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16 books match the query 'Hospital Administration & Care'

cover of America's Healthcare Transformation: Strategies and Innovations

America's Healthcare Transformation

Strategies and Innovations

Phillips, Robert A.

Rutgers University Press, 2016

A revolution in American medicine is in full swing, with the race from fee-for-service to fee-for-value at the front line in an epic battle that will transform healthcare delivery for decades to come. In America’s Healthcare Transformation, eminent physician leader Robert A. Phillips brings together key thought leaders and trail-blazing practitioners, who provide a wide-ranging exploration of the strategies, innovations, and paradigm shifts that are driving this healthcare transformation.
 
The contributors offer a panoramic look at the dramatic changes happening in the field of medicine, changes that put the patient at the heart of the process. Among other subjects, the essays evaluate innovative high quality and low cost care delivery solutions from around the United States and abroad, describe fundamental approaches to measuring the safety of care and the impact that guidelines have on improving quality of care and outcomes, and make a strong case that insurance reform will fundamentally and irreversibly drive delivery reform. In addition, America’s Healthcare Transformation reviews the role of health information technology in creating safer healthcare, provides a primer on the development of a culture of safety, and highlights ground-breaking new ways to train providers in patient safety and quality. Finally, the book looks at reports from Stanford Health Care and Houston Methodist which outline how successful behaviorally based strategies, anchored in values, can energize and empower employees to deliver a superior patient experience.
 
Drawing on the wisdom and vision of today’s leading healthcare innovators, America’s Healthcare Transformation provides a roadmap to the future of American healthcare. This book is essential reading for all health care providers, health care administrators, and health policy professionals, and it will be an invaluable resource in the effort to improve the practice of medicine and the delivery of healthcare in our communities and nation. 
 
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cover of American Catholic Hospitals: A Century of Changing Markets and Missions

American Catholic Hospitals

A Century of Changing Markets and Missions

Wall, Barbra Mann

Rutgers University Press, 2016

In American Catholic Hospitals, Barbra Mann Wall chronicles changes in Catholic hospitals during the twentieth century, many of which are emblematic of trends in the American healthcare system.

Wall explores the Church's struggle to safeguard its religious values. As hospital leaders reacted to increased political, economic, and societal secularization, they extended their religious principles in the areas of universal health care and adherence to the Ethical and Religious Values in Catholic Hospitals, leading to tensions between the Church, government, and society. The book also examines the power of women--as administrators, Catholic sisters wielded significant authority--as well as the gender disparity in these institutions which came to be run, for the most part, by men. Wall also situates these critical transformations within the context of the changing Church policy during the 1960s. She undertakes unprecedented analyses of the gendered politics of post-Second Vatican Council Catholic hospitals, as well as the effect of social movements on the practice of medicine.

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cover of Big Med: Megaproviders and the High Cost of Health Care in America

Big Med

Megaproviders and the High Cost of Health Care in America

David Dranove and Lawton Robert Burns

University of Chicago Press, 2021

There is little debate that health care in the United States is in need of reform. But where should those improvements begin? With insurers? Drug makers? The doctors themselves? In Big Med, David Dranove and Lawton Robert Burns argue that we’re overlooking the most ubiquitous cause of our costly and underperforming system: megaproviders, the expansive health care organizations that have become the face of American medicine. Your local hospital is likely part of one. Your doctors, too. And the megaproviders are bad news for your health and your wallet.

Drawing on decades of combined expertise in health care consolidation, Dranove and Burns trace Big Med’s emergence in the 1990s, followed by its swift rise amid false promises of scale economies and organizational collaboration. In the decades since, megaproviders have gobbled up market share and turned independent physicians into salaried employees of big bureaucracies, while delivering on none of their early promises. For patients this means higher costs and lesser care. Meanwhile, physicians report increasingly low morale, making it all but impossible for most systems to implement meaningful reforms.

In Big Med, Dranove and Burns combine their respective skills in economics and management to provide a nuanced explanation of how the provision of health care has been corrupted and submerged under consolidation. They offer practical recommendations for improving competition policies that would reform megaproviders to actually achieve the efficiencies and quality improvements they have long promised.
This is an essential read for understanding the current state of the health care system in America—and the steps urgently needed to create an environment of better care for all of us.
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cover of Big Med: Megaproviders and the High Cost of Health Care in America

Big Med

Megaproviders and the High Cost of Health Care in America

David Dranove and Lawton Robert Burns

University of Chicago Press, 2021

This is an auto-narrated audiobook edition of this book.

There is little debate that health care in the United States is in need of reform. But where should those improvements begin? With insurers? Drug makers? The doctors themselves? In Big Med, David Dranove and Lawton Robert Burns argue that we’re overlooking the most ubiquitous cause of our costly and underperforming system: megaproviders, the expansive health care organizations that have become the face of American medicine. Your local hospital is likely part of one. Your doctors, too. And the megaproviders are bad news for your health and your wallet.

Drawing on decades of combined expertise in health care consolidation, Dranove and Burns trace Big Med’s emergence in the 1990s, followed by its swift rise amid false promises of scale economies and organizational collaboration. In the decades since, megaproviders have gobbled up market share and turned independent physicians into salaried employees of big bureaucracies, while delivering on none of their early promises. For patients this means higher costs and lesser care. Meanwhile, physicians report increasingly low morale, making it all but impossible for most systems to implement meaningful reforms.

In Big Med, Dranove and Burns combine their respective skills in economics and management to provide a nuanced explanation of how the provision of health care has been corrupted and submerged under consolidation. They offer practical recommendations for improving competition policies that would reform megaproviders to actually achieve the efficiencies and quality improvements they have long promised.
This is an essential read for understanding the current state of the health care system in America—and the steps urgently needed to create an environment of better care for all of us.

[more]
cover of Conflicted Health Care: Professionalism and Caring in an Urban Hospital

Conflicted Health Care

Professionalism and Caring in an Urban Hospital

Ester Carolina Apesoa-Varano

Vanderbilt University Press, 2014

Anyone who has spent time in a hospital as a patient or family member of a patient hopes that those who attend to us or our loved ones are at their professional best and that they care for us in ways that console us and preserve our dignity. This book takes an intimate look at how health care practitioners struggle to live up to their professional and caring ideals through (or during?) twelve-hour shifts on the hospital floor.

From 3,200 hours of participant-observation and 500 hours of follow-up interviews with twenty-one doctors, thirty registered nurses, twenty-one respiratory therapists, twenty medical social workers, and eighteen occupational, physical, and speech therapists, the authors create a complex picture of the workplace conflicts that different types of health care practitioners face. Though all these groups espouse caring ideals, professional interests and a curative orientation dominate in patient care and interoccupational relations. Because emotive caring is not supported by the organization of health care in the hospital, it becomes an individual virtue that overworked staff find hard to perform, and it takes on an ideological form that obscures the status hierarchy among practitioners. Conflicts between practitioners rest upon the ranking of each group's knowledge base. They manifest in efforts to work as a team or set limits on practitioner responsibilities and in differing views on unionization.
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cover of Into Africa: A Transnational History of Catholic Medical Missions and Social Change

Into Africa

A Transnational History of Catholic Medical Missions and Social Change

Wall, Barbra Mann

Rutgers University Press, 2015

Winner of the 2016 Lavinia Dock Award from the American Association for the History of Nursing

 Awarded first place in the 2016 American Journal of Nursing Book of the Year Award in the History and Public Policy category

The most dramatic growth of Christianity in the late twentieth century has occurred in Africa, where Catholic missions have played major roles. But these missions did more than simply convert Africans. Catholic sisters became heavily involved in the Church’s health services and eventually in relief and social justice efforts. In Into Africa, Barbra Mann Wall offers a transnational history that reveals how Catholic medical and nursing sisters established relationships between local and international groups, sparking an exchange of ideas that crossed national, religious, gender, and political boundaries.
 
Both a nurse and a historian, Wall explores this intersection of religion, medicine, gender, race, and politics in sub-Saharan Africa, focusing on the years following World War II, a period when European colonial rule was ending and Africans were building new governments, health care institutions, and education systems. She focuses specifically on hospitals, clinics, and schools of nursing in Ghana and Uganda run by the Medical Mission Sisters of Philadelphia; in Nigeria and Uganda by the Irish Medical Missionaries of Mary; in Tanzania by the Maryknoll Sisters of New York; and in Nigeria by a local Nigerian congregation. Wall shows how, although initially somewhat ethnocentric, the sisters gradually developed a deeper understanding of the diverse populations they served. In the process, their medical and nursing work intersected with critical social, political, and cultural debates that continue in Africa today: debates about the role of women in their local societies, the relationship of women to the nursing and medical professions and to the Catholic Church, the obligations countries have to provide care for their citizens, and the role of women in human rights.
 
A groundbreaking contribution to the study of globalization and medicine, Into Africa highlights the importance of transnational partnerships, using the stories of these nuns to enhance the understanding of medical mission work and global change.
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cover of Making Health Care Whole: Integrating Spirituality into Patient Care

Making Health Care Whole

Integrating Spirituality into Patient Care

Christina Puchalski

Templeton Press, 2021

In the last fifteen years, the field of palliative care has experienced a surge in interest in spirituality as an important aspect of caring for seriously ill and dying patients. While spirituality has been generally recognized as an essential dimension of palliative care, uniformity of spiritual care practice has been lacking across health care settings due to factors like varying understandings and definitions of spirituality, lack of resources and practical tools, and limited professional education and training in spiritual care.

In order to address these shortcomings, more than forty spiritual and palliative care experts gathered for a national conference to discuss guidelines for incorporating spirituality into palliative care. Their consensus findings form the basis of Making Health Care Whole. This important new resource provides much-needed definitions and charts a common language for addressing spiritual care across the disciplines of medicine, nursing, social work, chaplaincy, psychology, and other groups. It presents models of spiritual care that are broad and inclusive, and provides tools for screening, assessment, care planning, and interventions. This book also advocates a team approach to spiritual care, and specifies the roles of each professional on the team.
 
Serving as both a scholarly review of the field as well as a practical resource with specific recommendations to improve spiritual care in clinical practice, Making Health Care Whole will benefit hospices and palliative care programs in hospitals, home care services, and long-term care services. It will also be a valuable addition to the curriculum at seminaries, schools of theology, and medical and nursing schools.
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cover of Medicine at Michigan: A History of the University of Michigan Medical School at the Bicentennial

Medicine at Michigan

A History of the University of Michigan Medical School at the Bicentennial

Dea H. Boster and Joel D. Howell

University of Michigan Press, 2017

A trailblazer in American medical education since 1850, the Medical School at the University of Michigan was the first program in the United States to own and operate its own hospital and the earliest major medical school to admit women. In the late nineteenth century, the School emerged as a frontrunner in modern scientific medical education in the United States, and one of the first in the nation to implement both required clinical clerkships and laboratory science as part of their curriculum, including the first full laboratory course in bacteriology. Decades later, the Medical School remained at the vanguard of medical education by increasing its focus on research, and these efforts resulted in world-changing breakthroughs such as field-testing the first safe polio vaccine, proposing a genetic mechanism for sickle cell anemia, inventing the fiber-optic endoscope, and cloning the gene responsible for cystic fibrosis. The Medical School’s history is not without its growing pains: alongside top-tier education and incredible innovation came times of stress with the broader University and Ann Arbor communities, complex expectations and realities for student diversity, and many controversies over curriculum and methodology. Medicine at Michigan explores how the School has dealt with changes in medical science, practice, and social climates over the past 150 years and illuminates the complicated interactions between economic, social, and cultural trends and medical education at the University of Michigan and across the nation. This book will appeal to readers interested in the history of medicine as well as current and former medical faculty members, students, and employees of the University of Michigan Medical School.
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cover of Merger Games: The Medical College of Pennsylvania, Hahnemann University, and the Rise and Fall of the Allegheny Healthcare System

Merger Games

The Medical College of Pennsylvania, Hahnemann University, and the Rise and Fall of the Allegheny Healthcare System

Judith P. Swazey

Temple University Press, 2011

With deepening financial problems, Allegheny Heath, Education and Research Foundation filed for bankruptcy in 1998—in the midst of its landmark merger of The Medical College of Pennsylvania and Hahnemann University. What resulted was another dire event in an escalating disaster. As civil and criminal investigations probed Allegheny's collapse, the survival of the medical school and other health sciences university schools, and the operation of the hospitals hung in the balance. Fortunately, a savior arrived in the form of Drexel University who used this opportunity to create its own medical school.

Merger Games is Judith Swazey's gripping account of this historic transaction. Based on extraordinarily detailed first-hand research and continuous inside access to the developments, this book clearly delineates who the players were and what this merger means for the future of medical education and institutional healthcare.

Merger Games is a definitive history of one of the most important academic medicine mergers in Philadelphia and the country, which happened at a time when medical care was becoming commodified in almost every state.

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cover of New England Hospitals: 1790-1833

New England Hospitals

1790-1833

Leonard K. Eaton

University of Michigan Press, 1957

New England Hospitals tells of the impact of an institution on a people. In 1790 few New Englanders had ever seen a hospital. By 1833, when the Worcester State Asylum opened, the institution had become a New England tradition. The formative years were those when such men as Horace Mann, the Reverend John Bartlett, John Adams, John Lowell, Josiah Quincy, and Dr. Eli Todd turned men's thoughts to the care of the mentally and physically ill. People like the gentle-mannered Dr. Jackson considered it their duty not merely to "throw a few pills and powders into one pan of the scales of Fate, while Death the skeleton was seated in the other, but to lean with their whole weight on the side of life, and shift the balance in its favor if it lay in human power to do it." In this early period the hospital was, as it is in our time, an institution devoted to healing the sick, a center of research and teaching, a challenge to the architect, and the ground of endless financial and administrative struggle and growth. In this book, Leonard K. Eaton places this early development of American hospitals in its cultural perspective.
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cover of Paging God: Religion in the Halls of Medicine

Paging God

Religion in the Halls of Medicine

Wendy Cadge

University of Chicago Press, 2012

While the modern science of medicine often seems nothing short of miraculous, religion still plays an important role in the past and present of many hospitals. When three-quarters of Americans believe that God can cure people who have been given little or no chance of survival by their doctors, how do today’s technologically sophisticated health care organizations address spirituality and faith?
 
Through a combination of interviews with nurses, doctors, and chaplains across the United States and close observation of their daily routines, Wendy Cadge takes readers inside major academic medical institutions to explore how today’s doctors and hospitals address prayer and other forms of religion and spirituality.  From chapels to intensive care units to the morgue, hospital caregivers speak directly in these pages about how religion is part of their daily work in visible and invisible ways. In Paging God: Religion in the Halls of Medicine, Cadge shifts attention away from the ongoing controversy about whether faith and spirituality should play a role in health care and back to the many ways that these powerful forces already function in healthcare today.
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cover of Paging God: Religion in the Halls of Medicine

Paging God

Religion in the Halls of Medicine

Wendy Cadge

University of Chicago Press, 2012

This is an auto-narrated audiobook edition of this book.

While the modern science of medicine often seems nothing short of miraculous, religion still plays an important role in the past and present of many hospitals. When three-quarters of Americans believe that God can cure people who have been given little or no chance of survival by their doctors, how do today’s technologically sophisticated health care organizations address spirituality and faith?
 
Through a combination of interviews with nurses, doctors, and chaplains across the United States and close observation of their daily routines, Wendy Cadge takes readers inside major academic medical institutions to explore how today’s doctors and hospitals address prayer and other forms of religion and spirituality.  From chapels to intensive care units to the morgue, hospital caregivers speak directly in these pages about how religion is part of their daily work in visible and invisible ways. In Paging God: Religion in the Halls of Medicine, Cadge shifts attention away from the ongoing controversy about whether faith and spirituality should play a role in health care and back to the many ways that these powerful forces already function in healthcare today.
[more]
cover of Restoring the Healer: Spiritual Self-Care for Health Care Professionals

Restoring the Healer

Spiritual Self-Care for Health Care Professionals

William Dorman

Templeton Press, 2015

Burn out. Two words that haunt those in high stress jobs, especially in the medical profession. Long hours and the literal life-and-death nature of the field creates expectations to not only be on call at all hours, but to be at one’s best, even at 3:00 AM after a twenty-hour shift. So much energy is devoted to the care of others that self-care is forgotten.
Yet, more are noticing and research confirms that self-care is needed, not only for personal sanity but also for quality of work. Unwell medical professionals are not the best at treating others. And this self-care includes not just rest, food, and water, but a deeper care, one that tends the spiritual side as well.
To both the spiritually active and the spiritually resistant, hospital chaplain William Dorman offers a guide to understand a more comprehensive, full-bodied self-care. Each chapter begins with case studies, concrete experiences that help unpack abstract concepts which bring much needed peace to stressed individuals. Dorman also structures each chapter to end with prayers and action steps, which offer more concrete ways to care for the self.
From working as a hospital chaplain for over 18 years, and serving as the director of chaplaincy services for the largest integrated health care system in New Mexico, Rev. Dorman recognizes the stresses that come to those who have made it their profession to heal others. Healers need healing too—and this guide is the first step.
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cover of Thirty Rules for Healthcare Leaders: Illustrated by Danny Suárez

Thirty Rules for Healthcare Leaders

Illustrated by Danny Suárez

Sanjay Saint

Michigan Publishing Services, 2019

Thirty Rules for Healthcare Leaders is the essential guide for everyone in healthcare, from those just starting their careers to those who are established leaders. The authors have been in leadership roles within healthcare systems for several years, and have carefully studied healthcare leadership during site visits to hospitals around the world. The book presents practical and timely advice packaged in pithy “pearls” that can be used by time-pressured professionals. Original artwork makes each rule memorable. Meant to be read in one sitting, or one at a time, Thirty Rules for Healthcare Leaders speaks to a broad range of healthcare professionals, regardless of title or experience. If you work in healthcare, this is your new must-read book.
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cover of Thirty Rules for Healthcare Leaders: Illustrated by Gina Kim

Thirty Rules for Healthcare Leaders

Illustrated by Gina Kim

Sanjay Saint

Michigan Publishing Services, 2019

Thirty Rules for Healthcare Leaders is the essential guide for everyone in healthcare, from those just starting their careers to those who are established leaders. The authors have been in leadership roles within healthcare systems for several years, and have carefully studied healthcare leadership during site visits to hospitals around the world. The book presents practical and timely advice packaged in pithy “pearls” that can be used by time-pressured professionals. Original artwork makes each rule memorable. Meant to be read in one sitting, or one at a time, Thirty Rules for Healthcare Leaders speaks to a broad range of healthcare professionals, regardless of title or experience. If you work in healthcare, this is your new must-read book.
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cover of Thirty Rules for Healthcare Leaders: Illustrated by Victoria Bornstein

Thirty Rules for Healthcare Leaders

Illustrated by Victoria Bornstein

Sanjay Saint

Michigan Publishing Services, 2019

Thirty Rules for Healthcare Leaders is the essential guide for everyone in healthcare, from those just starting their careers to those who are established leaders. The authors have been in leadership roles within healthcare systems for several years, and have carefully studied healthcare leadership during site visits to hospitals around the world. The book presents practical and timely advice packaged in pithy “pearls” that can be used by time-pressured professionals. Original artwork makes each rule memorable. Meant to be read in one sitting, or one at a time, Thirty Rules for Healthcare Leaders speaks to a broad range of healthcare professionals, regardless of title or experience. If you work in healthcare, this is your new must-read book.
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