Management Principles for Health Professionals

by Liebler, Joan Gratto; McConnell, Charles R.

• ISBN13: 9780763733209
• ISBN10: 0763733202
• Edition: 4th
• Format: Paperback
• Copyright: 2004-03-01
• Publisher: Jones & Bartlett

Summary

This is the essential reference for health professionals regardless of their field of specialty, complete with practical instructions and examples throughout the book that reflect multidisciplinary ba

Author Biography

Joan Gratto Liebler, MA, MPA, RHIA Professor Emeritus, Health Information Management, Temple University, Philadelphia, Pennsylvania

Table of Contents

Preface	ix
Part I The Health Professionals Modern Arena
Chapter 1 The Changing Scene: Organizational Adaptation and Survival	1	(32)
The Changing Health Care Scene	1	(1)
Regulation of the Health Care Industry	2	(2)
The Managed Care Era	4	(3)
Capitation: A Logical Progression?	7	(1)
Provider Growth: Mergers and Affiliations	8	(1)
The Virtual Enterprise	9	(1)
Impact of Technology	10	(1)
Social and Ethical Factors	11	(1)
Introducing Organizational Survival Strategies	12	(1)
Bureaucratic Imperialism	13	(2)
Co-optation	15	(2)
Hibernation and Adaptation	17	(1)
Goal Succession, Multiplication, and Expansion	18	(2)
Organizational Life Cycle	20	(7)
Organizational Change	27	(3)
Exercise: Becoming a Split-Department Manager	30	(3)
Chapter 2 Todays Concept of Organizational Management	33	(50)
The Nature of Management: Art or Science?	33	(1)
Functions of the Manager	34	(3)
The History of Management	37	(3)
The Systems Approach	40	(8)
Viewing the Work Organization as a Total System	48	(1)
Formal Versus Informal Organizations	49	(1)
Classification of Organizations	50	(2)
Classification of Health Care Organizations	52	(2)
Class Bureaucracy	54	(2)
Consequences of Organizational Form	56	(4)
Management Beyond the Nineties: Integration of Clinical Practice and Management Skills: The Continuing Search for Excellence	60	(7)
The Clientele Network	67	(1)
Clients	68	(2)
Suppliers	70	(2)
Advisors	72	(1)
Controllers	73	(1)
Adversaries	74	(1)
Example of Clientele Network for a Physical Therapy Unit	75	(2)
Exercise: Identifying and Describing the Management Functions	77	(1)
Exercise: Promoting Total Quality Management (TQM)	78	(5)
Part II The Management Functions: From Theory to Application
Chapter 3 Planning	83	(58)
Planning	83	(1)
Characteristics of Planning	84	(1)
Participants in Planning	84	(2)
Planning Constraints or Boundaries	86	(3)
Characteristics of Effective Plans	89	(2)
Core Values, Philosophy, and Mission Statements	91	(5)
Overall Goals	96	(1)
Objectives	96	(1)
Functional Objectives	97	(3)
Policies	100	(4)
Procedures	104	(5)
Methods	109	(1)
Rules	110	(1)
Strategic Planning	110	(6)
The Plan and the Process	116	(1)
Space Renovation and Planning	117	(1)
Exercise: Introduction to Strategic Plan Development	117	(1)
Exercise: From Intent to Action: The Planning Path	118	(2)
Appendix 3-A	120	(10)
Appendix 3-B	130	(11)
Chapter 4 Decision Making	141	(24)
Definition	141	(1)
Participants in Decision Making	142	(2)
Evaluation a Decision's Importance	144	(1)
Steps in Decision Making	144	(6)
Barriers to Rational Choice	150	(2)
Bases for Decision Making	152	(1)
Decision-Making Tools and Techniques	152	(6)
Health Care Practitioners as Decision Makers	158	(1)
How Bad Decisions Get Made	159	(1)
Clinical Reasoning	160	(1)
Case: Paid to Make Decisions?	161	(2)
Exercise: The Troublesome Professional	163	(2)
Chapter 5 Organizing	165	(72)
The Process of Organizing	166	(1)
Fundamental Concepts and Principles	167	(2)
The Span of Management	169	(3)
Line and Staff Relationships	172	(2)
The Dual Pyramid Form of Organization in Health Care	174	(1)
Basic Departmentation	175	(3)
Specific Scheduling	178	(1)
Flexibility in Organizational Structure	178	(12)
The Organizational Chart	190	(4)
The Job Description	194	(26)
The Credentialed Practitioner as Consultant	220	(1)
The Independent Contractor	221	(1)
Guidelines for Contracts and Reports	221	(2)
Exercise: Creating Organization Charts	223	(1)
Exercise: Developing a Job Description	223	(2)
Appendix 5-A	225	(4)
Appendix 5-B	229	(8)
Chapter 6 Staffing: Recruiting and Retaining Quality Employees	237	(30)
The Health Care Labor Market in the Early 21st Century	237	(4)
Recruitment	241	(9)
Why Do Health Professionals Stay at Their Jobs?	250	(8)
Retention Strategies	258	(2)
The Professional as a Free Agent	260	(3)
Case: The Ultimatum	263	(1)
Exercise: Your Recruiting Plan	264	(3)
Chapter 7 Directing and Controlling: The Critical Cycle	267	(26)
The Basic Control Process	268	(1)
Characteristics of Adequate Controls	268	(1)
Six Sigma Strategies	269	(2)
Benchmarking	271	(2)
Tools of Control	273	(14)
The Critical Cycle	287	(3)
Exercise: The Multiple-Path Flowchart: The Purchasing Request	290	(1)
Exercise: Choosing an Adequate Control Mechanism: What Fits Best?	291	(2)
Part III Practical Considerations: Keeping the Department Running Smoothly
Chapter 8 Budgeting: Controlling the Ultimate Resource	293	(34)
Uses of the Budget	294	(1)
Budget Periods	295	(1)
Types of Budgets	296	(3)
Approaches to Budgeting	299	(2)
The Budgetary Process	301	(4)
Capital Expenses	305	(2)
Supplies and Other Expenses	307	(4)
The Personnel Budget	311	(3)
Direct and Indirect Expenses	314	(1)
Budget Justification	315	(3)
Budget Variances	318	(2)
The General Audit	320	(1)
Exercise: Adjusting the Budget	321	(1)
Exercise: Belt-Tightening-More Budget Adjustments	322	(5)
Chapter 9 Committees and Teams	327	(38)
The Nature of Committees	328	(3)
The Purposes and Uses of Committees	331	(4)
Limitations and Disadvantages of Committees	335	(1)
Enhancement of Committee Effectiveness	336	(5)
The Committee Chairperson	341	(3)
Committee Member Orientation	344	(3)
Minutes and Proceedings	347	(6)
Where Do Teams Fit In?	353	(3)
As Employee Involvement Increases	356	(1)
Employee Teams and Their Future	356	(4)
Exercise: Committee Structures	360	(1)
Case: The Employee-Retention Committee Meeting	360	(5)
Chapter 10 Adaptation, Motivation, and Conflict Management	365	(40)
Adaptation and Motivation	365	(3)
Patterns of Accommodation	368	(3)
Practical Strategies for Employee Motivation	371	(3)
Appreciative Inquiry	374	(2)
Conflict	376	(1)
Organizational Conflict	377	(8)
The Labor Union and the Collective Bargaining Agreement	385	(1)
Case: A Matter of Motivation: The Delayed Promotion	386	(1)
Case and Exercise: Charting a Course for Conflict Resolution: "It's a Policy"	387	(3)
Appendix 10-A	390	(15)
Chapter 11 Training and Development: The Backbone of Motivation and Retention	405	(28)
Employee Development	406	(1)
Orientation	407	(1)
Training	408	(8)
Mentoring	416	(6)
Exercise: What to Do When Budget Cutting Threatens?	422	(1)
Case: The Department's "Know-It-All"	422	(2)
Questions	424	(2)
Appendix 11-A	426	(7)
Chapter 12 Authority, Leadership, and Supervision	433	(36)
The Concept of Power	434	(1)
The Concept of Influence	435	(1)
The Concept of Formal Authority	435	(1)
The Importance of Authority	436	(1)
Sources of Power, Influence, and Authority	437	(6)
Restrictions on the Use of Authority	443	(1)
Importance of Delegation	444	(1)
Leadership	445	(7)
Orders and Directives	452	(2)
Discipline	454	(3)
Case: Authority and Leadership-Rising from the Ranks	457	(1)
Case: Discipline and Documentation-Here She Goes Again	458	(3)
Appendix 12-A	461	(8)
Chapter 13 Human Resource Management: A Line Manager's Perspective	469	(26)
"Personnel" Equals People	470	(1)
A Vital Staff Function	470	(1)
A Service of Increasing Value	471	(2)
Learning About Your Human Resources Department	473	(5)
Putting the Human Resources Department to Work	478	(3)
Wanted: Well-Considered Input	481	(1)
Understanding Why as Well as What	482	(1)
Legal Guides for Managerial Behavior	483	(8)
Emphasis on Service	491	(1)
Case: With Friends Like This	491	(1)
Case: The Managerial "Hot Seat"	492	(3)
Chapter 14 Communication: The Glue That Binds Us Together	495	(46)
A Working Definition	496	(1)
Personal and Small Group Communication	496	(6)
Communication in Organizations	502	(7)
Case: The Long, Loud Silence	509	(1)
Case: Your Word Against His	510	(3)
Chapter 15 Day-to-Day Management for the Health Professional-as-Manager	513	(1)
The Health Professional-as-Manager	514	(7)
The Professional Managing the Professional	521	(15)
Case: Professional Behavior-The Bumping Game	536	(2)
Case: Delegation Difficulties-The Ineffective Subordinate	538	(3)
Index	541