Download or read book The Maximally Efficient and Optimally Effective Emergency Department written by Rade B. Vukmir and published by University Press of America. This book was released on 2009-10-14 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, Dr. Vukmir defines both the qualitative and quantitative aspects of Emergency Department (ED) practice. The Emergency Department (ED) drives the efficiency of the remainder of a hospital's service, perhaps more than any other hospital care unit except the operating room.
Download or read book The Maximally Efficient And Optimally Effecfive Emergency Department written by Rade B Vukmir and published by . This book was released on 2016-01-07 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book Dr. Vukmir defines both the qualitative and quantitative aspects of the emergency department( ED) practice. The Emergency Department(ED) drives the efficiency of the remainder of the hospital, perhaps more than most other medical care unit. It is the "front door" of hospital and often forms the first impression of the facility. Summary The book begins with an outline of the efficacy, the "best circumstance" operation, versus effectiveness or "real world performance." This is followed by analysis of the efficiency, or "work product" based on resources utilized and outcome achieved. Through the benchmarking process, he attempts to "objectify" the care provided by physicians, mid-levels, nurses and ancillary care providers. The more subtle thematic aspects of ED operations and its interface with other hospital departments are also reviewed. The text is subdivided operationally into distinct, yet still integrated working units such as patient intake, registration, testing and data processing, as well as the admission, consultation and discharge processes. Potential solutions are offered to the common issues of ED staffing, quality of care, operational efficiency, performance improvement and risk management issues. The team approach is emphasized to achieve the best patient outcome possible in the ED. Author Rade B. Vukmir MD, JD is President of Critical Care Medicine Associates, a medical administrative and consulting enterprise founded in 1991. He is certified in Emergency and Critical Care Medicine, and has a degree in law with a certificate in health law. Dr. Vukmir has written forty-three medical journal articles, and is the author of ten books. These works include The Mill(1999), Outcome of the Critically Ill: Medicine, Surgery and Trauma(2000), Airway Management in the Critically Ill(2001), Lessons Learned: Successful Management in the Changing Marketplace(2003), ER: A Year in the Life(2005), ER: One Good Thing a Day(2008), The Maximally Efficient and Optimally Effective Emergency Department(2009), ER: One Hundred(2012), Physician Contract Guidebook(2014) and Disruptive Provider Behavior: An Evidence Based Analysis(2016).
Download or read book Legal Issues in Emergency Medicine written by Rade B. Vukmir and published by Cambridge University Press. This book was released on 2018-03-22 with total page 372 pages. Available in PDF, EPUB and Kindle. Book excerpt: On any given day in the emergency department, the chance of confronting a medical-legal dilemma is significant. Emergency medicine and critical care practitioners may have to deal with malpractice claims, informed consent, protection of minors, resuscitation, operational issues and legal compliance requirements frequently. Substantial knowledge of the law as it pertains to their emergency care and acute care practice is essential. Legal Issues in Emergency Medicine is an invaluable resource for medical practitioners, legal practitioners and administrators in practice and in training. The book covers key topics that have direct relevance to day to day acute patient care practice. Each topic includes a clinical vignette, followed by a review of the legal controversy, current medical scientific evidence, case law and preventative solutions to the dilemma. This approach allows practitioner exposure to a wide variety of medical-legal problems, allowing a pre-emptive, informed approach to problem solving.
Download or read book The ER written by Rade B. Vukmir and published by Rowman & Littlefield. This book was released on 2013 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Emergency Department (ED), or Emergency Room (ER) as it is commonly known, is home to everyone both patients and staff. There are very few constants in this ever-changing world, but the ER is certainly one of them. The patients find a safe haven, a place they can present with all manner of life s ills physical, spiritual, or social always hoping for a remedy. However, there is seldom a place where more life-changing events can occur. Some changes are subtle and indistinct, while others are cataclysmic in nature. Either way, patients are assured that they will truly be cared for. The ED staff calls this place home as well. There are no casual participants here; they come and soon will go nowhere else. They are truly a team, blending the proper proportion of caring and expertise. Their goal is to restore patients and families to the best state of health and recovery that can be achieved. Sometimes, the decisions have already been made and comfort is what we provide. Both sides are truly changed forever. This work completes the ER trilogy by presenting a synthesis of a quarter century of medical experience. Readers will have the opportunity to practice their deductive skills, make the proper diagnosis, and implement the correct treatment approach for each true story."
Download or read book Optimizing Emergency Department Throughput written by John M. Shiver and published by CRC Press. This book was released on 2017-07-26 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Across the country ambulances are turned away from emergency departments (EDs) and patients are waiting hours and sometimes days to be admitted to a hospital room. Hospitals are finding it hard to get specialist physicians to come to treat emergency patients. Our EDs demand a new way of thinking. They are not at a tipping point; they are at a break
Download or read book The ER written by Rade B Vukmir and published by . This book was released on 2016-01-07 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ER: A Year In The Life relates both the joy and sadness that can be encountered while caring for patients and families in the emergency department. The book condenses a 16 year practice of emergency and critical care medicine into a single year timeline. Similarities between the caregivers and cared for are revealed in the telling stories within. Summary On any given night you can flip through multiple cable channels, where reality TV shows medical providers involved in every sort of endeavor from treating a gunshot wound in the trauma center to performing an operation. They bring before the viewer those with cancer, those having a baby in the hospital, in birthing suites or assisted by midwife in the home setting. The personal world of all- doctors, nurses, and patients is now regularly the subject of a TV special or web video. In some ways this is good perspective, we joke with the patients telling them that they have the best vantage spot in the busy emergency department. "We are better than TV," I joke. We are just like ER. Although, we are not as good looking and we do not make $1 million an episode." They usually laugh both young and old. They share the commonality of their experience. Sometimes they chuckle and other times they are sad. The secret world of sadness, of death and dying, of lost hope and dreams has been revealed to the world. Often a difficult day is salvaged by least one positive event that restores balance, and so life goes on in the ER. Author Rade B. Vukmir MD, JD is President of Critical Care Medicine Associates, a medical administrative and consulting enterprise founded in 1991. He is certified in Emergency and Critical Care Medicine, and has a degree in law with a certificate in health law. Dr. Vukmir has written forty-three medical journal articles, and is the author of ten books. These works include The Mill(1999), Outcome of the Critically Ill: Medicine, Surgery and Trauma(2000), Airway Management in the Critically Ill(2001), Lessons Learned: Successful Management in the Changing Marketplace(2003), ER: A Year in the Life(2005), ER: One Good Thing a Day(2008), The Maximally Efficient and Optimally Effective Emergency Department(2009), ER: One Hundred(2012), Physician Contract Guidebook(2014) and Disruptive Provider Behavior: An Evidence Based Analysis(2016
Download or read book Health Care in the Next Curve written by John Abendshien and published by Taylor & Francis. This book was released on 2018-08-06 with total page 189 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare in the U.S. is a critical juncture. We face a sharp upward rise in the number of people with chronic diseases and disabilities. As demands on our current health system grow, so will costs. But as a society we are approaching the upper limit of how much we are willing (or able) to spend on health care. Health care policy makers know this. That is why major health reform measures are focused on population health and value-based care. These are the so-called second curve objectives. But these initiatives are doomed to failure. We are asking a system to do things that it was not designed to do. In fact, we don’t have a health care "system" as such. We have a parts bin of disconnected silos. Fragmented delivery systems. Specialized caregivers. Professional groups. Trade associations. All with distinct cultures. Each with their own motivations and agendas. Our payer and regulatory structures have evolved over the decades in response to political and policy initiatives. However well intentioned (or not), these structures defy logic. They reward and reinforce counter-productive industry behaviors. They pose formidable roadblocks to achieving needed changes. Current reform initiatives are an implicit recognition that our health model is flawed. The attitude seems to be, "Yes, we know the overall health system is a problem, but we can make failure less severe if we implement these measures." We are at a critical juncture. We can continue to place additional demands on an industry model that has outlived its functional utility. Or we can take more of a clean slate approach and move toward a model that is in keeping with today’s needs. The outlook is not good if we stay on the current curve. The demands on resources will continue their upward trajectory. The default scenario will be one of rationing and less to invest in new cures and new technologies. The good news is that we are within sight of a future state of health care that can really work. In this future state, we have gotten rid of the artificial barriers to effective and efficient patient care. Physicians and other health professionals work in a coordinated, inter-disciplinary fashion. They have accountability for the whole care cycle. Caregivers have both the flexibility and encouragement to innovate and come up with optimal delivery approaches. And because they are in a risk-reward relationship with payers, they have the incentives to provide true value. Patients feel intimately connected to a system that is focused on their specific needs. The key to this future state is good old-fashioned market discipline. Other delivery models must either improve or get out of the way. The market will demand cost-efficiencies and won’t tolerate waste. Much of our regulatory structure will be rendered unnecessary. There will be not rewards for poor performance. This book takes a unique macro-level perspective of clinical, economic, and regulatory problems and possible solutions. It takes an objective and something scathing look at current industry structure: a silo-driven culture and entrenchment that is driven by self-interest; as well as the complicity of government in preserving the status quo through regulations, licensure, payment systems, etc.
Download or read book Optimal Districting and Territory Design written by Roger Z. Ríos-Mercado and published by Springer Nature. This book was released on 2020-02-04 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book highlights recent advances in the field of districting, territory design, and zone design. Districting problems deal essentially with tactical decisions, and involve mainly dividing a set of geographic units into clusters or territories subject to some planning requirements. This book presents models, theory, algorithms (exact or heuristic), and applications that would bring research on districting systems up-to-date and define the state-of-the-art. Although papers have addressed real-world problems that require districting or territory division decisions, this is the first comprehensive book that directly addresses these problems. The chapters capture the diverse nature of districting applications, as the book is divided into three different areas of research. Part I covers recent up-to-date surveys on important areas of districting such as police districting, health care districting, and districting algorithms based on computational geometry. Part II focuses on recent advances on theory, modeling, and algorithms including mathematical programming and heuristic approaches, and finally, Part III contains successful applications in real-world districting cases.
Download or read book Emergency Department Organization and Management written by American College of Emergency Physicians. Hospital Committee and published by . This book was released on 1975 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Computational Intelligence and Soft Computing Applications in Healthcare Management Science written by Gul, Muhammet and published by IGI Global. This book was released on 2020-03-06 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: In today’s modernized world, the field of healthcare has seen significant practical innovations with the implementation of computational intelligence approaches and soft computing methods. These two concepts present various solutions to complex scientific problems and imperfect data issues. This has made both very popular in the medical profession. There are still various areas to be studied and improved by these two schemes as healthcare practices continue to develop. Computational Intelligence and Soft Computing Applications in Healthcare Management Science is an essential reference source that discusses the implementation of soft computing techniques and computational methods in the various components of healthcare, telemedicine, and public health. Featuring research on topics such as analytical modeling, neural networks, and fuzzy logic, this book is ideally designed for software engineers, information scientists, medical professionals, researchers, developers, educators, academicians, and students.
Download or read book Hospital Based Emergency Care written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-03 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.
Download or read book Trauma Team Dynamics written by Lawrence M. Gillman and published by Springer. This book was released on 2015-11-02 with total page 323 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book exploring the unique dynamics created by a multidisciplinary trauma team and how crisis management strategies can improve teamwork and communication and, potentially, improve patient resuscitation outcomes. Crisis resource management (CRM) is integral to the way that we manage ourselves, team members, and patients during emergency situations. It is essentially the ability to translate knowledge of what needs to be done into effective actions during a crisis situation. Building on the revolutionary American College of Surgeons Advanced Trauma Life Support (ATLS®) course, Trauma Team Dynamics illustrates the integration of the principles of CRM to team dynamics throughout the resuscitation –from the scene, through pre-hospital care and transport, to the trauma bay, and finally to definitive care and beyond. The editors and contributors are international experts in trauma, critical care, emergency medicine, nursing, respiratory therapy, and pre-hospital care and include NASA- and United States military-affiliated experts. Trauma Team Dynamics is intended for use as both a day-to-day clinical resource and a reference text, and includes self-assessment questions as well as guidance on CRM curriculum design and implementation.
Download or read book Health System Efficiency written by Jonathan Cylus and published by Health Policy. This book was released on 2016-12-15 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.
Download or read book Peer Review of Ancillary Services written by Marion Torchia and published by . This book was released on 1979 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Principles of Health Economics for Developing Countries written by William Jack and published by World Bank Publications. This book was released on 1999-01-01 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Developing countries present health economists with an array of situations and circumstances not seen in developed countries. This book explores those characteristics particular to developing countries.
Download or read book OECD Public Governance Reviews Public Procurement Review of the Mexican Institute of Social Security Enhancing Efficiency and Integrity for Better Health Care written by OECD and published by OECD Publishing. This book was released on 2013-12-13 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: This review provides a comprehensive assessment of Mexico's IMSS procurement strategies, systems and processes and proposes a roadmap for the reform of its procurement function.
Download or read book Gaffney s Local Government in South Africa written by and published by . This book was released on 2007 with total page 1796 pages. Available in PDF, EPUB and Kindle. Book excerpt:
