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Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309036437
Category : Medical
Languages : en
Pages : 580
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Book Description
"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309068371
Category : Medical
Languages : en
Pages : 312
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Book Description
Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine
Author: Kenneth H. Cohn
Publisher: Bloomsbury Publishing USA
ISBN: 0313084661
Category : Business & Economics
Languages : en
Pages : 738
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Book Description
The rapid pace of change in the healthcare industry is creating turbulence for just about everyone. For consumers, affordable access to quality healthcare is an issue of primary importance. For employers, health benefits have grown to be an alarmingly large component of their compensation packages. For physicians and other healthcare providers, practice management has become increasingly demanding. Each of this set's three volumes untangles the complexity, provides answers to knotty questions, and points the way toward better healthcare for all. Features include commentary, prescriptions, and insights from leaders in the healthcare industry, including physicians, attorneys, administrators, educators, and business consultants. The result: a landmark set filled with provocative analysis and practical recommendations destined to improve the delivery of healthcare. The rapid pace of change in the healthcare industry is creating turbulence for just about everyone. For consumers, affordable access to quality healthcare is an issue of primary importance. For employers, health benefits have grown to be an alarmingly large component of their compensation packages. For physicians and other healthcare providers, practice management has become increasingly demanding. Complexity is the rule, thanks to government regulations and insurer requirements, the expansion of technology in everything from diagnosis to records, and the desire of policymakers and others to have a say in how healthcare is delivered and to whom. The Business of Healthcare provides Rx to these and other challenges in three volumes: Volume 1: Practice Management Volume 2: Leading Healthcare Organizations Volume 3: Improving Systems of Care. Each volume features commentary and insights from leaders in the healthcare industry, including physicians, attorneys, administrators, educators, and business consultants. The result: a landmark set filled with provocative analysis and practical recommendations destined to improve the delivery of healthcare. The Business of Healthcare presents ideas and information that until now have been sequestered in a variety of professional journals and books, in isolation from each other. For the first time, healthcare professionals, consumers, scholars, students, and policymakers alike will have access to the same body of information about a critical sector of the economy-one that represents 15 percent of the U.S. national GDP, consumes 10 percent of federal government spending, and employs twelve million people. This three-volume set will address the current debates that are determining the future course of the industry. Volume 1: Practice Management: Physicians are beginning to realize that, in addition to providing health care, they are owners and managers of multi-million dollar enterprises. Unfortunately, most have not received formal training in the skills needed to operate such a business. In this volume, experts will present practical advice for physicians (as well as their practice managers and staff) to improve operations. Topics include: *The opportunities and challenges of solo practice. *The logistics of joining and leaving a physician practice. *Performance management in physician practices. *Creating a culture of accountability in physician practices. *Managing difficult and disruptive physicians. *Developing and promoting a physician practice. *Internet marketing of physician practices. *The potential benefits and implementation roadblocks of pay for performance. *Accounts receivable management in hospital and physician practices. *The future of the physician practice. Volume 2: Leading Healthcare Organizations: Whether running their own practice or working as a part of a larger organization, health professionals are being called upon to provide leadership—something more important than ever in health care, where some sectors of the industry are in turmoil, while others are being transformed entirely. This volume will offer insights into the changing role of leadership throughout an organization, and describe how health professionals can exert their influence to effect positive change. Topics covered include: *Perspectives on leading complex healthcare delivery systems. *Mending the gap between practicing physicians and hospital executives. *The physician's role on the hospital board, and a blueprint for success. *The impact of biotechnology advances on healthcare delivery. *The impact of informatics on healthcare delivery. *The next frontier in addressing clinical hospital supply costs. *Liability risk management: Saving money and relationships. *Pastoral medicine: The impact of pastoral care. *The role of complementary and alternative medicine in healthcare today. Volume 3: Improving Systems of Care : This volume explores the current state of health care, and it describes the critical issues that must be resolved in the short run and the long run to ensure that the industry provides the value that the public both demands and deserves. Topics include: *Quality in healthcare: concepts and practice. *Adapting proven aviation safety tools to healthcare: Improving healthcare by changing the safety culture. *Introduction to healthcare information technology. *Market dynamics and financing strategies in the development of medical technologies. *An innovative service delivery model for specialized care. *The impact of healthcare on the US economy. *Improving systems of care: a patient's perspective. *The cost of end-of-life care. *Building the bridge between business and medicine. Better, more efficient healthcare is not just possible but needed more than ever. The Business of Health Care will help lead the way toward a healthier, happier society.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309132967
Category : Medical
Languages : en
Pages : 359
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Book Description
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309495474
Category : Medical
Languages : en
Pages : 335
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Book Description
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Author: Dean T. Jamison
Publisher: World Bank Publications
ISBN: 0821361805
Category : Medical
Languages : en
Pages : 1449
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Book Description
Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.
Author: Panos Minogiannis
Publisher: Routledge
ISBN: 1351323423
Category : Medical
Languages : en
Pages : 142
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Book Description
Many different sectors of modern society influence the nation's healthcare system. Government, health insurance companies, managed care organizations, academic health centers, the pharmaceutical industry, and other groups all affect healthcare. In the areas of medical access, cost, and quality, the physician remains the key to the efficiency and effectiveness of healthcare services. Eli Ginzberg and Panos Minogiannis, in Ginzberg's final book, examine the supply of health personnel in the United States. They consider the ways it has been influenced by federal and state legislation, healthcare financing, the transformation of the hospital, managed care, and health trends in the last part of the twentieth century. Through this historical approach, the book identifies key moments in U.S. health policy history that have led to problems in the geographical distribution of medical personnel, gender and race representation in the health personnel pool, and subsequent attempts to resolve these problems. This volume pays special attention to current trends in healthcare and tries to forecast the direction of the debate over health personnel supply in the coming years. Chronic care conditions and the ageing of the population on the one hand and the penetration of managed care and the subsequent transformation of American hospitals on the other converge to present policymakers with tremendous challenges in financing healthcare. Ginzberg and Minogiannis argue that a more balanced production and distribution of U.S. health personnel will go far in easing the financial burden of healthcare and at the same time improve the quality of services provided to the American people.
Author: Ronda Hughes
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592
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Book Description
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175399
Category : Medical
Languages : en
Pages : 287
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Book Description
Telemedicineâ€"the use of information and telecommunications technologies to provide and support health care when distance separates the participantsâ€"is receiving increasing attention not only in remote areas where health care access is troublesome but also in urban and suburban locations. Yet the benefits and costs of this blend of medicine and digital technologies must be better demonstrated before today's cautious decision-makers invest significant funds in its development. Telemedicine presents a framework for evaluating patient care applications of telemedicine. The book identifies managerial, technical, policy, legal, and human factors that must be taken into account in evaluating a telemedicine program. The committee reviews previous efforts to establish evaluation frameworks and reports on results from several completed studies of image transmission, consulting from remote locations, and other telemedicine programs. The committee also examines basic elements of an evaluation and considers relevant issues of quality, accessibility, and cost of health care. Telemedicine will be of immediate interest to anyone with interest in the clinical application of telemedicine.
