For decades, the manufacturing industry has employed the Toyota Production System the most powerful production method in the world to reduce waste, improve quality, reduce defects and increase worker productivity. In 2001, Virginia Mason Medical Center, an integrated healthcare delivery system in Seattle, Washington set out to achieve its compe

Interdisciplinary Shared Governance is the foundational reference for interdisciplinary shared governance model design and implementation. This text provides a seminal information base for translating nursing shared governance across disciplinary boundaries in a way that creates systems and practice linkages across the organization. The Second Edition has been updated with new concepts and further research that extends thinking with regard to shared governance, Magnet recognition, and interdisciplinary relationships. This revised edition is essential in supporting the broad-based application of shared governance as a decision-making model for integrating clinical practice.

Using straightforward, accessible language, this groundbreaking resource is a comprehensive primer on the most progressive tools and techniques currently used for assessing healthcare systems and healthcare process effectiveness. Typically these tools are embedded in programs such as Total Quality Management, continuous process improvement, process reengineering, protocol redesign, or most recently, Six Sigma and organizational transformation. Transforming Health Care Management presents an integrated, multi-disciplinary approach while focusing on fundamental concepts. It will thoroughly prepare the reader to design, implement, manage, operate, monitor or improve technology, processes, and programs and is an ideal text for those studying healthcare information technology, operations research, systems analysis, process improvement, or informatics. Features: Chapters cover highly technical subjects using clear and accessible language. Vignettes from the author’s years of professional experience illustrate particularly complex concepts. Focuses on key concepts and applications rather than theory and jargon. Accompanied by a complete package of instructor resources (downloadable Instructor’s Manual, TestBank, PowerPoint slides) to facilitate teaching and learning.

Transforming Health Care by Leveraging Artificial Intelligence and Machine Learning AI and ML in healthcare represent nothing less than a revolution in how we provide care, anticipate the progress of our patients, and run our hospitals. This instructive, practical guide brings into view how data-driven insights are revolutionizing healthcare real-time patient monitoring and tailored treatments to analytics that can predict disease and optimize operations. Packed full of case studies, expert perspectives, and forward-looking strategies, this book will be a valuable tool for healthcare professionals, data scientists, and administrators alike. Whether at the beginning of your AI journey or looking to enhance your knowledge, this book will take you through the challenges and possibilities that come with AI-powered healthcare.

Shedding light on current transformations in payment mechanisms and transparency of hospital performance data and prices, this volume of Advances in Health Care Management presents findings on hospital profitability, cost, and organizational structures.

Drawing on the knowledge and experiences of world-renowned scientists and healthcare professionals, this important book brings together academic, medical and health systems accounts of the impact of applying qualitative research methods to transform healthcare behaviours, systems and services. It demonstrates the translation of tried-and-tested and new interventions into high-quality care delivery, improved patient pathways, and enhanced systems management. It melds social theory, health systems analysis and research methods to address real-life healthcare issues in a rich and realistic fashion. The systems and services examined include those affecting patient care and patient and professional wellbeing, and the roles and responsibilities of people providing and receiving care. Some chapters delve deeply into the human psyche, examining the very private face of health and illness. Others concentrate on public health and how people’s needs can be met through health promotion and new investments. From real-time case studies to narratives on illness to theories of change, there is something here for everybody. Transforming health systems needs ingenuity – and the drive of individuals, the staying power of systems and above all the involvement of patients. Full of novel ideas and innovative solutions from around the world, all underpinned by qualitative methods and methodologies, this book is a key contribution for advanced students, practitioners and academics interested in health services research, research methods and the sociology of health and illness.

This textbook begins with an introduction to the US healthcare delivery system, its many systemic challenges and the prior efforts to develop and deploy informatics tools to help overcome those problems. It goes on to discuss health informatics from an historical perspective, its current state and its likely future state now that electronic health record systems are widely deployed, the HL7 Fast Healthcare Interoperability standard is being rapidly accepted as the means to access the data stored in those systems and analytics is increasing being used to gain new knowledge from that aggregated clinical data. It then turns to some of the important and evolving areas of informatics including population and public health, mHealth and big data and analytics. Use cases and case studies are used in all of these discussions to help readers connect the technologies to real world challenges. Effective use of informatics systems and tools by providers and their patients is key to improving the quality, safety and cost of healthcare. With health records now digital, no effective means has existed for sharing them with patients, among the multiple providers who may care for them and for important secondary uses such as public/population health and research. This problem is a topic of congressional discussion and is addressed by the 21st Century Cures Act of 2016 that mandates that electronic health record (EHR) systems offer a patient-facing API. HL7’s Fast Healthcare Interoperability Resources (FHIR) is that API and this is the first comprehensive treatment of the technology and the many ways it is already being used. FHIR is based on web technologies and is thus a far more facile, easy to implement approach that is rapidly gaining acceptance. It is also the basis for a ‘universal health app platform’ that literally has the potential to foster innovation around the data in patient records similar to the app ecosystems smartphones created around the data they store. FHIR app stores have already been opened by Epic and Cerner, the two largest enterprise EHR vendors. Provider facing apps are already being explored to improve EHR usability and support personalized medicine. Medicare and the Veteran’s Administration have announced FHIR app platforms for their patients. Apple’s new IOS 11.3 features the ability for consumers to aggregate their health records on their iPhone using FHIR. Health insurance companies are exploring applications of FHIR to improve service and communication with their providers and patients. SureScripts, the national e-Prescribing network, is using FHIR to help doctors know if their patients are complying with prescriptions. This textbook is for introductory health informatics courses for computer science and health sciences students (e.g. doctors, nurses, PhDs), the current health informatics community, IT professionals interested in learning about the field and practicing healthcare providers. Though this textbook covers an important new technology, it is accessible to non-technical readers including healthcare providers, their patients or anyone interested in the use of healthcare data for improved care, public/population health or research.