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"Hardwiring Flow: Systems and Processes for Seamless Patient Care, by Drs. Thom Mayer and Kirk Jensen, delves into one of the most critical issues facing healthcare leaders today. Patient flow. Essentially, it means patients spend exactly the right amount of time at every juncture in their journey through an organization--just enough time to maximize their clinical outcomes in the most cost-effective manner"--Publisher's description.
When physicians and nurses suffer from burnout, patients suffer as well. This book pinpoints the how and why and shows what healthcare providers and their organizations can do. Burnout is among the most critical topics in healthcare as it deprives us of our most important resource—the talents and passion of those who perform the difficult work of caring for patients and their families. The purpose of this book is to provide not only a taxonomy of burnout within the landscape of healthcare but also to provide pathways for healthcare professionals to guide themselves and their organizations toward changing the culture and systems of their organization. The work of battling burnout begins from within. Thom Mayer views every healthcare team member as both a leader and performance athlete, engaged in a cycle of performance, training, and recovery. In these roles, they must both lead and protect themselves and their teams. Battling Healthcare Burnout looks at individuals' role in promoting change within themselves and their organization and addresses solutions to change the culture and systems of work. Both are presented with a pragmatic focusand a liberal use of examples and case studies, including those from several nationally recognized healthcare systems.
This book is dedicated to improving healthcare through reducing delays experienced by patients. With an interdisciplinary approach, this new edition, divided into five sections, begins by examining healthcare as an integrated system. Chapter 1 provides a hierarchical model of healthcare, rising from departments, to centers, regions and the “macro system.” A new chapter demonstrates how to use simulation to assess the interaction of system components to achieve performance goals, and Chapter 3 provides hands-on methods for developing process models to identify and remove bottlenecks, and for developing facility plans. Section 2 addresses crowding and the consequences of delay. Two new chapters (4 and 5) focus on delays in emergency departments, and Chapter 6 then examines medical outcomes that result from waits for surgeries. Section 3 concentrates on management of demand. Chapter 7 presents breakthrough strategies that use real-time monitoring systems for continuous improvement. Chapter 8 looks at the patient appointment system, particularly through the approach of advanced access. Chapter 9 concentrates on managing waiting lists for surgeries, and Chapter 10 examines triage outside of emergency departments, with a focus on allied health programs Section 4 offers analytical tools and models to support analysis of patient flows. Chapter 11 offers techniques for scheduling staff to match patterns in patient demand. Chapter 12 surveys the literature on simulation modeling, which is widely used for both healthcare design and process improvement. Chapter 13 is new and demonstrates the use of process mapping to represent a complex regional trauma system. Chapter 14 provides methods for forecasting demand for healthcare on a region-wide basis. Chapter 15 presents queueing theory as a method for modeling waits in healthcare, and Chapter 16 focuses on rapid delivery of medication in the event of a catastrophic event. Section 5 focuses on achieving change. Chapter 17 provides a diagnostic for assessing the state of a hospital and using the state assessment to select improvement strategies. Chapter 18 demonstrates the importance of optimizing care as patients transition from one care setting to the next. Chapter 19 is new and shows how to implement programs that improve patient satisfaction while also improving flow. Chapter 20 illustrates how to evaluate the overall portfolio of patient diagnostic groups to guide system changes, and Chapter 21 provides project management tools to guide the execution of patient flow projects.
Written for a global audience, by an international team, the book provides practical, case-based emergency department leadership skills.
No More Lethal Waits is a concise and compelling step-by-step guide to transform emergency departments in Canada and anywhere patients wait unconscionable times for their needs to be met. Dr. Shawn Whatley – who knows whereof he speaks, having led and participated in radical change to a large emergency department – summarizes the steps as: 1. Revamp Triage. 2. Close the Waiting Room. 3. Redefine Nurse-to-Patient Ratios. 4. Use Chairs and Exam Tables, Not Stretchers. 5. Change Scheduling to Meet Patient Needs More Efficiently. 6. Give MDs Responsibility for Flow and Hire Patient Navigators. 7. Use Real-Time Data and Adopt a Full Capacity Protocol. 8. Expect Resistance and Prepare for It. 9. Build on Solid Leadership Principles. 10. Get Political.
Practical leadership for difficult times, from a crisis management expert who has led response teams through the 9/11 Pentagon attack, NFL on-field medical emergencies, and the war in Ukraine. Dr. Thom Mayer knows first-hand that true leadership stems from our actions, not our positions, especially in times of crisis. Drawing on his experiences heading the 9/11 Pentagon rescue efforts, dealing with on-field emergencies in the NFL (he was at Damar Hamlin’s bedside after his injury), training mobile response medical teams in Ukraine, and more, Mayer covers such topics as: Why trust is vital for innovation The critical role of failure in devising new ways of leading How questions fuel innovative action Why every leader should have the title Chief Story Teller The importance of distinguishing between data, knowledge, and wisdom Each chapter begins with a provocative and seemingly contradictory statement, like the book’s title, and includes stories, historical examples, and literary lessons selected to guide pragmatic and practical solutions. Leadership is worthless because it is something you say, a noun. But leading is priceless because it is a verb—it is the things we do that make a difference. From Pentagon generals to corporate CEOs to football players on the field to parents driving their kids to school, Mayer shows how leaders ensure that their actions will help others to succeed.
How Successive Governments Have Weakened the Foundation of All Canadian's Social and Economic Security At some point you will find yourself lying in a hospital bed. There is a good chance that your bed will be a firm, rubber pad held secure between two rails and parked along a corridor in a busy emergency department. Moans of “Nurse!” will echo from the beds ahead of you in line. Those pleas will fall largely on deaf ears. Your hospital is underfunded and understaffed. Welcome to the current reality of Medicare in the 21st century. Using searing analogies and first-hand accounts, Dr. Whatley makes the argument that the current Medicare system is unsustainable and unless critical choices and changes are made soon, the publicly funded, single-payer system in Canada will implode. Successive governments, regardless of political stripe, know all too well that Canada's system of health care is one of the defining characteristics of “being a Canadian”, and any changes deemed harmful will have them thrown out of power. Thus, decades of cuts around the margins, centralized control, federal/provincial infighting, and government oversight has left doctors and hospitals with little input on how your health dollars are allocated and spent. Citizens are being left to languish in pain for months, sometimes years, because the current cost and delivery system is programmed for the benefit of governments staying in power. That was not what was intended. Medicare should be about delivering high-quality and timely healthcare value for Canadians. This is not an easy fix. Treatment starts with a serious look at the disease, and Dr. Whatley pulls no punches. But what sounds like a radical new approach is neither new nor radical. He is not arguing for the end of Medicare per se but is making the case to let medical professionals — those providing the services — become equal partners in its design, implementation and delivery.
Unleash the Fire Within: Forge a Buddha-Level Mind with Neuroscience Burn away stress and unlock happiness with a revolutionary method that blends ancient wisdom with cutting-edge science. Donovan Ekstrom's Hardwiring Your Mind is more than a self-help book - it's a mental-mastery manual. Discover how to: Hack your happiness: Reprogram your brain for joy, using the latest breakthroughs in neuroscience. Zen Your Stress: Achieve Buddha-like calm, even in the face of modern chaos. Ignite Your Potential: Cultivate laser focus and unwavering willpower - become unstoppable. Hardwiring Your Mind is your searing guide to forging an unshakeable mind and a life filled with fierce happiness. Pre-order now and become the master of your own destiny!
With New York Times bestselling author, Dr. Hanson's four steps, you can counterbalance your brain's negativity bias and learn to hardwire happiness in only a few minutes each day. Why is it easier to ruminate over hurt feelings than it is to bask in the warmth of being appreciated? Because your brain evolved to learn quickly from bad experiences and slowly from good ones, but you can change this. Life isn’t easy, and having a brain wired to take in the bad and ignore the good makes us worried, irritated, and stressed, instead of confident, secure, and happy. But each day is filled with opportunities to build inner strengths and Dr. Rick Hanson, an acclaimed clinical psychologist, shows what you can do to override the brain’s default pessimism. Hardwiring Happiness lays out a simple method that uses the hidden power of everyday experiences to build new neural structures full of happiness, love, confidence, and peace. You’ll learn to see through the lies your brain tells you. Dr. Hanson’s four steps build strengths into your brain to make contentment and a powerful sense of resilience the new normal. In just minutes a day, you can transform your brain into a refuge and power center of calm and happiness.
A book for practical preppers (those planning for emergencies or disasters). Discusses food storage, water purification and collection, sanitation, first-aid, bug-out bags, bug-out vehicles, home and self-defense, firearms and shooting, providing lights and utilities, and aspects of home construction. -- AUTHOR BIO Charlie Palmer became a prepper back in the early 1980s when he first read The Survivor newsletter. Today he recommends people make modest preparations for natural disasters and other emergencies. His interests include do-it-yourself repairs, shooting, welding, machining, and outdoor survivial.