We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies—neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third.
In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds.
An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.
Hoping for the stability he needs to start a family, Jauhar accepts a position at a massive teaching hospital on the outskirts of Queens. With a decade's worth of elite medical training behind him, he is eager to settle down and reap the rewards of countless sleepless nights. Instead, he is confronted with sobering truths. Doctors' morale is low and getting lower. Blatant cronyism determines patient referrals, corporate ties distort medical decisions, and unnecessary tests are routinely performed in order to generate income. Meanwhile, a single patient in Jauhar's hospital might see fifteen specialists in one stay and still fail to receive a full picture of his actual condition.
Provoked by his unsettling experiences, Jauhar has written an introspective memoir that is also an impassioned plea for reform. With American medicine at a crossroads, Doctored is the important work of a writer unafraid to challenge the establishment and incite controversy.
In the days and months that followed, Sorrel went through the tumultuous processes of grieving. For a while, she thought she would not survive; suicide and alcohol both seemed like viable escape possibilities, and Sorrel toyed with both. But ultimately it was her rage that kept her alive—rage at the doctors, at Hopkins, and at the medical institution that had allowed this to happen. She wanted the doctors to feel the same pain she had caused them. She wanted to destroy Hopkins “brick by brick.” Dizzy with grief, she came close to ending her marriage, but slowly pulled herself and her life back together, for the sake of her family, and for the memory of Josie.
It was around this time that Sorrel learned a staggering fact—though indeed an error, Josie’s death wasn’t a fluke in the statistical sense of the word. About 98,000 American patients die a year as the result of medical error, making it the fourth most prevalent cause of death in the US. Armed with this fact, the money from her settlement with Hopkins, and a vague awareness that Josie’s death could have been prevented, Sorrel began to penetrate the healthcare industry. An appearance on Good Morning America and a long article in the Baltimore Sun raised the public profiles of her and her mission, while speaking requests began to pour in from hospitals and healthcare groups across the world. For the most part, medical errors had simply not been talked about; most doctors involved in them were paralyzed by remorse and fear of lawsuits, while the patients were dead or badly injured and their families crippled by grief. Sorrel was helping to pull back the curtain on an all-too-common killer, and the world of healthcare knew it. Despite some initial resistance, most in the industry came to welcome her message, and to look to her for answers. With the help of other patient safety advocates—many of them doctors, and some of them the very Hopkins officials who had defended the hospital after Josie’s death—Sorrel and The Josie King Foundation began to develop and implement in hospitals basic programs that emphasize communication, respect of the patient, and attentiveness to their concerns. Rapid Response Teams, for instance, can be called from the beside by patients or their families who feel they are experiencing a serious change in their condition that is not getting sufficient attention from hospital floor staff. A team made up of doctors, nurses and a patient relations coordinator responds quickly to evaluate the patient and develop a plan for care. This is just one example of a program that came out of Sorrel’s efforts, and it’s in place in hospitals across the country, and has saved countless lives.
Sorrel’s account of her unlikely path from grieving parent to nationally renowned advocate is interwoven with descriptions of her and her family’s slow but steady road to recovery, and ends with a deeply affecting description of a ski trip they took recently. The sun is shining, her children are healthy, and they are all profoundly happy—a condition that Sorrel has learned to appreciate all the more for Josie.
The book ends with a resource guide for patients, their families, and healthcare providers; it includes information about how to best manage a hospital stay and how to handle a medical error if one does occur. Two prominent characters from the story, Hopkins’ lawyer Rick Kidwell and Paul Bekman, the personal injury attorney who handled the case for the King family, have come together to contribute advice in a Q & A section, and Sorrel also provides lists of general advice, useful online resources, and essential books on the subject.
Beyond Heroes shows the reader, step by step, how ThedaCare teams developed the system, using the stories of its doctors, nurses and administrators to illustrate. The book explores each of the eight essential components of the lean system, from front-line problem solving with the scientific method to daily team huddles and creating standard work for leaders all the way to the top of an organization. Finally, the author introduces four executives from healthcare systems across North America who have implemented ThedaCare’s system and share the lessons they learned along the way.
Beyond Heroes is not just a call to action or an argument for a better healthcare system. It is a necessary roadmap through the rocky terrain ahead, one that healthcare leaders can customize to their special needs.
The Growing Importance of Management to Institutional, Patient, and Community Health
Stages in health services management
Public health period: into the 1920s
Physician period: 1930s into 1960s
Hospital period: 1960s into 1990s
Framework for a strategic management role to improve patient outcomes and community health
Health and the Health System
Inputs to health
The health system
Personal health care system
Environmental Pressures from Cost Controls and Consolidation
Are health care costs too high?
Why are costs rising?
Who pays and how do they try to control costs and quality?
How are physicians paid?
How are hospitals paid?
How do payers control costs and quality of care?
Future prospects for cost controls
Implications of cost control on management of health services
Consolidation of health services
Investor-owned health systems
Are horizontal, vertical, and for-profit consolidations beneficial?
Implications of consolidation on management of health services
PART II STRATEGIC MANAGEMENT
Strategic Management Defined
The concept of ultrastable equilibrium
The strategic management process
The major components of the strategic management process
The role of the strategic manager
Determining the mission, goals and objectives
The SWOT analysis
The strategy plan
Changing Roles of the Chief Executive Officer with Special Emphasis on the Evaluation/Control Process
Role models--an overview
PART III HEALTH SERVICES ORGANIZATION ISSUES
Organizational Arrangements of Health Services Delivery Systems
Health service functions and the patient care systems
Governance of Health Services Organizations
Functions of governing boards
Structural characteristics of a governing board
Who really controls hospitals and health services?
Hospital performance seems to relate to accountability
How does consumerism relate to governance?
Board decision processes
Barriers to physician/management relationships
Who are physicians?
Who become physicians?
What is the conditioning process of medical education?
The physician surplus
Hospital medical staff organization
Corporate integration of physician services
Management and physicians
Nursing in transition
Issues in nursing
Implications for management
PART IV MANAGERIAL FUNCTIONS AND ISSUES
Other Health Professionals and Programs
Other health professionals
Management of professional services to patients
Computer systems--medical and management information systems--decision support systems
Human resources management
Public relations and volunteer services
Factors that might improve effectiveness of functional specialists
Management of Access: an Epidemiological Approach to Marketing
Marketing and demarketing health services
An epidemiological approach to marketing
Managing access to care: balancing community and institutional health needs
Management of Quality and Costs
Forces for more attention to quality
Approaches to evaluating quality of care
Methods for managing quality of physicians’ services
Management of quality or cost?
The bottom line and the rational manager
The Management of Human Resources
The nature of the human resources function
Management’s human resources tools
Managing Conflict and Labor Management Relations
The nature of conflict
The status factor
Mitigation of conflict
Action program for mitigation of conflict
Changing philosophies regarding unions
Employees, managers, and unions
Collective bargaining process
PART V FUTURE CHALLENGES, STRATEGIES, AND ETHICS
Managerial Performance and Ethics for Hospitals and Health Services into the Twenty-first Century
Organization and management strategies for meeting future challenges to management
Diseases of health services management
Management of organizational decline
An ethical framework for health services management
Personal approaches to management
Guide to Surviving CGCAHPS & HCAHPS by Trina E. Dorrah, MD, MPH. As
patients demand more from their healthcare providers, publicly reported,
standardized patient satisfaction surveys are now the norm.
Despite the importance of these surveys, medical education often
does not teach healthcare providers how to improve patient satisfaction and
succeed with CGCAHPS and HCAHPS. That is, until now.
With Dr. Dorrah’s step-by-step instructional guide, healthcare
providers will learn the fundamentals of patient satisfaction, including
CGCAHPS and HCAHPS survey basics, and overall tips for succeeding on patient
physician assistants, nurse practitioners, and students alike will quickly
learn how to improve their patients’ satisfaction with Dr. Dorrah’s essential
Physician’s Guide to Surviving CGCAHPS & HCAHPS.
Being Mortal, written by Atul Gawande, brings to light an array of concepts involving death, mortality, aging, and terminal illness. Gawande includes extensive research and chronicles the stories of his patients, other doctors’ patients, and his own family members. The resulting book informs readers about many circumstances and scenarios that can help people find the best route through their or their family members’ final days, months, or years…
1. Nursing homes were not created to assist the elderly with their dependency on others or provide a better option than poorhouses. They were created to clear out hospital beds.
2. Assisted living arose from the need for an alternative to nursing homes that could give patients more independence and control over their lives.
3. At the end of their lives, most people want more than to merely survive, which is where medical institutions, nursing homes, and assisted living can fall flat.
4. People need to ask themselves what would make life worth living when they are ill, old, frail, or dependent on others for daily care.
PLEASE NOTE: This is key takeaways and analysis of the book and NOT the original book.
Inside this Instaread of Being Mortal:
• Key Takeaways of the book
• Introduction to the important people in the book
• Analysis of the Key Takeaways
A warts-and-all exploration of the struggles suffered and triumphs achieved by America's health-care professionals, Hospital follows a year in the life of Maimonides Medical Center in Brooklyn, which serves a diverse multicultural demographic. Unraveling the financial, ethical, technological, sociological, and cultural challenges encountered every day, bestselling author Julie Salamon tracks the individuals who make this complex hospital run-from doctors, patients, and administrators to nurses, ambulance drivers, cooks, and cleaners. Drawing on her skills as an award-winning interviewer, observer, and social critic, Salamon reveals the dynamic universe of small and large concerns and personalities that, taken together, determine the nature of care in America.
The country opening up and the ASEAN Economic Community becoming reality in 2015 are expected to spur growth for healthcare companies and Market Expansion Services providers in Myanmar. According to Rubicon’s study, consumer spending on over-the-counter healthcare products is anticipated to grow three-to-four-times in size, from about USD 140 million in 2013 to USD 480 million by 2020.
The research further shows that the medical devices market in Myanmar is anticipated to grow threefold by 2020. Meanwhile, eight out of ten ofMyanmar’s consumers are willing to spend more on healthcare products and services if they have access to better options.
The strong overall market growth is partly driven by the vast increase in government spending on pharmaceuticals and medical devices. Specialty products, in particular cardiovascular, diabetes and oncology products are expected to experience high growth rates for the next years.
Challenges to enter the Myanmar healthcare market however remain. Comparing the healthcare systems worldwide, Myanmar was recently ranked 190th and last by the World Health Organization (WHO). Rubicon’s study confirms that collaborating with a local distribution partner is the only viable means of efficiently accessing the market in Myanmar. This is due to Myanmar’s opaque regulatory environment, the abundance of counterfeit products, complex channels to market and the extremely fragmented point of sale network.
Dr. Varun Sethi, DKSH's General Manager, Business Unit Healthcare in Myanmar, said: “With the opening of Asia’s economy, Myanmar offers great potential for healthcare companies. Companies intending to expand in Myanmar should look for an experienced partner with the knowledge and connections to reach a broad range of channels and consumers. With our 15 years of experience in Myanmar and almost 150 years in Asia, DKSH is well-positioned to help companies explore the opportunities in Myanmar.”
The study results are captured in the 115-page Myanmar healthcare report, which provides an extensive
market overview and insights for healthcare companies exploring
opportunities in the country. The full report is available online on Health Intel Asia.
About Rubicon Strategy Group
Strategy Group is a boutique consulting firm specialized in market
access work for emerging economies in the healthcare, biotech and senior
care industries. Rubicon has a focus on China and has completed
research and market access projects in the pharmaceutical, private
hospital, senior housing and home healthcare sectors in China.
is the leading Market Expansion Services provider with a focus on Asia.
As the term "Market Expansion Services" suggests, DKSH helps other
companies and brands to grow their business in new or existing markets.
listed on the SIX Swiss Exchange since March 2012, DKSH is a global
company headquartered in Zurich. With 735 business locations in 35
countries – 710 of them in Asia – and 26,700 specialized staff, DKSH
generated net sales of CHF 9.6 billion in 2013.
DKSH Business Unit Healthcare
is the leading Market Expansion Services provider for healthcare
companies seeking to grow their business in Asia. Custom-made offerings
comprise registration and market entry studies as well as importation,
customs clearance, marketing and sales to physical distribution,
invoicing and cash collection. Products available through DKSH
Healthcare include ethical pharmaceuticals, consumer health,
over-the-counter (OTC), as well as medical devices. With 150 business
locations in 14 countries and around 9,050 specialized staff, Business
Unit Healthcare serves over 160,000 customers and generated net sales of
around CHF 4.3 billion in 2013.
The goal of this paper revealed itself in the course of compiling the data: to bring out insights from the front lines of the sales channels and the business models that make up the pharmaceutical and medical device markets in Vietnam. It is the hope of the authors that the information presented in this way can help inform sales strategies and the development of value add services for companies involved in the marketing and/or distribution of drug and medical device products in Vietnam.
On the eve of a pair of large negotiations, - a free trade agreement negotiation between the EU and Vietnam, set to be finalized in October 2014, and the negotiation of the Trans Pacific Asean partnership – it was found that much of the conversation with healthcare system company representatives and sales channel participants turned to the issue of the public tender system as well as some of the hardships brought on by Vietnam’s ongoing healthcare market reform. Consequently, one section of this report is geared towards exploring how the policy and regulatory level challenges of the current tender process. However, in constructing this section it became clear that the value of the research conducted during this study is not simply in explaining the tender process as it is supposed to function at the policy level and the attendant issues that stem from that design, but also highlighting how the tender process impacts the decision making of pharmaceutical and medical device executives in-country, in real time, as well as how it impacts the various operators across sales channels. In other words, a core value of the study is necessarily attendant to its exploration of the strategies currently being employed by executives active in Vietnam’s healthcare market.
In trying to present a picture of the ground-level impacts of policies and regulatory structures impacting Vietnam’s healthcare space, it is of course important to present a clear outline of the issues that the research revealed. At the same time, it became apparent to fully communicate the ground-level happenings as they related to the tender process, it was also helpful to present a series of case studies that would help add color and nuance to the issues clearly presented.
With more than thirty-seven years of experience as an operating room surgical salesman, Chaudoin gained an insiders understanding of the often secretive world of surgery. In Secrets from the Operating Room, he narrates what its like to work as a surgical salesman and provides an overview of the state of health care. He also discusses surgical corporations and their risks and profits, and he presents an overview of hospitals and how things have changed over the years. He details the roles of the surgeons and support staff, shows how to conduct the proper research before having surgery, and offers an understanding of what happens inside the surgery suite.
Secrets from the Operating Room gives you a glimpse into the business of surgery and answers important questions about what you should know if you need an operation to increase your chances of a successful outcome.
Back then, medical education was different. Diagnosis was not so certain, treatment options were severely limited and patients, for the most part, expected less from their doctors.
The patients at Cook County Hospital had to deal with poverty, racial discrimination and social stigma in addition to the symptoms caused by their diseases. The county system was the only realistic option for pregnant black women and other marginalized members of society. The hospital also faces dilemma as they suffer from poor management, rampant patronage, payroll padding and contract rigging.
Join Gracey in Chicago, where he must learn how to succeed in a broken system while providing care to his patients. Along the way, find out how medical education has changed in Intern in the Promised Land: True Stories from Cook County Hospital.
The book will helps practitioners improve the experiences that patients with dementia encounter in acute care settings by offering actual case examples provided by managers of assisted living, emergency rooms, and community geriatric cases; by persons with dementia who live alone; and by other doctors and nurses who care for these patients. These case examples illustrate the challenges faced and suggest strategies for successful and appropriate treatment planning.
This book will be useful for all hospital practitioners who encounter patients with dementia, from administrators, to nurses, social workers, physicians, gerontologists, and psychologists.
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Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
Thomas A. Kochan, Adrienne E. Eaton, Robert B. McKersie, and Paul S. Adler are among a team of researchers who have been tracking the evolution of the partnership between Kaiser Permanente and the Coalition of Kaiser Permanente Unions ever since 2001. They review the history of health care labor relations and present a profile of Kaiser Permanente as it has developed over the years. They then delve into the partnership, discussing its achievements and struggles, including the negotiation of the most innovative collective bargaining agreements in the history of American labor relations. Healing Together concludes with an assessment of the Kaiser partnership's effect on the larger health care system and its implications for labor-management relations in other industries.
This new edition also contains information on the practical operation of the foodservice department that has been greatly expanded and updated to help institutions better meet the needs of the customer and comply with the regulatory agencies'standards.
TOPICS COVERED INCLUDE: Leadership and Management Skills Marketing and Revenue-Generating Services Quality Management and Improvement Planning and Decision Making Organization and Time Management Team Building Effective Communication Human Resource Management Management Information Systems Financial Management Environmental Issues and Sustainability Microbial, Chemical, and Physical Hazards HACCP, Food Regulations, Environmental Sanitation, and Pest Control Safety, Security, and Emergency Preparedness Menu Planning Product Selection Purchasing Receiving, Storage, and Inventory Control Food Production Food Distribution and Service Facility Design Equipment Selection and Maintenance
Learning objectives, summary, key terms, and discussion questions included in each chapter help reinforce important topics and concepts. Forms, charts, checklists, formulas, policies, techniques, and references provide invaluable resources for operating in the ever-changing and challenging environment of the food-service industry.
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The editors and contributors are world-renowned experts who specialize in developing, refining, and testing the technology that makes modern-day clinical monitoring possible. Their aim in creating the book is to bridge the gap between clinical training and clinical practice with an easy to use and up-to-date guide.
· How monitoring works in a variety of acute care settings
· For any healthcare professional working in an acute care environment
· How to apply theoretical knowledge to real patient situations
· Hemodynamic, respiratory, neuro-, metabolic, and other forms of monitoring
· Information technologies in the acute care setting
· New and future technologies
Detailed examples of applications are provided for quantitative methods such as discrete event simulation, queuing analytic theory, linear and probabilistic optimization, forecasting of a time series, principal component decomposition of a data set and cluster analysis, and the Shapley value for fair gain sharing between cooperating participants. A summary of some fundamental management engineering principles is provided.
The goal of the book is to help to bridge the gap in mutual understanding and communication between management engineering professionals and hospital and clinic administrators.
The book is intended primarily for hospital/clinic leadership who are in charge of making managerial decisions. This book can also serve as a compendium of introductory problems/projects for graduate students in Healthcare Management and Administration, as well as for MBA programs with an emphasis in Healthcare.