Table Of ContentHealthcare Management / Quality & Patient Safety Singh
Lillrank
Innovations
I
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Innovations in Healthcare Management o
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COST-EFFECTIVE AND SUSTAINABLE SOLUTIONS a
a s f
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As developed economies enter a period of slower growth, o
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emerging economies such as India have become prime n y a
examples of how more can be achieved with less. Innovations s d f
in Healthcare Management: Cost-Effective and Sustainable f g
i d g
Solutions explores recent innovations in healthcare from a n g h
global and Indian perspective. Cost-Effective atnd Sustainable Solutiofns
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The book presents new concepts, methods, and tools for e f
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low-cost, high-volume solutions that improve access to care. a g
It describes how to organize resources and flows so that given l h
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targets—including cost, clinical quality, and patient experi- h
ence—can be achieved with available resources. It also covers c
nontraditional ecosystems of innovation outside of pure technolo- a
gy, such as social persuasion, rural health delivery, exploitation r
of economies of scale, prevention-oriented primary care, e
medical education, and hospital design.
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After reading this book, readers will possess the understanding a
required to implement new ideas and new models of delivery n
of affordable care in healthcare systems around the world. a
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ISBN: 978-1-4822-5209-5
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Endorsements for the Book
Praise for Innovations in Healthcare Management:
Cost-Effective and Sustainable Solutions
This is a timely and well-considered book. The majority of leadership
texts have a Western-centric approach, with Western ideologies and
approaches dominating the literature. This book explores Western man-
agement philosophies, in particular the Lean approach to management,
and applies them to developing countries with a significant focus on the
Indian subcontinent. The global approach taken by this book to the sub-
stantial challenges faced by nations throughout the world identifies the
commonalities and differences in the solutions and implementation of
global health care and the major role that leadership plays in both the
identification and the application of health-care policy, appropriate to the
environment in which they are delivered. Leaders predominantly create
context and this wide-ranging text contributes significantly to the analy-
sis of the leadership required to provide sustainable and affordable global
health care. I would recommend it to all those with an interest in the
global health economy.
Richard Hayward
Course Leader
MSc HealthCare Management
Anglia Ruskin University, United Kingdom
I wish to congratulate Dr. V. K. Singh and Paul Lillrank for their insight-
ful book, Innovations in Healthcare Management: Cost-Effective and
Sustainable Solutions, highlighting the strengths and pitfalls of the health-
care system prevailing in India and in many countries the world over. We
at Gulf Medical University and its affiliated network of GMC Hospitals,
the first private teaching hospitals in the UAE, focus on innovation:
innovation in education, health care, and research. With a reach to a wider
population and offering affordable services, we have successfully imple-
mented many trendsetting features over the last decade. I feel services
offered through e-health and m-health will be the key in the next decade,
which can reach and benefit people in remote areas. Overall, I find this
book to be a useful read for all and would open up a dialogue, paving
the way for new line of thinking in developing technologies for health
maintenance, aligning purpose with people and performance, private–
public partnerships, innovations in emerging economies, and innovative
approaches to build health-care facilities. I once again congratulate the
authors for their efforts.
Thumbay Moideen
Founder President—Board of Governors
Gulf Medical University and GMC Hospitals
Ajman, United Arab Emirates
Congratulations on your marvelous initiative in producing this excit-
ing book. This appears to be a very interesting and ambitious book on
health-care management, which must surely be welcome in the current
challenging environment for health care worldwide. The list of contribu-
tors is very impressive, as all of them are involved in different innova-
tive initiatives in health care around the world. Many of the initiatives are
exciting and indicate new directions for the future in making health care
sustainable. We can certainly learn from experts from the United States,
United Kingdom, India, or elsewhere as the problems faced in health care
are common and global.
Dr. Abu Bakar Suleiman
President, International Medical University, Kuala Lumpur
Chairman, IHH Healthcare Berhad
Adviser, Malaysian Society for Quality in Health
This book is eminently practical. Readers will find much to imitate in the
numerous and varied case studies. I hope that many will also be inspired
by the successes of others to create their own innovations.
David Wittenberg
CEO
The Innovation Workgroup, India
This book is a great tool for anyone across the world. Africa inclusive is
planning to improve health-care delivery in a cost-effective manner. It
gives the reader most of anything one would want on cost-effective and
sustainable solutions in the management of a troubled health-care indus-
try. The authors advocate the use of innovations in health maintenance,
health-care management, health prevention, as well as in the health sup-
ply chain as a means of changing the way we care about patients with
limited resources. The authors give very practical examples that can be
implemented easily, thus making the book useful in many settings across
the world. This is a book worth reading by health-care workers, particu-
larly health managers and hospital CEOs. Wishing you greater success in
this endeavor.
Dr. Marina Alois Njelekela
Executive Director
Muhimbili National Hospital
Dar es Salaam, Tanzania
Admiral Singh and Professor Paul Lillrank have done a great service
by conceiving and birthing this exciting book, particularly in assem-
bling a diverse “A Team” of Indian and global experts to write the
chapters. The book is very timely, for India and the world are at critical
inflection points in health. Enormous challenges are intersecting with
the opportunities created by new thinking and new technologies. As
this exciting book describes, there are huge shifts underway: sick care
to wellness, facilities-based to doorstep health, expert and separate to
holistic and person-centered, and artisanal to big data-driven science.
India faces horrendous levels of malnutrition and stunting in its youth,
an explosion of noncommunicable diseases (NCDs) in its adults, and
critical shortages in trained personnel. However, it must find ways to
provide wellness to hundreds of millions of citizens at the base of the
pyramid; the Western model of medicine simply will not work. From
theory to specific proposals to on-the-ground examples, this book
shows how India could lead the world by reinventing the provision of
well-being. Read it.
David K. Aylward
Senior Advisor, Global Health and Technology
Ashoka—Innovators for the Public
Former First Executive Director of the mHealth Alliance
Arlington, Virginia
I am excited to learn more from your book, Innovations in Healthcare
Management. I am sure, with the topics you have chosen, it would be of
immense benefit to the doctors and engineers who want to get into the
field of health care. Affordable innovations are something we require, and
should be of extreme help for the poor population of the country. The con-
tributors of this book are internationally and nationally renowned experts
in their fields. Wishing you all the best.
Professor Yogesh Chawla
Director
Post Graduate Institute of Medial Education & Research
Chandigarh, India
The editors have put together an impressive group of professionals with
deep insight to analyze the present situation and provide directions to
optimizing the resources to maximize the benefits of intelligent, inno-
vative, and ground-up approach to health-care delivery. The readers will
greatly benefit from the authors’ hands-on experience. Health care is
dynamic and obsolescence of technology and methodology is rapid. India
is a unique country with equal preponderance of communicable and non-
communicable (lifestyle) diseases. Medical professionals who provide
care to captive populations in state and federally funded hospitals have a
unique advantage to follow up with patients for outcomes over a certain
period of time. When scientifically planned, such exercises can provide
important information on treatment protocols that can be applied at a
national level. This will be extremely useful in infectious diseases to pre-
vent antibiotic resistance and save precious resources. Similarly, readers
of this book may be inspired to chart new courses in the field of clinical
epidemiology, pharmacoeconomics, pharmacoepidemiology, and other
emerging disciplines.
Dr. Vijai Kumar
President and Chief Medical Officer
Excel Life Sciences, Inc.
Durham, North Carolina
This book, Innovations in Healthcare Management, discusses in depth
the challenges posed in various domains of health care, and proposes
solutions centered over the Lean principles from a global and also
Indian practice setting. Cost-effectiveness and a sustainable model for
primary health care in emerging economies, behavioral changes and
health literacy, and so on, are very well discussed. Management tools
and techniques have their origins in the manufacturing industry. The
characteristics of the health-care industry are unique and need to be
specifically calibrated to achieve the levels of success other industries
have demonstrated.
This book discusses opportunities of learning from industry and t ailors
those to suit health-care requirements. Examples of frugal innovation in
health care and building an innovative culture through Lean are very
interesting. Patients’ expectations are constantly on the rise, and so are the
health-care costs. Efforts need to be made at the stage of hospital planning
and designing to facilitate Lean operations. New tools of information and
communication technology (ICT) and evidence-based practice of these
concepts are discussed. The various chapters in this book offer the reader
the key concepts of Lean in health care with a structured approach, ulti-
mately benefitting all the stakeholders, primarily the patients, in availing
better quality and service.
Dr. Murali Rao
Head of Dental Department, Panaga Health Centre
Brunei Shell Petroleum, Brunei Darussalam
Innovations in Healthcare Management answers the need for a criti-
cal discourse on global questions pertaining to sustainable health care
for all. The golden thread that runs through each of the chapters is
clear and highlights the need to do more with less, especially in emerg-
ing economies. This book is not only authored by experts in their
respective fields in health care, but offers an authentic and thought-
provoking insight into a wide range of advances in modern health-
care management that provides both conceptual depth and extensive
practical application. The text is recommended for both inexperienced
health-care professionals and policy makers, as it provides unique per-
spectives on current health-care challenges, especially relating to sus-
tainable health care.
Professor Dalena van Rooyen
Director, School of Clinical Care Sciences
Nelson Mandela Metropolitan University, South Africa
Addressing one of our times’ most important challenges—how to provide
affordable and sustainable health care to all citizens—the editors of this
book have gathered an impressive group of contributors that together pro-
vide a wide array of innovative examples in a broad international setting.
It is a vital effort that enhances learning and proliferation of new ways to
organize and deliver health care under strong constraints. I recommend
decision makers as well as health-care professionals to invest their time in
sharing the insights provided and get inspired to turn valuable ideas into
a better practice.
Dr. Hans Winberg
Secretary General
Leading Health Care Foundation, founded by the Stockholm
School of Economics, Sweden
The delivery of health care has changed greatly both in form and in func-
tion over the last century. Although the delivery of health care was for-
merly the domain of the local general practitioner (GP) and proximate
health systems, today there is an increasingly bewildering choice of doc-
tors and access to global health systems. These changes have brought
significant advances to health care but have often left its recipients con-
fused and unsure as to the quality of care they can access. This book has
brought together leaders in their respective fields, who have addressed
the continuum of care right from preventive medicine, hospital design
through to the various modes of health-care delivery. They have dis-
cussed interesting innovations worldwide that have driven positive pro-
cess changes in medical systems. I would highly recommend this book
to anyone who is passionate about improving access to cost-effective and
efficient health care for patients all around the globe irrespective of loca-
tion or socioeconomic status.
Dr. Chandy Abraham
Facility Director and Head Medical Services
Health City, Cayman Islands
Innovations
in Healthcare
Management
