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The OECD Health Project Long-term Care for Older People

The OECD Health Project Long-term Care for Older People Pdf/ePub eBook Author:
Editor: OECD Publishing
ISBN: 926401585X
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The OECD Health Project Long-term Care for Older People by Summary

This study reports on the latest trends in long-term care policies in nineteen OECD countries and studies lessons learned from countries that undertook major reforms over the past decade.

Advanced Practice Nursing in the Care of Older Adults

Advanced Practice Nursing in the Care of Older Adults Pdf/ePub eBook Author: Laurie Kennedy-Malone,Kathleen Ryan Fletcher,Lori Martin-Plank
Editor: F.A. Davis
ISBN: 0803641249
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Advanced Practice Nursing in the Care of Older Adults by Laurie Kennedy-Malone,Kathleen Ryan Fletcher,Lori Martin-Plank Summary

Explore effective ways to enhance the wellness and independence of older adults across the wellness-illness continuum. From an overview of the theories of aging and assessment through the treatment of disorders, including complex illnesses, this evidence-based book provides the comprehensive gerontological coverage you need to prepare for your role as an Advanced Practice Nurse. Understand how to easily identify factors that may affect the wellness of your patients and their families. Plus, enhance your critical-thinking skills with real-world case studies that bring concepts to life.

The Big Book of Conflict Resolution Games: Quick, Effective Activities to Improve Communication, Trust and Collaboration

The Big Book of Conflict Resolution Games: Quick, Effective Activities to Improve Communication, Trust and Collaboration Pdf/ePub eBook Author: Mary Scannell
Editor: McGraw Hill Professional
ISBN: 0071743669
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The Big Book of Conflict Resolution Games: Quick, Effective Activities to Improve Communication, Trust and Collaboration by Mary Scannell Summary

Make workplace conflict resolution a game that EVERYBODY wins! Recent studies show that typical managers devote more than a quarter of their time to resolving coworker disputes. The Big Book of Conflict-Resolution Games offers a wealth of activities and exercises for groups of any size that let you manage your business (instead of managing personalities). Part of the acclaimed, bestselling Big Books series, this guide offers step-by-step directions and customizable tools that empower you to heal rifts arising from ineffective communication, cultural/personality clashes, and other specific problem areas—before they affect your organization's bottom line. Let The Big Book of Conflict-Resolution Games help you to: Build trust Foster morale Improve processes Overcome diversity issues And more Dozens of physical and verbal activities help create a safe environment for teams to explore several common forms of conflict—and their resolution. Inexpensive, easy-to-implement, and proved effective at Fortune 500 corporations and mom-and-pop businesses alike, the exercises in The Big Book of Conflict-Resolution Games delivers everything you need to make your workplace more efficient, effective, and engaged.

Alice in Wonderland

Alice in Wonderland Pdf/ePub eBook Author: Lewis Carroll
Editor: The Floating Press
ISBN: 1877527815
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Alice in Wonderland by Lewis Carroll Summary

Alice in Wonderland (also known as Alice's Adventures in Wonderland), from 1865, is the peculiar and imaginative tale of a girl who falls down a rabbit-hole into a bizarre world of eccentric and unusual creatures. Lewis Carroll's prominent example of the genre of "literary nonsense" has endured in popularity with its clever way of playing with logic and a narrative structure that has influence generations of fiction writing.

Families Caring for an Aging America

Families Caring for an Aging America Pdf/ePub eBook Author: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Family Caregiving for Older Adults
Editor: National Academies Press
ISBN: 0309448093
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Families Caring for an Aging America by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Family Caregiving for Older Adults Summary

Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.

Indian Horse

Indian Horse Pdf/ePub eBook Author: Richard Wagamese
Editor: D & M Publishers
ISBN: 1553659708
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Indian Horse by Richard Wagamese Summary

"An unforgettable work of art."—The National Post Saul Indian Horse is dying. Tucked away in a hospice high above the clash and clang of a big city, he embarks on a marvellous journey of imagination back through the life he led as a northern Ojibway, with all its sorrows and joys. With compassion and insight, author Richard Wagamese traces through his fictional characters the decline of a culture and a cultural way. For Saul, taken forcibly from the land and his family when he's sent to residential school, salvation comes for a while through his incredible gifts as a hockey player. But in the harsh realities of 1960s Canada, he battles obdurate racism and the spirit-destroying effects of cultural alienation and displacement. Indian Horse unfolds against the bleak loveliness of northern Ontario, all rock, marsh, bog and cedar. Wagamese writes with a spare beauty, penetrating the heart of a remarkable Ojibway man. Drawing on his great-grandfather's mystical gift of vision, Saul Indian Horse comes to recognize the influence of everyday magic on his own life. In this wise and moving novel, Richard Wagamese shares that gift of magic with readers as well.

The Outsiders

The Outsiders Pdf/ePub eBook Author: S. E. Hinton
Editor: Penguin
ISBN: 1101642610
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The Outsiders by S. E. Hinton Summary

50 years of an iconic classic! This international bestseller and inspiration for a beloved movie is a heroic story of friendship and belonging. No one ever said life was easy. But Ponyboy is pretty sure that he's got things figured out. He knows that he can count on his brothers, Darry and Sodapop. And he knows that he can count on his friends—true friends who would do anything for him, like Johnny and Two-Bit. But not on much else besides trouble with the Socs, a vicious gang of rich kids whose idea of a good time is beating up on “greasers” like Ponyboy. At least he knows what to expect—until the night someone takes things too far. The Outsiders is a dramatic and enduring work of fiction that laid the groundwork for the YA genre. S. E. Hinton's classic story of a boy who finds himself on the outskirts of regular society remains as powerful today as it was the day it was first published. "The Outsiders transformed young-adult fiction from a genre mostly about prom queens, football players and high school crushes to one that portrayed a darker, truer world." —The New York Times "Taut with tension, filled with drama." —The Chicago Tribune "[A] classic coming-of-age book." —Philadelphia Daily News A New York Herald Tribune Best Teenage Book A Chicago Tribune Book World Spring Book Festival Honor Book An ALA Best Book for Young Adults Winner of the Massachusetts Children's Book Award

Case Studies in Geriatric Primary Care & Multimorbidity Management - E-Book

Case Studies in Geriatric Primary Care & Multimorbidity Management - E-Book Pdf/ePub eBook Author: Karen Dick,Terry Mahan Buttaro
Editor: Elsevier Health Sciences
ISBN: 0323479936
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Case Studies in Geriatric Primary Care & Multimorbidity Management - E-Book by Karen Dick,Terry Mahan Buttaro Summary

Gain expertise in primary care of older adults with a case-based approach to geriatric primary care and multimorbidity management. Written by two leading academic and clinical experts in geriatric primary care, Case Studies in Geriatric Primary Care and Multimorbidity Management, 1st Edition uses detailed Exemplar Case Studies and Practice Case Studies to teach you how to think like an expert geriatric clinician. Because most older adults have more than one condition when seeking care, both Exemplar and Practice Case Studies place a strong emphasis on "multimorbidity" management, (the management of patients with a host of complex, interacting conditions). To provide extensive practice in learning how to think like an expert, case studies reflect the reality that care does not necessarily begin or end in the primary care setting. Cases therefore move fluidly from primary care to acute care to inpatient rehabilitation to assisted living to long-term care. Building on foundational introductory chapters, cases also call on you to develop interprofessional collaboration skills and reflect the diversity of today's older adults, in terms of age (young-old to old-old), gender, culture, ethnicity, sexuality, socioeconomic status, and more! As you work through both basic-level and advanced Practice Case Studies, you can make extensive notes in the printed book and then go online to submit answers for grading and receive expert feedback for self-reflection. NEW! Introductory unit on the core principles of caring for older adults gives you a strong foundation in the principles of geriatric primary care and multimorbidity management. NEW! and UNIQUE! Exceptionally detailed, unfolding Exemplar Case Studies demonstrate how an expert advanced practitioner "thinks clinically" to provide care to older adults with multiple conditions. NEW and UNIQUE! Exceptionally detailed, unfolding Practice Case Studies emphasize patient diversity and multimorbidity management across healthcare settings to help you develop advanced clinical reasoning skills for geriatric primary care. NEW and UNIQUE! Strong emphasis on multimorbidity management focuses on caring for older adults with multiple chronic conditions. NEW! Emphasis on the continuum of care across settings reflects the reality that care does not necessarily begin or end in the primary care setting but can move from primary care to acute care to inpatient rehabilitation to assisted living to long-term care, and so forth. NEW! Online answer submission for grading and expert feedback for self-reflection. NEW! Emphasis on patient diversity reflects the makeup of today's older adult, population in terms of age (young-old to old-old), gender, culture, ethnicity, sexuality, socioeconomic status, and more. NEW! Emphasis on interprofessional collaboration use Exemplar Case Studies and Practice Case Studies to allow you to demonstrate your interprofessional collaboration skills.

Policy & Politics in Nursing and Health Care - E-Book

Policy & Politics in Nursing and Health Care - E-Book Pdf/ePub eBook Author: Diana J. Mason,Adrianna Perez,Monica R. McLemore,Elizabeth Dickson
Editor: Elsevier Health Sciences
ISBN: 0323597955
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Policy & Politics in Nursing and Health Care - E-Book by Diana J. Mason,Adrianna Perez,Monica R. McLemore,Elizabeth Dickson Summary

Learn how to influence policy and become a leader in today's changing health care environment. Featuring analysis of cutting-edge healthcare issues and first-person insights, Policy & Politics in Nursing and Health Care, 8th Edition continues to be the leading text on nursing action and activism. Approximately 150 expert contributors present a wide range of topics in policies and politics, providing a more complete background than can be found in any other policy textbook on the market. This expanded 8th edition helps you develop a global understanding of nursing leadership and political activism, as well as the complex business and financial issues that drive many actions in the health system. Discussions include the latest updates on conflict management, health economics, lobbying, the use of media, and working with communities for change. With these innovative insights and strategies, you will be prepared to play a leadership role in the four spheres in which nurses are politically active: the workplace, government, professional organizations, and the community. Comprehensive coverage of healthcare policies and politics provides a broader understanding of nursing leadership and political activism, as well as complex business and financial issues. Key Points at the end of chapters helps you review important, need-to-know lesson content. Taking Action essays include personal accounts of how nurses have participated in politics and what they have accomplished. Expert authors make up a virtual Nursing Who's Who in healthcare policy, sharing information and personal perspectives gained in the crafting of healthcare policy. NEW! The latest information and perspectives are provided by nursing leaders who influenced health care reform, including the Affordable Care Act. NEW! Added information on medical marijuana presents both sides of this ongoing debate. NEW! More information on health care policy and the aging population covers the most up-do-date information on this growing population. NEW! Expanded information on the Globalization of Nursing explores international policies and procedures related to nursing around the world. NEW! Expanded focus on media strategies details proper etiquette when speaking with the press. NEW! Expanded coverage of primary care models and issues throughout text. NEW! APRN and additional Taking Action chapters reflect the most recent industry changes. NEW! Perspectives on issues and challenges in the government sphere showcase recent strategies and complications.

Options for Aged Care in China

Options for Aged Care in China Pdf/ePub eBook Author: Elena Glinskaya,Zhanliang Feng
Editor: World Bank Publications
ISBN: 1464810761
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Options for Aged Care in China by Elena Glinskaya,Zhanliang Feng Summary

This volume aims to provide an understanding of the evolving aged care landscape in China; review international experiences in long-term care provision, financing, and quality assurance and assess their relevance to China; discuss implications of current developments and trends for the future of aged care in China; and propose policy options.

Finding What Works in Health Care

Finding What Works in Health Care Pdf/ePub eBook Author: Institute of Medicine,Board on Health Care Services,Committee on Standards for Systematic Reviews of Comparative Effectiveness Research
Editor: National Academies Press
ISBN: 0309216710
FileSize: 1884kb
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Finding What Works in Health Care by Institute of Medicine,Board on Health Care Services,Committee on Standards for Systematic Reviews of Comparative Effectiveness Research Summary

Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.

Brocklehurst's Textbook of Geriatric Medicine and Gerontology E-Book

Brocklehurst's Textbook of Geriatric Medicine and Gerontology E-Book Pdf/ePub eBook Author: Howard M. Fillit,Kenneth Rockwood,John B Young
Editor: Elsevier Health Sciences
ISBN: 0702063444
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Brocklehurst's Textbook of Geriatric Medicine and Gerontology E-Book by Howard M. Fillit,Kenneth Rockwood,John B Young Summary

The leading reference in the field of geriatric care, Brocklehurst’s Textbook of Geriatric Medicine and Gerontology, 8th Edition, provides a contemporary, global perspective on topics of importance to today’s gerontologists, internal medicine physicians, and family doctors. An increased focus on frailty, along with coverage of key issues in gerontology, disease-specific geriatrics, and complex syndromes specific to the elderly, makes this 8th Edition the reference you’ll turn to in order to meet the unique challenges posed by this growing patient population. Consistent discussions of clinical manifestations, diagnosis, prevention, treatment, and more make reference quick and easy. More than 250 figures, including algorithms, photographs, and tables, complement the text and help you find what you need on a given condition. Clinical relevance of the latest scientific findings helps you easily apply the material to everyday practice. A new chapter on frailty, plus an emphasis on frailty throughout the book, addresses the complex medical and social issues that affect care, and the specific knowledge and skills essential for meeting your patients’ complex needs. New content brings you up to date with information on gerontechnology, emergency and pre-hospital care, HIV and aging, intensive treatment of older adults, telemedicine, the built environment, and transcultural geriatrics. New editor Professor John Young brings a fresh perspective and unique expertise to this edition.

Ageing, Long-term Care Insurance and Healthcare Finance in Asia

Ageing, Long-term Care Insurance and Healthcare Finance in Asia Pdf/ePub eBook Author: Sabrina Ching Yuen Luk
Editor: Routledge
ISBN: 1351631349
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Ageing, Long-term Care Insurance and Healthcare Finance in Asia by Sabrina Ching Yuen Luk Summary

This book uses a revised version of Kingdon’s multiple-streams framework to examine health financing reforms in China, Hong Kong, Taiwan, and the Republic of Korea (ROK) as well as long-term care insurance (LTCI) reforms in Japan and Singapore. It shows that the explanatory power of the multiple-streams framework can be strengthened through enriching the concepts of policy entrepreneurs, ideas, and windows of opportunity in the original framework as well as bringing the theoretical lens of historical institutionalism into the framework.

Emergency Care and the Public's Health

Emergency Care and the Public's Health Pdf/ePub eBook Author: Jesse M. Pines,Jameel Abualenain,James Scott,Robert Shesser
Editor: John Wiley & Sons
ISBN: 1118779789
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Emergency Care and the Public's Health by Jesse M. Pines,Jameel Abualenain,James Scott,Robert Shesser Summary

As US health care systems undergo a period of transformative change, so too will emergency care, and more specifically emergency departments. This transformation will include: The development of new diagnostic, therapeutic, and information technologies A growing need to prepare and respond to emerging public health threats The expansion of the role of allied health professionals to address the workforce crisis Novel expectations for care coordination The fundamental economics of emergency care under new payment models, and The key relationship with American law. Emergency Care and the Public's Health explores the complex role of emergency care in the context of these changes and as an increasingly vital component of health care systems both within and outside the US. From an expert emergency medicine team, this new title is a reference for emergency care and critical care providers, allied health professionals and hospital administrators. It is also for relevant for public policy and healthcare policy professionals.

Transplanting Care

Transplanting Care Pdf/ePub eBook Author: Laura L. Heinemann
Editor: Rutgers University Press
ISBN: 0813574447
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Transplanting Care by Laura L. Heinemann Summary

The sudden call, the race to the hospital, the high-stakes operation—the drama of transplant surgery is well known. But what happens before and after the surgery? In Transplanting Care, Laura L. Heinemann examines the daily lives of midwestern organ transplant patients and those who care for them, from pretransplant preparations through to the long posttransplant recovery. Heinemann points out that as efforts to control healthcare costs gain urgency—and as new surgical techniques, drug therapies, and home medical equipment advance—most of the transplant process now takes place at home, among kin. Indeed, the transplant system effectively depends on unpaid care labor, typically provided by spouses, parents, siblings, and others. Drawing on scores of interviews with patients, relatives, and healthcare professionals, Heinemann follows a variety of patients and loved ones as they undertake this uncertain and strenuous “transplant journey.” She also shows how these home-based caregiving efforts take place within the larger economic and political context of a paucity of resources for patients and caregivers, who ultimately must surmount numerous obstacles. The author concludes that the many snags encountered by transplant patients and loved ones make a clear case for more comprehensive health and social policy that treats care as a necessarily shared public responsibility. An illuminating look at the long transplant journey, Transplanting Care also offers broader insight into how we handle infirmity in America—and how we might do a better job of doing so.

Chronic Illness Care

Chronic Illness Care Pdf/ePub eBook Author: Timothy P. Daaleman,Margaret R. Helton
Editor: Springer
ISBN: 3319718126
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Chronic Illness Care by Timothy P. Daaleman,Margaret R. Helton Summary

This book offers a comprehensive overview to chronic illness care, which is the coordinated, comprehensive, and sustained response to chronic diseases and conditions by a range of health care providers, formal and informal caregivers, healthcare systems, and community-based resources. Using an ecological framework, which looks at the interdependent influences between individuals and their larger environment, this unique text examines chronic illness care at multiple levels and includes sections on the individual influences on chronic illness, the role of family and social networks, and how chronic care is provided across the spectrum of health care settings; from home to clinic to the emergency department to hospital and residential care facilities. The book describes the organizational frameworks and strategies that are needed to provide quality care for chronically ill patients, including behavioral health, care management, transitions of care, and health information technology. The book also addresses the changing workforce needs in health care, and the fiscal models and policies that will be required to meet the needs of this population, with a focus on sustaining the ongoing transformation in health care. This book acts as a major reference for practitioners and students in medicine, nursing, social work, allied health, and behavioral medicine, as well as stakeholders in public health, health policy, and population health.

Managing the Long-Term Care Facility

Managing the Long-Term Care Facility Pdf/ePub eBook Author: Rebecca Perley
Editor: John Wiley & Sons
ISBN: 1118654986
FileSize: 1939kb
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Managing the Long-Term Care Facility by Rebecca Perley Summary

Practical approaches to the operation of long-term care facilities Managing the Long-Term Care Facility provides a comprehensive introduction to the growing field of long-term care. Taking a continuum-of-care approach, the text covers every aspect of long-term care. Readers will develop a robust knowledge of the issues faced by people experiencing physical and or mental changes. Topics covered include the biological and psychosocial implications of ageing, marketing long-term care, facility operations, and information technology for health care, among many others. By integrating all aspects of long-term care, the book is an invaluable resource that will aid students and professionals in preparing for career advancement and licensure exams. The book is also is designed to help students prepare for the National Nursing Home Administrator exam. Pedagogical elements help guide readers through the content, and summaries and discussion questions to drive home lessons learned. Builds expert knowledge of all aspects of long-term care management, including operations, human resources, patient advocacy, and information systems Emphasizes the latest understandings of the long-term care continuum and patient-centered care for diverse populations Delivers practical approaches to providing quality care to individuals and making a positive impact on community wellbeing Prepares readers for and National Nursing Home Administrator's licensure exam Managing the Long-Term Care Facility: Practical Approaches to Providing Quality Care provides real-world guidance for students in healthcare administration, health and human services, gerontology, nursing, business and medical programs, in both domestic and international markets. Nursing home administrators, administrators-in-training and preceptors will find this book an effective training tool in the nursing facility setting.

Ham's Primary Care Geriatrics E-Book

Ham's Primary Care Geriatrics E-Book Pdf/ePub eBook Author: Richard J. Ham,Philip D. Sloane
Editor: Elsevier Health Sciences
ISBN: 0323186513
FileSize: 422kb
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Ham's Primary Care Geriatrics E-Book by Richard J. Ham,Philip D. Sloane Summary

Employing a unique case-based approach, Ham's Primary Care Geriatrics continues to be your comprehensive source of clinical solutions for this challenging population. This gerontology medical reference book features an interdisciplinary perspective that empowers you with team-oriented knowledge on the best diagnosis, treatment, and management strategies available to address the complex needs of older adults. "Overall this is a useful, well written, practical elderly medicine book, ideal for use in primary care. It is reasonable priced and an excellent addition to the bookshelf, virtual or real". Reviewed by: Dr Harry Brown, July 2014 Effectively treat your geriatric patients, and provide helpful guidance to their families, through engaging geriatric case studies that illustrate the principles and key clinical information you need. Form a definitive diagnosis and create the best treatment plans possible using the evidence-based medicine guidelines throughout. Find the information you need quickly and efficiently with a 2-color layout and consistent format, and test your knowledge with USMLE-style questions in every chapter. Offer your geriatric patients the most up-to-date treatment options available with six new chapters addressing Principles of Primary Care of Older Adults, Interprofessional Team Care, Billing and Coding, Frailty, Pressure Ulcers, and Anemia. Access the complete geriatric text online anytime, anywhere at Expert Consult, along with an online Cognitive Status Assessment with four tests and patient teaching guides, a dermatology quiz, and informative videos on Gait and Balance and Dizziness.

An Introduction to the US Health Care System, Sixth Edition

An Introduction to the US Health Care System, Sixth Edition Pdf/ePub eBook Author: Steven Jonas, MD,MPH, FACPM,Raymond L. Goldsteen, DrPH,Karen Goldsteen, PhD, MPH
Editor: Springer Publishing Company
ISBN: 9780826103154
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An Introduction to the US Health Care System, Sixth Edition by Steven Jonas, MD,MPH, FACPM,Raymond L. Goldsteen, DrPH,Karen Goldsteen, PhD, MPH Summary

Completely expanded and updated to account for the latest changes in the U.S. health care system, this best-selling text remains the most concise and balanced introduction to the domestic health care system. Like its predecessors, it provides an accessible overview of the basic components of the system: healthcare personnel, hospitals and other institutions, the federal government, financing and payment mechanisms, and managed care. Finally, it provides an insightful look at the prospects for health care reform. Steven Jonas, a revered expert in public health, has enlisted his colleagues, Drs. Raymond and Karen Goldsteen, to add their expertise in public health and health policy and management to this outstanding volume. All students of health care administration and policy, as well as practicing healthcare professionals who simply want a relatively brief overview of the system, will find it useful.

Evaluation of the Lovell Federal Health Care Center Merger

Evaluation of the Lovell Federal Health Care Center Merger Pdf/ePub eBook Author: Institute of Medicine,Board on the Health of Select Populations,Committee on Evaluation of the Lovell Federal Health Care Center Merger
Editor: National Academies Press
ISBN: 0309262828
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Evaluation of the Lovell Federal Health Care Center Merger by Institute of Medicine,Board on the Health of Select Populations,Committee on Evaluation of the Lovell Federal Health Care Center Merger Summary

The 2010 opening of the Captain James A. Lovell Federal Health Care Center (FHCC) created a joint entity between the Department of Defense (DoD) and the Department of Veterans Affairs (VA) that replaced two separate centers in North Chicago. VA and DoD leaders envisioned a state-of-the-art facility that would deliver health care to both DoD and VA beneficiaries from northern Illinois to southern Wisconsin, providing service members and veterans seamless access to an expanded array of medical services. Unprecedented for the military and the VA, the Lovell FHCC would integrate clinical and administrative services under a single line of authority. The DoD asked the IOM to evaluate whether the Lovell FHCC has improved health care access, quality, and cost for the DoD and the VA, compared with operating separate facilities, and to examine whether patients and health care providers are satisfied with joint VA/DoD delivery of health care. Evaluation of the Lovell Federal Health Care Center Merger: Findings, conclusions, and Recommendations finds that initial implementation of the Lovell FHCC has provided important lessons about how to integrate VA and DoD health care services and has identified remaining obstacles that the departments could overcome to make such mergers more effective and less costly to implement. The IOM recommends that the VA and the DoD develop a comprehensive evaluation plan to objectively judge its success or failure, with measurable criteria, that would provide essential knowledge for both the Lovell FHCC and future endeavors.