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.

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In this new era of healthcare, the importance of Continuing Professional Development cannot be underestimated. Non-Medical Prescribers have a responsibility to themselves, their employer and their patients to keep up-to-date with developments in this fast-moving area of healthcare. This book looks at the current context of CPD in this area and provides guidance for facilitation. The book is divided into three clear sections. The first looks at general principles of CPD and considers overarching and organisational issues such as clinical governance. The second section looks at specific approaches adopted by individuals/trusts to facilitate CPD, for example e-learning and how to keep up-to-date with pharmacology. The final section is a resource section which includes a number of usable documents relating to each chapter which identify further resources and include practical ideas, tools and objects.* Includes legal and professional frameworks* Tied in closely with the latest government guidelines and standards, including guidance from the NMC as well as the Royal Pharmaceutical Society of Great Britain (RPSBG)* Includes contributions from health professionals from a variety of backgrounds* Suitable for non-medical prescribers, as well as their managers, practice managers and prescribing leads responsible for providing CPD

This exciting resource examines pioneering, successful business models in healthcare services, emphasizing bold and innovative entrepreneurship in creating care delivery that is accessible, affordable, and effective. Expert contributors supply fascinating case studies of visionary principles at work in hospitals, specialist care, eHealth providers, and insurers along with practical guidance on building and sustaining a vision, a brand, an organization, and a loyal base of clients, employees, and investors. Featured companies demonstrate how moving beyond conventional patient/provider, service/cost, and other relationships can translate into improvements that benefit clients' health and stakeholders' bottom line as well as the larger community and potentially the world. Coverage analyzes key attributes of these successful entities, detailing key challenges, funding issues, and especially breakthrough goals, including: Strengthening mutual caring and sharing. Letting prevention and self-management work. Patient-centered organization of information and everyday care. Deploying services and instruments to help customers take control. Implementing differentiation in specialized healthcare. The result is crucial takeaways for creating transformational business models in health fields. Approachably written and brimming with infographics, Brilliant Business Models in Healthcare provides inspiring role models for entrepreneurs, managers, consultants, and professionals in the healthcare sector, including providers, insurers, technology suppliers, and pharmacists.

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.

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.

Mit dem Lehrbuch wird ein grundlegendes Verstandnis fur die Inhalte und Methoden des (umfassenden) Qualitatsmanagements und ihren Anwendungsbezug im Gesundheitswesen vermittelt. Ausgehend von der Vielschichtigkeit des Qualitatsbegriffs im Gesundheitswesen werden grundsatzliche Fragen wertorientierter Unternehmensfuhrung, methodische Ansatze der einrichtungsinternen Qualitatsbestimmung und Qualitatsgestaltung sowie Konzepte professionsbezogener Qualitatsentwicklung und einrichtungsubergreifender Qualitatsvergleiche adressiert. Fur Studierende ist es wichtig, die Prinzipien dieses Themenbereichs zu verstehen und sich mit den unterschiedlichen Konzepten, Standpunkten und Methoden auseinanderzusetzen. Das Lehrbuch legt seinen Schwerpunkt daher gezielt auf die theoretische Fundierung und die Methodenvielfalt dieses Fachs. Der vorlesungsorientierte Aufbau ermoeglicht den Leserinnen und Lesern, sich schrittweise die grundlegenden Kenntnisse und das dazugehoerige Verstandnis zu erarbeiten. Die dritte Auflage wurde umfassend aktualisiert, in einigen Abschnitten uberarbeitet und inhaltlich vertieft. Als Einstiegshilfe und als Nachschlagewerk richtet sich dieses Buch gleichermassen an Studierende und praktisch Tatige, insbesondere an Angehoerige der Gesundheitsberufe und der kaufmannischen Berufe im Gesundheitswesen.

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.

Essentials of Hospital Neurology is a concise and practical guide to the diagnosis and management of neurologic disorders commonly encountered in hospital practice. This book discusses the business of hospital neurology, problem-oriented approaches to diagnosis, clinical details of important neurologic disorders that may be seen in the ER and inpatient settings, and key diagnostic and management strategies. This text focuses on practical management, making this an excellent source for the neurologist at any level from the resident to fellow to practicing physician. Medicine hospitalists and hospital-based mid-level providers will find this a useful resource for guiding care of their patients with neurologic conditions. Key Features of Essentials of Hospital Neurology * Incorporates up-to-date guidelines and best practices for neurologic hospital care; * Extensive use of bulleted lists, tables, and flowcharts; * Noted academic coauthors of selected sections for subspecialty expertise; * Provides key references and recommended readings; and * Includes critical reference material such as assessment scales, neurologic diagnostic tests, and guides to management of social and ethical issues.

This comprehensive guide covers all aspects of action learning, one of the most widely used development methods in health, social and community care. The book addresses the theory and practice of action learning in these fields, and considers action learning as an adult educational ethos as well as a helpful tool. Based upon emerging experience, it identifies good practice in action learning and offers a wide range of resources to enable individuals and organisations extract maximum benefit from this approach. Offering practical tips grounded in sound educational principles, this book is invaluable reading for all senior managers and professionals considering using action learning for leadership, management and organisation development purposes, including organisation development practitioners and action learning facilitators, and for medical and healthcare educators and their counterparts in social and community care looking for a general introduction to this growing field.

Patient Safety and Healthcare Improvement at a Glance is a timely and thorough overview of healthcare quality written specifically for students and junior doctors and healthcare professionals. It bridges the gap between the practical and the theoretical to ensure the safety and wellbeing of patients. Featuring essential step-by-step guides to interpreting and managing risk, quality improvement within clinical specialties, and practice development, this highly visual textbook offers the best preparation for the increased emphasis on patient safety and quality-driven focus in today s healthcare environment. Healthcare Improvement and Safety at a Glance: Maps out and follows the World Health Organization Patient Safety curriculum Draws upon the quality improvement work of the Institute for Healthcare Improvement This practical guide, covering a vital topic of increasing importance in healthcare, provides the first genuine introduction to patient safety and quality improvement grounded in clinical practice.

This book provides an overview of the US laws that affect clinical practice for healthcare professionals with no legal background. Divided into thirteen sections, each chapter starts with a summary of the chapter's content and relevant legal concepts in bullet points before discussing the topics in detail. An application section is provided in many chapters to clarify essential issues by reflecting on clinically relevant case law or clinical vignette(s). Filling a crucial gap in the literature, this comprehensive guide gives healthcare professionals an understanding or a starting point to legal aspects of healthcare.

Introduction to Health Care Management, Fourth Edition is a concise, reader-friendly, introductory healthcare management text that covers a wide variety of healthcare settings, from hospitals to nursing homes and clinics. Filled with examples to engage the reader's imagination, the important issues in healthcare management, such as ethics, cost management, strategic planning and marketing, information technology, and human resources, are all thoroughly covered. Guidelines and rubrics along with numerous case studies make this text both student-friendly and teacher-friendly. It is the perfect resource for students of healthcare management, nursing, allied health, business administration, pharmacy, occupational therapy, public administration, and public health. Key Features: * Chapters contributed by real experts using an active voice to grab the reader's attention * Instructors' resources online for each chapter, including PowerPoints, Test Bank, and Sample Syllabus * Updated case studies in a wide variety of settings, in an assortment of healthcare management topics * A case study guide, with rubrics for evaluation of student performance, enabling instructors at every level of experience to hit the ground running on that first day of class * Access to Navigate 2 online learning materials, including a comprehensive and interactive eBook, student practice activities and assessments, learning analytics reporting tools and more.

Proposals have been put forward to replace the current paper Medicare cards, which display beneficiaries Social Security numbers, with electronically readable cards, and to issue electronically readable cards to providers as well. Electronically readable cards include cards with magnetic stripes and bar codes and smart cards that can process data. Proponents of such cards suggest that their use would bring a number of benefits to the program and Medicare providers, including reducing fraud through the authentication of beneficiary and provider identity at the point of care, furthering electronic health information exchange, and improving provider record keeping and reimbursement processes. This book evaluates the different functions and features of electronically readable cards; examines the potential benefits and limitations associated with the use of electronically readable cards in Medicare; examines the steps CMS and Medicare providers would need to take to implement and use electronically readable cards; and describes the lessons learned from the implementation and use of electronically readable cards in other countries.

This 3rd edition of a classic textbook examines the context and background of public health informatics, explores the technology and science underlying the field, discusses challenges and emerging solutions, reviews many key public health information systems, and includes practical, case-based studies to guide the reader through the topic. The editors have expanded the text into new areas that have become important since publication of the previous two editions due to changing technologies and needs in the field, as well as updating and augmenting much of the core content. The book contains learning objectives, overviews, future directions, and review questions to assist readers to engage with this vast topic. The Editors and their team of well-known contributors have built upon the foundation established by the previous editions to provide the reader with a comprehensive and forward-looking review of public health informatics. The breadth of material in Public Health Informatics and Information Systems, 3rd edition makes it suitable for both undergraduate and graduate coursework in public health informatics, enabling instructors to select chapters that best fit their students' needs.

In this monograph, we will examine key questions in five areas related to medicine: science, statistics, evidence, Big Data, and the care of patients. First, when and how did science enter medicine? Second, what and how did statistics enter medicine? Third, when did evidence-based medicine begin in medicine and surgery? Fourth, what is Big Data, and how is Big Data different from EBM? Science in Medicine traces the history of science as applied in medicine as that science was developed and continues to develop today as a two-pronged effort: (1) to produce common knowledge for application to human disease and (2) to help, manage, and treat human beings. In the era of diagnosis in the early 1800s, we will view it as the early grounds of a developing evidence-based medicine; the era of recognising the challenges of disease-related data collections in the early 1600s we will view as the early grounds capturing many of the challenges of what is now referred to as the era of Big Data. We will focus on each era of medicine and its foundations to better understand where we are today with evidence-based medicine (EBM) and Big Data, and what tomorrow will bring as scientists, mathematicians, physicians, and clinicians jointly work in taking medicine further into the twenty-first century. In all eras, we recognise the importance of developing knowledge about disease and its treatment with the recognition that research even today is not based on a study of the full-range of patients with disease. Therefore, there will always be the need to convince clinicians of whether the knowledge gained by research is solid enough to be applied to the care of the full-range of patients with the disease, or a medical condition that has been researched to some extent such that some knowledge, but not all knowledge gained. Although such knowledge may be based on the study of human research volunteers, the author hopes that it is applicable to the full spectrum of patients including clinician diagnosis, medical therapeutics, surgical devices, and beyond.

Age-related macular degeneration (AMD) is the leading cause of blindness in individuals older than 65 years of age. The authors of this book discuss the role of genetics, sunlight, diet, cardiovascular factors, smoking and alcohol as possible risk factors for AMD. Furthermore, the dry form is more common and accounts for about 85-90% of AMD patients in the USA, while Japanese AMD patients predominantely progress to wet-form or polypoidal choroidal vasculopathy (PCV). The function of a serine protein gene, HTRA1, in wet-form AMD patients is explored in detail. Conversely, the final chapter evaluates the therapeutic effects of high omega-3 fatty acids as anti-inflammatory agents in dry AMD patients. The preliminary findings indicate a promising therapeutic regime for dry AMD and perhaps for other retinopathies as well.

The federal government is the largest employer in the United States, and the Federal Employees Health Benefits (FEHB) Program is the largest employer-sponsored health insurance program in the country. It provides more than $40 billion in health care benefits annually. This first chapter of this book provides a general overview of FEHB. It describes the structure of FEHB, including eligibility for the program and coverage options available to enrollees, as well as premiums, benefits and cost sharing, and general financing of FEHB. The chapter also describes the role of the Office of Personnel Management (OPM) in administering the program. The second chapter discusses the Patient Protection and Affordable Care Act (ACA) which generally specifies that the only health plans that the federal government may make available to Members and certain congressional staff are either created under ACA or offered through an exchange. The chapter summarizes the provisions of the final rule made me OPM which amends FEHBP eligibility regulations, and describes how it affects current and retired Members and congressional staff. The third chapter in this book provides historical and background information that helps explain how FEHBP has evolved into the program it is today. The fourth and final chapter describes oversight of fraud and abuse programs by OPM's contracting office, and the OPM contracting office's approach to measuring the effectiveness of FEHBP carriers' fraud and abuse programs.

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.

In this book, the health impacts of promoting walking to school as part of a comprehensive health impact assessment (HIA) were examined. The chapter focused on a single area of analysis - physical activity and associated changes in body mass index (BMI). The second chapter of this book reviews the potential health outcomes related to redeveloping a dangerous highway; the third chapter examined noise health impact assessment, with a focus on noise levels, peak levels and reverberation times of playrooms. The authors discuss the practical measures that can be taken for effective noise prevention that could help improve actual noise conditions and minimize the risk of health effects. The last chapter reviews the persistence of microbial adhesion and its challenges to the establishment and maintenance of hygienic conditions in various environments.

The Handbook of Healthcare Management is a comprehensive examination of key management practices for global healthcare organizations, arguing that insight into and implementation of these practices is essential for success and sustainability. Expert contributors analyze both existing methods and new developments in healthcare management, through topics including healthcare marketing and customer service, managing human resources and organizational stakeholders, strategic and business planning, high-reliability organizations, and health informatics. The result is a well-rounded collection of strategies to enhance healthcare quality, with emphasis on factors that promote organizational excellence. This Handbook will be invaluable to students in both master and doctoral healthcare management programs, as well as faculty and health services researchers, practitioners in both private and public sectors, policy-makers, and public administrators. Contributors: A. Beardsley, J.W. Begun, N. Borkowski, B.K. Breland, K. Darr, C. Deschamp, E.W. Ford, M.D. Fottler, L.H. Friedman, J. Gill, P.K. Howse, T.R.Huerta, J.C. Hyde, R. Kemp, D. Malvey, A.S. McAlearney, N. Menachemi, C. Molinari, H. Nguyen, S.J. O'Connor, P.A. Paustian, A. Raffenaud, S. Rahurkar, S. Ruff, C.J. Sampson, D.J. Slovensky, D.G. Smith, P.L. Spath, W.L. Tarver, M. Thygeson, J.M. Trimm, J.G. Van Matre, C.F. Wainwright, J.H. Willig, T. Yeung, T. Zhang

An estimated 6.5 million individuals currently abuse prescription drugs in the United States. Unlike policy on street drugs, federal policy on prescription drug abuse is complicated by the need to maintain access to prescription controlled substances (PCS) for legitimate medical use. Prescription drug abuse is not limited to addiction; it includes, for example, taking a medication for the purpose of getting high or taking a medication that was prescribed for someone else. This book discusses reduction efforts and the federal role in prescription drug abuse.

The Health Information Technology for Economic and Clinical Health (HITECH) Act established Electronic Health Record (EHR) programs. These programs provide incentive payments for -- and later are expected to apply penalties to -- certain providers, such as hospitals and professionals, to encourage them to demonstrate meaningful use of certified EHR technology and meet other program requirements. Based on the number of providers awarded incentive payments, participation in the Department of Health and Human Services' (HHS) Medicare and Medicaid Electronic Health Record programs increased substantially from their first year in 2011 to 2012. This book assesses the extent of current and expected participation in the EHR programs; examines information reported by providers and others to measure meaningful use in the EHR programs; evaluates HHS efforts to ensure that EHR data can be reliably used to measure quality of care; and evaluates HHS efforts to assess the effect of the EHR programs on program goals related to adoption and meaningful use of EHRs and improved outcomes.

Great Health Care is enlightening and entertaining. It's a must read for physicians, patients, health policymakers and administrators, and the interested public---anyone who wants to understand what great health care is, and how we might build it together. The authors share their stories and motivations and the methods they have used to transform care for their own patients within their own practices and health systems. They thoughtfully explore how we got into this mess, how we can get out of it, and the barriers to making it happen. "It is not only the impact of chronic diseases on our health and economy that draws us to this subject. It is the intriguing and rewarding potential for improving the status quo through redesigning how chronic disease care is provided and paid for." (Timothy Harrington, MD) "You can't do things differently until you see things differently." (Eric Newman, MD) "We start people on the road to recovery, but the 12 weeks of cardiac rehabilitation is just the warm-up period. The really important part is what happens afterward." (Richard Lueker, MD, Beth McCormick, MS) "We believe the extra-ordinary efforts of our program coordinators are key to our clients' wellbeing and our unusually low readmission rate." (Kathi Farrell, RN, BSN, PHN, Kathleen Sullivan, RN, MSN) "In real life, we are not usually given the chance to have a do-over. But we are given the chance to continuously improve. With the right skill sets, and the right partners, we can transform." (Eric Newman, MD)

The cost and quality of health care services can vary significantly, with high cost not necessarily indicating high quality. As consumers pay for a growing proportion of their care, they have an increased need for cost and quality information before they receive care, so they can plan and make informed decisions. Transparency tools can provide such information to consumers and others. This book examines information on cost and quality available to consumers from selected transparency tools; characteristics of effective transparency tools; limitations, if any, in the effectiveness of CMS transparency tools; and CMS efforts to expand cost and quality information available through transparency tools. The book also examines how various factors affect the availability of health care price information for consumers; and the information selected public and private health care price transparency initiatives make available to consumers.