The Cleveland Clinic Way: Lessons in Excellence from One of the World's Leading Health Care Organizations

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The Cleveland Clinic Way: Lessons in Excellence from One of the World's Leading Health Care Organizations Description

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This is the future. Join the revolution. Transform your organization the Cleveland Clinic way.

"One of the best healthcare systems in the world."
President Barack Obama

American healthcare is in crisis. It doesn't have to be.The Cleveland Clinic Way is a blueprint for fixing what's wrong with healthcare―and is a must-read for every leader seeking to transform his or her organization.

There's a revolution going on right now. On the frontiers of medicine, some doctors have developed an approach for treating people that is more effective, more humane, and more affordable. It's an approach to healthcare that has captured the attention of the media and business elite--and the President of the United States.

It's all happening at Cleveland Clinic, one of the most innovative, forward-looking medical institutions in the nation.

In this groundbreaking book, the man who leads this global organization, Toby Cosgrove, MD, reveals how the Clinic works so well and argues persuasively for why it should be the model for the nation. He details how Cleveland Clinic focuses on the eight key trends that are shaping the future of medicine. Readers will learn:

• Why group practices provide not only better--but cheaper--care
• Why collaborative medicine is more effective
• How big data can be harnessed to improve the quality of care and lower costs
• How cooperative practices can be the wellspring of innovation
• Why empathy is crucial to better patient outcomes
• Why wellness of both mind and body depends on healthcare, not sickcare
• How care is best provided in different settings for greater comfort and value
• How tailor-made care treats a person instead of a disease

At its core is Cleveland Clinic's emphasis on patient care and patient experience.

A refreshingly positive and practical vision of healthcare, The Cleveland Clinic Way is essential reading for healthcare and business executives, medical professionals, industry analysts, and policymakers. It gives leaders lessons they can apply to their own organizations to achieve results and empowers average Americans to make more informed healthcare decisions.

PRAISE FOR THE CLEVELAND CLINIC WAY

"A brilliant doctor and leader lays out practical and thought-provoking prescriptions for America's healthcare future. A must-read." -- Jack Welch, former Chairman and CEO of General Electric Company

"The Cleveland Clinic Way is what the healthcare system in this country needs: honesty about the challenges, optimism about our ability to address them, and a focus on solutions. A must-read for healthcare leaders, it's written in clear, inclusive language that makes it just as valuable for the rest of us." -- John Chambers, Chairman and CEO of Cisco

"A pioneer in American healthcare, Toby Cosgrove shows just how the diligence and innovative thinking behind Cleveland Clinic has helped solve fundamental problems most other places barely touch. There are lessons here for everyone--patient, physician, and policymaker alike." -- Atul Gawande, MD, professor at Harvard Medical School and bestselling author of The Checklist Manifesto

"Toby Cosgrove frames the eight important trends that will transform the U.S. healthcare system. The Cleveland Clinic Way is a good road map for those who want to make the U.S. healthcare system better." -- Jeffrey Immelt, Chairman and CEO of General Electric Company

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The Truth About Getting Sick in America: The Real Problems with Health Care and What We Can Do

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The Truth About Getting Sick in America: The Real Problems with Health Care and What We Can Do La revue

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In today’s world, there are many hot-button topics that generate equal parts debate and confusion. At the top of that list is healthcare. For most Americans, finding out “the truth” about current problems or possible fixes is virtually impossible amidst all the emotionally charged rhetoric. Dr. Tim Johnson has been reporting on health matters for ABC since the mid-seventies, but in recent years he has spent an increasing amount of time studying our system of healthcare—or lack thereof. Many Americans fall between the cracks and do not receive any care—or receive care that is either inferior or too costly or both. Over the years, he has learned some important lessons, and in The Truth About Getting Sick in America, he shares those lessons and looks to the future of American healthcare.In today’s world, there are many hot-button topics that generate equal parts debate and confusion. At the top of that list is healthcare. For most Americans, finding out “the truth” about current problems or possible fixes is virtually impossible amidst all the emotionally charged rhetoric. Dr. Tim Johnson has been reporting on health matters for ABC since the mid-seventies, but in recent years he has spent an increasing amount of time studying our system of healthcare—or lack thereof. Many Americans fall between the cracks and do not receive any care—or receive care that is either inferior or too costly or both. Over the years, he has learned some important lessons, and in The Truth About Getting Sick in America, he shares those lessons and looks to the future of American healthcare..


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The Patient Will See You Now: The Future of Medicine is in Your Hands

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The Patient Will See You Now: The Future of Medicine is in Your Hands Info

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A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"—but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical.

In The Patient Will See You Now, Eric Topol, one of the nation’s top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system.

The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result—better, cheaper, and more human health care—will be worth it.

Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.

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Uninsured in America: Life and Death in the Land of Opportunity

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Uninsured in America: Life and Death in the Land of Opportunity Info

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Uninsured in America goes to the heart of why more than forty million Americans are falling through the cracks in the health care system, and what it means for society as a whole when so many people suffer the consequences of inadequate medical care. Based on interviews with 120 uninsured men and women and dozens of medical providers, policymakers, and advocates from around the nation, this book takes a fresh look at one of the most important social issues facing the United States today. A new afterword updates the stories of many of the people who are so memorably presented here.

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Child Health: A Population Perspective

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Child Health: A Population Perspective La revue

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Children in the U.S. are not faring well. Despite major advances in public health, hygiene, and treatment for acute infections, child health outcomes in the U.S. are among the bottom for developed countries. As we enter the third decade of a child obesity epidemic, children born in the last ten years are now likely to have a shorter lifespan than their parents. Coupled with an epidemic of childhood mental health issues -- many of them unaddressed due to stigma or lack of recognition -- plus the impacts of gun violence, poverty, and youth incarceration contribute to an overall culture that fails to prioritize the health and welfare of our youngest members of society.

Child Health: A Population Perspective examines both the history of child health and the three dynamics that most define it: the principles and dynamics between children, families, and communities; social determinants of health; and life course health development. With both theoretical grounding and illustrative case studies, this book provides a core framework for students in maternal and child health to better understand the issues facing children today -- and how to serve them best..


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The Patient Will See You Now: The Future of Medicine Is in Your Hands

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The Patient Will See You Now: The Future of Medicine Is in Your Hands La revue

.

A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"—but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical.

In The Patient Will See You Now, Eric Topol, one of the nation’s top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system.

The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result—better, cheaper, and more human health care—will be worth it.

Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.

.


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Mammography Screening: Truth, Lies and Controversy

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'This book gives plenty of examples of ad hominem attacks, intimidation, slander, threats of litigation, deception, dishonesty, lies and other violations of good scientific practice. For some years I kept a folder labeled Dishonesty in breast cancer screening on top of my filing cabinet, storing articles and letters to the editor that contained statements I knew were dishonest. Eventually I gave up on the idea of writing a paper about this collection, as the number of examples quickly exceeded what could be contained in a single article.' From the Introduction The most effective way to decrease women's risk of becoming a breast cancer patient is to avoid attending screening. Mammography screening is one of the greatest controversies in healthcare, and the extent to which some scientists have sacrificed sound scientific principles in order to arrive at politically acceptable results in their research is extraordinary. In contrast, neutral observers increasingly find that the benefit has been much oversold and that the harms are much greater than previously believed. This groundbreaking book takes an evidence-based, critical look at the scientific disputes and the information provided to women by governments and cancer charities. It also explains why mammography screening is unlikely to be effective today. All health professionals and members of the public will find these revelations disturbingly illuminating. It will radically transform the way healthcare policy makers view mammography screening in the future. 'If Peter Gotzsche did not exist, there would be a need to invent him ...It may still take time for the limitations and harms of screening to be properly acknowledged and for women to be enabled to make adequately informed decisions. When this happens, it will be almost entirely due to the intellectual rigour and determination of Peter Gotzsche.' From the Foreword by Iona Heath, President, RCGP 'If you care about breast cancer, and we all should, you must read this book. Breast cancer is complex and we cannot afford to rely on the popular media, or on information from marketing campaigns from those who are invested in screening. We need to question and to understand. The story that Peter tells matters very much.' From the Foreword by Fran Visco, President, National Breast Cancer Coalition.


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Making Health Policy (Understanding Public Health)

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Making Health Policy (Understanding Public Health) Description

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Used across the public health field, this is the leading text in the area, focusing on the context, participants and processes of making health policy.Used across the public health field, this is the leading text in the area, focusing on the context, participants and processes of making health policy..


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Being Mortal: Medicine and What Matters in the End

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Being Mortal: Medicine and What Matters in the End Info

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In Being Mortal, best-selling author Atul Gawande tackles the hardest challenge of his profession: How medicine can not only improve life but also the process of its ending.

Medicine has triumphed in modern times, transforming birth, injury, and infectious disease from harrowing to manageable. But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit. Nursing homes, preoccupied with safety, pin patients into railed beds and wheelchairs. Hospitals isolate the dying, checking for vital signs long after the goals of cure have become moot. Doctors, committed to extending life, continue to carry out devastating procedures that in the end extend suffering.

Gawande, a practicing surgeon, addresses his profession's ultimate limitation, arguing that quality of life is the desired goal for patients and families. Gawande offers examples of freer, more socially fulfilling models for assisting the infirm and dependent elderly, and he explores the varieties of hospice care to demonstrate that a person's last weeks or months may be rich and dignified.

Full of eye-opening research and riveting storytelling, Being Mortal asserts that medicine can comfort and enhance our experience even to the end, providing not only a good life but also a good end.

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Overdosed America: The Broken Promise of American Medicine

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Overdosed America: The Broken Promise of American Medicine La revue

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Using the examples of Vioxx, Celebrex, cholesterol-lowering statin drugs, and anti-depressants, Overdosed America shows that at the heart of the current crisis in American medicine lies the commercialization of medical knowledge itself.

Drawing on his background in statistics, epidemiology, and health policy, John Abramson, M.D., reveals the ways in which the drug companies have misrepresented statistical evidence, misled doctors, and compromised our health. The good news is that the best scientific evidence shows that reclaiming responsibility for your own health is often far more effective than taking the latest blockbuster drug.

You—and your doctor—will be stunned by this unflinching exposé of American medicine.

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Introduction to Healthcare Quality Management

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Introduction to Healthcare Quality Management Description

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Introduction to Healthcare Quality Management explains the basic principles and techniques of quality management in healthcare. In non-technical language, this book describes methods of measuring, assessing, and improving healthcare services. It is packed with practical examples and case studies that apply quality concepts and tools to real-life situations. Each chapter contains a list of key words and a glossary to help you understand the vocabulary of healthcare quality management. You will learn: Attributes of quality most important to healthcare stakeholders, including purchasers and consumers Legislative mandates, regulatory agencies, and accreditation groups that influence healthcare quality activities How to use common quantitative and qualitative process improvement tools How to collect and analyze data to identify improvement priorities Patient safety and risk management activities that reduce medical errors Resource management initiatives that balance quality patient care and costs Organizational factors that influence the quality process.


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Human Resources In Healthcare: Managing for Success, Third Edition

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Human Resources In Healthcare: Managing for Success, Third Edition La revue

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Human Resources in Healthcare: Managing for Success, Third Edition, presents the techniques and practices behind effectively managing people the healthcare industry s most important asset. It provides the concepts and practical tools necessary for meeting the unique challenge of managing healthcare employees. Key Features: This edition includes: An expanded chapter on health and safety in the workplace, highlighting disaster preparedness and management A new chapter on globalization and the mobile workforce A new chapter focusing on employee benefits and benefit design An expanded chapter on training and career development A new section containing complex cases Chapters include cases, discussion questions, and exercises Covers fundamental topics as well as timely issues.


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Multicultural Health

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Multicultural Health Info

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Multicultural Health serves as a comprehensive guide for healthcare workers in any cultural community. By focusing on differences in cultural beliefs about health and illness and models for cross-cultural health and communication, this text helps students and professionals learn effective ways to implement health promotion programs and program evaluation across cultures..


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Thimerosal: Let the Science Speak: The Evidence Supporting the Immediate Removal of Mercury—a Known Neurotoxin—from Vaccines

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Thimerosal: Let the Science Speak: The Evidence Supporting the Immediate Removal of Mercury—a Known Neurotoxin—from Vaccines Info

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Over a decade ago, following a sharp rise in developmental disorders such as autism and ADHD, the mercury-containing preservative Thimerosal was widely believed to have been eliminated from vaccine supplies in the US and abroad. However, dangerous quantities of Thimerosal continue to be used, posing a significant threat to public health and leading to a crisis of faith in vaccine safety.

In this groundbreaking book, Robert F. Kennedy, Jr., and Dr. Mark Hyman examine the research literature on Thimerosal and make a very clear statement about its potentially dangerous effects. In the past, the CDC, FDA, NIH, and AAP, as well as the US Congress, the American Academy of Family Physicians, the US Department of Agriculture, the European Medicines Agency, and the California Environmental Protection Agency have expressed concerns over the use of Thimerosal in vaccines. But despite the many voices calling for action, the media and policy makers have repeatedly failed to adequately address the issue.

Now, with Thimerosal: Let the Science Speak, the goals are to educate parents, doctors, and health policy makers; to eliminate this toxic chemical from the world’s vaccine supplies; to move toward safer alternatives; and to maintain or increase vaccination rates critical to the United States and developing nations. With safer options available, parents shouldn’t have to worry about the devastating effects of vaccinating their children.

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n=1: How the Uniqueness of Each Individual Is Transforming Healthcare

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n=1: How the Uniqueness of Each Individual Is Transforming Healthcare Description

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This book, n=1 is a collaboration of physician health system CEO, venture capital entrepreneur and leading global business advisor and best-selling business author. These differing perspectives provide insights into the forces transforming the global society, business and professions with a focus on US healthcare and its transformation. Healthcare leaders must develop the incisive questions that challenge the orthodoxies hindering organizational transformation. Our experience indicates leaders of successful non-healthcare organizations develop cultures of inquiry that guide their organizations through dramatic market change.

Unique individuals are the driving force in the transformation of healthcare. Digitization has democratized information, which feeds the desire of people to act, behave and be treated as unique individuals. Scientific innovation is revealing the importance of our biologic individuality. The financial risk of healthcare is increasingly passed to individuals and providers, fueling changes in financial incentives. An individual with information knows their options, and wants to choose the option most suited to his or her unique healthcare needs and financial means. This profound and fundamental change in the individual’s expectations and behavior is accelerating healthcare transformation.

The title of this book, n = 1, is a symbol of the uniqueness of individuals. The n=1 will transform healthcare.

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Reinventing American Health Care: How the Affordable Care Act will Improve our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System

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Reinventing American Health Care: How the Affordable Care Act will Improve our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System Description

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The definitive story of American health care today—its causes, consequences, and confusions

In March 2010, the Affordable Care Act was signed into law. It was the most extensive reform of America’s health care system since at least the creation of Medicare in 1965, and maybe ever. The ACA was controversial and highly political, and the law faced legal challenges reaching all the way to the Supreme Court; it even precipitated a government shutdown. It was a signature piece of legislation for President Obama’s first term, and also a ball and chain for his second.

Ezekiel J. Emanuel, a professor of medical ethics and health policy at the University of Pennsylvania who also served as a special adviser to the White House on health care reform, has written a brilliant diagnostic explanation of why health care in America has become such a divisive social issue, how money and medicine have their own—quite distinct—American story, and why reform has bedeviled presidents of the left and right for more than one hundred years.
Emanuel also explains exactly how the ACA reforms are reshaping the health care system now. He forecasts the future, identifying six mega trends in health that will determine the market for health care to 2020 and beyond. His predictions are bold, provocative, and uniquely well-informed. Health care—one of America’s largest employment sectors, with an economy the size of the GDP of France—has never had a more comprehensive or authoritative interpreter.

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The Sociology of Health, Illness, and Health Care: A Critical Approach

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The Sociology of Health, Illness, and Health Care: A Critical Approach Description

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Extremely reader friendly and completely up to date, THE SOCIOLOGY OF HEALTH, ILLNESS, AND HEALTH CARE: A CRITICAL APPROACH, 6e delivers a comprehensive, cutting-edge overview and challenges readers to question previously held beliefs about health and illness. Dr. Weitz's thorough discussions of health and medicine emphasize the effects of power and how social forces create illness, affect our ideas about the meaning of illness and disability, structure health care institutions, and impact the work and social position of health care workers. While the text focuses on health within the United States, it also examines global health care issues..


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Essentials Of Management And Leadership In Public Health (Essential Public Health)

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Essentials Of Management And Leadership In Public Health (Essential Public Health) Info

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Driven by recent events and new trends, public health training increasingly requires new and more advanced information―leadership and management skills drawn from business, industry, education, and government. This text offers basic foundation for students entering the field of public health management with a specific focus on developing knowledge and skills in the cross cutting competency domains identified by the ASPH. Essentials of Management and Leadership in Public Health covers: An introduction and history of the field of public health management; The evolution of key leadership and management theories; The changing role of public health management professionals and key characteristics of a successful public health leaders; Key issues in the organization, financing and delivery of healthcare services; Fundamental concepts about the classic functions of management including economics, finance, marketing, strategy, administration, human resources, and community relations; and Modern approaches to leadership development, selection, retention and succession planning. Looking for more real-life evidence? Check out Cases 1, 2, 5-10, 13, 15, 19-21 in Essential Case Studies in Public Health, Putting Public Health into Practice..


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Saving Gotham: A Billionaire Mayor, Activist Doctors, and the Fight for Eight Million Lives

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Saving Gotham: A Billionaire Mayor, Activist Doctors, and the Fight for Eight Million Lives Description

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The inside story of the most audacious public health campaign of the 21st century. In 2002, a dynamic doctor named Thomas Frieden became health commissioner of New York City. With support from the new mayor, billionaire Michael Bloomberg, Frieden and his health department team prohibited smoking in bars, outlawed trans fats in restaurants, and attempted to cap the size of sodas, among other groundbreaking actions. The initiatives drew heated criticism, but they worked: by 2011, 450,000 people had quit smoking, childhood obesity rates were falling, and life expectancy was growing. Saving Gotham is the behind-the-scenes story of the most controversial―and successful―public health initiative of our time. Thomas A. Farley, MD, who succeeded Frieden as health commissioner, introduces a team of doctors who accepted the challenge of public health: to care for each of New York City's eight million inhabitants as their own patients. The biggest threats they faced were not cholera or chemical toxins or lack of medical care but instead habits like smoking and unhealthy eating. As these doctors pressed to solve these problems, they found themselves battling those who encouraged those habits, and they reshaped their own agency for a different sort of fight.

Farley shows what happens when science-driven doctors are given the political cover to make societywide changes to protect people from today's health risks―and how industries exploit legislatures, the courts, the media, and public opinion to undermine them. With Washington caught in partisan paralysis and New York City's ideas spreading around the world, Saving Gotham demonstrates how government―local government―can protect its citizens and transform health for everyone.

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Essential Case Studies In Public Health: Putting Public Health into Practice (Essential Public Health)

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Essential Case Studies In Public Health: Putting Public Health into Practice (Essential Public Health) Info

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Essential Case Studies in Public Health: Putting Public Health into Practice is a unique compilation of twenty-one cases based on real life events and problems. Written by over forty public health faculty members and practitioners, these cases vividly illustrate how professionals across various disciplines tackle public health challenges. Covering a wide range of topics and issues from HPV vaccines as school entry requirements to implementing community-based water systems in rural Honduran communities to a mumps epidemic in Iowa, this text helps students apply a wide range of knowledge and skills relevant to public health outbreak investigation, policy analysis, regulatory decision-making and more. Suitable as a stand-alone text or as an adjunct to any introductory public health text, this collection of engaging case studies provides students with the opportunity to synthesize and apply each of the five components of the “Public Health 101” curriculum framework: the public health approach; tools of population health; disease: determinants, impacts, and interventions; healthcare and public health systems; and special areas of public health focus. Selected cases can be readily applied to courses across the curriculum..


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The Health Care Handbook: A Clear and Concise Guide to the United States Health Care System

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The Health Care Handbook: A Clear and Concise Guide to the United States Health Care System Info

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The American health care system is vast, complex and confusing. Books about it shouldn't be. The Health Care Handbook is your one-stop guide to the people, organizations and industries that make up the U.S. health care system and major issues the system faces today. The Handbook covers:
*Inpatient and outpatient health care and delivery systems
*The different types of health insurance and how they're structured
*Health policy and government health care programs, including the Affordable Care Act
*Concise summaries of 31 different health professions
*Economic concepts and the factors that make health care so expensive
*The Pharmaceutical and Medical Device industries

Each section introduces the key facts and foundations that make the health care system work in a clear and neutral manner. The book also includes balanced analyses of current challenges and controversies in health care, including medical errors, government regulation, medical malpractice, high drug prices, and much more. Suggested Readings are included at the end of each chapter for readers who wish to learn more about specific topics.

The book is the work of two medical students, Elisabeth Askin and Nathan Moore. When Elisabeth and Nathan worked to educate themselves about the American health care system they couldn't find a source that was comprehensive, understandable and non-biased - so they decided to write it themselves. It's rigorously researched and scrupulously unbiased yet written in a conversational and humorous tone that's a pleasure to read and illuminates the convoluted health care system and its many components.
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Health Policy Analysis: An Interdisciplinary Approach

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Health Policy Analysis: An Interdisciplinary Approach La revue

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Drawing from the perspectives of a variety of disciplines, this innovative text is unlike any others of its kind. Health Policy Analysis: An Interdisciplinary Approach, Second Edition analyzes current U.S. health policy and proposes various alternatives for developing future health policy without pushing a single solution set―rather, it considers the viewpoints of economics, political science, management, communications, technology, and public health. Organized into three sections, this unique text first explores the current and historical issues with the U.S. healthcare system and considers the alternatives for future policy that have strong support. It then reviews the political processes that influence planning in various healthcare settings; presents the accepted methods of economic and financial analysis; and addresses the ethical and other value considerations that must enter into the health policy process. Finally, it takes a look at the roles, skills, and leadership that health professionals can bring to the policy making process in their local and national communities. The Second Edition offers: • An expansive new look at the Affordable Care Act woven throughout Chapters 1-5 • New chapter on evidence-based medicine. • Greater emphasis and focus on the learning health system as well as cost and outcomes, in light of the shrinking crisis of the uninsured. • All new cases in each chapter..


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Prevention Is Primary: Strategies for Community Well Being

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Prevention Is Primary: Strategies for Community Well Being Description

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The new edition of Prevention Is Primary provides models, methods, and approaches for building health and equity in communities. This comprehensive book includes the theory, concepts, and models needed to harness social justice and practice primary prevention of unnecessary illness and injury. Ideal for students as well as practitioners, this thoroughly revised and updated second edition combines an overview of advances in the field with effective approaches in the current economic and health care climate.

With contributions from noted experts, Prevention Is Primary shows practical applications of intervention science to social and health problems and issues facing at-risk and vulnerable groups. The book describes the overarching framework and principles guiding prevention efforts, including a focus on social justice and health equity, and community resilience. It explores the transition from prevention theory to implementation and practice and from interdisciplinary collaboration to evaluation. Highlighting the book's usefulness as a teaching and learning tool, Prevention Is Primary has real world examples, learning objectives, and review questions for each chapter.

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Josie's Story: A Mother's Inspiring Crusade to Make Medical Care Safe

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Josie's Story: A Mother's Inspiring Crusade to Make Medical Care Safe La revue

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Sorrel King was a 32-year-old mother of four when her eighteen-month-old daughter, Josie, was horribly burned by water from a faulty water heater in the family’s new Baltimore home. She was taken to Johns Hopkins—renowned as one of the best hospitals in the world—and Sorrel stayed in the hospital with Josie day-in and day-out until she had almost completely recovered. Just before her discharge, however, she was erroneously injected with methadone, and died soon after.

Sorrel’s account of her unlikely path from grieving parent to nationally renowned advocate is interwoven with descriptions of her and her family’s slow but steady road to recovery, and ends with a deeply affecting description of a ski trip they took recently. The sun is shining, her children are healthy, and they are all profoundly happy—a condition that Sorrel has learned to appreciate all the more for Josie.

The book ends with a resource guide for patients, their families, and healthcare providers; it includes information about how to best manage a hospital stay and how to handle a medical error if one does occur.

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The Health Gap: The Challenge of an Unequal World

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The Health Gap: The Challenge of an Unequal World Description

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In Baltimore's inner-city neighborhood of Upton/Druid Heights, a man's life expectancy is sixty-three; not far away, in the Greater Roland Park/Poplar neighborhood, life expectancy is eighty-three. The same twenty-year avoidable disparity exists in the Calton and Lenzie neighborhoods of Glasgow, and in other cities around the world.

In Sierra Leone, one in 21 fifteen-year-old women will die in her fertile years of a maternal-related cause; in Italy, the figure is one in 17,100; but in the United States, which spends more on healthcare than any other country in the world, it is one in 1,800. Why?

Dramatic differences in health are not a simple matter of rich and poor; poverty alone doesn't drive ill health, but inequality does. Indeed, suicide, heart disease, lung disease, obesity, and diabetes, for example, are all linked to social disadvantage. In every country, people at relative social disadvantage suffer health disadvantage and shorter lives. Within countries, the higher the social status of individuals, the better their health. These health inequalities defy the usual explanations. Conventional approaches to improving health have emphasized access to technical solutions and changes in the behavior of individuals, but these methods only go so far. What really makes a difference is creating the conditions for people to have control over their lives, to have the power to live as they want. Empowerment is the key to reducing health inequality and thereby improving the health of everyone. Marmot emphasizes that the rate of illness of a society as a whole determines how well it functions; the greater the health inequity, the greater the dysfunction.

Marmot underscores that we have the tools and resources materially to improve levels of health for individuals and societies around the world, and that to not do so would be a form of injustice. Citing powerful examples and startling statistics (“young men in the U.S. have less chance of surviving to sixty than young men in forty-nine other countries”), The Health Gap presents compelling evidence for a radical change in the way we think about health and indeed society, and inspires us to address the societal imbalances in power, money, and resources that work against health equity.

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