Introduction to Health Care Management 2nd edition by Sharon Buchbinder 1449678092 9781449678098

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ISBN-10 ‏ : ‎1449678092 

ISBN-13 ‏ : ‎ 9781449678098

Author: Sharon B. Buchbinder

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. 

Introduction to Health Care Management 2nd Table of contents:

CHAPTER 1 An Overview of Healthcare Management
LEARNING OBJECTIVES
INTRODUCTION
THE NEED FOR MANAGERS AND THEIR PERSPECTIVES
TABLE 1-1 Domains of Health Services Administration
MANAGEMENT: DEFINITION, FUNCTIONS, AND COMPETENCIES
TABLE 1-2 Managerial Positions, by Organizational Setting
MANAGEMENT POSITIONS: THE CONTROL IN THE ORGANIZATIONAL HIERARCHY
FIGURE 1-1 Functional Organizational Structure
FOCUS OF MANAGEMENT: SELF, UNIT/TEAM, AND ORGANIZATION
ROLE OF THE MANAGER IN TALENT MANAGEMENT
ROLE OF THE MANAGER IN ENSURING HIGH PERFORMANCE
ROLE OF THE MANAGER IN SUCCESSION PLANNING
ROLE OF THE MANAGER IN HEALTHCARE POLICY
CHAPTER SUMMARY
DISCUSSION QUESTIONS
REFERENCES
CHAPTER 2 Leadership
LEARNING OBJECTIVES
LEADERSHIP VS. MANAGEMENT
FIGURE 2-1 Leadership and Management Focus
FOLLOWERSHIP
TABLE 2-1 Leadership vs. Management Competencies
HISTORY OF LEADERSHIP IN THE UNITED STATES
CONTEMPORARY MODELS
Emotional Intelligence (EI)
TABLE 2-2 Leadership Theories in the United States
Authentic Leadership
TABLE 2-3 Emotional Intelligence’s Application to Healthcare Leadership
Inspirational Leadership
Diversity Leadership
Servant Leadership
Spirituality Leadership
TABLE 2-4 Spirituality Leadership’s Application
LEADERSHIP STYLES
TABLE 2-5 Leadership Styles for Healthcare Personnel
LEADERSHIP COMPETENCIES
LEADERSHIP PROTOCOLS
TABLE 2-6 Leadership Domains and Competencies
TABLE 2-7 Key Leadership Protocols
GOVERNANCE
TABLE 2-8 Healthcare Governance Trends
BARRIERS AND CHALLENGES
TABLE 2-9 Key Healthcare Leadership Barriers and Challenges
ETHICAL RESPONSIBILITY
TABLE 2-10 American College of Healthcare Executives Code of Ethics
LEADERS LOOKING TO THE FUTURE
TABLE 2-11 Professional Associations
DISCUSSION QUESTIONS
REFERENCES
Additional Websites to Explore
CHAPTER 3 Management and Motivation
LEARNING OBJECTIVES
INTRODUCTION
MOTIVATED VS. ENGAGED—ARE THE TERMS THE SAME?
MOTIVATION—THE CONCEPT
What Are Rewards?
Who Motivates Employees?
Is Everybody Motivated?
WHY MOTIVATION MATTERS
HISTORY OF MOTIVATION
THEORIES OF MOTIVATION
Needs-Based Theories of Motivation
Maslow’s Hierarchy of Needs
Alderfer’s ERG Theory
Herzberg’s Two-Factor Theory
McClelland’s Acquired Needs Theory
Extrinsic Factor Theories of Motivation
Reinforcement Theory
Intrinsic Factor Theories of Motivation
Management Theories of Motivation
A BIT MORE ABOUT INCENTIVES AND REWARDS
Extrinsic Rewards
Intrinsic Rewards
MISCONCEPTIONS ABOUT MOTIVATION AND EMPLOYEE SATISFACTION
MOTIVATIONAL STRATEGIES
MOTIVATING ACROSS GENERATIONS
CONCLUSION
TABLE 3-1 Generation Characteristics and Motivational Preferences
DISCUSSION QUESTIONS
REFERENCES
CHAPTER 4 Organizational Behavior and Management Thinking
LEARNING OBJECTIVES
INTRODUCTION
THE FIELD OF ORGANIZATIONAL BEHAVIOR
ORGANIZATIONAL BEHAVIOR’S CONTRIBUTION TO MANAGEMENT
KEY TOPICS IN ORGANIZATIONAL BEHAVIOR
ORGANIZATIONAL BEHAVIOR ISSUES IN HEALTH ORGANIZATIONS
HOW THINKING INFLUENCES ORGANIZATIONAL BEHAVIOR
The Effect of Thinking on Behavior
TABLE 4-1 Role of Thinking in Organizational Behavior
Perception and Thinking
Theory X and Theory Y—The Role of Assumptions
Perception
Cognitive Biases
TEXTBOX 4-1. THE ATYPICAL HEART ATTACK
Expectancy
Expectancy Theory
Attribution Theory
Schemas
TEXTBOX 4-2. REFRAMING ALZHEIMER’S DISEASE WITH A NEW INTERPRETIVE SCHEMA
Mental Models
Sensemaking in Organizations
MANAGING AND LEARNING
HOW TO WORK WITH THINKING
Thinking and Sensemaking in Communication and Problem Solving
TEXTBOX 4-3. THE WRONG DIAGNOSIS—A LESSON FOR MANAGERS?
Communication
Problem Solving
TEXTBOX 4-4. ACTION INQUIRY: A FRAMEWORK FOR CHECKING ASSUMPTIONS
CONCLUSIONS
DISCUSSION QUESTIONS
REFERENCES
CHAPTER 5 Strategic Planning
LEARNING OBJECTIVES
INTRODUCTION
PURPOSE AND IMPORTANCE OF STRATEGIC PLANNING
THE PLANNING PROCESS
FIGURE 5-1 Strategic Planning Process
SWOT ANALYSIS
Market Assessment
Power of the Healthcare Workforce
FIGURE 5-2 Market Assessment Model
Power of Consumers and Payers
Innovations in Technology
The Regulatory Environment
Competitive Rivalry
Mission, Vision, Values
Organizational Assessment
Organizational Volume Forecast
Financial Condition
Strategic Performance
Organizational Core Capabilities
TABLE 5-1 Data Collection Methods
STRATEGY IDENTIFICATION AND SELECTION
Scenario Development
Outcomes
TABLE 5-2 Successful Strategies
TABLE 5-3 Tactical Plan Template
Strategy Tactical Plans
ROLLOUT AND IMPLEMENTATION
FIGURE 5-3 Supporting Plans
OUTCOMES MONITORING AND CONTROL
FIGURE 5-4 Dashboard
STRATEGY EXECUTION
Barriers
Participants
STRATEGIC PLANNING AND EXECUTION: THE ROLE OF THE HEALTHCARE MANAGER
CONCLUSION
DISCUSSION QUESTIONS
REFERENCES
Additional Readings
Additional Resources
CHAPTER 6 Healthcare Marketing
LEARNING OBJECTIVES
INTRODUCTION
WHAT IS MARKETING?
FIGURE 6-1 Production, Sales, and Marketing Orientation
Key Components of the Marketing Concept
Social Marketing and Cause-Related Marketing
FIGURE 6-2 Ribbon Used for Social and Cause-Related Marketing
A BRIEF HISTORY OF MARKETING IN HEALTH CARE
THE STRATEGIC MARKETING PROCESS
FIGURE 6-3 Components of Strategic Marketing
FIGURE 6-4 Strategic Marketing Strategy Process Framework
UNDERSTANDING MARKETING MANAGEMENT
Segmentation, Targeting, and Positioning (STP)
Target Segment Selection
TABLE 6-1 Segmentation Broad Categories, Variables, and Indicative Examples
Positioning
HEALTHCARE BUYER BEHAVIOR
Organizational Buying Behavior
Consumer Buying Behavior
TABLE 6-2 Consumer Decision-Making Process
MARKETING MIX
MARKETING PLAN
ETHICS AND SOCIAL RESPONSIBILITY
CONCLUSION
DISCUSSION QUESTIONS
REFERENCES
CHAPTER 7 Quality Improvement Basics
LEARNING OBJECTIVES
INTRODUCTION
DEFINING QUALITY IN HEALTH CARE
WHY IS QUALITY IMPORTANT?
KEY LEADERS IN QUALITY IMPROVEMENT
BALDRIGE AWARD CRITERIA: A STRATEGIC FRAME WORK FOR QUALITY IMPROVEMENT
FIGURE 7-1 Baldrige Health Care Criteria for Performance Excellence Framework
COMMON ELEMENTS OF QUALITY IMPROVEMENT
Measurement
Process Variation and Statistical Process Control (SPC)
TWO APPROACHES TO QUALITY IMPROVEMENT
Continuous Quality Improvement
Six Sigma
QUALITY IMPROVEMENT TOOLS
Data Collection
Mapping Processes
FIGURE 7-2 Workflow Diagram
Analyzing Processes
FIGURE 7-3 Medication Error Reporting Flowchart
FIGURE 7-4 Fishbone Diagram
CONCLUSION
DISCUSSION QUESTIONS
REFERENCES
CHAPTER 8 Information Technology
LEARNING OBJECTIVES
INTRODUCTION
INFORMATION SYSTEMS USED BY MANAGERS
TABLE 8-1 Examples of Typical Clinical Systems in Hospitals
THE ELECTRONIC MEDICAL RECORD (EMR)
FIGURE 8-1 EMRAM MODEL
TABLE 8-2 Comparison of 2008 to 2009 EMRAM scores for American Hospitals, January 2010
THE CHALLENGES TO CLINICAL SYSTEM ADOPTION
THE FUTURE OF HEALTHCARE INFORMATION TECHNOLOGY (HIT): THE VISION OF AN INTEGRATED U.S. HEALTHCARE SYSTEM
THE IMPACT OF INFORMATION TECHNOLOGY ON THE HEALTHCARE MANAGER
TEXTBOX 8-1. BREACH OF PATIENT PRIVACY
CONCLUSION
DISCUSSION QUESTIONS
REFERENCES
CHAPTER 9 Financing Health Care and Health Insurance
LEARNING OBJECTIVES
INTRODUCTION
National Health Spending
TABLE 9-1 2008 National Health Spending by Type of Expenditure
Paying for Health Care
FIGURE 9-1 National Health Expenditures by Source of Funds, 2008
INTRODUCTION TO HEALTH INSURANCE
BRIEF HISTORY OF HEALTH INSURANCE
CHARACTERISTICS OF HEALTH INSURANCE
Forms of Payment
Cost Sharing
Policy Limitations
Types of Benefits
Other Concerns Regarding Health Insurance
PRIVATE HEALTH INSURANCE COVERAGE
Conventional Indemnity Insurance
Managed Care Plans
Health Maintenance Organizations (HMOs)
Preferred Provider Organizations (PPOs)
Point-of-Service (POS) Plans
High-Deductible Health Plan with Savings Option (HDHP/SO)
TABLE 9-2 Health Plan Enrollment by Type of Plan, 1988–2009
TABLE 9-3 Comparison of Insurance Plan Characteristics
THE EVOLUTION OF SOCIAL INSURANCE
Major Legislation
Social Security Act of 1965
Employee Retirement and Income Security Act
TEFRA 1982 and OBRA 1989
Balanced Budget Act of 1997
Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Patient Protection and Affordable Care Act of 2010
MAJOR “PLAYERS” IN THE SOCIAL INSURANCE ARENA
Medicare
FIGURE 9-2 Estimated Medicare Revenues, 2010
FIGURE 9-3 Distribution of Medicare Expenditures, 2009
Medicaid
FIGURE 9-4 Distribution of Medicaid Medical Assistance Payments, FY 2009
Insuring Veterans, Active and Retired Military Personnel, and Their Families
TRICARE and DOD
FIGURE 9-5 TRICARE Eligible Beneficiaries (in millions)
Veterans Affairs
TABLE 9-4 VA Enrollment Categories (abbreviated explanation)
TABLE 9-5 VHA Performance Data
FIGURE 9-6 VA 2010 Demographics (in millions)
Financing for DOD and VA Health Programs
STATISTICS ON HEALTH INSURANCE COVERAGE AND COSTS
FIGURE 9-7 Health Insurance Coverage, 2008
TABLE 9-6 Premiums Paid by Employees and Employers by Type of Plan, 2009
THOSE NOT COVERED—THE UNINSURED
FIGURE 9-8 Distribution of the Uninsured by Race, 2008
FIGURE 9-9 Distribution of the Uninsured by Age, 2008
TABLE 9-7 Myths About the Uninsured
CONCLUSION
DISCUSSION QUESTIONS
REFERENCES
CHAPTER 10 Managing Costs and Revenues
LEARNING OBJECTIVES
INTRODUCTION
WHAT IS FINANCIAL MANAGEMENT AND WHY IS IT IMPORTANT?
TAX STATUS OF HEALTHCARE ORGANIZATIONS
FINANCIAL GOVERNANCE AND RESPONSIBILITY STRUCTURE
TABLE 10-1 Comparison of For-Profit and Not-for-Profit Organizations
MANAGING REIMBURSEMENTS FROM THIRD-PARTY PAYERS
What Are the Primary Methods of Payment Used by Private Health Plans for Reimbursing Providers?
Retrospective Reimbursement
Prospective Reimbursement
What Are the Primary Methods of Payment Used for Reimbursing Providers by Medicare and Medicaid?
Reimbursement to Hospitals and Contractual Allowances
Reimbursement to Physicians
Medicare Reimbursements to Other Providers
How Are Providers Reimbursed by Private Pay Patients and Individuals with No Health Insurance?
CONTROLLING COSTS AND COST ACCOUNTING
Classifying Costs
Allocating Costs
TABLE 10-2 Frequently Utilized Methods of Classifying Costs
Determining Product Costs
Break-Even Analysis
SETTING CHARGES
Other Determinants of Setting Charges and Prices
MANAGING WORKING CAPITAL
What Are the Purposes of Working Capital Management?
Why Is Working Capital Management in Healthcare Environments Problematic?
MANAGING ACCOUNTS RECEIVABLE
Major Steps in Accounts Receivable Management
TABLE 10-3 Hospital Departmental Involvement in Managing Accounts Receivable
MANAGING MATERIALS AND INVENTORY
Why Is Materials Management Important?
What Are the Basic Tenets of Materials Management?
TABLE 10-4 Inventory Management Techniques
MANAGING BUDGETS
Sorting Out the Definitions and Distinguishing Characteristics of Budgeting
What Are the Specific Types of Budgets?
The Importance of Capital Budgeting
CONCLUSION
DISCUSSION QUESTIONS
REFERENCES
CHAPTER 11 Managing Healthcare Professionals
LEARNING OBJECTIVES
INTRODUCTION
PHYSICIANS
International Medical Graduates
Employed Physicians and Turnover
Employed Physicians and Conflict of Interest
REGISTERED NURSES
Conflict and Communication: Creating a Culture of Safety
Foreign Educated Nurses
LICENSED PRACTICAL NURSES/LICENSED VOCATIONAL NURSES
NURSING AND PSYCHIATRIC AIDES
HOME HEALTH AIDES
MIDLEVEL PRACTITIONERS
Advanced Practice Nurses
Physician Assistants
ALLIED HEALTH PROFESSIONALS
Respiratory Therapists (RTs)
CONCLUSION
DISCUSSION QUESTIONS
REFERENCES
CHAPTER 12 The Strategic Management of Human Resources
LEARNING OBJECTIVES
INTRODUCTION
ENVIRONMENTAL FORCES AFFECTING HUMAN RESOURCES MANAGEMENT
TABLE 12-1 Environmental Forces and Impacts on Human Resources Management
TABLE 12-2 Projected Growth in Healthcare Occupations Employment, 2008–2018
UNDERSTANDING EMPLOYEES AS DRIVERS OF ORGANIZATIONAL PERFORMANCE
KEY FUNCTIONS OF HUMAN RESOURCES MANAGEMENT
TABLE 12-3 Human Resources Functions
WORKFORCE PLANNING/RECRUITMENT
Job Analysis
TABLE 12-4 Key Federal Legislation Affecting Human Resources Management
Workforce Planning
Establishing Job Descriptions
Recruitment, Selection, Negotiation, and Hiring of New Employees
FIGURE 12-1 Position Description
Advertising
TABLE 12-5 Responsibilities of HR Staff and Line Managers in Recruitment
Interviewing, Selection, Negotiation, and Hiring
Orientation
EMPLOYEE RETENTION
Employee Relations and Engagement
Training and Development
Managing Compensation and Benefits
Compensation
Benefits
Employee Assistance Programs
Assessing Employee Performance
FIGURE 12-2 Performance Evaluation
Managing Labor Relations
Leadership Development
Employee Suggestion Programs
CONCLUSION
DISCUSSION QUESTIONS
REFERENCES
CHAPTER 13 Teamwork
LEARNING OBJECTIVES
INTRODUCTION
WHAT IS A TEAM?
TEXTBOX 13-1. QUALITY IMPROVEMENT TEAMS IN A HOSPITAL
TEXTBOX 13-2. USING CROSS-FUNCTIONAL CLINICAL TEAMS TO IMPROVE PATIENT ACTIVITIES OF DAILY LIVING
THE CHALLENGE OF TEAMWORK IN HEALTHCARE ORGANIZATIONS
THE BENEFITS OF EFFECTIVE HEALTHCARE TEAMS
TEXTBOX 13-3. COLLABORATION OF STAFF IN A SERVICE LINE APPROACH
THE COSTS OF TEAMWORK
TEXTBOX 13-4. USE OF TEAMS IN A “PATIENT-FOCUSED CARE MODEL” IN A COMMUNITY HOSPITAL
REAL-WORLD PROBLEMS AND TEAMWORK
WHO’S ON THE TEAM?
EMOTIONS AND TEAMWORK
TEAM COMMUNICATION
METHODS OF MANAGING TEAMS OF HEALTHCARE PROFESSIONALS
FIGURE 13-1 Guidelines for Teamwork
CONCLUSION
DISCUSSION QUESTIONS
REFERENCES
CHAPTER 14 Addressing Health Disparities: Cultural Proficiency
LEARNING OBJECTIVES
INTRODUCTION
CHANGING U.S. DEMOGRAPHICS AND PATIENT POPULATIONS
FIGURE 14-1 Changing Demographics in the United States
ADDRESSING HEALTH DISPARITIES BY FOSTERING CULTURAL COMPETENCE IN HEALTHCARE ORGANIZATIONS
TABLE 14-1 National Standards on Culturally and Linguistically Appropriate Services (CLAS)
BEST PRACTICES
The Healthcare Workforce
Management
Assessment
Education and Training
Multilingual Services
Evaluation
Research
Community Outreach and Engagement
ADDRESSING HEALTH DISPARITIES BY ENHANCING PUBLIC POLICY
FIGURE 14-2 Interrelationships Needed for Cultural Proficiency
CONCLUSION
DISCUSSION QUESTIONS
REFERENCES
Additional Websites to Explore
CHAPTER 15 Ethics and Law
LEARNING OBJECTIVES
INTRODUCTION
TEXTBOX 15-1. TERRI SCHIAVO CASE
TABLE 15-1 Legal and Ethical Comparison
LEGAL CONCEPTS
TABLE 15-2 Overlap of Legal and Ethical Activities
TEXTBOX 15-2. KEY TERMS
TEXTBOX 15-3. KEY TERMS
TORT LAW
MALPRACTICE
CONTRACT LAW
TABLE 15-3 Contract and Tort Law
TEXTBOX 15-4. KEY TERM
ETHICAL CONCEPTS
Respect for Persons
Beneficence and Nonmaleficence
Justice
PATIENT AND PROVIDER RIGHTS AND RESPONSIBILITIES
TEXTBOX 15-5. KEY TERM
LEGAL/ETHICAL CONCERNS IN MANAGED CARE
BIOMEDICAL CONCERNS
BEGINNING- AND END-OF-LIFE CARE
CONCLUSION
DISCUSSION QUESTIONS
REFERENCES
CHAPTER 16 Fraud and Abuse
LEARNING OBJECTIVES
INTRODUCTION
WHAT IS FRAUD AND ABUSE?
HISTORY
Operation Restore Trust
The Tax Relief and Health Care Act of 2006
Health Care Fraud Prevention and Enforcement Action Team
THE SOCIAL SECURITY ACT AND THE CRIMINAL-DISCLOSURE PROVISION
THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT
Hospital Compliance with EMTALA
TABLE 16-1 Criminal Disclosure Provisions
ANTITRUST ISSUES
TABLE 16-2 Antitrust Acts
PHYSICIAN SELF-REFERRAL/ANTI-KICKBACK/SAFE HARBOR LAWS
TABLE 16-3 Stark Laws
MANAGEMENT RESPONSIBILITY FOR COMPLIANCE AND INTERNAL CONTROLS
CORPORATE COMPLIANCE PROGRAMS
TABLE 16-4 Effective Compliance Program Essentials
CONCLUSION
DISCUSSION QUESTIONS
REFERENCES
CHAPTER 17 Healthcare Management Case Studies and Guidelines*
INTRODUCTION
CASE STUDY ANALYSIS
CASE STUDY WRITE-UP
Background Statement
Major Problems and Secondary Issues
Your Role
Organizational Strengths and Weaknesses
Alternatives and Recommended Solutions
Evaluation

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