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Hospital Economics: A Primer on Resource Allocation to Improve Productivity & Sustainability

The biggest issue of economics in a hospital are the resource issues. A resource issue in hospitals creates many problems such as the excessive number of patients, poor service quality, lack of diagnostic tools and equipment, dirty and worn out facilities, long queues at the outpatient clinic, lack of drugs and other medical supplies, low employee morale, and so on. Hospital economics mention three main resource issues in as problems including; (1) Resource allocation issue, (2) Resource management issue, and (3) Generation resources issue. The main economic problem of resource allocation in hospitals are production and cost function. These two functions related to issues of equality and effectiveness of the hospital. This book specifically discusses on the aspect of hospital resource allocation by highlighting the productivity, competitiveness, cost components, economic burden of disease, and economic aspects of infectious diseases originating from the hospital. The resource management issue is related to the use of existing resources in terms of input and output. The main important economic concept is efficiency, both technical efficiency, economical, and scale, as well as the relationship between these concepts. The resource management issue highlight the economic scale, human resource development, quality development, and lean implementation. The issue of generation resources, includes how the hospital is able to get the resources to run operations without having to cover the access of stratum of community thus violating the principle of equality. This book will highlight the issue of generation resources by including a discussion of the revenue components of the hospital and the impact of DRGs.

Lean Implementation in Hospital Departments: How to Move from Good to Great Services

Lean healthcare is waste elimination in every service area with the goal of reducing inventory, cycle time of service, and cost, so that high-quality patient care can be provided in a way that is as efficient, as effective, and as responsive as possible while retaining the financial integrity of a hospital. The Lean philosophy in healthcare demands a person’s attitude, in all aspects of care, understand the process which happens, observe it, and gather information in order to identify the root of an inefficiency of the process. In short, Lean and its emphasis on efficiency can be a critical tool in the management of health services in hospitals around the world. This book provides guidance and examples on how Lean principles can be implemented into the infrastructure and every day operations of a hospital from the emergency room to hospital facilities and maintenance. The book also demonstrates how Lean is the cultural commitment of organizations to implement the scientific method in designing, conducting, and improving work sustainably through teamwork, bringing in better value and satisfaction to the patient. It shortens the time between ordering and service delivery by eliminating waste from the service flow value. The author uses numerous examples of Lean thinking in various hospital departments with the overall of goal of taking that department from good to great.

Organizational Change through Lean Methodologies: A Guide for Successful Implementation

Lean is a type of organizational change brought about through improvement methods based on cost reduction mechanism. The assumption is that by reducing costs, the organizations can work better and more efficiently. All changes in lean-based organizations are directed at reducing these costs by identifying and eliminating waste. The thinking is that cost reduction will increase efficiency since, basically, it removes process inefficiencies and decreases cycle time. Why are targets directed at cost reduction? Because costs are a crucial factor for sustainable business organization. Lean thinking cuts the value of scale production by looking at the existing waste in a process. Production remains the same, but the costs of goods production are reduced due to the elimination of waste in the process. As a result, companies do not have to increase their production if it is not required, giving companies an increase in average profits due to lean and the elimination of identified waste. The focus on cost reduction can be included in the overall lean concept since cost wasting is only a part of the existing waste. In other words, other waste can be converted into costs or perceived as a value. This book starts the mental process of organization change through lean thinking. It provides the background and history of lean, and then gets into how the lean process works. The author also discusses why an organization should implement lean as a method to increase quality and engage workers in the process, thereby increasing efficiency and, ultimately, profitability. Through case studies and examples from Indonesia, the author describes how to create a value stream to identify waste and discusses the concept of a pull system and its impact on the process.

The Lean Enterprise: Tools for Developing Leadership in a Lean Culture

Lean culture should be developed so that the goal to improve a process or business condition on a continuous basis can be achieved. Organizations with a lean culture have reaped many successful experiences in implementing lean, so it is seen as a legitimate methodology for organizations. New employees coming into an organization that has a lean culture will be taught to see, think, and feel from a lean perspective in dealing with problems in their job. Lean needs to be a cultural mindset for all for an organization to remain successful. The effort to build a lean culture relies on the support and active participation of leaders as the agents of change. Research shows that the success of a lean implementation is around 50% depending on leadership, while the remaining 30% is on finance, 10% on organization and culture, and 10% on skills and expert human resources. In general, leaders play a role in developing subordinates, problem-solving skills, and producing various continuous improvement efforts. In addition, leaders are responsible for encouraging subordinates to continuously use problem-solving tools as part of their efforts to improve their skills and deal with bigger problems. This book focuses on leadership and the tools required to support a lean initiative. Understanding the basic and valuable tools of lean provides the foundation for leaders in support of their organization initiative. Topics in the book include a description of the eight wastes, organizational level process mapping, lean metrics, and developing a future position. The author includes a discussion and samples of basic lean tools such as Kanban, standard work, and visual management. The author also describes the tools each leader needs to be successful with in creating a culture of lean thinking, including the leader task board, the process performance board, and process walk.

Avenida Desesperação

"Sempre persistirá na minha mente o som de folhas mortas crepitando sob meus pés e aquela briza morna que acariciou meu rosto como mãos invisíveis. Caminhei alguns passos e simplesmente cai no chão sem vida." Este bem poderia ser o final de uma história, mas na Avenida Desesperação é apenas o início. Com sua morte, o protagonista fica preso em uma espécie de umbral, em algum lugar entre vivos e mortos. Sua andança o conduz a sua antiga casa e leva-o a reencontrar-se com aquela que um dia foi sua família. Aí então, ele compreende quanto ela mudou e o grave perigo que a ameaça.

Aventuras no fundo do mar: Em busca do recife de ouro. Um divertido livro de peixes para crianças

O oceano está cheio de mistérios, mas, sobretudo, está cheio de peixes. Com este livro, você poderá conhecer os mais divertidos! Alex é um peixe-palhaço. Ángel é um peixe-anjo (não é verdade que o nome lhe cai que nem uma luva?). E Aya é uma raia. E, juntos, eles vão em busca do… Recife de ouro! Explore o oceano com eles, viva grandes aventuras e conheça muitos outros amigos: uma moreia, um peixe-papagaio que fala mais do que um papagaio e uma cantora barracuda. Mergulhe em sua leitura! Um divertido livro de peixes para crianças com várias fotografias. Ideal para conhecer dados e curiosidades de alguns peixes tropicais.

Avventure in fondo al mare. Alla ricerca della barriera corallina dorata. Un divertente libro per bambini sui pesci: Un divertente libro per bambini sui pesci

L'oceano è pieno di misteri ma, soprattutto, è pieno di pesci. Con questo libro potrai conoscere i più divertenti! Alex è un pesce pagliaccio. Angelo è un pesce angelo (vero che il nome gli calza a pennello?). E Aya è una manta gigante. E insieme vanno alla ricerca della ... Barriera corallina dorata! Esplora l'oceano con loro, vivi grandi avventure e incontra molti altri amici: una murena, un pesce pappagallo che parla più di un pappagallo e un barracuda canterino. Immergiti nella lettura! Un divertente libro per bambini sui pesci che comprende numerose fotografie. Ideale per conoscere informazioni e curiosità su alcuni pesci tropicali.

Cerdita uma mamã diferente (dos 3-4 anos aos 6-7 anos): Um divertido conto infantil para dormir (dos 3-4 anos aos 6-7 anos)

Ao acordar, Cerdi encontra um ovo. O ovo, aparecera do nada, misteriosamente. De quem é? Como é que chegou ali? Estará alguém à sua procura? Cerdi, que quer ser mãe de todo o coração, quer ficar com ele e incubá-lo-la com amor e carinho, mas Juan, seu amigo burro, convence-a de que primeiro ela precisa encontrar a sua mãe. Assim, Cerdi e seu fiel conselheiro Juan, empreendem uma viagem pela quinta para desvendar os mistérios em torno desse ovo. Esta história foi concebida para abordar, de maneira lúdica e didática, valores como responsabilidade, compromisso, honestidade, generosidade e amor. Um livro infantil ágil que se torna numa ferramenta para pais, professores de Educação Infantil e Ensino Primária, pedagogos e psicólogo para o ensinamento de valores.

Despair Avenue

"There will always persist in my mind the sound of dead leaves crunching under my feet and that wisp of warm air that caressed my face like invisible hands. I walked a few steps and simply fell to the ground without life”. This may well be the end of a novel, but on Despair Avenue, it is only the beginning. With his death, the protagonist is trapped in a kind of threshold, somewhere between alive and dead. His journey takes him to his old place of residence and to meet again with the one who was once his family. It will then be when she understands how much she has changed and the grave danger that lies ahead.

La Fortuna di Essere un Gatto Nero: Un Racconto Divertente per Bambini

Alfredo è un gatto nero, l'unico gatto nero della sua famiglia. Non gli è mai importato del colore del suo pelo, ma una mattina i suoi genitori decidono di parlargli. Alfredo deve sapere qualcosa di molto importante: alcune persone credono che i gatti neri portino sfortuna. Alfredo diventa triste ma, col tempo, scoprirà quanto sia fortunato, in realtà.. Un libro per bambini che comprende numerose fotografie di gatti.

The Trick Is in the Beak

Alberto is a very peculiar sparrow. He spends hours cleaning and fluffing his feathers every day until he is shiny. Alberto thinks it is extremely important to always look perfect. His fame is so big that birds from all kinds and from everywhere around the world go to his sequoia school to attend his cleaning lessons. But something disturbs their peace and quiet. One morning, Alberto discovers he had been victim of a terrible robbery... A FUNNY BOOK FOR CHILDREN, AND AN EDUCATIVE RESOURCE FOR PARENTS, TEACHERS, AND PEDAGOGUES SO THEY CAN WORK ON CHILDREN'S SELF-ESTEEM. THIS BOOK ALSO TEACHES ABOUT VALUES SUCH AS FRIENDSHIP AND ALTRUISM.

Viale Disperazione: un thriller psicologico paranormale carico di suspense e mistero

“Rimarrà sempre nella mia mente il rumore delle foglie morte che scricchiolavano sotto i miei piedi e quel filo d’aria tiepida che mi accarezzava il viso come mani invisibili. Feci qualche passo e, semplicemente, caddi a terra senza vita” Questo potrebbe essere il finale di un romanzo, ma in Viale Disperazione è solo l'inizio. Con la sua morte, il protagonista è intrappolato in una specie di soglia, da qualche parte tra vivi e morti. Il suo viaggio lo porta nel suo vecchio luogo di residenza e a reincontrarsi con quella che era una volta la sua famiglia. Sarà solo in quel momento che capirà quanto sia cambiato e il grave pericolo che incombe su di loro.

Taschenbuch für den Tunnelbau 2021 (Taschenbuch Tunnelbau)

Das Taschenbuch für den Tunnelbau ist seit vielen Jahren ein praxisorientierter Ratgeber für Auftraggeber, Planer und Bauausführende. Es greift aktuelle Entwicklungen und Problemstellungen auf, präsentiert innovative Lösungen und dokumentiert dabei den jeweils erreichten Stand der Technik. Die Beiträge in der Ausgabe 2021 behandeln die Themenbereiche Konventioneller bergmännischer Tunnelbau, Maschineller Tunnelbau, Maschinen und Geräte, Baustoffe und Bauteile, Forschung und Entwicklung, Digitalisierung im Tunnelbau, Vertragswesen und betriebswirtschaftliche Aspekte sowie Praxisbeispiele.

Taschenbuch für den Tunnelbau 2022 (Taschenbuch Tunnelbau)

Das Taschenbuch für den Tunnelbau ist seit vielen Jahren ein praxisorientierter Ratgeber für Auftraggeber, Planer und Bauausführende. Es greift aktuelle Entwicklungen und Problemstellungen auf, präsentiert innovative Lösungen und dokumentiert dabei den jeweils erreichten Stand der Technik. Die Beiträge in der Ausgabe 2022 behandeln die Themenbereiche Baugruben und Tunnelbau in offener Bauweise, Maschineller Tunnelbau, Baustoffe und Bauteile, Forschung und Entwicklung, Instandsetzung und Nachrüstung sowie Praxisbeispiele.

Taschenbuch für den Tunnelbau 2023 (Taschenbuch Tunnelbau)

Das Taschenbuch für den Tunnelbau ist seit vielen Jahren ein praxisorientierter Ratgeber für Auftraggeber, Planer und Bauausführende. Es greift aktuelle Entwicklungen und Problemstellungen auf, präsentiert innovative Lösungen und dokumentiert dabei den jeweils erreichten Stand der Technik. Die Beiträge in der Ausgabe 2023 behandeln die Themenbereiche Konventioneller Tunnelbau, Maschineller Tunnelbau, Digitalisierung im Tunnelbau, Maschinen und Geräte, Tunnelbetrieb und Sicherheit, Forschung und Entwicklung, Instandsetzung und Nachrüstung sowie Praxisbeispiele.

Inclusive Designing

'Inclusive Designing' presents the proceedings of the seventh Cambridge Workshop on Universal Access and Assistive Technology (CWUAAT '14). It represents a unique multi-disciplinary workshop for the Inclusive Design Research community where designers, computer scientists, engineers, architects, ergonomists, policymakers and user communities can exchange ideas. The research presented at CWUAAT '14 develops methods, technologies, tools and guidance that support product designers and architects to design for the widest possible population for a given range of capabilities, within a contemporary social and economic context. In the context of developing demographic changes leading to greater numbers of older people and people with disabilities, the general field of Inclusive Design Research strives to relate the capabilities of the population to the design of products. Inclusive populations of older people contain a greater variation in sensory, cognitive and physical user capabilities. These variations may be co-occurring and rapidly changing leading to a demanding design environment. Recent research developments have addressed these issues in the context of: governance and policy; daily living activities; the workplace; the built environment, Interactive Digital TV and Mobile communications. Increasingly, a need has been identified for a multidisciplinary approach that reconciles the diverse and sometimes conflicting demands of Design for Ageing and Impairment, Usability and Accessibility and Universal Access. CWUAAT provides a platform for such a need. This book is intended for researchers, postgraduates, design practitioners, clinical practitioners, and design teachers.

Strip Method Design Handbook

The Strip Method Design Handbook is a thorough guide to the use of the strip method, developed by Arne Hillerborg, for design of reinforced concrete slabs. The strip method of design is relevant to many types of slabs including rectangular slabs with all sides supported and regular flat slabs with cantilevering parts. The author discusses unevenly

A Survey of Primitive Money: The Beginnings of Currency (Routledge Library Editions: History of Money, Banking and Finance #1)

This book, first published in 1949, is the original and key survey of the stages which preceded the use of coins as the medium of exchange, and of the objects that coins displaced, objects which for want of a better name are here called primitive money. It examines in detail the primitive monies of the world, monies from far in the distant past, and monies still in use today. It is the essential reference source on the many different objects used as currency.

Basic Psychoanalytic Concepts on the Theory of Instincts (Basic Psychoanalytic Concepts)

Originally published in 1970, this volume describes in condensed but detailed form Freud’s development of the theory of instincts. As is well known, Freud reformulated and amplified his theory of instincts at several points during his lifetime. Such periodical amplifications and reformulations were made necessary by a number of factors, for as Freud gained experience he not only developed fresh insights but also was faced with the problem of explaining an increasing amount of clinical phenomena that offered itself for examination under the psychoanalytic microscope. There can be no doubt that Freud considered his theory of instincts as one of the corner stones of psychoanalysis and yet at the same time he recognised that it was an area where many of his formulations were necessarily of a tentative character and open to discussion and modification. In this volume the reader will be able to follow the development of Freud’s thought from his initial discovery of the duality of ‘sexual’ and ‘ego’ instincts and his recognition of the fundamental importance of the aggressive forces in human nature and behaviour, to the formulation of his theories regarding life and death.

This Book Will Save Your Life

Richard Novak is a modern day everyman, a middle-aged divorcee trading stocks out of his home. He has done such a good job getting his life under control that he needs no one, except his trainer, nutritionist and housekeeper. His life has slowed almost to a standstill, until two incidents conspire to hurl him back into the world.THIS BOOK WILL SAVE YOUR LIFE beautifully captures the strangeness of life through its depiction of the weirdness and instability of LA, a surreal city of earthquakes, wildfires, mudslides, feral chihuahuas and doughnut-sellers with big dreams. And it reveals what can happen if you are willing to open up to the world around you.Since her debut in 1989, A. M. Homes has been among the boldest and most original voices of her generation, acclaimed for the psychological accuracy and unnerving emotional intensity of her storytelling. Her keen ability to explore how extraordinary the ordinary can be is at the heart of this touching and funny new novel, her first in six years.

Ultraschall in der Urologie

Der Ultraschall zählt zu den zentralen Untersuchungstechniken in der Urologie: Das Verfahren ist kostengünstig, verhältnismäßig schnell zu erlernen, praktisch überall einsetzbar und verursacht keine Strahlenbelastung. Der Atlas bietet einen reichen Fundus an Referenzaufnahmen höchster Qualität von häufigen, aber auch von seltenen Befunden. Die Autoren haben die Bilder mit knappen und präzisen Legenden versehen. Komplexe Befunde erläutern sie anhand anschaulicher Grafiken. Der Band eignet sich für Einsteiger wie für fortgeschrittene Diagnostiker.

Ecology and Behaviour of the Ladybird Beetles (Coccinellidae)

Ladybirds are probably the best known predators of aphids and coccids in the world, though this greatly underestimates the diversity of their biology. Maximising their impact on their prey is an important element in modern conservation biological control of indigenous natural enemies in contrast to the classical approach of releasing alien species. Ivo Hodek is one of the most internationally respected experts on coccinellids who has researched these insects for his entire career. He has now brought together 14 scientists of international standing to author 12 chapters, making this book the definitive treatment of coccinellid biology and ecology. This volume covers the rapid scientific developments of recent years in the understanding of coccinellid phylogeny, the semiochemicals influencing their behaviour and of molecular genetics. Recent insights in relation to intraguild predation and the assessment of the predatory impact of coccinellids are also covered. Other special features of the volume are the extensive references covering the literature from both East and West and a taxonomic glossary of the up-to-date nomenclature for species of coccinellids as well as of other organisms mentioned in the text. While aimed at researchers, university teachers and agricultural entomologists, the book is readable and appropriate for others who just have a liking for these interesting and attractive insects.

Mevrouw Cornel

The Japan-British Exhibition of 1910: Gateway to the Island Empire of the East

The rapid development of Japan at the turn of the last century, including the defeat of Russia in 1904-5, intrigued the western Imperial powers, but also aroused reactions of contempt and suspicion. Britain was the most important of the powers upon which Japan earnestly wished to impress herself to mitigate the rising tide of anti-Japanese sentiment. An exhibition in London, therefore, was seen as a timely event by the Meiji Government to advance Japanese agendas in political, economic and educational terms. This is the first major study of this remarkable venture, fully reviewed and documented, and concerned principally with the Japanese side of the story.

The Analysis of Performance Art: A Guide to its Theory and Practice

This finely illustrated book offers a simple yet comprehensive 'grammar' of a new discipline. Performance Art first became popular in the fifties when artists began creating 'happenings'. Since then the artist as a performer has challenged many of the accepted rules of the theatre and radically altered our notion of what constitutes visual art. This is the first publication to outline the essential characteristics of the field and to put forward a method for teaching the subject as a discipline distinct from dance, drama, painting or sculpture.Taking the theory of primary and secondary colours as his model, Anthony Howell posits three primaries of action and shows how these may be mixed to obtain a secondary range of actions. Based on a taught course, the system is designed for practical use in the studio and is also entertaining to explore. Examples are cited from leading performance groups and practitioners such as Bobbie Baker, Orlan, Stelarc, Annie Sprinkle, Robert Wilson, Goat Island, and Station House Opera. This volume, however, is not just an illustrated grammar of action - it also shows how the syntax of that grammar has psychoanalytic repercussions. This enables the performer to relate the system to lived experience, ensuring a realisation that meaning is being dealt with through these actions and that the stystem set forth is more than a dry structuring of the characteristics of movement.Freud's notion of 'transference' and Lacan's understanding of 'repetition' are compared to a performer's usage of the same terms. Thus the book provides a psychoanalytic critique of performance at the same time as it outlines an efficient method for creating live work on both fine art and theatre courses.