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Our nation's capacity to care is becoming increasingly stressed as an aging and increasingly unhealthy population collides with a relative reduction in the numbers of clinicians and ever-tightening financial resources. If even the mildest of future-state predictions are to be believed, we need a significant restructuring of our entire healthcare system and its total Capacity to Care, such that we can simultaneously improve care capacity, cost, quality, accessibility, and resource gratification. Optimizing Your Capacity to Care: A Systems Approach to Hospital and Population Health Management provides comprehensive guidance to a new way to optimize and manage community-wide Care Capacity via a unique, holistic approach to healthcare operations. Through clear examples and actual project results, the book demonstrates the outcomes of a systems-level way of thinking about a community's Capacity to Care that incorporates and integrates the full spectrum of available clinical and communal resources into the care of patients, including hospitals, physicians, emergency departments, surgical services, local churches, civic organizations, pharmacies, and volunteers. The book details operational models for each major department of the hospital and a fully integrated communal resource pool to demonstrate how the optimization of capacity, resource utilization, cost, and clinical outcomes can be attained. And by providing healthcare leaders with a deeper understanding of key elements missing from the most common process improvement methodologies and approaches, this book offers fresh perspectives and bold alternatives for hospitals, health systems, and entire communities.
While hospitals can learn from other industries, they cannot be improved or run like factories. With work that is more individualized than standardized, and limited control over volume and arrivals, even the leanest-minded hospital must recognize that healthcare systems are more dynamic than nearly any work environment. Written with the creativity needed to navigate the rapidly changing landscape of healthcare, Dynamic Capacity Management for Healthcare: Advanced Methods and Tools for Optimization presents the unique new tools, methodologies, and thinking required of healthcare systems that want to survive and thrive in a reduced reimbursement, higher-cost world. Demonstrating his approaches and recommendations through case studies specific to the complex issues of healthcare delivery, Pierce Story, a long-time and passionate healthcare operations expert, shows how hospitals and health systems can make leaps in performance in an environment in which both financial and human resources are shrinking as expectations for clinical perfection continue to rise. Through its unique approach to the dynamic management of complex care systems, this volume raises the bar for what is possible. This text presents an excellent opportunity for healthcare’s change agents to meet the challenges and responsibilities of our day.
Across the country ambulances are turned away from emergency departments (EDs) and patients are waiting hours and sometimes days to be admitted to a hospital room. Hospitals are finding it hard to get specialist physicians to come to treat emergency patients. Our EDs demand a new way of thinking. They are not at a tipping point; they are at a breaking point. Under current loads and trends they are going to begin to break and these breakdowns will be painful and ultimately dangerous to society. Recognizing that the ideal in health care is presently beyond our immediate grasp, this book instead focuses on providing health care leaders with the tools they can employ to optimize the performance of EDs and thereby improve service to patients, employees, and communities. Written by 20 of the most progressive and successful health care reformers in the country, the approaches described can be utilized to quantify improvements, enhance predictability of workflow, and improve staff scheduling. The data derived using these techniques can serve as powerful evidence in support of change. While a common discussion among ED professionals is the perception that many patients are not really emergency patients and could be treated in another setting at another time, that argument is not germane until we as a nation elect to reform the way we chose to deliver healthcare to the underserviced. In the meantime this book provides invalauable information to help individual hospitals to retool their ED’s. It offers new approaches that think outside of the box for all stakeholders. It also provides the statistical evidence that administrators need to make their cases for changes and added resources. It will help you forecast the demand for services and give your center an approach that will allow the ED to become a source of income rather than one that continues to hemorrhage needed limited health care funding.
Drawing on the expertise of decision-making professionals, leaders, and managers in health care organizations, Hospitals & Health Care Organizations: Management Strategies, Operational Techniques, Tools, Templates, and Case Studies addresses decreasing revenues, increasing costs, and growing consumer expectations in today‘s increasingly competi
"Over 10 percent of children in the United States receive special education, yet many families are unaware of the extensive help available through the Individuals with Disabilities Education Act (IDEA), most of which is free of charge. Optimizing Special Education explains clearly what parents can expect from special services, mainstreaming, due process procedures, and laws such as the Americans with Disabilities Act (ADA) and the Buckley Amendment. Nancy O. Wilson, a recognized authority on families with special-needs children, shows parents and caregivers how to use education laws to increase related services, such a speech and physical therapy, how to change education to suit a child's unique needs, and strategies to improve a student's vocational options." "Parents new to special education, as well as more experienced individuals, will learn techniques for raising a learning-disabled child, in particular: participating in planning a child's individualized education program (IEP); finding effective services for children who do not qualify for special education; keeping track of test results and school records; strengthening a child's social skills for eventual mainstreaming into society; developing ideas for school conferences; maintaining satisfactory parent-professional partnerships from early intervention to vocational training; increasing benefits for special-needs children in "special" and integrated settings; and recognizing and addressing problems of young adults with learning disabilities." "In addition, this impressive resource includes a sample IEP, a list of helpful books and periodicals, agencies, support groups, and a glossary of educational terms." "Along with offering poignant personal anecdotes about rearing her own special-needs child, the compelling experiences of other parents, and input from professionals in the field, Ms. Wilson explores the sensitive family feelings that arise when interacting with service providers and educators in order to form meaningful partnerships on behalf of the child. She offers a balanced view of professional practices that strengthen parents as their child moves from early services toward independence. Parents can take one step, one day at a time, to ensure their child receives services directed to his abilities and future prospects; in the words of the author, "You are the expert about your child. No one can be the catalyst for educational change as successfully as you."" "This outstanding, comprehensive, fact-filled sourcebook will be invaluable for parents, as well as professionals in the health, mental health, and educational fields."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved
Now revised and updated, the comprehensive program for restoring vitality, sexuality, and health using natural hormones—just the ones each individual woman needs, and just the amount she needs. The decision of whether or not to use hormone replacement therapy (HRT) during menopause is perhaps more controversial—and more confusing—than ever before. The HRT Solution provides a balanced discussion of the issues and, most important, offers a choice that goes beyond "yes" or "no." The authors explain the shortcomings of the conventional, "cookie-cutter" approach to HRT, which gives women standardized amounts of synthetic hormone substitutes or animal-derived hormone products. Instead, they recommend a program designed to meet each woman's particular needs. Their approach emphasizes the importance of testing and ongoing monitoring to determine precisely which hormones a woman may want to supplement. The solution lies in the prescription of individualized doses of custom-made natural hormones—exact matches for the ones a woman's body produces. The HRT Solution makes it possible for each woman to maintain a hormonal balance that is optimal for her body and her well-being, without the unpleasant side effects and potential for long-term health problems associated with conventional HRT.
Oracle system performance inefficiencies often go undetected for months or even years--even under intense scrutiny--because traditional Oracle performance analysis methods and tools are fundamentally flawed. They're unreliable and inefficient.Oracle DBAs and developers are all too familiar with the outlay of time and resources, blown budgets, missed deadlines, and marginally effective performance fiddling that is commonplace with traditional methods of Oracle performance tuning. In this crucial book, Cary Millsap, former VP of Oracle's System Performance Group, clearly and concisely explains how to use Oracle's response time statistics to diagnose and repair performance problems. Cary also shows how "queueing theory" can be applied to response time statistics to predict the impact of upgrades and other system changes.Optimizing Oracle Performance eliminates the time-consuming, trial-and-error guesswork inherent in most conventional approaches to tuning. You can determine exactly where a system's performance problem is, and with equal importance, where it is not, in just a few minutes--even if the problem is several years old.Optimizing Oracle Performance cuts a path through the complexity of current tuning methods, and streamlines an approach that focuses on optimization techniques that any DBA can use quickly and successfully to make noticeable--even dramatic--improvements.For example, the one thing database users care most about is response time. Naturally, DBAs focus much of their time and effort towards improving response time. But it is entirely too easy to spend hundreds of hours to improve important system metrics such as hit ratios, average latencies, and wait times, only to find users are unable to perceive the difference. And an expensive hardware upgrade may not help either.It doesn't have to be that way. Technological advances have added impact, efficiency, measurability, predictive capacity, reliability, speed, and practicality to the science of Oracle performance optimization. Optimizing Oracle Performance shows you how to slash the frustration and expense associated with unraveling the true root cause of any type of performance problem, and reliably predict future performance.The price of this essential book will be paid back in hours saved the first time its methods are used.
This is the most complete book available on performance optimization--featuring coverage of UNIX, networking (TCP/IP), hardware architecture, and program optimization--all in one volume. Covers performance basics; understanding UNIX; BSD instrumentation; System V instrumentation; system tuning; optimizing user programs written in high-level languages; and making accurate measurements. Explains in detail the output from each command--along with "real-life" rules of thumb on what value is "good" and what is not. For System Administrators, application programmers, MIS managers, and general users of UNIX systems who are interested in learning about and/or optimizing the performance of their UNIX system and networks.
Many organizations have invested in the skills and structures of change, but have forgotten the more intangible quality of spirit. As a result, their changes have been short-lived, their adaptability slow, and their ability to move to the "next level" nonexistent. The absence of spirit (even with all the right skills and structures) has prevented these organizations from developing a self-motivated desire to change for the common good. Indeed, the absence of spirit has led to abject resistance to change.
The leading reference and text on the increasingly relevant and important topic of caring for underserved patients and those with highly unique health requirements The timely publication of Medical Management of Vulnerable and Underserved Patients: Principles, Practice and Populations, Second Edition is designed to clarify current issues and instruct you in best practices and compliance with legislation, such as the Affordable Care Act, when caring for patients living with chronic diseases in poor and minority populations. How do these laws affect you, your practice, and patient care? Medical Management of Vulnerable and Underserved Patients is ideally suited for clinical and educational programs and policy-oriented institutions concerned with addressing health disparities and caring for the underserved and vulnerable patient. Comprehensive in scope and authored by many of the leading names in the field, the book takes complex concepts and issues and helps you understand them, resulting in a “roadmap” to guide real-world applications and compliance with the terms of the law. Each chapter integrates key concepts, core competencies, and common pitfalls and concludes with useful lists of web resources and stimulating discussion questions. From the reviews of the First Edition: "This book is an ambitious and important contribution to the care of our most wounded patients. For those of us who regularly care for vulnerable patients, it provides an excellent resource and supportive guide. However, it should also become part of the standard library for all medical students and practicing physicians. All physicians have much to learn from the practical, evidence-based approaches to the societal issues we all face in practice. Ultimately, this is a book that could help all clinicians take better care of all patients, especially those who may need extra help and support as they navigate our complex health care system." -- New England Journal of Medicine The Second Edition features: Fully revised to reflect passage and impact of the Affordable Care Act on care of underserved patients Expanded with major new chapters, from Health Quality to Rural Healthcare, and additional content relevant to nursing Focused on evidence-based practice with a patient-centered approach Full color format Boxed main points and Practical "Pearls,” such as how to write a disability letter PowerPoint slides and question sets, exercises, and cases to aid instruction
Microsoft Office 2007 is a major upgrade from the last version of Office; Access will also be greatly revised. Alison Balter is the name that Access developers will trust to guide them through Access 2007's new features. She has the rare ability to take complex topics and explain them clearly, as shown by the success of her ten previous books on Access. Balter is known for providing real-world solutions to specific Access development problems. She also is known for her ability to back up her practical examples with just enough underlying theory to give the reader a good overall understanding of Access. In short, this book will provide beginning and intermediate Access developers with everything that they need to know to design and build Access 2007 applications. It should also appeal to DBAs and power users who want or need to get started building custom Access apps. This latest book in her Mastering Access series will not disappoint her many fans who anxiously await each new version, and should win her new fans as well.

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