Leading Reliable Healthcare

Leading Reliable Healthcare describes 'state of the art' healthcare management systems. The key focus of the publication is 'reliable'; describing how leadership can ensure never less than reliable standards of care for patients and how excellence can be achieved. The focus throughout is on ensuring that patients and their families can depend on a reliable healthcare system for their needs, fulfilling their expectations that hospitals are trustworthy, stable and capable of dealing with their health, from the simplest to the most complex illnesses. Each of the chapters focuses on a different aspect of building a reliable healthcare system, concentrating on the leadership necessary to deliver and manage the different component elements of the healthcare system. The nominated contributors for this book are recognized leaders from various healthcare systems around the globe, including the UK, USA, Canada and South Korea/Singapore. The contributors have been selected to ensure a wide perspective of healthcare management, building on diverse approaches, practices and experiences, and are currently practicing healthcare management in their respective systems. The book aims to focus on the pragmatic rather than theoretical and will provide a series of practical methodologies and case studies to help improve decision making in healthcare management. With contributions by: - Sallie J. Weaver, PhD, MHS, Associate Professor, Armstrong Institute for Patient Safety and Quality and Dept. of Anesthesiology & Critical Care Medicine, John Hopkins University School of Medicine - Susan Mascitelli, Senior Vice President, Patient Services & Liaison to the Board of Trustees, New York-Presbyterian Hospital - Dr. Sandra Fenwick, Chief Executive Officer, Boston Children's Hospital - Martin A. Makary, MD, MPH, Professor of Surgery, Johns Hopkins University School of Medicine; Professor of Health Policy and Management, John Hopkins Bloomberg School of Public Health - Frank Federico, RPh, Vice President, Institute for Healthcare Improvement - Dr. Hanan Edrees, Manager, Quality Management, KAMC-Riyadh - Dr. Hee Hwang, CIO and Associate Professor; Seoul National University Bundang Hospital, Department of Pediatrics, Division of pediatric Neurology, Center of Medical Informatics - Dr. M. Andrew Padmos, Chief Executive Officer, The Royal College of Physicians and Surgeons of Canada - Professor Richard Hobbs, Professor of Primary Care Health Sciences, Director, NIHR English School for Primary Care Research, Nuffield Department of Primary Care Health Sciences, University of Oxford - Ms. Jules Martin, Managing Director, Central London Clinical Commissioning Group - Dr. Bruno Holthof, Chief Executive Officer, Oxford University Hospitals - Tara Donnelly, Chief Executive, Health Innovation Network, South London - Göran Henriks, Chief Executive of Learning and Innovation, Qulturum, County Council of Jönköping, Sweden

Dr. Bandar Al Knawy holds the position of Chief Executive Officer (CEO) at National Guard Health Affairs (NGHA), an organization which comprises three medical cities in the three major regions of Saudi Arabia as well as holding the position of President, King Saud bin Abdulaziz University for Health Sciences. Dr. Al Knawy obtained his MBBS from King Abdulaziz University, Jeddah, Faculty of Medicine in June 1985. He completed his residency training in Internal Medicine in 1990 and obtained his Gastroenterology Fellowship in 1992 from Dalhousie University, Halifax, Nova Scotia, Canada. He holds a fellowship in Internal Medicine from the American and Canadian Boards, as well as the American Board Certification in Gastroenterology. In addition, Dr. Al Knawy has been a Fellow of the Royal College of Physicians and Surgeons of Canada since 1991. Dr. Al Knawy is a strong advocate of Quality and Patient Safety and pioneered the development of the Medication Safety Programme in Saudi Arabia in addition to many Patient Safety initiatives at NGHA. Dr. Al Knawy has had numerous scientific and medical articles published in international journals. He is the guest editor of the February 2010 issue of Clinics in Liver Disease - Healthcare Associated Transmission of Hepatitis B & C Viruses. Dr Al Knawy is the authorship of the book entitled "Hepatology: A Practical Approach" published in December 2004 and also a textbook entitled Hepatocellular Carcinoma: A Practical Approach" released in September 2009. Dr. Al Knawy is a highly skilled and qualified medical professional who is committed to provide, with all sincerity and dedication, the highest quality patient care for the betterment and the development, of National Guard Health Affairs.

Foreword viiPreface ixAcknowledgments xiAbout the Contributors xiii1 Organizational Safety Culture 1SALLIE J. WEAVER AND HANAN H. EDREES2 Operational Excellence 25SUSAN MASCITELLI, STEPHEN S. MILLS, MICHAEL BIERL, AND RYAN LE3 Efficient Clinical Practice 45SANDRA L. FENWICK, KATHY J. JENKINS, JOHN G. MEARA, CHRIS NEWELL,ANNE STACK, SARA TOOMEY, AND CYNTHIA HAINES4 Successful Patient Outcomes 71CALEB FAN, SAMI EL-BOGHDADLY, AND MARTIN A. MAKARY5 High Reliability Organizations 83FRANK FEDERICO, AMELIA BROOKS, AND HANAN H. EDREES6 Information Technology: A Neural Network for Reliable Healthcare 111HEE HWANG7 Healthcare Education and Training to Support a Responsive HealthcareSystem: Canadian Perspectives 123STEVE SLADE, TANYA HORSLEY, AND ANDREW PADMOS8 Integration of Primary Healthcare and Hospitals 135F.D. RICHARD HOBBS AND CLARE J. TAYLOR9 Performance Parameters 155JULES MARTIN, ALISON ALSBURY, AND WILL REYNOLDS10 Quality and Cost in Healthcare: Improving Performance 189BRUNO HOLTHOF11 Leadership through Crisis 205BANDAR AL KNAWY12 Health System Innovation and Reform 217TARA DONNELLY13 The Financial Aspects of Leading a Reliable Healthcare System 231CHRIS HURSTIndex 241

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