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Transformative Planning: How Your Healthcare Organization Can Strategize For An Uncertain Future (ACHE Management)
by Jim AustinTraditional strategic planning too often results in incremental change focused more on next year’s budget than on creative growth and sustainable development. Leadership teams struggle to “paint with two brushes”: building in transformative change while maintaining current operations. To transcend existing systems and achieve their organization’s unique vision, healthcare leaders must embrace uncertainty and incorporate flexibility into their long-term planning. They must prepare for a range of potential futures—while maintaining current operations—because agility and adaptability are what will define future success. Transformative Planning: How Your Healthcare Organization Can Strategize for an Uncertain Future explains how leadership teams can lay the groundwork for new, transformational healthcare delivery models while simultaneously meeting the requirements of today. Author Jim Austin shares the essential frameworks, tools, and processes for developing and implementing long-term strategic and execution plans that embrace uncertainty. The book’s four-step model for transformational change covers: Mental models, decision making, and decision trapsVision and strategic prioritiesStrategy development and scenario planningExecution frameworkLeadership teams and governing boards at healthcare organizations of all kinds will find Transformative Planning to be an essential guide to planning strategically for today and tomorrow.
Transformative Quality: The Emerging Revolution in Health Care Performance
by Mark HaglandAlways interesting and informed, national award-winning journalist Mark Hagland demonstrates how pioneering organizations are combining new tools with a new way of thinking to reinvent the way we deliver health care services in this country. Through exceptionally well-documented case studies, this insightful volumePuts the current journey towards
Transformatnl Theory Aesthetcs
by Michael Stephan Trevor PatemanFirst Published in 1990. How we perceive and respond to the visual image has been a traditional concern of psychologists, philosophers and art historians. Today, where the visual image increasingly permeates our everyday life and consciousness, the question becomes ever more relevant. How do we, for instance, instinctively ‘know’ what it is that a picture represents without having to be taught? How is it that we experience (aesthetic) pleasure in looking at certain pictures? How is it that we often want to talk about the pictures we look at? Such questions are currently asked by a wide range of disciplines, including: semiotics, psychoanalysis, anthropology, neuropsychology, and in general, contemporary critical analysis of the visual arts. In A Transformational Theory of Aesthetics, Michael Stephan breaks new ground by linking the findings of these areas. Drawing on their common area of knowledge, he has developed a radically new theory of picture perception and aesthetic response, arguing that images can generate in us a complex pattern of mental changes, or transformations. This is because the left and right hemispheres of the brain do not always work in harmony, hence the wide-ranging nature of aesthetic response to distinct art forms. A Transformational Theory of Aesthetics is essential reading to those seriously involved in linking the arts and cognitive sciences.
Transformed States: Medicine, Biotechnology, and American Culture, 1990–2020
by Martin HalliwellTransformed States offers a timely history of the politics, ethics, medical applications, and cultural representations of the biotechnological revolution, from the Human Genome Project to the COVID-19 pandemic. In exploring the entanglements of mental and physical health in an age of biotechnology, it views the post–Cold War 1990s as the horizon for understanding the intersection of technoscience and culture in the early twenty-first century. The book draws on original research spanning the presidencies of George H. W. Bush and Joe Biden to show how the politics of science and technology shape the medical uses of biotechnology. Some of these technologies reveal fierce ideological conflicts in the arenas of cloning, reproduction, artificial intelligence, longevity, gender affirmation, vaccination and environmental health. Interweaving politics and culture, the book illustrates how these health issues are reflected in and challenged by literary and cinematic texts, from Oryx and Crake to Annihilation, and from Gattaca to Avatar. By assessing the complex relationship between federal politics and the biomedical industry, Transformed States develops an ecological approach to public health that moves beyond tensions between state governance and private enterprise. To that end, Martin Halliwell analyzes thirty years that radically transformed American science, medicine, and policy, positioning biotechnology in dialogue with fears and fantasies about an emerging future in which health is ever more contested. Along with the two earlier books, Therapeutic Revolutions (2013) and Voices of Mental Health (2017), Transformed States is the final volume of a landmark cultural and intellectual history of mental health in the United States, journeying from the combat zones of World War II to the global emergency of COVID-19.
Transforming Big Pharma: Assessing the Strategic Alternatives
by John AnsellIn Transforming Big Pharma John Ansell addresses critically how strategy works in the pharmaceutical industry. The long-standing dearth of new products has led to a growing shortfall in revenues. Ansell assesses the wide range of alternative strategies big pharma companies have been pursuing in recent years in attempting to overcome this. He shows that there is sound evidence to expect the recent upturn in the number of new products reaching the market to go on to greater heights. Chapters assess the complex trends in attrition rates, show how rife spectacular sales underestimation in the industry remains, and explain how conventional wisdom on the chances of product profitability also seriously undersells the industry. The surest route to transforming the prospects for big pharma, Ansell contends, is to step up activity in acquiring and developing new products. This is now realistic because, as he shows, the amount of intellectual property available is much greater than it was a decade ago. Ansell believes that no other strategies have sufficient transformative powers, though they may be useful as a stopgap whilst the sales of forthcoming new products mature. He argues for a reversal of big pharma’s recent cutbacks in R&D and licensing, and re-focussing on new product development. Transforming Big Pharma is intended for those in senior and middle management in the pharmaceutical industry. It will also be valuable to students, as well as to all those dealing with the industry, including biotech companies and those providing services and products to the pharmaceutical industry.
Transforming Clinical Research in the United States: Challenges and Opportunities
by Institute of Medicine of the National AcademiesAn ideal health care system relies on efficiently generating timely, accurate evidence to deliver on its promise of diminishing the divide between clinical practice and research. There are growing indications, however, that the current health care system and the clinical research that guides medical decisions in the United States falls far short of this vision. The process of generating medical evidence through clinical trials in the United States is expensive and lengthy, includes a number of regulatory hurdles, and is based on a limited infrastructure. The link between clinical research and medical progress is also frequently misunderstood or unsupported by both patients and providers. The focus of clinical research changes as diseases emerge and new treatments create cures for old conditions. As diseases evolve, the ultimate goal remains to speed new and improved medical treatments to patients throughout the world. To keep pace with rapidly changing health care demands, clinical research resources need to be organized and on hand to address the numerous health care questions that continually emerge. Improving the overall capacity of the clinical research enterprise will depend on ensuring that there is an adequate infrastructure in place to support the investigators who conduct research, the patients with real diseases who volunteer to participate in experimental research, and the institutions that organize and carry out the trials.To address these issues and better understand the current state of clinical research in the United States, the Institute of Medicine's (IOM) Forum on Drug Discovery, Development, and Translation held a 2-day workshop entitled Transforming Clinical Research in the United States. The workshop, summarized in this volume, laid the foundation for a broader initiative of the Forum addressing different aspects of clinical research. Future Forum plans include further examining regulatory, administrative, and structural barriers to the effective conduct of clinical research; developing a vision for a stable, continuously funded clinical research infrastructure in the United States; and considering strategies and collaborative activities to facilitate more robust public engagement in the clinical research enterprise.
Transforming Cognitive Rehabilitation: Effective Instructional Methods
by McKay Moore Sohlberg Justine Hamilton Lyn S. TurkstraGrounded in cutting-edge knowledge about cognitive function and recovery from brain injury, this practical reference and text builds on the authors' influential earlier work, Optimizing Cognitive Rehabilitation. It incorporates major advances in the field to provide a new framework for assessing patients and developing individualized rehabilitation plans. The distinguished authors present principles and procedures for promoting engagement, teaching cognitive strategies and discrete facts and routines, introducing external cognitive aids, and supporting patients' social competence. Additional topics include considerations for using computer-based training, managing functional cognitive symptoms, and providing cognitive rehabilitation in the inpatient setting. The book features detailed case illustrations and filled-out examples of 19 reproducible planning and progress monitoring forms. Blank forms can be downloaded and printed in a convenient 8 1/2" x 11" size.
Transforming Dentistry: The Rise and Near Demise of Dentistry at Western University
by David J. Kenny Shelley McKellarThe history of the dental program at Western University is a spirited and gritty story of grand visions, strong personalities, and contentious leadership. Focusing on the years from 1965 to 2015, Transforming Dentistry highlights Western University’s ambitious plans to create and situate a dental program within a health sciences complex; the practical challenges involved in implementing a curriculum and populating a new school; the influence of key dental faculty, community dentists, and students in shaping the program; and the school’s near closure during the 1990s. David J. Kenny and Shelley McKellar detail how and why the training of dentists was transformed by science, technology, and individual educators. The book focuses on the unique aspects of Western’s dental program and compares it with the programs offered at nine other Canadian schools. Today, the strong reputation of Western dentistry is a direct result of the ambitious visions, professional commitment, and steadfast leadership employed by London dentists and university educators over more than five decades.
Transforming Food Environments
by Charlotte E.L. EvansWe regularly find ourselves in food environments that promote the consumption of high fat and sugary foods rather than encouraging us to eat more fruit and vegetables. However, because of increased media attention, people are becoming more interested in alternative approaches to improving the many food-related decisions we make daily. Transforming Food Environments features evidence from several disciplines exploring initiatives that have improved food environments and discusses the importance of achieving success in equitable and sustainable ways. The book presents information on diverse food environments followed by methods that help readers become aware of the design of interventions and food policies. It covers food environments in schools, workplaces, and community centres as well as fast food establishments and food marketing. The book presents methods to help encourage better food choices and purchase of healthier foods. It explores persuasion tactics used by health professionals such as changing availability and/or price, using nudging techniques, and food labelling. Led by Editor Charlotte Evans, Associate Professor of Nutritional Epidemiology and Public Health Nutrition at the University of Leeds; and written by an international range of authors from countries including the US, Canada, Australia, New Zealand, Japan and the United Kingdom, this multidisciplinary book appeals to students, researchers, public health professionals and policy makers. It also raises awareness and provides a comprehensive treatment of the importance of our environments on food choice.
Transforming Global Health: Interdisciplinary Challenges, Perspectives, and Strategies
by Korydon H. Smith Pavani Kalluri RamThis contributed volume motivates and educates across fields about the major challenges in global health and the interdisciplinary strategies for solving them. Once the purview of public health, medicine, and nursing, global health is now an interdisciplinary endeavor that relies on expertise from anthropology to urban planning, economics to political science, geography to engineering. Scholars and practitioners in the health sciences are seeking knowledge from a wider array of fields while, simultaneously, students across majors have a growing interest in humanitarian issues and are pursuing knowledge and skills for impacting well-being across geographic and disciplinary borders. Using a highly practical approach and illustrative case studies, each chapter of this edited volume frames a particular problem and illustrates how interdisciplinary problem-solving can address the greatest challenges in global health today. In doing so, each chapter spurs critical and creative thinking about emergent and future problems. Topics explored among the chapters include: Transforming health and well-being for refugees and their communitiesGoverning to deliver safe and affordable water The global crisis of antimicrobial resistanceLow-tech, high-impact interventions to prevent neonatal mortalityCommunicating taboo health subjectsAlternative housing delivery for slum upgrades Transforming Global Health: Interdisciplinary Challenges, Perspectives, and Strategies is a vital and timely compendium for any reader invested in improving global health equity. It will find an audience with researchers, practitioners, policymakers, and program implementers, as well as undergraduate and graduate students and faculty in the fields of global health, public health, and the health sciences.
Transforming Global Health Partnerships: Critical Reflections and Visions of Equity at the Research-Practice Interface (Sustainable Development Goals Series)
by Anna Stewart Ibarra A. Desiree LaBeaudThis is a book about the human experience of conducting global health research, linked to operational responses to the control and prevention of diseases worldwide. Rather than a manual or how-to guide, we propose a roadmap and vision of equitable, sustainable, and impactful partnerships shared through a rich interweaving of voices: North and South, academics and community practitioners, senior mentors and trainees, multiple generations, and multiple disciplines. We focus on the stories that need to be told, the successes and the failures, and visions for a healthier and more compassionate future for humanity.This book was written by more than 90 authors from 26 countries, bringing diverse perspectives on global health partnerships' past, present, and future. Although many of the chapters use examples related to infectious diseases, the ideas in this book are relevant to the broader field of global health research and practice.This book is organized into three sections, broadly related to foundational concepts, present experiences (case studies), and future visions. The first section focuses on the historical colonial legacy of global health and the foundations needed for equitable partnerships, introducing key themes explored throughout the book. These include concepts related to decolonization, ethics, gender, systems approaches and transdisciplinary science, Planetary Health, One Health, team science, and communication. The book's second section draws on case studies of global health partnerships to understand where we are today in global health. Authors share their experiences responding to global health threats, including disease outbreaks, refugee health, stigma, and sexually transmitted diseases, and post-disaster community recovery. The book's third section articulates a new vision for global health partnerships to co-create a more peaceful, equitable, and loving world. This vision is urgently needed to address the challenges emerging in the context of global climate change, the COVID-19 pandemic, and other human threats. This is an open access book.
Transforming Health Care: Virginia Mason Medical Center's Pursuit of the Perfect Patient Experience
by Charles KenneyFor decades, the manufacturing industry has employed the Toyota Production System � the most powerful production method in the world � to reduce waste, improve quality, reduce defects and increase worker productivity. In 2001, Virginia Mason Medical Center, an integrated healthcare delivery system in Seattle, Washington set out to achieve its compe
Transforming Health Care Leadership
by C. Jane Norman Michael Maccoby Richard Margolies Clifford L. NormanPraise for Transforming Health Care Leadership"The authors of this book provide the necessary tools for health care leaders to build a learning organization that can make the Triple Aim a reality-better patient care, at lower per-capita cost, while learning to improve population health."-Donald M. Berwick, MD, MPP, FRCP, president emeritus and senior fellow, Institute for Healthcare Improvement; former administrator, Centers for Medicare & Medicaid Services"This book is a must for every nurse leader's library and should be a resource and tool in every graduate nursing program, particularly those who are preparing doctoral students focused on systems leadership. It is full of experiential learning, and brings leadership to life."-Alexia Green, RN, PhD, FAAN, professor and dean emeriti, Anita Thigpen Perry School of Nursing, Texas Tech University Health Sciences Center"At a time when bold changes are necessary in the delivery of health services to improve outcomes and lower costs, the authors provide both compelling reasons for change and specific case studies of how it can be done. This is an important resource for leaders at every level in every part of the health sector today. It should be required reading for all those who want to improve the performance of their part of our medical enterprise."-John Rother, president and CEO, National Coalition on Health Care"Transforming Health Care Leadership is a well-constructed guide to transforming health care by creating transformational leadership. Anyone serious about improving health care-who has hope that we can actually succeed at making things better for our patients and communities while practicing good financial stewardship-needs to read this book."-Tony Joseph, MD, founder, The Healthcare Accreditation Colloquium
Transforming Health Care Scheduling and Access: Getting to Now
by Gary KaplanAccording to "Transforming Health Care Scheduling and Access," long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource - highly trained personnel - inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. "Transforming Health Care Scheduling and Access" identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.
Transforming Health Care Through Information: Case Studies
by Laura Einbinder Nancy M. Lorenzi Jonathan Einbinder Joan Ash Cynthia S. GaddWith the growth of information and focus on Healthcare Informatics, there remains an interest in case studies. In the current field of Health Informatics there is no text that uses case studies to explain the difficulties that occur. . Edited by specialists in the field of Health Informatics, the third edition of Transforming Healthcare Through Information: Case Studies builds upon the specific examples of case studies to exemplify the various phases of introducing technological advancements into healthcare institutions. The new edition includes a section on how to implement Link2care, a system that will allow caregivers of ill patients, to seek reliable and informative online information and support. In addition the cases will be framed under new sections with discussion on new topics in the area of healthcare technology such as quality data management and knowledge management. The case studies described in the third edition will benefit not only the practicing professional but also the instructor and student studying in the field of health informatics.
Transforming Health Markets in Asia and Africa: Improving Quality and Access for the Poor (Pathways to Sustainability)
by David Peters Gerald Bloom Barun Kanjilal Henry LucasThere has been a dramatic spread of health markets in much of Asia and Africa over the past couple of decades. This has substantially increased the availability of health-related goods and services in all but the most remote localities, but it has created problems with safety, efficiency and cost. The effort to bring order to these chaotic markets is almost certain to become one of the greatest challenges in global health. This book documents the problems associated with unregulated health markets and presents innovative approaches that have emerged to address them. It outlines a framework that researchers, policy makers and social entrepreneurs can use to analyse health market systems and assess the likely outcome of alternative interventions. The book presents a new way of understanding highly marketised health systems, applies this understanding to an analysis of health markets in countries across Asia and Africa and identifies some of the major new developments for making these markets perform better in meeting the needs of the poor. It argues that it is time to move beyond ideological debates about the roles of public and private sectors in an ideal health system and focus more on understanding the operation of these markets and developing practical strategies for improving their performance. This book is ideal reading for researchers and students in public health, development studies, public policy and administration, health economics, medical anthropology, and science and technology studies. It is also a valuable resource for policy makers, social entrepreneurs, and planners and managers in public and private sector health systems, including pharmaceutical companies, aid agencies, NGOs and international organisations.
Transforming Healthcare: An Insider's Look on Why and How
by Morey MenackerA startlingly insightful discussion of the problems facing American health care providers and consumers and their solutions In Transforming Health Care, expert physician Dr. Morey Menacker explains how the United States can contain the world’s leading collection of superlative health care practitioners, technologies, treatments, research, education, and hospitals while simultaneously failing to provide care to many of its citizens. The author walks you through the past, present, and future of American health care, showing you how the United States got to its present state and offering practical solutions to improving access and affordability for millions of people. In the book, you’ll find: Insightful commentary about how to maintain the stellar quality of care found in the United States while expanding health care affordability and access Discussions of how to reduce the cost and complexity of US health care Explorations of the latest research and data as seen through the eyes of a physician who has spent their entire career working in the American medical systemA can’t-miss resource for US-based physicians and allied health care professionals, Transforming Health Care will also earn a place on the bookshelves of regulators, administrators, and lawmakers with an interest in the American health care establishment.
Transforming Healthcare Sector Through Artificial Intelligence and Environmental Sustainability (Approaches to Global Sustainability, Markets, and Governance)
by Rubee Singh Wasswa Shafik David Crowther Vikas KumarThis book explores the intersection of artificial intelligence (AI) and sustainability in healthcare, focusing on how AI technologies are transforming medical practices while promoting environmentally responsible operations. It examines how AI-driven tools like machine learning and data analysis enhance diagnostic accuracy, streamline treatment planning, and personalize patient care by analysing large datasets, including genetic information. Additionally, the book addresses how AI can support sustainable healthcare practices by optimizing resource usage, such as energy consumption in hospitals, and improving supply chain management to reduce environmental impact. Practical case studies demonstrate how these technologies are being implemented to improve patient outcomes and achieve sustainability goals. The book considers the integration of AI into human resource management within healthcare, discussing AI's role in recruitment, performance management, and employee retention aligned with sustainability objectives. Ethical and regulatory issues surrounding AI adoption, such as data privacy and algorithmic transparency, are thoroughly examined, with an emphasis on creating responsible and equitable AI systems. Designed for healthcare professionals and administrators, this book provides practical strategies and real-world examples of AI implementation in sustainable healthcare, offering a balanced view of the opportunities and challenges ahead.
Transforming Healthcare Through Information Systems
by Doug Vogel Xitong Guo Henry Linger Chris Barry Michael Lang Christoph SchneiderThis book introduces ongoingreflections within the research community on established information systemsdevelopment topics and emerging concepts, approaches and ideas in the field ofhealthcare information systems. By promoting research on theoretical andmethodological issues related to both information systems development ingeneral and healthcare information systems in particular, it presents currentresearch in order to promote improved practice. It comprises a selection of thebest papers presented at the 24th International Conference on InformationSystems Development (ISD) held in Harbin, China, August 25 - 27, 2015.
Transforming Healthcare with DevOps: A practical DevOps4Care guide to embracing the complexity of digital transformation
by Jeroen Mulder Henry MulderLeverage modern technologies and agile methodologies such as DevOps and microenterprises to deliver sustainable healthcare solutions.Purchase of the print or kindle book includes a free eBook in the PDF format.Key FeaturesDistinguish the pace and time of change to achieve sustainable healthcareApply shared mental models for common understanding of healthcare challenges and how to overcome themApply and integrate new technology to accelerate the digital transformation of healthcareBook DescriptionHealthcare today faces a multitude of challenges, which can be summed up as the barriers architects and consultants face in transforming the healthcare system into a more sustainable one. This book helps you to guide that transformation step by step.You'll begin by understanding the need for this transformation, exploring related challenges, the possibilities of technology, and how human factors can be involved in digital transformation. The book will enable you to overcome inhibitions and plan various transformation steps using the Transformation into Sustainable Healthcare (TiSH) model and DevOps4Care. Next, you'll use the observe, orient, decide, and act (OODA) loop as an iterative approach to address all stakeholders and adapt swiftly when situations change. Further, you'll be able to build shared platforms that enable interaction between various stakeholders, including the technology-enabled care service teams. The final chapters will help you execute the transformation to sustainable healthcare using the knowledge you've gained while getting familiar with common pitfalls and learning how to avoid or mitigate them.By the end of this DevOps book, you will have an overview of the challenges, opportunities, and directions of solutions and be on your way toward starting the transformation into sustainable healthcare.What you will learnUnderstand the need for transformation of healthcareAccelerate transformation using the TiSH modelGet to grips with stepped, networked, and integrated careApply DevOps methodologies for healthcare in DevOps4CareFind out how to handle complexities through the system of systems thinkingBundle and unbundle organizations for the delivery of true patient-centric healthcareWho this book is forThis book is written specifically for enterprise architects and management consultants dealing with transformation in healthcare. Professionals dealing with digital transformation of healthcare, including C-level executives such as chief medical information officers (CMIOs), CEOs, CIOs, and CFOs will also find this book interesting. Basic knowledge of IT systems and architecture will help you grasp the concepts easily.
Transforming Healthcare with Qualitative Research (Routledge Studies in Research Methods for Health and Social Welfare)
by Frances Rapport Jeffrey BraithwaiteDrawing on the knowledge and experiences of world-renowned scientists and healthcare professionals, this important book brings together academic, medical and health systems accounts of the impact of applying qualitative research methods to transform healthcare behaviours, systems and services. It demonstrates the translation of tried-and-tested and new interventions into high-quality care delivery, improved patient pathways, and enhanced systems management. It melds social theory, health systems analysis and research methods to address real-life healthcare issues in a rich and realistic fashion. The systems and services examined include those affecting patient care and patient and professional wellbeing, and the roles and responsibilities of people providing and receiving care. Some chapters delve deeply into the human psyche, examining the very private face of health and illness. Others concentrate on public health and how people’s needs can be met through health promotion and new investments. From real-time case studies to narratives on illness to theories of change, there is something here for everybody. Transforming health systems needs ingenuity – and the drive of individuals, the staying power of systems and above all the involvement of patients. Full of novel ideas and innovative solutions from around the world, all underpinned by qualitative methods and methodologies, this book is a key contribution for advanced students, practitioners and academics interested in health services research, research methods and the sociology of health and illness.
Transforming Leadership, Improving the Patient Experience: Communication Strategies for Driving Patient Satisfaction
by Alan T. Belasen, Ph.D. Barry Eisenberg, Ph.D. Jill Borgos, Ph.D.This book focuses on the patient experience as a leadership strategy. It explores the relationships between coordinated care, expert leadership, provider-patient communications, and the patient experience. When clinical and nonclinical staff collaborate effectively, healthcare teams can improve patient outcomes, prevent medical errors, improve efficiency, and increase patient satisfaction. Surprisingly, however, healthcare leaders tend to prioritize specific metrics to improve hospital performance and patient satisfaction even though patient experience and provider-patient communications are intertwined. Determining the most effective strategy for achieving higher levels of service quality and patient satisfaction can prove elusive for providers. Consider the evidence: a survey in 2012 of more than 17,000 healthcare leaders in North America, for example, found that leaders’ perceptions did not always match the data, and many hospital leaders overestimated the performance of their hospitals. Over 75% of the hospital leaders reported "quality of care" was something their hospital did well, while their patients, on average, rated them lower on perceived service quality. Ten years later, in 2022, only a few providers integrated best practices to achieve high patient satisfaction which severely impacted CMS Hospital Star Rating. This has significant effects on profit margins since patients consider the star rating differentials in their choices of hospitals and are willing to pay upward of 17% extra for treatments in 5-star hospitals, a revenue generating source of income at times when hospitals have seen falling revenues (down 4.8%) and rising labor (up 37%) from pre-COVID-19 pandemic levels. To reduce the gap between perception and reality, hospital leaders can consider the link between communication goals (e.g., responsiveness of hospital staff, pain management, communication about medicines) and outcomes (e.g., increased adherence and compliance, readmission, healthcare delivery costs, hospital overall ratings) as well as improve the patient experience. When intentions and outcomes are aligned, they create a powerful medium by which healthcare leaders can evaluate the gaps that exist between patient care measures and best practices and mitigate organizational or technological factors relevant to improving the patient experience. When the alignment is optimal, care teams develop a better sense of shared purpose, become more committed and accountable, and work together to improve the patient experience. When accomplished, patients participate more fully and actively in the exchange and are discharged with an enhanced commitment to carry out care management requirements. Key topics in this practical guide include provider-patient communications; demonstrating the value of patient-focused care; how physician and nurse executives use synergy as a strategy; engaging board members in promoting quality and safety goals and in developing hospital community partnerships; building bridges between physicians, administrators, trustees, and hospital staff; and developing a leadership pipeline.
Transforming Medical Education: Historical Case Studies of Teaching, Learning, and Belonging in Medicine (McGill-Queen's/Associated Medical Services Studies in the History of Medicine, Health, and Society)
by Delia Gavrus and Susan LambIn recent decades, researchers have studied the cultures of medicine and the ways in which context and identity shape both individual experiences and structural barriers in medical education. The essays in this collection offer new insights into the deep histories of these processes, across time and around the globe.Transforming Medical Education compiles twenty-one historical case studies that foreground processes of learning, teaching, and defining medical communities in educational contexts. The chapters are organized around the themes of knowledge transmission, social justice, identity, pedagogy, and the surprising affinities between medical and historical practice. By juxtaposing original research on diverse geographies and eras – from medieval Japan to twentieth-century Canada, and from colonial Cameroon to early Republican China – the volume disrupts traditional historiographies of medical education by making room for schools of medicine for revolutionaries, digital cadavers, emotional medical students, and the world’s first mandatory Indigenous community placement in an accredited medical curriculum. This unique collection of international scholarship honours historian, physician, and professor Jacalyn Duffin for her outstanding contributions to the history of medicine and medical education.An invaluable scholarly resource and teaching tool, Transforming Medical Education offers a provocative study of what it means to teach, learn, and belong in medicine.
Transforming Medical Education for the 21st Century: Megatrends, Priorities and Change
by George R. LueddekeDrawing on key international reports and input from leading healthcare practitioners and educators worldwide, this ground-breaking book closely examines the real issues facing medicine and medical education. With a wide-ranging, evidence-based approach, the author identifies key drivers of change in both the developing and developed world.He examin
Transforming Mental Healthcare: Applying Performance Improvement Methods to Mental Healthcare
by Sunil Khushalani Antonio DePaoloOne in five U.S. adults experiences a mental illness within a given year. With more than 550,000 people working to support this underserved community, the mental healthcare system has grappled with inadequacies and shortcomings in safety, quality, and care delivery. There is a wide range of problems, from access-to-care issues and errors, to complications stemming from poor care. Our country is also on an unsustainable path as our healthcare expenditure keeps growing. To add to all of this, we are facing a rampant epidemic of burnout among healthcare workers. Modern advancements introduced with many promises—such as electronic medical records, newer medications, or advanced treatments—have created unique challenges when ushered into a highly regulated healthcare system. What does it take to provide patients with everything they need—the right quality of care, at the right time, and at the right cost—to keep them healthy? Which process steps add value? Which steps are wasteful? A widely accepted fact is that a conservative 30-50% of every step in the mental healthcare process does not help patients feel better or stay better. When considering delays in care, workarounds, excessive documentation, and an overuse of auditing, the care system has moved highly skilled clinicians away from providing value, as administrative tasks continue to encroach on their time. There is a clear need to rethink and redesign the system of care. This book is a primer for understanding the current state of the mental health system and the performance improvement skills and leadership acumen needed to address existing challenges. Sheppard Pratt, the award-winning, leading institution for mental healthcare in America, provided the focus on mental healthcare and became the laboratory for this body of work over the course of eight years. It hired a seasoned systems thinker with improvement expertise to work with mental health professionals and solve some of their most complex and chronic problems. The book is a result of the collaboration between a practicing psychiatrist in a leadership role and the systems engineer. Working together, they demonstrate how to think about redesigning care and redefining the nature of work to enhance value for both the people served and the healthcare workforce. They crafted a multi-pronged approach towards culture change at Sheppard Pratt, including implementing a course on "Learning to Improve," which introduced staff to a performance improvement methodology. There are several vignettes interwoven throughout the book that describe the complexities and constraints of the system. Solving some of these challenges creates a new paradigm of work while minimizing waste and enhancing value.