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Books > Medicine > General issues > Health systems & services > Hospital administration & management
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.
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.
The growing number of networks delivering healthcare, and professionals learning together to improve care, has created a need for new kinds of management and leadership. This timely book highlights key lessons for network leaders in a world where care must increasingly be managed through partnerships and networks as a response to complex health needs requiring better solutions across health economies. Using their own research and case studies, the authors set out the context: why networks are here to stay; the benefits: why networks work well and for what; the difference between networks and hierarchies and when to use each form to improve care and learn; the different types of network; and how to lead a network effectively. Written for health and social care professionals wanting to set up or currently leading a network, this book by two leading experts is practical, informative, but theoretically grounded. Also useful for academics teaching health care leadership, it includes practical diagnostic materials and up to date examples from care sectors world-wide.
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.
Authentic leadership is an approach to leadership that emphasizes building the leader's legitimacy through honest relationships with followers which value their input and are built on an ethical foundation. By building trust and generating enthusiastic support from their subordinates, authentic leaders are able to improve individual and team performance. Many scholars and practitioners of authentic leadership say that the number one quality of an authentic leader is self-awareness. Self-aware leaders are transformational. Armed with self-awareness they build engaging, cooperative teams. How to gain and sustain self-awareness is the focus of the book. This book addresses current leadership challenges in health care and gives leaders guidelines for finding, living and sharing their authentic voice at home and at work. It is a much needed handbook to give current leaders perspective and practical tips to being more authentic, communicating more effectively while building engaging rapport across the organization. Additionally, a focus of the book is patient satisfaction. With a focus on nurse and physician leadership, this book provides new perspectives and action plans to increase patient satisfaction through communication that speaks to the needs of the patient in authentic and engaging ways.
Leading Reliable Healthcare describes 'state of the art' healthcare management systems. The key focus of the publication is 'reliable'; describing how leadership can ensure never less than reliable standards of care for patients and how excellence can be achieved. The focus throughout is on ensuring that patients and their families can depend on a reliable healthcare system for their needs, fulfilling their expectations that hospitals are trustworthy, stable and capable of dealing with their health, from the simplest to the most complex illnesses. Each of the chapters focuses on a different aspect of building a reliable healthcare system, concentrating on the leadership necessary to deliver and manage the different component elements of the healthcare system. The nominated contributors for this book are recognized leaders from various healthcare systems around the globe, including the UK, USA, Canada and South Korea/Singapore. The contributors have been selected to ensure a wide perspective of healthcare management, building on diverse approaches, practices and experiences, and are currently practicing healthcare management in their respective systems. The book aims to focus on the pragmatic rather than theoretical and will provide a series of practical methodologies and case studies to help improve decision making in healthcare management. With contributions by: Sallie J. Weaver, PhD, MHS, Associate Professor, Armstrong Institute for Patient Safety and Quality and Dept. of Anesthesiology & Critical Care Medicine, John Hopkins University School of Medicine Susan Mascitelli, Senior Vice President, Patient Services & Liaison to the Board of Trustees, New York-Presbyterian Hospital Dr. Sandra Fenwick, Chief Executive Officer, Boston Children's Hospital Martin A. Makary, MD, MPH, Professor of Surgery, Johns Hopkins University School of Medicine; Professor of Health Policy and Management, John Hopkins Bloomberg School of Public Health Frank Federico, RPh, Vice President, Institute for Healthcare Improvement Dr. Hanan Edrees, Manager, Quality Management, KAMC-Riyadh Dr. Hee Hwang, CIO and Associate Professor; Seoul National University Bundang Hospital, Department of Pediatrics, Division of pediatric Neurology, Center of Medical Informatics Dr. M. Andrew Padmos, Chief Executive Officer, The Royal College of Physicians and Surgeons of Canada Professor Richard Hobbs, Professor of Primary Care Health Sciences, Director, NIHR English School for Primary Care Research, Nuffield Department of Primary Care Health Sciences, University of Oxford Ms. Jules Martin, Managing Director, Central London Clinical Commissioning Group Dr. Bruno Holthof, Chief Executive Officer, Oxford University Hospitals Tara Donnelly, Chief Executive, Health Innovation Network, South London Goeran Henriks, Chief Executive of Learning and Innovation, Qulturum, County Council of Joenkoeping, Sweden
The Definitive Guide to Complying with the HIPAA/HITECH Privacy and Security Rules is a comprehensive manual to ensuring compliance with the implementation standards of the Privacy and Security Rules of HIPAA and provides recommendations based on other related regulations and industry best practices. The book is designed to assist you in reviewing the accessibility of electronic protected health information (EPHI) to make certain that it is not altered or destroyed in an unauthorized manner, and that it is available as needed only by authorized individuals for authorized use. It can also help those entities that may not be covered by HIPAA regulations but want to assure their customers they are doing their due diligence to protect their personal and private information. Since HIPAA/HITECH rules generally apply to covered entities, business associates, and their subcontractors, these rules may soon become de facto standards for all companies to follow. Even if you aren't required to comply at this time, you may soon fall within the HIPAA/HITECH purview. So, it is best to move your procedures in the right direction now. The book covers administrative, physical, and technical safeguards; organizational requirements; and policies, procedures, and documentation requirements. It provides sample documents and directions on using the policies and procedures to establish proof of compliance. This is critical to help prepare entities for a HIPAA assessment or in the event of an HHS audit. Chief information officers and security officers who master the principles in this book can be confident they have taken the proper steps to protect their clients' information and strengthen their security posture. This can provide a strategic advantage to their organization, demonstrating to clients that they not only care about their health and well-being, but are also vigilant about protecting their clients' privacy.
Dieses Buch setzt sich mit der Fuhrung der in Medizinbetrieben
Beschaftigten auseinander. Ausgehend von allgemeinen Grundlagen
werden branchenspezifische Probleme der Personalfuhrung in
Medizinbetrieben dargestellt und Erfolgsfaktoren sowie
Losungsansatze z. B. fur arztliche Praxen, Institutsambulanzen,
Tageskliniken, poliklinische Ambulanzen, medizinische
Versorgungszentren, Praxiskliniken, Krankenhauser, Belegabteilungen
an Krankenhausern, Rehabilitationskliniken, Pflegeheime,
Rettungsdienste und Gesundheitsamter beschrieben.
Written by industry professionals: a workplace safety specialist in conjunction with a practicing physician and medical manager. Provides recommendations for assessing hospital safety practices as well as specific suggestions for behavioural interventions. Brings a systematic approach to healthcare safety, identifying common problems through illustrative case studies and offering solutions. Offers several different perspectives including patient safety, doctor safety, and administrator safety.
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.
Das bekannte Lehrbuch zur Physik und Technik der kernmagnetischen Resonanz liegt jetzt auch in deutscher Sprache vor. Es beschreibt den physikalischen Hintergrund der Scan-Methoden und ihren Einsatz in der medizinischen Diagnostik. In diesem Zusammenhang werden auch neue Wege und Verfahren aufgezeigt. Besondere Aufmerksamkeit gilt der Behandlung von Artefakten und ihrer mathematischen Beschreibung. Das Buch ist mit vielen Illustrationen zu Scan-Verfahren, wie z.B. RARE, GRASE, EPI, Balanced FFE und Spiralscan ausgestattet. Detaillierte Aussagen A1/4ber Echoamplituden in Multi-Echosequenzen, wie TSE, FFE und BURST sind in einem besonderen Kapitel mit Hilfe der Konfigurationstheorie ausfA1/4hrlich abgehandelt. Eine kurze EinfA1/4hrung in die Geschichte der MR-Bildgebung rundet dieses Buch ab.
Examining the health care market in a historical framework, Drake analyzes the forces and events that have shaped American health care in the twentieth century and sheds new light on why and how our health care system has dampened competitive market forces and failed to provide sound value for much of our health care expenditures. He examines the roles that physicians, hospitals, insurance companies, businesses, individual consumers, and government legislation have played in creating a provider-dominated market in which the cost of care has been concealed from consumers. Comparing U.S. health care expenditures with those of other developed countries, he concludes that a significant part of our health care problem is the style of medicine practiced in the United States, which is much more specialized and high tech than in other developed nations. Drake develops proposals for health care financing reform that consider the political and economic difficulties involved. He first examines the Clinton health care reform plan and makes specific recommendations for revisions that would improve its likelihood of controlling costs. He then offers an alternative proposal that would both maintain the principle of universal, noncancelable coverage and eliminate the flaws in the market for health care services by giving consumers a financial stake in cost containment. This timely argument, combining economic and historical analysis with thoughtful consideration of the motivating humanitarian and political concerns, will be of interest to everyone seeking to understand and to reform our ailing health care system.
The Handbook of Medical Leadership and Management couples the essentials of clinical leadership with a practical approach to help healthcare professionals be effective clinical leaders and managers. Beginning with a theoretical analysis it then focuses on practical ways of being a good manager and leader and the day-to-day requirements of a consultant working within a multi-professional clinical team. This is an essential resource for all those leading and managing a clinical team and those who aspire to lead, covering a broad understanding of the requirements of effective leadership. This includes quality care, patient safety, how to ensure good outcomes, using data for improvement, commissioning services and developing business cases, as well as the development of person-centred care and the education of the next generation of leaders.
Mediziner, Gesundheitsokonomen, -politiker, Verbraucherschutzer und Juristen diskutieren lebhaft die Entwicklung und Folgen eines expandierenden Systems privat zu finanzierender medizinischer Zusatzleistungen. Vielfach kennen Patienten ihre Rechte bei Individuellen Gesundheitsleistungen (IGeL) nicht. Kritiker befurchten, Arzte nutzten das in sie gesetzte Vertrauen aus, um Patienten allein im finanziellen Eigeninteresse unnutze Leistungen aufzudrangen. Dabei sind IGeL auch vor dem Hintergrund einer fortschreitenden impliziten Rationierung im Gesundheitswesen zu sehen. Die vorliegende Studie setzt sich umfassend mit den rechtlichen Vorgaben fur Angebot und Inanspruchnahme von IGeL auseinander. Das umfangreiche Pflichtenspektrum bei der IGeL-Erbringung wird vor dem Hintergrund der vielfaltigen sozial- und haftungsrechtlichen Regelungen grundlegend analysiert und mit dem der klassischen Heilbehandlung verglichen. Die Ergebnisse bieten eine wissenschaftliche Grundlage fur aktuelle und zukunftige Bemuhungen um einen sachgerechten Ausgleich der Interessen und Bedurfnisse von Arzt und Patient. "
This is a comprehensive reference for long-term care administrators, practitioners and students who want to understand the options, issues, and trends related to the effective administration and management of long-term care communities. The book is unique in its in-depth focus on what needs to be accomplished and the evidence-based information about what actually works. Multifaceted insights address the ever-changing world of the long-term care industry and offer best practices and model programs in eldercare. This multidisciplinary book covers the most crucial aspects of management including federal and/or state regulations required to provide long-term care services and operate long-term care communities. It offers advice on care at home, naturally occurring retirement communities, and continuing care retirement communities, client care, staff retention, preventing elder abuse and neglect, anticipating and managing litigation and arbitration in long-term care, aging and human diversity, Alzheimer's Disease, palliative care, care transitions, and much more. Distilling many years of practical, research and teaching experience, the authors provide the necessary tools and tips that will enable professionals to maximize the quality of care and the quality of life for older adults living in long-term care communities. Each chapter includes helpful pedagogical features such as learning objectives, case studies, effective practices, and/or model programs in eldercare. Key Features: Based on federal and/or state regulations required to provide long-term care services and operate long-term care communities Examines the complex operations of long-term care options for effective eldercare Highlights the most cost-effective practices and model programs in long-term care communities that are currently used throughout the United States Provides useful tips about client care and staff retention as well as marketing and census development, financing and reimbursement, and legal issues Promotes innovative collaboration between education, research, and practice that is reflected by the training of the editors and contributing authors
Innovations in management are becoming more numerous and diverse, and are appearing in organizations providing many different kinds of products and services. The purpose of this book is to examine whether some widely-promoted examples of these management innovations - ranging from techniques such as Kaizen to styles of leadership and the management of learning - can usefully be applied to organizations which provide healthcare, and applied in different kinds of health systems. Management Innovations for Healthcare Organizations is distinctive in selecting a wide and diverse range and selection of managerial innovations to examine. No less distinctively, it makes an adaptive, critical scrutiny of these innovations. Neither evangelist nor nihilist, the book instead considers how these innovations might be adapted for the specific task of providing healthcare. Where evidence on these points is available, the book outlines that too. Consequently the book takes an international approach, with contributions from Europe, the Middle East, Australia and North America. Each contributor is an expert in the management innovation which they present. This combination of features makes the book unique.
Arguing that health care should be a human right rather than a commodity, the distinguished contributors to this volume call for a new social covenant establishing a right to a standard of health care consistent with society's level of resources. By linking rights with limits, they offer a framework for seeking national consensus on a cost-conscious standard of universal medical care. The authors identify the policy implications of recognizing and implementing such a right and develop specific criteria to measure the success of health care reform from a human rights perspective. "Health Care Reform" also offers specific and timely criticism of managed competition and its offspring, the Clinton plan for health care reform. Because health care reform will inevitably be an ongoing process of assessment and revision -- especially since managed competition has not been implemented elsewhere -- this book will last beyond the moment by providing vital standards to guide the future evolution of the health care system.
When hospitals began implementing their electronic medical records/electronic health records systems (EMR/HER) the pharmaceutical companies that were conducting clinical trials at those hospitals wanted to sue the date from those systems instead of having the hospitals enter the data in their EHR systems and also in the study data entry system. However, the FDA regulations would require that the hospital systems be "validated". The hospitals and the companies developing the systems argued that was "over-regulation." HIMSS published their Developer Code of Conduct where they said instead they would use Quality Management techniques. This book covers how to use Quality Management (ISO 9001) to develop computer systems, specifically EMR systems. It gives a basic introduction to how to implement computer systems. It also covers the topic of compliance because the hospitals are required to comply with regulations other than FDS regulations. The book also discusses the topics of risk management and conducting audits, both of which are part of ISO 9001 quality management of computer systems. The book is designed to give the reader an introduction to the things you have to do when implementing a computer system that has to satisfy some standards and where the accuracy of the information could impact the accuracy of a person's medical treatment.
Prepare for an uncertain future with a solid vision and innovative practices. Is your healthcare organization spending too much time on strategy--with too little to show for it? If you read nothing else on strategy, read these 10 articles. We've combed through hundreds of Harvard Business Review articles and selected the most important ones for healthcare professionals to help you catalyze your organization's strategy development and execution. Leading strategy experts, such as Michael E. Porter, Jim Collins, W. Chan Kim, and Renee Mauborgne, provide the insights and advice you need to: Understand how the rules of corporate competition translate to the healthcare sector Craft a vision for an uncertain future Segment your market to better serve diverse patient populations Achieve the best health outcomes--at the lowest cost Learn what disruptive innovation means for healthcare Use the Balanced Scorecard to measure your progress This collection of articles includes "What Is Strategy?" by Michael E. Porter; "The Five Competitive Forces That Shape Strategy," by Michael E. Porter; "Health Care Needs Real Competition," by Leemore S. Dafny and Thomas H. Lee; "Building Your Company's Vision," by Jim Collins and Jerry I. Porras; "Reinventing Your Business Model," by Mark W. Johnson, Clayton M. Christensen, and Henning Kagermann; "Will Disruptive Innovations Cure Health Care?" by Clayton M. Christensen, Richard Bohmer, and John Kenagy; "Blue Ocean Strategy," by W. Chan Kim and Renee Mauborgne; "Rediscovering Market Segmentation," by Daniel Yankelovich and David Meer; "The Office of Strategy Management," by Robert S. Kaplan and David P. Norton; and "The Strategy That Will Fix Health Care," by Michael E. Porter and Thomas H. Lee. |
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