Despite all the writing and the research, America’s health care industry continues to fail at providing health care that is accessible and affordable, with measurable quality. The fundamental reason we have failed is that health care is not only a complex business, but the most complex in our economy. Other industries are disrupted, some readily adapt to new markets; some leverage information technology and innovative and cost-saving ways. But to date, health care has resisted. The customary approaches tried in other industries seem not to apply to health care. Why? Why is the health care industry so politically divisive? Why is the quality of health care services so difficult to measure? Why do patients often fail to understand their own health care? Why are security and privacy such unique challenges in health care? Why is the payment process for health care services so complicated and challenging? This book seeks to answer these questions. This book written by a well know industry ‘insider’ with 35+ years working at senior levels in hospital operations and information technology, discusses nine major factors that in combination contribute to health care’s complexity. The author concludes that until we understand why health is so complex, we will continue to see books complaining about the poor state of health care in the U.S., and proposals for change that are generally unsuccessful, and innovative technology products that fail to deliver expected results.
Sustainable Construction Materials: Sewage Sludge Ash, part of a series of five, aims to promote the use of sustainable construction materials. It is different from the norm, with its uniqueness lying in the development of a data matrix sourced from over 600 publications and contributed by 1107 authors from 442 institutions in 48 countries from 1970 to 2016, all focusing on the subject of sewage sludge ash as a construction material, and systematically analyzing, evaluating, and modeling the information for use in cement, concrete, ceramics, geotechnics, and road pavement applications. Related environmental issues, case studies, and standards are also discussed. The book helps users avoid repetitive research and save valuable resources, giving them more latitude to explore new research to progress the use of sustainable construction materials. It is structured in an incisive and easy to digest manner. As an excellent reference source, the book is particularly suited for researchers, academics, design engineers, specifiers, contractors, developers, and certifying and regulatory authorities who seek to promote sustainability within the construction sector. - Provides an extensive source of valuable database information supported by an exhaustive and comprehensively organized list of globally published literature spanning 40-50 years, up to 2016, with 5000 references - Offers an analysis, evaluation, repackaging, and modeling of existing knowledge, encouraging more responsible use of waste materials in construction - Presents a wealth of knowledge for use in many sectors relating to the construction profession
Despite all the writing and the research, America’s health care industry continues to fail at providing health care that is accessible and affordable, with measurable quality. The fundamental reason we have failed is that health care is not only a complex business, but the most complex in our economy. Other industries are disrupted, some readily adapt to new markets; some leverage information technology and innovative and cost-saving ways. But to date, health care has resisted. The customary approaches tried in other industries seem not to apply to health care. Why? Why is the health care industry so politically divisive? Why is the quality of health care services so difficult to measure? Why do patients often fail to understand their own health care? Why are security and privacy such unique challenges in health care? Why is the payment process for health care services so complicated and challenging? This book seeks to answer these questions. This book written by a well know industry ‘insider’ with 35+ years working at senior levels in hospital operations and information technology, discusses nine major factors that in combination contribute to health care’s complexity. The author concludes that until we understand why health is so complex, we will continue to see books complaining about the poor state of health care in the U.S., and proposals for change that are generally unsuccessful, and innovative technology products that fail to deliver expected results.
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