Jan 242016

Practical Lean Leadership for Health Care Managers: A Guide to Sustainable and Effective Application of Lean Principles

By (author): Kjeld H. Aij, Bas Lohman

The application of Lean tools appears relatively simple, but the change in culture required to turn Lean into a lasting success requires strong leadership. Previously published books about Lean in health care illustrate success stories, lessons learned, and challenges for the future. This book continues where those books leave off by describing the essence of and success factors for Lean in relation to leadership.

Practical Lean Leadership for Health Care Managers guides you on a journey to discover the secrets of successful Lean leaders. It is about Lean in healthcare and specifically examines the demands for making Lean successful and how the manager plays a key role in achieving this. Although the book is based on the authors’ experiences in health care, the principles presented are applicable in other sectors, both public and private.

The book uses a case study to illustrate the results of the authors’ quest for the common factors and characteristics of successful Lean leaders. The case study follows the introduction and development of Lean in a large hospital. Demonstrating the familiar struggles involved in applying theory to daily practice, the case study is supported by theory presented in side boxes.

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Jan 152016

Clinical Problem Lists in the Electronic Health Record

Edited by a professor at Harvard Medical School who has extensive experience in this field, this important and timely book presents a variety of perspectives on the organization of patient medical records around patient problems, presenting a more effective problem-oriented approach rather than the traditional data-oriented approach. It is comprehensive, covering the history and importance of the electronic health record, the attitudes toward and use of problem lists, strategies to improve the problem list, and applications in practice of the problem list.

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Jan 122016

Variation in Health Care Spending:: Target Decision Making, Not Geography

By (author): Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care, Board on Health Care Services, Institute of Medicine

Health care in the United States is more expensive than in other developed countries, costing $2.7 trillion in 2011, or 17.9 percent of the national gross domestic product. Increasing costs strain budgets at all levels of government and threaten the solvency of Medicare, the nation’s largest health insurer. At the same time, despite advances in biomedical science, medicine, and public health, health care quality remains inconsistent. In fact, underuse, misuse, and overuse of various services often put patients in danger.

Many efforts to improve this situation are focused on Medicare, which mainly pays practitioners on a fee-for-service basis and hospitals on a diagnoses-related group basis, which is a fee for a group of services related to a particular diagnosis. Research has long shown that Medicare spending varies greatly in different regions of the country even when expenditures are adjusted for variation in the costs of doing business, meaning that certain regions have much higher volume and/or intensity of services than others. Further, regions that deliver more services do not appear to achieve better health outcomes than those that deliver less.

Variation in Health Care Spending investigates geographic variation in health care spending and quality for Medicare beneficiaries as well as other populations, and analyzes Medicare payment policies that could encourage high-value care. This report concludes that regional differences in Medicare and commercial health care spending and use are real and persist over time. Furthermore, there is much variation within geographic areas, no matter how broadly or narrowly these areas are defined. The report recommends against adoption of a geographically based value index for Medicare payments, because the majority of health care decisions are made at the provider or health care organization level, not by geographic units. Rather, to promote high value services from all providers, Medicare and Medicaid Services should continue to test payment reforms that offer incentives to providers to share clinical data, coordinate patient care, and assume some financial risk for the care of their patients.

Medicare covers more than 47 million Americans, including 39 million people age 65 and older and 8 million people with disabilities. Medicare payment reform has the potential to improve health, promote efficiency in the U.S. health care system, and reorient competition in the health care market around the value of services rather than the volume of services provided. The recommendations of Variation in Health Care Spending are designed to help Medicare and Medicaid Services encourage providers to efficiently manage the full range of care for their patients, thereby increasing the value of health care in the United States.

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Jan 122016

Practitioner’s Guide to Health Informatics

By (author): Mark Braunstein

“This book will be a terrific introduction to the field of clinical IT and clinical informatics” — Kevin Johnson

“Dr. Braunstein has done a wonderful job of exploring a number of key trends in technology in the context of the transformations that are occurring in our health care system” — Bob Greenes

“This insightful book is a perfect primer for technologists entering the health tech field.” — Deb Estrin

“This book should be read by everyone.?” — David Kibbe

This book provides care providers and other non-technical readers with a broad, practical overview of the changing US healthcare system and the contemporary health informatics systems and tools that are increasingly critical to its new financial and clinical care paradigms. US healthcare delivery is dramatically transforming and informatics is at the center of the changes. Increasingly care providers must be skilled users of informatics tools to meet federal mandates and succeed under value-based contracts that demand higher quality and increased patient satisfaction but at lower cost. Yet, most have little formal training in these systems and technologies.

Providers face system selection issues with little unbiased and insightful information to guide them. Patient engagement to promote wellness, prevention and improved outcomes is a requirement of Meaningful Use Stage 2 and is increasingly supported by mobile devices, apps, sensors and other technologies. Care providers need to provide guidance and advice to their patients and know how to incorporated as they generate into their care. The one-patient-at-a-time care model is being rapidly supplemented by new team-, population- and public health-based models of care. As digital data becomes ubiquitous, medicine is changing as research based on that data reveals new methods for earlier diagnosis, improved treatment and disease management and prevention.

This book is clearly written, up-to-date and uses real world examples extensively to explain the tools and technologies and illustrate their practical role and potential impact on providers, patients, researchers, and society as a whole. 

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Dec 292015

Bates’ Guide to Physical Examination and History-Taking – Eleventh Edition

Features: Used Book in Good Condition
By (author): Lynn Bickley MD

The 11th edition of the pre-eminent textbook on physical examination contains foundational content to guide students’ approaches to history taking, interviewing, and other core assessment skills, as well as fully illustrated, step-by-step techniques that outline correct performance of physical examination. The book features a vibrant full-color art program and an easy-to-follow two-column format with step-by-step examination techniques on the left and abnormalities with differential diagnoses on the right. The comprehensive, evidence-based content is intended for medical students, high-level nursing education and practice markets, as well as related health professions such as physician assistants.

New for this edition:
–Content has been fully revised and updated to reflect the most recent health care literature.
–More than 200 new and revised photographs and drawings have been added to better illustrate key points in the accompanying text.
–Design and layout has been revised to increase discoverability of core material and special assessment tips.
–Techniques of interviewing chapter has been reorganized to provide clearer insights into the skills of empathic listening.
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Dec 282015
All Topics available in High Quality Video
Complete examination of each case – with accurate demonstration of each sign – positive as well as negative.
9 most important Clinical Examinations related to Surgery
1. Examination of swelling
2. Examination of Ulcer
3. Examination of Scrotal swelling (Hydrocele)
4. Examination of Inguino-scrotal swelling (Hernia)
5. Examination of A lump in abdomen
6. Examination of Breast swelling
7. Examiantion of Thyroid swelling
8. Examinaiton of Peripheral Vascular Disease
9. Examination of Varicose Veins
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Dec 282015

Sapira’s Art and Science of Bedside Diagnosis

By (author): Jane M. Orient MD

The Fourth Edition of this textbook teaches the artful science of the patient interview and the physical examination—from the fundamentals to the most advanced levels. Written in an artful storytelling style, the book describes methods in step-by-step detail, with clinical pearls, vignettes, practical clinical experience, personal history, explanations of the physiologic significance of findings, and extensive discussions of evidence-based medicine.

Highlights of this new edition include—

  • “Points to Remember” boxes with three or four bullets per chapter
  • More than 300 questions with answers and discussion
  • Revisions based on new material from journals (especially JAMA, New England Journal of Medicine, Mayo Clinic Proceedings, and Annals of Internal Medicine); CME conferences, especially the weekly grand rounds at Carondelet St. Joseph’s Hospital; specialty conferences pertaining to orthopedics and neurology; and cases that recently came up in practice
  • More than 120 additional references, some new and some old classics newly discovered by the author
  • Expanded discussion of evidence-based medicine, both its appropriate usage and pitfalls, with additional information on sensitivity, specificity, and other features of various findings from recent studies and review articles. Insights on the development of expertise have been added.
  • Expanded discussion of sleep apnea, blast injury, “minor” head trauma, and cervical spine involvement in rheumatoid arthritis
  • New findings pertaining to transplantation-related graft-versus-host problems, AIDS and the adverse effects of therapy, drug abuse, especially methamphetamine, and egg donation
  • Additional maneuvers include the scapulohumeral reflex, the head thrust test, the apprehension test, and a newly described test for intercostal muscle innervation
  • Additional information on dementia, hysteria, missed aneurysms, pulmonary embolism, evaluation of dehydration/malnutrition, and compressions-only cardiopulmonary resuscitation
  • Updated and substantially simplified discussion of carotid stenosis and indications for carotid endarterectomy
  • More historical tidbits, for example, on the development of thermometry
  • Companion Website with fully searchable text and 300-question online test bank

Even with all of today’s sophisticated laboratory and imaging technology, a skillfully performed patient interview and physical examination can be a quicker and more cost-effective route to an accurate diagnosis. The Fourth Edition of Sapira’s Art and Science of Bedside Diagnosis is your guide to gaining the most reliable information from your patients, developing a differential diagnosis and an efficient diagnostic strategy.

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Dec 282015

Clinical Examination in Orthopedics

By (author): K. Mohan Iyer

This book has been written step wise by enumerating various aspects of the importance of clinical examination derived by laying one’s hands on the affected part. By a thorough clinical examination, it can help an individual to arrive at a tentative differential diagnosis of the condition and hence help in investigating the same by numerous tests which are relevant to the given condition. The manner in which a given case is handled in this way is far more important than the diagnosis of the condition and this feature comes with practicing the same many times. It is a must for anyone embarking in life on Orthopedics as a career.
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Nov 202015

Clinical Methods and Interpretation in Medicine

By (author): Ashis Kumar Saha

Clinical Methods and Interpretation in Medicine emphasises the importance of history taking and arriving at a diagnosis, and management following general physical and systematic examination. This book is divided into organ systems. Each system is subdivided into history taking, examination, and drugs with their contraindications. The format provides a coherent and direct approach to the clinical evaluation of the patient. The chapters on interviewing a patient and physical examination provide a guide to the format of history taking, disease-oriented approach and patient-oriented approach, how to start general observation, check for vital signs, nutritional status, and how to compile a statement on the patient. The causes, pathogenesis, clinical significance and relevance of systemic symptoms are thoroughly analysed, with over 1000 full colour images and illustrations to enhance understanding. Clinical Methods and Interpretation in Medicine is a comprehensive guide providing excellent preparation for exams for undergraduate and postgraduate medical students, and essential reference material for residents and fellows. Key Points * Divided into organ systems, focusing on history taking, examination and prescription for each * Over 1000 full colour images and illustrations * Excellent exam preparation
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Nov 192015

Principles and Practice of Percutaneous Tracheostomy

By (author): S. P. Ambesh

This book is an introduction to the principles and practice of the most recent developments in tracheostomy, including a detailed description of the various techniques, together with summaries of complications, contraindications and comparisons with surgical tracheostomy. The reader is taken through the practical procedures for different percutaneous tracheostomy techniques, with clear illustrations to guide through the operation and avoid potential difficulties and hazards. The book includes all important and different PDT techniques available, with chapters written by guest authors who have contributed to the development and refinement of these techniques.
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