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Healthcare IT is under tremendous pressure in today’s environment: Budgets are shrinking; staff are in short supply; cloud, mobile, and data are driving expansion and innovation. Consumer expectations are high while agility and speed to market for many HIT organizations is low. The exponential growth of data sources and the need to empower healthcare with data-driven intelligence is pushing capabilities. The words "digital transformation" are infused in just about every discussion and serve to amplify organizational expectations of IT. In this environment, IT departments have to retool, rethink, and revise their way of operating. Few have the option of starting from scratch; the vast majority of organizations have built IT functions over decades. Now, it’s time to remodel and renovate for the future. This book walks the reader through the process of determining what type of IT function they have today and what they’ll need tomorrow. It discusses how to assess and analyze IT capabilities and then develop and implement a plan to renovate in place. By retooling now, the IT function can successfully meet the growing demands of the organization in the future. When approached in a planful manner, this process of renovating can energize the entire organization and help foster innovation and transformation along the way.
Healthcare IT is a complex and rapidly evolving field. Success in this arena requires the ability to create a vision, set a strategy, foster collaboration, develop a plan and execute flawlessly every day. This book provides a clear, concise roadmap for professionals who currently manage, direct or oversee healthcare IT. Through case studies and examples, the author includes highly relevant topics such as delivering and communicating HIT values, managing information security, and connectivity challenges, as well as organizational strategy, alignment and vision of HIT, risk management, performance management and process improvement using Lean methodologies.
This book has attempted to devise a common language for hospital planning, programming, architecture, engineering and construction. A complete hospital project should be based upon a series of clear tasks and a straightforward schedule that is understood by the hospital, consultant, architect, engineer and contractor. An important feature of this book is the presentation of operational programming ratios. The use fo these ratios as a basis for sizing hospital department would give all of us a common method of re- viewing hospital utilization. Enormous differences in size, ranging from 600 to 1,200 gross square feet per bed, of hospitals in the same community should not exist. A baseline measurement is needed for all hospitals in order to assure quality space for the patient and to contain excessive facility cost based upon department wish- lists.
Written by the CEO and senior vice president of a 20,000 employee health care system, this book chronicles the journey that these healthcare leaders took when implementing continuous quality improvement (CQI) throughout this 27-hospital system. the authors candidly share their thoughts, challenges, and evaluation of what happened, and also how the hospitals in the system and its employees at all levels were impacted by the process. a book in the ASQ Health Care Series, this realistic and practical account conveys how the authors came to believe CQI could positively transform the organization and how they designed the structures needed to implement it. They also share the ups and downs they experienced and provide 10 tips to consider when implementing CQI. the appendix includes the SSM Health Care System CQI manual, showing some of the actual forms and guidelines used during implementation, and the foreword is by Donald M. Berwick, M.D. SSM Health Care System (SSMHCS), one of the largest Catholic health care systems in the United States, is committed to CQI. the top leaders of this St. Louis based organization provide a candid look at the possibilities, opportunities, and ramifications of CQI. Their purpose is to give business leaders the information they can easily relate to and begin using immediately. ABOUT the AUTHORS: Sister Mary Jean Ryan, FSM is the president and CEO of SSMHCS, based in St. Louis, Missouri. a recognized leader in health care, her responsibilities include coordination, direction, and integration of all the activities of SSMHCS. She earned her Masters Degree in Hospital & Health Administration from Xavier University. William P. Thompson is senior vice presidentustrategic planning, of SSMHCS. He is also a member of the executive committee for the Quality Management Network. Mr. Thompson has an M.H.A. Degree from Saint Louis University.
A complete, practical guide to managing healthcare facility construction projects Filled with best practices and the latest industry trends, Construction Management of Healthcare Projects describes the unique construction requirements of hospitals, including building components, specialized functions, codes, and regulations. Detailed case studies offer invaluable insight into the real-world application of the concepts presented. This authoritative resource provides in-depth information on how to safely and successfully deliver high-quality healthcare construction projects on time and within budget. Coverage includes: Regulations and codes impacting hospitals Planning and predesign Project budgeting Business planning and pro formas Healthcare project financing Traditional delivery methods for healthcare projects Modern project delivery methods and alternate approaches The challenges of additions and renovations Mechanical and electrical systems in hospitals Medical technology and information systems Safety and infection control Commissioning of healthcare projects Occupying the project The future of healthcare construction
A clear, hands-on outline of best practices for infection prevention that directly improve patient outcomes across the healthcare continuum.
Since the 1960s, researchers have been exploring how the design of the built environment impacts the health and well-being of occupants and users. By the 1980s, further research began to focus on healthcare facilities in particular and how design could influence patient healing and medical staff performance (Alfonsi, 2014). Evidence-Based Design (EBD) is “the process of basing decisions about the built environment on credible research to achieve the best possible outcomes” (CHD, 2016). The desired outcomes of Evidence-Based Design recommendations include improvements in the following: patient healing, patient experience and comfort, medical staff performance, and medical staff job satisfaction (CHD, 2017). Extensive research has been done on the subject of EBD; however, the question remains whether or not the latest research findings are being utilized by the design and construction industries in practice. The purpose of this research is to determine whether or not the latest scientific knowledge and research findings are being implemented into hospital renovation projects by the healthcare design and construction industries. A list of recommendations from existing EBD literature was compiled. Construction documents from 30 recent healthcare facility renovation projects across the United States were then obtained and analyzed. The findings indicate that EBD recommendations are being adopted in practice at consistently high levels. These findings also reveal that there are still areas of potential improvement which could inform those who influence or determine building and design codes, standards, and guidelines. The results are instructive to owners, designers, and contractors by providing a glimpse into how well the industry is recognizing and implementing known best practices. The findings likewise open up new opportunities for further research which could lead to additional improvement in the healthcare facilities of the future.
People's desire to understand the environments in which they live is a natural one. People spend most of their time in spaces and structures designed, built, and managed by humans, and it is estimated that people in developed countries now spend 90 percent of their lives indoors. As people move from homes to workplaces, traveling in cars and on transit systems, microorganisms are continually with and around them. The human-associated microbes that are shed, along with the human behaviors that affect their transport and removal, make significant contributions to the diversity of the indoor microbiome. The characteristics of "healthy" indoor environments cannot yet be defined, nor do microbial, clinical, and building researchers yet understand how to modify features of indoor environmentsâ€"such as building ventilation systems and the chemistry of building materialsâ€"in ways that would have predictable impacts on microbial communities to promote health and prevent disease. The factors that affect the environments within buildings, the ways in which building characteristics influence the composition and function of indoor microbial communities, and the ways in which these microbial communities relate to human health and well-being are extraordinarily complex and can be explored only as a dynamic, interconnected ecosystem by engaging the fields of microbial biology and ecology, chemistry, building science, and human physiology. This report reviews what is known about the intersection of these disciplines, and how new tools may facilitate advances in understanding the ecosystem of built environments, indoor microbiomes, and effects on human health and well-being. It offers a research agenda to generate the information needed so that stakeholders with an interest in understanding the impacts of built environments will be able to make more informed decisions.
Get the tools to meet the challenge of building or renovating a library! The challenge of renovating or constructing a library requires organizational skill, resourcefulness, creativity, and willingness to compromise. Planning, Renovating, Expanding, and Constructing Library Facilities in Hospitals, Academic Medical Centers, and Health Organizations presents thirteen insightful case studies revealing how many libraries have been have been built or renovated using innovations designed to meet a specific organization's needs. Each study plainly highlights objectives, methods, results, and conclusions, and reviews the design of the completed library. Ideas and approaches are presented clearly, showing the designing, refurbishing, and refurnishing of existing library space; the merging of library collections and services; and the construction of multimillion dollar library buildings—with each study explaining proven strategies which can be used or adapted to fit the reader’s own circumstances. Planning, Renovating, Expanding, and Constructing Library Facilities in Hospitals, Academic Medical Centers, and Health Organizations explains the steps in the planning process, including needs analysis, goal setting, and public relations, as well as the practical considerations of packing and unpacking. The contributors are noted library authorities intimately involved in every facet of the construction procedure and cost accounting, and the book includes helpful photographs, illustrations, tables, and appendices to clarify and help practicing librarians and library students alike fully understand the strategies needed to create a functional library facility that fulfills expectations. Planning, Renovating, Expanding, and Constructing Library Facilities in Hospitals, Academic Medical Centers, and Health Organizations includes case studies of: a resource library moved into a basement renovations to the Osler Library at McGill University, Montreal, Quebec construction of the Booker Health Services Library at the Jersey Shore University Medical Center a merger of two libraries at Trinitas Hospital, Elizabeth, New Jersey the renovation of a small hospital library designing a new library in a historic naval hospital the Hope Fox Eccles Clinical Library Renovation Project expansion and renovation of the Welch Medical Library at Johns Hopkins University and much more! Planning, Renovating, Expanding, and Constructing Library Facilities in Hospitals, Academic Medical Centers, and Health Organizations is an insightful resource for educators, students, and librarians of all types.