A Model For Performance Evaluation Of Emergency Department Physicians
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A Model For Performance Evaluation Of Emergency Department Physicians
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Author : Javier E. Fiallos Rivera
language : en
Publisher:
Release Date : 2014
A Model For Performance Evaluation Of Emergency Department Physicians written by Javier E. Fiallos Rivera and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with University of Ottawa theses categories.
Performance of Emergency Department (ED) physicians (MDs) is multi-faceted since it impacts multiple dimensions such as health outcomes of patients, utilization of resources, throughput of patients and timeliness of care. Therefore, the assessment of their performance demands the use of a tool that allows considering multiple evaluation criteria. However, commonly used multi-criteria evaluation methods often require assigning weights to dimensions in order to define their relative importance on a final performance score. This feature introduces subjectivity in the development of weights and has the potential to produce biased results. The purpose of this thesis research is to develop a multi-dimensional evaluation tool for evaluating performance of ED MDs. The proposed evaluation tool relies on a mathematical programming model known as Data Envelopment Analysis (DEA). The use of DEA does not ask for subjective weighting assignments for each dimension that describe the ED MDs' performance. It is capable of considering multiple heterogeneous performance measures to identify benchmark practice and the individual improvements leading to best practice of each evaluated unit. The DEA model described here was developed from real data to assess the performance of 20 PED MDs from the Children's Hospital of Eastern Ontario (CHEO). Multiple evaluations were run on stratified data in order to identify benchmark practice in each of seven categories of patients' complaints and to determine the impact of accompanying MD trainees on PED MDs' performance. For each PED MD, performance scores and improvements in each category of patients' complaints (i.e. respiratory, trauma, abdominal, fever, gastroenterology, allergy and Ear-Nose-Throat complaints) were determined. This helped identifying the required improvements that would lead PED MDs to achieve benchmark performance. Regarding the influence of MD trainees on PED MDs' performance, results show that most PED MDs (15 out of 20) perform better when they are not accompanied by a trainee which motivates further research to assess trade-offs between teaching and clinical performance. In summary, DEA proved to be an appropriate tool for performance evaluation of PED MDs because it helped to identify benchmark performers and provided information for performance improvements under a multi dimensional performance evaluation framework.
Optimizing Emergency Department Throughput
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Author : John M. Shiver
language : en
Publisher: CRC Press
Release Date : 2009-12-28
Optimizing Emergency Department Throughput written by John M. Shiver and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-12-28 with Medical categories.
Across the country ambulances are turned away from emergency departments (EDs) and patients are waiting hours and sometimes days to be admitted to a hospital room. Hospitals are finding it hard to get specialist physicians to come to treat emergency patients. Our EDs demand a new way of thinking. They are not at a tipping point; they are at a breaking point. Under current loads and trends they are going to begin to break and these breakdowns will be painful and ultimately dangerous to society. Recognizing that the ideal in health care is presently beyond our immediate grasp, this book instead focuses on providing health care leaders with the tools they can employ to optimize the performance of EDs and thereby improve service to patients, employees, and communities. Written by 20 of the most progressive and successful health care reformers in the country, the approaches described can be utilized to quantify improvements, enhance predictability of workflow, and improve staff scheduling. The data derived using these techniques can serve as powerful evidence in support of change. While a common discussion among ED professionals is the perception that many patients are not really emergency patients and could be treated in another setting at another time, that argument is not germane until we as a nation elect to reform the way we chose to deliver healthcare to the underserviced. In the meantime this book provides invalauable information to help individual hospitals to retool their ED’s. It offers new approaches that think outside of the box for all stakeholders. It also provides the statistical evidence that administrators need to make their cases for changes and added resources. It will help you forecast the demand for services and give your center an approach that will allow the ED to become a source of income rather than one that continues to hemorrhage needed limited health care funding.
The Definitive Guide To Emergency Department Operational Improvement
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Author : Jody Crane, MD, MBA
language : en
Publisher: CRC Press
Release Date : 2019-11-25
The Definitive Guide To Emergency Department Operational Improvement written by Jody Crane, MD, MBA and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-11-25 with Business & Economics categories.
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.
Practical Teaching In Emergency Medicine
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Author : Robert L. Rogers
language : en
Publisher: John Wiley & Sons
Release Date : 2012-10-18
Practical Teaching In Emergency Medicine written by Robert L. Rogers and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-10-18 with Medical categories.
Emergency medicine attendings who wish to hone their teachingskills can find a number of books on educational strategies writtenby physicians from other disciplines. However, until thepublication of the first edition of this book, they did not haveaccess to a text written by emergency medicine physicians onmethods of teaching that are directly applicable to teaching EM.This book was compiled to meet that need. Following the introductory section, which provides importantbackground information, the book’s contents are organizedinto 4 sections that correspond to the core needs and interests ofEM educators: Section 2 focuses on practical and ethicalconsiderations of teaching in the ED; Section 3 provides strategiesfor teaching specific groups of learners; Section 4 looks at theskills that are characteristic of the best EM educators; andSection 5 looks indepthly at specific teaching techniques andstrategies. Now more than ever this book addresses the needs of physicianeducators from all over the world. New chapters discuss lecturingto an international audience; using simulation as a teaching tool;how to make journal club work for you, and other topics that are ofbroad interest to medical educators in this field. Ingeneral, each chapter has been updated and reviewed to make surethe content was something that emergency physician educators coulduse in any country . The chapter contributors are widely regarded as leaders in thefield of emergency medicine education and faculty development.Authors were given free rein to develop their chapters and write intheir own style. They were asked to present their personal views onhow to successfully teach the art of emergency medicine, ratherthan review evidence-based guidelines regarding medical education.As a result, most of the chapters have few references. Thisfirst-person approach to a multi-authored textbook yields acompilation that varies in style from chapter to chapter andexposes the reader to a variety of communication techniques.
The Definitive Guide To Emergency Department Operational Improvement
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Author : Jody Crane MD MBA
language : en
Publisher: CRC Press
Release Date : 2017-07-27
The Definitive Guide To Emergency Department Operational Improvement written by Jody Crane MD MBA and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-07-27 with Business & Economics categories.
In a unique and integrated approach, The Definitive Guide to Emergency Department Operational Improvement: Employing Lean Principles with Current ED Best Practices to Create the "No Wait" Department exposes you to the academics behind managing the complex service environment that is the ED. The book combines applied management science and ED experi
Performance Improvement In Hospitals And Health Systems
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Author : James R. Langabeer II, FHIMSS, CMA, Editor
language : en
Publisher: HIMSS
Release Date : 2009
Performance Improvement In Hospitals And Health Systems written by James R. Langabeer II, FHIMSS, CMA, Editor and has been published by HIMSS this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with Health services administration categories.
Assessment Of Practice Performance In Emergency Medicine A Clinician S Guide To Quality Improvement
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Author : Anthony Ferroggiaro
language : en
Publisher: McGraw Hill Professional
Release Date : 2015-10-22
Assessment Of Practice Performance In Emergency Medicine A Clinician S Guide To Quality Improvement written by Anthony Ferroggiaro and has been published by McGraw Hill Professional this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-10-22 with Medical categories.
Improve patient outcomes and meet MOC Part IV requirements with this real-world guide to implementing quality assessment and practice performance in emergency medicine A Doody's Core Title for 2019! Assessment of Practice Performance in Emergency Medicine delivers a comprehensive, engagingly written review of our current methods for outcome assessment and clinical efficacy. The author, an experienced Emergency Department physician, also offers an insightful, thought-provoking call for a more aggressive, comprehensive, and local process. Highlights of coverage include: The Standard Peer Chart Review Process Sequential Clinical Auditing Assessment of Practice Performance Implementing a Sequential Clinical Auditing Program Case Studies in Peer Review Examples of Clinical Audits Examples and Templates for compliance with the APP PCPI Component Integration of these elements in a holistic physician performance program How this process can be initiated within your organization Essential for every medical director, chairperson, administrator, or physician who is searching for methods to raise and/or sustain their own technical quality or that of their group, Assessment of Practice Performance in Emergency Medicine provides a critically important tool in today’s medicine and healthcare market.
Emergency Department Leadership And Management
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Author : Stephanie Kayden
language : en
Publisher: Cambridge University Press
Release Date : 2014-11-27
Emergency Department Leadership And Management written by Stephanie Kayden and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-11-27 with Medical categories.
Written for a global audience, by an international team, the book provides practical, case-based emergency department leadership skills.
Health Care Benchmarking And Performance Evaluation
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Author : Yasar A. Ozcan
language : en
Publisher: Springer Science & Business Media
Release Date : 2007-12-08
Health Care Benchmarking And Performance Evaluation written by Yasar A. Ozcan and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-12-08 with Business & Economics categories.
Hugely relevant in today’s world of healthcare performance management, this comprehensive work applies the analytical framework of Data Envelopment Analysis methodology to provide health care administrators with specific tools for performance evaluation. Most important, the book provides health care practitioners and administrators with information of what is lacking in specific aspects of performance and then outlines the ways how these performance inadequacies can be improved.
Emergency Care And The Public S Health
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Author : Jesse M. Pines
language : en
Publisher: John Wiley & Sons
Release Date : 2014-06-23
Emergency Care And The Public S Health written by Jesse M. Pines and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-06-23 with Medical categories.
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.