Healthcare Affordability: Motivate People, Improve Processes, and Increase Performance applies the Theory of Affordability across the Healthcare Enterprise. Affordability is realized when the Value delivered exceeds the Patient's requirements, while the expense for the quality resources required to deliver that Value is at a Cost less than the revenue received from the competitive pricing applied to the care. The aim of healthcare affordability is to attain performance excellence in all areas across the entire Healthcare Enterprise. The Healthcare Enterprise involves 5 types of providers: Healthcare Providers, Medicine and Pharmaceutical Providers, Machine and Device Providers, Service and Supplier Providers, and Insurance and Payment Providers. Obviously, one key focal point of healthcare affordability is affordable healthcare, a condition that has been chased for decades, but has yet to be achieved. This book provides a useful framework and foundation for any organization to pursue and achieve Affordability. Although there are many methods used to accomplish performance improvement, this approach has been proven successful with many organizations. It integrates strategic vision and direction, with operational goals and objectives and tactical targets and tasks. This book also provides a leadership strategy and structure for change and transformation, and a designed plan to execute an 18-month implementation program. Features: Affords patients and providers a better, faster, safer, and more affordable and profitable experience and approach Offers solutions for current state dilemmas, and provides a framework for future state success Increases the speed of delivery, improves the quality, and decreases the cost of care Provides methods and tools for linking and integrating strategic, operational and tactical goals Healthcare Affordability: Motivate People, Improve Processes, and Increase Performance provides readers with methods and means for solving the complex problem of affordable healthcare.

Networks and other collaborations are central to the public sector's ability to respond to their diverse responsibilities, from international development and regional governance, to policy development and service provision. Great strides have been made toward understanding their formation, governance and management, but more opportunities to explore methodologies and measures is required to ensure they are properly understood. This volume showcases an array of selected research methods and analytics tools currently used by scholars and practitioners in network and collaboration research, as well as emerging styles of empirical investigation. Although it cannot attempt to capture all technical details for each one, this book provides a unique catalogue of compelling methods for researchers and practitioners, which are illustrated extensively with applications in the public and non-profit sector. By bringing together leading and upcoming scholars in network research, the book will be of enormous assistance in guiding students and scholars in public management to study collaboration and networks empirically by demonstrating the core research approaches and tools for investigating and evaluating these crucially important arrangements.

Co-production occurs when citizens actively participate in the design and delivery of public services. The concept and its practice are of increasing interest among policymakers, public service managers and academics alike, with co-production often being described as a revolutionary solution to public service reform. Public Service Management and Asylum: Co-production, Inclusion and Citizenship offers a comprehensive exploration of co-production from the public administration and service management perspectives. In doing so, it discusses the importance of both streams of literature in providing a holistic understanding of the concept, and based on this integration, it offers a model which differentiates co-production on five levels. The first three refer to the role of the public service user in the design and delivery of services (co-construction, participative co-production and co-design) and the other two focus on inter-organisational relationships (co-management and co-governance). This model is applied to the case of asylum seekers in receipt of social welfare benefits in Scotland to explore the implications for social inclusion and citizenship. It argues that as public service users, asylum seekers will always play an active role in the process of service production and while co-production does not provide asylum seekers with legal citizenship status, if offers an opportunity for asylum seekers to act like citizens and supports their inclusion into society. It will be of interest to researchers, academics, policymakers, public services managers, and students in the fields of public management, public administration, organizational studies.

Public goods are typically defined only in reference to the good itself but, as this book argues, the public goods can be better understood if contextual variables are incorporated. This book discusses the production and provision of public goods. It asserts that changes related to public goods are better understood if the category of goods are not decided solely by the properties of the good itself. We also need to focus on how the enabled utility of a good is influenced by the production and the provision of the good. The book opens with a brief introduction to common conceptions of public goods and a review of the existing literature - highlighting the limitations of current definitions of public goods. It presents a new multi-layered approach to public goods. This has implications for the discourse on public goods and for our understanding of the societal and environmental impact of public goods. The implications are illustrated in several areas; public goods in ancient history, privatization, innovation, competitiveness and prices, democracy and political standards, and economic growth. The book provides a provocative argument for a new way to analyze public goods which will appeal to scholars and students interested in the economic analysis of public goods, arguments regarding the privatizing or nationalizing of production and services, and method of modelling and measuring sustainable business activities.

Never has the need for church planting been more acute or more necessary. The world around us is beset with problems of every kind-political, social, economic, racial, and moral. The list is endless, and the difficulties are systemic and entrenched. The best minds, institutions, and efforts are being marshaled to address these problems, but are we getting to the root issues? Could it be that the solutions lie elsewhere? Indeed, the greatest reformer to ever live told us the hope we need comes from the church. Yes, the church, as anemic and as irrelevant as it may seem to some (or many). Jesus said of the community He would birth, "You are the light of the world and the salt of the earth" (Matt. 5:13-14). The church, in all its forms, from small to big, whether found in the countryside or in megacities is God's redeeming force for society, for culture, and for the nations. The church is God's secret weapon and His change agent for the world. He's all in on the church. As such the church is God's organizational servant on the earth. It's to be an enterprise of the highest quality. It's to sparkle with kingdom power, love, and truth. As Ephesians 3:10 states, "[God's] intent was that now, through the church, the manifold wisdom of God should be made known to the rulers and authorities in the heavenly realms." For such a task, outstanding leaders are needed. Great leaders are not just for the arenas of business, politics, or the military. The church must also focus on recruiting, training, and deploying the best. As the leader goes, so goes the organization. This book assists in the great endeavor of planting churches. It gives church planters a biblical and conceptual framework so they can be armed with a map for how to go about establishing new works. This framework is rooted in the humble yet glorious, small yet significant, quiet yet powerful ways of Jesus.

The Healthcare industry is one of the largest and rapidly developing industries. Over the last few years, healthcare management is changing from disease centered to patient centered. While on one side the analysis of healthcare data plays an important role in healthcare management, but on the other side the privacy of a patient's record must be of equal concern. This book uses a research-oriented approach and focuses on privacy-based healthcare tools and technologies. It offers details on privacy laws with real-life case studies and examples, and addresses privacy issues in newer technologies such as Cloud, Big Data, and IoT. It discusses the e-health system and preserving its privacy, and the use of wearable technologies for patient monitoring, data streaming and sharing, and use of data analysis to provide various health services. This book is written for research scholars, academicians working in healthcare and data privacy domains, as well as researchers involved with healthcare law, and those working at facilities in security and privacy domains. Students and industry professionals, as well as medical practitioners might also find this book of interest.

This book focuses on the influence of philanthropic foundations in global development, and on how the global south has engaged with them. The idea of corporate philanthropy stretches back a long way, with the late 19th industrialist Andrew Carnegie seeing it as an important obligation of the very wealthy. In the modern day, Bill Gates has taken up this call, suggesting that the very wealthy should donate half their wealth to philanthropic causes, and endowing his own foundation with something in the order of $50 billion. This book brings together case studies of the most influential of these foundations over the last one hundred years: the Rockefeller, Ford, and Gates' Foundations, investigating their impact on education and research, health and agriculture. The book concludes by asking whether global south foundations such as Al Waleed Philanthropies, Tata Trusts, and those from China may point to the future of global philanthropic foundations. The sheer scale of resources that foundations can devote to their work results in significant influence in global politics, to the point that Foundations can drive and even set government policy. This influence is likely to grow in the post-Covid environment, making this book an important resource for researchers, practitioners and policy makers working on global development.

Eve Shapiro has been writing about patient-centered care, physician-patient communication, and relationships between doctors and their patients since 2007. In Joy in Medicine? What 100 Healthcare Professionals Have to Say about Job Satisfaction, Dissatisfaction, Burnout, and Joy, Eve turns her attention to those on the healthcare delivery side of this "sacred interaction." These healthcare professionals share their enthusiasm, joys, frustrations, disappointments, insights, advice, stories, fears, and pain, explaining how it looks and feels to work in healthcare today no matter who you are, where you work, or what your position is in the organizational hierarchy. The healthcare professionals who provide patient care deserve our collective interest in their humanity. Without some insight into who they are and the forces with which they struggle every day, we cannot fully appreciate the obstacles to providing the care we all want for ourselves and our families during the best of times, let alone in the uncertain times that lie ahead.

Never before has there been such strong recognition of the importance of community-based green spaces to local communities and urban redevelopment. This book is an autoethnographic account of the challenges and breakthroughs of learning to lead together. The interwoven stories provide first-hand, evocative examples of how an ecological and community approach to organisational development and urban regeneration helped shift the business as usual paradigm. It will help you identify and step beyond individualistic and 'heroic' notions of leadership, and will inspire you to find your own way of embracing natural and shared authority. The book focuses on the experiences of developing an environmental education charity in London; Global Generation. It shows how action research, nature practice and storytelling has successfully grown shared purpose, trust and collaboration, both within Global Generation and in the wider community. The style and structure of the book reflects the participatory approach that it presents. The author, Jane Riddiford, deliberately challenges the norms of authorship, which is shaped by the dominant Western narrative - objective, authorless and 'othered'. This book goes beyond this narrow framework, combining different styles of writing, including traditional and autobiographical storytelling, diary entries and co-writing. Along with practice accounts of what happened, challenges raised and lessons learned, each chapter will also include other people's descriptions of their experience of being involved in the process.

Organizations are ethically, morally, and legally required to maintain safe workplaces that protects employees, visitors and anyone who frequents their establishments. But why do organizations that employee uniformed security personnel as part of their overall workplace violence prevention program still struggle to create and maintain the safest possible workplaces? To meet these obligations organizations often employ uniformed security officers to deter, observe, and report criminal behavior, and in some contexts, they physically interact with dangerous individuals to protect employees, consumers and visitors from violent behaviors. Unfortunately, many organizations don't utilize their security personnel to their fullest potential and organizational and community members continue to be victims of workplace violence. This book identifies the flawed principles, policies and personnel decisions that organizations use, and it provides practical solutions to address them. The book covers two major themes: the misapplication of law enforcement community safety principles to private, free-market businesses and the use of risk aversive philosophies to their security officer's activities. This book covers the principles, policies and personnel necessary for maximizing the effectiveness of uniformed security personnel to successfully mitigate potential workplace violence and create and maintain safe organizations. There is a strong need for this book since workplace violence prevention has taken on a new focus due to increases in workplace violence incidents and new laws requiring organizations to take a more serious approach to workplace violence prevention. The healthcare and campus markets are most affected by these laws and are under public scrutiny because of their vulnerable populations. These two markets combined employ the most non-contract, propriety private security personnel in the country. Both markets rely on uniform security officers to create and maintain safe communities and play an important role in their respective workplace violence prevention plans.

Despite the significant importance of the non-profit Sector, there is a relative limitation of possible modelling related to the management of the Non-Profit Institutions (NPIs). The studies and the research are concentrated in the analysis of the characteristics and the limitations related to the NPIs, rather than to the identification of possible models that can guarantee virtuous paths to these organizations. This book provides hypothetical trajectories for the construction of a theoretical model of reference for the management of NPIs-it accounts for the difficulties and the peculiarities of the non-profit sector, without however renouncing the concrete necessity and the great importance of approaches that try to avoid, or limit, the search for hybrid approaches constituted by the simple "transplant" of tools and techniques taken from the market or from the public administration context. Ultimately, it asserts that the non-profit sector is increasingly becoming the "pillar" on which modern civil society stands, to move towards a better future. The main aims of this book are to identify a link between accountability, responsibility and public trust in NPIs through a potential multidimensional managerial model in which these conceptual elements can be represented in a coordinated and systemic way. It will be of interest to researchers, academics, policymakers, and students in the fields of public and non-profit management, business management and administration, and public administration.

Nonprofit organizations are conventionally positioned as generators of social and cultural forms of capital for the common good. As such they occupy a different space to other types of organizations such as corporate firms that exist primarily to generate economic capital for private owners/shareholders. Recent years, however, have seen professionalization promoted widely by funders, policy-makers and nonprofit practitioners across the globe. At the same time, there has been an increasing cross-over of employees from private and public bodies into nonprofits. But do such shifts open up space for the wholesale importation of managerialism into and commercialization of the nonprofit sphere? Are nonprofits at risk of being reconstituted as primarily economic entities, serving the interests of a leadership elite? How are such changes in an organization's trajectory brought about? What are the consequences for trustees, staff, members and the nature of managerial work? The authors engage with critical questions such as these through a unique insider account of one professional institute experiencing unprecedented changes that challenge its very reason for being. Drawing on a three-year ethnography, they narrate organizational inhabitants' struggles in their search for purpose and analyze the myriad of changes within different aspects of organizing including structure, strategizing, pay and reward, governance and leadership. The book will enable readers to reframe and rethink organizational change as a process involving power, persuasion and authority, and will be of value to researchers, students, academics and practitioners interested in managerial work and organizational change in non-profit organizations.

In patient care, inaccuracy often leads to error: the patient does not receive the right medication, the nurse is mistaken about the patient, the doctor is mistaken about the condition. Human error in care is now a well-known occurrence, and medicine has borrowed many tools from aviation to improve safety, such as simulation training, limitation of working time, use of checklists, and so forth. All these tools contribute to improving human factors in healthcare. Often due to the lack of communication between professionals, healthcare accidents are avoidable. The only solution is the standardization of communication through phraseology. But make no mistake, the subject of communication is vast and much more complex to teach than we imagine. Communication is not only an exchange of words, of meaning, of a sender-receiver scheme; it also carries the essence of all social and cooperative life by its tone, by its moment, by the listening and availability it demands from the other person, by the words chosen, by those not said voluntarily, and those referred to as "tacit" (what we no longer need to say but the other guesses). The Medical Phraseology Guide for Superior Patient Safety: How to Improve Communications Between Caregivers, through concrete and proven examples, gives readers the keys to improve communication with their healthcare colleagues. The author proposes 26 rules that are detailed and easy applicable in everyday life. These rules are inspired by the tools and checklist developed and used by commercial airline pilots. Today, more than ever, caregivers face new situations, and they have to adapt to caring for an unusual number of patients, sometimes in new environments. Given this new environment, it becomes clear that teamwork and communication are indispensable tools for improving efficiency and safety in patient care.

This book analyses central questions in the continuing debate about success factors in corruption prevention and the efficacy and value of anti-corruption agencies (ACAs). How do ACAs become valued within a polity? What challenges must they overcome? What conditions account for their success and failure? What contributions can corruption prevention make to good governance? And in what areas might they have little or no effect on the quality of governance? With these questions in mind, the authors examine the experience of Hong Kong's Independent Commission Against Corruption (ICAC), widely regarded as one of the few successful examples of an ACA. The book is grounded in an analysis of ICAC documents and surveys, the authors' survey of social attitudes towards corruption in Hong Kong, and interviews with former officials.

In patient care, inaccuracy often leads to error: the patient does not receive the right medication, the nurse is mistaken about the patient, the doctor is mistaken about the condition. Human error in care is now a well-known occurrence, and medicine has borrowed many tools from aviation to improve safety, such as simulation training, limitation of working time, use of checklists, and so forth. All these tools contribute to improving human factors in healthcare. Often due to the lack of communication between professionals, healthcare accidents are avoidable. The only solution is the standardization of communication through phraseology. But make no mistake, the subject of communication is vast and much more complex to teach than we imagine. Communication is not only an exchange of words, of meaning, of a sender-receiver scheme; it also carries the essence of all social and cooperative life by its tone, by its moment, by the listening and availability it demands from the other person, by the words chosen, by those not said voluntarily, and those referred to as "tacit" (what we no longer need to say but the other guesses). The Medical Phraseology Guide for Superior Patient Safety: How to Improve Communications Between Caregivers, through concrete and proven examples, gives readers the keys to improve communication with their healthcare colleagues. The author proposes 26 rules that are detailed and easy applicable in everyday life. These rules are inspired by the tools and checklist developed and used by commercial airline pilots. Today, more than ever, caregivers face new situations, and they have to adapt to caring for an unusual number of patients, sometimes in new environments. Given this new environment, it becomes clear that teamwork and communication are indispensable tools for improving efficiency and safety in patient care.

The Institute of Medicine, Centers for Medicare and Medicaid, The Joint Commission, and other regulatory and accrediting bodies all agree that hospitals must be transformed into places where each patient receives quality care, every single time. In other words, zero defects. Helping to ensure quality at every level, high-reliability methods offer healthcare leaders the tools they need to achieve this noble goal. Leading High-Reliability Organizations in Healthcare details the attributes and practices that help high-reliability organizations (HROs) excel in the service they provide to their customers. Explaining what it takes to achieve high reliability in healthcare settings, it defines reliability as much more than just being safe, it describes how to measure reliability and paves the way to higher reliability. The book presents proven tools, concepts, and skills that leading healthcare organizations are using to improve safety and quality, including mistake proofing, Lean Six Sigma, and reliability engineering. It details the roles and responsibilities of the two key organizational components involved in achieving high reliability: leadership and the reliability "engineers" who apply reliability methods both technically and socially throughout the healthcare value stream. Rick Morrow, executive in HROs and now System Director of Quality, Safety, and Process Improvement at CHRISTUS Health, one of the largest non-profit healthcare systems, identifies the necessary infrastructure, methods, and analytics required to achieve and sustain higher reliability. He also suggests applications of high reliability concepts that have proven to work well in healthcare settings. The book includes numerous case studies that illustrate success stories of healthcare organizations achieving higher reliability, some achieving zero defects for years. It also contains case studies that examine examples of failures, so you can avoid making the same mistakes.

This research-based book investigates the effects of digital transformation on the cultural and creative sectors. Through cases and examples, the book examines how artists and art institutions are facing the challenges posed by digital transformation, highlighting both positive and negative effects of the phenomenon. With contributions from an international range of scholars, the book examines how digital transformation is changing the way the arts are produced and consumed. As relative late adopters of digital technologies, the arts organizations are shown to be struggling to adapt, as issues of authenticity, legitimacy, control, trust, and co-creation arise. Leveraging a variety of research approaches, the book identifies managerial implications to render a collection that is valuable reading for scholars involved with arts and culture management, the creative industries and digital transformation more broadly.

Public-Private Partnership (PPP) is a channel through which the public sector can seek alternative funding and expertise from the private sector to procure public infrastructure. Governments around the world are increasingly turning to Public-Private Partnerships to deliver essential goods and services. Unfortunately, PPPs, like any other public procurement, can be at risk of corruption. This book begins by looking at the basics of PPP and the challenges of the PPP process. It then conceptualizes the vulnerability of various stages of Public-Private Partnership models and corruption risk against the backdrop of contract theory, principal-agent theory and transaction cost economics. The book also discusses potential control mechanisms. The book also stresses the importance of good governance for PPP. It outlines principles and procedures of project risk management (PRM) developed by a working party of the Association of Project Managers. Finally, the book concludes by proposing strategies and solutions to overcome the limitations and challenges of the current approach toward PPP.

This book argues that despite the hype within many policy circles, there is actually very little evidence to support the presumed benefits of Public Private Partnerships (PPPs) in reducing poverty and addressing inequalities in the provision of and access to public services. Taking a cross-sectoral comparative approach, this book investigates how PPPs have played out in practice, and what the implications have been for inequalities. Drawing on a range of empirical case studies in education, healthcare, housing and water, the book picks apart the roles of PPPs as financing mechanisms in several international and national contexts and considers the similarities and differences between sectors. The global COVID-19 pandemic has raised significant questions about the future of social provision and through its analysis of the emergence and expansion of the role of PPPs, the book also makes a vital contribution to current discussion over this rapidly changing landscape. Overall, this wide-ranging guide to understanding and evaluating the role of PPPs in the Global South will be useful to researchers within development, international relations, economics, and related fields, as well as to policy makers and practitioners working in development-related policy.

Imagine living in a city where people could move freely and buildings could be replaced at minimal cost. Reality cannot be further from such. Despite this imperfect world in which we live, urban planning has become integral and critical especially in the face of rapid urbanization in many developing and developed countries. This book introduces the axiomatic/experimental approach to urban planning and addresses the criticism of the lack of a theoretical foundation in urban planning. With the rise of the complexity movement, the book is timely in its depiction of cities as complex systems and explains why planning from within is useful in the face of urban complexity. It also includes policy implications for the Chinese cities in the context of axiomatic/experimental planning theory.

This book aims to develop four key challenges that remain unresolved in the boundary-spanning literature, which span from the conceptual, to the practice, to the translational. In doing so, it tackles the question of boundary-spanning from four different angles, providing an in-depth investigation of the current state of the field in each of these realms, in addition to new directions for solving the identified challenges. Finally, the book synthesises the lessons from each of these challenges into a coherent and integrated final piece of the boundary dilemma. In doing so, it will provide depth and a clearer agenda for future research and practice. Crossing Boundaries in Public Policy and Management digs into the heart of enduring questions and challenges for cross-boundary working, providing in-depth conceptual contributions on the fundamental challenges of boundary work. It displays the latest state of knowledge on the topic and will be of interest to researchers, academics, practitioners, and students in the fields of public management, public policy, public administration, public-private relationships and coordination and collaboration.

Social Innovation: Comparative Perspectives investigates socio-economic impact. Since it is hard to establish causality and to measure social properties when investigating impact, especially at the level of society, the book narrows down impact to one priority aspect: social innovation - understood as organizations' capacity to generate novel ideas, ways and means of doing things, of addressing public and social problems of many kinds. This volume's primary assertion is that the Third Sector, specifically through stimulating civic involvement, is best placed to produce social innovation, outperforming business firms and state agencies in this regard. By investigating actor contributions to social innovation across seven fields of activity, Social innovation: Comparative Perspectives develops our understanding of why and how the Third Sector is central to functioning, cohesive and viable societies. This volume is based on contributions of the project "ITSSOIN - Impact of the Third Sector as Social Innovation" funded by the European Commission under the 7th framework programme. It will be of insight across disciplines, in particular to the growing social innovation community, innovation researchers more generally and to non-profit scholars. The practical relevance of the book will be of interest to European and national policy makers and practitioners across different sectors.

Co-production and co-creation occur when citizens participate actively in delivering and designing the services they receive. It has come increasingly onto the agenda of policymakers, as interest in citizen participation has more generally soared. Expectations are high and it is regarded as a possible solution to the public sector's decreased legitimacy and dwindling resources, by accessing more of society's capacities. In addition, it is seen as part of a more general drive to reinvigorate voluntary participation and strengthen social cohesion in an increasingly fragmented and individualized society. "Co-Production and Co-Creation: Engaging Citizens in Public Services" offers a systematic and comprehensive theoretical and empirical examination of the concepts of co-production and co-creation and their application in practice. It shows the latest state of knowledge on the topic and will be of interest both to students at an advanced level, academics and reflective practitioners. It addresses the topics with regard to co-production and co-creation and will be of interest to researchers, academics, policymakers, and students in the fields of public administration, business administration, economics, political science, public management, political science service management, sociology and voluntary sector studies.

In order to address major social policy problems, governments need to break down sectoral barriers and create better working relationships between practitioners, policymakers and researchers. Currently, major blockages exist, and stereotypes abound. Academics are seen as out-of-touch and unresponsive, policymakers are perceived to be justifying policy decisions, and the community sector seeks more funding without demonstrating efficacy. These stereotypes are born out of a lack of understanding of the work and practices that exist across these three sectors. Drawing on ground-breaking research and partnerships, with contributions from senior public servants, this book explores the competing demands of different actors involved in policy change. It challenges current debates, assumptions and reflects a unique diversity of experiences. Combined with differing theoretical perspectives, it provides a uniquely practical insight for those seeking to influence public policy. This innovative text provides essential reading for community sector practitioners, academics and advanced level students in public policy, social policy and public administration, as well as for public service professionals.

Discover How to Apply DES to Problems Encountered in HTA Discrete event simulation (DES) has traditionally been used in the engineering and operations research fields. The use of DES to inform decisions about health technologies is still in its infancy. Written by specialists at the forefront of this area, Discrete Event Simulation for Health Technology Assessment is the first book to make all the central concepts of DES relevant for health technology assessment (HTA). Accessible to beginners, the book requires no prerequisites and describes the concepts with as little jargon as possible. The book first covers the essential concepts and their implementation. It next provides a fully worked out example using both a widely available spreadsheet program (Microsoft Excel) and a popular specialized simulation package (Arena). It then presents approaches to analyze the simulations, including the treatment of uncertainty; tackles the development of the required equations; explains the techniques to verify that the models are as efficient as possible; and explores the indispensable topic of validation. The book also covers a variety of non-essential yet handy topics, such as the animation of a simulation and extensions of DES, and incorporates a real case study involving screening strategies for breast cancer surveillance. This book guides you in leveraging DES in your assessments of health technologies. After reading the chapters in sequence, you will be able to construct a realistic model designed to help in the assessment of a new health technology.