The first section, "Utilizing Technology to Arrange a Physician Visit," provides information and examples of technology utilized prior to the patient visit, and includes examples of physicians who utilize email and Web sites to attract patients, electronic scheduling systems to decrease wait time, and registration systems which can verify insurance information. The second section, "Utilizing Technology to Enhance the Physican Visit," demonstrates how technology is utilized when the patient is in treatment and/or follow-up care. Focusing on electronic medical records, electronic referral systems, billing and collection systems, and follow-up patient education and discharge information, it portrays the "future physician office visit." The third section, "Utilizing Technology to Enhance Physician Practice Operations," focuses on the physician practice manager's daily operations and how technology can achieve efficacy. The examples and case studies provided demonstrate a more timely, efficient mode of delivering quality patient care.
This is a "how-to" manual for implementing practice management solutions, and will appeal to Physicians, Practice Managers, Information Technology Specialists, Allied Health Professionals, students and researchers.
The History of Medical Informatics in the United States has been restructured within this new edition, reflecting the transformation medical informatics has undergone in the years since 1990. The systems that were once exclusively institutionally driven – hospital, multihospital, and outpatient information systems – are today joined by systems that are driven by clinical subspecialties, nursing, pathology, clinical laboratory, pharmacy, imaging, and more. At the core is the person – not the clinician, not the institution – whose health all these systems are designed to serve.
A group of world-renowned authors have joined forces with Dr Marion Ball to bring Dr Collen’s incredible work to press. These recognized leaders in medical informatics, many of whom are recipients of the Morris F. Collen Award in Medical Informatics and were friends of or mentored by Dr Collen, carefully reviewed, editing and updating his draft chapters. This has resulted in the most thorough history of the subject imaginable, and also provides readers with a roadmap for the subject well into later in the century.
Diagnose fractures accurately with the many high-quality images.
Clearly see the anatomic relationships of bones and joints through schematic illustrations.
Reference key information quickly and easily thanks to one-page management tables that summarize pertinent aspects of diagnosis and treatment.
Treat displaced fractures using detailed, step-by-step descriptions of the most common reduction techniques.Access the fully searchable text online at expertconsult.com, along with video clips of reduction maneuvers and downloadable patient education and rehabilitation instruction handouts.
Accurately identify fractures using optimal imaging guidelines.
Apply splints and casts with confidence thanks to detailed descriptions and illustrations of technique.
Tap into the latest best practices through more evidence-based coverage and updated references.
Effectively manage emergency situations using guidelines for emergent referral, greater detail regarding methods for closed reductions for fractures and dislocations, and more.
Stay up-to-date in the area of treatment and management with enhanced discussions throughout.
Be familiar with the most current developments and information in family medicine with this all-around review of the specialty, ideal for nurses and PAs!Assess your mastery of the latest diagnostic methods and management techniques through hundreds of questions and dozens of cases, newly updated to reflect the most current developments in practice.
Browse the full text, review questions, images, and tips for passing the exam online at www.expertconsult.com.
Earn up to 89 hours of AMA Category 1 Physician's Recognition Award CME Credit online through Robert Wood Johnson Medical School.
Access the text clearly on any device with a new eReader-compatible design.
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.
Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located.
Stay on top of the latest procedures and treatment guidelines with updated coverage of 184 topics, including Swimmer’s Ear, Dental Pain, Broken Rib, Locked Knee, Puncture Wounds, and Sunburn.Get procedural sedation recommendations from Dr. Alfred Sacchetti, MD, FACEP.
This is an excellent tool for anyone preparing to take the national licensing exam or a current licensed administrator needing a good review.” Score: 93, 4 Stars
-- Doody’s Medical Reviews for the Sixth Edition
The seventh edition of this classic review guide for nursing home administration licensure is revised and updated to reflect new information as recently mandated for the federally required national exam. It is based on the same format as the actual exam and provides an easy-to-use, effective way to review essential concepts and practice test-taking skills.
The seventh edition reflects all changes to the new exam and includes over 600 test questions with answer keys, full-length rationales, and new content specific to the NAB exam. With core information on management, governance, and leadership; finance and business; environment; resident and patient care; and human resources--plus savvy test-taking strategies--it includes everything you need for exam success.
New to the Seventh Edition:
New questions and answers reflecting all updates and revisions
New laws and federal regulations
Impacts of the ACA on long-term care
2015 Federal Requirements for Electronic Health Records
New RAI (Resident Assessment Instrument)
New Quality Indicators
New Lifestyle Safety Code Inspection Processes
New ICDM-10 International Classification of Diseases-Modified
New topics including transportation options, customer care, data security, social media, contractual agreements, information management and technology, and much, much more
600+ questions with answer key and extensive rationales
Core information on management, governance, and leadership; finance and business; environment; nursing: resident/patient care; and human resources
Test-taking strategies for success
"Since there are few books available on this topic that are this comprehensive and well-organized, this book should be of value to anyone interested in the topic of assisted living facilities in the U.S." Score: 98, 5 stars.óDoodyís Medical Reviews
"This book is much needed. It offers a practical approach to key issues in the management of an assisted living facility... It is especially pleasing to see the long needed collaboration between nursing, social services, and education that is reflected by the training of the authors. This book is an important milestone for the field of aging and assisted living administration."
From the Foreword byRobert Newcomer, PhD,
Department of Social and Behavioral Sciences
University of California-San Francisco
Assisted Living Administration and Management contains all the essentials for students new to the field, as well as nuanced information for professionals looking to fine-tune their skills. This comprehensive resource provides deeper insights to address the ever-changing world of the assisted living community, containing effective best practices and model programs in elder care. The authors provide the necessary tools and tips to maximize the overall health, safety, and comfort of residents.
This landmark reference, for assisted living and senior housing administrators as well as graduate students, contains the most practical guidelines for operating assisted living facilities. It offers advice on hiring and training staff, architecture and space management, and more. This multidisciplinary book is conveniently organized to cover the most crucial aspects of management, including organization; human resources; business and finance; environment; and resident care.Key Features:
Highlights the most effective practices and model programs in elder care that are currently used by facilities throughout the United States Contains useful details on business and financial management, including guidelines for marketing, legal issues and terms, and public policy issues Includes chapters on environmental management, with information on accessibility, physical plant maintenance, and disaster preparedness Emphasizes the importance of holistic, resident care management, by examining the biological, psychological, and social aspects of aging Enables students to evaluate, analyze, and synthesize information on how to operate assisted living facilities
Change agents from Seattle Children’s Hospital, Jefferson Healthcare, and The Everett Clinic in Washington; Memorial Care in California; and Minnesota Children’s Hospital and Clinics all make contributions to this book. Each one tells of challenges overcome through continuous improvement. Providing both example and inspiration, these organizations stand as proof that effective mindful change is feasible. Their stories of hard-gained progress is for healthcare professionals who have the willingness to look critically at their work and the tenacity to find better, less wasteful ways to deliver safe, high-quality care.
Seattle Children’s Hospital will change your mind about what’s possible.
Joan Wellman and her colleagues provide examples of dramatic performance improvements. Using their practical examples, you can be on your way to becoming a leader who transforms your organization, empowers your team, adds value, and saves lives.—Ken Graham, CEO, El Camino Hospital, Mountain View, California
... Pat Hagan and his colleagues tell a compelling story of change at an enormously prestigious institution .... It is a story of humility and the courage to go outside of healthcare to learn. ... while 10 years ago, lean in healthcare was interesting, today it is essential.—J. Michael Rona, Rona Consulting Group
Joan Wellman and co-authors Pat Hagan and Howard Jeffries are true pioneers in the lean healthcare world. Their book... puts lean into the right context for healthcare leaders and change agents. ...Engaging and well-written, I recommend it highly.
—Mark Graban, author of Lean Hospitals: Improving Quality, Patient Safety, and Employee Satisfaction
"Overall this is a useful, well written, practical elderly medicine book, ideal for use in primary care. It is reasonable priced and an excellent addition to the bookshelf, virtual or real". Reviewed by: Dr Harry Brown, July 2014Effectively treat your geriatric patients, and provide helpful guidance to their families, through engaging geriatric case studies that illustrate the principles and key clinical information you need.Form a definitive diagnosis and create the best treatment plans possible using the evidence-based medicine guidelines throughout.Find the information you need quickly and efficiently with a 2-color layout and consistent format, and test your knowledge with USMLE-style questions in every chapter.Offer your geriatric patients the most up-to-date treatment options available with six new chapters addressing Principles of Primary Care of Older Adults, Interprofessional Team Care, Billing and Coding, Frailty, Pressure Ulcers, and Anemia. Access the complete geriatric text online anytime, anywhere at Expert Consult, along with an online Cognitive Status Assessment with four tests and patient teaching guides, a dermatology quiz, and informative videos on Gait and Balance and Dizziness.
The sixth edition of Nursing Home Administration contains essential information to prepare an individual for licensure and employment as a nursing home administrator. This book addresses all regulatory pieces of information to provide readers with an overview of the entire process of managing a nursing facility. This edition has been updated to reflect the most accurate and up-to-date information to reflect new legislation and regulations passed since previous edition in 2008.
This textbook serves as a roadmap for studying and understanding all the various requirements-management, human resources, finance and business, industry laws and regulations, and patient care. It demonstrates how all components fit together to form the coordinated activity set required of a successful nursing home administrator.
Key Features:Formatted according to licensing examination and guidelines of the National Association of Boards of Examiners of Nursing Home Administrators New federal guidelines to surveyors New resident assessment instrument Updated figures and tables New life safety code inspection processes New ICDM-10 (International Classification of Diseases-Modified) Sub-set of federal forms included in appendices Web references to enable the reader to successfully navigate the nursing home administration field
Get expert advice from Dr. Steven McGee, an internationally respected authority in physical examination and assessment, pain management, and education in general internal medicine.
See exactly which studies document the significance of various findings thanks to thousands of up-to-date references.Apply the latest knowledge on hot topics such as the value of physical examination in taking care of the ICU patient, accurately diagnosing the etiology of systolic murmurs, diagnosing osteoarthritis and acute vertigo in the dizzy patient, diagnosing hemorrhagic stroke, and diagnosing pleural effusions.
Implement the most current evidence-based approaches for evaluating stance and gait, Schamroth’s sign (for clubbing), dementia, prediction of falls, hepatopulmonary syndrome, atrial fibrillation, relative bradycardia, tourniquet test (for dengue infections), acute stroke, and pleural effusion.
Assess the pretest probability of disease, given particular signs or symptoms, with new at-a-glance tables.
Make effective decisions thanks to updated content throughout, including new EBM boxes covering over 250 recent studies on physical diagnosis—ensuring that all diagnostic information (i.e., sensitivity, specificity, and likelihood ratios) is up to date.
Beyond the Checklist argues that lives could be saved and patient care enhanced by adapting the relevant lessons of aviation safety and teamwork. In response to a series of human-error caused crashes, the airline industry developed the system of job training and information sharing known as Crew Resource Management (CRM). Under the new industry-wide system of CRM, pilots, flight attendants, and ground crews now communicate and cooperate in ways that have greatly reduced the hazards of commercial air travel.
The coauthors of this book sought out the aviation professionals who made this transformation possible. Beyond the Checklist gives us an inside look at CRM training and shows how airline staff interaction that once suffered from the same dysfunction that too often undermines real teamwork in health care today has dramatically improved. Drawing on the experience of doctors, nurses, medical educators, and administrators, this book demonstrates how CRM can be adapted, more widely and effectively, to health care delivery.
The authors provide case studies of three institutions that have successfully incorporated CRM-like principles into the fabric of their clinical culture by embracing practices that promote common patient safety knowledge and skills.They infuse this study with their own diverse experience and collaborative spirit: Patrick Mendenhall is a commercial airline pilot who teaches CRM; Suzanne Gordon is a nationally known health care journalist, training consultant, and speaker on issues related to nursing; and Bonnie Blair O'Connor is an ethnographer and medical educator who has spent more than two decades observing medical training and teamwork from the inside.
Winner of a Shingo Research and Professional Publication Award!
Transforming Health Care: Virginia Mason Medical Center's Pursuit of the Perfect Patient Experience takes you on the journey of of Virginia Mason Medical Center's pursuit of the perfect patient experience through the application of lean principles, tools, and methodology. The results speak for themselves, including: An innovative patient safety alert system Reduction in professional liability insurance expenses Foundational changes that make it possible for nurses to spend 90% of their time with patients A computerized module that sorts through electronic medical charts and automatically identifies when disease management and preventative testing due
Over the last several years Virginia Mason has become internationally known for its journey towards perfection by applying the Toyota Production System to healthcare. The book takes readers step by step through Virginia Mason's journey as it seeks to provide perfection to its customer – the patient. This book shows you how you use this system to transform your own organization.
Features a logical, highly templated format so you can locate critical information quickly.
Covers essential topics such as Approach to Diagnosis and Management of On-Call Problems; Documentation; Assessment and Management of Volume Status; and HIV, HBV, HCV, Influenza, and the House Officer.
Delivers consistent, easy-to-follow coverage of the most common on-call problems and approaches, including what to do from the initial phone call, "Elevator Thoughts," how to immediately identify major threats to life, what to do at the bedside, and how to avoid common mistakes for every call.Provides updated content and references, as well as a revised drug formulary, keeping you on the cutting edge of current, evidence-based information.
This comprehensive, practice-oriented text illustrates how healthcare organizations can gain a competitive edge through superior operations – and demonstrates how to achieve them. Underscoring the importance of a strategic perspective, the book describes how to attain excellence in the four competitive priorities: quality, cost, delivery, and flexibility. The competitive priorities are interrelated, with excellent quality laying the foundation for performance in the other competitive priorities, and with targeted improvement initiatives having synergistic effects. The text stresses the benefits of aligning the entire operations system within the parameters of a business strategy. It equips students with a conceptual mental model of healthcare operations in which all concepts and tools fit together logically.
With a hands-on approach, the book clearly demonstrates the “how-tos” of effectively managing a healthcare organization. It describes how to negotiate the different perspectives of clinicians and administrators by offering a common platform for building competitive advantage. To bring the cultural context of a healthcare organization to life, the book engages students with a series of short vignettes of a fictitious healthcare organization as it strives to achieve the status of a highly reliable organization. Integrated throughout are a variety of tools and quantitative techniques with step-by-step instructions to assist in problem solving and process improvements. Also included are mind maps linking competitive priorities and concepts, quick-reference icons, dashboards displaying measurement and process tracking, and boxed features. Several project ideas, team assignments, and creative thinking exercises are proposed. A comprehensive Instructor Packet and online tutorials further enhance the book’s outstanding value.
Includes mind maps to connect competitive priorities, concepts, and tools
Provides an extensive tool kit for problem solving and process improvements
Presents icons throughout the text to emphasize competitive priorities and tool coverage
Emphasizes measurement with dashboards and includes data files for statistical process control, queuing, and simulation
Demonstrates human dynamics and organizational challenges through realistic vignettes
Presents boxed features of frequently asked questions an real-world implementations of concepts
Provides comprehensive Instructor Packet and online tutorials
The authors are highly acclaimed clinicians, investigators and educators. They offer step-by-step guidance for implementation of best practices, drawing from clinical research and their experience treating thousands of patients. They cover diagnosis, treatment planning, and state-of-the-art application of pharmacology, psychotherapy, skill-building, family system and environmental interventions – for both simple and complex cases. The scales and worksheets in this Guide were developed to efficiently facilitate assessment and management.
The Editor is an international leader in the field from the Clinical and Research Program in Adult ADHD at Massachusetts General Hospital (MGH) and Harvard Medical School, which has made pioneering and highly cited contributions to the understanding of ADHD.
This Guide is a definitive, indispensable resource for all health providers who wish to optimize their approach to adult patients with ADHD.
Collectively, the chapters in this book address application domains including inpatient and outpatient services, public health networks, supply chain management, and resource constrained settings in developing countries. Many of the chapters provide specific examples or case studies illustrating the applications of operations research methods across the globe, including Africa, Australia, Belgium, Canada, the United Kingdom, and the United States.
Chapters 1-4 review operations research methods that are most commonly applied to health care operations management including: queuing, simulation, and mathematical programming. Chapters 5-7 address challenges related to inpatient services in hospitals such as surgery, intensive care units, and hospital wards. Chapters 8-10 cover outpatient services, the fastest growing part of many health systems, and describe operations research models for primary and specialty care services, and how to plan for patient no-shows. Chapters 12 – 16 cover topics related to the broader integration of health services in the context of public health, including optimizing the location of emergency vehicles, planning for mass vaccination events, and the coordination among different parts of a health system. Chapters 17-18 address supply chain management within hospitals, with a focus on pharmaceutical supply management, and the challenges of managing inventory for nursing units. Finally, Chapters 19-20 provide examples of important and emerging research in the realm of humanitarian logistics.
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.
This updated edition of a Shingo Research Award recipient begins with an overview of Lean methods. It explains how Lean practices can help reduce various frustrations for caregivers, prevent delays and harm for patients, and improve the long-term health of your organization.
The second edition of this book presented new material on identifying waste, A3 problem solving, engaging employees in continuous improvement, and strategy deployment. This third edition adds new sections on structured Lean problem solving methods (including Toyota Kata), Lean Design, and other topics. Additional examples, case studies, and explanations are also included throughout the book.
Mark Graban is also the co-author, with Joe Swartz, of the book Healthcare Kaizen: Engaging Frontline Staff in Sustainable Continuous Improvements, which is also a Shingo Research Award recipient. Mark and Joe also wrote The Executive’s Guide to Healthcare Kaizen.
• Fully updated in line with the accompanying textbook Clinical Examination
• Increased emphasis on patient communication, especially in the general practice setting
• Two new authors join the team bringing additional expertise to the Pocket Guide
--Journal of Health Administration Education
This revised and updated study guide is based on the same format as the actual exam and provides an easy-to-use, effective way to review essential concepts and practice test-taking skills. Serving as the key companion to Nursing Home Administration, 4th Edition, this updated guide reflects the latest changes in the domains of practice for nursing home administrators.
The Guide features:
Over 800 test questionsOver 1000, Key terms and concepts
Dr. Dennis Han is an ophthalmologist specializing in diseases of the retina at the Medical College of Wisconsin and Froedtert Memorial Hospital; Aneesh Suneja is an engineer and lean consultant who worked with Dr. Han to transform his practice. With the help of Suneja, Han’s patients experienced an 85% reduction in non-value added wait times, and a corresponding 97% “top box” rating on patient satisfaction surveys (“strongly agree to recommend this doctor’s office to others”). Financially, his practice saw a 25% year-over-year increase in relative value units (RVU) production and a 41% increase in payments due to increased physician availability.
If you are a physician, clinic manager, administrator, technician, or provider of health services in a clinic setting, you can use the guidelines described in this book to effect a transformation as well.
Access information quickly with an efficient, full-color layout that makes it easy to apply the latest knowledge in your practice.
Take advantage of today’s most useful online resources with a convenient list of outstanding clinical websites.
Quickly spot "Best Evidence Recommendations" with special boxes located throughout the text.
Glean helpful tips on diagnosis and therapy from "Key Points" boxes found on every page.Access the complete contents and illustrations online at www.expertconsult.com - fully searchable – plus additional figures, tables, and photographs online, as well as online-only chapters that cover topics such as prescribing nutritional supplements and botanicals.
View 30 videos online covering common office procedures such as vasectomy, the proper use of today’s diabetic equipment, and endometrial biopsy.
Gain a new understanding of the patient-centered medical home and how to achieve this status in outpatient clinics.
Make the most effective care decisions with help from "Evidence vs. Harm" icons that guide you through key treatments of common medical conditions.
This is a comprehensive behind-the-scenes look at issues that affect everyone: our shortage of data comparing the worth of similar drugs for the same condition; alarming lapses in the detection of lethal side effects; the underuse of life-saving medications; lavish marketing campaigns that influence what doctors prescribe; and the resulting upward spiral of costs that places vital drugs beyond the reach of many Americans.
In this engagingly written book, Dr. Avorn asks questions that will interest every consumer: How can a product judged safe by the Food and Drug Administration turn out to have unexpectedly lethal side effects? Why has the nation’s drug bill been growing at nearly 20 percent per year? How can physicians and patients pick the best medication in its class? How do doctors actually make their prescribing decisions, and why do those decisions sometimes go wrong? Why do so many Americans suffer preventable illnesses and deaths that proper drug use could have averted? How can the nation gain control over its escalating drug budget without resorting to rationing or draconian governmental controls?
Using clinical case histories taken from his own work as a practitioner, researcher, and advocate, Dr. Avorn demonstrates the impressive power of the well-conceived prescription as well as the debacles that can result when medications are misused. He describes an innovative program that employs the pharmaceutical industry’s own marketing techniques to reduce use of some of the most overprescribed and overpriced products. Powerful Medicines offers timely and practical advice on how the nation can improve its drug-approval process, and how patients can work with doctors to make sure their prescriptions are safe, effective, and as affordable as possible.
This is a passionate and provocative call for action as well as a compelling work of clear-headed science.
Prominent endocrinologists are gathered to detail current research and treatment in this metabolic disorder, affecting a growing population. The chapters are comprehensive, providing cutting edge knowledge on pathogenesis, manifestations, diagnosis and treatment of PCOS. Each chapter will be concise concluding with cogent practice points.
The variety of medical issues presenting in PCOS patients result in late referrals or in- appropriate advice. This title will be a tool in a further understanding of the metabolic and genetic basis of PCOS, while providing management strategies.