Emergency Department On-Call Strategies, Second Edition


Book Description

Emergency Department On-Call Strategies Solutions for Physician-Hospital Alignment, Second Edition Jonathan H. Burroughs, MD, MBA, FACPE; Martin B. Buser; Roger Heroux, MHA, PhD, FACHE; Richard A. Sheff, MD Move from reactive "deals" to shared costs and sustainable physician-hospital alignment. Emergency Department On-Call Strategies: Solutions for Physician-Hospital Alignment, Second Edition, provides fully updated strategies, tools, and step-by-step approaches from multiple ED call panel experts. This resource will help you: Reduce on-call burden Improve physician coverage Avoid EMTALA violations Reduce the cost of ED call Establish fair market value compensation Negotiate with staff to secure acceptance of call obligations Implement mandatory call programs Use hospitalists and other specialties to meet call needs The table of contents covers: Section 1: ED Call: Defining the Problem A Healthcare System in Crisis: The context of today's ED call challenges Legal and Regulatory Obligations ED Call and the Organized Medical Staff Section 2: Thinking Strategically: ED Call and Physician-Hospital Alignment Framing the Problem ED Call as a Negotiation: What rules will we follow? How to Make ED Call Part of Your Strategic Medical Staff Development Plan Creating a Work Plan for ED on Call Section 3: ED Call Solutions That Work Step 1: Engage Physicians Where They Are Step 2: Reduce the Burden of Call Step 3: Establish a Task Force Step 4: Measure the Burden of Call Step 5: Establish Principles of Fairness Step 6: Establish Mandatory Call Responsibilities Step 7: Identify and Evaluate Call Compensation Models Step 8: Establish Fair Market Value Step 9: Moving from the Model to the Contract The "Ist" Movement ED Call: Driver of new medical staff models Who will benefit? Directors and medical directors of emergency departments, emergency medicine chiefs, medical staff coordinators, medical directors, CEOs, COOs, CMOs, VPMAs, quality directors and managers, directors of physician relations and physician recruitment




Anyone, Anything, Anytime


Book Description

"A wonderful picture of an important period in the practice of medicine in the United States." (from the Foreword by Peter Rosen, MD) Here is the very first book to comprehensively explore the evolution of the field of emergency medicine -- from its origins following World War II, through the sociopolitical changes of the 1950s, 1960s, and 1970s, to the present. First-hand narratives from more than 45 founders and pioneers of emergency medicine provide a vivid portrayal of the important events and viewpoints that have given rise to today's practice. Represents the first comprehensive history of emergency medicine as a specialty. Provides first-hand oral histories from more than 45 of the key figures who witnessed and helped to shape the developments chronicled in the book. Offers keen insights into how the sociopolitical changes of the 1950s through 1970s influenced public health, health care delivery, and emergency medicine. Includes many unique photographs of important leaders in emergency medicine.







Emergency Department Case Management, Second Edition


Book Description

From defining goals, clarifying roles, and understanding the necessary knowledge and skills required, Emergency Department Case Management: The Compendium of Best Practices, 2nd Edition will ensure that ED case management staff have a solid and sustainable foundation in place. After exploring models and reviewing emergency department infrastructure, this compendium will help readers outline key partnerships, present multiple options for case finding, tackle observation status accurately, address quality and evaluation issues, and identify ways ED RN case managers and social workers coordinate care for complex cases, such as pediatric, psychiatric, homeless, and uninsured populations. In addition to many new tools, this book is also packed with more than 20 detailed spotlights and case studies discussing ED case management strategies, best practices, and experiences of ED professionals from across the country. The new edition includes: The presence of case management RNs and Social Workers in emergency departments (ED) has become a standard since the first edition of this text was published in 2007. Ever-expanding and changing regulations for EDs and hospitals have emerged, while best practices have evolved to address these challenges. This new edition discusses these changes and provides updated guidance on running a compliant, effective, and efficient case management team in the ED. It also provides insight on adapting the role of case management based on unique ED patient populations and helps ED case managers stay ahead of the curve by examining what lies ahead in their profession.




Operations Management in Healthcare, Second Edition


Book Description

This thoroughly revised and updated second edition of Operations Management in Healthcare: Strategy and Practice describes how healthcare organizations can cultivate a competitive lead by developing superior operations using a strategic perspective. In clearly demonstrating the "how-tos" of effectively managing a healthcare organization, this new edition also addresses the "why" of providing quality and value-based care. Comprehensive and practice-oriented, chapters illustrate how to excel in the four competitive priorities - quality, cost, delivery, and flexibility - in order to build a cumulative model of healthcare operations in which all concepts and tools fit together. This textbook encourages a hands-on approach and integrates mind maps to connect concepts, icons for quick reference, dashboards for measurement and tracking of progress, and newly updated end-of-chapter problems and assignments to reinforce creative and critical thinking. Written with the diverse learning needs in mind for programs in health administration, public health, business administration, public administration, and nursing, the textbook equips students with essential high-level problem-solving and process improvement skills. The book reveals concepts and tools through a series of short vignettes of a fictitious healthcare organization as it embarks on its journey to becoming a highly reliable organization. This second edition also includes a strong emphasis on the patient's perspective as well as expanded and added coverage of Lean Six Sigma, value-based payment models, vertical integration, mergers and acquisitions, artificial intelligence, population health, and more to reflect evolving innovations in the healthcare environment across the United States. Complete with a full and updated suite of Instructor Resources, including Instructor’s Manual, PowerPoints, and test bank in addition to data sets, tutorial videos, and Excel templates for students. Key Features: Demonstrates the "how-tos" of effectively managing a healthcare organization Sharpens problem-solving and process improvement skills through use of an extensive toolkit developed throughout the text Prepares students for Lean Six Sigma certification with expanded coverage of concepts, tools, and analytics Highlights new trends in healthcare management with coverage of value-based payments, mergers and acquisitions, population health, telehealth, and more Intertwines concepts with vivid vignettes to describe human dynamics, organizational challenges, and applications of tools Employs boxed features and YouTube videos to address frequently asked questions and real-world instances of operations in practice




Hospital-Based Emergency Care


Book Description

Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.







Fire and Emergency Services Administration: Management and Leadership Practices


Book Description

Fire and Emergency Services Administration: Management and Leadership Practices, Second Edition covers the latest course objectives from the Fire and Emergency Services Higher Education’s (FESHE) Bachelor’s Core Level Fire and Emergency Services Administration model curriculum. To effectively lead modern public safety organizations and the various components within them, individuals must possess a solid understanding of the always-changing issues that face the fire and emergency medical services. The second edition of Fire and Emergency Services Administration: Management and Leadership Practices has been completely updated to deliver the very latest information needed to understand these challenges and will assist managers in making the proper decisions that can impact all aspects of their organization. The Second Edition features: Expanded emphasis on management and leadership of EMS operations. Updated budgeting financial strategies, including advice on how to overcome shrinking budgets and economic downturn. New guidance on hiring and diversity. Expanded coverage on training, education, and fire fighter safety. The following features are incorporated throughout the Second Edition: Chapter Objectives: FESHE Objectives and Knowledge Objectives are listed at the beginning of each chapter, including page references. Case Studies: Real-life incidents help stimulate student discussion and highlight important concepts. Facts and Figures: Provides useful and interesting history, facts, and other research relating to the fire and emergency services. Words of Wisdom: Presents powerful and informative quotes from organizational leaders and experts in their fields. Chief Officer Tips: Targeted advice to deal with common administrative issues and introduce techniques to implement change. Chapter Activities: End-of-chapter Fire and EMS activities reinforce important concepts and improve students’ comprehension.




Clinical Manual of Emergency Psychiatry, Second Edition


Book Description

The second edition of Clinical Manual of Emergency Psychiatry is designed to help medical students, residents, and clinical faculty chart an appropriate course of treatment in a setting where an incorrect assessment can have life-or-death implications. Arranged by chief complaint rather than by psychiatric diagnosis, each chapter combines the fresh insights of an accomplished psychiatry trainee with the more seasoned viewpoint of a senior practitioner in the field, providing a richly integrated perspective on the challenges and rewards of caring for patients in the psychiatric emergency department. This newly revised edition presents current approaches to evaluation, treatment, and management of patients in crisis, including up-to-date guidelines on use of pharmacotherapy in the emergency setting; suicide risk assessment; evaluation of patients with abnormal mood, psychosis, acute anxiety, agitation, cognitive impairment, and/or substance-related emergencies; and care of children and adolescents. The editors have created an accessible text with many useful features: * A chapter devoted to effective strategies for teaching, mentoring, and supervision of trainees in the psychiatry emergency service.* Chapters focused on assessment of risk for violence in patients, determination of the need for seclusion or restraint, and navigation of the legal and ethical issues that arise in the emergency setting.* Clinical vignettes that contextualize the information provided, allowing readers to envision applicable clinical scenarios and thereby internalize important concepts more quickly* Constructive "take-home" points at the end of each chapter that summarize key information and caution against common clinical errors.* References and suggested readings to help readers pursue a deeper understanding of concepts and repair any gaps in knowledge. Emergency psychiatry is one of the most stressful and challenging areas of practice for the psychiatric clinician. The guidelines and strategies outlined in Clinical Manual of Emergency Psychiatry, Second Edition, will help psychiatric trainees and educators alike to make sense of the complex clinical situations they encounter and guide them to advance their skills as clinicians and educators.




The Definitive Guide to Emergency Department Operational Improvement


Book Description

This revised and updated book explores the academics behind managing the complex service environment that is the Emergency Department (ED) by combining applied management science and practical experiences to create a model of how to improve operations. This book offers a presentation of Lean tools used in the ED along with basic and advanced flow principles. It then shows how these concepts are applied and why they work, supported by case studies in which Lean principles were used to transform an underperforming ED into a world-class operation. After reviewing best practices, the authors explain how to achieve excellence by discussing the elements of creating a culture of change.