Caring for Chronically Ill Patients

Building on a thoughtful understanding of the organizational, financial, and clinical issues involved in chronic illness, Christianson and his colleagues provide a useful road map to the design and implementation of team-based chronic illness management. A must read for policy makers and managers wishing to meet the challenge of providing quality and efficient care to the chronically ill.
--Arnold D. Kaluzny, professor of health policy and administration, School of Public Health and Senior Research, University of North Carolina at Chapel Hill

This practical new book offers the most current information on how leaders of top clinical programs have implemented exemplary and cost-conscious programs to manage the care of four key chronic diseases: asthma, arthritis, diabetes, and coronary artery disease.

Grounded in research, the book introduces a model and practical tool that can be used by healthcare organizations to effectively treat chronically ill patients. And, because the model and tool are based on the actual experiences of ongoing programs, the authors discuss organizational strategies that will help overcome the inevitable resistance to change. A step-by-step program is outlined for health care executives and caregivers who want to implement these best practices in their institutions. With a wealth of information and illustrative examples, the authors explain how a health care organization can restructure and revitalize its approach to managing chronic illness...without breaking the bank.

Die Autoren analysieren in diesem essential die nationale Gesundheitspolitik. Sie geben einen UEberblick, in welchen Rechtsvorschriften der Sozialversicherung arbeitnehmerbezogene Gesundheitsfoerderungs- und Praventionsansatze enthalten sind. Die qualitative Forschung umfasst verschiedene Themen praktizierter Gesundheitsfoerderung und Praventionsmoeglichkeiten sowie soziodemografische Parameter. Darauf basierend konnten sie Hauptstossrichtungen fur viele dieser Ansatze identifizieren.

As the U.S. healthcare industry undergoes sweeping changes to increase efficiency and reduce costs, the healthcare workforce is changing as well. In this new system of care, physicians work alongside health care teams, where nurses, pharmacists, and other professionals must collaborate to provide better, more affordable care to many more patients than ever before. The HEALTHCARE PROFESSIONAL WORKFORCE is the first book to codify the transformations underway across health professions in the U.S. and to situate these changes within a larger context for both healthcare and non-healthcare audiences. This volume provides an important guide to understanding how health professionals fit within the emerging model of healthcare, and serves as a vital resource for readers in health policy management, medicine, public health, and organizational studies. Comprising seven unique chapters alongside commentaries from heads of healthcare organizations and influential physicians, THE HEALTHCARE PROFESSIONAL WORKFORCE provides a theoretical and practical benchmark for understanding the next generation of human capital in one of society's most important labor sectors.

The challenges to health, wellness, and health equity in the United States are massive. No matter what side of the discussion health care leaders are on, insufficient mental health care, adverse childhood experiences, substance use disorders, high infant mortality rate, and declining life expectancy for women are issues that leadership can rally around. The second volume in the Interdisciplinary Community-Engaged Research for Health series explores hands-on approaches that leaders can take in their community. Creating Culture through Health Leadership focuses on the practitioner's view of community engagement and how health care leaders can build a culture of health through community-grown solutions. Volume editor Lina Svedin invites contributors from the Robert Wood Johnson Foundation's Culture of Health Leaders program to share transformative leadership skills that advance health and equity for all. Svedin's contributors span the fields of business, technology, architecture, education, urban farming, and the arts, and represent subject matter experts, mentors, and coaches in the private, public, nonprofit, and social sectors. The volume is a collection of innovative, engaging case studies that illuminate how health care administrators and managers can collaborate to lead change within their organization, in their regional system, and throughout the nation.

This book provides practical applications of statistical and mathematical concepts to resolve common issues in hospital management. Each chapter discusses a key component of hospital operations, such as maximizing hospital profitability through pricing optimization, forecasting facility requirements from historical data, and determining optimal patient schedules to fully utilize hospital resources in order to eliminate over-crowding in the emergency department. Structured by the degree of mathematical complexity, this professional book utilizes problem-solving methodologies ranging from basic statistical concepts (means and standard deviations) to more advanced statistics (Poisson distributions and queuing theory). Concluding with computer applications and simulations, the practical examples will help hospital managers to optimally and innovatively make use of linear programming. The book's main goal is to make hospital personnel more aware of the benefits of management science methodologies that are not usually employed in today's hospitals.

Ramona Piller beschaftigt sich mit dem Thema Gesundheit fur Beschaftigte in der Pflege, das mit Blick auf die aktuellen Herausforderungen omniprasent ist. Der Weg, die Belegschaft uber das Betriebliche Gesundheitsmanagement zu schutzen, ist dabei notwendig und unerlasslich. Dennoch sind integrierte Managementsysteme zur Gesundheitsfoerderung noch nicht Alltag in Kranken- und Pflegeeinrichtungen. Gleichwohl erfullen diese aufgrund der vielfaltigen gesetzlichen Anforderungen bereits wesentliche Elemente fur ein Betriebliches Gesundheitsmanagement. Solche Elemente und die damit verbundenen Handlungsspielraume fur Fuhrungskrafte auf Stationsebene aufzuzeigen und mit praktischen Tipps zu untermauern, ist Anliegen dieses essentials.Die Autorin: Ramona Piller ist Krankenschwester und staatlich anerkannte leitende Pflegefachkraft. Sie ist stellvertretende Stationsleitung der Gesamtabteilung Anasthesie und Intensivtherapie am Robert-Koch-Krankenhaus in Apolda.

This book provides the reader with a comprehensive set of instructions and examples of how to perform a cost-benefit analysis (CBA) of a health intervention. Developed out of a course run by Jordan Louviere at the University of Technology, Sydney, entitled An Introduction to Stated Preference Discrete Choice Modelling it has a particular focus on the use of stated preference survey methods to identify consumer preference data, as well as the use of recent developments in cost-effectiveness analysis within a CBA framework. In doing so, the most up to date methodologies for CBA are compiled in a comprehensive manner with the aim of advancing the methodology of CBA in healthcare.
ABOUT THE SERIES
Series editors Alastair Gray and Andrew Briggs
Economic evaluation of health intervention is a growing specialist field, and this series of practical handbooks tackles, in depth, topics superficially addressed in more general economics books. Each volume includes illustrative material, case histories and worked examples to encourage the reader to apply the methods discussed, with supporting material provided online. The series is aimed at health economists in academia, the pharmaceutical industry and the health sector, those on advanced health economics courses, and health researchers in associated fields.

Budgets of governments and private insurances are limited. Not all drugs and services that appear beneficial to patients or physicians can be covered. Is there a core set of benefits that everyone should be entitled to? If so, how should this set be determined? Are fair decisions just impossible, if we know from the outset than not all needs can be met? While early work in bioethics has focused on clinical issues and a narrow set of principles, in recent years there has been a marked shift towards addressing broader population-level issues, requiring consideration of more demanding theories in philosophy, political science, and economics. At the heart of bioethics new orientation is the goal of clarity on a complex set of questions in rationing and resource allocation. Rationing and Resource Allocation in Healthcare: Essential Readings provides key excerpts from seminal and pertinent texts and case studies about these topics, contextualized by original introductions. The volume is divided into three broad sections: Conceptual Distinctions and Ethical Theory; Rationing; and Resource Allocation. Containing the most important and classic articles surrounding the theoretical and practical issues related to rationing and how to allocate scare medical resources, this collection aims to assist and inform those who wish to be a part of bioethics' 21st century shift including practitioners and policy-makers, and students and scholars in the health sciences, philosophy, law, and medical ethics.

Ariane Bentner erlautert in diesem essential die wichtigsten Hintergrundinformationen zum Thema Gesundheitsmanagement fur Arbeitgeber. Die Autorin zeigt inhaltliche Konzepte sowie Good-Practice-Beispiele fur kleine und mittlere Unternehmen auf und gibt Impulse fur den Aufbau eines pragmatischen Betrieblichen Gesundheitsmanagements (BGM), das zielgruppenadaquat funktionieren kann. Der demografische Wandel und der Fachkraftemangel gebieten es, die Ressource Arbeitskraft mehr denn je zu schutzen. Auch kleinere Organisationen koennen mit wenig Aufwand passgenaue Konzepte fur BGM-Massnahmen konzipieren und anbieten.

This book provides a multi-disciplinary framework for developing and analysing health sector reforms, based on the authors' extensive international experience. It offers practical guidance, and stresses the need to take account of each country's economic, administrative, and political circumstances. The authors explain how to design effective government interventions in five areas - financing, payment, organization, regulation, and behaviour - to improve the performance and equity of health systems around the world.

Plain English for Doctors shows how to write about medical science in a clear and vivid way. It can help a medical writer at any level, from beginner to veteran, since it gives specific, practical advice. Writing in plain English can help your writing reach a wider audience, including people in other specialties, levels of training, other fields, and other countries around the world. What makes medical writing hard to read? Is it complex science or complex grammar? This book shows how to keep good science but avoid complex grammar. It describes the symptoms of medicus incomprehensibilis, those over-used writing habits that tend to make medical writing hard to read. It shows how to treat each symptom using a proven plain English writing tip. Each tip is easy to apply and comes with exercises. The exercises are based on excerpts from articles published in leading medical journals. Model revisions vastly improve reading ease and grade level. The book looks at medical writing from three angles. Concept 1, Take charge of your reading ease score, shows how to manage reading ease. Concept 2, Write vividly, shows how to write more vividly by focusing on real world objects and actions. Concept 3, Present logical reasoning clearly, gives tips on how to choose a clear narrative pathway and forge a strong chain of logical reasoning. This book is a must for anyone who writes about medical science. The ability to express complex ideas in simple language is not a remedial skill. Rather, it can only be seen as a sign of mastery.

The Changing Role of Health Care Managers

A valuable guide that helps health care managers redefine their responsibilities so they can function more effectively in this dramatically evolving industry. The authors identify and describe the ten key role shifts
that are part of making the transition to a new, more dynamic style of leadership. Filled with questionnaires and step-by-step guidelines, this hands-on tool offers sound insights and nuts-and-bolts advice.

Das Buch diskutiert das Problem des Fachkraftemangels von Pflegeunternehmen. Unternehmen im Pflegebereich lernen durch die Leuphana Case Study Fachkraftemangel im Pflegesektor wie sie Nachwuchskrafte gewinnen und ihr bestehendes Personal entwickeln und weiter qualifizieren koennen. Die Case Study behandelt die Frage, was kleine und grosse Betriebe und Unternehmen in der Altenpflege tun koennen, um dem drohenden Fachkraftemangel vorzubeugen. Dabei wird ebenfalls erarbeitet, was einen attraktiven Arbeitgeber in dieser Branche auszeichnet. Ausserdem werden Massnahmenkataloge zur Gewinnung und Bindung von Fachkraften aufgestellt. Daruber hinaus setzt sich die Case Study mit weiteren Fragestellungen rund um das Thema Altenpflege auseinander. So werden sowohl die Makroebene als auch die Mikroebene analysiert. Dadurch lernen die Bearbeiterinnen und Bearbeiter der Case Study die gesamtgesellschaftlichen Herausforderungen der Pflegebranche und die Probleme von einzelnen Pflegeeinrichtungen im Speziellen kennen. Daneben wird ein Blick in die Zukunft geworfen, um zukunftige Herausforderungen von Pflegeunternehmen in einem moeglichst fruhen Stadium zu identifizieren und diese durch detaillierte Planung bereits vor ihrer tatsachlichen Entstehung zu bewaltigen.

With this important resource, health care leaders from the board room to the point-of-care can learn how to apply the science of safe and best practices from industry to healthcare by changing leadership practices, models of service delivery, and methods of communication.

Klassenmedizin beschreibt ein eklatantes Qualitatsdefizit der Medizin. Selbst eine strikte Gleichbehandlung aller Patienten wurde die schichtspezifischen Unterschiede nicht aufheben: das vermehrte Kranksein, das erschwerte Gesunden und das vorzeitige Sterben in der sogenannten Unterschicht. Soziale Faktoren sind dafur ursachlich verantwortlich. Der wichtigste ist die mangelnde Erfahrung der Selbstwirksamkeit. Erst nach einem Perspektivwechsel: von "von-oben-herab" nach "von-unten-her" werden soziale Handicaps und individuelle Ressourcen dieser Patienten sichtbar und therapierelevant. Medizinerausbildung und arztliche Standespolitik bedurfen einer sozialen Reformation, um die verlorene Kunst des Heilens fur alle Patienten wiederzufinden."

In 17 Kasuistiken wird das deutsche Gesundheitssystem beschrieben und die Veranderungen dargestellt, die notwendig sind, um ein hohes medizinisches Niveau fur Alle und ein Recht auf Selbstbestimmung, Transparenz und gerechte Behandlung zu erreichen. Durch den Druck oekonomischer Anreizsysteme besteht in der Medizin die Gefahr, dass der Vorrang medizinischer Ethik und arztlicher Therapie- und Entscheidungsfreiheit in Frage gestellt wird. Letztendlich fuhrt dies bei AErztinnen und AErzten zu Zweifeln und einer eher pessimistischen Grundeinstellung ihrem Beruf gegenuber- es wird immer mehr der Wunsch laut, mehr Zeit fur den einzelnen Patienten aufwenden zu koennen und weniger Patienten pro Woche "durchschleusen" zu mussen. Aus dem Inhalt: Ethik und OEkonomie in der Medizin. - Transparenz und Eigenverantwortung. - Ungleichbehandlung durch Ungleichbezahlung. - Zweiklassenmedizin oder Zweiklassenservice. - Patientenrechte und Patientenpflichten. - Kosten- und Qualitatsbewusstsein. - Interessenkonflikt und Transparenz.

Der Klinikmarkt ist hart umkampft -nur wer gesehen wird von seinen Patienten und Kunden, bleibt oben. Wie Sie die Aufmerksamkeit Ihrer Zielgruppen gewinnen, zeigt das vorliegende Buch anhand zahlreicher praktischer Beispiele auf: Mit welchen Stories kommen Sie in die Medien? Wie werden Ihre Veranstaltungen zum Besuchermagnet? Wie sehen gute Internet-Auftritte aus? Der Autor Robert Schafer ist Experte fur Gesundheitskommunikation. Seit vielen Jahren berat er Klinikketten, Chefarzte und viele weitere Akteure der Gesundheitswirtschaft bei der treffsicheren Platzierung von Marketing- und PR-Kampagnen. Im Fokus dieses Ratgebers stehen die Instrumente Pressearbeit, Veranstaltungsmanagement und effiziente Online-Auftritte. Klinikverantwortliche, die ihre Einrichtung erfolgreich positionieren wollen, finden konkrete How-to-Tipps fur die Patientengewinnung. Dozenten und Studierende des Faches Gesundheitsmanagement erhalten einen UEberblick uber die wichtigsen Erfolgsfaktoren und Umsetzungsstrategien des Gesundheitsmarketing und der -kommunikation.

Following the AHIMA standards for education for both two-year HIT programs and four-year HIA programs, Health Information: Management of a Strategic Resource, 4th Edition describes the deployment of information technology and your role as a HIM professional in the development of the electronic health record. It provides clear coverage of health information infrastructure and systems along with health care informatics including technology, applications, and security. Practical applications provide hands-on experience in abstracting and manipulating health information data. From well-known HIM experts Mervat Abdelhak, Sara S. Grostick, and Mary Alice Hanken, this book includes examples from diverse areas of health care delivery such as long-term care, public health, home health care, and ambulatory care. An e-book version makes it even easier to learn to manage and use health data electronically. Did You Know? boxes highlight interesting facts to enhance learning. Self-assessment quizzes test your learning and retention, with answers available on the companion Evolve website. Learning features include a chapter outline, key words, common abbreviations, and learning objectives at the beginning of each chapter, and references at the end. Diverse examples of healthcare deliveries, like long-term care, public health, home health care, and ambulatory care, prepare you to work in a variety of settings. Interactive student exercises on Evolve, including a study guide and flash cards that can be used on smart phones. Coverage of health information infrastructure and systems provides the foundational knowledge needed to effectively manage healthcare information. Applied approach to Health Information Management and Health Informatics gives you problem-solving opportunities to develop proficiency. EXPANDED! Data analytics, meaningful use, and public health informatics content prepares HIM professionals for new job responsibilities in order to meet today's, and tomorrow's, workforce needs. EXPANDED! Emphasis on the electronic health care record educates you in methods of data collection, governance, and use. NEW! Chapter on data access and retention provides examples of the paper health record and its transition to the EHR. NEW! Focus on future trends, including specialty certifications offered by the AHIMA, the American Medical Informatics Associations (AMIA), and the Health Information Management Systems Society (HIMSS), explains the vast number of job opportunities and expanded career path awaiting you.