This book offers a new, practical approach to healthcare reform. Departing from the priorities applied in traditional approaches, it instead assesses - both theoretically and practically - the successful lessons learned in other safety-critical industries, and applies them to healthcare settings. The authors focus on the importance of human factors and performance measures to establish proactive, systematic methods for healthcare system design. This approach helps to identify potential hazards before accidents occur, enhancing patient safety. In addition, the book details the new approach on the basis of real-world applications in the NHS and insights from NHS staff. Case studies and results are presented, demonstrating the significant improvements that can be achieved in risk reduction and safety culture. Lastly, the book outlines what steps healthcare organisations need to take in order to successfully adopt this new approach. The approach and experiential learning is brought together through the development of a new holistic patient safety education syllabus.

Medizinoekonomie ist die Anwendung oekonomischer Methoden auf die Medizin, insbesondere auf die medizinische Versorgung. Ziel ist die Verbesserung der medizinischen Behandlung, denn die erfolgreiche Behandlung gilt in der Medizin wie in der Medizinoekonomie als oberste Maxime professionellen Handelns. Die Komplexitat der medizinischen Versorgung in Deutschland mit ihren zahlreichen Akteuren, unterschiedlichen Zustandigkeitsbereichen und Verflechtungen erfordert viele Regularien und Abstimmungsprozesse, die fur Aussenstehende oft nur schwer zu durchschauen sind. Der wissenschaftliche ebenso wie der praxisbezogene Austausch von Wirtschaft und Medizin gestaltet sich aufgrund der manchmal uneinheitlichen Sicht auf die Dinge schwierig und fuhrt nicht selten zu Missverstandnissen. Namhafte Experten aus den Bereichen OEkonomie und Gesundheitswesen machen in diesem Buch der jeweils anderen Seite die Bedeutung ihrer Disziplin in verstandlicher Weise klar. Als Autoren aus Wissenschaft und Praxis sorgen sie fur eine fachlich abgesicherte und zugleich anwendungsbezogene Darstellung der medizinoekonomisch relevanten Themenfelder aus Wirtschaft, Medizin, Politik, Recht, Verwaltung und (Selbst-)Organisation. Der Leser erhalt einen fundierten UEberblick uber den Status quo und die aktuellen Fragen des deutschen Gesundheitssystems. Die zweite Auflage wurde aktualisiert und um weitere Beitrage erganzt und richtet sich Studierende und Dozenten der Medizin und Gesundheitsoekonomie, an Angehoerige der Heilberufe sowie an Entscheidungstrager im Gesundheitswesen.

This open access book is a collection of 12 case studies capturing decades of experience improving health care and outcomes in low- and middle-income countries. Each case study is written by healthcare managers and providers who have implemented health improvement projects using quality improvement methodology, with analysis from global health experts on the practical application of improvement methods. The book shows how frontline providers in health and social services can identify gaps in care, propose changes to address those gaps, and test the effectiveness of their changes in order to improve health processes and outcomes. The chapters feature cases that provide real-life examples of the challenges, solutions, and benefits of improving healthcare quality and clearly demonstrate for readers what quality improvement looks like in practice: Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in Guatemala Haiti's National HIV Quality Management Program and the Implementation of an Electronic Medical Record to Drive Improvement in Patient Care Scaling Up a Quality Improvement Initiative: Lessons from Chamba District, India Promoting Rational Use of Antibiotics in the Kyrgyz Republic Strengthening Services for Most Vulnerable Children through Quality Improvement Approaches in a Community Setting: The Case of Bagamoyo District, Tanzania Improving HIV Counselling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale-Up Journey Improving Health Care in Low- and Middle-Income Countries: A Case Book will find an engaged audience among healthcare providers and administrators implementing and managing improvement projects at Ministries of Health in low- to middle-income countries. The book also aims to be a useful reference for government donor agencies, their implementing partners, and other high-level decision makers, and can be used as a course text in schools of public health, public policy, medicine, and development. ACKNOWLEDGMENT:This work was conducted under the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, USAID Award No. AID-OAA-A-12-00101, which is made possible by the generous support of the American people through the U.S. Agency for International Development (USAID). DISCLAIMER:The contents of this book are the sole responsibility of the Editor(s) and do not necessarily reflect the views of USAID or the United States Government.< div="">^

A real eye-opener, this riveting anti/critical psychiatry book is comprised of original cutting-edge dialogues between Burstow (an antipsychiatry theorist and activist) and other leaders in the "revolt against psychiatry," including radical practitioners, lawyers, reporters, activists, psychiatric survivors, academics, family members, and artists. People in dialogue with the author include Indigenous leader Roland Chrisjohn, psychiatrist Peter Breggin, survivor Lauren Tenney, and scholar China Mills. The single biggest focus/tension in the book is a psychiatry abolition position versus a critical psychiatry (or reformist) position. In the scope of this project, Burstow considers the ways racism, genocide, Indigeneity, sexism, media bias, madness, neurodiversity, and strategic activism are intertwined with critical and antipsychiatry.

The book examines an integrated approach for addressing decisions about the location of healthcare facilities. Supported by Geographic Information Systems (GIS) and Multi-Criteria Decision Analysis (MCDA), the approach provides comprehensive information on territory, taking into account the spatial dimensions. Due to the multiple criteria involved, site selection for urban facilities is a crucial topic in planning decision processes, especially for healthcare facilities. Healthcare provision policies generally fail to address the distribution of facilities within cities, entrusting decisions to various stakeholders. Moreover current evaluation tools focus on the intrinsic performances of healthcare structures, disregarding the extrinsic characteristics, namely those related to the location. Starting with a cross-disciplinary literature review, the book describes a multi-methodological approach for decision-making regarding the location of healthcare facilities, and presents an innovative evaluation tool that simultaneously considers functional, locational, environmental and economic issues, providing a comprehensive overview of the areas under investigation.

Understanding the complex legal and ethical principles that govern health information management is more important than ever. To help you successfully navigate these legal issues, LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION MANAGEMENT is revised, updated, and expanded, providing the opportunity to focus on law and ethics as they relate to HIM. Key topics include the role of social media in health care, expansion of existing materials on e-discovery, compliance, completeness of the health record, breaches of confidentiality, and much more. Features include enrichment activities, mapping to CAHIIM standards, and interactive quizzing and case studies to help develop practical application and high-level problem solving skills. Written by a seasoned HIM professional and lawyer, LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION MANAGEMENT, 4th Edition provides a complete solution for understanding the legal and ethical concerns that safeguard health care information today.

''Strategic Practice Management: Business Considerations for Audiologists and Other Healthcare Professionals, Third Edition'' is an appropriate resource for any health care practitioner considering a start-up venture, purchasing an ongoing practice, reinventing their current practice or for those interested in sharpening their clinical service delivery model in the competitive arena that is today's health care marketplace. The authors have decades of practical experience in their successful practices and have presented seminars on practice management throughout the country and abroad. Their insight and experience coupled with an assembly of contributors without peer in their respective fields, provides the reader with an enlightening resource on practice management including: developing an appropriate business plan; startup and long term planning; essential legal considerations; fiscal monitoring and methods to assess the ongoing financial health of the practice; reimbursement capture; patient and referral source management; human resource issues including compensation strategies and much more. Whether a student, an independent practitioner, a clinician employed in an audiology-ENT practice, hospital-based, educational audiologist or managing a university-based audiology clinic, ''Strategic Practice Management'' contains critically important information essential to the operational and business management of your practice setting.

There is a growing reliance on all health care workers to understand and practice economic evaluation. This comprehensive book written in jargon-free language provides a basic introduction to the subject. It succeeds in explaining both the principles of economic evaluation and how to use them.
The second edition has been revised throughout and now includes a chapter on decision making, which explains the tools of systematic reviewing so bringing the book right up to date.

The story of Netley in Southampton - its hospital, its people and the secret history of the 20th-century. Now with a new afterword uncovering astonishing evidence of Netley's links with Porton Down & experiments with LSD in the 1950s. It was the biggest hospital ever built. Stretching for a quarter of a mile along the banks of Southampton Water, the Royal Victoria Military Hospital at Netley was an expression of Victorian imperialism in a million red bricks, a sprawling behemoth so vast that when the Americans took it over in World War II, GIs drove their jeeps down its corridors. Born out of the bloody mess of the Crimean War, it would see the first women serving in the military, trained by Florence Nightingale; the first vaccine for typhoid; and the first purpos- built military asylum. Here Wilfred Owen would be brought along with countless other shell-shocked victims of World War I - captured on film, their tremulous ghosts still haunted the asylum a generation later. In Spike Island, Philip Hoare has written a biography of a building. In the process he deals with his own past, and his own relationship to its history.

Managing in Health and Social Care is about developing skills to manage and improve health and social care services. The focus throughout is on the role that a manager can play in ensuring effective delivery of high-quality services. Examples from social care and health settings are used to illustrate techniques for managing people, resources, information, projects and change.

This new edition has been extensively revised and updated, and includes many new case studies and examples, as well as a new chapter on motivation. It covers topics such as:

• interorganisational and interprofessional working
• leadership
• responding to the needs of service users
• the service environment
• accountability and risk
• working with a budget
• standards and quality
• managing change.

The authors explore how managers can make a real and positive difference to the work of organisations providing health and social care. They consider what effectiveness means in managing care services, the values that underpin the services, the roles of leaders and managers in developing high-quality service provision, and the necessary skills and systems to enable service users to contribute to planning and evaluation.

Managing in Health and Social Care is a practical textbook for students of management in health and social care, whether at undergraduate or postgraduate level. It includes case studies with textual commentary to reinforce learning, activities, key references and clear explanations of essential management tools and concepts.

The first edition of this book was published in association with The Open University for the Managing Education Scheme by Open Learning (MESOL)

This brief is a practical reference contextualizing social casework methodology in a specifically Caribbean cultural and historical context. It emerged from the experiences of human services workers and educators working in the Caribbean. The concepts of social welfare policy and programs are relatively new to the Caribbean as historically Christian-based organizations and local communities took the responsibility of caring for those in need. As social problems grew more complicated and threatened the security of the nation (e.g., gang violence), it became clear that governments of these small island states needed to provide a systematic approach in dealing with these social problems to help their citizens have a better quality of life. Social Casework Methodology: A Skills Handbook for the Caribbean Human Services Worker outlines a systematic approach that human services workers will find useful while working with clients in the Caribbean. It also is an easy-to-use text that defines social casework methodology, components of the methods, case histories, and exercises for social work students interested in working in the human services sector in the Caribbean.

Die Finanzierung der Krankenhauser ist von den DRGs abhangig. Die Pflege als Leistungs- und Kostenfaktor im Krankenhaus ist gefordert, an einer optimalen Eingruppierung von Patienten mitzuwirken. Von der korrekten Eingruppierung wird das Fortbestehen eines Krankenhauses am Markt stark beeinflusst werden. Die Pflege muss zeigen, wie ihre Leistungen im Rahmen der DRGs abgebildet werden konnen. Eine Moglichkeit sind die Pflegediagnosen. Sie helfen Pflege messbar und abrechenbar zu gestalten.

Machen Sie die Pflege zu barem Geld: Die praktische (und erprobte) Implementierung der Pflegediagnosen auf allen Stationen: Schritt fur Schritt

Plus fur die Praxis:

- Ubungen

- Fallbeispiele

- Formulierungshilfen fur die Pflegeplanung

- Pflegediagnostischer Anamnesebogen"

The authors discuss useful tools and tricks of the trade in pathology practice management. In-depth chapters on coding and billing by nationally known consultant Dennis Padget will prepare you to evaluate coding and billing practices. Noted law experts Jane Pine Wood and Amelia Larsen, attorneys at McDonald Hopkins, highlight key issues in employment, insurance, and hospital contracts and provide examples of how to deal with tricky issues. Sections on human resources and group dynamics take on the vexing issues that people bring to work. Finally, the authors identify current trends and reason how these might play out. In providing a broad overview of pathology practice management, each chapter employs a didactic framework, including one or more scenarios to illustrate challenges encountered by the writers. This case-based approach facilitates interactive learning and will thus be particularly useful to pathology training programs. Whatever your stage in the field-from resident to senior pathologist, including those in leadership roles-Pathology Practice Management: A Case-Based Guide is essential reading.

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.

This comprehensive book thoroughly addresses all aspects of health care transition of adolescents and young adults with chronic illness or disability; and includes the framework, tools and case-based examples needed to develop and evaluate a Health Care Transition (HCT) planning program that can be implemented regardless of a patient's disease or disability. Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is a uniquely inclusive resource, incorporating youth/young adult, caregiver, and pediatric and adult provider voices and perspectives. Part I of the book opens by defining Health Care Transition, describing the urgent need for comprehensive transition planning, barriers to HCT and then offering a framework for developing and evaluating health care transition programs. Part II focuses on the anatomic and neuro-chemical changes that occur in the brain during adolescence and young adulthood, and how they affect function and behavior. Part III covers the perspectives of important participants in the HCT transition process - youth and young adults, caregivers, and both pediatric and adult providers. Each chapter in Part IV addresses a unique aspect of developing HCT programs. Part V explores various examples of successful transition from the perspective of five key participants in the transition process - patients, caregivers, pediatric providers, adult providers and third party payers. Related financial matters are covered in part VI, while Part VII explores special issues such as HCT and the medical home, international perspectives, and potential legal issues. Models of HCT programs are presented in Part VIII, utilizing an example case study. Representing perspectives from over 75 authors and more than 100 medical centers in North America and Europe, Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is an ideal resource for any clinician, policy maker, caregiver, or hospitalist working with youth in transition.

This book explores dominance in Australia's medical culture through the positioning of international medical graduates (IMGs). It argues that IMGs are 'othered' and ultimately positioned as an underclass, a positioning validated and reinforced by the intersecting inequalities of class, race and nation. It also suggests that the positioning of IMGs is organised through the dimensions of structural power, hegemonic power and interpersonal power, which allow an exploration of power relations between the structures of the health system, the Australian medical profession and the agency of IMGs. The Australian narrative presented to the world espouses a community of social justice and human rights. Instead, an historical lens traces the formation and persistence of difference represented in ethnocentrism, racism and xenophobia from 1788 to the present. The research presented is multidisciplinary in scope. An anti-oppressive theoretical framework enables the voices of lived experience to penetrate throughout and a social justice platform engages the participants and the reader into the interwoven conversations. The data set comprises a focus group, 10 individual interviews with IMGs and a selection of inquiry submissions revealing rich and sometimes shocking evidence to paint a stark picture. Other medical voices join the conversation via media responses to revelations of experiences not only by IMGs but also by Australian-trained doctors. It exposes a toxic culture endemic with bullying and sexual harassment.This book is of interest to practitioners, researchers and administrators in the fields of medical education, human resource management, legal studies, health sciences, social sciences, health services, government departments, universities and hospitals, as well as those tasked with duty of care and the provision of a safe workplace. The voices gifted to this study raise awareness of current issues within medicine in Australia at a very personal level and begin to formulate a policy and practical response to address these disturbing revelations.

This book is the first full-length study of HIV/AIDS work in relation to government and NGOs. In the early 2000s, Pakistan's response to HIV/AIDS was scaled-up and declared an area of urgent intervention. This response was funded by international donors requiring prevention, care and support services to be contracted out to NGOs - a global policy considered particularly important in Pakistan where the high risk populations are criminalized by the state. Based on unparalleled ethnographic access to government bureaucracies and their dealings with NGOs, Qureshi examines how global policies were translated by local actors and how they responded to the evolving HIV/AIDS crisis. The book encourages readers to reconsider the orthodoxy of policies regarding public-private partnership by critiquing the resulting changes in the bureaucracy, civil society and public goods. It is a must-read for students, scholars and practitioners concerned with neoliberal agendas in global health and development.

The promise and prospects for mobile technologies in healthcare service delivery-particularly as experienced by patients and other users-are the focus of this forward-looking volume. Its detailed sociotechnical perspective takes in factors influencing patient and provider adoption of technological advances, in addition to the well-known cost and accessibility advantages. Enlightening reports show mobile health technologies in multiple contexts as an impetus for behavioral change, a means of monitoring health changes, a growing trend in service delivery, and an emerging health frontier worldwide. Together, these chapters point to the continued expansion-and global reach-of mobile technology in the next stage of healthcare services. Included in the coverage: Behavior change techniques used in mobile applications targeting physical activity: a systematic review Mobile health integration in pregnancy Unintended users, uses, and consequences of mobile weight loss apps: using eating disorders as a case study Intention vs. perception: understanding the differences in physicians' attitudes towards mobile health applications HealthGuide: a personalized mobile patient guidance system Adoption of sensors in mobile health Current and Emerging mHealth Technologies is salient reading for researchers interested in mobile health development and implementation as well as technology adoption, and mobile health system developers and managers who are interested in the implications of mobile health use by patients and/or healthcare professionals. It can also be used for courses in technology adoption and health technologies.

This idea-packed resource takes systems and complexity sciences out of blue-sky territory and into the concrete world of contemporary healthcare practice. Beginning with a new reframing of health and illness, its chapters redesign traditional disease-centered models of care into modern, health-centered-and patient-centered-health service systems. The approaches shown here combine innovation and common sense to recognize and attend to patients' needs across areas including health education and training, information accessibility, health service organization and delivery, and disease in individual context. The variety of solutions applied to this wide spectrum of issues shows the suitability of systems, complexity, and adaptive thinking to the ongoing objectives of making health services more responsive, effective, and equitable. Highlights of the coverage: Healthy smoker: an oxymoron? Maybe, but it is more complicated than that Transforming monitoring and improving care with variability-derived clinical decision support Linking Gulf War illness to genome instability, somatic evolution, and complex adaptive systems Complexity of knowledge in primary care: understanding the discipline's requisite knowledge: a bibliometric study New ways of knowing and researching: integrating complexity into a translational health sciences program Understanding the emergency department ecosystem using agent-based modelling Putting Systems and Complexity Sciences into Practice is an inspiring idea book that sill interest health policymakers, health financiers, organizational leaders, healthcare administrators, clinicians, researchers, students, and interested lay readers.

This informative text details the many changes in everyday life as the result of injury, illness, or aging affecting the brain. Experts across brain-related fields trace mechanisms of conditions such as Parkinson's disease, TBI, and dementia as they impact regions of the brain, and resulting cognitive, emotional, sensory, and motor impairments as they contribute to deficits in personal and social functioning. In addition to symptoms and behaviors associated with insults to the brain (and the extent to which the brain can adapt or self-repair), chapters provide cogent examples of how societal and cultural expectations can shape the context and experience of disability. The book's focus on everyday activities brings new clarity to diverse links between symptoms and diagnosis, brain and behavior. Included in the coverage: *The aging brain and changes in daily function. *Stroke: impact on life and daily function. *Traumatic brain injury (TBI) and the impact on daily life. *Everyday life with cancer. *Real-world impact of HIV-associated neurocognitive impairment. *Disability and public policy in America. *Living after brain changes, from the patient's perspective. Rich in empirical data and human insight, Changes in the Brain gives neuropsychologists, clinical psychologists, clinical social workers, and rehabilitation nurses a robust new understanding of the daily lives of patients, both in theory and in the real world.

This forward-looking volume challenges professionals and interested lay readers to reconsider our ways of looking at health and wellness, illness and disease, and the goals of health/healthcare systems. Reframing health systems as complex adaptive systems, the book identifies health care as a central aspect of social care and security for all people, particularly the most vulnerable. From there, the author outlines necessary organizational, design, medical, and community steps toward building health systems that view and practice health care as a human right and can produce optimum care in the long term. And extensive illustrations display effective collaborative problem solving within these systems, in both intriguing theoretical models and the real world. Highlights of the coverage: * Systems and complexity thinking in health and health care * Redesign based on "first principles" * Redesign from an organizational perspective * Working together effectively and efficiently to achieve a common purpose * Analyzing "the workings" of health systems as complex adaptive systems * Person-centered, equitable, and sustainable health systems: achieving the goal Health System Redesign brings a voice and a vision to the most pressing problems in healthcare service delivery, and offers new goals and purpose to health policymakers, health financiers, organizational leaders, clinicians, and concerned members of the local community

THE FOUNDATIONAL WORK IN HEALTH REFORM, CELEBRATING 15 YEARS OF INFLUENCE Featuring a new introduction by the authors Getting Health Reform Right is the world's leading text for understanding and managing health systems and their reform. Its simple, analytical model allows readers to design their own approach to improve health-system performance based on three outcomes of greatest importance (health status, citizen satisfaction, and financial risk protection), with step-by-step instructions for defining problems, diagnosing causes, devising solutions, and implementing changes. "Rapidly assumed the status of a classic and proved an inspiration to a generation of students and policymakers. It is as relevant today as when it was first published." -Peter C. Smith, Emeritus Professor of Health Policy, Imperial College Business School, London "Has become the mainstay of health-system reform conversations among policymakers in India. Its unique and accessible framing, which goes beyond abstract ideas, has resonated strongly in debates over how to improve health system performance." -Nachiket Mor, former Director, Bill and Melinda Gates Foundation, India

This visionary reframing of health and healthcare uses a complexity science approach to building healthcare systems that are accessible, effective, and prepared for change and challenges. Its holistic map for understanding the human organism emphasizes the interconnectedness of the individual's physical, psychological, cognitive, and sociocultural functioning. Applications of this approach are described in primary, specialist, and emergency care and at the organizational and policy levels, from translating findings to practice, to problem solving and evaluation. In this model, the differences between disease and illness and treating illness and restoring health are not mere wordplay, but instead are robust concepts reflecting real-world issues and their solutions. Based on the Proceedings of the 1st International Conference of Systems and Complexity for Healthcare, topics covered include: * Coping with complexity and uncertainty: insights from studying epidemiology in family medicine * Anticipation in complex systems: potential implications for improving safety and quality in healthcare * Monitoring variability and complexity at the bedside * Viewing mental health through the lens of complexity science * Ethical complexities in systems healthcare: what care and for whom? * The value of systems and complexity thinking to enable change in adaptive healthcare organizations supported by informatics * If the facts don't fit the theory, change the theory: implications for health system reform The Value of Systems and Complexity Sciences for Healthcare will interest and inspire health and disease researchers, health professionals, health care planners, health system financiers, health system administrators, health services administrators, health professional educators, and, last but not least, current and future patients.

Following up on Mindful Medical Practice, this book describes in detail how mindfulness is being taught to medical students, residents, practicing physicians, and allied health care professionals. Steps to set up and integrate programs into curricula are featured and educators' questions concerning practical aspects of doing this work are addressed. The argument on how to promote the kinds of leadership and cultural changes necessary are also discussed along with the many challenges facing health professionals in multiple settings. Mindful Medical Practitioners is an invaluable resource that raises interest, provides a rationale and details how to integrate mindfulness into clinical work and serves as a guide for those qualified to teach it.