Effective Management Of Long-Term Care Facilities

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Effective Management Of Long-Term Care Facilities Description

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Effective Management of Long-Term Care Facilities, Third Edition examines the complex operations of the long-term care facility and offers critical skills to current and future long-term care administrators for delivering quality, cost-effective services. Comprehensive, yet concise, the Third Edition explores the necessary skills and tools for creating a person-centered environment. Topics covered include: how to adapt an existing nursing facility, the growing culture change movement, and the laws, regulations, and financing of the long-term care industry, as well as its organization and delivery. Finally, this book offers extensive coverage of the essential skills necessary to manage it all. Designed for graduate or senior-level undergraduate courses, this book also serves as an excellent reference for practicing administrators, corporate officers, and governing board members. Key Features: - Offers an overview of the long-term care system and a detailed exploration of its laws, regulations, and financing; organization and services; as well as essentials of effective business management within the long-term care environment - Includes a final section with 12 real-world case studies for further discussion, analysis, and application of the concepts presented in the previous chapters - Thoroughly updated with current research findings and data as well as coverage of the Affordable Care Act (ACA), as it pertains to long-term care.


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Consumer Health: Making Informed Decisions

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Consumer Health: Making Informed Decisions La revue

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Consumer Health: Making Informed Decisions is a concise, current text with the most up-to-date information about health care reform and insurance. It is devoted to the most important issues relative to consumer health issues, including advertising, dietary supplements, herbal remedies, weight management, and medications. There are in-depth analyses of the American health care system, insurance options, and consumer protection. The text also takes a critical look at complementary and alternative therapies. Throughout the text, there are guidelines for making decisions that can benefit the individual. A comprehensive list of learning objectives precede each chapter and a list of study questions conclude each chapter. The questions are designed to help the student summarize the major points of the chapter, prepare for exams, and critically analyze the material contained in the chapters. Instructor Resources: PowerPoint Presentations.


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Chasing Polio in Pakistan: Why the World's Largest Public Health Initiative May Fail

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Chasing Polio in Pakistan: Why the World's Largest Public Health Initiative May Fail La revue

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The number of global polio cases has fallen dramatically and eradication is within sight, but despite extraordinary efforts, polio retains its grip in a few areas. Anthropologist Svea Closser follows the trajectory of the polio eradication effort in Pakistan, one of the last four countries in the world with endemic polio. Journeying from vaccination campaigns in rural Pakistan to the center of global health decision making at the World Health Organization in Geneva, the author explores the historical and cultural underpinnings of eradication as a public health strategy, and reveals the culture of optimism that characterizes—and sometimes cripples—global health institutions.

With a keen ethnographic eye, Closser describes the complex power negotiations that underlie the eradication effort at every level, tracking techniques of resistance employed by district health workers and state governments alike. This book offers an analysis of local politics, social relations, and global political economy in the implementation of a worldwide public health effort, with broad implications for understanding what is possible in global health, now and for the future.

This book is the recipient of the annual Norman L. and Roselea J. Goldberg Prize for the best project in the area of medicine..


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Toyota Production System: Beyond Large-Scale Production

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Toyota Production System: Beyond Large-Scale Production Info

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In this classic text, Taiichi Ohno--inventor of the Toyota Production System and Lean manufacturing--shares the genius that sets him apart as one of the most disciplined and creative thinkers of our time. Combining his candid insights with a rigorous analysis of Toyota's attempts at Lean production, Ohno's book explains how Lean principles can improve any production endeavor. A historical and philosophical description of just-in-time and Lean manufacturing, this work is a must read for all students of human progress. On a more practical level, it continues to provide inspiration and instruction for those seeking to improve efficiency through the elimination of waste.

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Food Politics: How the Food Industry Influences Nutrition and Health

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Food Politics: How the Food Industry Influences Nutrition and Health Info

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An accessible and balanced account, Food Politics laid the groundwork for today's food revolution and changed the way we respond to food industry marketing practices. Now, a new introduction and concluding chapter bring us up to date on the key events in that movement. This pathbreaking, prize-winning book helps us understand more clearly than ever before what we eat and why.

This book is published by University of California Press.

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Shaping Health Policy Through Nursing Research

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Shaping Health Policy Through Nursing Research La revue

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Named a 2013 Doody's Core Title!

2011 AJN Book of the Year Winner in Nursing Research!

This is a much needed addition to nursing's arsenal of policy books. It is the first to really examine the need for scientific evidence to underpin policy. The two editors are pioneers in research and have led nursing research to new levels. It is fitting they do the same in underscoring the important role nurses have in using their programs of research to develop policy agendas.Score: 94, 4 stars

--Doody's

A must-read for health care policy makers, as well as nursing students, faculty, and professionals, this groundbreaking text provides actual strategies for translating nursing research to health policy at all levels of policy-making. The editors, both leaders in nursing research, provide key findings from research programs that have positively influenced health policy decisions and programs at community, state, national, and international levels.

The first compilation of information linking health policy and nursing research, this text presents perspectives and frameworks for understanding the processes bridging research and health policy; multiple factors influencing the processes; and actual examples of National Institute of Nursing Research (NINR)-funded research that has influenced health policy programs.

Key Features:

• Examples of NINR-funded research that has been used at all levels to influence health policy, including settings, populations, and age spectrums
• Models and strategies for linking research and health policy
• Lessons learned from pioneer nurse scientists who have shaped health policy with nursing research
• Recommendations for improving nurses' work environments for better patient outcomes

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The Mother and Child Project: Raising Our Voices for Health and Hope

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The Mother and Child Project: Raising Our Voices for Health and Hope Description

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In The Mother and Child Project, Melinda Gates, Kay Warren, Tony Campolo, Christine Caine, and Senator William H. Frist, along with other inspirational leaders, cultural icons, political experts, academics, and service providers, provide a personal yet fact-based narrative exploring the plight of women and children living in extreme poverty in an effort to educate and inspire the church to speak up in support of maternal and child health issues in the developing world.

Dozens of influential leaders have heard the pleas of mothers and children in developing countries. Raising their voices to inspire a movement to increase healthy pregnancies and lower death rates, Melinda Gates, Kay Warren, Bill Frist, Kimberly Williams Paisley, Michael W. Smith and more speak out about why people of faith must get involved in The Mother and Child Project: Raising Our Voices for Health and Hope. Almost 287,000 women die each year because of pregnancy and birth complications. Many orphans are left behind in the wake of this tragedy, and without a mother, many of those children die as well. If only enough people knew. We have the resources to prevent this crisis, but we must take action.

Fortunately, Hope Through Healing Hands, a nonprofit organization promoting awareness for healthy mothers and children worldwide, is already spreading the word. Not only can we save lives, reduce abortions, and decrease death rates, but also we can help build healthier, thriving families and bring stability and sustainability to families, communities and nations.

The question is, will you join them?

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Chasing Polio in Pakistan: Why the World's Largest Public Health Initiative May Fail

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Chasing Polio in Pakistan: Why the World's Largest Public Health Initiative May Fail La revue

.

The number of global polio cases has fallen dramatically and eradication is within sight, but despite extraordinary efforts, polio retains its grip in a few areas. Anthropologist Svea Closser follows the trajectory of the polio eradication effort in Pakistan, one of the last four countries in the world with endemic polio. Journeying from vaccination campaigns in rural Pakistan to the center of global health decision making at the World Health Organization in Geneva, the author explores the historical and cultural underpinnings of eradication as a public health strategy, and reveals the culture of optimism that characterizes—and sometimes cripples—global health institutions.

With a keen ethnographic eye, Closser describes the complex power negotiations that underlie the eradication effort at every level, tracking techniques of resistance employed by district health workers and state governments alike. This book offers an analysis of local politics, social relations, and global political economy in the implementation of a worldwide public health effort, with broad implications for understanding what is possible in global health, now and for the future.

This book is the recipient of the annual Norman L. and Roselea J. Goldberg Prize for the best project in the area of medicine..


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The Latino Patient: A Cultural Guide for Health Care Providers

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The Latino Patient: A Cultural Guide for Health Care Providers Info

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By 2030 Latinos will comprise roughly 20 percent of the population of the United States. Growing numbers of health professionals are realizing the importance of understanding Latino cultural values as they impact the clinical encounter. Such knowledge can enhance their ability to communicate with and treat Latina patients effectively and respectfully. The Latino Patient provides an in-depth exploration of Latino diversity, relevant cultural values, health status, beliefs, and practices; and effective communication strategies. The author has developed an original, practice-oriented model that leads the reader from greeting the patient to ultimately negotiating treatment. The book is hands-on and provides numerous vignettes gleaned from the author's experience. The Latino Patient should be high-priority reading for physicians, nurses, physician's assistants, therapists, clinical psychologists, social workers and other clinicians..


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The American Health Care Paradox: Why Spending More is Getting Us Less

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The American Health Care Paradox: Why Spending More is Getting Us Less Description

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Foreword by Harvey V. Fineberg, President of the Institute of Medicine

For decades, experts have puzzled over why the US spends more on health care but suffers poorer outcomes than other industrialized nations. Now Elizabeth H. Bradley and Lauren A. Taylor marshal extensive research, including a comparative study of health care data from thirty countries, and get to the root of this paradox: We’ve left out of our tally the most impactful expenditures countries make to improve the health of their populations—investments in social services.

In The American Health Care Paradox, Bradley and Taylor illuminate how narrow definitions of “health care,” archaic divisions in the distribution of health and social services, and our allergy to government programs combine to create needless suffering in individual lives, even as health care spending continues to soar. They show us how and why the US health care “system” developed as it did; examine the constraints on, and possibilities for, reform; and profile inspiring new initiatives from around the world.

Offering a unique and clarifying perspective on the problems the Affordable Care Act won’t solve, this book also points a new way forward.

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Our Unsystematic Health Care System

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Our Unsystematic Health Care System Description

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Significantly revised and updated, the fourth edition of Our Unsystematic Health Care System provides an accessible overview of the U.S. health care system, with a focus on the impact of the Affordable Care Act. As in previous editions, the book introduces health insurance arrangements in the U.S. and compares them to health care in other countries..


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Biopolitics: An Advanced Introduction

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Biopolitics: An Advanced Introduction Description

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The biological features of human beings are now measured, observed, and understood in ways never before thought possible, defining norms, establishing standards, and determining average values of human life. While the notion of “biopolitics” has been linked to everything from rational decision-making and the democratic organization of social life to eugenics and racism, Thomas Lemke offers the very first systematic overview of the history of the notion of biopolitics, exploring its relevance in contemporary theoretical debates and providing a much needed primer on the topic.

Lemke explains that life has become an independent, objective and measurable factor as well as a collective reality that can be separated from concrete living beings and the singularity of individual experience. He shows how our understanding of the processes of life, the organizing of populations and the need to “govern” individuals and collectives lead to practices of correction, exclusion, normalization, and disciplining. In this lucidly written book, Lemke outlines the stakes and the debates surrounding biopolitics, providing a systematic overview of the history of the notion and making clear its relevance for sociological and contemporary theoretical debates.

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The Basics of Process Mapping, 2nd Edition

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The Basics of Process Mapping, 2nd Edition Info

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The bestselling first edition of this influential resource has been incorporated into the curriculum at forward thinking colleges and universities, a leading vocational technical institute, many in-house corporate continuous improvement approaches, and the United Nations’ headquarters. 

Providing a complete and accessible introduction to process maps, The Basics of Process Mapping, Second Edition raises the bar on what constitutes the basics. Thoroughly revised and updated to keep pace with recent developments, it explains how relationship maps, cross-functional process maps (swimlane diagrams), and flowcharts can be used as a set to provide different views of work.

New in the Second Edition:

• Four new chapters and 75 new graphics
• An introduction to the concepts of flow and waste and how both appear in knowledge work or business processes
• A set of measures for flow and waste
• A discussion of problematic features of knowledge work and business processes that act as barriers to flow
• Seven principles* and 29 guidelines for improving the flow of knowledge work
• A detailed (actual) case study that shows how one organization applied the principles and guidelines to reduce lead time from an average of 28 days to 4 days

Unlike "tool books" or "pocket guides" that focus on discrete tools in isolation, this text use a single comprehensive service work example that integrates all three maps, and illustrates the insights they provide when applied as a set. It contains how to procedures for creating each type of map, and includes clear-cut guidance for determining when each type of map is most appropriate. The well-rounded understanding provided in these pages will allow readers to effectively apply all three types of maps to make work visible at the organization, process, and job/performer levels.

*The Seven principles are integrated into Version 3 of the body of knowledge used for Lean certification by the ASQ/AME/SME/SHINGO Lean Alliance. This is the first publication of those principles and guidelines.

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Midwifery and Childbirth in America

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Midwifery and Childbirth in America Info

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The author describes the disparate backgrounds, training, and roles of certified nurse-midwives and lay or direct entry midwives, and explains the contributions of both groups. Both kinds of midwives currently face challenges arising from within the profession and from massive, rapid changes in the health care system. Rooks believes that maternity care and childbirth in America can, and should, be better than it is today, and offers steps to take in that direction..


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Cultural Proficiency in Addressing Health Disparities

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Cultural Proficiency in Addressing Health Disparities Description

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This book has important information and current statistics on health disparities within the United States. It identifies our most vulnerable populations and offers guidelines on how to avoid cultural incompetence and promote cultural proficiency. Cultural Proficiency in Addressing Health Disparities will help us to address Healthy People 2010, which challenges individuals, communities, and professionals to take specific steps to ensure that good health, as well as long life, is enjoyed by all. This demands the ability to relate effectively to persons of many different cultures to assure collaborative participation in research (that must include minorities), clinical patient care and disease prevention. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition..


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When Abortion Was a Crime: Women, Medicine, and Law in the United States, 1867-1973

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When Abortion Was a Crime: Women, Medicine, and Law in the United States, 1867-1973 Info

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As we approach the 30th anniversary of Roe v. Wade, it's crucial to look back to the time when abortion was illegal. Leslie Reagan traces the practice and policing of abortion, which although illegal was nonetheless widely available, but always with threats for both doctor and patient. In a time when many young women don't even know that there was a period when abortion was a crime, this work offers chilling and vital lessons of importance to everyone.

The linking of the words "abortion" and "crime" emphasizes the difficult and painful history that is the focus of Leslie J. Reagan's important book. Her study is the first to examine the entire period during which abortion was illegal in the United States, beginning in the mid-nineteenth century and ending with Roe v. Wade in 1973. Although illegal, millions of abortions were provided during these years to women of every class, race, and marital status. The experiences and perspectives of these women, as well as their physicians and midwives, are movingly portrayed here.

Reagan traces the practice and policing of abortion. While abortions have been typically portrayed as grim "back alley" operations, she finds that abortion providers often practiced openly and safely. Moreover, numerous physicians performed abortions, despite prohibitions by the state and the American Medical Association. Women often found cooperative practioners, but prosecution, public humiliation, loss of privacy, and inferior medical care were a constant threat.

Reagan's analysis of previously untapped sources, including inquest records and trial transcripts, shows the fragility of patient rights and raises provocative questions about the relationship between medicine and law. With the right to abortion again under attack in the United States, this book offers vital lessons for every American concerned with health care, civil liberties, and personal and sexual freedom..


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Quality By Design: A Clinical Microsystems Approach

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Quality By Design: A Clinical Microsystems Approach Description

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Quality by Design reflects the research and applied training conducted at Dartmouth Medical School under the leadership of Gene Nelson, Paul Batalden, and Marjorie Godfrey. The book includes the research results of high-performing clinical microsystems, illustrative case studies that highlight individual clinical programs, guiding principles that are easily applied, and tools, techniques, and methods that can be adapted by clinical practices and interdisciplinary clinical teams. The authors

• describe how to develop microsystems that can attain peak performance through active engagement of interdisciplinary teams in learning and applying improvement science and measurement;
• explore the essence of leadership for clinical Microsystems;
• show what mid-level leaders can do to enable peak performance at the front lines of care;
• outline the design and redesign of services and planning care to match patient needs with services offered;
• examine the issue of safety;
• describe the vital role of data in creating a rich and useful information environment;
• provide a core curriculum that can build microsystems’ capability, provide excellent care, promote a positive work environment, and contribute to the larger organization.

Ancillary materials for use in classroom teaching, training, or coaching are available at https://clinicalmicrosystem.org/

Quality by Design reflects the research and applied training conducted at Dartmouth Medical School under the leadership of Gene Nelson, Paul Batalden, and Marjorie Godfrey. The book includes the research results of high-performing clinical microsystems, illustrative case studies that highlight individual clinical programs, guiding principles that are easily applied, and tools, techniques, and methods that can be adapted by clinical practices and interdisciplinary clinical teams. The authors

• describe how to develop microsystems that can attain peak performance through active engagement of interdisciplinary teams in learning and applying improvement science and measurement;
• explore the essence of leadership for clinical Microsystems;
• show what mid-level leaders can do to enable peak performance at the front lines of care;
• outline the design and redesign of services and planning care to match patient needs with services offered;
• examine the issue of safety;
• describe the vital role of data in creating a rich and useful information environment;
• provide a core curriculum that can build microsystems’ capability, provide excellent care, promote a positive work environment, and contribute to the larger organization.

Ancillary materials for use in classroom teaching, training, or coaching are available at https://clinicalmicrosystem.org/

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Doing A Literature Review In Health And Social Care: A Practical Guide

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Doing A Literature Review In Health And Social Care: A Practical Guide La revue

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This popular book demystifies literature reviewing and answers the questions students have about how to tackle the process..


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Catastrophic Care: How American Health Care Killed My Father - and How We Can Fix It

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A visionary investigation that will change the way we think about health care: how and why it is failing, why expanding coverage will actually make things worse, and how our health care can be transformed into a transparent, affordable, successful system.

In 2007, David Goldhill's father died from infections acquired in a hospital - one of more than two hundred thousand avoidable deaths per year caused by medical error. The bill was enormous - and Medicare paid it. These circumstances left Goldhill angry and determined to understand how world-class technology and personnel could coexist with such carelessness - and how a business that failed so miserably could be paid in full. Catastrophic Care is the eye-opening result.

Blending personal anecdotes and extensive research, Goldhill presents us with cogent, biting analysis that challenges the basic preconceptions that have shaped our thinking for decades. Contrasting the Island of health care with the Mainland of our economy, he demonstrates that high costs, excess medicine, terrible service, and medical error are the inevitable consequences of our insurance-based system. He explains why policy efforts to fix these problems have invariably produced perverse results, and how the new Affordable Care Act is more likely to deepen than to solve these issues.

Goldhill steps outside the incremental and wonkish debates to question the conventional wisdom blinding us to more fundamental issues. He proposes a comprehensive new way, where the customer (the patient) is first - a system focused on health and maintaining it, a system strong and vibrant enough for our future.

If you think health care is interesting only to institutes and politicians, think again: Catastrophic Care is surprising, engaging, and brimming with insights born of questions nobody has thought to ask. Above all it is an audiobook of new ideas that can transform the way we understand a subject we often take for granted..


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The Mother and Child Project: Raising Our Voices for Health and Hope

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Dozens of influential leaders have heard the pleas of mothers and children in developing countries. Raising their voices to inspire a movement to increase healthy pregnancies and lower death rates, Melinda Gates, Kay Warren, Bill Frist, Kimberly Williams Paisley, Michael W. Smith and more speak out about why people of faith must get involved in The Mother and Child Project: Raising Our Voices for Health and Hope. Almost 287,000 women die each year because of pregnancy and birth complications. Many orphans are left behind in the wake of this tragedy, and without a mother, many of those children die as well. If only enough people knew.  We have the resources to prevent this crisis, but we must take action.

Fortunately, Hope Through Healing Hands, a nonprofit organization promoting awareness for healthy mothers and children worldwide, is already spreading the word. Not only can we save lives, reduce abortions, and decrease death rates, but also we can help build healthier, thriving families and bring stability and sustainability to families, communities and nations.

The question is, will you join them?

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Autism's False Prophets: Bad Science, Risky Medicine, and the Search for a Cure

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A London researcher was the first to assert that the combination measles-mumps-rubella vaccine known as MMR caused autism in children. Following this "discovery," a handful of parents declared that a mercury-containing preservative in several vaccines was responsible for the disease. If mercury caused autism, they reasoned, eliminating it from a child's system should treat the disorder. Consequently, a number of untested alternative therapies arose, and, most tragically, in one such treatment, a doctor injected a five-year-old autistic boy with a chemical in an effort to cleanse him of mercury, which stopped his heart instead.

Children with autism have been placed on stringent diets, subjected to high-temperature saunas, bathed in magnetic clay, asked to swallow digestive enzymes and activated charcoal, and injected with various combinations of vitamins, minerals, and acids. Instead of helping, these therapies can hurt those who are most vulnerable, and particularly in the case of autism, they undermine childhood vaccination programs that have saved millions of lives. An overwhelming body of scientific evidence clearly shows that childhood vaccines are safe and does not cause autism. Yet widespread fear of vaccines on the part of parents persists.

In this book, Paul A. Offit, a national expert on vaccines, challenges the modern-day false prophets who have so egregiously misled the public and exposes the opportunism of the lawyers, journalists, celebrities, and politicians who support them. Offit recounts the history of autism research and the exploitation of this tragic condition by advocates and zealots. He considers the manipulation of science in the popular media and the courtroom, and he explores why society is susceptible to the bad science and risky therapies put forward by many antivaccination activists.

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Information Systems for Healthcare Management, Eighth Edition

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This bestseller provides readers with the comprehensive knowledge necessary to understand healthcare information technology (HIT) and to hone their skills in HIT management. The book explores the areas where leaders must exhibit basic awareness or competency, including hardware, software, and communication systems; operational, management, and clinical applications; and selection, implementation, and valuation.

Each chapter has been updated to reflect current trends and challenges in the field as well as the implications of the 2010 healthcare reform law and other relevant federal mandates. Each chapter also features learning objectives, web resources, and discussion questions. This revised edition includes a glossary that clarifies technical terms as well as a list of abbreviations for important terms. Links to Internet sources are provided to supplement the information on the major topics covered in each chapter.

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Thrive: How Better Mental Health Care Transforms Lives and Saves Money

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Mental illness is a leading cause of suffering in the modern world. In sheer numbers, it afflicts at least 20 percent of people in developed countries. It reduces life expectancy as much as smoking does, accounts for nearly half of all disability claims, is behind half of all worker sick days, and affects educational achievement and income. There are effective tools for alleviating mental illness, but most sufferers remain untreated or undertreated. What should be done to change this? In Thrive, Richard Layard and David Clark argue for fresh policy approaches to how we think about and deal with mental illness, and they explore effective solutions to its miseries and injustices.

Layard and Clark show that modern psychological therapies are highly effective and could potentially turn around the lives of millions of people at little or no cost. This is because treating psychological problems generates huge savings on physical health care, as well as massive economic savings through more people working. So psychological therapies would effectively pay for themselves, generating potential savings for nations the world over. Layard and Clark describe how various successful psychological treatments have been developed and explain what works best for whom. They also discuss how mental illness can be prevented through better schools and a better society, and the urgency of doing so.

Illustrating why we cannot afford to ignore the issue of mental illness, Thrive opens the door to new options and possibilities for one of the most serious problems facing us today.

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

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In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, examines what he calls medicine's "Gutenberg moment". Much as the printing press liberated knowledge from the control of an elite class, new technology is poised to democratize medicine. In this new era, patients will control their data and be emancipated from a paternalistic medical regime in which "the doctor knows best."

Mobile phones, apps, and attachments will literally put the lab and the ICU in our pockets. Computers will replace physicians for many diagnostic tasks, and enormous data sets will give us new means to attack conditions that have long been incurable. In spite of these benefits, the path forward will be complicated; some in the medical establishment will resist these changes, and digitized medicine will raise serious issues surrounding privacy. Nevertheless, the result - better, cheaper, and more humane health care for all - will be worth it.

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America's Bitter Pill: Money, Politics, Backroom Deals, and the Fight to Fix Our Broken Healthcare System

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America's Bitter Pill is Steven Brill's much-anticipated, sweeping narrative of how the Affordable Care Act, or Obamacare, was written, how it is being implemented, and, most important, how it is changing - and failing to change - the rampant abuses in the healthcare industry. Brill probed the depths of our nation's healthcare crisis in his trailblazing Time magazine Special Report, which won the 2014 National Magazine Award for Public Interest. Now he broadens his lens and delves deeper, pulling no punches and taking no prisoners.

It's a fly-on-the-wall account of the fight, amid an onslaught of lobbying, to pass a 961-page law aimed at fixing America's largest, most dysfunctional industry - an industry larger than the entire economy of France.

It's a penetrating chronicle of how the profiteering that Brill first identified in his Time cover story continues, despite Obamacare.

And it is the first complete, inside account of how President Obama persevered to push through the law, but then failed to deal with the staff incompetence and turf wars that crippled its implementation.

Brill questions all the participants in the drama, including the president, to find out what happened and why.

He asks the head of the agency in charge of the Obamacare website how and why it crashed.

And he tells the cliffhanger story of the tech wizards who swooped in to rebuild it.

Brill gets drug lobbyists to open up on the deals they struck to protect their profits in return for supporting the law.

And he buttresses all these accounts with meticulous research and access to internal memos, emails, notes, and journals written by the key players during all the pivotal moments.

Brill is there with patients when they are denied cancer care at a hospital, or charged for a box of gauze pads. Then he asks the multimillion-dollar executives who run the hospitals to explain why.

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