SummaryThis book is a fictional novel about health care management with its problems and solutions. The examples, the names, and the situations are fictional. Though some of the cities and States are real names, there is no connection. In preparation of this manuscript, numerous management problems and their solutions were listed and fictionally built in order to portray potentially historical and future management issues as they relate to health care and the the people that work within the health care environments. The book revolves around a ficticious emergency department physician and the problems, situations, and solutions that occur throughout his career, along with the problems within his family life and how these all relate together and through time in this individual's and his collegues' efforts to obtain health care of excellence. The goal is to get health care to recognize its present situation within industry, its present situation within the personal lives of the patients and the emotional involvement with the working people of health care. The idea was to create an easy reading novel on health care managements' real life problems and solutions, for those career oriented health care professionals that want to alter the status quo and to aim toward health care of excellance. Should someone feel that the examples illustrated reflect them in a personal way, they are mistaken, for none of these are actual real life examples, they are all made up from lists of problems and formulated into a novel. |
TABLE OF CONTENTS
Chapter 1 Medical School and Medical Training. The process of getting into medical school, the mechanics, the politics, the emotionalism. Chapter 2 First Job as a Physician. The young physicians are expendible, there is plenty of work, so using one here or there to accomplish a goal, well, that's life. The hiring and firing of a physician. Chapter 3 Working the Emergency Departments. The management problems within healthcare are vast, the pathological personalities, the back stabbing, and much more. Patients rarely have any idea what is going on behind the scenes, yet they should. Chapter 4 Locum Tenens (The Kelly Doc). Mismanagement is a business in itself. The amount of fill in staff, should the public discover, is mind boggling. When there is a high turn over rate of staff, the problem is nearly always the management, yet, if you listen to the administrator, their stories and excuses can be very convincing. Don't be fooled, look at the facts. Chapter 4.5 Locum Tenens (The Kelly Doc). This is just a technical clarification of the locum tenens industry as the industry is vast, yet the average person has no idea that it exists. Chapter 5 Becoming a Medical Director. Using the knowledge that Dr Zenran has learned from the trials and tribulations of his career. Now, he wants to settle down and put them into practice, he wants to make the perfect health care system, health care of excellence. Chapter 6 Who's In Charge As Dr Zenran lays the foundation for this health care of excellance, he discovers that old habits die hard, yet with facts and evidence, the truth will surface. Making a sweeping change in his emergency department, he observes the changes in the staff, their reluctance, their support and their proud embrace, though it takes time. Chapter 7 Meeting the Board of Directors The board of directors of every hospital has the final say and the bottom line, many are elected or appointed positions and they do not always understand that they are the ones responsible. Should a problem occur, they have to clean up the mess and fix the broken machine. With clarified vision and factual examples, Dr Zenran lays it all out for the board to see, and then, they are faced with making the right decision. Chapter 8 Formal Always Works In business, it is true, formal always works. It even works out of business, and it's so easy. Just say Mr or Mrs, just be polite, the response is remarkable. Chapter 9 Process Flow Modeling of Health Care. Dr Zenran brings the concepts of understanding of Deming's process flow concept into the main stream. He teaches the ideas to the staff and through time they grasp it and embrace it. The results are most beneficial to the patients, which show vividly. Chapter 10 Going Electronic. With the nearly 100% failures of going electronic within the health care industry, Dr Zenran exposes the truth. The software companies lies and deceit in their effort to make big bucks, with little return, and shamefully the patients are getting increased morbidity and mortality, yet few can actually see it, until the facts are laid out for all to see. Chapter 11 Conclusion on Health Care of Excellence Appendix 1 |