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Foreword; Preface; Contents; 1: The Challenge of Context; 1.1 Introduction; 1.2 Global Healthcare Systems; 1.3 Finance; 1.4 Delivery; 1.5 Activity; 1.6 Experience; 1.7 Quality; 1.8 Patient Safety; 1.8.1 How Do We Prevent Harm to Patients?; 1.9 Board Assurance Framework; 1.10 Relationship Between Cost, Quality and Safety; 1.11 Event-Action-Outcome Lag:; 1.12 Summary; References; 2: Factors Affecting Failure; 2.1 Case Study 1: From a Culture Focused on Doing the 'System's Business' to a Culture of 'Quality Improvement'
2.2 Case Study 2: Developing a Culture of Openness Though a 'Duty of Candour'2.2.1 Barriers to Disclosure; 2.3 Case Study 3: Engaging Patients and Their Carers in the Development of Best Practice in 'End of Life Care'; 2.3.1 Relatives as Proxies; 2.4 Case Study 4: Developing an Engaged Workforce to Foster Positive Collaborative Communication; 2.5 Case Study 5: A Need for Whole Organisation Support with the Engagement of Quality; 2.6 Case Study 6: Medical Leadership as a Mechanism to Build Organisational Capability and a New 'Quality Improvement' Organisational Culture; References
3: Assessing the Return on Investment (ROI) Through Appreciative Inquiry (AI) of Hospital Improvement Programmes3.1 Return on Investment; 3.2 A Case Study: Return on Investment for Quality Improvement of a 'Nurse Led' Cancer Follow Up Service; 3.3 Pre-Pilot Questionnaire; 3.4 Focus Group; 3.5 Pilot; 3.5.1 Inclusion and Exclusion Criteria; 3.5.2 Nurse-Led Clinic Pilot Protocol; 3.5.3 Control Group; 3.5.4 Data Analysis; 3.6 Return on Investment Calculations; 3.6.1 Current Tariff; 3.6.2 Potential Income from Clinics; 3.6.3 Pilot Benefits and Costs; 3.6.4 Analysis
3.6.5 Benefit: Cost Ratio Calculation3.6.6 ROI Calculation; References; 4: Effective Medical Leaders Achieving Transformational Change; 4.1 Human Nature Is a Reality; 4.2 Why Aren't We Always Successful in Implementing Change?; 4.3 Illustrative Example; References; 5: A Critique of Conceptual Leadership Styles'; 5.1 Introduction; 5.2 Leadership; 5.3 Traditional Theories of Leadership; 5.3.1 Traits and Leadership; 5.3.2 Behavioural Leadership; 5.3.3 Situational Approach; 5.4 Modern Perspectives of Leadership; 5.4.1 Transformational Leadership; 5.4.2 Transactional Leadership
5.5 Emotional Intelligence5.6 Theories of Emotional Intelligence; 5.7 Importance of Emotional Intelligence; 5.8 Performance; 5.8.1 Individual Performance in Organisations; 5.8.2 Group Performance in Voluntary Non-profit Organisations; 5.9 Leadership and Performance; 5.10 Leadership Competencies and Performance in Non-profit Groups; 5.11 Who Should Be Hospital Leaders?; 5.12 The Medical Leadership Competency Framework (MLCF); References; 6: Effective Hospital Leadership: Theory and Practice; 6.1 Increased Demand and Limited Resources
2.2 Case Study 2: Developing a Culture of Openness Though a 'Duty of Candour'2.2.1 Barriers to Disclosure; 2.3 Case Study 3: Engaging Patients and Their Carers in the Development of Best Practice in 'End of Life Care'; 2.3.1 Relatives as Proxies; 2.4 Case Study 4: Developing an Engaged Workforce to Foster Positive Collaborative Communication; 2.5 Case Study 5: A Need for Whole Organisation Support with the Engagement of Quality; 2.6 Case Study 6: Medical Leadership as a Mechanism to Build Organisational Capability and a New 'Quality Improvement' Organisational Culture; References
3: Assessing the Return on Investment (ROI) Through Appreciative Inquiry (AI) of Hospital Improvement Programmes3.1 Return on Investment; 3.2 A Case Study: Return on Investment for Quality Improvement of a 'Nurse Led' Cancer Follow Up Service; 3.3 Pre-Pilot Questionnaire; 3.4 Focus Group; 3.5 Pilot; 3.5.1 Inclusion and Exclusion Criteria; 3.5.2 Nurse-Led Clinic Pilot Protocol; 3.5.3 Control Group; 3.5.4 Data Analysis; 3.6 Return on Investment Calculations; 3.6.1 Current Tariff; 3.6.2 Potential Income from Clinics; 3.6.3 Pilot Benefits and Costs; 3.6.4 Analysis
3.6.5 Benefit: Cost Ratio Calculation3.6.6 ROI Calculation; References; 4: Effective Medical Leaders Achieving Transformational Change; 4.1 Human Nature Is a Reality; 4.2 Why Aren't We Always Successful in Implementing Change?; 4.3 Illustrative Example; References; 5: A Critique of Conceptual Leadership Styles'; 5.1 Introduction; 5.2 Leadership; 5.3 Traditional Theories of Leadership; 5.3.1 Traits and Leadership; 5.3.2 Behavioural Leadership; 5.3.3 Situational Approach; 5.4 Modern Perspectives of Leadership; 5.4.1 Transformational Leadership; 5.4.2 Transactional Leadership
5.5 Emotional Intelligence5.6 Theories of Emotional Intelligence; 5.7 Importance of Emotional Intelligence; 5.8 Performance; 5.8.1 Individual Performance in Organisations; 5.8.2 Group Performance in Voluntary Non-profit Organisations; 5.9 Leadership and Performance; 5.10 Leadership Competencies and Performance in Non-profit Groups; 5.11 Who Should Be Hospital Leaders?; 5.12 The Medical Leadership Competency Framework (MLCF); References; 6: Effective Hospital Leadership: Theory and Practice; 6.1 Increased Demand and Limited Resources