Health systems and services Books

Book SynopsisBy exploring the impact of different dimensions of governance on decision-making, this book argues that governance and population health are inextricably linked. Relevant to students, practitioners, policy-makers and anyone interested in governance and decision-making for public health.Trade Review"This book is an excellent guide to understanding the complexities and interconnections of governance, commissioning and public health in the context of recent public health policy in the English NHS and local government." David Evans, Professor in Health Services Research, University of the West of England"A resource for all public health graduates and practitioners who are or will be working in the public health sector." Dr Krishna Regmi, University of BedfordshireTable of ContentsIntroduction; Dimensions of governance; Commissioning for health and wellbeing; Levers for change (1): governance arrangements; Levers for change (2): incentives; Prioritising public health investment; Public involvement in commissioning; Conclusions.

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Book SynopsisThe international contributors to this unique collection demonstrate the significance of care ethics as a transformative way of thinking across diverse geographical, policy and interpersonal contexts.Trade Review"An exciting collection of new, cutting-edge research on care ethics that is theoretically-rich, provocative and timely." Dr. Fiona Robinson, Carleton University, Canada"This text engages with some of the most challenging issues relating to care in diverse political and practice contexts through the lens of ethics of care. Contributors from different cultural contexts and disciplines make this a valuable addition to a growing body of scholarship critically examining political and philosophical perspectives on care." Ann Gallagher, University of SurreyTable of ContentsSection One: Conceptual and Theoretical Developments; Introduction: the critical significance of care ~ Marian Barnes, Tula Brannelly, Lizzie Ward, Nicki Ward; Democratic Caring and Global Care Responsibilities ~ Joan C. Tronto; Beyond the dyad: exploring the multidimensionality of care ~ Marian Barnes; Caring for ourselves? Self-care neo-liberalism ~ Lizzie Ward; Care Ethics, Intersectionality and Post Structuralism ~ Nicki Ward; Care ethics and indigenous values –political, personal and tribal ~ Amohia Boulton and Tula Brannelly; Privilege and responsibility in the South African context ~ Vivienne Bozalek; Empathy in pursuit of a caring ethic in International development ~ Diego de Merich; Section two: Care Ethics in Practice; Exploring possibilities in telecare for aging societies ~ Ingunn Moser and Hilde Thygesen; Paradoxical constructions in Danish elderly care ~ Anne Liveng; Contours of matriarchy in care for people living with AIDS ~ Anke Niehof; HIV care and interdependent in Tanzania and Uganda ~ Ruth Evans and Agnes Atim; Reciprocity and Mutuality: people with learning disabilities as carers ~ Nicki Ward; People with Intellectual Disabilities (visually) re-imagine care ~ Anne Fudge Schormans; Care ethics and physical restraint in residential child care ~ Laura Steckley; Care for Carers: Care in the Context of Medical Migration ~ Elena Teadora Manea; Mental health service use and the ethics of care: in pursuit of justice ~ Tula Brannelly; Conclusion: Renewal and transformation – the importance of an ethics of care ~ Marian Barnes, Tula Brannelly, Lizzie Ward, Nicki Ward.

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Book SynopsisThe international contributors to this unique collection demonstrate the significance of care ethics as a transformative way of thinking across diverse geographical, policy and interpersonal contexts.Trade Review"An exciting collection of new, cutting-edge research on care ethics that is theoretically-rich, provocative and timely." Dr. Fiona Robinson, Carleton University, Canada"This text engages with some of the most challenging issues relating to care in diverse political and practice contexts through the lens of ethics of care. Contributors from different cultural contexts and disciplines make this a valuable addition to a growing body of scholarship critically examining political and philosophical perspectives on care." Ann Gallagher, University of SurreyTable of ContentsSection One: Conceptual and Theoretical Developments; Introduction: the critical significance of care ~ Marian Barnes, Tula Brannelly, Lizzie Ward, Nicki Ward; Democratic Caring and Global Care Responsibilities ~ Joan C. Tronto; Beyond the dyad: exploring the multidimensionality of care ~ Marian Barnes; Caring for ourselves? Self-care neo-liberalism ~ Lizzie Ward; Care Ethics, Intersectionality and Post Structuralism ~ Nicki Ward; Care ethics and indigenous values –political, personal and tribal ~ Amohia Boulton and Tula Brannelly; Privilege and responsibility in the South African context ~ Vivienne Bozalek; Empathy in pursuit of a caring ethic in International development ~ Diego de Merich; Section two: Care Ethics in Practice; Exploring possibilities in telecare for aging societies ~ Ingunn Moser and Hilde Thygesen; Paradoxical constructions in Danish elderly care ~ Anne Liveng; Contours of matriarchy in care for people living with AIDS ~ Anke Niehof; HIV care and interdependent in Tanzania and Uganda ~ Ruth Evans and Agnes Atim; Reciprocity and Mutuality: people with learning disabilities as carers ~ Nicki Ward; People with Intellectual Disabilities (visually) re-imagine care ~ Anne Fudge Schormans; Care ethics and physical restraint in residential child care ~ Laura Steckley; Care for Carers: Care in the Context of Medical Migration ~ Elena Teadora Manea; Mental health service use and the ethics of care: in pursuit of justice ~ Tula Brannelly; Conclusion: Renewal and transformation – the importance of an ethics of care ~ Marian Barnes, Tula Brannelly, Lizzie Ward, Nicki Ward.

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Book SynopsisWhat size is 'just right' for a care provider? This book explores size as an independent variable in care services, comparing outcomes and value for money across micro, small, medium and large organisations.Trade Review"A well-researched contribution by leading experts in this subject. Essential reading for policy professionals, providers of social care and the growing social and micro-enterprise community." Alex Murdock, Professor Emeritus, London South Bank UniversityTable of ContentsIntroduction: what size is `just right’ for a care provider?; Why study size?; Enterprise and care; Methods for co-productive research; What it means to be micro; Micro-enterprises: better outcomes at a lower cost; Enacting personalisation on a micro scale; Micro innovation: what, how and who?; How micro-enterprise performs; Sustainability: are micro-enterprises built to last?; Conclusion: scaling down?; Appendix 1: Site one interview schedule; Appendix 2: Adapted ASCOT tool; Appendix 3: Developing the innovation theme codes.

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Book SynopsisWhat size is 'just right' for a care provider? This book explores size as an independent variable in care services, comparing outcomes and value for money across micro, small, medium and large organisations.Trade Review"A well-researched contribution by leading experts in this subject. Essential reading for policy professionals, providers of social care and the growing social and micro-enterprise community." Alex Murdock, Professor Emeritus, London South Bank UniversityTable of ContentsIntroduction: what size is ‘just right’ for a care provider?; Why study size?; Enterprise and care; Methods for co-productive research; What it means to be micro; Micro-enterprises: better outcomes at a lower cost; Enacting personalisation on a micro scale; Micro innovation: what, how and who?; How micro-enterprise performs; Sustainability: are micro-enterprises built to last?; Conclusion: scaling down?; Appendix 1: Site one interview schedule; Appendix 2: Adapted ASCOT tool; Appendix 3: Developing the innovation theme codes.

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Book SynopsisLearning from professional errors in social work is vital for successful reflective practice. With plenty of practice examples and questions for reflection, this is essential reading for social work students, practitioners and managers.Trade Review"an engaging book...which should stand alongside other key texts on any reflective practice course." The British Journal of Social Work"raises some important issues...an interesting read." Professional Social Work Magazine"A valuable exploration of mistakes as a rich source of learning to enhance the intellectual abilities needed for contemporary practice." Jane Foggin, Sheffield Hallam University"Books on social work seldom address what can be learned from the inevitable mistakes that all professionals make in their careers. Dr. Sicora courageously confronts this issue with his remarkable book." Jack Wall, San José State UniversityTable of ContentsIntroduction; The never-ending cycle of reflective practice; What is a mistake in social work?; Risks, responsibilities and opportunities from mistakes in social work; Questions and narratives: basic tools for enhancing learning from professional mistakes; Feedback and other tools for learning together from mistakes in organisations.

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Book SynopsisFocusing on research representing different types of European welfare states, including the Scandinavian and the Continental, this collection provides new insights about current welfare professions.Trade Review"The book offers a timely and thought-provoking analysis of social welfare professions in transition across Europe. Highly recommended." Professor Hannele Forsberg, School of Social Sciences and Humanities, University of Tampere, FinlandTable of ContentsPreface ~ Björn Blom, Lars Evertsson & Marek Perlinski; European social and caring professions in transition ~ Björn Blom, Lars Evertsson & Marek Perlinski; Part 1. Knowledge, reflection and identity in the social and caring welfare professions; The impact of education on professional identity ~ Kåre Heggen & Lars Inge Terum; The Construction of Professional Identity in Social Work; Experience, Analytical Reflection and Time ~ Linda Bell, Maria Appel Nissen & Jorunn Vindegg; Professional supervision and professional autonomy ~ Synnöve Karvinen-Niinikoski, Liz Beddoe, Gillian Ruch & Ming-sum Tsui Part 2. Control, regulation and management; Reconfiguring Professional Autonomy? The case of social work in the UK ~ John Chandler, Elisabeth Berg, Marion Ellison & Jim Barry; Auditing and Accountability ~ Anders Hanberger, Lena Lindgren & Lennart Nygren; State regulation of the social work profession: an example from Poland ~ Kazimiera Wódz & Krystyna Faliszek; Part 3. Collaboration, conflict and competition; Professional boundary crossing and inter-professional knowledge development ~ Ilse Julkunen & Elisabeth Willumsen; The formation of a profession: The case of physiotherapy in Norway ~ Eline Thornquist & Hildur Kalman; The professional development of social work in Poland after 1989 ~ Sabina Pawlas-Czyz, Lars Evertsson & Marek Perlinski; Professional dilemmas of defining a problem: The case of addiction treatment ~ Joakim Isaksson & Daniel Törnqvist; Challenges of municipal community work ~ Witold Mandrysz, Marek Perlinski & Lars Evertsson; Part 4. Assessment, negotiation and decision-making; On the unnoticed aspects of professional practice ~ Rasmus Antoft, Kjeld Høgsbro, Maria Appel Nissen & Søren Peter Olesen; Can complexity in welfare professionals’ work be handled with standardised professional knowledge? ~ Lars Evertsson, Björn Blom, Marek Perlinski & Devin Rexvid; Who is viewed as a client by social workers and general practitioners? ~ Devin Rexvid; Activation work as professional practice: complexities and professional boundaries at the street level of employment policy implementation ~ Urban Nothdurfter & Søren Peter Olesen; Social and caring professions in European welfare states: trends and challenges ~ Marek Perlinski, Björn Blom & Lars Evertsson;

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Book SynopsisAn essential resource for students, this bestselling textbook includes the latest research findings and contains more tools, frameworks and international examples of best practice to aid practitioners to more effectively evaluate partnerships.Trade Review"This book is of great value for practical professionals working with other agencies....well written." International Journal for Integrated Care, Vol 8, 2008."provides a sound foundation for consideration of how to untangle the complex web of factors involved in the evaluation of outcomes and partnership working" Medical History"This volume offers a lifeline for those grappling with the complexities of partnership working and its consequences. Strongly informed by the available evidence, it provides a refreshingly sober and accessible appraisal of different types of outcomes and the range of evaluative approaches through which they can be captured." Alison Petch, Director, Research in Practice for Adults“A welcome revised edition of a book that is apt and timely in the current policy climate. The authors' critical edge will be helpful to evaluators but also policy-makers, practitioners and managers.” Jill Manthorpe, King's College LondonTable of ContentsIntroduction; What are evaluation and outcomes and why does they matter?; What does research tell us?; Hot topics and emerging issues; Useful frameworks and concepts; Recommendations for policy and practice.

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Book SynopsisA thorough introduction to IPE in health and social care for students. This second edition includes updates to research and policy contexts and provides an essential set of IPE `do's and don'ts'.Trade Review"(Carpenter and Dickinson) provide an introduction grounded in experience, evidence and scholarship with helpful pointers to dependable sources for further reading." International Journal of Integrated Care, Vol 8, 2008."Never has there been a more pressing need for a succinct, accessible and dependable guide to interprofessional education. John Carpenter and Helen Dickinson respond. Practical throughout, their cogent critique builds on best practice, reinforced by emerging evidence and theory, as they challenge their reader to be no less rigorous in reviewing their performance in commissioning, designing, delivering and evaluating interprofessional education programmes. Well reasoned recommendations focus on much yet to be done." Hugh Barr, President, CAIPE (The UK Centre for the Advancement of Interprofessional Education“This second edition succeeds in capturing the quickening pace of interprofessional developments since the first, by introducing a wealth of recent national and international perspectives, grounded in evidence, challenged by argument and illuminated with the authors' insight.” Hugh Barr, President, Centre for the Advancement of Interprofessional Education (CAIPE)Table of ContentsIntroduction; What is interprofessional education and why does it matter?; What does research tell us?; Hot topics and emerging issues; Useful frameworks and concepts; Recommendations for policy and practice.

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Book SynopsisA robust guide for students to the leadership and management of inter-agency collaborative endeavours. It summarises recent trends in policy and uses international evidence to set out useful frameworks and approaches.Trade Review"As a student and teacher myself of organisational management, leadership, networks and integrated care this book is going to be placed conveniently close as a handy source of reference - perhaps it may even slip into my pocket." International Journal of Integrated Care, Vol 8, 2008"At last! Here is a rich source of well-evidenced ideas about how leadership can affect the outcomes of partnerships. A contribution to academic thinking, and a practical stimulus for the manager." Peter Thistlethwaite, Editor, Journal of Integrated Care"Any student or teacher of organisational management, leadership, networks and integrated care should keep this book close at hand as a go-to guide." Nick Goodwin, CEO, International Foundation for Integrated Care (IFIC)Table of ContentsIntroduction; What are leadership and management and why do they matter in partnerships?; What does research tell us about leading and managing partnerships?; Hot topics and emerging issues; Useful frameworks and concepts; Recommendations for policy and practice.

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Book SynopsisA practical and accessible guide for students focussing on how inter-agency teams may be made to function more effectively, illustrated through real-life examples.Trade Review"...this book provides an interesting and stimulating reading for those who build and work in multidisciplinary teams as well as for policy makers." International Journal of Integrated Care, Vol 8, 2008."Overall, this book is comprehensive and well structured, giving students, nurses and managers the opportunity to become more self-aware and work towards better partnership working." Nursing Standard, Vol 23:3, 2008"Overall this title does contain many useful insights into teams and team working, and will be of value for many who are working with and developing teams." CNWL NHS Foundation Trust newsletter"Written by three experts who have worked closely with NHS staff over many years, this hugely valuable volume is filled with knowledge, wisdom and practical experience." Michael West, The King’s Fund"Team working is essential to effectiveness in modern organisations but the challenge is finding how to implement great team working rather than merely talking about it. This book tells managers how to move from the rhetoric to the reality with clarity, practicality and inspirational guidance. It is a vital guide for leaders and managers who want to develop outstanding teams across their organisations and a wonderful resource for all practitioners." Professor Michael West, Executive Dean, Aston Business SchoolTable of ContentsIntroduction; What is team working and why does it matter?; What does research tell us?; Hot topics and emerging issues; Useful frameworks and concepts; Recommendations for policy and practice;

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Book SynopsisThis book outlines a new, human focussed model for public services - an approach focused on achieving and maintaining wellbeing, rather than on reacting to crisis or attempting to `fix' people.Trade Review"This is a hard-hitting critique of our current care system - an account of why things are the way they are and how they could be different in future. Everyone who cares about health and social care should read it, and respond." Jon Glasby, Head of the School of Social Policy, University of Birmingham "This is a profound and timely call for a different relationship between people and the services and institutions of the welfare state. It's a radical and necessary call to arms for a more human, personal and connected society." Simon Stevens, Chief Executive, NHS England "In this insightful book, Alex Fox gets to the heart of why attempts to reform our care and health services so often falter, and, drawing on his unique perspective, sets out a genuinely original alternative." Matthew Taylor, Chief Executive of the RSA "The Shared lives model has achieved a very rare combination of warmth and humanity on the one hand, and scalability on the other. Here Alex Fox tells its story and persuasively draws out its radical implications for the future of the whole health and care system." Geoff Mulgan, CEO, Nesta "This is an original and clear-eyed view of the ways in which our health and care systems put dysfunctional rules and processes between people who need support and those whose role is to care for them. It also sets out the fundamental changes and power-shifts which are needed if our public services are serious about moving to models which would be healthier not just for people who have health and care needs, but for families and frontline workers too." Nigel Edwards, Chief Executive, Nuffield TrustTable of ContentsPrologue; Introduction; 1 How we divide the world into community and asylum; 2 How we create problems by trying to fix them; 3 Why failure pays, but success costs; 4 Risk aversion and risk indifference; 5 The humanisation experiment; 6 Shared Lives; 7 Designing a new national health and wellbeing service; 8 Delivering the national health and wellbeing service; Can we escape?

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Book SynopsisBringing together accounts of how intellectual disability was viewed, managed and experienced in countries across the globe, the book examines the origins and nature of contemporary attitudes, policy and practice and sheds light on the challenges of implementing the UN Convention on the Rights of Persons with Disabilities (UNCPRD).Table of ContentsIntroduction ~ Jan Walmsley, Simon Jarrett; Paradoxical Lives: Intellectual Disability Policy and Practice in Twentieth Century Australia ~ Lee-Ann Monk; Tracing the Historical and Ideological Roots of Services for People with Intellectual Disabilities in Austria ~ Gertraud Kremsner, Oliver Koenig and Tobias Buchner; Time of Paradoxes: What the Twentieth Century was like for People with Intellectual Disabilities living in Czechoslovakia/Czech Republic ~ Monika Mužáková and Iva Strnadová; Intellectual Disability in Twentieth-Century Ghana ~ Jane Abraham and Auberon Jaleel Odoom; A Greek Neverland: The History of the Leros Asylums' Inmates with Intellectual Disability (1958-95) ~ Danae Karydaki; Intellectual Disability in Hong Kong: Then and Now ~ Phyllis King Shui Wong; People with Intellectual Disabilities in the European Semi-Periphery: The Case of Hungary ~ Ágnes Turnpenny; People with Intellectual Disabilities in Iceland in the Twentieth Century: Sterilization, Social Role Valorization and ‘Normal Life’ ~ Guðrún Stefánsdóttir; Institutionalisation in Twentieth-Century New Zealand ~ Carol Hamilton; ‘My Life in the Institution’ and ‘My Life in the Community’: Policies and Practice in Taiwan ~ Yueh-Ching Chou; Intellectual Disability Policy and Practice in Twentieth-Century United Kingdom ~ Simon Jarrett and Jan Walmsley; From Social Menace to Unfulfilled Promise: The Evolution of Policy and Practice toward People with Intellectual Disabilities in the United States ~ Philip M. Ferguson.

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Book SynopsisThis is the first comprehensive review of dementia research, policy and practice in remote and rural settings. Drawing on case studies from the UK, Australia, Europe and North America, it sets out the unique needs of sufferers and carers in isolated locations, and identifies areas for future research and improvements in dementia services.Table of ContentsIntroduction; Remote and Rural Dementia Care: Why is this Important for Policy, Research, Practice and Individual Lived Experiences? ~ Anthea Innes, Debra Morgan, Jane Farmer; Part 1: Policy Drivers; The Future of Dementia Care in Rural Areas of the World ~ Jane Farmer and Sharon Grant; Addressing Dementia Needs in Australia ~ Irene Blackberry, Clare Wilding, Michael Bauer, Margaret Winbolt and Hilary Davis; Norwegian Remote and Rural Dementia Care ~ Oyvind Kirkevold and Kari Kristiansen; Part 2: Research Evidence; Rural Dementia Research in Canada ~ Debra Morgan, Julie Kosteniuk, Megan O’Connell, Norma Stewart, and Andrew Kirk; Timely Diagnosis of Dementia in Rural Areas in Austria: The Dementia Service Centre Model ~ Stefanie Auer, Paulina Ratajczak, Edith Span and Margit Höfler; Key Issues for People with Dementia Living in Rural Ireland: Social Exclusion, Models of Care, and Policy Change ~ Eamon O’Shea and Kieran Walsh; Part 3: Practice Challenges; Developing Collaborative Relationships with Rural-dwelling Older Men with Dementia in the UK: Lessons Learned from a UK Community Technological Initiative ~ Ben Hicks and Anthea Innes; Farm Based Care: Providing Meaningful Activities as an Alternative to “Standard Day Care” in the UK ~ Fiona Marshall; Transportation Issues in Dementia ~ Mark Rapoport, Andy Hyde and Garry Naglie; Considerations in Dementia Care for Indigenous Populations in Canada ~ Kristen Jacklin and Jessica Chiovitte; Part 4; Living with Dementia in Rural Ireland ~ Helen Rochford-Brennan; Living with Dementia in Rural Scotland ~ Nancy McAdam; Conclusion: Navigating 21st Century Remote and Rural Dementia Care and a Future Research Agenda ~ Jane Farmer, Debra Morgan and Anthea Innes.

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Book SynopsisDrawing on case studies from optometrists, physiotherapists, pedorthists and allied health assistants, this book offers an innovative comparison of allied health occupations in Australia and Britain. Adopting a theory of the sociology of health professions, it explores how the allied health professions can achieve their professional goals.Table of ContentsIntroduction The allied health collective Diversity in the allied health professions The established allied health professions Emerging allied health professions The support workforce within the allied health division of labour Specialisation in allied health Post-professionalism and allied health Conclusion

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Book SynopsisOffering important nuances and crucial insights into diverse gender identities and trans-related healthcare inequalities, this ground-breaking research marks an important contribution to the wider fields of gender studies, LGBTQ scholarship and medical policy.Table of ContentsIntroduction Transgender and Medicine Moving Beyond the Binary in Transgender Studies 'Not Trans Enough': The Relationship between Non-Binary Gender Identities, Uncertainty, and Legitimacy Non-Binary Times, Non-Binary Places: Communities and their Intersections Views of the Clinic: Non-Binary Perceptions of Primary (and Non-Transition Related Secondary) Care Services Ticking the Legitimising Boxes? Non-Binary Perceptions of Gender Identity Clinics Conclusion

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Book SynopsisOffering important nuances and crucial insights into diverse gender identities and trans-related healthcare inequalities, this ground-breaking research marks an important contribution to the wider fields of gender studies, LGBTQ scholarship and medical policy.Table of ContentsIntroduction Transgender and Medicine Moving Beyond the Binary in Transgender Studies 'Not Trans Enough': The Relationship between Non-Binary Gender Identities, Uncertainty, and Legitimacy Non-Binary Times, Non-Binary Places: Communities and their Intersections Views of the Clinic: Non-Binary Perceptions of Primary (and Non-Transition Related Secondary) Care Services Ticking the Legitimising Boxes? Non-Binary Perceptions of Gender Identity Clinics Conclusion

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Book SynopsisThis book examines policies on unpaid care in the UK since the 1990 NHS and Community Care Act, questioning why, after decades of policies and strategies, unpaid care remains in a marginal position in the social care system and in society more broadly, as demonstrated during the COVID-19 pandemic.Table of Contents1. Introduction and background to unpaid care in the UK 2. Research and knowledge development on unpaid care in the UK 3. Policies to support unpaid carers 4. Policies into practice 5. Analysis of policies in context 6. The political and ethical dimensions of care 7. Conclusions

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Book SynopsisAcademic experts review the impact of neoliberal politics and ideology on the status of care work in Nordic countries. They explore different understandings of the care crisis, the consequences for gender equality and the long-term sustainability of the Nordic welfare states.Table of Contents1 Introduction: A care crisis in the Nordic welfare states? - Hanne Marlene Dahl and Lise Lotte Hansen 2 The ‘care crisis’: its scientific framing and silences - Hanne Marlene Dahl 3 Fraser’s care crisis theory meets the Nordic welfare societies - Lise Lotte Hansen, Margunn Bjørnholt and Laura Horn 4 Crisis of care: a problem of economisation, of technologisation or of politics of care? - Anne Kovalainen 5 Deteriorating working conditions in elderly care: an invisible crisis of care? - Anneli Stranz 6 Managerialism as a failing response to the care crisis - Hanna-Kaisa Hoppania, Antero Olakivi, Minna Zechner and Lena Näre 7 ‘We are here for you’: care crisis and the (un)learning of good nursing - Carsten Juul Jensen and Steen Baagøe Nielsen 8 Professionalisation of social pedagogues under managerial control: caring for children in a time of care crisis - Steen Baagøe Nielsen 9 Raising quality in Norwegian early childhood centres: (re)producing the care crisis? - Birgitte Ljunggren 10 Conclusion: less caring and less gender- equal Nordic states - Lise Lotte Hansen and Hanne Marlene Dahl 11 Postscript: a care crisis in the time of COVID- 19 - Laura Horn, Carsten Juul Jensen and Birgitte Ljunggren

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Book SynopsisThis important book uses empirical evidence to explore the concept of public trust in health systems.In doing so, it provides a comprehensive contemporary explanation of public trust, how it affects health systems and how it can be nurtured and maintained as an integral component of health system governance.Table of Contents1. Introduction Part 1: Why Do We Care About Public Trust in the Health System? 2. What Is Trust? 3. Three Health System Examples: Vaccination Uptake, COVID-19 Pandemic and Health Data Use in Health Systems Part 2: What Is Public Trust in the Health System? 4. Where Does Public Trust Develop? 5. What Builds Public Trust? 6. What Are the Effects of Public Trust? 7. What Frames Public Trust? Part 3: How Can We Foster Public Trust in the Health System? 8. How Can We Build Public Trust by Means of Effective Health Policy and Governance? 9. How Can We Foster Public Trust by Means of Effective Communications? 10. How Can We Foster Public Trust Through Effective Observation? 11. Conclusion

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Book SynopsisBy elevating trans voices and experiences, this book offers a new perspective on transness, medicalization and research methodologies to help trans people, practitioners and policy makers better understand the barriers faced by trans people when seeking healthcare.

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Book SynopsisWritten expressly for leaders in health care and the social services, this accessible book shows how motivational interviewing (MI) can transform conversations about change within an organization. The authors demonstrate powerful ways to use MI to generate solutions and get employees and organizations unstuck, whether mentoring a staff member in a new role, addressing performance problems, or redesigning procedures or programs. Readers are guided to skillfully and ethically apply the core MI processes--engaging, focusing, evoking, and planning--in the management context. User-friendly features include reproducible worksheets, end-of-chapter self-reflection exercises, and extended case vignettes. Purchasers get access to a companion website where they can download and print these materials in a convenient 8 x 11 size. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.Trade Review"Wouldn’t it be lovely if we could tell employees and organizations, 'Here’s the change, now do it!'? Of course, it’s not that simple. Enter Marshall and Nielsen, experienced pros in the field of personal and organizational change, who understand the role of motivation and how leaders can influence it. They integrate the science and wisdom of MI into a no-nonsense, easy-to-read guide about what to do to support employee and organizational change, when to do it, and--of equal importance--when not to. Managers, consultants, trainers, and students alike will find depth and nuance. Put this book on the shelf where you can reach it!"--David B. Rosengren, PhD, President and CEO, Prevention Research Institute "This book does a wonderful job of describing the art of leadership and weaving it together with MI concepts. The authors show that the personal qualities of good leaders--such as knowing what style, approach, or skill is necessary in a given situation--are also what make an effective MI practitioner. I like the concrete suggestions that aid in understanding the concepts; the vignettes and self-reflective activities in each chapter are especially helpful. Among my favorite points the authors make is that the basic concepts and skills that apply to doing MI with individuals also apply to organizations. Lecturing or trying to persuade individuals and organizations to change almost never works."--Ellen R. Glovsky, PhD, RD, LDN, Registered Dietitian; member, Motivational Interviewing Network of Trainers "Marshall and Nielsen offer a unique, creative combination of organizational leadership and MI. The coverage of MI seems very clear for someone with no prior exposure, with rich and detailed applications to organizations, particularly at the supervision and work group levels. The case examples are extremely useful and relevant to health and human service settings. There are examples of dialogue to use in supervision, as well as probing reflective exercises and worksheets to help the reader apply the material. Engaging and accessible, with easy-to-understand applications of theory, this book is well suited as a text for classes in leadership or supervision or as a resource for working professionals."--Tom Packard, DSW, School of Social Work (Emeritus), San Diego State University-This is a very well-written book. It is refreshing to see differing approaches leaders can apply in ever changing, challenging environments.--Doody's Review Service, 11/13/2020Table of ContentsI. Beginning 1. Why Motivational Interviewing and Leadership? 2. What Is Motivational Interviewing? 3. When to Use Motivational Interviewing in Leadership II. Engaging 4. Listening to Your Employee 5. Listening to Your Organization 6. Leadership Teams III. Focusing 7. Focusing with Your Employee 8. Focusing with Your Organization IV. Evoking 9. Evoking with Your Employee 10. Evoking with Your Organization V. Planning 11. Planning with Your Employee 12. Planning with Your Organization 13. How Can You Become a Better Listener? Appendices Appendix A. Matrix: Who Is to Benefit?--Leader versus Employee Appendix B. Matrix: Who Is to Benefit?--Leader versus Organization Appendix C. Motivational Interviewing Learning Plan References Index

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Book SynopsisIf the furious debate around the state of healthcare in the US has led to any consensus, it's that the system should be delivering better quality for less cost than it does. The truth is that our healthcare system is a sprawling mix of competing interests in which those of the patient are valued least. Too much discussion has devolved to simplistic scapegoating, and too few comprehensive, constructive solutions have been offered. It's time for a fresh vision.In straightforward language, Healthcare at a Turning Point: A Roadmap for Change outlines a new market-based business model that aligns industry financing mechanisms with the goals of prevention, improved quality, and reduced costs. Drawing on more than 25 years of cross-industry consulting experience, the authors: Articulate a market-based vision of the industry Examine past efforts to reduce costs, their failures and their unanticipated consequences Spotlight perverse incentiTrade Review This book is a compelling and thought provoking analysis of critical choices facing health care leaders. It offers a detailed prescription for stakeholders on how to proceed and how to implement genuine accountability at each stage of care management. ... Numerof and Abrams offer a road map for sustainable market reform with remarkable clarity and vision.—Book review by Peter Boland, PhD, appearing in The Journal of Ambulatory Care Management, Vol. 37, No. 1, pp. 38–41Everyone complains about the state of healthcare in this country—patients feel uninformed, mistrustful and lost; clinicians and hospitals are frustrated in their efforts to improve the quality of care while meeting demands for lower costs; employers are burdened with the rising expense of employee health insurance; payers who provide the coverage are pushing for greater evidence before approving reimbursement for new drugs, technologies, procedures and tests; the medical product industry is struggling under the weight of increasing costs, longer development timeframes, shifting regulatory requirements and resistance from the other stakeholders to pay for new products; and politicians and state and federal government agencies are mandating a patchwork of fixes that seem to only make things worse. What we have lacked are tangible solutions that can actually work—until now.Rita Numerof and Michael Abrams in their new book, Health Care at a Turning Point: A Roadmap for Change have offered a fresh look at the current state of healthcare in America, providing a detailed diagnostic assessment of what’s wrong, and importantly offer a comprehensive strategy to fix the problems. They begin with a vision of what a viable future state could look like in 10 years for providing affordable, accessible healthcare that promotes innovation in business models, products and services. Numerof and Abrams identify clearly and objectively the obstacles that must be overcome and gaps that must be closed by each of the important participants in the healthcare ecosystem, and then as the book's title implies, they deliver a roadmap, which is not only plausible, but if followed, will undoubtedly succeed in getting all of us there.—Harlan F. Weisman, M.D., Former Chief Scientific and Technology Officer, Medical Devices and Diagnostics, Johnson & JohnsonNumerof and Abrams have crafted a thoughtful, and often provocative, analysis of the challenges and opportunities facing the healthcare industry today. At its heart is a clarion call for the sector to become much more patient and consumer-centric -- before their existing business models become obsolete.—Paul Howard, Director and Senior Fellow, Center for Medical Progress, Manhattan Institute for Policy ResearchA pair of strategic management consultants intelligently scrutinize America’s healthcare industry. ... The authors’ blueprint for healthcare redesign is impressively conceived yet decidedly business-minded. Chapters defining their proposed remedies emphasize a market-based approach that objects to recent legislation and ideas of federally financed accountable care organizations (ACOs) while promoting models of bundled payment systems in which services are funded through a fixed-price schedule. ... they offer fresh, clear approaches to restructuring the healthcare system and place appropriate emphasis on the fostering of informed, accountable consumers. ... Numerof and Abrams’ ambitious study succeeds in illuminating problems within the multifaceted system ... . An elucidating, relevant discourse on the precarious future of medical care.—Kirkus Reviews, August 2012The authors present thought-provoking ideas for the 'disruptive innovation' needed to uncover pragmatic solutions for our country's healthcare delivery system. ... this suggested blueprint for market-based action is a must-read for all sides of the healthcare reform debate.—Marc Boutin, Executive Vice President & Chief Operating Officer, National Health CouncilEveryone agrees that the American healthcare system needs to change, but there is little agreement about how it should change. Abrams and Numerof paint a picture of how healthcare could look in an ideal future, and offer to manufacturers, payers, and providers a way to get there. Examining the healthcare system today, changes already taking place in attitudes towards innovation and medical education, ... they show how the key players in healthcare must change their thinking to survive. ... The main, and certainly provocative, message: if we move to a value-based system based on patient choice, rather than a cost-based system that assumes one size fits all, the consumer of health care is the ultimate beneficiary. The book will stimulate the thinking of industry across functions, and should be read not only by management but by R&D, Strategic Planning, and Sales. Sections on the need to form partnerships and alliances can change the way industry, payers, and providers think about each other. By examining the four forces they see as dominating our healthcare environment today, namely changes in the regulatory environment, a changing competitive landscape, shifting technology, and changing market expectations, Abrams and Numerof have indeed provided an insightful guide to how the industry needs to change its strategic thinking.—David L. Horwitz, MD, PhD, FACP, Chief Medical Officer, Johnson & Johnson Diabetes Institute Here it is in Healthcare at a Turning Point healthcare must restore control and accountability for intimate, personal decisions to each of us as our own consumer. No one else can define our quality-value-price equation, and discipline our providers ... Such is the economics, humanity, history, and even politic of western innovation…it is time for the Renaissance of those principles, just as articulated here in Healthcare at a Turning Point.—Steve Bonner, President and Chief Executive Officer, Cancer Treatment Centers of America® Numerof and Abrams have conducted a thorough analysis of the implications of market and non-market forces on all players in the health industry -- carriers, care providers, governments, consumers and employers. They have hit the nail on the head that it will take disruptive innovation and a collaborative approach across all these stakeholders to drive solutions to the fundamental problems of high cost and poor quality in health care.I appreciate that Numerof and Abrams focus in on three major principles: 1.) Rethink the customer: It’s really the consumer, the end-user of health care services. The consumer needs to be at the center of the work that we are undertaking. It is imperative that we provide them transparency to cost, quality and value. 2.) Watch out for non-traditional competitors: There are many other industries which have been historically very close to the consumer. The players in our industry are changing, and all of those who serve the consumer need to rapidly evolve ourselves in order to differentiate and succeed. 3.) Segment care providers: We need to apply the discipline of market segmentation to our relationships with care providers. That is, we cannot assume that a one-size-fits-all approach on paying for value or outcome will succeed with each and every physician or hospital. Rather, we must segment our networks and identify which care providers are most likely to succeed in a partnership to reform payment in a particular way, work with them closely and then allow that success to breed other success in the market place.—Elena McFann, VP Network Strategy and Implementation, UnitedHealthcareFor every professional engaged in the financing and delivery of medical care, this book is essential. Like it or not, sparked by the renewed debate over the controversial Affordable Care Act, we find ourselves in the midst of a major transformation in the health care sector of the economy. The convergence of biomedical breakthroughs, new medical technologies, new organizational structures is upon us. But the authors got it right: change will be frustrated, and energies will be diverted into unproductive channels, unless and until we change health care financing and put the patient in the center of the process as the key decision-maker.—Robert E. Moffit PhD, Senior Fellow, Center for Policy Innovation, The Heritage Foundation Congratulations on the publication of Healthcare at a Turning Point. …[You] really hit the ball out of the park with this book. First, you identified the real root problem in our healthcare system [payment], and then provided the key solution, a consumer-driven market model. This book should be the new reference text for healthcare reform and should be read by every healthcare provider, administrator, insurer, product developer, and lawmaker. Thank you for delivering such remarkable insight and strategic guidance to a very complex and polarizing issue in the U.S.—Kurt Weingand, D.V.M., Ph.D., Chief Science Officer, Central Garden & PetHave there ever been three not-so-little words that turned an industry upside down, virtually paralyzed the planning process and left providers and consumers alike adrift as much as "health care reform"? The authors bring a calm, dispassionate tone to the dialogue, underscoring the unsettling nature of transition (a much more palatable word than change) and offer reasonable strategies that override politics. I found the emphasis on collaboration especially comforting and doable.—Ellen Sherberg, Publisher, St. Louis Business Journal ...it is important to have a clear bridge between the issues of today and the possibility of a much brighter future. Without glossing over serious issues…this book describes a way forward for those inside and outside the Healthcare system.—Jeff Thompson, MD, Chief Executive Officer, Gundersen Lutheran Health System I appreciate that Rita and Michael call out the "ultimate objective" in the debate—to improve health outcomes at lower cost. It would seem that all sides can agree we save money when we decrease and change the demand for services. There are two approaches that allow us to do it. Approach 1 is to ration care. Approach 2 is that we incentivize and align consumers AND providers toward a plan for health which the authors rightly refer to as the consumer-driven market model.—Amanda L. Adkins, General Manager and Executive, Healthcare Information Technology, Cerner Corporation Table of Contents A Vision for Tomorrow. Whose Agenda Controls Your Healthcare? In the Eye of the Storm: The Role of Consumers and Employers. Comparative Effectiveness Research: Creating an Environment for Change. Redesigning Healthcare Delivery: Hospitals Were Never Meant to Be Destinations of Choice. A Brave New World for Payers. Big Pharma: How to Regain Success. A New Day Is Dawning for Medical Device and Diagnostics Manufacturers. Putting Value at the Center of Healthcare. Creating a Roadmap for Change.

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Book SynopsisWinner of a 2014 Shingo Research and Professional Publication Award!Reaching America's true potential to deliver and receive exceptional health care will require not only an immense and concerted effort, but a fundamental change of perspective from medical providers, government officials, industry leaders, and patients alike. The Institute of Medicine set forth six primary aims to which every participant in the American healthcare system must contribute: health care must be safe, timely, effective, efficient, equitable, and patient-centered. Presented as the acronym STEEEP, the collective realization of these goals is to reduce the burden of illness, injury, and disability in our nation. Baylor Health Care System is committed to doing its part and has adopted these six aims as its own. Achieving STEEEP Health Care tells the story of Baylor Health Care System's continuing quality journey, offering practical strategies and lessons inTrade ReviewThe stewardship and focus of Baylor Health Care System (BHCS) documented in Achieving STEEEP Health Care provides the multi-dimensional journey to sustainable quality improvement needed to address America’s health system challenges. Under the clear direction of its board and senior leaders, BHCS has firmly addressed the vital components of culture, knowledge, teamwork, alignment of incentives, and change expectations to advance BHCS towards its vision. Embedding the Institute for Health Care Research and Improvement under the direction of BHCS Senior Vice President and Chief Quality Officer, Dr. David Ballard and his team have provided the bench strength to implement and attain such needed change. Vision driving change to better care, an important read and roadmap to follow.—Arja P. Adair, Jr., MBA, President and Chief Executive Officer, Colorado Foundation for Medical CareQuality of care is the central tenet of the promise that every health care provider makes to the patient. This text is a must for all those who believe that a constant search for better ways to assure and improve quality is an important part of keeping that promise.—John Agwunobi, MD, Senior Vice President and President of Health and Wellness, Wal-Mart Stores, Inc.Inspiring, motivational, evidence-based, ‘can do’ blueprint for incorporating quality into the organizational DNA and culture of complex health care systems. Practical tips like making the chief financial officer a quality champion and creating infrastructure for sustaining quality through transforming the professional nurse practice environment make this volume a must-read.—Linda H. Aiken, PhD, FAAN, FRCN, RN, Claire M. Fagin Leadership Professor of Nursing, Professor of Sociology, and Director of the Center for Health Outcomes and Policy Research, University of PennsylvaniaAchieving STEEEP Health Care is a compelling and comprehensive book on improving quality. Baylor Health Care System’s commitment to better health care is unmatched, and in David Ballard they found a person who can not only lead change, but also capture and characterize the key insights that will help the rest of us get on the path to superb care.—Troyen A. Brennan, MD, MPH, Executive Vice President and Chief Medical Officer, CVS CaremarkThe International Society for Quality in Health Care has taken a number of initiatives in its quest to ‘inspire, promote and support continuous improvement in the quality and safety of healthcare worldwide,’ one of which is to seek to enhance the quality of the ‘patient journey’. I was impressed therefore to reference in this excellent publication from Baylor Health Care System to meeting ‘…the needs of the individual patient across the continuum of care.Achieving STEEEP Health Care comprehensively guides us through the operationalizing of the delivery of safe, efficient, effective, equitable and patient-centered care and as such it provides both a welcome focus and a useful practical guide to all who want the best for those in their care.—Peter Carter, Chief Executive Officer, International Society for Quality in Health CareThe American health care system is undergoing much needed and dramatic change driven by the need to be more efficient and more effective in delivering high quality and safe care that improves the overall health of the population and does not bankrupt the country in the process. What will this health care system of the future look like? The Baylor Health Care System, which this book outlines in such detail that it could be a cookbook for how to create a future health care system. David Ballard is the architect, STEEEP is the foundation, and this book is a roadmap of how Baylor Health Care System has made the journey to this new destination. Any health care leader faced with this inevitable transformation of their organization will find this book an essential part of their survival guide in the rapidly changing landscape that is the American health care system.—David Classen, MD, MS, Chief Medical Information Officer, Pascal Metrics Associate Professor of Medicine and Consultant in Infectious Diseases, University of Utah School of MedicineThis book is a ‘must read’ for leaders in health care – the Baylor Health Care System leaders have been wonderful national contributors and a catalytic force in the quality and safety arena. The practical strategies and tactics they put forth will save lives, save money, and create value in the communities we serve.—Charles Denham, MD, Founder and Chairman, Texas Medical Institute of Technology'Vision without execution is hallucination,' Thomas A. Edison said. Baylor Health Care System developed a vision and executed it. Ballard and his colleagues have led a terrific transformational process of the health care system in which they work. Achieving STEEEP Health Care documents this process and measures the results in terms of quality improvement and patient safety. This book is a very useful tool for those aiming to lead change, not only in U.S. health care organizations, but also in other health care systems worldwide.—Carlo Favaretti, MD, MPH, President and Founder, Italian Society of Health Technology Assessment; Former Chief Executive Officer, Udine University Hospital (Italy)Health care delivery organizations across the United States are struggling to cross the quality chasm in a fiscally sustainable manner. Achieving STEEEP Health Care provides a compelling yet practicable roadmap for doing so, drawing upon the remarkable response of the Baylor Health Care System to the challenge articulated by the Institute of Medicine in 2001. This book is a "must read" for health care system leaders who aspire to thrive in an increasingly accountable health care world.—Rebecca L. Harrington, Co-Founder and President, The Leadership InstituteDr. Ballard and his colleagues strongly make the point that the journey to health care excellence requires a committed transformation of leadership, operations, and every aspect of the enterprise. Best care is not the result of a stand alone 'initiative.'—Ziad Haydar, MD, MBA, Senior Vice President and Chief Medical Officer, Ascension HealthWhile the journey may be STEEEP, Dr. Ballard’s accomplishments demonstrate that higher quality is attainable. The roadmap provides inspiration to all those dedicated to achieving a better health care system.—Trent Haywood, MD, JD, Chief Medical Officer, Blue Cross and Blue Shield AssociationTransforming health care delivery in a large health system like Baylor Health Care System is no mean feat. In this book, David Ballard and his team spell out their journey over the past decade to achieve such change based on STEEEP as a practical approach to high-quality care in its broadest sense. This book is a great basis for those less advanced on such a journey, and will accelerate the travels of those who read it.—J. Michael Henderson, MD, Chief Quality Officer, Cleveland ClinicEnhancing and ensuring the quality of healthcare delivery in the 21st century is the principle obligation of all health care executives and providers. Achieving STEEEP Health Care will greatly assist leaders in fulfilling that critical obligation.—Ira J. Isaacson, MD, MBA, Senior Vice President/Partner, Phillips, DiPisa, & AssociatesAt the heart of quality improvement lies Deming’s idea of fundamental knowledge—the concept that there is a difference between theory and reality. Theory is always an abstraction. Reality is the devil lurking in the details, down in the mud and weeds. Said another way, some talk about it; a relatively few actually do it.You hold in your hands the detailed journey map of a group who has done it, with elegance and flair. It tracks the transformation as theory becomes functional reality. Those seeking to move to the safety of the high ground in an increasingly difficult health care delivery world will find it valuable beyond compare.—Brent James, MD, MStat, Chief Quality Officer, Executive Director, Institute for Health Care Delivery Research, Intermountain HealthcareAll too often, case studies of health care organizations that are actively involved in transforming their delivery of care focus on only a single element of that transformation, as if it were the "magic bullet" that could solve all problems. By contrast, Ballard and his colleagues have set forth a comprehensive look at the multiple initiatives—from simple to quite complex—that are enabling the Baylor Health Care System to play a leading role in transforming health care in the US. Every leader who aspires to achieve safe, timely, effective, efficient, equitable, patient-centered care should read and learn from this book.—William F. Jessee, MD, FACMPE, Senior Vice President and Senior Advisor, Integrated Healthcare StrategiesThis book provides a lens into one organization’s journey to safe, timely, effective, efficient, equitable and patient-centered care. Full of insights, strategies, lessons and resources, this is an important read for any health care organization striving for improvement.—Maulik Joshi, DrPH, President, Health Research & Educational Trust, Senior Vice President of Research, American Hospital AssociationThis book represents a tremendous contribution by a highly respected organization that is fully grounded in the challenges and opportunities of American medicine. Table I.1 alone is worth many times the price of any book—it is essentially a playbook for forward looking, progressive organizations, and one that meets them were they currently are, and takes them forward. David Ballard and Baylor Health Care System’s national leadership reach a new level with this book’s publication.—Thomas H. Lee, MD, Chief Medical Officer, Press Ganey Associates, Inc.In this monograph, Dr. David Ballard and colleagues describe how they have embedded the basic dimensions of the Institute of Medicine framework for quality (i.e., safe, timely, effective, efficient, equitable and patient-centered care), into a practical set of tools used by the Baylor Health Care System—but applicable to any other health care system in the country—into day-to-day operations designed to improve care. They describe the essential components that make their system work, including leadership commitment, use of standardized measurement and quality improvement tools, care coordination across the continuum and the creation of a safety culture. As a health care professional for 35 years, but also a stage IV cancer patient for the last 2 years, I can only hope all health care professionals read and take to heart the advice contained in this book.—Jerod M. Loeb, PhD, Executive Vice President, Division of Healthcare Quality Evaluation, The Joint CommissionThis book will find a permanent place within quick reach of anyone working to implement clinical quality and safety improvement in the real world. It is filled with in-the-trenches wisdom on topics ranging from effective leadership at the top to getting the details right in the front lines of care.—Michael L. Millenson, President, Health Quality Advisors LLC and author of Demanding Medical Excellence: Doctors and Accountability in the Information AgeAchieving STEEEP Health Care describes Baylor Health Care System’s bold experiment to align teams, evidence, systems, and a culture of caring in the unwavering pursuit of higher value health care. The result is a continuously learning health care system poised, along with new partners, to tackle one of the most urgent and significant challenges confronting our nation—optimizing the health of populations while maximizing on increasingly finite resources. The valuable lessons from Baylor Health Care System’s journey accelerate the capacity of health systems in all communities to assume a leadership role in addressing this challenge.—Mary D. Naylor, PhD, FAAN, RN, Marian S. Ware Professor in Gerontology, Director of New Courtland Center for Transitions and Health, University of Pennsylvania School of NursingIn today’s health care world of swirling, conflicting reform pressures and 24/7 information overload, a book has to exceed a very high bar to merit executive attention. David Ballard and colleague’s Achieving STEEEP Health Care clears that bar with truly exceptional room to spare. This is the book that will explain why physician leadership is essential and possible, and how it can effectively align complex organizations and the larger health system culture to the triple aim vision of better care, better health, and lower cost. It represents a major contribution to the science of performance improvement precisely because it explains how it was institutionalized in a large and diverse Dallas, Texas institution in the last 14 years. This is the story of how American health care can reform and sustain itself, if it but will.—Len M. Nichols, PhD, Director, Center for Health Policy Research and Ethics, Professor of Health Policy, College of Health and Human Services, George Mason UniversityAchieving STEEEP Health Care presents not only a roadmap but also a how-to manual for health systems striving to achieve the Triple Aim. Within these pages, those interested in improving America’s health care will learn how to transform the elements of the Institute of Medicine’s ideal state of American health care into action. This book should be read by all health care leaders on their journey to safe, quality health care.—Robert W. Pryor, MD, MBA, CPE, FAAP, FCCM, FCCP, President and Chief Executive Officer, Scott & White HealthcareBaylor Health Care System has been at the forefront of quality in health care for many years. Dr. Ballard and his colleagues, by describing the approach used at Baylor, have created a useful blueprint for others in health care that should speed their journey in quality improvement.—David B. Pryor, MD, Executive Vice President, Ascension Health, President and Chief Executive Officer, Ascension Clinical HoldingsLike a basic scientist who takes a discovery from the bench to the bedside, Ballard and his colleagues at the Baylor Health Care System (BHCS) have taken quality improvement from hypothesis-testing to application in a large delivery system. Their description of the historical context of quality improvement at BHCS and "lessons learned" is especially authentic for health care CEOs who attempt to walk the tightrope of performance improvement without a net. At the VCU Health System, we have used the STEEEP® acronym for years in our own journey toward quality improvement. The experience at BHCS, as described in [this book], is both illuminating and sobering – this is a race without a finish line. Continuous improvement is the only option.—Sheldon M. Retchin, MD, MSPH, Senior Vice President for Health Sciences, Virginia Commonwealth University, Chief Executive Officer, VCU Health SystemThis book, by the Baylor Health Care System enterprise, should be a bellwether mark for our industry, as Baylor is living where health care needs to be in the near future. We must find a way to engage the industry to focus on quality and safety as the way to control costs and to effectively lower hospital expenses; rather than working on quality as separate from costs. This is an example of one system's approach and other models will follow. A great body of work, from a strong national example of high quality care.—Dan Stultz, MD, FACP, FACHE, President and Chief Executive Officer, Texas Hospital AssociationThe Institute of Medicine’s six aims provide a sound framework for those dedicated to transforming the care we deliver to our patients and communities. David Ballard and his colleagues describe a remarkable journey operationalizing this framework across all six dimensions in a complex, growing health system. Their story is both instructive and inspirational. This book, with its detailed descriptions of approaches, lessons learned, and real-life examples, is a must-read for health care leaders and quality professionals.—Gary Yates, MD, President, Healthcare Performance Improvement, LLC, Former Senior Vice President and Chief Medical Officer, Sentara HealthcareTable of ContentsSystem Alignment for STEEEP Care. Infrastructure and Tools for STEEEP Care. Achieving STEEEP Care. STEEEP Care in Practice: Service Lines and Lines of Business.

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Book SynopsisCognitive systems engineering has been widely and successfully applied in the design of safety critical systems such as nuclear power, aviation, and military command-and-control. More recently, these methods are being applied to the design of health and medical systems in order to improve health care quality, reduce errors and adverse events, and improve efficiencies. Cognitive Systems Engineering in Health Care provides an overview of cognitive systems engineering principles in the context of health care. It contains state-of-the-art examples of cognitive systems applications that can be adapted by health care practitioners interested in systematic engineering approaches to systems improvement.The book highlights current cognitive engineering-oriented research, analyses, and applications in settings such as cardiac surgery, obstetrics, and emergency medicine. It focuses on the impact cognitive engineering analyses can have in supporting communication and coordinationTrade Review"This book provides useful examples and applications of cognitive systems engineering, a branch of human factors and ergonomics, in a variety of care settings (e.g., surgery, emergency department). …I am confident that the material in the book is of very good quality. The editors are very knowledgeable in this area…"—Pascale Carayon, University of Wisconsin-Madison, USA"This book provides useful examples and applications of cognitive systems engineering, a branch of human factors and ergonomics, in a variety of care settings (e.g., surgery, emergency department). …I am confident that the material in the book is of very good quality. The editors are very knowledgeable in this area…"—Pascale Carayon, University of Wisconsin-Madison, USATable of ContentsCognitive Engineering for Better Health Care Systems. The Role of Cognitive Engineering in Improving Clinical Decision Support. Team Cognitive Work Analysis as an Approach for Understanding Teamwork in Health Care. Cognitive Engineering Design of an Emergency Department Information System. Displays for Health Care Teams: A Conceptual Framework and Design Methodology. Information Modeling for Cognitive Work in a Health Care System. Support for ICU Clinician Cognitive Work through CSE. Matching Cognitive Aids and the "Real Work" of Health Care in Support of Surgical Microsystem Teamwork. Engagement and Macroergonomics: Using Cognitive Engineering to Improve Patient Safety. Index.

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Book SynopsisOur 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 availaTable of ContentsIntroduction. Healthcare Cost: An Overview. Introduction to Workplace Culture. Making the Transition from a Culture of Accountability to a Culture of Ownership. Terminology of This Book. Introduction to Hospital Capacity Optimization. Dynamic Capacity Management: An Approach to Capacity Optimization. The Blocking and Tackling of Hospital Capacity Management. Blocking and Tackling of Capacity Management in the Emergency Department. Blocking and Tackling of Capacity Management in Surgical Services. Blocking and Tackling of Inpatient Capacity Management. Physicians and Their Role in Optimization. Preparing for Coming Change: Forming a PHO. Care Circle Networks. The Care Circle Network Concept. Assessing the Community and the Patient Population. Building the Communal Resource Pool. CCNs, Palliative Care, and End-of-Life Planning. Final Thoughts.

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Book SynopsisFocusing on colonial and postcolonial Lagos, Stephanie Newell traces the ways in which urban spaces come to be regarded as dirty by showing how colonial perceptions of dirt and cleanliness structured colonial governance, urban planning, public health policies, and relationships between colonists and native Lagosians.Trade Review"Stephanie Newell's Histories of Dirt does for this generation what Mary Douglas did with Purity and Danger several decades ago. Focusing on what seems ubiquitous and thus utterly banal—dirt—Newell shows how the phenomenon of dirt is interpretable from a variety of sometimes contradictory perspectives both by local Africans and by the team of researchers that set about investigating the phenomenon. This is a high-order interdisciplinary work, full of fresh insights and with a turn toward what Africans think about themselves that will provide salutary methodological and conceptual lessons for scholars in African Studies and well beyond." -- Ato Quayson, Stanford University“Brilliantly reading imperial discourse against the grain, Stephanie Newell offers compelling dissections of the perspectives, assumptions, privileged subject positions, and framings that characterize imperial thought. At the same time, she gives close attention and consideration to the range of voices of the people of Lagos, producing powerful arguments about the popular, cultural, and social structures that express urban values. With great ingenuity, Newell has constituted an archive of the present that provides local voices and views on subjects initially warped by colonial discourse. Histories of Dirt is an important and major contribution.” -- Kenneth W. Harrow, author of * Trash: African Cinema from Below *"Histories of Dirt is a work of great creativity and nuance, and its message is especially urgent today. 'Èkó ò ní bàjé,' goes a political slogan turned popular now—Lagos will not spoil." -- Samuel Fury Childs Daly * International Journal of African Historical Studies *"The book is noteworthy for its contribution to our knowledge of how modernity has evolved in African cities, in a period over a century, a process illustrated through the histories of dirt in the city of Lagos. It is certainly useful to all those interested in the political and social history of cities and urban planning in Africa." -- Carlos Nunes Silva * Planning Perspectives *"Newell's prose is lucid and not belabored with theoretical jargons.… The book is also a huge contribution to postcolonial studies and public health. The most recent example through which we can come to terms with Newell on this cutting-edge scholarship is in the wake of the COVID-19 pandemic, in which different world leaders and citizens invoke dirt rhetoric against Asian bodies." -- Olájídé Salawu * Cambridge Journal of Postcolonial Literary Inquiry *“Histories of Dirt is a helpful manual for how dirt, as a word, an object, and a discourse, can be used to constitute archives, influence public opinion, and spark imagination.” -- Ainehi Edoro-Glines * Journal of African History *"Histories of Dirt is a formidable accomplishment of interdisciplinary scholarship and storytelling. . . . The book is exemplary for the fluidity of its narrative arc, for its methodological reflexivity, for its detailed attention to vernacular language, and for its richly textured, polyphonic portrait of Lago as a (post)colonial metropolis." -- Fabien Cante * Africa *Table of ContentsList of Abbreviations vii Author's Note ix Preface. The Cultural Politics of Dirt in Africa (Dirtpol) Project xi Acknowledgments xvii Introduction 1 1. European Insanitary Nuisances 16 2. Malaria: Lines in the Dirt 32 3. African Newspapers, the "Great Unofficial Public," and Plague in Colonial Lagos 43 4. Screening Dirt: Public Health Movies in Colonial Nigeria and Rural Spectatorship in the 1930s and 1940s 58 5. Methods, Unsound Methods, No Methods at All? 79 6. Popular Perceptions of "Dirty" in Multicultural Lagos 90 7. Remembering Waste 115 8. City Sexualities: Negotiating Homophobia 142 Conclusion. Mediated Publics, Uncontrollable Audiences 158 Appendix. Words, Phrases, and Sayings Related to Dirt in Lagos 169 Notes 175 References 215 Index 241

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Book SynopsisJulie Avril Minich examines Latinx artistic engagements with health politics to present alternate visions of health and wellbeing among the Latinx community.Trade Review“Radical Health is a necessary and timely intervention in the fields of critical race and disability studies. Julie Avril Minich challenges us to nuance our approaches to health as a structural and social issue. This book is immensely valuable to anyone studying health in the United States today, especially in the wake of the mass disablement caused by the COVID-19 pandemic.” -- Sami Schalk, author of * Black Disability Politics *“By drawing attention to the racialized, economic, and gendered forms of violence imposed on Latinx communities by the US healthcare system, Radical Health will alter the way that both Latinx studies and disability studies are practiced. I cannot stress how important this book is. Its urgency and timeliness makes it essential reading for everyone committed to the struggle for health justice.” -- Richard T. Rodríguez, author of * A Kiss Across the Ocean: Transatlantic Intimacies of British Post-Punk and US Latinidad *Table of ContentsAcknowledgments ix Introduction: Radical Health/Radical Unwellness 1 1. Unprotected Texts: Queer Latinx Expression in the Aftermath of AIDS 24 2. Sugar, Shame, Love: Diabetic Latinidades 52 3. Healing Without a Cure: Radical Health and Racialized Gender Violence 82 4. Mental Health and Migrant Justice: Family Separation and Reimagining Wellness 116 Remedio: The Navigator 150 Notes 167 References 187 Index 207

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Book SynopsisJulie Avril Minich examines Latinx artistic engagements with health politics to present alternate visions of health and wellbeing among the Latinx community.Trade Review“Radical Health is a necessary and timely intervention in the fields of critical race and disability studies. Julie Avril Minich challenges us to nuance our approaches to health as a structural and social issue. This book is immensely valuable to anyone studying health in the United States today, especially in the wake of the mass disablement caused by the COVID-19 pandemic.” -- Sami Schalk, author of * Black Disability Politics *“By drawing attention to the racialized, economic, and gendered forms of violence imposed on Latinx communities by the US healthcare system, Radical Health will alter the way that both Latinx studies and disability studies are practiced. I cannot stress how important this book is. Its urgency and timeliness makes it essential reading for everyone committed to the struggle for health justice.” -- Richard T. Rodríguez, author of * A Kiss Across the Ocean: Transatlantic Intimacies of British Post-Punk and US Latinidad *Table of ContentsAcknowledgments ix Introduction: Radical Health/Radical Unwellness 1 1. Unprotected Texts: Queer Latinx Expression in the Aftermath of AIDS 24 2. Sugar, Shame, Love: Diabetic Latinidades 52 3. Healing Without a Cure: Radical Health and Racialized Gender Violence 82 4. Mental Health and Migrant Justice: Family Separation and Reimagining Wellness 116 Remedio: The Navigator 150 Notes 167 References 187 Index 207

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Book SynopsisAn inside look into how hospitals, nurses, and patients are faring under the Affordable Care Act More and more not-for-profit hospitals are becoming financially unstable and being acquired by large hospital systems. The effects range from not having necessary life-saving equipment to losing the most experienced nurses to better jobs at other hospitals. In Health Care in Crisis, Theresa Morris takes an in-depth look at how this unintended consequence of the Affordable Care Act plays out in a non-profit hospital's obstetrical ward. Based on ethnographic observations of and in-depth interviews with obstetrical nurses and hospital administrators at a community, not-for-profit hospital in New England, Health Care in Crisis examines how nurses' care of patients changed over the three-year period in which the Affordable Care Act was implemented, state Medicaid funds to hospitals were slashed, and hospitals were being acquired by a for-profit hospital system. Morris explains how the tumultuousTrade Review"Morris's detailed focus on hardworking individuals at one hospital shows in microcosm the difficult strains that plague our health care system writ large; as such, this book stands as a cautionary tale." * Choice *"Theresa Morris embeds herself with one hospital's nurses to witness firsthand how financial pressures on the institution impact patients at a particularly vulnerable moment in their lives: when they are giving birth. The news isn't good. Nurses are key here, and policy is driving them away from giving good patient care, in the delivery room and beyond. Healthcare in Crisis is essential reading for anyone wanting to understand how our health system is failing patients, especially women and babies. Too often nurses have been left out of the conversation. Morris puts them in the center." -- Jennifer Block, Author of Pushed: The Painful Truth About Childbirth and Modern Maternity Care"Theresa Morris's Health Care in Crisis offers an engaging treatment of organizational change. Using a community hospital as her focus, and the Affordable Care Act as the catalyst, she examines the ways in which institutional responses affect the nurse-patient relationship. Studying a maternity unit, and paying particular attention to care delivery, the author demonstrates that the ways in which health care systems are financed really matters." -- Beth Mintz, Author of Lesbians in Academia: Degrees of Freedom"In this compelling in-depth ethnography, Morris captures what its like to work as a labor and delivery nurse at a public community hospital in uncertain times. The administrators, reeling from the effects of some penalizing policies of the Affordable Care Act, seek a corporate buyer to relieve the hospitals economic distress. Morris illustrates how interlocking changes in finances and policies result in overworked nurses and negatively impact the care of women and babies. Healthcare in Crisis clearly documents the need for a single-payer system that values patient-centered medical service providers." -- Wendy Simonds, Author of Hospital Land USA: Sociological Adventures in Medicalization"Theresa Morris offers a careful analysis of how the intimate interaction between nurse and patient is embedded in the social dynamics of the workplace, in the occasionally tense relations of authority between professions, in the hospital’s budgetary constraints, and in the uncertainties of federal and state healthcare policy in the last decade. Morris’ thoroughly detailed and highly readable ethnography provides a vivid account of how these forces shape nurses’ work lives, with broad political and economic turmoil percolating down to the front lines of patient care." * Social Forces *"Health Care in Crisis offers a significant contribution to the sociology of public policy, medicine and health, organizations, and workplaces. It also represents a compelling investigation of uncertainty and unintended consequences. Highly readable and engaging, the book is well suited for adoption in undergraduate and graduate courses on medical sociology, work, social problems, and qualitative methods." * American Journal of Sociology *

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Book SynopsisA frank analysis of the medical and emotional inequalities that pervade the healthcare process for critically ill children Families who have a child with a life-threatening illness face a daunting road ahead of them, one that not only upends their everyday lives, but also strikes at the very heart of parenthood. In Save My Kid, Amanda M. Gengler traces the emotional difficulties these families navigate as they confront a fundamentally unequal healthcare system in the United States. Gengler reveals the unrecognized, everyday inequalities tangled up in the process of seeking medical care, showing how different families manage their children's critical illnesses. She also uncovers the role that emotional goalsdeeply rooted in the culture of illness and medicineplay in medical decision-making, healthcare interactions, and the end of children's lives. A deeply compassionate read, Save My Kid is an inside look at inequality in healthcare among those with the most at stake.Trade ReviewGengler's measured yet empathetic tone sets an example for all sociologists writing on emotionally charged topics. As intense as her account oftentimes is, it never devolves into empty sensationalism. The result is an eloquent and memorable illustration of how social inequalities play out in hospitals—a solid contribution to medical sociology, the sociology of emotions, and scholarship on culture and inequality. * American Journal of Sociology *Amanda Gengler movingly captures the high-stakes world of families coping with severe childhood illness and their struggle to maintain hope as they navigate the contemporary health landscape where inequality abound. A vivid demonstration of health as an arena that intensifies inequalities between families. -- Amy Best, author of Fast Food Kids: Lunch Lines, French Fries and Social TiesWith deep empathy and drawing from personal experience, this mesmerizing ethnography explores the opportunities and pitfalls of hope when parents face the challenge of their child’s life threatening disease. Rather than pinning all our hopes on hope, Gengler calls for a broader and more flexible emotional spectrum in times of life-or-death health crises. -- Stefan Timmermans, co-author of Saving Babies: The Consequences of Newborn Genetic ScreeningAmanda Gengler is a gifted ethnographer whose compassion and insight illuminate parents’ harrowing efforts to maintain hope while seeking life-saving treatments for their children. In showing how emotions intersect with cultural health capital, this indispensable book exposes the complex ways social inequality affects our ability to hope and cope in times of crisis. -- Jennifer Lois, author of Home is Where the School is: The Logic of Homeschooling and the Emotional Labor of Mothering

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Book SynopsisA frank analysis of the medical and emotional inequalities that pervade the healthcare process for critically ill children Families who have a child with a life-threatening illness face a daunting road ahead of them, one that not only upends their everyday lives, but also strikes at the very heart of parenthood. In Save My Kid, Amanda M. Gengler traces the emotional difficulties these families navigate as they confront a fundamentally unequal healthcare system in the United States. Gengler reveals the unrecognized, everyday inequalities tangled up in the process of seeking medical care, showing how different families manage their children's critical illnesses. She also uncovers the role that emotional goalsdeeply rooted in the culture of illness and medicineplay in medical decision-making, healthcare interactions, and the end of children's lives. A deeply compassionate read, Save My Kid is an inside look at inequality in healthcare among those with the most at stake.Trade Review"Gengler's measured yet empathetic tone sets an example for all sociologists writing on emotionally charged topics. As intense as her account oftentimes is, it never devolves into empty sensationalism. The result is an eloquent and memorable illustration of how social inequalities play out in hospitals—a solid contribution to medical sociology, the sociology of emotions, and scholarship on culture and inequality." * American Journal of Sociology *"Amanda Gengler movingly captures the high-stakes world of families coping with severe childhood illness and their struggle to maintain hope as they navigate the contemporary health landscape where inequality abound. A vivid demonstration of health as an arena that intensifies inequalities between families." -- Amy Best, author of Fast Food Kids: Lunch Lines, French Fries and Social Ties"With deep empathy and drawing from personal experience, this mesmerizing ethnography explores the opportunities and pitfalls of hope when parents face the challenge of their child’s life threatening disease. Rather than pinning all our hopes on hope, Gengler calls for a broader and more flexible emotional spectrum in times of life-or-death health crises." -- Stefan Timmermans, co-author of Saving Babies: The Consequences of Newborn Genetic Screening"Amanda Gengler is a gifted ethnographer whose compassion and insight illuminate parents’ harrowing efforts to maintain hope while seeking life-saving treatments for their children. In showing how emotions intersect with cultural health capital, this indispensable book exposes the complex ways social inequality affects our ability to hope and cope in times of crisis." -- Jennifer Lois, author of Home is Where the School is: The Logic of Homeschooling and the Emotional Labor of Mothering

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Book SynopsisIn order for an organization to thrive in a competitive business environment, its strategy, people, and branding must be fully optimized. The Innovative Lean Machine: Synchronizing People, Branding, and Strategy to Win in the Marketplace explains how to use Lean principles and visual tools to maximize these core components in any business.The book demystifies theory with examples of the various visual tools any organization can rely on during the idea generation, product development, and branding processes. Filled with easy-to-follow graphics, charts, and tables, the text provides a simple, yet effective, series of visual frameworks that readers can immediately apply with little or no difficulty.Describing how to ensure your business planning reflects what is most valuable to your customers, this resource presents the insights of a creative thought process that drives innovative solutions. It considers the key aspects of Lean that canTrade ReviewTony Sgroi's new book is well organized, well written, and well worth reading. It's the only book I know that documents everything you need to do to build a successful company: brand, people, and strategy. —Al Ries, Legendary Branding Strategist, Bestselling Author, and Originator of the Concept of PositioningTony Sgroi presents the key drivers for a winning company. By following his creative frameworks for building a recognized brand, developing a strong market strategy, and selecting great people to drive innovation, consumers will beat a path to your door.—Philip Kotler, S. C. Johnson & Son Distinguished Professor of International Marketing, Kellogg School of Management, Northwestern UniversityThe Innovative Lean Machine describes an insightful and very practical approach to developing the front-end market / branding strategy for your firm. The most difficult challenge in optimizing the new product development process is gaining a deep and empathic understanding of your market and your customer. This highly readable book provides unique and valuable tools to accomplish this goal. An excellent addition to your Lean enterprise bookshelf.—Ron Mascitelli, PMP, Author of Mastering Lean Product DevelopmentTony Sgroi's new book hits it out of the park. His path to branding, marketing, and strategy is methodical and on target. Tony strikes at core necessities required in building a successful company. This is the 'how-to' branding and strategy manual!—Rick Constantine, Vice President of Marketing & Global Business Unit Leader, Acme United CorporationTable of ContentsAn Effective Business. Branding: Creating And Sustaining A Credible And Reputable Source. Visual Branding. Being First. Brand Focus. Effective Brand Communication. Brand Credentials. Effective People: Identify and Empower Them. The Cross-Functional Entrepreneur. Competence and Character: The Core of Trust and Leadership. Tools and Purpose. Strategy: Keep It Consistent with the Brand. Visual Strategy. A Qualitative View of Strategy. A Quantitative View of Strategy. A Study of Function and Emotion. Putting It All Together. Building Effective Teams. Aligning Business Activities.

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Book SynopsisIn this book, Dr. Gabow, former CEO of Denver Health of 20 years, teams up with Philip Goodman, a 34-year veteran of Denver Health who directed the Lean System group, to share their Lean journey. The Lean Prescription: Powerful Medicine for Our Ailing Healthcare System tells the story of how Dr. Gabow led Denver Health to become the first healthcare organization to be awarded the Shingo Bronze Medallion Prize for Operational Excellence.Detailing the foundational Lean principles, the book provides readers with the benefit of the experience of an integrated healthcare system''s successful seven-year Lean journey. This book grew out Gabow's 40 years'' experience as a practicing physician, teacher, researcher, and leader of a large, urban public healthcare system.About 10 years into her 20 years as CEO of the healthcare system, she began to look at how one could actually make healthcare work right. After a year of study, she and her team concTrade Review"This is a terrific book. It is engaging and should be enormously helpful to anyone wanting to improve the efficiency and functioning of a healthcare enterprise. It clearly lays out why and how to implement Lean in healthcare settings."—Richard D. Krugman, MD, Vice Chancellor for Health Affairs and Dean, University of Colorado School of Medicine"An inspiring book by one of the nation’s leaders in health systems change that not only chronicles one major institution’s transformation but empowers readers to follow suit."—Sara Rosenbaum, J.D., Harold and Jane Hirsh Professor, George Washington University, School of Public Health and Health Services, Department of Health Policy"For years, discussions of the broken US healthcare system have been long on diagnosis and short on solutions. The Lean Prescription: Powerful Medicine for Our Ailing Healthcare System aims to fix that. By mixing explanation, thought exercises, and real-life examples, Gabow and Goodman provide a thoughtful and accessible introduction to the discipline of Lean and its application within healthcare systems. By grounding the book in their real-life experience, they paint a clear and realistic picture of the commitment necessary, the enthusiasm and empowerment engendered, and the exceptional results Denver Health achieved for its patients and its staff. For any leader who’s looking for a serious approach—not a silver bullet—to making a system work better for all stakeholders, this book holds a powerful message."—Risa Lavizzo-Mourey, MD, MBA, President and CEO, Robert Wood Johnson Foundation"The Lean Prescription: Powerful Medicine for Our Ailing Healthcare System is a prescription for excellence. It vaults to the top of the management must-read list. Patty Gabow charts a way forward for every health executive working to achieve breakthrough results for every patient."—Bruce Siegel, MD, MPH, President & CEO, America’s Essential Hospitals"Dr. Gabow demonstrates in The Lean Prescription: Powerful Medicine for Our Ailing Healthcare System how a CEO can change a culture and deliver massive improvement in healthcare delivery, including over $190 million in financial benefit over seven years, through disciplined Lean leadership."—George Koenigsaecker, President of Lean Investments, LLC"Patty Gabow and Philip Goodman have succinctly captured the enormous power of Lean management as applied to healthcare. In the process they provide exercises which can deepen the reader’s grasp of concepts and tools. Notably, the accomplishments they document have been achieved in safety net institutions—a challenge and inspiration to everyone who works in such settings: even with constrained resources we can get better outcomes for our patients by systematically reducing waste and improving reliability."—Mark Smith, MD, Retired, President and CEO, California HealthCare Foundation"Dr. Gabow’s amazing process improvements at Denver Health Medical Center were the inspiration for our own journey with Lean techniques. This book can teach specific techniques to other leaders in the medical field on how to improve their delivery of healthcare, with the focus on where it should be: on patients and their care. In these pages, Dr. Gabow has offered the great gifts of her experience and wisdom. For those with the will to improve, this book can be their guide."—John Hickenlooper, Governor of Colorado"If you have any responsibility for any part of the healthcare systems in the United States, your experience and the health of your patients will be better for having read, understood, and acted on the clear steps described in this unusual book. Not a treatise, it is a guidebook to take us from the jungle of cost, waste, and confusion to the clarity of efficiency and mission."—Christine Cassel, MD, President and CEO, National Quality Forum"With Lean, Dr. Gabow applies a concept developed and honed in the private world to public services. Lean’s approach empowers workers to eliminate waste, improve quality, and reduce costs. We should embrace this thinking to improve the value of our public organizations."—Senator Michael Bennet, United States Senator from Colorado"Dr. Gabow and Phil Goodman have thoroughly captured seven years of experience in this engaging and straightforward re-telling of their highly acclaimed Lean transformation of Denver Health. All of us who know and worked closely with Patty appreciate her unparalleled attention to detail and hands-on leadership of her operations as CEO of this magnificent public hospital system. In The Lean Prescription: Powerful Medicine for Our Ailing Healthcare System that same Gabow mastery of nuances and the critical elements of transforming a large health system are factually presented, covering not just select clinical areas but the whole enterprise … as it should be done. Bravo Patty and Phil for your crisp presentation of the why, the how to, and the real results of Lean’s impact on Denver Health!"—Marc Hafer, President and CEO, Simpler Consulting"To non-initiates, Lean can seem alternately intimidating or dull. Patty Gabow has demonstrated its power in action through the results she achieved at Denver Health. Now she has written a readable guide to Lean that will be useful for managers, providers and all who are struggling to make healthcare work. This book is a great way to dive in."—Margaret O’Kane, President, National Committee for Quality Assurance"Lessons learned from implementing Lean at Denver Health are detailed in The Lean Prescription by Patricia Gabow, who served as CEO of Denver Health from 1992 to 2012, and Philip Goodman, the former director of Lean Systems Improvement at Denver Health. Gabow and Goodman provide an overview of the Lean philosophy and helpfully explain how it applies practically to a complex health care system, where processes and people are often siloed and wasteful practices often go unrecognized."—Jessica Bylander, Senior Editor, Bookmarks, Health Affairs, 34, no.3 (2015):537-538Table of ContentsWhy Worry about American Healthcare. Role of Leadership in Health System Transformation. Why Pick Lean for Healthcare Transformation. Toyota Principles and Working Concepts of Lean. Lean Tool Box. Structure for Lean Implementation. Deploying Lean. Metrics, Reporting, and Information Archiving. Outcomes and Lessons Learned.

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Book SynopsisAs developed economies enter a period of slower growth, emerging economies such as India have become prime examples of how more can be achieved with less. Bringing together experience and expertise from across the healthcare industry, this book examines innovations that can bring about real advances in the healthcare industry. Innovations in Healthcare Management: Cost-Effective and Sustainable Solutions explores recent innovations in healthcare from a global and Indian perspective. Emphasizing the importance of Lean healthcare and innovation, it presents low-cost, high-volume solutions that improve access to care. Providing concrete examples of the five levels of innovation present in healthcare, the book presents new concepts, methods, and tools for advancing processes and operational flow. It includes case studies of actual results in healthcare innovation from three continents that highlight emerging global trends in healthcare system innovation.Table of ContentsIntroduction. Global Trends in Health System Innovation. Learning from Industry: Innovating in Healthcare Operations. Lean and Innovation – ‘The Two Responsibilities’. Cultivating an innovative culture through Lean. Innovative Approaches to Build Healthcare Facilities. Hospital Planning & Design Innovation for Lean Operation.Public Health Innovations. Behaviour Changes, the last mile in Healthcare. Cost-Effective, Scalable, and Sustainable Model for Primary Healthcare. Doing Community Good is Good For Business. Process efficiency by Innovation. Stanford Operating System: Aligning Purpose with People and Performance. Managing Stakeholders and Patient Experiences to achieve better Outcomes. Leapfrog through mHealth. Innovative Excellence: Learning from Emerging and Developed Economies. Innovative Approaches of Affordable Healthcare in Emerging Economies. Supply Chain Innovations in Healthcare. Three Dimensional Healthcare "The Need of the Hour". Innovative Initiatives in Healthcare by Indian Government. Indovation: Frugal Innovation in Indian Healthcare. Emerging Healthcare Innovations.

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