The Physician's Essential MBA: What Every Physician Leader Needs to Know

by Stahl, Michael J.

• ISBN13: 9780834212442
• ISBN10: 0834212447
• Edition: 1st
• Format: Paperback
• Copyright: 1999-04-01
• Publisher: Jones & Bartlett

Summary

The Physician's Essential MBA: What Every Physician Leader Needs to Know is the essential resource for physicians who are seeking sophisticated business and managerial skills in order to survive in today's health care environment. This comprehensive text covers everything from change and strategy to effective data utilization.

Table of Contents

About the Editors	p. xiii
About the Authors	p. xv
Preface	p. xxiii
Acknowledgements	p. xxv
Change and Strategy in the Health Care Industry	p. 1
Strategy in the Mutating Health Care Industry: Strategic Planning Processes for Changes in Managed Care	p. 3
Executive Summary	p. 4
Strategic Environmental Analysis	p. 4
The Strategic Management Process	p. 4
Internal Strengths and Weaknesses and External Opportunities and Threats (SWOT) Analysis	p. 5
Economic and Financing Changes	p. 8
Eight Big Health Care Trends for the Millenium	p. 8
Managed Care	p. 11
Health Maintenance Organization (HMO) Growth	p. 12
Oversupply of Physicians	p. 13
Multiple Stages of Managed Care	p. 13
The Strategic Plan	p. 14
Mission	p. 16
Vision	p. 16
Values	p. 16
Objectives	p. 17
Strategies	p. 17
Quo Vadis?	p. 18
Glossary	p. 19
References	p. 20
Economics of Health Care Policy	p. 23
Executive Summary	p. 23
Trends and Projections	p. 24
The Solow Growth Model	p. 28
Saving and Investment	p. 29
Population Growth	p. 32
Technical Progress	p. 33
The Augmented Solow Model	p. 33
Reducing Aggregate Variability	p. 35
What Causes Recessions?	p. 36
Inflation and the Phillips Curve	p. 37
Imperfect Competition and Menu Costs	p. 37
The Shifting Phillips Curve	p. 39
Glossary	p. 42
References	p. 44
Health Policy for the Physician Leader	p. 45
Executive Summary	p. 46
Integration	p. 47
Key Questions of Health Policy	p. 47
Where Are We?	p. 48
How Did We Get Here?	p. 49
Do We Want To Be There?	p. 52
What Alternatives Are Out There?	p. 53
What is Likely To Work in the Future?	p. 56
How Do We Prepare For it, Given Our Political Process?	p. 60
What Is the Likely Role of Physician Leaders in This Process?	p. 61
How Can Such Roles Be Enhanced?	p. 62
Glossary	p. 63
References	p. 64
Managing Organizational Design to Lead Change in Health Care Enterprises	p. 67
Executive Summary	p. 68
Introduction	p. 69
Global Change	p. 69
Change in Health Care	p. 69
Organizational Design Helps Enterprises Adapt to Change	p. 70
Organization Design--What Has Been Learned	p. 71
How To Avoid Inflexibility and Optimize Organizational Design	p. 74
Organizational Design Decisions Directly Impact Performance	p. 75
A Physician Can Lead Change With Organizational Design	p. 76
Two Kinds of Change in Organizations	p. 76
An Organizational Design Process	p. 78
Self-Designing System Concept	p. 79
Conclusion	p. 82
Glossary	p. 84
References	p. 84
The Practice of Marketing: What Every Physician Leader Needs to Know	p. 89
Executive Summary	p. 90
The Environmental Imperative: Why Physicians
Need to Know About Marketing	p. 90
Increasing Competition	p. 91
The Changing Patient Environment	p. 92
Multiple, Competing Customers	p. 93
What is Marketing?	p. 94
Marketing's Bad Rap: Misperceptions, Biases, and Misinformation	p. 94
The Marketing Concept	p. 96
What Do Physician Leaders Need to Know About Marketing?	p. 99
MOA	p. 99
CVD	p. 101
Customer Value as a Unifying, Cross-Functional Orientation	p. 106
The Importance of MOA and CVD for Physician Leaders	p. 110
Glossary	p. 111
References	p. 112
Business Processes and Systems for Financial Stability	p. 113
Measuring Business Performance	p. 115
Executive Summary	p. 116
Financial Statements	p. 116
Why Do Physician Leaders Need An Understanding Of Accounting?	p. 116
What Is It Physician Leaders Really Need To Understand About Financial Statements?	p. 118
Why Is It Important That We Understand How The Different Financial Statements Work Together?	p. 120
Costing	p. 122
Why Is Getting A Handle On Costs Still So Important?	p. 122
How Can We Develop More Accurate Costs?	p. 124
Business Integration	p. 127
How Can We Possibly Keep Track Of Everything That Is Going On In Our Organizations?	p. 127
How Do We Begin To Understand How To Integrate All This Business Knowledge?	p. 129
Why Use A Simulation?	p. 130
Glossary	p. 132
References	p. 132
Cash Flows, Expansion and the Access to Capital	p. 135
Executive Summary	p. 135
Capital	p. 136
Internal Capital	p. 137
External Capital	p. 137
Cash Flows	p. 142
Operating Cash Flows	p. 143
Investments	p. 144
Free Cash Flow	p. 146
A Cash Flow Example	p. 147
Cash Flows and Equity	p. 150
Conclusion	p. 150
Glossary	p. 151
References	p. 152
Designing, Managing and Improving Health Care Operations	p. 153
Executive Summary	p. 154
Operations as a Transformation Process	p. 154
Are Operations Important?	p. 156
Why Does a Physician Leader Need to Know About Operations?	p. 158
Designing, Managing, and Improving Operations	p. 159
Characteristics of Service Operations	p. 160
Special Challenges Within Health Care Service Operations	p. 162
Health Care in the Context of Service Operations	p. 162
The Phenomenon of Queuing	p. 165
Interdependent Activities and Variation	p. 169
Systems Within Systems	p. 170
Conclusion	p. 171
Glossary	p. 171
References	p. 172
Disease Management: What Every Physician Leader Needs to Know	p. 173
Executive Summary	p. 174
The Concept and Rationale of Disease/Care Management	p. 174
Component Care--The Failed Model	p. 176
Pharmaceutical Companies: A Growing Force in Disease Management	p. 177
Elements of Care Management	p. 178
The Role of Case Management in Disease/Care Management	p. 178
Knowledge Base for Care Management	p. 179
Characteristics of Care Management Organizations	p. 179
Cross-Industry Teams	p. 181
Role of Clinical Practice Guidelines in Care Management	p. 181
Intervention Tools for Care Management	p. 181
Conclusion	p. 183
Glossary	p. 183
References	p. 184
Leading Exemplar Performance	p. 187
Strategic Leadership in the Health Care Industry	p. 189
Executive Summary	p. 189
My Perspective	p. 190
Leadership Versus Management	p. 191
Strategic Leadership	p. 192
Strategic Leadership Competencies	p. 193
Strategic Leadership Character	p. 194
Conclusion	p. 195
Glossary	p. 195
References	p. 196
Transitioning Leadership Styles: Physicians Preparing for Health Care Leadership	p. 199
Executive Summary	p. 200
Introduction	p. 200
Skill Assessment	p. 203
Formal Assessment	p. 203
Informal Assessment	p. 207
Skill Development	p. 208
One-on-One Coaching	p. 208
Creating a Development Plan	p. 210
Glossary	p. 213
References	p. 214
Business Law and Business Ethics for Physician Leaders	p. 217
Executive Summary	p. 218
Legal Issues in the Business of Health Care	p. 218
Contracting in the Managed Care Environment	p. 218
Antitrust and Price Fixing	p. 220
Healthcare Fraud and Abuse	p. 222
Ethical Standards for the Business of Health Care	p. 226
Ethical Standards Help Us Create an Ethical Climate	p. 227
Ethics Officers	p. 228
Two Traditional Sides of Business Ethics	p. 229
Health Care Organizational Issues	p. 235
Conclusion	p. 237
Glossary	p. 238
References	p. 241
Turning Data Into Information Using Technology	p. 245
Learning in a Variable World: Statistics and Decision-Making for Physician Leaders	p. 247
Executive Summary	p. 248
Introduction	p. 248
Statistics and Medical Practice	p. 248
Statistics and Management	p. 249
Chapter Outline	p. 250
Collecting Data	p. 252
Assessing Patient Satisfaction Levels	p. 252
Comparing Suppliers	p. 253
Sex Discrimination in Salaries	p. 254
Summarizing Data	p. 255
Assessing Patient Satisfaction Levels	p. 255
Comparing Suppliers	p. 255
Sex Discrimination in Salaries	p. 257
Making Inferences from Data	p. 259
Assessing Patient Satisfaction Levels	p. 259
Comparing Suppliers	p. 259
Sex Discrimination in Salaries	p. 260
Conclusion	p. 262
Glossary	p. 263
References	p. 264
Continuous Quality Improvement: What Every Physician Leader Needs to Know	p. 265
Executive Summary	p. 266
Application of the Quality Improvement Cycle to Health Care	p. 267
Trends in Health Care Economics	p. 267
Continuous Quality Improvement in American Industry	p. 268
Deming's Fourteen Quality Principles	p. 269
Juran--The Foundation of Total Quality Management	p. 270
Shewhart--The PDSA Cycle	p. 271
Crosby--The Concept of Zero Defects	p. 272
Quality Improvement Tools	p. 273
Flow Charts	p. 274
Control Charts	p. 274
Goals of TQM and CQI	p. 277
Conclusion	p. 278
Glossary	p. 278
References	p. 280
Diagnosing the Security of Your Organization's Information	p. 281
Executive Summary	p. 282
Rewards and Risks of Sharing Information	p. 282
Connecting Internal Systems	p. 283
Connecting To the World	p. 283
Know the Enemies	p. 284
Competitive Spies and Teenagers	p. 284
The Quiet Ones	p. 286
The Sly Ones	p. 287
The Unwitting Ones	p. 288
An Ounce of Prevention	p. 289
The Aches and Pains of Computer Viruses	p. 289
What Viruses Are	p. 290
The Frustrating Surprises	p. 290
How Do I Know You're You?	p. 291
Passwords	p. 291
Physical Identification Cards	p. 293
Encryption	p. 293
Digital Signatures	p. 294
Digital Certificates	p. 295
Biometrics	p. 296
When to Quarantine Your Computers	p. 297
Disaster Recovery	p. 297
Put it on Paper	p. 298
Glossary	p. 299
References	p. 300
Information Technology	p. 303
Executive Summary	p. 304
Fighting Against the Future	p. 304
A Culture of Change for Individuals and Businesses	p. 305
Informunication	p. 306
New Basic Skills: A Change in Leadership Approach	p. 306
Collaborative Partnerships	p. 306
Change Brokering	p. 307
The Informunication-driven Enterprise	p. 307
New Basic Skills: A Commitment to Lifelong Learning	p. 308
New Research Methods	p. 308
Just-In-Time Learning	p. 308
Trend Spotting	p. 308
The Urgency of Adaptation	p. 309
Technology as a Tool, Not a Toy	p. 309
Implementation as a River, Not a Waterfall	p. 310
Critical Technology Skills for Personal Adaptation	p. 310
Conclusion	p. 311
Glossary	p. 311
References	p. 312
Index	p. 313
Table of Contents provided by Syndetics. All Rights Reserved.