser Stoffe nach ihrer Verwendung sowie die Entsorgung ungebrauchter Produkte sind wichtige Fragen, die unmittelbar aus der Bef rchtung m glicher Auswirkungen auf die Umwelt erwachsen. Der Titel "Heil-Lasten" spiegelt die ambivalente Rolle der Pharmaka wider. Standortbestimmung und Diskurs zum aktuellen Informationsstand und weiteren Forschungsbedarf.
Artificial Intelligence for Improved Patient Outcomes provides new, relevant, and practical information on what AI can do in healthcare and how to assess whether AI is improving health outcomes. With clear insights and a balanced approach, this innovative book offers a one-stop guide on how to design and lead pragmatic real-world AI studies that yield rigorous scientific evidence-all in a manner that is safe and ethical. Daniel Byrne, Director of Artificial Intelligence Research at AVAIL (the Advanced Vanderbilt Artificial Intelligence Laboratory) and author of landmark pragmatic studies published in leading medical journals, shares four decades of experience as a biostatistician and AI researcher. Building on his first book, Publishing Your Medical Research, the author gives the reader the competitive advantage in creating reproducible AI research that will be accepted in prestigious high-impact medical journals. Provides easy-to-understand explanations of the key concepts in using and evaluating AI in medicine. Offers practical, actionable guidance on the mechanics and implementation of AI applications in medicine. Shares career guidance on a successful future in AI in medicine. Teaches the skills to evaluate AI tools and avoid being misled by the hype. For a wide audience of healthcare professionals impacted by Artificial Intelligence in medicine, including physician-scientists, AI developers, entrepreneurs, and healthcare leaders who need to evaluate AI applications designed to improve safety, quality, and value for their institutions. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech. |
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