Mainstream Management

There are of course other existing OHS management systems, such as the NOSA Five Star, and ISRS/DNy but the new OHS standards make integration of OHS into the mainstream management, which the quahty system addresses, a lot easier, just as ISO 14000 does the same for environmental management. 

As we saw in the previous chapter, Z Base used a change readiness survey and a team effectiveness survey. Using S Base as an example, their change readiness assessment included questions about the process under consideration from various perspectives (taken from the MainStream Management change readiness survey) ... 

Similarly, at Z Base, the survey for team effectiveness included the following categories (taken from the MainStream Management teaming effectiveness survey) ... 

Taken from information supplied by Scott Larkin of Mainstream Management, a Lean consulting firm. 

Major pieces of this section are taken from the work of Tim Hutzel of MainStream Management. 

Major pieces of this section are taken from the workof Tom Cluley of Mainstream Management, a Lean consulting firm focused on optimizing the acceptance phase of the Lean effort. 

This test was taken from the Mainstream Management Consultant database, and they got it from the work of Clare Graves. 

This test was taken from the Mainstream Management Consulting database. 

Most of the slides from this chapter are taken with permission from the MainStream Management Consultants training program the author was graciously allowed to use this material in this book. These graphics help to make the concepts more understandable. 

Most of the slides from this chapter are taken with permission from the Mainstream Management Consultants training program. 

These terms were taken from the MainStream Management Consulting database and from the Lean Training Program and were primarily the work of Scott Larkin. 

However, the public has not abandoned conventional medicine for alternative healthcare. Most Americans seek out alternative therapies as a complement to their conventional healthcare whereas only a small percentage of Americans rely primarily on alternative care. Why have (30) so many patients turned to alternative therapies Frustrated by the time constraints of managed care and alienated by conventional medicine s focus on technology, some feel that a holistic approach to healthcare better reflects their beliefs and values. Others seek therapies that will relieve symptoms associated with chronic disease, symp-(35) toms that mainstream medicine cannot treat. 

Some alternative therapies have crossed the line into mainstream medicine as scientific investigation has confirmed their safety and efficacy. For example, today physicians may prescribe acupuncture for pain management or to control the nausea associated with chemother-(40) apy. Most U.S. medical schools teach courses in alternative therapies and many health insurance companies offer some alternative medicine benefits. Yet, despite their gaining acceptance, the majority of alternative therapies have not been researched in controlled studies. New research efforts aim at testing alternative methods and providing the... 

While these contending forces will no doubt continue to contend, and to confuse the public, we should hope that mainstream science and thoughtful risk management policies will prevail. The risk assessment framework is central in the continuing search for the right balance point in these debates. 

Surprisingly, it appeared that there had been hardly any therapeutic progress in the management of belladonna poisoning since the 19 century, when opium was the most commonly used treatment. The first six decades of the 20 century spawned many new drugs, but no one seemed to have reported anything good for atropine delirium in mainstream medical journals. 

No single definition adequately captures the range of practices that fall under the CAM rubric. Those that define CAM as practices that are not part of mainstream medicine, or as practices used by patients to manage their own health care, or as therapies not widely taught in Western medical schools or available in most hospitals, fail to capture the complexity of this field. CAM includes health-care practices that range from the use of vitamins, herbal remedies, and massage therapies to the ancient traditions of Ayurveda and Chinese medicine, along with chiropractic techniques, naturopathy homeopathic medicine, meditation, hypnosis, acupuncture, and a host of other less well-known approaches to health and health care. 

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