Introduction to Health Care Management

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  • Edition: 1st
  • Format: Paperback
  • Copyright: 2007-02-01
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Supplemental Materials

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Introduction to Health Care Management is a concise, reader-friendly, introductory healthcare management book that covers a wide variety of healthcare settings, from hospitals to nursing homes and clinics. Filled with examples to engage the reader’s imagination, the important issues in healthcare management, such as ethics, cost management, strategic planning and marketing, information technology, and human resources, are all thoroughly covered.Guidelines and rubrics along with numerous case studies make this text both student-friendly and teacher friendly. It is the perfect resource for students of healthcare management, nursing, allied health, business administration, pharmacy, occupational therapy, public administration, and public health. Features: Chapters contributed by real experts using an active voice to grab the reader’s attention. Learning objectives and discussion questions in each chapter. Instructors’ resources online for each chapter, including PowerPoints, Test Bank, and Sample Syllabus. 15 case studies in a wide variety of settings, in an assortment of healthcare management topics. A case study guide, with rubrics for evaluation of student performance, enabling instructors at every level of experience to hit the ground running on that first day of class.

Table of Contents

Forewordp. xv
Prefacep. xix
Acknowledgmentsp. xxi
Leadershipp. 1
Leadership vs. Managementp. 1
Followershipp. 3
History of Leadership in the United Statesp. 4
Contemporary Modelsp. 6
Leadership Stylesp. 10
Leadership Competenciesp. 11
Leadership Protocolsp. 12
Governancep. 14
Barriers and Challengesp. 15
Ethical Responsibilityp. 17
Leaders Looking to the Futurep. 18
Management and Motivationp. 23
Introductionp. 23
Motivation-The Conceptp. 24
Theories of Motivationp. 25
A Bit More about Incentives and Rewardsp. 30
Misconceptions about Motivation and Employee Satisfactionp. 31
Motivational Strategiesp. 33
Conclusionp. 34
Organizational Behavior and Management Thinkingp. 37
Introductionp. 38
The Field of Organizational Behaviorp. 38
Organizational Behaviors Contribution to Managementp. 39
Key Topics in Organizational Behaviorp. 39
Organizational Behavior Issues in Health Organizationsp. 40
How Thinking Influences Organizational Behaviorp. 41
Individual Perception and Thinkingp. 42
Managing and Learningp. 48
Thinking and Sensemaking in Communication and Problem Solvingp. 49
Conclusion and Applicationsp. 51
Strategic Planningp. 59
Introductionp. 59
Purpose and Importance of Strategic Planningp. 60
The Planning Processp. 60
Situational Assessmentp. 61
Strategy Tactical Plansp. 71
Rollout and Implementationp. 72
Monitoring and Controlp. 73
Strategy Executionp. 75
Strategic Planning and Execution-The Role of the Healthcare Managerp. 76
Conclusionp. 77
Performance Improvement in Health Care: The Quest to Achieve Qualityp. 81
Introductionp. 81
Defining Quality in Health Carep. 82
Why Is Quality Important?p. 84
A Brief History of Quality and Performance Improvementp. 86
Quality Assurancep. 86
The End Result System and the Flexner Reportp. 87
The Joint Commissionp. 88
QA Essentialsp. 89
QA Assumptions and Actionsp. 90
From Peer Review to Quality Improvement Organizationsp. 91
Professional Standards Review Organizations (PSROs) Programsp. 91
Peer Review Organization (PRO) Programp. 92
Quality Improvement Organization (QIO) Programp. 93
Continuous Quality Improvementp. 94
The Concept of CQI in Health Carep. 96
Applying CQIp. 99
Other Leading Quality Improvement Modelsp. 101
Key Quality Improvement Conceptsp. 103
Quality Improvement Toolsp. 106
System Thinking and Healthcare Quality Improvementp. 108
Health Care as High Hazard Industryp. 111
Approaches to System Improvementp. 111
Assessing Healthcare System Improvementp. 115
Healthcare System Improvement Challengesp. 116
Developing a National Information Technology Infrastructurep. 121
Conclusionp. 127
Information Technologyp. 137
Introductionp. 137
Historical Overviewp. 138
Health Information and Its Usersp. 140
Health Information Technology and Applicationsp. 142
The Role of the Health Managerp. 147
Challengesp. 150
Conclusionp. 152
Financing Health Care and Health Insurancep. 155
Introductionp. 155
National Health Spendingp. 156
Paying for Health Carep. 157
Introduction to Health Insurancep. 158
Brief History of Health Insurancep. 159
Characteristics of Health Insurancep. 160
Private Health Insurance Coveragep. 163
Consumer-Driven Health Plansp. 166
The Evolution of Social Insurancep. 169
The Convergence of Political Opportunity and Leadershipp. 169
Major Legislationp. 170
Major "Players" in the Social Insurance Arenap. 173
Statistics on Health Insurance Coverage and Costsp. 187
Those Not Covered-The Uninsuredp. 189
Conclusionp. 193
Managing Costs and Revenuesp. 197
Introductionp. 198
What Is Financial Management and Why Is it Important?p. 198
Ten Major Objectives of Financial Managementp. 199
Tax Status of Healthcare Organizationsp. 200
Financial Governance and Responsibility Structurep. 202
Managing Reimbursements from Third-Party Payersp. 204
What Are the Primary Methods of Payment Used by Private Health Plans for Reimbursing Providers?p. 204
What Are the Primary Methods of Payment Used for Reimbursing Providers by Medicare and Medicaid?p. 207
How Are Providers Reimbursed by Individuals with No Health Insurance?p. 209
Controlling Costs and Cost Accountingp. 211
Classifying Costsp. 211
Allocating Costsp. 212
Determining Product Costsp. 213
Break-Even Analysisp. 213
Setting Chargesp. 214
Other Determinants of Setting Charges and Pricesp. 215
Managing Working Capitalp. 217
Managing Accounts Receivablep. 219
Major Steps in Accounts Receivable Managementp. 220
Managing Materials and Inventoryp. 221
Managing Budgetsp. 224
Conclusionp. 228
Managing Healthcare Professionalsp. 231
Introductionp. 231
Physiciansp. 232
Registered Nursesp. 243
Licensed Practical Nurses/Licensed Vocational Nursesp. 250
Nursing, Psychiatric, and Home Health Aidesp. 251
Midlevel Practitionersp. 253
Allied Health Professionalsp. 255
Conclusionp. 257
The Strategic Management of Human Resourcesp. 265
Introductionp. 266
Environmental Forces Affecting HR Managementp. 268
Understanding Employees as Drivers of Organizational Performancep. 271
Key Functions of Human Resources Managementp. 272
Workforce Planning/Recruitmentp. 275
Employee Retentionp. 282
Conclusionp. 297
Teamworkp. 303
Introductionp. 303
What Is a Team?p. 304
The Challenge of Teamwork in Healthcare Organizationsp. 305
The Benefits of Effective Healthcare Teamsp. 308
The Costs of Teamworkp. 310
Who's on the Team?p. 313
Team Communicationp. 315
Methods of Managing Teams of Healthcare Professionalsp. 316
Conclusionp. 319
Cultural Competency and Diversityp. 323
Introductionp. 323
Cultural Frameworks in Healthcare Managementp. 326
Cultural Competency and Diversity Staff Trainingp. 329
Cultural Competency at the Workplacep. 331
Conclusionp. 337
Ethics and Lawp. 343
Introductionp. 343
Ethical Conceptsp. 344
Legal Conceptsp. 346
Elements of a Contractp. 347
Types of Tortsp. 347
Malpracticep. 349
Patient and Provider Rights and Responsibilitiesp. 349
Legal/Ethical Concerns in Managed Carep. 351
Biomedical Concernsp. 353
Beginning- and End-of-life Carep. 353
Research in Healthcare Settingsp. 354
Conclusionp. 355
Fraud and Abusep. 357
Introductionp. 358
What Is Fraud and Abuse?p. 358
Historyp. 359
Operation Restore Trustp. 359
The Social Security Act and the Criminal-Disclosure Provisionp. 360
The Emergency Medical Treatment and Active Labor Actp. 362
Hospital Compliance with EMTALAp. 363
The Balanced Budget Act of 1997p. 363
Antitrust Issuesp. 364
Federal Enforcement Actionsp. 364
Safe Harbor/Anti-Kickback Regidationsp. 365
Anti-Kickback Statutesp. 365
Safe Harbor Lawsp. 367
Stacked Penaltiesp. 369
Management Responsibility for Compliance and Internal Controlsp. 369
Corporate Compliance Programsp. 370
Conclusionp. 371
Healthcare Management Guidelines and Case Studiesp. 375
Introductionp. 375
Guidelinesp. 375
Team Structure and Process for Completionp. 377
Guidelines for Effective Participationp. 377
Case Studiesp. 383
Oops Is Not an Optionp. 383
Building a Better MIS-Trapp. 384
Case of the Complacent Employeep. 386
Managing Healthcare Professionals: Mini-Case Studiesp. 389
Negotiation in Actionp. 391
The Merger of Two Competing Hospitals: A Case Studyp. 397
The Orchestra: A Narrative in a Minor Keyp. 404
Labor and Delivery Dilemmap. 415
Sexual Harassment at the Diabetics Clinicp. 416
Seaside Convalescent Care Centerp. 421
Staffing at River Oaks Community Hospital: Measure Twice, Cut Oncep. 423
Heritage Valley Medical Center: Are Your Managers Culturally Competent?p. 429
Humor Strategies in Healthcare Management Educationp. 433
Electronic Medical Records in a Rural Family Practice Residency Programp. 438
Medication Errors Reporting at Community Memorial Hospitalp. 442
Indexp. 449
Table of Contents provided by Ingram. All Rights Reserved.

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The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

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