Better Healthcare Through Math

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Author :
Publisher : Forbesbooks
ISBN 13 : 9781950863341
Total Pages : 240 pages
Book Rating : 4.8/5 (633 download)

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Book Synopsis Better Healthcare Through Math by : Sanjeev Agrawal

Download or read book Better Healthcare Through Math written by Sanjeev Agrawal and published by Forbesbooks. This book was released on 2020-11-17 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: GETTING A DOCTOR'S APPOINTMENT SHOULDN'T BE HARDER THAN BOOKING A VACATION The US healthcare system excels in research, innovation, and clinical care, but is failing to keep up with the operational challenges of the digital age. Today's healthcare organizations face immense financial challenges, and their most valuable resources--people, rooms, and equipment--are being used inefficiently. The result? Long wait times for patients, overstressed staff, underused assets, and poor ROI for organizations. Why do health systems struggle with optimization? The fundamental problem is one of matching an unpredictable demand for services with a constrained supply. The math being used to solve this problem is a holdover from the paper-and-pencil era. In Better Healthcare Through Math, authors Mohan Giridharadas and Sanjeev Agrawal show you that there is a better way. Healthcare systems can harness the power of sophisticated, analytics-driven mathematics to optimize the matching of supply and demand. By upgrading to software systems built on better math, they can enable staff to make data-based decisions to flatten peaks of demand and create smoother patient flow.

The Healthy Programmer

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Author :
Publisher : Pragmatic Bookshelf
ISBN 13 : 1680505068
Total Pages : 320 pages
Book Rating : 4.6/5 (85 download)

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Book Synopsis The Healthy Programmer by : Joe Kutner

Download or read book The Healthy Programmer written by Joe Kutner and published by Pragmatic Bookshelf. This book was released on 2013-06-26 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Printed in full color. To keep doing what you love, you need to maintain your own systems, not just the ones you write code for. Regular exercise and proper nutrition help you learn, remember, concentrate, and be creative--skills critical to doing your job well. Learn how to change your work habits, master exercises that make working at a computer more comfortable, and develop a plan to keep fit, healthy, and sharp for years to come. Small changes to your habits can improve your health--without getting in the way of your work. The Healthy Programmer gives you a daily plan of action that's incremental and iterative just like the software development processes you're used to. Every tip, trick, and best practice is backed up by the advice of doctors, scientists, therapists, nutritionists, and numerous fitness experts. We'll review the latest scientific research to understand how being healthy is good for your body and mind. You'll start by adding a small amount of simple activity to your day--no trips to the gym needed. You'll learn how to mitigate back pain, carpal tunnel syndrome, headaches, and many other common sources of pain. You'll also learn how to refactor your diet to properly fuel your body without gaining weight or feeling hungry. Then, you'll turn the exercises and activities into a pragmatic workout methodology that doesn't interfere with the demands of your job and may actually improve your cognitive skills. You'll also learn the secrets of prominent figures in the software community who turned their health around by making diet and exercise changes. Throughout, you'll track your progress with a "companion iPhone app". Finally, you'll learn how to make your healthy lifestyle pragmatic, attainable, and fun. If you're going to live well, you should enjoy it. Disclaimer This book is intended only as an informative guide for those wishing to know more about health issues. In no way is this book intended to replace, countermand, or conflict with the advice given to you by your own healthcare provider including Physician, Nurse Practitioner, Physician Assistant, Registered Dietician, and other licensed professionals. Keep in mind that results vary from person to person. This book is not intended as a substitute for medical or nutritional advice from a healthcare provider or dietician. Some people have a medical history and/or condition and/or nutritional requirements that warrant individualized recommendations and, in some cases, medications and healthcare surveillance. Do not start, stop, or change medication and dietary recommendations without professional medical and/or Registered Dietician advice. A healthcare provider should be consulted if you are on medication or if there are any symptoms that may require diagnosis or medical attention. Do not change your diet if you are ill, or on medication except under the supervision of a healthcare provider. Neither this, nor any other book or discussion forum is intended to take the place of personalized medical care of treatment provided by your healthcare provider. This book was current as of January, 2013 and as new information becomes available through research, experience, or changes to product contents, some of the data in this book may become invalid. You should seek the most up to date information on your medical care and treatment from your health care professional. The ultimate decision concerning care should be made between you and your healthcare provider. Information in this book is general and is offered with no guarantees on the part of the author, editor or The Pragmatic Programmers, LLC. The author, editors and publisher disclaim all liability in connection with the use of this book.

Cracking Health Costs

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118710916
Total Pages : 157 pages
Book Rating : 4.1/5 (187 download)

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Book Synopsis Cracking Health Costs by : Tom Emerick

Download or read book Cracking Health Costs written by Tom Emerick and published by John Wiley & Sons. This book was released on 2013-06-07 with total page 157 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cracking Health Costs reveals the best ways for companies and small businesses to fight back, right now, against rising health care costs. This book proposes multiple, practical steps that you can take to control costs and increase the effectiveness of the health benefit. The book is all about rolling back health care costs to save companies and employees money. Working hand-in-hand with their employees, businesses need to ensure that, whenever feasible, employees with the most expensive diagnoses get optimal treatment at hospitals not practicing “volume-driven” medicine for higher profits. Less than 10% of employees incur 80% of costs. About 20% of patients have been completely misdiagnosed, while many others are simply the victims of surgeons who are either practicing bad medicine or overtreating for profit. For example, some companies, such as Walmart and Lowe’s, are turning to the “Centers of Excellence” approach author Tom Emerick helped to pioneer while running benefits for Walmart. By determining which hospitals are adopting the highest standards of care, benefits managers can reduce the number of unnecessary high-cost surgeries and improve employees’ overall health. The solution-based approach offered by the book is unique, because it can be implemented by businesses today.

How Not to Be Wrong

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Author :
Publisher : Penguin
ISBN 13 : 0143127535
Total Pages : 482 pages
Book Rating : 4.1/5 (431 download)

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Book Synopsis How Not to Be Wrong by : Jordan Ellenberg

Download or read book How Not to Be Wrong written by Jordan Ellenberg and published by Penguin. This book was released on 2015-05-26 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: “Witty, compelling, and just plain fun to read . . ." —Evelyn Lamb, Scientific American The Freakonomics of math—a math-world superstar unveils the hidden beauty and logic of the world and puts its power in our hands The math we learn in school can seem like a dull set of rules, laid down by the ancients and not to be questioned. In How Not to Be Wrong, Jordan Ellenberg shows us how terribly limiting this view is: Math isn’t confined to abstract incidents that never occur in real life, but rather touches everything we do—the whole world is shot through with it. Math allows us to see the hidden structures underneath the messy and chaotic surface of our world. It’s a science of not being wrong, hammered out by centuries of hard work and argument. Armed with the tools of mathematics, we can see through to the true meaning of information we take for granted: How early should you get to the airport? What does “public opinion” really represent? Why do tall parents have shorter children? Who really won Florida in 2000? And how likely are you, really, to develop cancer? How Not to Be Wrong presents the surprising revelations behind all of these questions and many more, using the mathematician’s method of analyzing life and exposing the hard-won insights of the academic community to the layman—minus the jargon. Ellenberg chases mathematical threads through a vast range of time and space, from the everyday to the cosmic, encountering, among other things, baseball, Reaganomics, daring lottery schemes, Voltaire, the replicability crisis in psychology, Italian Renaissance painting, artificial languages, the development of non-Euclidean geometry, the coming obesity apocalypse, Antonin Scalia’s views on crime and punishment, the psychology of slime molds, what Facebook can and can’t figure out about you, and the existence of God. Ellenberg pulls from history as well as from the latest theoretical developments to provide those not trained in math with the knowledge they need. Math, as Ellenberg says, is “an atomic-powered prosthesis that you attach to your common sense, vastly multiplying its reach and strength.” With the tools of mathematics in hand, you can understand the world in a deeper, more meaningful way. How Not to Be Wrong will show you how.

Why Nobody Believes the Numbers

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118332067
Total Pages : 178 pages
Book Rating : 4.1/5 (183 download)

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Book Synopsis Why Nobody Believes the Numbers by : Al Lewis

Download or read book Why Nobody Believes the Numbers written by Al Lewis and published by John Wiley & Sons. This book was released on 2012-06-11 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: Why Nobody Believes the Numbers introduces a unique viewpoint to population health outcomes measurement: Results/ROIs should be presented as they are, not as we wish they would be. This viewpoint contrasts sharply with vendor/promoter/consultant claims along two very important dimensions: (1) Why Nobody Believes presents outcomes/ROIs achievable right here on this very planet... (2) ...calculated using actual data rather than controlled substances. Indeed, nowhere in healthcare is it possible to find such sharply contrasting worldviews, methodologies, and grips on reality. Why Nobody Believes the Numbers includes 12 case studies of vendors, carriers, and consultants who were apparently playing hooky the day their teacher covered fifth-grade math, as told by an author whose argument style can be so persuasive that he was once able to convince a resort to sell him a timeshare. The book's lesson: no need to believe what your vendor tells you -- instead you can estimate your own savings using “ingredients you already have in your kitchen.” Don't be intimidated just because you lack a PhD in biostatistics, or even a Masters, Bachelor's, high-school equivalency diploma or up-to-date inspection sticker. Why Nobody Believes the Numbers explains how to determine if the ROIs are real...and why they usually aren't. You'll learn how to: Figure out whether you are "moving the needle" or just crediting a program with changes that would have happened anyway Judge whether the ROIs your vendors report are plausible or even arithmetically possible Synthesize all these insights into RFPs and contracts that truly hold vendors accountable for results

Math for Health Care Professionals

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Author :
Publisher : Cengage Learning
ISBN 13 : 9781401891794
Total Pages : 0 pages
Book Rating : 4.8/5 (917 download)

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Book Synopsis Math for Health Care Professionals by : Kennamer Mike

Download or read book Math for Health Care Professionals written by Kennamer Mike and published by Cengage Learning. This book was released on 2004-08-18 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This workbook provides over 2700 math questions for practice and mastery of the each of the objectives included in Math for Health Care Professionals and Math for Health Care Professionals Quick Review. The use of this workbook to enhance understanding of math concepts also helps the learner become more confident in his or her knowledge and skills. The workbook may be used by anyone wishing to sharpen their math skills.

Healthcare Choices

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Author :
Publisher : Rowman & Littlefield
ISBN 13 : 1442260343
Total Pages : 209 pages
Book Rating : 4.4/5 (422 download)

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Book Synopsis Healthcare Choices by : Archelle Georgiou

Download or read book Healthcare Choices written by Archelle Georgiou and published by Rowman & Littlefield. This book was released on 2017-02-16 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: Making healthcare decisions is hard, but making the right choices has never mattered more. Healthcare Choices: 5 Steps to Getting the Care You Want and Needgives you the tools you need to choose the best medical care—for you. Archelle Georgiou, MD, explainsher CARES model, the formula she developed to help family, friends, and thousands of television viewers make smart healthcare decisions that balance the best medical options with individual preferences. Using more than 30 real-life stories and insider tips, she demonstrates how to use this step-by-step guide to access the medical information you need to evaluate your options and make well-informed choices. Whether you are addressing a life-threatening illness, self-managing a minor ailment, selecting a doctor, or buying insurance, Georgiou’s roadmap shows you how to be an active participant in your care. Her “go to” approach describes how to: Identify all treatment options for an illness, including those not mentioned by your doctor. Make treatment decisions that reflect your priorities and preferences. Find the best doctor to treat your condition. Communicate with your doctor and make shared treatment decisions. Choose the health insurance plan that’s right for you. Maintain a voice in your lifestyle as you age. Healthcare Choiceswill give you the confidence to advocate for the healthcare you want, need, and deserve.

R for Health Data Science

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Author :
Publisher : CRC Press
ISBN 13 : 1000226166
Total Pages : 354 pages
Book Rating : 4.0/5 (2 download)

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Book Synopsis R for Health Data Science by : Ewen Harrison

Download or read book R for Health Data Science written by Ewen Harrison and published by CRC Press. This book was released on 2020-12-31 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this age of information, the manipulation, analysis, and interpretation of data have become a fundamental part of professional life; nowhere more so than in the delivery of healthcare. From the understanding of disease and the development of new treatments, to the diagnosis and management of individual patients, the use of data and technology is now an integral part of the business of healthcare. Those working in healthcare interact daily with data, often without realising it. The conversion of this avalanche of information to useful knowledge is essential for high-quality patient care. R for Health Data Science includes everything a healthcare professional needs to go from R novice to R guru. By the end of this book, you will be taking a sophisticated approach to health data science with beautiful visualisations, elegant tables, and nuanced analyses. Features Provides an introduction to the fundamentals of R for healthcare professionals Highlights the most popular statistical approaches to health data science Written to be as accessible as possible with minimal mathematics Emphasises the importance of truly understanding the underlying data through the use of plots Includes numerous examples that can be adapted for your own data Helps you create publishable documents and collaborate across teams With this book, you are in safe hands – Prof. Harrison is a clinician and Dr. Pius is a data scientist, bringing 25 years’ combined experience of using R at the coal face. This content has been taught to hundreds of individuals from a variety of backgrounds, from rank beginners to experts moving to R from other platforms.

MATH AND DOSAGE CALCULATIONS FOR HEALTHCARE PROFESSIONALS

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Author :
Publisher : McGraw-Hill Higher Education
ISBN 13 : 1259166724
Total Pages : 720 pages
Book Rating : 4.2/5 (591 download)

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Book Synopsis MATH AND DOSAGE CALCULATIONS FOR HEALTHCARE PROFESSIONALS by : James Whaley

Download or read book MATH AND DOSAGE CALCULATIONS FOR HEALTHCARE PROFESSIONALS written by James Whaley and published by McGraw-Hill Higher Education. This book was released on 2015-03-13 with total page 720 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Math Basics for the Health Care Professional

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Author :
Publisher : Pearson
ISBN 13 : 9780134703695
Total Pages : 0 pages
Book Rating : 4.7/5 (36 download)

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Book Synopsis Math Basics for the Health Care Professional by : Michele Lesmeister

Download or read book Math Basics for the Health Care Professional written by Michele Lesmeister and published by Pearson. This book was released on 2017-07-23 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Math Basics for the Health Care Professional helps trainees in a wide variety of healthcare professions to master a vital skill toward their career success. This workbook incorporates every aspect of math relevant to health care applications with a wealth practice opportunities throughout. The third edition continues to promote critical thinking through an organized presentation of instruction, practice, and self assessment. Its new features make for an even better guide to increase math proficiency. These new features include: a supplementary CD-ROM with additional sets of challenging practice tests; coverage of occupation-based units that are essential for health care personnel, including reading drug labels, medicine cups, syringes, and intravenous fluid, apothecary measurement and conversions, parenteral dosages, basic intravenous administration and basic dosage by weight units; two extra units reviewing pre-algebra basics and the metric system; and an appendix of extra practice unit tests with answer keys for easy self-checking."--Google Books viewed Sept. 21, 2021.

Using Predictive Analytics to Improve Healthcare Outcomes

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1119747805
Total Pages : 188 pages
Book Rating : 4.1/5 (197 download)

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Book Synopsis Using Predictive Analytics to Improve Healthcare Outcomes by : John W. Nelson

Download or read book Using Predictive Analytics to Improve Healthcare Outcomes written by John W. Nelson and published by John Wiley & Sons. This book was released on 2021-07-09 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using Predictive Analytics to Improve Healthcare Outcomes Winner of the American Journal of Nursing (AJN) Informatics Book of the Year Award 2021! Discover a comprehensive overview, from established leaders in the field, of how to use predictive analytics and other analytic methods for healthcare quality improvement. Using Predictive Analytics to Improve Healthcare Outcomes delivers a 16-step process to use predictive analytics to improve operations in the complex industry of healthcare. The book includes numerous case studies that make use of predictive analytics and other mathematical methodologies to save money and improve patient outcomes. The book is organized as a “how-to” manual, showing how to use existing theory and tools to achieve desired positive outcomes. You will learn how your organization can use predictive analytics to identify the most impactful operational interventions before changing operations. This includes: A thorough introduction to data, caring theory, Relationship-Based Care®, the Caring Behaviors Assurance System©, and healthcare operations, including how to build a measurement model and improve organizational outcomes. An exploration of analytics in action, including comprehensive case studies on patient falls, palliative care, infection reduction, reducing rates of readmission for heart failure, and more—all resulting in action plans allowing clinicians to make changes that have been proven in advance to result in positive outcomes. Discussions of how to refine quality improvement initiatives, including the use of “comfort” as a construct to illustrate the importance of solid theory and good measurement in adequate pain management. An examination of international organizations using analytics to improve operations within cultural context. Using Predictive Analytics to Improve Healthcare Outcomes is perfect for executives, researchers, and quality improvement staff at healthcare organizations, as well as educators teaching mathematics, data science, or quality improvement. Employ this valuable resource that walks you through the steps of managing and optimizing outcomes in your clinical care operations.

Best Care Anywhere

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Author :
Publisher : Berrett-Koehler Publishers
ISBN 13 : 1609945824
Total Pages : 211 pages
Book Rating : 4.6/5 (99 download)

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Book Synopsis Best Care Anywhere by : Phillip Longman

Download or read book Best Care Anywhere written by Phillip Longman and published by Berrett-Koehler Publishers. This book was released on 2012-03-05 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: “An outstanding book . . . documents how the VA’s system of integrative care outperforms the models used by private insurers.” —USW Blog (United Steelworkers) NEW EDITION, REVISED AND UPDATED Phillip Longman tells the amazing story of the turnaround of the Department of Veterans Affairs health-care system from a dysfunctional, scandal-prone bureaucracy into the benchmark for high-quality medicine in the United States. Best Care Anywhere shows that vast swaths of what we think we know about health, health care, and medical economics are just plain wrong. And the book demonstrates how this extraordinarily cost-effective model, which has proven to be highly popular with veterans, can be made available to everyone. New to this edition is an analysis of how the shortcomings of both so-called Obamacare and Republican plans to privatize Medicare reinforce the need for applying the lessons of the VA. Also included are completely updated statistics and research, as well as examples of how the private sector is already beginning to learn from the VA’s example. “Among the most important social policy books published in the last decade.” —Ezra Klein, The Washington Post “Read Best Care Anywhere not just to learn about one of our public health agencies that is a global star in terms of cost effective, evidence-based results, but also to learn how your own health care process can be improved by adopting the Veterans Health Administration’s methodology for transparency and patient-centered care.” —New York Journal of Books

Which Country Has the World's Best Health Care?

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Author :
Publisher : PublicAffairs
ISBN 13 : 1541797728
Total Pages : 464 pages
Book Rating : 4.5/5 (417 download)

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Book Synopsis Which Country Has the World's Best Health Care? by : Ezekiel J. Emanuel

Download or read book Which Country Has the World's Best Health Care? written by Ezekiel J. Emanuel and published by PublicAffairs. This book was released on 2020-06-16 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: The preeminent doctor and bioethicist Ezekiel Emanuel is repeatedly asked one question: Which country has the best healthcare? He set off to find an answer. The US spends more than any other nation, nearly $4 trillion, on healthcare. Yet, for all that expense, the US is not ranked #1 -- not even close. In Which Country Has the World's Best Healthcare? Ezekiel Emanuel profiles eleven of the world's healthcare systems in pursuit of the best or at least where excellence can be found. Using a unique comparative structure, the book allows healthcare professionals, patients, and policymakers alike to know which systems perform well, and why, and which face endemic problems. From Taiwan to Germany, Australia to Switzerland, the most inventive healthcare providers tackle a global set of challenges -- in pursuit of the best healthcare in the world.

What's Your Life Worth?

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Author :
Publisher : FT Press
ISBN 13 : 9780130671653
Total Pages : 216 pages
Book Rating : 4.6/5 (716 download)

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Book Synopsis What's Your Life Worth? by : David Dranove

Download or read book What's Your Life Worth? written by David Dranove and published by FT Press. This book was released on 2003 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the world's leading healthcare economists offers a hard-nosed analysisof the frightening reality of soaring healthcare costs--and shows how it willfeel to be at the mercy of a system that can't afford to cure anyone.

Back to Basics

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Author :
Publisher :
ISBN 13 :
Total Pages : 430 pages
Book Rating : 4.4/5 (91 download)

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Book Synopsis Back to Basics by : Health Administration Press

Download or read book Back to Basics written by Health Administration Press and published by . This book was released on 2001 with total page 430 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Healthcare Analytics Made Simple

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Author :
Publisher : Packt Publishing Ltd
ISBN 13 : 1787283224
Total Pages : 258 pages
Book Rating : 4.7/5 (872 download)

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Book Synopsis Healthcare Analytics Made Simple by : Vikas (Vik) Kumar

Download or read book Healthcare Analytics Made Simple written by Vikas (Vik) Kumar and published by Packt Publishing Ltd. This book was released on 2018-07-31 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: Add a touch of data analytics to your healthcare systems and get insightful outcomes Key Features Perform healthcare analytics with Python and SQL Build predictive models on real healthcare data with pandas and scikit-learn Use analytics to improve healthcare performance Book Description In recent years, machine learning technologies and analytics have been widely utilized across the healthcare sector. Healthcare Analytics Made Simple bridges the gap between practising doctors and data scientists. It equips the data scientists’ work with healthcare data and allows them to gain better insight from this data in order to improve healthcare outcomes. This book is a complete overview of machine learning for healthcare analytics, briefly describing the current healthcare landscape, machine learning algorithms, and Python and SQL programming languages. The step-by-step instructions teach you how to obtain real healthcare data and perform descriptive, predictive, and prescriptive analytics using popular Python packages such as pandas and scikit-learn. The latest research results in disease detection and healthcare image analysis are reviewed. By the end of this book, you will understand how to use Python for healthcare data analysis, how to import, collect, clean, and refine data from electronic health record (EHR) surveys, and how to make predictive models with this data through real-world algorithms and code examples. What you will learn Gain valuable insight into healthcare incentives, finances, and legislation Discover the connection between machine learning and healthcare processes Use SQL and Python to analyze data Measure healthcare quality and provider performance Identify features and attributes to build successful healthcare models Build predictive models using real-world healthcare data Become an expert in predictive modeling with structured clinical data See what lies ahead for healthcare analytics Who this book is for Healthcare Analytics Made Simple is for you if you are a developer who has a working knowledge of Python or a related programming language, although you are new to healthcare or predictive modeling with healthcare data. Clinicians interested in analytics and healthcare computing will also benefit from this book. This book can also serve as a textbook for students enrolled in an introductory course on machine learning for healthcare.

Reframing Healthcare: A Roadmap for Creating Disruptive Change

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Author :
Publisher :
ISBN 13 : 9781599328980
Total Pages : pages
Book Rating : 4.3/5 (289 download)

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Book Synopsis Reframing Healthcare: A Roadmap for Creating Disruptive Change by : Zeev E. Neuwirth

Download or read book Reframing Healthcare: A Roadmap for Creating Disruptive Change written by Zeev E. Neuwirth and published by . This book was released on 2019-04-23 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Zeev Neuwirth wrote Reframing Healthcare for leaders and organizationsinterested in understanding what the disrupters in healthcare are doing and,more to the point, for those who want to be the disrupters rather than thedisrupted.This book is a step-by-step guide for leadership teams that are intent onimproving healthcare at an accelerated pace. It's written for healthcareorganizations that wish to thrive in a customer-centric, community-oriented,value-based healthcare system. This book provides an assessment of themarket forces, mega-trends and reframes that are transforming thehealthcare market, and delivers a replicable and scalable roadmap forcreating better healthcare.