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Books > Medicine > General issues > Health systems & services > Hospital administration & management
Leaders in healthcare today face many challenges ranging from managing interprofessional teams and teamwork, to payment reform, to tackling issues such as homelessness and the opioid crisis. Leaders have access to depth of information and resources to help them solve these complex and real-world problems. However, it is our belief that given the complexities of healthcare, there is value in sharing and learning from those who have first-hand experience with interprofessional leadership in healthcare. Challenges and Opportunities in Healthcare Leadership: Voices from the Crowd in Today's Complex and Interprofessional Healthcare Environment, is a volume in a book series titled, Contemporary Perspectives in Business Leadership. In this book, authors share their true, authentic reflections and professional stories describing the lived experience(s) of the author/leaders and how the experience changed the author/leaders' approach as an interprofessional leader. Each chapter includes a (1) story about the topic and the lived experience, (2) perspectives, and (3) lessons of the author(s). Additionally, scholarly commentary and discussion questions included within each chapter create opportunity for application to leadership theories and strategies as well as allow for reflection and further dialogue on the topic. The intended audience is broad, including faculty and students in institutions of higher education, interprofessional healthcare team leaders and members, and other healthcare stakeholders who have experience in interprofessional healthcare leadership. The book is applicable for leadership growth and development at a personal, group, or organizational level.
This book observes that an in-depth study exclusively focusing on health service trade not only strengthens the overall services trade capacity of the South Asian region, but also promotes global as well as regional trade. There is a dearth of analytical research on estimating barriers to trade in health services, particularly in the context of South Asia, and as such, this book assesses the potential benefits and economic costs of barriers to trade in health services in select South Asian economies. It also analyzes the impact of liberalization and regulatory reforms on economic welfare. It broadly addresses issues relating to trade in health services, the GATS (General Agreement on Trade in Services), such as: Why are the current levels of trade in health services low? How will the GATS legally affect a country's health policy? What effect might liberalization have on national health systems? And what are the likely benefits of greater trade in health services? It also provides specific answers to the following questions: Does the substantial role of the government in health - as health service provider, financial supporter, regulator and promoter - have implications for the treatment of the sector under the GATS? What is the impact of liberalization of international trade in health services on the quality and availability of health services in developing SAARC countries? Given the importance of consumption abroad for trade in health services, and the gradual opening of health markets through Modes 1 and 3 (cross-border supply and commercial presence), how can problems associated with trade in these Modes be prevented? And are these problems sufficiently addressed by GATS disciplines? Answers to these questions will be of great use to researchers, policy makers as well as practitioners and NGOs of South Asia.
This book addresses the challenges that healthcare organizations experience when attempting to manage the emergence of troublesome events or crises. It illustrates how experiences gained from event and crisis containment efforts can better prepare these organizations to prevent and/or manage other crises they may experience. Using a model outlining the relationship between a mismanaged event and the triggering of a crisis, the author defines the role of the leadership in healthcare organizations when developing, launching, and managing plans and programs to deal with these dangerous challenges brought on by crises, catastrophes, and disasters to their stakeholder networks. Readers with expertise in leadership and crisis management in general and healthcare management specifically will find this text useful in linking leadership expectations and competencies to event and crisis containment efforts.
Unlike the rest of the advanced industrialized world, the United States does not have a national healthcare system that guarantees that all residents have access to medical services. Over the past century a number of unsuccessful attempts have been made to create and implement a unified, coordinated healthcare system. Piecemeal progress has been made, such as with the passage of Medicare, Medicaid, and the Affordable Care Act. However, the US still has the dubious distinction of possessing the most expensive healthcare in the world as well as health-related outcomes that are shameful for a wealthy country, mostly due to the number of people who lack decent care. The continuing escalation in medical costs is also threatening the financial stability of the nation. In his first book, Rationing is Not a Four-Letter Word, Philip M. Rosoff argued that the only way to control costs is to impose rationing, and the only way to do so fairly is to have it apply to all. The key to rationing is how it is accomplished. He outlined a general approach to making rationing decisions that involved a comprehensive explication of procedural fairness and illustrated this with the real-life accepted system of solid organ allocation for transplantation. In this book, he discusses how to decide what should and should not be covered in a generous benefits plan for all. He considers a variety of ways this might be done and concludes that the most just approach is to utilize a transparent process in which experts and lay people develop a consensus on what should be covered by focusing on both clinical evidence of need and the effective and appropriate means to address those needs. He also considers the various objections and impediments to this proposal and concludes that they are obstacles that can be successfully met.
There are many definitions of eHealth and no consensus around the underlying idea. Most contributions on eHealth focus on informatic, public health, legal, social and anthropological implications. This book investigates eHealth through community-based private practices such as pharmacies, hearing centres, opticians, and private medical centres from a management perspective. It first presents a systematic review of the theoretical research models that have been developed on eHealth. It then identifies the many innovative managerial implications of eHealth, and finally, it analyses reasons why some eHealth tools are or are not adopted.
Every year, one out of every ten people will need to have a surgical procedure. The majority of those needing surgery know nothing about the operating room or surgery. In Secrets from the Operating Room, author Curtis M. Chaudoin provides objective information and strategies to help improve the state and outcome of patient care before, during, and after surgery. With more than thirty-seven years of experience as an operating room surgical salesman, Chaudoin gained an insider's understanding of the often secretive world of surgery. In Secrets from the Operating Room, he narrates what it's like to work as a surgical salesman and provides an overview of the state of health care. He also discusses surgical corporations and their risks and profits, and he presents an overview of hospitals and how things have changed over the years. He details the roles of the surgeons and support staff, shows how to conduct the proper research before having surgery, and offers an understanding of what happens inside the surgery suite. Secrets from the Operating Room gives you a glimpse into the business of surgery and answers important questions about what you should know if you need an operation to increase your chances of a successful outcome.
Technological developments and improved treatment methods have acted as an impetus for recent growth and change within the medical community. As patient expectations increase and healthcare organizations have come under scrutiny for questionable practices, medical personnel must take a critical look at the current state of their operations and work to improve their managerial and treatment processes. Organizational Culture and Ethics in Modern Medicine examines the current state of the healthcare industry and promotes methods that achieve effective organizational practice for the improvement of medical services in the public and private sphere. Focusing on patient communication, technology integration, healthcare personnel management, and the delivery of quality care, this book is a pivotal reference source for medical professionals, healthcare managers, hospital administrators, public health workers, and researchers interested in improving patient and employee satisfaction within healthcare institutions.
Due to massive technological and medical advances in the life sciences (molecular genetics, biology, biochemistry, etc.), modern medicine is increasingly effective in treating individual patients, but little technological advancement has focused on advancing the healthcare infrastructure. Management Engineering for Effective Healthcare Delivery: Principles and Applications illustrates the power of management engineering for quantitative managerial decision-making in healthcare settings. This understanding makes it possible, in turn, to predict performance and/or real resource requirements, allowing decision-makers to be truly proactive rather than reactive. The distinct feature of this book is that it provides international exposure to this challenging area.
In 1977 the average American spent $755 per year on health care, most physicians functioned as independent practitioners, and only 5.6 million people under the age of 65 were enrolled in HMOs. Twenty years later, per capita expenditures had more than tripled, most physicians practiced within a managed care environment, and HMO enrollment stood at 62 million. Keeping pace with these and other changes in the U.S. health system has been the job of the National Medical Expenditure Surveys (NMES). Since they were first started in the 1970s, these federal government surveys have defined our basic understanding of how individuals and families use and pay for America's health care systems and have directly influenced national policy changes, health care reform, and cost-control strategies. Informing American Health Care Policy is the definitive resource
that analyzes the overall effect of the National Medical
Expenditure Surveys. This important edited collection is written by
an outstanding panel of experts from a variety of disciplines and
includes contributions from nationally known economists,
sociologists, and survey researchers. Rich in insights and lessons
learned, Informing American Health Care Policy The contributors examine how the current health care environment reflects the successes and failures of previous research and makes recommendations on how to adapt survey research to be more effective in the future. The Important Lessons Learned from the National Medical Expenditure Surveys Informing American Health Care Policy provides a critical perspective on the National Medical Expenditure Surveys (NMES) and how these surveys have responded to the sometimes conflicting challenges of policy and research. Sponsored by the Agency for Health Care Policy and Research and written by a stellar panel of interdisciplinary experts including contributions from nationally known economists, sociologists, and survey researchers, this essential resource is filled with lessons learned and emerging strategies for the future. "I enjoyed reading this book. Thanks to the major investment in health expenditure and insurance surveys and the increasingly sophisticated analytic capacity described in this volume, policy officials now have a much more precise and up-to-date understanding of the implications of policy choices."--Karen Davis, president, The Commonwealth Fund; developed President Carter's 1977 national health reform proposal "In this important book, the lead researchers associated with NMES describe the development of this rich data source and, in a series of well-crafted papers, illustrate the use of these data in informing major areas of health policy. It is a must read for anyone interested in American health policy-especially for younger professionals entering this growing field."--Uwe E.Reinhardt, James Madison Professor of Political Economy, Princeton University "National health expenditure surveys have provided policymakers with the information they need to make informed decisions. This volume tells us about the evolution and contributions of the federal government's most ambitious health care survey. I recommend it for those interested in improving the quality of data available to those who formulate policy."--John K. Iglehart, founding editor, Health Affairs "Thoughtful and informed reflections on the lessons learned by NMES. Provides sound guidance and procedures required to address the enduring policy questions of Who's covered? Who pays?, and How much? in the emerging U.S. health care environment of the future."--Lu Ann Aday, professor of behavioral sciences and management and policy sciences, the University of Texas School of Public Health; and author, Designing and Conducting Health Surveys, Fourth Edition
This provocative appraisal unpacks commonly held beliefs about healthcare management and replaces them with practical strategies and realistic policy goals. Using Henry Mintzberg's "Myths of Healthcare" as a springboard, it reveals management practices that undermine care delivery, explores their cultural and corporate origins, and details how they may be reversed through changes in management strategy, organization, scale, and style. Tackling conventional wisdom about decision-making, cost-effectiveness, service quality, and equity, contributors fine-tune concepts of mission and vision by promoting collaboration, engagement, and common sense. The book's multidisciplinary panel of experts analyzes the most popular healthcare management "myths," among them: * The healthcare system is failing. * The healthcare system can be fixed through social engineering. * Healthcare institutions can be fixed by bringing in the heroic leader. * The healthcare system can be fixed by treating it more as a business. * Healthcare is rightly left to the private sector, for the sake of efficiency. The Myths of Health Care speaks to a large, diverse audience: scholars of all levels interested in the research in health policy and management, graduate and under-graduate students attending courses in leadership and management of public sector organization, and practitioners in the field of health care.
"This timely book provides insight into the changing role of the 'hospital' in the face of technological, organizational innovation and ever-tightening health budgets."James Barlow, Imperial College Business School, UK "This book covers various relevant aspects of the hospital in different states and contexts. Underlining the importance of business models for future hospitals, this publication presents models of care from a historic and a current perspective. All authors possess a deep insight into different health care systems, not only as scholars but as experts working for world-renowned health policy institutions such as the World Health Organization, the World Bank or the European Observatory for Health Systems."Siegfried Walch, Management Center Innsbruck, Austria "For an organisation like mine, representing those involved in the strategic planning of healthcare infrastructure, this book provides invaluable insights into what really matters - now and for the future - in the complex and contentious field of hospital development."Jonathan Erskine, European Health Property Network, Netherlands This book seeks to reframe current policy discussions on hospitals. Healthcare services turn expensive economic resources-people, capital, pharmaceuticals, energy, materials-into care and cure. Hospitals concentrate the use and the cost of these resources, particularly highly-trained people, expensive capital, and embedded technologies. But other areas of health, such as public health and primary care, seem to attract more attention and affection, at least within the health policy community. How to make sense of this paradox? Hospitals choose, or are assigned, to deliver certain parts of care packages. They are organised to do this via "business models". These necessarily incorporate models of care - the processes of dealing with patients. The activity needs to be governed, in the widest senses. Rational decisions need to be taken about both the care and the resources to be used. This book pulls these elements together, to stimulate a debate.
This timely study analyzes social, economic, political, provider, and patient factors shaping collective patient involvement in European health care from the postwar period to the present day. Examining representative countries England, the Netherlands, Germany, and Sweden, it documents the roles of providers and legislatures in facilitating consumer involvement, and the varied forms of patient input into hospital operations. These findings are compared and contrasted against the intent and ideals behind patient involvement to assess the effectiveness of implementation policy, strengths and drawbacks of patient participation, and patient satisfaction and outcomes. The book's conclusions identify emerging forms of patient participation and predict the impact of health policy on the future of European collective patient involvement. Included in the coverage: * Patient involvement: who, what for, and in what way? * The Netherlands: the legislative process to collective patient involvement * England: formal means of public involvement-a continuous story of discontinuity * Germany: Joint Federal Committee-the "Little Legislator" * Sweden: reasons for a late emergence of patient involvement * Lessons to be learned from implementing patient involvement The Evolution and Everyday Practice of Collective Patient Involvement in Europe will interest and inspire scholars and researchers in diverse fields, including social policy, sociology, political sciences, and nursing studies, as well as patient organizations, policymakers, and healthcare providers.
This unifying volume offers a clear theoretical framework for the research shaping the emerging direction of informatics in health care. Contributors ground the reader in the basics of informatics methodology and design, including creating salient research questions, and explore the human dimensions of informatics in studies detailing how patients perceive, respond to, and use health data. Real-world examples bridge the theoretical and the practical as knowledge management-based solutions are applied to pervasive issues in information technologies and service delivery. Together, these articles illustrate the scope of health possibilities for informatics, from patient care management to hospital administration, from improving patient satisfaction to expanding the parameters of practice. Highlights of the coverage:* Design science research opportunities in health care * IS/IT governance in health care: an integrative model * Persuasive technologies and behavior modification through technology: design of a mobile application for behavior change * The development of a hospital secure messaging and communication platform: a conceptualization * The development of intelligent patient-centric systems for health care * An investigation on integrating Eastern and Western medicine with informatics Interest in Theories to Inform Superior Health Informatics Research and Practice cuts across academia and the healthcare industry. Its audience includes healthcare professionals, physicians and other clinicians, practicing informaticians, hospital administrators, IT departments, managers, and management consultants, as well as scholars, researchers, and students in health informatics and public health.
Introduction to Health Care Quality explores the issues of quality management in today's health care environment, and provides clear guidance on new and perennial challenges in the field. The idea of 'quality' is examined in the context of a variety of health care situations, with practical emphasis on assessment, monitoring, analysis, and improvement. Students will learn how to utilize statistical tools, patient data, and more to understand new models of reimbursement, including pay for performance and value-based purchasing. They will also learn how to learn how to incorporate technology into everyday practice. Each chapter centers on an essential concept, but builds upon previous chapters to reinforce the material and equip students with a deeper understanding of the modern health care industry. Real-world situations are highlighted to show the intersection of theory and application, while cutting-edge methodologies and models prepare students for today's data-driven health care environment. Health care quality is defined and assessed according to setting, with factors such as standards, laws, regulations, accreditation, and consumerism impacting measurement and analysis in tremendous ways. This book provides an overview of this complex field, with insightful discussion and expert practical guidance. Health care today is worlds away from any other point in history. As the field grows ever more complex, quality management becomes increasingly critical for ensuring optimal patient care. Introduction to Health Care Quality helps students and professionals make sense of the issues, and provide top-notch service in today's rapidly changing health care environment.
In view of the rising importance and prevalence of network-based collaboration, this book aims to meet the need for more theory in this area. Theoretically conceptualizing and empirically describing the practice of reflexive leadership in inter-organisational networks, it explores how member organisations approach reflexive leadership and the associated challenges. Examining these questions from wider leadership theory perspectives as well as a tighter focus upon inter-organizational networks, the author specifically explores how reflexive leadership can be sustained and how social and political contexts may obstruct or support its use, acceptance and practice. Based on in-depth qualitative empirical fieldwork in the Swiss healthcare sector, the book offers a novel practice-theoretical model for use in inter-organizational networks. |
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