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

by Wolper, Lawrence F.

• ISBN13: 9780763732837
• ISBN10: 0763732834
• Edition: 3rd
• Format: Paperback
• Copyright: 1999-02-01
• Publisher: Jones & Bartlett

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. Peña
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