Scheduling In Healthcare Systems

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Transforming Health Care Scheduling and Access

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309339227
Total Pages : 154 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Transforming Health Care Scheduling and Access by : Institute of Medicine

Download or read book Transforming Health Care Scheduling and Access written by Institute of Medicine and published by National Academies Press. This book was released on 2015-08-24 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to Transforming Health Care Scheduling and Access, long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource--highly trained personnel--inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.

Handbook of Healthcare System Scheduling

Author : Randolph Hall
Publisher : Springer Science & Business Media
ISBN 13 : 9781461417347
Total Pages : 334 pages
Book Rating : 4.4/5 (173 download)

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Book Synopsis Handbook of Healthcare System Scheduling by : Randolph Hall

Download or read book Handbook of Healthcare System Scheduling written by Randolph Hall and published by Springer Science & Business Media. This book was released on 2011-11-25 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edited volume captures and communicates the best thinking on how to improve healthcare by improving the delivery of services -- providing care when and where it is needed most -- through application of state-of-the-art scheduling systems. Over 12 chapters, the authors cover aspects of setting appointments, allocating healthcare resources, and planning to ensure that capacity matches needs for care. A central theme of the book is increasing healthcare efficiency so that both the cost of care is reduced and more patients have access to care. This can be accomplished through reduction of idle time, lessening the time needed to provide services and matching resources to the needs where they can have the greatest possible impact on health. Within their chapters, authors address: (1) Use of scheduling to improve healthcare efficiency. (2) Objectives, constraints and mathematical formulations. (3) Key methods and techniques for creating schedules. (4) Recent developments that improve the available problem solving methods. (5) Actual applications, demonstrating how the methods can be used. (6) Future directions in which the field of research is heading. Collectively, the chapters provide a comprehensive state-of-the-art review of models and methods for scheduling the delivery of patient care for all parts of the healthcare system. Chapter topics include setting appointments for ambulatory care and outpatient procedures, surgical scheduling, nurse scheduling, bed management and allocation, medical supply logistics and routing and scheduling for home healthcare.

Handbook of Healthcare System Scheduling

Author : Randolph Hall
Publisher : Springer
ISBN 13 : 9781461417354
Total Pages : 334 pages
Book Rating : 4.4/5 (173 download)

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Book Synopsis Handbook of Healthcare System Scheduling by : Randolph Hall

Download or read book Handbook of Healthcare System Scheduling written by Randolph Hall and published by Springer. This book was released on 2011-11-24 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edited volume captures and communicates the best thinking on how to improve healthcare by improving the delivery of services -- providing care when and where it is needed most -- through application of state-of-the-art scheduling systems. Over 12 chapters, the authors cover aspects of setting appointments, allocating healthcare resources, and planning to ensure that capacity matches needs for care. A central theme of the book is increasing healthcare efficiency so that both the cost of care is reduced and more patients have access to care. This can be accomplished through reduction of idle time, lessening the time needed to provide services and matching resources to the needs where they can have the greatest possible impact on health. Within their chapters, authors address: (1) Use of scheduling to improve healthcare efficiency. (2) Objectives, constraints and mathematical formulations. (3) Key methods and techniques for creating schedules. (4) Recent developments that improve the available problem solving methods. (5) Actual applications, demonstrating how the methods can be used. (6) Future directions in which the field of research is heading. Collectively, the chapters provide a comprehensive state-of-the-art review of models and methods for scheduling the delivery of patient care for all parts of the healthcare system. Chapter topics include setting appointments for ambulatory care and outpatient procedures, surgical scheduling, nurse scheduling, bed management and allocation, medical supply logistics and routing and scheduling for home healthcare.

Hospital Management and Emergency Medicine: Breakthroughs in Research and Practice

Author : Management Association, Information Resources
Publisher : IGI Global
ISBN 13 : 1799824527
Total Pages : 627 pages
Book Rating : 4.7/5 (998 download)

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Book Synopsis Hospital Management and Emergency Medicine: Breakthroughs in Research and Practice by : Management Association, Information Resources

Download or read book Hospital Management and Emergency Medicine: Breakthroughs in Research and Practice written by Management Association, Information Resources and published by IGI Global. This book was released on 2020-02-07 with total page 627 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improvements in hospital management and emergency medical and critical care services require continual attention and dedication to ensure efficient and proper care for citizens. To support this endeavor, professionals rely more and more on the application of information systems and technologies to promote the overall quality of modern healthcare. Implementing effective technologies and strategies ensures proper quality and instruction for both the patient and medical practitioners. Hospital Management and Emergency Medicine: Breakthroughs in Research and Practice examines the latest scholarly material on emerging strategies and methods for delivering optimal emergency medical care and examines the latest technologies and tools that support the development of efficient emergency departments and hospital staff. While highlighting the challenges medical practitioners and healthcare professionals face when treating patients and striving to optimize their processes, the book shows how revolutionary technologies and methods are vastly improving how healthcare is implemented globally. Highlighting a range of topics such as overcrowding, decision support systems, and patient safety, this publication is an ideal reference source for hospital directors, hospital staff, emergency medical services, paramedics, medical administrators, managers and employees of health units, physicians, medical students, academicians, and researchers seeking current research on providing optimal care in emergency medicine.

Scheduling in Healthcare Systems

Author : Kaveh Sheibani
Publisher : ORLAB Analytics
ISBN 13 :
Total Pages : 72 pages
Book Rating : 4./5 ( download)

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Book Synopsis Scheduling in Healthcare Systems by : Kaveh Sheibani

Download or read book Scheduling in Healthcare Systems written by Kaveh Sheibani and published by ORLAB Analytics. This book was released on 2011-12-31 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Healthcare providers have suffered a crisis of poor quality and inefficiency with rapidly increasing costs. Healthcare delivery faces complex scheduling needs and stands to gain from advances in scheduling technology and understanding. This special issue presents some new progress in applying scheduling techniques to several real-life problems in healthcare delivery.

Handbook of Healthcare Operations Management

Author : Brian T. Denton
Publisher : Springer Science & Business Media
ISBN 13 : 1461458854
Total Pages : 542 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Handbook of Healthcare Operations Management by : Brian T. Denton

Download or read book Handbook of Healthcare Operations Management written by Brian T. Denton and published by Springer Science & Business Media. This book was released on 2013-02-28 with total page 542 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the Preface: Collectively, the chapters in this book address application domains including inpatient and outpatient services, public health networks, supply chain management, and resource constrained settings in developing countries. Many of the chapters provide specific examples or case studies illustrating the applications of operations research methods across the globe, including Africa, Australia, Belgium, Canada, the United Kingdom, and the United States. Chapters 1-4 review operations research methods that are most commonly applied to health care operations management including: queuing, simulation, and mathematical programming. Chapters 5-7 address challenges related to inpatient services in hospitals such as surgery, intensive care units, and hospital wards. Chapters 8-10 cover outpatient services, the fastest growing part of many health systems, and describe operations research models for primary and specialty care services, and how to plan for patient no-shows. Chapters 12 – 16 cover topics related to the broader integration of health services in the context of public health, including optimizing the location of emergency vehicles, planning for mass vaccination events, and the coordination among different parts of a health system. Chapters 17-18 address supply chain management within hospitals, with a focus on pharmaceutical supply management, and the challenges of managing inventory for nursing units. Finally, Chapters 19-20 provide examples of important and emerging research in the realm of humanitarian logistics.

Designing Healthcare That Works

Author : Mark Ackerman
Publisher : Academic Press
ISBN 13 : 0128125845
Total Pages : 232 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Designing Healthcare That Works by : Mark Ackerman

Download or read book Designing Healthcare That Works written by Mark Ackerman and published by Academic Press. This book was released on 2017-11-17 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designing Healthcare That Works: A Sociotechnical Approach takes up the pragmatic, messy problems of designing and implementing sociotechnical solutions which integrate organizational and technical systems for the benefit of human health. The book helps practitioners apply principles of sociotechnical design in healthcare and consider the adoption of new theories of change. As practitioners need new processes and tools to create a more systematic alignment between technical mechanisms and social structures in healthcare, the book helps readers recognize the requirements of this alignment. The systematic understanding developed within the book’s case studies includes new ways of designing and adopting sociotechnical systems in healthcare. For example, helping practitioners examine the role of exogenous factors, like CMS Systems in the U.S. Or, more globally, helping practitioners consider systems external to the boundaries drawn around a particular healthcare IT system is one key to understand the design challenge. Written by scholars in the realm of sociotechnical systems research, the book is a valuable source for medical informatics professionals, software designers and any healthcare providers who are interested in making changes in the design of the systems. Encompasses case studies focusing on specific projects and covering an entire lifecycle of sociotechnical design in healthcare Provides an in-depth view from established scholars in the realm of sociotechnical systems research and related domains Brings a systematic understanding that includes ways of designing and adopting sociotechnical systems in healthcare

Leadership and Management Competence in Nursing Practice

Author : Audrey M. Beauvais, DNP, MSN, MBA, RN,
Publisher : Springer Publishing Company
ISBN 13 : 0826125344
Total Pages : 470 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Leadership and Management Competence in Nursing Practice by : Audrey M. Beauvais, DNP, MSN, MBA, RN,

Download or read book Leadership and Management Competence in Nursing Practice written by Audrey M. Beauvais, DNP, MSN, MBA, RN, and published by Springer Publishing Company. This book was released on 2018-11-28 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written specifically for the experienced nurse enrolled in an RN-to-BSN program, this text guides nurses through an interactive critical thinking process to become effective and confident nurse leaders. All nurses involved with direct patient care already rely on similar strategies to oversee patient safety, make care decisions, and integrate plan of care in collaboration with patients and families. This text expands upon that knowledge and provides a firm base to reach the next steps in academia and practice, enabling the BSN-prepared nurse to tackle serious issues in care delivery with a high level of self-awareness and skill. Leadership and Management Competence in Nursing Practice relies on a keen understanding of what experienced nurses already bring to the classroom. This text provides a core framework and useful skills and strategies to successfully lead nursing and healthcare forward. Clear, concise chapters cover leadership skills and personal attributes of leaders with minimal repetition of material covered in associate’s degree programs. Content builds on the framework of AACN Essentials of Baccalaureate Education, IOM Competencies, and QSEN KSAs. Each chapter presents case scenarios to promote critical thinking and decision-making. Self-assessment tools featured throughout the text enable nurses to evaluate their current strengths, areas for growth, and learning needs. Key Features: Provides information needed for the associate’s degree nurse to advance to the level of professionally prepared baccalaureate degree nurse Chapters contain critical thinking exercises, vignettes, and case scenarios targeted to the RN-to-BSN audience Self-assessment tools included in most chapters to help the reader determine where they are now on the topic and to what point they need to advance to obtain competence and confidence in the professional nursing role Provides information and skills needed by nurses in a variety of healthcare settings Includes an instructor’s manual and PowerPoint slides

World Congress on Engineering and Technology; Innovation and its Sustainability 2018

Author : Angelo Beltran Jr.
Publisher : Springer
ISBN 13 : 3030209040
Total Pages : 174 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis World Congress on Engineering and Technology; Innovation and its Sustainability 2018 by : Angelo Beltran Jr.

Download or read book World Congress on Engineering and Technology; Innovation and its Sustainability 2018 written by Angelo Beltran Jr. and published by Springer. This book was released on 2019-08-08 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book presents the proceedings of the World Congress on Engineering and Technology, Innovation and its Sustainability (WCETIS 2018), which took place on November 28-29, 2018 in Manila, Philippines. The conference featured the following tracks: Industrial Engineering and Healthcare, Sustainable Infrastructure; Water Resources Planning and Management; Heat transfer and fluids; Electronics and Electrical Engineering; and Internet of Things. Papers stem from academia and industry throughout the world, showing a variety of perspectives. Presents the proceedings of the World Congress on Engineering and Technology, Innovation and its Sustainability (WCETIS 2018), November 28-29, 2018 in Manila, Philippines Shows how engineering and technology serve to support a variety for industries from manufacturing to water resources Features papers from a variety of researchers and developers from around the world

Evolutionary Computation in Scheduling

Author : Amir H. Gandomi
Publisher : John Wiley & Sons
ISBN 13 : 1119573866
Total Pages : 368 pages
Book Rating : 4.1/5 (195 download)

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Book Synopsis Evolutionary Computation in Scheduling by : Amir H. Gandomi

Download or read book Evolutionary Computation in Scheduling written by Amir H. Gandomi and published by John Wiley & Sons. This book was released on 2020-04-29 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presents current developments in the field of evolutionary scheduling and demonstrates the applicability of evolutionary computational techniques to solving scheduling problems This book provides insight into the use of evolutionary computations (EC) in real-world scheduling, showing readers how to choose a specific evolutionary computation and how to validate the results using metrics and statistics. It offers a spectrum of real-world optimization problems, including applications of EC in industry and service organizations such as healthcare scheduling, aircraft industry, school timetabling, manufacturing systems, and transportation scheduling in the supply chain. It also features problems with different degrees of complexity, practical requirements, user constraints, and MOEC solution approaches. Evolutionary Computation in Scheduling starts with a chapter on scientometric analysis to analyze scientific literature in evolutionary computation in scheduling. It then examines the role and impacts of ant colony optimization (ACO) in job shop scheduling problems, before presenting the application of the ACO algorithm in healthcare scheduling. Other chapters explore task scheduling in heterogeneous computing systems and truck scheduling using swarm intelligence, application of sub-population scheduling algorithm in multi-population evolutionary dynamic optimization, task scheduling in cloud environments, scheduling of robotic disassembly in remanufacturing using the bees algorithm, and more. This book: Provides a representative sampling of real-world problems currently being tackled by practitioners Examines a variety of single-, multi-, and many-objective problems that have been solved using evolutionary computations, including evolutionary algorithms and swarm intelligence Consists of four main parts: Introduction to Scheduling Problems, Computational Issues in Scheduling Problems, Evolutionary Computation, and Evolutionary Computations for Scheduling Problems Evolutionary Computation in Scheduling is ideal for engineers in industries, research scholars, advanced undergraduates and graduate students, and faculty teaching and conducting research in Operations Research and Industrial Engineering.

Occupational Outlook Handbook

Author : United States. Bureau of Labor Statistics
Publisher :
ISBN 13 :
Total Pages : 740 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis Occupational Outlook Handbook by : United States. Bureau of Labor Statistics

Download or read book Occupational Outlook Handbook written by United States. Bureau of Labor Statistics and published by . This book was released on 1957 with total page 740 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Handbook of Healthcare Logistics

Author : Maartje E. Zonderland
Publisher : Springer Nature
ISBN 13 : 3030602125
Total Pages : 259 pages
Book Rating : 4.0/5 (36 download)

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Book Synopsis Handbook of Healthcare Logistics by : Maartje E. Zonderland

Download or read book Handbook of Healthcare Logistics written by Maartje E. Zonderland and published by Springer Nature. This book was released on 2021-03-29 with total page 259 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents healthcare logistics solutions that have been successfully implemented at a variety of healthcare facilities. In each case, a major challenge is presented, along with the solution approach and implementation steps, followed by the impact on hospital operations. Problems encountered when implementing the results in practice are also discussed. Much of the work presented is drawn from the experiences of members of the Center for Healthcare Operations Improvement and Research (CHOIR) at Twente, along with the CHOIR spin-off company, Rhythm.

Handbook of Healthcare Delivery Systems

Author : Yuehwern Yih
Publisher : CRC Press
ISBN 13 : 9781439803622
Total Pages : 812 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Handbook of Healthcare Delivery Systems by : Yuehwern Yih

Download or read book Handbook of Healthcare Delivery Systems written by Yuehwern Yih and published by CRC Press. This book was released on 2016-04-19 with total page 812 pages. Available in PDF, EPUB and Kindle. Book excerpt: With rapidly rising healthcare costs directly impacting the economy and quality of life, resolving improvement challenges in areas such as safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity has become paramount. Using a system engineering perspective, Handbook of Healthcare Delivery Systems offers theoretical foundations, methodologies, and case studies in each main sector of the system. It explores how system engineering methodologies and their applications in designing, evaluating, and optimizing the operations of the healthcare system could improve patient outcomes and cost effectiveness. The book presents an overview of current challenges in the healthcare system and the potential impact of system engineering. It describes an integrated framework for the delivery system and the tools and methodologies used for performance assessment and process improvement with examples of lean concept, evidence-based practice and risk assessment. The book then reviews system engineering methodologies and technologies and their applications in healthcare. Moving on to coverage of the design, planning, control and management of healthcare systems, the book contains chapters on 12 services sectors: preventive care, telemedicine, transplant, pharmacy, ED/ICU, OR, decontamination, laboratory, emergency response, mental health, food and supplies, and information technology. It presents the state-of-the-art operations and examines the challenges in each service unit. While system engineering concepts have been broadly applied in healthcare systems, most improvements have focused on a specific segment or unit of the delivery system. Each unit has strong interactions with others and any significant improvement is more likely to be sustained over time by integrating the process and re-evaluating the system design from a holistic viewpoint. By providing an overview of individual operational sectors in the extremely complex healthcare system and introducing a wide array of engineering methods and tools, this handbook establishes the foundation to facilitate integrated system thinking to redesign the next generation healthcare system.

Enabling Healthcare 4.0 for Pandemics

Author : Abhinav Juneja
Publisher : John Wiley & Sons
ISBN 13 : 111976906X
Total Pages : 352 pages
Book Rating : 4.1/5 (197 download)

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Book Synopsis Enabling Healthcare 4.0 for Pandemics by : Abhinav Juneja

Download or read book Enabling Healthcare 4.0 for Pandemics written by Abhinav Juneja and published by John Wiley & Sons. This book was released on 2021-09-08 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: ENABLING HEALTHCARE 4.0 for PANDEMICS The book explores the role and scope of AI, machine learning and other current technologies to handle pandemics. In this timely book, the editors explore the current state of practice in Healthcare 4.0 and provide a roadmap for harnessing artificial intelligence, machine learning, and Internet of Things, as well as other modern cognitive technologies, to aid in dealing with the various aspects of an emergency pandemic outbreak. There is a need to improvise healthcare systems with the intervention of modern computing and data management platforms to increase the reliability of human processes and life expectancy. There is an urgent need to come up with smart IoT-based systems which can aid in the detection, prevention and cure of these pandemics with more precision. There are a lot of challenges to overcome but this book proposes a new approach to organize the technological warfare for tackling future pandemics. In this book, the reader will find: State-of-the-art technological advancements in pandemic management; AI and ML-based identification and forecasting of pandemic spread; Smart IoT-based ecosystem for pandemic scenario. Audience The book will be used by researchers and practitioners in computer science, artificial intelligence, bioinformatics, data scientists, biomedical statisticians, as well as industry professionals in disaster and pandemic management.

The Theory and Practice of Revenue Management

Author : Kalyan T. Talluri
Publisher : Springer Science & Business Media
ISBN 13 : 0387273913
Total Pages : 731 pages
Book Rating : 4.3/5 (872 download)

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Book Synopsis The Theory and Practice of Revenue Management by : Kalyan T. Talluri

Download or read book The Theory and Practice of Revenue Management written by Kalyan T. Talluri and published by Springer Science & Business Media. This book was released on 2006-02-21 with total page 731 pages. Available in PDF, EPUB and Kindle. Book excerpt: Revenue management (RM) has emerged as one of the most important new business practices in recent times. This book is the first comprehensive reference book to be published in the field of RM. It unifies the field, drawing from industry sources as well as relevant research from disparate disciplines, as well as documenting industry practices and implementation details. Successful hardcover version published in April 2004.

Lippincott Williams & Wilkins' Comprehensive Medical Assisting

Author : Judy Kronenberger
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9781451100655
Total Pages : 0 pages
Book Rating : 4.1/5 (6 download)

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Book Synopsis Lippincott Williams & Wilkins' Comprehensive Medical Assisting by : Judy Kronenberger

Download or read book Lippincott Williams & Wilkins' Comprehensive Medical Assisting written by Judy Kronenberger and published by Lippincott Williams & Wilkins. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: We're pleased to introduce the fourth edition of Lippincott Williams & Wilkins' Comprehensive Medical Assisting, the medical assisting text designed to meet your challenges. This dynamic package of text and resources represent more than just a textbook, instead providing a suite of learning resources. This is the one text aimed at making sure that every graduate can quickly change their cap and gown for a set of scrubs and immediately be a vital member of the medical office. We do this by: Providing the content in an engaging style that speaks to students. Putting pedagogy to work in the text through key features like patient education boxes, competency checklists, procedure boxes, etc. Placing students in the real environment in through our web-based EMR and PMS software package. Showing what we teach through skills videos that demonstrate the procedures and skills described. Constantly reinforcing the learning through additional online ancillaries including animations, ESL resources, etc. Helping instructors lessen planning time, with robust instructor resources. A competency spreadsheet helps faculty members and students track their progress through the material. New content in the fourth edition focuses on addressing crucial changes in policy and technology. Without changing the engaging writing style we're known for, we've made sure that the content is up-to-date and in-line with the needs of the market. We've added content on emergency preparedness, a crucial topic in today's medical office. In addition, instructors will be happy to find the latest CAAHEP and ABHES competencies clearly addressed throughout the text.

Engineering a Learning Healthcare System

Author : National Academy of Engineering
Publisher : National Academies Press
ISBN 13 : 0309224772
Total Pages : 340 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Engineering a Learning Healthcare System by : National Academy of Engineering

Download or read book Engineering a Learning Healthcare System written by National Academy of Engineering and published by National Academies Press. This book was released on 2011-06-14 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.