An in-depth analysis of the impact of public utility privatization on ordinary consumers. This text traces the history of energy and water privatization and documents the community and consumer sectors' various attempts to influence the structure of privatization and regulation. It provides data on the energy and water utilities over the first period of privatization and shows that the benefits and costs of privatization have not been shared equally. Low income consumers have been particularly adversly affected and the regressive outcomes of privatization have undercut the gains that domestic comsumers have made in some areas of service provision. Concluding with an overview of the British experiment of energy and water privatization, the author argues that the privatization settlements reached by successive Conservative governments with the privatized utility companies are seriously flawed, and that the British model of privatization is inappropriate to the domain of essential public utility service.

Medical Services Professionals (MSPs) hold a unique place in the healthcare industry. Medical Staff leaders, practitioners and providers rely on MSPs to ensure qualitative regulatory compliance, performance improvement, accreditation, credentialing and governance for physicians, practitioners, and other healthcare providers. MSPs ensure the design, implementation, and maintenance of current industry practices to promote quality patient care. Their roles are rapidly changing due to competition, increased government influence, and vast changes in technology that demand for service delivery improvements worldwide. The successful MSP will require a formal professional development plan, comprised of skills and knowledge for both personal and career choices as the industry moves into the future. This book is presented in an easy to read format and contains a series of building blocks, "points" to navigate career progression logically. Each point highlights solutions for MSPs to test and apply with real-life stories interspersed to illustrate points. This book contains a helpful glossary, sample job descriptions, and terms specific to the MSP.

Orchestrating Value: Population Health in the Digital Age focuses on the leadership thinking and mindset changes needed to transition from brick and mortar healthcare to digital health and connected care. The fourth industrial revolution, with convergent disruptions in biology, business models, computer science, and culture, has the potential to transform the healthcare system like never before. Digital health startups, Big Tech and progressive health systems will change the way health and healthcare are delivered to increasingly digitally savvy consumers. This book challenges readers to rethink the role of data and technology in creating and designing the future. Rather than hooking value-based care and population health management onto traditional healthcare business models, it focuses on the emergence of digital ecosystems. Using the analogy of an orchestra, the book introduces the importance of platforms in the formation of communities and markets with network effects to allow participants to collaborate, create, and innovate. With quotes from healthcare industry leaders and change agents, it helps the strategist understand the three stages of the transition from volume to value. As conductor of the orchestra, the CEO must navigate important leadership pivots to move beyond silo-based thinking. Finally, the Care Management Platform is described as a new operating model for population health in the digital age. As the next generation beyond foundational EHRs, capabilities such as interoperability, analytics, care management and patient/consumer engagement will fundamentally change the way healthcare enterprises operate and deliver value to customers.

Over the last 10 years, the concept of value has emerged in both business and public life as part of an important process of measuring, benchmarking, and assuring the resources we invest and the outcomes we generate from our activities. In the context of public life, value is an important measure on the contribution to business and social good of activities for which strict financial measures are either inappropriate or fundamentally unsound. A systematic, interdisciplinary examination of public value is necessary to establish an essential definition and up-to-date picture of the field. In reflecting on the 'public value project', this book points to how the field has broadened well beyond its original focus on public sector management; has deepened in terms of the development of the analytical concepts and frameworks that linked the concepts together; and has been applied increasingly in concrete circumstances by academics, consultants, and practitioners. This book covers three main topics; deepening and enriching the theory of creating public value, broadening the theory and practice of creating public value to voluntary and commercial organisations and collaborative networks, and the challenge and opportunity that the concept of public value poses to social science and universities. Collectively, it offers new ways of looking at public and social assets against a backdrop of increasing financial pressure; new insights into changing social attitudes and perceptions of value; and new models for increasingly complicated collaborative forms of service delivery, involving public, private, and not-for-profit players.

Criminal justice systems are complex and difficult to design and operate. This is due to their many interacting parts, and their dynamic and probabilistic nature, as well as their interfaces with other systems. This book reviews the use of analytics to address issues in criminal justice system and discusses the various sources of data associated with the systems. This book is meant to be used by those who would like 1) an introduction to criminal justice systems and 2) an illustration of how some of the various methodologies of analytics can be used to address specific issues in criminal justice systems. This book will be of interest to faculty, students, and researchers in schools/departments of criminal justice, law, public affairs, political science, industrial engineering, and management. In addition, the book should be of use to government analysts who study the effects of criminal programs and laws.

This book provides comprehensive and advanced analysis of the characteristics of social entrepreneurship in Europe. It offers innovative, up-todate research on the ecosystems of social entrepreneurship, the behavior of social entrepreneurs, their ability to produce social innovation, social capital and social inclusion, and the role of stakeholders in fostering socially oriented businesses. Moreover, it addresses the diversity of the European social enterprise sector from an evolutionary perspective, with particular reference to the rise of social entrepreneurship and the role of new-generation social entrepreneurs throughout Europe. Multidisciplinary contributions authored by experts from business and accounting, economics, and sociology serve the purpose of delivering a holistic study of social entrepreneurship, also providing the necessary data for delivering policy implications on the features of the most effective enabling social and institutional ecosystems. The broad approach, based on different theoretical frameworks and methodologies across numerous disciplines, enables the authors to tackle all of the complex research issues connected to social entrepreneurship in the region. The book builds on the results of the European Union 7FP (European Union's Research and Innovation funding program for 2007-013)-funded "EFESEIIS - Enabling the flourishing and evolution of social entrepreneurship for innovative and inclusive societies" research project. The central theme of the book is an evolutionary perspective on the dynamics and the rise of the social enterprise in Europe. This evolutionary perspective can be used in an economic as well as a social longitudinal analysis of changing contexts and entrepreneurial practices. The evolutionary perspective will be used as a tool to account for the specificity of developmental pathways in different contexts and countries.

Insights in Global Health: A Compendium of Healthcare Facilities and Nonprofit Organizations is the most comprehensive index of critical information on healthcare facilities and nonprofits in 24 of the lowestincome countries as classified by the World Bank. Presented in an easily accessible format and organized in 24 country chapters, the compendium allows stakeholders to better identify where healthcare services are available and where additional resources are needed. Key Features: * Brief country overviews, key statistics, and country maps depicting the locations of healthcare facilities. * Curated lists of healthcare facilities as well as nonprofits, accompanied by brief descriptions and relevant medical specialties, for each country. * QR codes associated with each listing linking to a companion web platform, providing access to further information about the organizations as well as the ability to interact with the data in a customizable manner.

Good teamwork ensures the close collaboration and coordination between professional groups and across disciplinary boundaries. This is particularly important in healthcare centres and clinics admitting complicated patient cases, but contrary to what many healthcare organisations seem to believe, effective teamwork does not happen automatically. It needs to be successfully trained and practiced. Teamwork in Medical Rehabilitation provides a guide to efficient teamwork in professional healthcare. Showcasing the practice of medical rehabilitation in Sweden, the book describes how to create, develop, nourish and organise a team. Medical rehabilitation in Sweden is a discipline filled by not only doctors and nurses, but also physiotherapists, occupational therapists, psychologists, social workers, speech therapists and dieticians. Using these multi-professional teams as clinical case studies, the book contains many practical examples from different rehabilitation care areas. This book will prove to be invaluable to healthcare professionals and students as effective collaboration is essential to good clinical outcomes. Managers will also find this a worthy read thanks to its understanding of how working conditions affect good teamwork.

This book deals with a hospital's struggle to secure and maintain financial stability. In the story, the leadership team of a fictional hospital adopts the tools and principles associated with the Toyota Production System or Lean. The story takes the reader through leadership's arduous journey from rejecting the methodology to embracing it, to successful implementation. This book is important because many of our nation's hospitals are besieged with financial difficulties with declining reimbursement and the public is losing confidence in our hospital's ability to provide quality care without error. Lean can provide relief from these issues but only if it is properly implemented.

Theory and Practice of Public Sector Reform offers readers differing theoretical perspectives to help examine the process of public sector reform, combined with an overview of major trends in the core areas of the functioning of the public sector. The book consists of three parts, the first addresses a number of conceptual and theoretical perspectives on public sector reform. It shows how different ways of looking at reform reveal very different things. The second part addresses major changes in specific areas of public sectors - 'objects of reform.' Part three focuses on the study of public sector reform. Aimed at academics, researchers and advanced students; this edited collection brings together many of the most eminent academics in the area of Public Policy and Management seeking to link to theory in part one and insights into specific thematic areas in part two, offering readers a display of theoretical perspectives to look at public sector reform.

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.

First published in 1998, this volume has been a significant contribution to current debates over the future of the public services. Professionalism has been and is a major feature of the British welfare state. Yet the political, social and economic context in which the profession emerged and flourished is changing rapidly. The professional ideal of disinterested expertise serving the public interest has lost much of its original gloss. Professional status and careers are threatened by major shifts in the structure of the welfare state which can be summed up as the decline of the big government bureaucratic model. Professions themselves face challenges to their special claims to expertise and public service from: politicians, senior managers, new social movements and pressure groups, technological change and not least from those citizens whom they aspire to serve. This volume asks how these new challenges are changing professions and how professionals themselves are adapting.

The SAGE Handbook of Organizational Institutionalism brings together extensive coverage of aspects of Institutional Theory and an array of top academic contributors. Now in its Second Edition, the book has been thoroughly revised and reorganised, with all chapters updated to maintain a mix of theory, how to conduct institutional organizational analysis, and contemporary empirical work. New chapters on Translation, Networks and Institutional Pluralism are included to reflect new directions in the field. The Second Edition has also been reorganized into six parts: Part One: Beginnings (Foundations) Part Two: Organizations and their Contexts Part Three: Institutional Processes Part Four: Conversations Part Five: Consequences Part Six: Reflections

Blockchain technology is poised to revolutionize more than just payment and crypto-currency. Many vertical industries will be reshaped by the new trusted data models enabled and inspired by the blockchain - healthcare is no exception. In fact, healthcare may hold the greatest opportunities for meaningful use of the technology. Early pioneers have explored some of the first use cases for medical payments, electronic health records, HIPAA/data privacy, drug counterfeiting, and credentialing of healthcare professionals. We have only begun to scratch the surface in how to automate the complexities of today's healthcare systems and design new systems which focus on trust, transparency and the alignment of incentives. Metcalf, Bass, Dhillon, and Hooper have curated a collection of examples based on the fundamentals of blockchain that build upon the early successes and examples that point to the future. After a brief introduction to bitcoin, blockchain and the protocols available, a getting-started guide is presented specific to health and healthcare. The authors discuss the complexities and possibilities of smart contracts and some of the early consortia that are exploring the possibilities. Examples and use cases are found throughout the book, with specific sections that cover the more sophisticated and far-reaching examples which have the potential to scale at the industry-level. In addition, a discussion of integrating blockchain technology into other advanced healthcare trends and IT systems - such as telemedicine, artificial intelligence, machine learning, the Internet of Things, value-based payments , patient engagement solutions, big data solutions, medical tourism, and precision medicine/genetic therapies among many others are presented. The final section provides a glimpse into the future using blockchain technology and examples of research projects that are still in labs across the globe. The appendices may prove particularly useful for additional details on how to get started, including resources and organizations specifically focusing on blockchain and distributed ledger solutions.

The response from the jewelry industry to a campaign for ethically sourced gold as a case study in the power of business in global environmental politics. Gold mining can be a dirty business. It creates immense amounts of toxic materials that are difficult to dispose of. Mines are often developed without community consent, and working conditions for miners can be poor. Income from gold has funded wars. And consumers buy wedding rings and gold chains not knowing about any of this. In Dirty Gold, Michael Bloomfield shows what happened when Earthworks, a small Washington-based NGO, launched a campaign for ethically sourced gold in the consumer jewelry market, targeting Tiffany and other major firms. The unfolding of the campaign and its effect on the jewelry industry offer a lesson in the growing influence of business in global environmental politics. Earthworks planned a "shame" campaign, aimed at the companies' brands and reputations, betting that firms like Tiffany would not want to be associated with pollution, violence, and exploitation. As it happened, Tiffany contacted Earthworks before they could launch the campaign; the company was already looking for partners in finding ethically sourced gold. Bloomfield examines the responses of three companies to "No Dirty Gold" activism: Tiffany, Wal-Mart, and Brilliant Earth, a small company selling ethical jewelry. He finds they offer a case study in how firms respond to activist pressure and what happens when businesses participate in such private governance schemes as the "Golden Rules" and the "Conflict-Free Gold Standard." Taking a firm-level view, Bloomfield examines the different opportunities for and constraints on corporate political mobilization within the industry.

Close collaboration across agencies and international borders is mandatory for public health officials. A powerful tool for sharing knowledge, knowledge management (KM) can help public health professionals quickly collaborate and disseminate knowledge for solving public health issues worldwide. The latest initiatives for reforming healthcare have put the spotlight on the need for maximizing resources. In addition to providing a platform for sharing knowledge, KM can help healthcare professionals do more with less. One tool, two problems solved. Yet the sharing of knowledge and KM continues to be a major challenge in the public health field. Knowledge Management in Public Health provides a general introduction to KM and social networking in the public health arena. The book begins with coverage of basic principles, components, and methodologies as well as trends and key issues in public health. It includes ten case studies illustrating applications of KM and social networking in public health. The chapters are written by leading individuals from organizations involved in applying KM in public health worldwide. The editors and chapter authors explore the many elements of KM, delineating how and why to start such an initiative. They provide specific examples of the development and value-added benefits of KM in a variety of public health environments. Tough or quick decision making has always benefitted enormously from knowledge based on the maximum amount of pertinent information available at the time-this has not changed. What is new in the present public health environment is the need to do this more often, with fewer personnel available, and increased expectations relative to the services expected by the public. Better use of information under a KM system is well suited to serve that purpose. This book explores the many ways to use KM to anticipate potential health issues and quickly resolve key incidents when they occur.

Spiritual management is required for spiritual organization, and yet a ministry's master plan should be the Master's plan for that ministry. Church and Ministry Strategic Planning assists readers in developing a Biblically based blueprint for carrying out the many activities in which the church or ministry is involved. The authors show clearly how careful planning is inspired by the Scriptures ("Suppose one of you wants to build a tower. Will he not first sit down and estimate the cost to see if he has enough money to complete it?"--Luke 14:28) and how it improves making decisions today which ultimately affect the ministry's effectiveness tomorrow.Church and Ministry Strategic Planning covers all areas of this type of planning and can be read and reviewed quickly. Through the use of a model of the strategic planning process, the authors show how to develop mission statements, define strategic objectives, develop strategy options and operating strategies, appraise performance, and monitor strategic planning. Readers are led step-by-step through these key areas of creating a strategic plan. Examples and worksheets at the end of each chapter enable pastors, administrators, and lay leaders to develop a strategic plan fitting to their specific ministry or church. The appendixes provide tools used in planning as well as a complete sample strategic plan for a large church. Put these concepts to immediate use in decisionmaking and pursue God's purpose and vision for the church or ministry. If readers take the time and effort to study this book, apply its format, and prayerfully keep God in every step of the plan, here is what the authors believe plan administrators can expect:1. A sense of enthusiasm in the church or ministry 2. A 5-year plan in writing to which everyone is committed 3. A sense of commitment by the entire church to its overall direction 4. Time for the leaders to do what they have been called to do 5. Clear job duties and responsibilities 6. Clear and evident improvement in the health and vitality of every member of the church staff 7. Measurable improvement in the personal lives of all those in responsible positions with time for vacations, family, and personal pursuits 8.The ability to measure very specifically, the growth and contribution made by senior pastors or evangelists at the close of their careers 9. Guaranteed leadership of the church or ministry because a plan is in place--in writing--and is understood. Even more importantly, a management team and philosophy will be in place to guide the church or ministry into its next era of growthExplore this Biblical perspective on planning and develop a strategic plan that is systematic and continuous and allows the church or ministry to assess its market position, establish goals, objectives, priorities, and strategies to be completed within specified time periods, achieve greater staff and member commitment and teamwork aimed at meeting challenges and solving problems, and muster its resources to meet these changes through anticipation.

How do we provide effective public services in a deeply neoliberal world? In the wake of the widespread failure of privatisation efforts, societies in the global south are increasingly seeking progressive ways of recreating the public sector. With contributors ranging from cutting-edge scholars to activists working in health, water, and energy provision, and with case studies covering a broad spectrum of localities and actors, Making Public in a Privatized World uncovers the radically different ways in which public services are being reshaped from the grassroots up. From communities holding the state accountable for public health in rural Guatemala, to waste pickers in India and decentralized solar electricity initiatives in Africa, the essays in this collection offer probing insights into the complex ways in which people are building genuine alternatives to privatization, while also illustrating the challenges which communities face in creating public services which are not subordinated to the logic of the market, or to the monolithic state entities of the past.

This book tells the story of the privatization of the London Underground Public-Private Partnership (PPP). It was announced by New Labour in 1998 and implemented in 2003, but by 2010 it had failed. What went wrong? Published during London Underground's 150th birthday year, this book draws extensively on interviews with managers and Tube workers. It proposes that PPP failed because privatization rewards managers, shareholders, and lawyers who look after themselves first. Other concerns were neglected, including service, improvement, and safety, as well as the needs of the disabled. The book both sketches the history of the Underground and looks to the futuread knowledging the need for a better plan for transport, one that involves passengers and workers, and one that prioritizes public service.

If the current economic malaise accomplishes nothing else, it should help awaken us all to the realization that our country has been on a path of self-destructive behavior for several decades--a reversal of the progressive path that had made major gains in economic and political equality for a large majority of the U.S. population starting in the 1870s. It is John McDermott's purpose in this ambitious book to explain why that reversal happened, how society has changed in dramatic ways since the 1960s, and what we can do to reverse this downward spiral.

In Part 1 he endeavors to lay out the overall narrative of change from the 1960s to the present, emphasizing how a novel social structure came to be developed around corporate America to form what he calls "corporate society." Part 2 analyzes what the nature of this corporate society is, how it is a special type of "fabricated" structure, and why it came to dominate society generally, eventually including the government and university systems, which themselves became increasingly corporatized. The aim of Part 3 is to outline a path of reform that can, if all its parts can be integrated sufficiently to be effective, put us on the path to restarting the progressive movement.

The combined effect of chewing tobacco (areca quid chewing) alcohol drinking and smoking greatly increase the risk of Oral Precancerous Disorders (like Leukoplakia, Erythroplakia, Oral submucous fibrosis and Verrucous lesions) in oral cavity. In developing countries of South East Asia, Indian people develop more oral precancerous disorders like Leukoplakia, Erythroplakia, Oral submucous fibrosis and Verrucous lesions compare to many other developed countries. It is estimated that in India 75% of cancers of oral cavity are attributable to tobacco chewing, smoking and alcohol drinking. So the purpose of this book is to present the correlations of these premalignant disorders microscopically with in tobacco users and alcohol drinkers.

Health care reform is within our reach. According to George Halvorson, CEO of the nation's largest private health care plan, only by improving the intent, quality, and reach of services will we achieve a health system that is economically feasible into the future.

This year, Americans will spend 2.5 trillion for health services that are poorly coordinated, inconsistent, and most typically focused on the belated care of chronic conditions. What we have to show for that expenditure is a nation that continues to become more obese, less healthy, and more depressed.

In Health Care Will Not Reform Itself, Kaiser Permanente CEO George Halvorson proves beyond a doubt that the tragically inconsistent care that currently defines the state of U.S. health services is irresponsible, irrational, but more importantly, fixable. With detail that might shock you, he shows why the nonsystem we now use is failing. Then, applying the same sensible leadership that makes Kaiser the most progressive health care organization in the world, he answers President Obama s mandate for reform with a profound incentive-based, system-supported, goal-focused, care-improvement plan.

Halvorson draws from respected studies, including his own, and the examples of successful systems across the world to show that while good health care is expensive, it is nowhere near as costly as bad health care. To immediately curb care costs and bring us in line with President Obama's projected parameters, he recommends that we:

• Take a preventive approach to the chronic conditions that account for the lion s share of medical costs
• Coordinate patient care through a full commitment to information technology
• Increase the pool of contributors by mandating universal insurance
• Rearrange priorities by making health maintenance profitable
• Convene a national committee to "figure out the right thing" and "make it easy to do"

While this book offers sage advice to policy makers, it is also written to educate the 260 million stakeholders and invite their participation in the debate that is now shaping. What makes this plan so easy to understand and so compelling is that it never strays from a profound truth: that the best health system is one that actually focuses on good health for everyone.

All royalties from the sale of this book go to Oakland Community Voices: Healthcare for the Underserved

Improving Medication Use and Outcomes with Clinical Decision Support is the result of a ground-breaking collaboration by dozens of individuals and organizations, with diverse perspectives and competencies. Edited by Jerome Osheroff, MD, the book is co-published by HIMSS, the Scottsdale Institute, AMIA, ISMP, ASHP, and AMDIS. The Guide is designed to help clinical decision support implementers improve medication use and associated outcomes in their organizations by providing practical recommendations for successfully implementing CDS focused on these targets. Chapters include detailed guidance on key areas in an effective CDS-medication management program such as: Optimizing governance structures and management processes Defining outcome improvement opportunities and baselines Setting up interventions in key clinical information systems and for specific targets Deploying CDS interventions to optimize acceptance and value Measuring results and refining the program Approaching CDS knowledge management systematically

Medical practice and research are inconceivable today without electronic computing and communication tools. Digital machines do many tasks orders-of-magnitude better, faster and more accurately than humans. Still, there are functions critical to the healthcare endeavor that people do much better than machines, things like: understanding and using natural language; perceiving what is unexpressed; taking into account values, culture, ethics, and human relationships; touching and healing. For the foreseeable future, the "smartest" computers will be no match for human beings when it comes to performing these most anthropic functions. American healthcare is at a critical juncture. Providers and patients are increasingly frustrated by degradation of the human relationships that lie at the core of the medical practice. Technologies, such as the computerized medical record, get much of the blame for intrusion into the patient-provider relationship. However, it is not technology itself that is to blame. The fault lies with how systems are conceived, designed, and deployed. This book analyzes how to organize the work of healthcare in a way that uses machines to do what they do best, thereby freeing humans to do what we do best. Smart use of electronic technology is crucial to the success of any bid to fulfill the Institute for Healthcare Improvement's triple aim to make healthcare more effective, efficient, and humane.

This comprehensive text focuses on reasoning, critical thinking and pragmatic decision making in medicine. Based on the author's extensive experience and filled with definitions, formulae, flowcharts and checklists, this fully revised second edition continues to provide invaluable guidance to the crucial role that clinical epidemiology plays in the expanding field of evidence-based medicine. Key Features: * Considers evidence-based medicine as a universal initiative common to all health sciences and professions, and all specialties within those disciplines * Demonstrates how effective practice is reliant on proper foundations, such as clinical and fundamental epidemiology, and biostatistics * Introduces the reader to basic epidemiological methods, meta-analysis and decision analysis * Shows that structured, modern, argumentative reasoning is required to build the best possible evidence and use it in practice and research * Outlines how to make the most appropriate decisions in clinical care, disease prevention and health promotion Presenting a range of topics seldom seen in a single resource, the innovative blend of informal logic and structured evidence-based reasoning makes this book invaluable for anyone seeking broad, in-depth and readable coverage of this complex and sometimes controversial field.