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Comprehensive guidance for starting or improving a surgical hospitalist program. Hospitalist medicine is the fastest growing medical specialty in the U.S., and surgical hospitalists are especially poised for rapid growth. Many hospital systems see surgical hospitalists as the most valuable response to the growing crisis of general call coverage and as a critical strategy in their effort to comply with quality measures. A first-of-its-kind resource, this book-and-CD set offers a window into successful surgical hospitalist programs to demonstrate exactly how the experts developed thriving programs with strong return-on-investment (ROI). It provides: * Comprehensive approaches to build or refine a surgical hospitalist practice * Recommendations for utilizing staff resources and internal management * Operating room scheduling models with expert analysis * Perspective on acute care surgery and trauma coverage * Easy-to-understand explanations of codes related to surgical hospitalists * Advice on building a financial plan and measuring ROI * Dashboards to evaluate ROI and justify program expansion to administrators * Financial considerations, including sample pro formas * Case studies offering real-life examples Surgical hospitalist programs developed out of necessity-to ensure specialist coverage for ED unassigned patients, improve ED responsiveness in critical specialties, reduce the burden on the medical staff, and solve the problems presented by staffing shortages. Nevertheless, surgical hospitalist programs have become profitable for many hospitals. This resource gives you the essential building blocks for a successful surgical hospitalist program.
The definitive guide to the knowledge and skills necessary to practice Hospital Medicine Presented in full color and enhanced by more than 700 illustrations, this authoritative text provides a background in all the important clinical, organizational, and administrative areas now required for the practice of hospital medicine. The goal of the book is provide trainees, junior and senior clinicians, and other professionals with a comprehensive resource that they can use to improve care processes and performance in the hospitals that serve their communities. Each chapter opens with boxed Key Clinical Questions that are addressed in the text and hundreds of tables encapsulate important information. Case studies demonstrate how to apply the concepts covered in the text directly to the hospitalized patient. Principles and Practice of Hospital Medicine is divided into six parts: Systems of Care: Introduces key issues in Hospital Medicine, patient safety, quality improvement, leadership and practice management, professionalism and medical ethics, medical legal issues and risk management, teaching and development. Medical Consultation and Co-Management: Reviews core tenets of medical consultation, preoperative assessment and management of post-operative medical problems. Clinical Problem-Solving in Hospital Medicine: Introduces principles of evidence-based medicine, quality of evidence, interpretation of diagnostic tests, systemic reviews and meta-analysis, and knowledge translations to clinical practice. Approach to the Patient at the Bedside: Details the diagnosis, testing, and initial management of common complaints that may either precipitate admission or arise during hospitalization. Hospitalist Skills: Covers the interpretation of common “low tech” tests that are routinely accessible on admission, how to optimize the use of radiology services, and the standardization of the execution of procedures routinely performed by some hospitalists. Clinical Conditions: Reflects the expanding scope of Hospital Medicine by including sections of Emergency Medicine, Critical Care, Geriatrics, Neurology, Palliative Care, Pregnancy, Psychiatry and Addiction, and Wartime Medicine.
Challenged to build and manage a hospitalist program? Overcome the challenge with the latest hospitalist program management techniques from 19 experts in the field: Jeffrey R. Dichter, MD, FACP; Kenneth G. Simone, DO; Mark Ault, MD; Yanick Beaulieu, MD, FRCPC; Martin B. Buser, MPH, FACHE; Mary Dallas, MD; Robbin Dick, MD, FACP; Leslie A. Flores, MHA; Patricia M. Gorman, RN, MSM, CPHQ; Aaron Gottesman, MD, FACP; Amir Jaffer, MD; Donald Krause, MD; Ajay Kumar, MD; John Nelson, MD, FACP; Philip Ng, MD; Charlene Porter, BS, MA, CPC; Bradley T. Rosen, MD, MBA; Geoff Teed; Wayne O. Winney These experts are in-the-trenches hospitalists, hospitalist program directors, chief executive officers, coding experts, chiefs of medicine, and critical care specialists. They'll help you: Use a step-by-step approach to evaluate the need for a hospitalist program Ensure proper communication between hospitalists, primary care physicians, and other staff Optimize hospitalist performance Define goals and specific performance benchmarks Grow the hospitalist program and streamline staff Recruit and retain effective hospitalists Create mentoring programs, call schedules, and more Achieve balanced workloads and successful coding practices Over the years, hospitalists' roles and responsibilities have extended far beyond what many programs originally intended. As a result, hospitals today must invest even more resources and time to create, monitor, and assess the value of a hospitalist program. For both new and existing programs, organization leaders need to ensure that the investment is worthwhile, cost-effective, of high quality, and benefits all parties--the hospital, the hospitalist, and the patient. The Hospitalist Program Management Guide, Second Edition, will show you how to: Establish a new or fledgling hospitalist program Avoid the common mistakes made when launching a program Monitor and improve a program once it is established This resource is completely updated with information from industry experts to help you meet evolving hospitalist program management challenges. New chapters include: Hospitalist program data: Tools to develop a program scorecard, guidelines for reviewing scorecard data, and strategies for using data to improve care and program processes. Benchmarks and evaluation: Strategies for using performance data in financial support negotiations with sponsoring organizations, physician incentive compensation plans, managed care contract negotiations, and program marketing. Tips for selecting metrics and analytical approaches to monitor performance and creating the hospitalist dashboard. Informatics specialist: Approaches for extracting performance metrics from typical information systems and navigating clinical and financial information systems. Return on investment: Tips for establishing, demonstrating, monitoring, and reporting the value of your hospitalists program to organization leadership and financial sponsors. Hospitalist culture and leadership development: Learn how to create a hospitalist culture that encourages participation, ownership, and leadership. Tips for encouraging open exchange of ideas, ensuring a reasonable workload, supporting hospitalists' individual interests and ambitions, and developing the next generation of leaders.
Loved for its humor, readability, and inviting cartoons, Nursing Today: Transitions and Trends, 9th Edition helps you prepare for the NCLEX-RN® Examination — while giving you valuable information to succeed in your professional career. It reflects current issues and trending topics that nurses will face, ensuring that you graduate not only with patient care skills, but also with career development skills such as resume writing, finding a job, and effective interviewing. This edition features test-taking tips for the NCLEX-RN® Examination and updated Evolve resources for students, including review questions and case studies. Thorough coverage of all the most important issues faced by the new nurse, preparing you for a professional career. An engaging approach features lively cartoons, chapter objectives, bibliographies, and colorful summary boxes. An emphasis on making the transition into the workplace is included in chapters such as NCLEX-RN and the New Graduate, Employment Considerations: Opportunities, Resumes, and Interviewing, and Mentorship and Preceptorship. Critical Thinking boxes in every chapter offer questions and exercises asking you to apply what you have learned to clinical practice. Evidence-Based Practice boxes, and evidence-based practice content throughout, focus your attention on the research evidence that supports clinical practice. Content on the role of nursing includes changes related to the BSN in 10 campaign and how these might affect entry into practice, as well as differentiated nursing practice models. Mentoring and preceptorship content discusses preceptorships as a capstone course versus a formalized preceptorship or nurse externship in which a student is employed by a healthcare facility, as well as the advantages of and tips for getting a nurse externship while in nursing school. NEW and UPDATED! Thoroughly updated content throughout with new information on areas such as: 2016 NCLEX test plan and pass/fail determinates by level of difficulty, interprofessional education, serious reportable events and never events, and nursing responsibilities in spiritual care. UPDATED! New content on leadership and followership features professional models of nursing practice like medical or health homes and nurse-managed health centers. EXPANDED! Added QSEN competencies related to effective communication, team building, evidence-based practice, patient safety, and quality assurance highlighted throughout. UPDATED and IMPROVED! Section restructuring makes this edition even easier to follow. UPDATED! Evolve resources for students include review questions and case studies.
Now thoroughly updated, this resource offers practical, evidence-based guidelines for the care of hospitalized patients. The only book geared directly and exclusively to inpatient management, this guide is edited by national leaders in the hospital field.
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Winner of the 2012 HIMSS Book of the Year Award! Co-published by HIMSS, the Scottsdale Institute, AMIA, AMDIS and SHM, this second edition of the authoritative guide to CDS implementation has been substantially enhanced with expanded and updated guidance on using CDS interventions to improve care delivery and outcomes. This edition has been reorganized into parts that help readers set up (or refine) a successful CDS program in a hospital, health system or physician practice; and configure and launch specific CDS interventions. Two detailed case studies illustrate how a "real-life" CDS program and specific CDS interventions might evolve in a hypothetical community hospital and small physician practice. This updated edition includes enhanced worksheets--with sample data--that help readers to document and use information needed for their CDS program and interventions. Sections in each chapter present considerations for health IT software suppliers to effectively support their CDS implementer clients.
This text will address the role of the hospital case manager from a busniess perspective rather than a nursing perspective. Will engage all areas that are involved with the health care system, in pursuit of global objectives on behalf of every stakeholder.
The first medical specialty selection guide written by residents for students! Provides an inside look at the issues surrounding medical specialty selection, blending first-hand knowledge with useful facts and statistics, such as salary information, employment data, and match statistics. Focuses on all the major specialties and features firsthand portrayals of each by current residents. Also includes a guide to personality characteristics that are predominate with practitioners of each specialty. “A terrific mixture of objective information as well as factual data make this book an easy, informative, and interesting read.” --Review from a 4th year Medical Student
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.