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Health Care Administration : Planning, Implementing, and Managing Organized Delivery Systems,9780763732837
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Health Care Administration : Planning, Implementing, and Managing Organized Delivery Systems

by
Edition:
3rd
ISBN13:

9780763732837

ISBN10:
0763732834
Format:
Paperback
Pub. Date:
2/1/1999
Publisher(s):
Jones & Bartlett
List Price: $93.95
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Summary

Primary Courses: Health Care AdministrationPrograms: Health Administration, Business (Health Administration track)

Table of Contents

About the Author/Editor xiii
Contributors xv
Preface xix
Acknowledgments xxiii
PART I-PLANNING, IMPLEMENTING, AND MANAGING ORGANIZED DELIVERY SYSTEMS 1(388)
Chapter 1-International Health Care: A Comparison of the United States, Canada, and Western Europe
3(50)
Grant T. Savage, Mark L. Hoelscher, and Elizabeth W. Walker
The Organization and Financing of Health Care
4(3)
Outcomes Associated with Various Health Care Systems
7(2)
Common Problems
9(1)
Health Care in Canada
9(5)
Health Care in Sweden
14(2)
Health Care in Germany
16(8)
Health Care in the United Kingdom
24(8)
Health Care in the Netherlands
32(5)
Shared Concerns and Learning Opportunities
37(16)
Chapter 2-Multiprovider Systems
53(35)
Myron D. Fottler and Donna Malvey
Health Care System Development
54(3)
System Membership
57(3)
The Impact of Managed Care
60(3)
System Integration
63(6)
System Performance
69(2)
Characteristics of Systems
71(7)
Managerial Implications
78(2)
Recommendations
80(8)
Chapter 3-The Legal Structure of Health Care Delivery
88(21)
Robert H. Rosemeld
The Charitable Model and the Workshop Model
88(1)
The Organized Delivery System Model
89(7)
A Critique of the Organized Delivery System Model
96(2)
Physician Practice Management Companies
98(2)
New Directions
100(9)
Chapter 4-Business Combinations in the Health Care Field: Legal Implications
109(12)
Norton L. Travis, Loreen A. Peritz, Hayden S. Wool, and Greg E. Bloom
Hypothetical
109(1)
Federal Medicare/Medicaid Fraud and Abuse and Antikickback Regulations
110(3)
Physician Self-Referral--The Stark Law
113(2)
Antitrust in the Health Care Industry
115(3)
Tax Exemption Issues
118(1)
Other Legal Considerations
118(3)
Chapter 5-Strategic Planning for Health Care Provider Organizations
121(15)
E. Gordon Whyte and John D. Blair
Strategic Thinking
122(1)
Preparation for the Strategic Planning Process
123(3)
Strategic Planning Process
126(8)
Role of the Planning Director and Department
134(1)
Conclusion
134(2)
Chapter 6-Strategic Management of Stakeholder Relationships
136(25)
John D. Blair, G. Tyge Payne, Timothy M. Rotarius, Carlton J. Whitehead, and E. Gordon Whyte
Identification of Organizational Stakeholders
139(3)
Diagnosis of Key Stakeholder Relationships
142(3)
Emerging Levels of Integration in Health Care Delivery
145(1)
Types of Stakeholder Relationships
146(3)
Generic Strategies for Stakeholder Relationship Management
149(5)
Strategy Implementation and Outcomes
154(2)
Managerial Responsibility for Stakeholder Relationships
156(1)
Conclusion
157(4)
Chapter 7-Marketing Health Care Services
161(22)
Roberta N Clarke
Marketing Mission and Objectives
162(1)
The Competition Defined
163(3)
Business-to-Business Marketing
166(2)
Derived Demand
168(2)
Consumer Behavior: Information Search and Use
170(3)
Consumer Behavior: Differentiation
173(3)
Customer Retention
176(3)
Customer Satisfaction
179(2)
Data-Driven Marketing
181(2)
Chapter 8-Financial Management of Organized Health Care Delivery Systems
183(48)
Leslie G. Eldenburg, Eldon L. Schafer, and Dwight J. Zulauf
Financial Information Needs
183(1)
Understanding Financial Statements
184(1)
Types of Financial Statements
185(9)
Segment or Responsibility Center Reporting
194(7)
Analysis of Financial Statements
201(4)
Financial Management Practices in Health Care Organizations
205(1)
Financial Statements in Review
206(1)
Long-Range Decisions
207(13)
Long-Range Decisions in Review
220(1)
Short-Range Decisions
221(11)
Short-Range Decisions in Review
232(1)
Conclusion
232(3)
Appendix 8-A: Present Value Tables
235
Chapter 9-Planning Health Care Facilities and Managing the Development Process
231(29)
James E. Hocking
Background
237(1)
Facility Planning in Health Care Systems
238(1)
Future Facility Planning Trends
239(2)
Facility Development Process
241(5)
Functional Considerations in Facility Planning
246(4)
Key Participants
250(4)
Design and Construction Approaches
254(2)
Conclusion
256(1)
Appendix 9-A: Potential External Team Members and Responsibilities
257(3)
Chapter 10-Financing of Health Care Facilities
260
Geoffrey B. Shields and Debra J. Schnebel
Tax-Exempt Financings
260(9)
Pooled Financing
269(1)
Taxable Bonds
270(1)
Equity Financing as a Capital-Raising Technique
271(4)
Sale as a Capital-Raising Technique
275(1)
Conversion
276(1)
Private Placements and Public Offerings of Securities
276(1)
Conclusion
277
Chapter 11-Human Resources Management
219(106)
Norman Metzger
Human Resources Management: Historical Background
279(3)
Functions and Responsibilities of the Human Resources Department
282(15)
Placement of the Human Resources Department in the Institution's Organizational Structure
297(17)
Future Direction of Human Resources Management
314(1)
The Growth of Mergers, Affiliations, Organized Delivery Systems, and HMOs
315(1)
The Effect of Managed Care on Human Resources Management
316(5)
Great Places To Work
321(4)
Chapter 12-Health Care Information Systems: An Organized Delivery System Perspective
325(34)
Joseph K.H. Tan
An Organized Delivery System HCIS Infrastructure
326(7)
Emergence and Scope of Multiprovider HCIS Technologies
333(7)
SSADM for Multiprovider HCIS Design and Development
340(10)
Management and Administration of Multiprovider HCISs
350(5)
Conclusion
355(4)
Chapter 13-Management Engineering
359(30)
Karl Bartscht
History
360(3)
Cost Containment
363(2)
Productivity Management
365(9)
Quality Control Program
374(10)
Management Engineering for Future Operations
384(5)
PART II-THE HOSPITAL IN AN ORGANIZED DELIVERY SYSTEM 389(296)
Chapter 14-History of Hospitals
391(15)
Lawrence F. Wolper and Jesus J. Peņa
Medicine and Hospitals as Political Factors
391(1)
Mesopotamia
391(1)
Greek Hospitals
392(1)
Indian Hospitals
392(1)
Roman Hospitals
392(1)
Islamic Hospitals
392(1)
The Middle Ages
393(1)
Hospitals During the Renaissance
394(1)
Hospitals on the American Continent
395(1)
Hospitals in the Seventeenth, Eighteenth, and Nineteenth Centuries
396(3)
The Modern Hospital and Health Systems
399(1)
Classification of Hospitals
400(6)
Chapter 15-Hospital Organization and Management
406(12)
I. Donald Snook, Jr.
The Hospital Industry
406(1)
Services Provided by Hospitals
406(1)
Change in the Hospital Industry
407(1)
The Major Changes and Their Implications
407(1)
What Is an Organization?
408(1)
The Structure of the Hospital Organization
408(1)
The Bureaucratic Principles
409(2)
A Team of Three
411(1)
Governance
411(2)
The Trustee in an Organized Delivery System
413(1)
The CEO and the Administration
414(2)
Conclusion
416(2)
Chapter 16-Patient Access Services (Admitting): Into, Through, and Out of the Health Care Process
418(13)
John Woerly
Areas of Responsibilities
418(2)
Departmental Functions
420(8)
Management Responsibilities
428(1)
Staff Responsibilities
429(1)
Emerging Technologies and Trends
429(1)
Conclusion
430(1)
Chapter 17-Ambulatory Care
431(37)
Kevin W. Barr and Charles L. Breindel
Ambulatory Care Services-Past and Present
432(9)
Organization and Management of Ambulatory Care Services
441(9)
Reimbursement
450(13)
Future Considerations
463(3)
Conclusion
466(2)
Chapter 18-Physician Practice and Organization
468(24)
Michael J. Kelley
Forms of Physician Practice
468(6)
Managed Care Delivery Systems and Forms of Physician Organization
474
Operational Aspects of Physician Practice
471(19)
The Future
490(2)
Chapter 19-Inpatient Hospital Reimbursement
492(22)
Michael J. Dalton
Cost Finding
492(3)
Medicare Prospective Payment System
495(18)
Conclusion
513(1)
Chapter 20-Outpatient Hospital Reimbursement
514(8)
Michael J. Dalton
Bundling of Outpatient Services
515(2)
Non-Cost-Based Outpatient Reimbursement
517(3)
The Future
520(2)
Chapter 21-Managed Health Care
522(23)
Peter R. Kongstvedt
Introduction
522(1)
Definition of Managed Health Care
523(1)
Types of Health Plans
524(6)
Provider Reimbursement
530(7)
Utilization Management
537(2)
Quality Management
539(2)
Other Operational Aspects of Managed Care
541(1)
The Numbers
541(2)
Conclusion
543(2)
Chapter 22-Quality Assurance and Improvement
545(29)
Mary Reich Cooper
Contributors
545(3)
Organizations
548(7)
Methods
555(9)
Tools
564(7)
Conclusion
571(3)
Chapter 23-The Management of Nursing Services
574(22)
Marjorie Beyers
The Evolving Practice of Nurse-Executives
574(5)
Organization of Nursing/Patient Care Services
579(2)
Changing Health Care Delivery Methods
581(6)
Emerging Models for Nursing Care Delivery
587(1)
New Competencies for Nurses in Executive Practice
588(1)
Challenges for Nurses in Executive Practice
589(5)
The Future of Nurse-Executive Practice
594(2)
Chapter 24-Laboratories
596(25)
Paul J. Brzozowski and Ellen A. Moloney
Service Levels
597(1)
Organization
598(3)
Staffing
601(5)
Information Systems
606(4)
Physical Plant
610(1)
Laboratory Regulation/Compliance
611(3)
Strategic Planning
614(1)
Conclusion
615(3)
Appendix 24-A: Sample of Test Type by Section
618(1)
Appendix 24-B: Job Analysis Checklist: Medical Director
619(2)
Chapter 25-Material/Resource Management
621(35)
William L. Scheyer and Barbara B. Friedman
Supply Chain
622(5)
Managing the Core Functions
627(15)
Materials Management in Alternate Site Locations
642(1)
Future Trends in Materials Management and Purchasing
642(3)
Appendix 25-A: Bidding Instructions (Simple Format)
645(3)
Appendix 25-B: Bidding Instructions (Complex Format)
648(8)
Chapter 26-Pharmacy
656(29)
Andrew L. Wilson
Introduction
656
Pharmacy Practice
651(8)
Pharmacy Management and Leadership
659(3)
Pharmacist Training and Education
662(1)
Pharmacy Technician Training and Education
663(1)
Pharmacy Information Systems
663(2)
Inpatient Pharmacy Services
665(2)
Inpatient Drug Distribution and Management
667(3)
Sterile Products Preparation
670(2)
Pharmacy Service Location
672(1)
Ambulatory Care and Outpatient Pharmacy Systems
673(3)
Patient Care Committees
676(1)
Financial Management
677(1)
Cost and Productivity Management
678(2)
Managing Drug Costs
680(3)
Conclusion
683(2)
Index 685


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