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