First published in 1992. Routledge is an imprint of Taylor & Francis, an informa company.

Inefficient and inappropriate discharges of patients from hospitals is a major problem for hospitals, social services and primary care. This clear and concise guide examines the reasons for difficulties of hospital discharge and considers the possible solutions. It provides a comprehensive overview of policy frameworks, practice issues and research findings, highlighting the range of problematic hospital discharges that can occur. Current health and social policies are evaluated, and typical individual, organisational and structural barriers are examined. It is invaluable for all those who have to make informed decisions regarding hospital discharge, including doctors, nursing managers and healthcare managers throughout primary and secondary care, as well as social care managers and staff, and policy makers and shapers.

Following on from the very popular first book OCyNurse Facilitated Hospital DischargeOCOOCyIn these challenging economic times, with change and cost saving being predominant features in the NHS, I offer you, the reader, a thought: OC The faster the speed at which you travel, the further ahead you need to lookOCO, to adapt current practice, and align it to future needs, to deliver value for money.OCOLiz LeesTimely Discharge From Hospital is aimed at practitioners working in acute, community, intermediate and ambulatory care settings; all areas of practice are featured. Each section is arranged in themes but written to stand alone, allowing the reader to dip in and out. The book is further enhanced by a comprehensive selection of case studies.Part 1: Fundamental perspectives of practice OCo there are 3 leading chapters which set the scene for the discharge of patients from hospital.Part 2: The UK perspective OCo there are 4 chapters which demonstrate policy, practice and progress regarding discharge planning in England, Ireland, Scotland and Wales. Part 3: Education and training OCo there are 3 chapters which interface theory with practice providing a sense of direction in education to lead and support practitioners wishing to develop mechanisms for training.Part 4: Multi professional considerations of patient discharge in practice OCo there are 7 chapters which explore the contribution of different professionals to timely discharge practice. The Nursing coordination & complex discharge issues, Pharmacy, PALs, Medicine, Occupational Therapy and Bed management are all featured.Part 5: Case examples in practice OCo There are 14 pragmatic cases which illuminate practice points from a clinical perspective."

′This book provides an essential resource for educators of clinical skills who want to utilise simulation based education to provide optimal learning opportunities for their students.′ Andrew Bland, University of Huddersfield ′In this book, a team of experienced authors have put together a much needed text that takes an evidence-based, practical approach to skills development.′ Lauren Mawson, University of Cumbria ′A really exciting new text.′ Sarah Burden, Leeds Metropolitan University Practice educators and mentors are now expected to have the skills and techniques needed to implement a ′learning skills through simulation′ programme into established curricula, yet using simulation to teach - while of huge importance - requires careful and time-consuming planning. This valuable resource takes away some of that burden by providing clear, ready-made activities and guidance from leading practitioners in a range of fields, which healthcare and practice educators and mentors can use to enhance their teaching of all the essential and commonly-taught clinical and management skills and knowledge. Dedicated chapters, which all follow a defined step-by-step format, provide simulation scenarios, alongside facilitator guidance, which will help develop confidence in the teaching of key skills such as: - Drug administration - Conflict management - Infection control - Breaking bad news - Catheter and bowel care These scenarios and accompanying guidance can be used as a framework for teaching, promoting a greater understanding of the skill being taught, and providing a risk-free opportunity for the student to practice their clinical and managerial skills and judgement.

Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.