Pride and Joy, by Alex Knight
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Pride and Joy, by Alex Knight
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A struggling hospital with a recently sacked CEO is heading for meltdown when Linda Seed is thrown in at the deep end. Charged with stemming the flow of financial loss until a new boss is selected, she has already seen first hand the horrors of clinical disaster and the unbearable strain her staff are under. But there is no money. Linda knows that people are inherently good and is desperate to find a way to bring pride and joy back to this caring profession. But it looks hopeless and she is quickly in danger of being dragged down with the hospital. When an old friend persuades her that the more seemingly complex a situation, the bigger the opportunity for improvement, she decides to give the dice one last roll... A business novel about applying the Theory of Constraints in healthcare.
Pride and Joy, by Alex Knight- Amazon Sales Rank: #897564 in eBooks
- Published on: 2015-03-30
- Released on: 2015-03-30
- Format: Kindle eBook
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Most helpful customer reviews
4 of 4 people found the following review helpful. The silver bullet for healthcare By J. Cox Alex Knight’s “Pride and Joy” is a business novel describing the use of theory of constraints (TOC) in the healthcare arena. “Pride and Joy” has the potential of doing to healthcare what Goldratt’s The Goal did to manufacturing and supply chain. That can only happen if the reader passes the book on and on to others. The story is about a 900 bed failing hospital in the UK. That setting is of no matter as many and much of the descriptions are identical to the US news accounts of the Veteran’s Administration hospitals’ catastrophes. Whether the hospital is for-profit, for-purpose, government, etc. the operations description is the same; chaos reigns 24 X 7. The healthcare environment is comprised of never-ending life-and-death decisions. Put these decisions in a dependent event and statistical fluctuations environment and the decision makers feel like ducks in a shooting gallery. Alex describes the environment and crisis situations where they could take place in the US, UK, Australia, Canada, etc. The problems are universal. Though the hospital environment is very complex the solutions to patient flow and focus are simple and effective. Alex with his two decades of healthcare experience has provided a silver bullet for each of the different flows in a major hospital. These solutions are described in detail in the form of a novel. Alex describes the unpredictability of emergency department demand and how to manage it effectively. He also describes how to use an assessment unit to buffer the flow to various wards in a hospital. He then describes how to plan, schedule and control out patient care. Each of these environments represents a distinct patient flow BUT each flow uses common resources of the hospital and healthcare supply chain. Each patient is unique. The situation is complex and impossible to many BUT as anyone in TOC knows the more complex the situation the simpler the solution. Alex proves this to be correct. Once you read each solution; your response should be: That’s brilliant! You end up making this statement a number of times throughout the book. The story is very interesting and if one is knowledgeable in theory of constraints, he or she would realize that Alex has developed some unique solutions to manage the patient streams. This novel should be required reading for everyone in healthcare. It provides instructions on how to get more patients through the hospital quicker with higher quality and less resources (without exhausting them) and bring pride and joy to all healthcare stakeholders involved. In my opinion, this book may provide the solution to implementing universal healthcare without bankrupting the country for the US.
3 of 3 people found the following review helpful. The best book I've ever read on hospital administration By Gerald I. Kendall This is the best book on hospital administration and patient care I've ever read. The cost-centric approach to running hospitals has led to one disaster after another. Everyone working on the front lines of a hospital knows it. But until the conflict between cost reduction and patient care was clearly explained in Alex Knight's book, there seemed to be no way out. Knight painstakingly shows how a focus on patient flow reduces the time it takes to see and treat patients in a hospital, and consequently increases hospital revenues. Based on real life experiences in multiple countries, Pride and Joy is a must read for anyone involved in any aspect of delivering patient care in a hospital environment.The combination of challenges of managing hospitals, surgeries, multiple practitioner specialties, scheduling dilemmas and patient behaviors make for a very complex system. What Knight proves in this book is that, inside this very complex system, there exists inherent simplicity. The book enables a much better understanding of how current methods of scheduling both diagnostics and surgery lead to poor use of all the resources in the system. The crises of daily bed management only compound the administration nightmare.About a decade ago, I heard a presentation from one of the hospital administrators who had applied the system's approach explained in Pride and Joy. I was astounded at how much change could be accomplished within a few months, how a hospital could move from less than 70% of patients meeting target discharge dates to almost 100%, without adding staff and without additional overtime or "working harder".This book is a prescription for the healthy administration of any hospital, anywhere in the world. It is a great achievement to see science applied not just to medicine, but to management!
0 of 0 people found the following review helpful. A systemic view and simple solutions for improving Health Care By Javier Arevalo I read Pride & Joy with high expectations. First, experience has shown me that the best system and powerful principles to make improvements in any organization are coming from TOC - Theory of Constraints. Second, I had the fortune of working along side Dr. Goldratt for some years and finally, and I have seen what Alex Knight is capable of doing when in the lead. The approach taken and presented in the book, provides clarity. This to me is the foremost the key important contribution of Alex's work. He has delivered and entertaining story with explanations that are solidly linked to reality. It is not only in countries of socialized medicine systems or hybrid approaches to the healthcare problem that are suffering the effects of raising costs and the deterioration of efficacy, effectiveness and at the end productivity of the service. The better our expectation of life, the worse the probability that we will have to deal with a catastrophic event, that will be poorly tended to by our health systems. The problems of flow and patients, with the problems of synchronizing capacity of the hospitals, services, specialties, all hinge in the understanding of how to ensure that problems are diagnosed quickly and rightly, then that the assignment of patients to the right treatment in the right timing with the proper care. Understanding that the system in a Hospital and beyond in a Health Care system, is just that, a system...where the things that determine the success and the flow is the realization that what drives the system are not only the actions, but the interactions.My most favorite counter intuitive solution described is when the KEY most expert resources, the most experienced doctors are assigned in the front lines to ensure the proper diagnosis is made. When you complement this process with managing the capacity of the operating theaters, the synchronization with the test labs and the supporting staff, the outcome is productivity...More patients correctly treated well, released faster.I hope Alex's book provide a vehicle to open the minds of the people that must then to this system before is too late. A new refreshing look at what is possible is needed, and this is provided when one looks at the Health Services Industry as a system.
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