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"Hardwiring Flow: Systems and Processes for Seamless Patient Care, by Drs. Thom Mayer and Kirk Jensen, delves into one of the most critical issues facing healthcare leaders today. Patient flow. Essentially, it means patients spend exactly the right amount of time at every juncture in their journey through an organization--just enough time to maximize their clinical outcomes in the most cost-effective manner"--Publisher's description.
When physicians and nurses suffer from burnout, patients suffer as well. This book pinpoints the how and why and shows what healthcare providers and their organizations can do. Burnout is among the most critical topics in healthcare as it deprives us of our most important resource—the talents and passion of those who perform the difficult work of caring for patients and their families. The purpose of this book is to provide not only a taxonomy of burnout within the landscape of healthcare but also to provide pathways for healthcare professionals to guide themselves and their organizations toward changing the culture and systems of their organization. The work of battling burnout begins from within. Thom Mayer views every healthcare team member as both a leader and performance athlete, engaged in a cycle of performance, training, and recovery. In these roles, they must both lead and protect themselves and their teams. Battling Healthcare Burnout looks at individuals' role in promoting change within themselves and their organization and addresses solutions to change the culture and systems of work. Both are presented with a pragmatic focusand a liberal use of examples and case studies, including those from several nationally recognized healthcare systems.
This book is dedicated to improving healthcare through reducing delays experienced by patients. With an interdisciplinary approach, this new edition, divided into five sections, begins by examining healthcare as an integrated system. Chapter 1 provides a hierarchical model of healthcare, rising from departments, to centers, regions and the “macro system.” A new chapter demonstrates how to use simulation to assess the interaction of system components to achieve performance goals, and Chapter 3 provides hands-on methods for developing process models to identify and remove bottlenecks, and for developing facility plans. Section 2 addresses crowding and the consequences of delay. Two new chapters (4 and 5) focus on delays in emergency departments, and Chapter 6 then examines medical outcomes that result from waits for surgeries. Section 3 concentrates on management of demand. Chapter 7 presents breakthrough strategies that use real-time monitoring systems for continuous improvement. Chapter 8 looks at the patient appointment system, particularly through the approach of advanced access. Chapter 9 concentrates on managing waiting lists for surgeries, and Chapter 10 examines triage outside of emergency departments, with a focus on allied health programs Section 4 offers analytical tools and models to support analysis of patient flows. Chapter 11 offers techniques for scheduling staff to match patterns in patient demand. Chapter 12 surveys the literature on simulation modeling, which is widely used for both healthcare design and process improvement. Chapter 13 is new and demonstrates the use of process mapping to represent a complex regional trauma system. Chapter 14 provides methods for forecasting demand for healthcare on a region-wide basis. Chapter 15 presents queueing theory as a method for modeling waits in healthcare, and Chapter 16 focuses on rapid delivery of medication in the event of a catastrophic event. Section 5 focuses on achieving change. Chapter 17 provides a diagnostic for assessing the state of a hospital and using the state assessment to select improvement strategies. Chapter 18 demonstrates the importance of optimizing care as patients transition from one care setting to the next. Chapter 19 is new and shows how to implement programs that improve patient satisfaction while also improving flow. Chapter 20 illustrates how to evaluate the overall portfolio of patient diagnostic groups to guide system changes, and Chapter 21 provides project management tools to guide the execution of patient flow projects.
No More Lethal Waits is a concise and compelling step-by-step guide to transform emergency departments in Canada and anywhere patients wait unconscionable times for their needs to be met. Dr. Shawn Whatley – who knows whereof he speaks, having led and participated in radical change to a large emergency department – summarizes the steps as: 1. Revamp Triage. 2. Close the Waiting Room. 3. Redefine Nurse-to-Patient Ratios. 4. Use Chairs and Exam Tables, Not Stretchers. 5. Change Scheduling to Meet Patient Needs More Efficiently. 6. Give MDs Responsibility for Flow and Hire Patient Navigators. 7. Use Real-Time Data and Adopt a Full Capacity Protocol. 8. Expect Resistance and Prepare for It. 9. Build on Solid Leadership Principles. 10. Get Political.
Leadership Is Worthless...But Leading Is Priceless by Thom Mayer Pdf
Practical leadership for difficult times, from a crisis management expert who has led response teams through the 9/11 Pentagon attack, NFL on-field medical emergencies, and the war in Ukraine. Dr. Thom Mayer knows first-hand that true leadership stems from our actions, not our positions, especially in times of crisis. Drawing on his experiences heading the 9/11 Pentagon rescue efforts, dealing with on-field emergencies in the NFL (he was at Damar Hamlin’s bedside after his injury), training mobile response medical teams in Ukraine, and more, Mayer covers such topics as: Why trust is vital for innovation The critical role of failure in devising new ways of leading How questions fuel innovative action Why every leader should have the title Chief Story Teller The importance of distinguishing between data, knowledge, and wisdom Each chapter begins with a provocative and seemingly contradictory statement, like the book’s title, and includes stories, historical examples, and literary lessons selected to guide pragmatic and practical solutions. Leadership is worthless because it is something you say, a noun. But leading is priceless because it is a verb—it is the things we do that make a difference. From Pentagon generals to corporate CEOs to football players on the field to parents driving their kids to school, Mayer shows how leaders ensure that their actions will help others to succeed.
When Politics Comes Before Patients by Shawn Whatley, MD Pdf
How Successive Governments Have Weakened the Foundation of All Canadian's Social and Economic Security At some point you will find yourself lying in a hospital bed. There is a good chance that your bed will be a firm, rubber pad held secure between two rails and parked along a corridor in a busy emergency department. Moans of “Nurse!” will echo from the beds ahead of you in line. Those pleas will fall largely on deaf ears. Your hospital is underfunded and understaffed. Welcome to the current reality of Medicare in the 21st century. Using searing analogies and first-hand accounts, Dr. Whatley makes the argument that the current Medicare system is unsustainable and unless critical choices and changes are made soon, the publicly funded, single-payer system in Canada will implode. Successive governments, regardless of political stripe, know all too well that Canada's system of health care is one of the defining characteristics of “being a Canadian”, and any changes deemed harmful will have them thrown out of power. Thus, decades of cuts around the margins, centralized control, federal/provincial infighting, and government oversight has left doctors and hospitals with little input on how your health dollars are allocated and spent. Citizens are being left to languish in pain for months, sometimes years, because the current cost and delivery system is programmed for the benefit of governments staying in power. That was not what was intended. Medicare should be about delivering high-quality and timely healthcare value for Canadians. This is not an easy fix. Treatment starts with a serious look at the disease, and Dr. Whatley pulls no punches. But what sounds like a radical new approach is neither new nor radical. He is not arguing for the end of Medicare per se but is making the case to let medical professionals — those providing the services — become equal partners in its design, implementation and delivery.
The Patient Flow Advantage by Kirk Jensen,Thom A. Mayer Pdf
Some is not a number. Soon is not a time. Somehow is not a strategy! How will your organization survive and thrive with the shift from volume to value? In healthcare, change used to be less frequent. But today, each of us works in a capacity-constrained environment where change is constant and patient volume is ever increasing. Flow matters. In fact, it's non-negotiable.Efficient patient flow has never been more critical to ensure patient safety, satisfaction, and optimal reimbursement. In The Patient Flow Advantage: How Hardwiring Hospital-Wide Flow Drives Competitive Performance, Drs. Kirk Jensen and Thom Mayer share tips and best practices from their Flow Tool Kit. This resource was developed based on years of hardwiring flow in hundreds of hospitals across the U.S. and Canada.Building on principles first outlined in their earlier book Hardwiring Flow: Systems and processes for Seamless Patient Care, the authors offer specific tips, tools, and techniques to add value and eliminate waste. The goal: to build effectiveness, efficiency and a patient-centric focus into the heart of every process that serves patients.Readers will learn: The 7 core strategies to hardwire flow and the tools that support them Why--and how--to use Evidence-Based LeadershipSM for agile, effective teamwork and a culture of safety and accountability Valuable lessons to apply from other industries --like restaurants, aviation, and submarine operations--that get flow right (or that have mastered flow) "Advanced" flow concepts, including how to use targeted systems hospital-wide to relieve boarding and speed patient care How to apply these strategies to the "frontiers of flow," in acute care surgery, critical care medicine, radiology, and anesthesia servicesData, knowledge, and wisdom. Learn to leverage your people, your processes, and your healthcare spaces to better serve your patients, providers, leaders, and staff. The Patient Flow Advantage is your must have guide to hardwire hospital-wide flow.
Author : Martin P. Thomas,Mark W. McElroy Publisher : Chelsea Green Publishing Page : 138 pages File Size : 45,9 Mb Release : 2016-12-01 Category : Business & Economics ISBN : 9781603586917
The MultiCapital Scorecard by Martin P. Thomas,Mark W. McElroy Pdf
For decades now, organizations have been struggling to find the best way to address their social and environmental responsibilities alongside their economic obligations. In other words, they want to know how best to effectively manage their operations based on a triple bottom line (3BL)—one that reflects social, environmental, and economic performance. Recently, an international standard for integrated reporting has emerged that in principle emphasizes the importance of managing toward a triple bottom line. But it fails to provide specific guidance on how to do so. Organizations have been left to their own devices to respond. How should 3BL management actually be done? In this book, sustainability and performance experts Martin Thomas and Mark McElroy introduce the world’s most advanced 3BL performance accounting methodology: The MultiCapital Scorecard. It is the first context-based integrated measurement, management, and reporting system. And, it can help corporations, public institutions, and other organizations answer the question they should be asking themselves for every aspect of their operations: “How much is enough for us to be sustainable?” The answers set internal performance standards against which operations and their impacts can be measured. Nothing less will do! The MultiCapital Scorecard describes this open-source methodology, which consists of a structured, quantitative measurement and reporting system that complies with international standards for 3BL integrated measurement and reporting. Moreover, the MultiCapital Scorecard is designed to help organizations assess their own 3BL performance in their own contexts with context-based metrics of their own choosing. An eminently practical management aid for integrated thinking, it can be tailored to any organization’s needs. The authors also describe how and why businesses are gradually shifting from managing impacts on only one type of capital (economic) to managing impacts on multiple types. They also provide detailed examples of worked reports, showing how organizations might develop and quantify the interim and long-term goals to meet their obligations to their employees, community, shareholders, and the environment. The examples also show how an organization can use the Multicapital Scorecard methodology to assess their progress in meeting those goals, and convey that progress to their stakeholders.
The Art of Bouncing Back: Find Your Flow to Thrive at Work and in Life — Any Time You're Off Your Game by Darleen "Coach Dar" Santore Pdf
Find out how world-class athletes and leaders survive defeat and come back even stronger—and how you can, too—with the blueprint from the coach who helps set them up for success With apologies to Benjamin Franklin, there are actually three things in life that are certain: Death, taxes, and the fact that sometimes, life will throw you a gut punch. Coach Dar has seen a fair share of calamitous situations in her 25+-year career, from major league players suffering slumps and season-ending injuries to executives floundering professionally and experiencing financial devastation—plus her own setbacks like three strokes before the age of 45 and the loss of both of her parents. As a mental skills coach whose clients have included professional athletes, top CEOs, and world leaders, Coach Dar specializes in helping the best of the best get up and get going again after suffering serious setbacks. In The Art of Bouncing Back, she shares these proven strategies and techniques for the first time ever so you can ensure the obstacles and setbacks you face quickly morph into setups for your next success. You'll discover how to pour a strong emotional foundation, accept feedback (the right way), connect with your "Why-Power," and create your own bounce-back environment. Every chapter provides a blueprint that helps you learn more about yourself, so you can identify the exact pivot you need to push forward, start reframing your setbacks, and cultivate the strength you need to handle future adversity better. Packed with tons of strategies that have proven successful time and time again and exercises to help you achieve the life-changing results her clients see, Coach Dar's The Art of Bouncing Back is exactly what you need to see that the adversity in your life can create opportunities from any setback.
Author : Robert W. Strauss,Thom A. Mayer Publisher : McGraw Hill Professional Page : 786 pages File Size : 45,9 Mb Release : 2013-12-11 Category : Medical ISBN : 9780071762397
Strauss and Mayer’s Emergency Department Management by Robert W. Strauss,Thom A. Mayer Pdf
Offers a real-world, pragmatic guide designed to help emergency department managers efficiently which handle the many complex issues that arise in this challenging clinical environment. This title delivers practical solutions to virtually any problem that may arise in running an emergency department or acute care center.
This study synthesizes current information from the various fields of cognitive science in support of a new and exciting theory of mind. Most psychologists study horizontal processes like memory and information flow; Fodor postulates a vertical and modular psychological organization underlying biologically coherent behaviors. This view of mental architecture is consistent with the historical tradition of faculty psychology while integrating a computational approach to mental processes. One of the most notable aspects of Fodor's work is that it articulates features not only of speculative cognitive architectures but also of current research in artificial intelligence.
Hardwired: How Our Instincts to Be Healthy are Making Us Sick by Robert S. Barrett,Louis Hugo Francescutti Pdf
For the first time in a thousand years, Americans are experiencing a reversal in lifespan. Despite living in one of the safest and most secure eras in human history, one in five adults suffers from anxiety as does one-third of adolescents. Nearly half of the US population is overweight or obese and one-third of Americans suffer from chronic pain – the highest level in the world. In the United States, fatalities due to prescription pain medications now surpass those of heroin and cocaine combined, and each year 10% of all students on American college campuses contemplate suicide. With the proliferation of social media and the algorithms for social sharing that prey upon our emotional brains, inaccurate or misleading health articles and videos now move faster through social media networks than do reputable ones. This book is about modern health – or lack of it. The authors make two key arguments: that our deteriorating wellness is rapidly becoming a health emergency, and two, that much of these trends are rooted in the way our highly evolved hardwired brains and bodies deal with modern social change. The co-authors: a PhD from the world of social science and an MD from the world of medicine – combine forces to bring this emerging human crisis to light. Densely packed with fascinating facts and little-told stories, the authors weave together real-life cases that describe how our ancient evolutionary drives are propelling us toward ill health and disease. Over the course of seven chapters, the authors unlock the mysteries of our top health vices: why hospitals are more dangerous than warzones, our addiction to sugar, salt, and stress, our emotionally-driven brains, our relentless pursuit of happiness, our sleepless society, our understanding of risk, and finally, how world history can be a valuable tutor. Through these varied themes, the authors illustrate how our social lives are more of a determinant of health outcome than at any other time in our history, and to truly understand our plight, we need to recognize when our decisions and behavior are being directed by our survival-seeking hardwired brains and bodies.
Author : David M. Freeman Publisher : University Press of Colorado Page : 483 pages File Size : 43,6 Mb Release : 2010-10-05 Category : Political Science ISBN : 9781607320555
Implementing the Endangered Species Act on the Platte Basin Water Commons by David M. Freeman Pdf
Water users of the Platte River Basin have long struggled to share this scarce commodity in the arid high plains, ultimately organizing collectively owned and managed water systems, allocating water along extensive stream systems, and integrating newer groundwater with existing surface-water uses. In 1973, the Endangered Species Act brought a new challenge: incorporating the habitat needs of four species-the whooping crane, piping plover, least tern, and pallid sturgeon-into its water-management agenda. Implementing the Endangered Species Act on the Platte Basin Water Commons tells of the negotiations among the U.S. Department of the Interior, the environmental community, and the states of Wyoming, Colorado, and Nebraska that took place from the mid-1970s to 2006. Ambitious talks among rival water users, environmentalists, state authorities, and the Department of the Interior finally resulted in the Platte River Habitat Recovery Program. Documenting how organizational interests found remedies within the conditions set by the Endangered Species Act, describing how these interests addressed habitat restoration, and advancing sociological propositions under which water providers transcended self-interest and produced an agreement benefiting the environment, this book details the messy process that took place over more than thirty years. Presenting important implications for the future of water management in arid and semi-arid environments, this book will be of interest to anyone involved in water management, as well as academics interested in the social organization of common property.
