Handbook of Practice Management最新文献

{"title":"1. Introduction","authors":"","doi":"10.1177/0962144X1389001","DOIUrl":"https://doi.org/10.1177/0962144X1389001","url":null,"abstract":"Handbook of Practice Management started in 1990 when, after more than two decades of stability, general practitioners were presented with a substantive change in their contract. The last 10 years have seen more changes than in any previous decade in the existence of the NHS in the way primary care is managed, in what is expected of it by governments, and, as the exchange quoted above demonstrates, in the roles of GPs and patients and their expectations of each other.","PeriodicalId":413688,"journal":{"name":"Handbook of Practice Management","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133977441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"10. Managing Drugs in the Practice and a Dispensary","authors":"","doi":"10.1177/0962144X1389010","DOIUrl":"https://doi.org/10.1177/0962144X1389010","url":null,"abstract":"","PeriodicalId":413688,"journal":{"name":"Handbook of Practice Management","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116023603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"6. Clinical Governance","authors":"","doi":"10.1177/0962144x13492101","DOIUrl":"https://doi.org/10.1177/0962144x13492101","url":null,"abstract":"Introduction 6-07 What is clinical governance? What does it really mean? 6-07 Clinical governance and the practice manager 6-08 Clinical governance, the practice manager and the GP 6-08 The practice team and clinical governance 6-09 How should the aims and objectives be defined and communicated? 6-09 Maintaining quality standards 6-10 Management standards 6-10 Quality outcomes in general practice 6-11 Patient satisfaction 6-11 What is satisfaction? 6-11 Determinants of satisfaction 6-11 Purpose of measuring satisfaction 6-12 Measurement of satisfaction in UK general practice 6-12 Patient concordance or compliance 6-14 Causes of non-concordance 6-15 Improving concordance 6-15 Prescribing rates 6-16 Patient recall 6-16 Referral rates 6-16 Doctors’ ability to detect illness 6-17 Performance against pre-set targets 6-17 Audit 6-17 Financial audit 6-17 Internal audit 6-17 Organisational audit 6-18 Clinical audit 6-18 Types of audit 6-18 Criterion-based audit – the audit cycle 6-18 Significant event audit 6-20 Clinical audit and research 6-20 Clinical guidelines, protocols and integrated care pathways 6-21 Clinical guidelines 6-21 Protocols 6-23 Integrated care pathways 6-23 Grading and classification of evidence for the purposes of constructing guidelines, protocols and ICPs 6-23 Risk management 6-24 Definition and importance 6-24 Risk management in practice 6-25 Systematic approach to identification of risk 6-26 Risk register 6-26 Vigilance 6-27 Learning when things go wrong 6-27 Patient feedback 6-28 Areas of risk 6-28 Clinical care 6-28 Prescribing 6-28 Confidentiality 6-29 Health and safety 6-30 Staff 6-30 Communication and message-taking 6-30 Organisational 6-31 Financial risk 6-31 Standard operating procedure for cold chain 6-32 Infection control 6-35 General principles 6-35 Achieving optimum hand hygiene 6-35 Using personal protective equipment 6-35 Safe handling and disposal of sharps 6-35 Safe handling and disposal of clinical waste 6-35 Managing blood and bodily fluids 6-37 Decontamination 6-37 Achieving and maintaining a clean clinical environment 6-37 Care Quality Commission (CQC) 6-37 Example of an infection control audit in General Practice (source: www.surreyhealth.nhs.uk) 6-39 Method of weighting and scoring 6-39 Infection Control Audit: General Practice 6-40 Section 1: Management (8 questions) 6-40 Section 2: Clinical practices (13 questions) 6-40 Infection Control Policy and Guidelines for General Practice 6-41 Section 3: Hand washing (16 questions) 6-41 Section 4: Waste disposal (8 questions) 6-41 Infection Control Policy And Guidelines For General Practice 6-42 Section 5: Clinical equipment (13 questions) 6-42 Section 6: Sharps handling and disposal (7 questions) 6-43 Section 7: The general environment (12 questions) 6-43 References 6-43","PeriodicalId":413688,"journal":{"name":"Handbook of Practice Management","volume":"365 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115947026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"9. Health Care Commissioning","authors":"","doi":"10.1177/0962144X1389009","DOIUrl":"https://doi.org/10.1177/0962144X1389009","url":null,"abstract":"Introduction 9-01 Theory of commissioning 9-01 What is commissioning? 9-01 Providers 9-05 Private sector/business 9-05 Community foundation trusts 9-05 Acute foundation trusts 9-05 Third sector 9-06 Social enterprises/community interest companies 9-06 Any qualified provider 9-06 Procurement 9-06 Contingent renewal 9-08 Supplier relationship management 9-08 Breakthrough value creation 9-09 Procurement law 9-09 The role of the GP commissioners 9-12 The future of commissioning in England 9-14 The 2011 Health and Social Care Bill 9-14 The National Commissioning Board 9-16 Clinical commissioning groups 9-17 Commissioning support organisations 9-19 Transitional commissioning structures 9-20 Commissioning strategy plan 9-22 Conflict of interest 9-23 Local authorities 9-24 Patient and public involvement 9-27 Managing health systems in Scotland, Wales and Northern Ireland 9-27 The new General Medical Services contract and the revised Personal Medical Services contract 9-28 Out-of-hours care 9-28 Premises 9-29 Information management and technology 9-29 Clinical governance 9-30 Prescribing budgets 9-30 National health bodies 9-30 National Institute for Health and Clinical Excellence 9-31 The National Clinical Assessment Service 9-32 The Care Quality Commission 9-33 Monitor 9-35 Other organisations with a bearing on general practice 9-36 General Medical Council 9-36 Health Protection Agency 9-37","PeriodicalId":413688,"journal":{"name":"Handbook of Practice Management","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134479969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"5. Education","authors":"","doi":"10.1258/sphpm.5-01","DOIUrl":"https://doi.org/10.1258/sphpm.5-01","url":null,"abstract":"","PeriodicalId":413688,"journal":{"name":"Handbook of Practice Management","volume":"191 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133275584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"10 Managing Drugs in the Practice and a Dispensary","authors":"","doi":"10.1258/sphpm.10-01","DOIUrl":"https://doi.org/10.1258/sphpm.10-01","url":null,"abstract":"","PeriodicalId":413688,"journal":{"name":"Handbook of Practice Management","volume":"30 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128165162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"9. Health Care Commissioning","authors":"","doi":"10.1258/SPHPM.9-01","DOIUrl":"https://doi.org/10.1258/SPHPM.9-01","url":null,"abstract":"Introduction 9-01 Theory of commissioning 9-01 What is commissioning? 9-01 Providers 9-05 Private sector/business 9-05 Community foundation trusts 9-05 Acute foundation trusts 9-05 Third sector 9-06 Social enterprises/community interest companies 9-06 Any qualified provider 9-06 Procurement 9-06 Contingent renewal 9-08 Supplier relationship management 9-08 Breakthrough value creation 9-09 Procurement law 9-09 The role of the GP commissioners 9-12 The future of commissioning in England 9-14 The 2011 Health and Social Care Bill 9-14 The National Commissioning Board 9-16 Clinical commissioning groups 9-17 Commissioning support organisations 9-19 Transitional commissioning structures 9-20 Commissioning strategy plan 9-22 Conflict of interest 9-23 Local authorities 9-24 Patient and public involvement 9-27 Managing health systems in Scotland, Wales and Northern Ireland 9-27 The new General Medical Services contract and the revised Personal Medical Services contract 9-28 Out-of-hours care 9-28 Premises 9-29 Information management and technology 9-29 Clinical governance 9-30 Prescribing budgets 9-30 National health bodies 9-30 National Institute for Health and Clinical Excellence 9-31 The National Clinical Assessment Service 9-32 The Care Quality Commission 9-33 Monitor 9-35 Other organisations with a bearing on general practice 9-36 General Medical Council 9-36 Health Protection Agency 9-37","PeriodicalId":413688,"journal":{"name":"Handbook of Practice Management","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114883403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Newsletter: Newsletter May 2013","authors":"Renos Pittarides, C. Bateman, J. Bajwa, Ninaj Patel","doi":"10.1258/SPHPM.1-2","DOIUrl":"https://doi.org/10.1258/SPHPM.1-2","url":null,"abstract":"","PeriodicalId":413688,"journal":{"name":"Handbook of Practice Management","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128067146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"12. Information Management","authors":"","doi":"10.1258/sphpm.12-01","DOIUrl":"https://doi.org/10.1258/sphpm.12-01","url":null,"abstract":"Introduction 12-2 Patient records 12-2 Making medical notes 12-3 Notes of telephone encounters 12-3 Tape or digital recording of telephone conversations 12-4 Organisation of notes 12-4 Structure of the patient record: manual and computerised records 12-5 System for summarising and computerising paper notes 12-7 Systems for managing the notes of new patients 12-10 Systems for updating existing notes 12-11 Pathology and X-ray reports 12-12 Systems for returning notes to the PCO 12-13 Computerised appointment systems 12-13 Keeping patient records 12-14 Disposal of medical notes 12-15 Information governance 12-15 Confidentiality 12-15 The Caldicott Report 1997 12-15 Special circumstances 12-16 Breaching confidentiality 12-17 Summary of relevant legislation 12-17 Difficult situations 12-22 Access to medical records 12-22 Who can seek access? 12-22 Requests for access 12-23 Teaching practices 12-23 Access to identify subjects for research projects 12-24 Security of records 12-24 Electronic records 12-24 Highly sensitive information 12-25 Paperless accreditation 12-25 Fax machines 12-26 Further information 12-26 Electronic secondary care appointment booking 12-26 Electronic transfer of prescriptions 12-26 NHS care records service 12-27 The summary care record 12-27 NHSnet 12-27 NHS directory 12-27 Use of email in the surgery 12-28 Clinical knowledge summaries 12-28 E-consulting 12-28 Use of the internet and telemedicine 12-28 Further information 12-28 Non-clinical uses of computers in the surgery 12-28 Internal communication 12-29 Meetings, minutes and agendas 12-29 Internal messaging 12-29 Diaries 12-29 Practice intranets 12-29 Correspondence 12-30 Address books 12-30 Desktop publishing 12-30 Practice accounts 12-30 Electronic banking 12-31 Payroll 12-31 Consequences of computerisation 12-31 Retrieval of data 12-32 Staffing implications 12-32 Information Technology support 12-32 Notification of disease 12-32 Occupational illness 12-32 Industrial injury 12-33 Infectious diseases 12-33 Further information 12-34 Adverse drug reactions 12-34 Suspected adverse reactions 12-34 Defective medicines 12-35 Consumer Protection Act (1987) 12-35","PeriodicalId":413688,"journal":{"name":"Handbook of Practice Management","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130357270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3. Contracts and Finance","authors":"","doi":"10.1258/sphpm.3-01","DOIUrl":"https://doi.org/10.1258/sphpm.3-01","url":null,"abstract":"Introduction 3-4 The GMS contract in England, Scotland, Wales and Northern Ireland 3-4 GMS and PMS 3-5 Advice to readers 3-5 The GP practice main principles and procedures relating to the contract 3-5 Performers 3-5 Providers 3-5 NHS body to be or not to be? 3-6 The practices patients 3-6 Open, full and closed lists 3-6 Personal versus shared list systems 3-7 Patients choice of doctor 3-7 Practice area 3-7 Different sorts of registration 3-8 Registered patients 3-8 Temporary residents 3-8 Immediately necessary treatment 3-9 Patients receiving only contraceptive care 3-9 Assigned patients (allocated patients) 3-9 Private patients 3-10 Dual registration 3-10 Out-of-area patients 3-10 Eligibility for free healthcare 3-11 Patients coming to live in the UK from abroad 3-11 British nationals living abroad 3-11 UK residents going abroad for short periods 3-11 General rules for British patients travelling abroad 3-12 The European Health Insurance Card (EHIC) 3-12 Other reciprocal agreements 3-12 Patients from European Economic Area member states seeking treatment in the UK 3-13 General rules for treatment of overseas visitors to the UK from non-EEA countries 3-13 New patients Contractual obligations and good practice 3-14 Practice leaflets 3-15 Declining to register patients 3-16 Removal of patients from the list by the PCO 3-16 Removal of patients from the list by the practice 3-17 Removal of violent patients 3-18 Difficult situations 3-18 Patients with dental problems 3-18 Ghost patients and green cards 3-19 Consultation obligations 3-19 Doctors availability 3-19 Private services for NHS patients 3-20 Short-term sickness 3-21 Further information 3-22 Notes for school 3-22 Fitness for alternative treatment, fitness programmes, sport, etc. 3-22 Certificates/reports for charities 3-22 Private services related to travel 3-22 Financial entitlements under the nGMS contract April 2004 3-23 Global sum and minimum practice income guarantee 3-23 The Carr-Hill allocation formula 3-26 Agesex adjustments 3-26 Agesex workload index (using males aged 541) for the UK excluding Scotland 3-26 Agesex workload index (using males aged 5141) for Scotland only 3-26 Nursing and residential homes 3-26 List turnover 3-27 Additional needs 3-27 Staff market forces factor (MFF) 3-27 Rurality 3-27 London 3-27 Combining the adjustments 3-28 List inflation 3-28 Future changes 3-28 Minimum practice income guarantee (MPIG) 3-28 Further information 3-28 Essential, additional and enhanced services within the new GMS contract 3-29 Essential services 3-29 Additional services 3-30 Cervical screening 3-30 Maternity services 3-30 Child health surveillance 3-30 Minor surgery 3-31 Contraceptive services 3-31 Vaccinations and immunisations 3-31 Opting out of additional services 3-35 Enhanced services 3-36 Directed enhanced services 3-36 Childhood immunisations 3-37 Payment 3-37 Influenza and pneumococcal immunisations for at risk groups 3-38 Target group for influenza vaccination 3-38 Target gro","PeriodicalId":413688,"journal":{"name":"Handbook of Practice Management","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123491489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}