Dr. John Kenagy's formula for saving healthcare one problem at a time is termed "Adaptive Design," a set of methods, skills and tools designed to get healthcare back to the ideals of patient care by cultivating adaptability into the everyday work of the organization and its people. Dr. Kenagy explains how. Here's a preview: 1. Learn the five characteristics of great adaptive leaders. (p. 128) 2. Discover disruptive innovation. Will you be a disruptive innovator? Or will you be disrupted? (Chapter 5) 3. Explore principles for creating a safe, effective, learning laboratory and innovation incubator in every patient care environment. (p. 71-72) 4. Recognize the seven roadblocks to sustainable healthcare innovation and learn how to eliminate them. (p. 113-118) 5. Learn the keys to financial strength and stability in 21st Century healthcare. Does your strategy align? (p. 159) The secret to success in 21st Century healthcare is no secret: Get patients exactly what they need at continually lower cost. It's the way to fix healthcare.
This book fills the need for exposing how preventable harm is a system-wide problem and provides a step-by-step model to apply for raising process improvement to a strategic level. The approach is ideal for team training purposes: the first chapter is a patient’s case study followed by discussion questions in the second chapter; the third chapter focuses on workforce conditions; the fourth chapter is about leading change; the fifth chapter unveils a 10-step model in process improvement strategy deployment that begins with application in practice at a Wisconsin hospital; and the sixth chapter gives instruction on how to apply the 10-step model using the case study from the first section.
Praise for the previous edition: "This comprehensive multi-authored text contains over 450 pages of highly specific and well-documented information that will be interest to physicians in private practice, academics, and in medical management. . . [Chapters are] readable, concise yet complete, and well developed. I could have used a book like this in the past, I will certainly refer to it frequently now." 4 stars Carol EH Scott-Conner, MD, PhD, MBA American College of Physician Executives Does Health 2.0 enhance or detract from traditional medical care delivery, and can private practice business models survive? How does transparent business information and reimbursement data impact the modern competitive healthcare scene? How are medical practices, clinics, and physicians evolving as a result of rapid health- and non-health-related technology change? Does transparent quality information affect the private practice ecosystem? Answering these questions and more, this newly updated and revised edition is an essential tool for doctors, nurses, and healthcare administrators; management and business consultants; accountants; and medical, dental, business, and healthcare administration graduate and doctoral students. Written in plain language using nontechnical jargon, the text presents a progressive discussion of management and operation strategies. It incorporates prose, news reports, and regulatory and academic perspectives with Health 2.0 examples, and blog and internet links, as well as charts, tables, diagrams, and Web site references, resulting in an all-encompassing resource. It integrates various medical practice business disciplines-from finance and economics to marketing to the strategic management sciences-to improve patient outcomes and achieve best practices in the healthcare administration field. With contributions by a world-class team of expert authors, the third edition covers brand-new information, including: The impact of Web 2.0 technologies on the healthcare industry Internal office controls for preventing fraud and abuse Physician compensation with pay-for-performance trend analysis Healthcare marketing, advertising, CRM, and public relations eMRs, mobile IT systems, medical devices, and cloud computing and much more!
Introduction to Health Care Management, Fourth Edition is a concise, reader-friendly, introductory healthcare management text that covers a wide variety of healthcare settings, from hospitals to nursing homes and clinics. Filled with examples to engage the reader's imagination, the important issues in healthcare management, such as ethics, cost management, strategic planning and marketing, information technology, and human resources, are all thoroughly covered. Guidelines and rubrics along with numerous case studies make this text both student-friendly and teacher-friendly. It is the perfect resource for students of healthcare management, nursing, allied health, business administration, pharmacy, occupational therapy, public administration, and public health.
Health care is currently not sustainable. Health care systems in the developed world are encountering increased demand for high quality health care but facing societal resource limits. The volume explores the change capabilities and learning mechanisms that health care systems need in order to implement fundamental change to improve over time.
Patient Safety: Perspectives on Evidence, Information and Knowledge Transfer provides background on the patient safety movement, systems safety, human error and other key philosophies that support change and innovation in the reduction of medical error. The book draws from multidisciplinary areas within the acute care environment to share models that support the proactive changes necessary to provide safe care delivery. The publication discusses how the tenets of safety (described in the beginning of the book) can be actively applied in the field to make evidence, information and knowledge (EIK) sharing processes reliable, effective and safe. This is a wide-ranging and important book that is designed to raise awareness of the latent risks for patient safety that are present in the EIK identification, acquisition and distribution processes, structures, and systems of many healthcare institutions across the world. The expert contributors offer systemic, evidence-based improvement processes, assessment concepts and innovative activities to identify these risks to minimize their potential to adversely impact care. These ideas are presented to create opportunities for the field to design and use strategies that enable meaningful implementation and management of EIK. Their thoughts will enable healthcare staff to see EIK as a tangible element contributing toward sustainable patient safety improvements.
ÔHealthy organisations are twice as likely to get better results than unhealthy ones, and this could be a matter of life and death if your business is healthcare. Whatever way you look at it, HR has a key role to play and the authors once again points the way.Õ Ð Clare Chapman, Group People Director, BT (British Telecoms) ÔIf healthcare systems around the world are to respond to the growing demands of an ageing population and advances in technology, then healthcare workforces will need to managed with imagination, agility and innovation. This important book sets out some of these challenges in a thoughtful and accessible way, allowing the reader to tap into the research pedigree of its authors and to draw out lessons and evidence which will inform both strategy and practice.Õ Ð Stephen Bevan, Director, Centre for Workforce Effectiveness, The Work Foundation This insightful book discusses vital concepts of system sustainability in terms of productivity, quality improvement, innovation and cost control in the context of maximising the potential of staff in the health care sector through effective human resource management. Health systems in the western world face increasingly intense pressure to contain or reduce costs, while countries such as China and India move towards universal coverage. The contributors illustrate that radical gains in efficiency and innovative practice are required internationally in health care systems. They argue that the high proportion of health care system costs invested in staffing place the human resource function at the forefront of meeting this challenge. Sustained system change and productivity gains, more effective management of staff and work climate are essential elements of reform and are all covered in this book The book provides practical examples as to how health service managers can rise to the challenge of sustaining services against greater pressures than ever before. It will strongly appeal to academics and students of health service management and public sector management. Health service managers, HR professionals in health as well as clinical staff will also find plenty of informative information in this enriching compendium.
Organizations around the world are using Lean to redesign care and improve processes in a way that achieves and sustains meaningful results for patients, staff, physicians, and health systems. Lean Hospitals, Third Edition explains how to use the Lean methodology and mindsets to improve safety, quality, access, and morale while reducing costs, increasing capacity, and strengthening the long-term bottom line. 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.
Dreams, Neuroscience, and Psychoanalysis sets out to give a scientific consistency to the question of time and find out how time determines brain functioning. Neurological investigations into dreams and sleep since the mid-20th century have challenged our scientific conception of living beings. On this basis, Kéramat Movallali reviews the foundations of modern neurophysiology in the light of other trends in this field that have been neglected by the cognitive sciences, trends that seem to be increasingly confirmed by recent research. The author begins by giving a historical view of fundamental questions such as the nature of the living being according to discoveries in ethology as well as in other research, especially that which is based on the theory of the reflex. It becomes clear in the process that these findings are consistent with the question of time as it has been considered in some major contemporary philosophies. This is then extended to the domain of dreams and sleep, as phenomena that are said to be elucidated by the question of time. The question is then raised: can dreaming be considered as a drive? Based on the Freudian discovery of the unconscious and Lacan’s teachings, Movallali seeks to provide a better understanding of the drives in general and dreams in particular. He explores neuroscience in terms of its development as well as its discoveries in the function of dreaming as an altered mode of consciousness. The challenge of confronting psychoanalysis with neuroscience forces us to go beyond their division and opposition. Psychoanalysis cannot overlook what has now become a worldwide scientific approach. Neuroscience, just like the cognitive sciences, will be further advanced by acknowledging the desiring dimension of humanity, which is at the very heart of its being as essentially related to the question of time. It is precisely this dimension that is at the core of psychoanalytic practice. Dreams, Neuroscience, and Psychoanalysis will appeal to psychoanalysts and psychoanalytic psychotherapists as well as neuroscientists, psychologists, ethologists, philosophers and advanced students studying across these fields.
