| |
| |
| About the Author/Editor | |
| |
| |
| Contributors | |
| |
| |
| Preface | |
| |
| |
| Acknowledgments | |
| |
| |
| |
| Planning, Implementing, and Managing Organized Delivery Systems | |
| |
| |
| |
| International Health Care: A 12-Country Comparison | |
| |
| |
| |
| The Financing, Organization, and Outcomes from the Provision of Health Care | |
| |
| |
| Tax-Funded Models for Direct Provision of Health Services | |
| |
| |
| Tax-Funded Model for Indirect Provision of Health Services | |
| |
| |
| Compulsory Insurance Models for Indirect Provision of Health Services | |
| |
| |
| Mixed Models for Provision of Health Services | |
| |
| |
| Shared Concerns and Learning Opportunities | |
| |
| |
| |
| Organized Delivery Systems | |
| |
| |
| |
| Healthcare System Development | |
| |
| |
| System Characteristics | |
| |
| |
| The Impact of Managed Care | |
| |
| |
| System Integration | |
| |
| |
| System Performance | |
| |
| |
| A View from the Real World | |
| |
| |
| In-Depth Case Study: Southeast Medical Center | |
| |
| |
| Managerial Implications and Recommendations | |
| |
| |
| |
| Legal Implications of Business Arrangements in the Healthcare Industry | |
| |
| |
| |
| Legal Structure of the Healthcare Delivery System | |
| |
| |
| Federal Anti-Kickback Statute | |
| |
| |
| Physician Self-Referral--Stark Law | |
| |
| |
| Comparison of the Federal Anti-Kickback Statute to the Physician Self-Referral Act | |
| |
| |
| False Claims Act | |
| |
| |
| Professional Liability | |
| |
| |
| Antitrust Laws and the Healthcare Industry | |
| |
| |
| Other Considerations | |
| |
| |
| |
| Stakeholder Management--Strategies and Styles | |
| |
| |
| |
| Stakeholder Management Styles and Performance | |
| |
| |
| The Strategic Web | |
| |
| |
| Identification of Organizational Stakeholders | |
| |
| |
| Diagnosis of Key Stakeholder Relationships | |
| |
| |
| Types of Stakeholder Relationships | |
| |
| |
| Generic Strategies for Managing Stakeholder Relationships | |
| |
| |
| Strategy Implementation and Outcomes | |
| |
| |
| Stakeholder Management Styles: Changing the Focus to Types of Organizations | |
| |
| |
| Stakeholder Management Priorities | |
| |
| |
| Managerial Responsibility for Stakeholder Relationships | |
| |
| |
| Conclusion | |
| |
| |
| |
| Financial Management of Organized Health Care Delivery Systems | |
| |
| |
| |
| Financial Information Needs | |
| |
| |
| Understanding Financial Statements | |
| |
| |
| Types of Financial Statements | |
| |
| |
| Long-Range Decisions | |
| |
| |
| Short-Range Decisions | |
| |
| |
| Conclusion | |
| |
| |
| |
| Present Value Tables | |
| |
| |
| |
| Human Resources Management in Organized Delivery Systems | |
| |
| |
| |
| Human Resources Management: Historical Background | |
| |
| |
| Functions and Responsibilities of the Human Resources Department | |
| |
| |
| Placement of the Human Resources Department in the Institution's Organizational Structure | |
| |
| |
| Future Direction of Human Resources Management | |
| |
| |
| The Effect of Managed Care and Mergers on Human Resources Management | |
| |
| |
| Great Places to Work | |
| |
| |
| |
| Labor and Employment Laws Applicable to Organized Delivery Systems | |
| |
| |
| |
| Introduction | |
| |
| |
| Federal and State Civil Rights Laws | |
| |
| |
| Affirmative Action/Federal Contractor Requirements | |
| |
| |
| Individual Employment Rights | |
| |
| |
| Wage and Hour Laws | |
| |
| |
| Employee Benefits in the Healthcare Industry | |
| |
| |
| Privacy Issues in the Workplace | |
| |
| |
| Safety in the Workplace | |
| |
| |
| Collective Bargaining and Protected Concerted Activities | |
| |
| |
| Employment Eligibility Verification | |
| |
| |
| Conducting an Effective Internal Investigation | |
| |
| |
| Employment Records and Recordkeeping | |
| |
| |
| |
| The Management of Nursing Services | |
| |
| |
| |
| The Evolving Practice of Nurse-Executives | |
| |
| |
| Organization of Nursing/Patient Care Services | |
| |
| |
| Changing Health Care Delivery Methods | |
| |
| |
| Emerging Models for Nursing Care Delivery | |
| |
| |
| New Competencies for Nurses in Executive Practice | |
| |
| |
| Challenges for Nurses in Executive Practice | |
| |
| |
| The Future of Nurse-Executive Practice | |
| |
| |
| |
| Planning Healthcare Facilities and Managing the Development Process | |
| |
| |
| |
| Background | |
| |
| |
| Facility Planning in Healthcare Systems | |
| |
| |
| Future Facility Planning Trends | |
| |
| |
| Facility Development Process | |
| |
| |
| Functional Considerations in Facility Planning | |
| |
| |
| Key Participants | |
| |
| |
| Design and Construction Approaches | |
| |
| |
| Conclusion | |
| |
| |
| |
| Potential External Team Members and Responsibilities | |
| |
| |
| |
| Financing of Healthcare Facilities | |
| |
| |
| |
| Tax-Exempt Financings | |
| |
| |
| Pooled Financing | |
| |
| |
| Taxable Bonds | |
| |
| |
| Equity Financing as a Capital-Raising Technique | |
| |
| |
| Joint Venture Structures | |
| |
| |
| Legal Issues: Control and Liability Exposure | |
| |
| |
| Federal Income Taxation of a Business Corporation | |
| |
| |
| Federal Income Taxation of a Partnership and Limited Liability Corporation | |
| |
| |
| Sale as a Capital-Raising Technique | |
| |
| |
| Conversion | |
| |
| |
| Private Placements and Public Offerings of Securities | |
| |
| |
| Conclusion | |
| |
| |
| |
| Marketing Healthcare Services | |
| |
| |
| |
| Marketing Mission and Objectives | |
| |
| |
| The Competition Defined | |
| |
| |
| Business-to-Business Marketing | |
| |
| |
| Derived Demand | |
| |
| |
| Consumer Behavior: Information Search and Use | |
| |
| |
| Consumer Behavior: Differentiation | |
| |
| |
| Customer Retention | |
| |
| |
| Customer Satisfaction | |
| |
| |
| Data-Driven Marketing | |
| |
| |
| |
| Health Care Information Systems: An Organized Delivery System Perspective | |
| |
| |
| |
| An Organized Delivery System HCIS Infrastructure | |
| |
| |
| Trends in Organized Healthcare Delivery Systems | |
| |
| |
| Emergence and Scope of Organized Delivery System HCIS Technologies | |
| |
| |
| SSADM for Multiprovider HCIS Design and Development | |
| |
| |
| Management and Administration of Organized Delivery System HCISs | |
| |
| |
| Conclusion | |
| |
| |
| |
| Management Engineering | |
| |
| |
| |
| History | |
| |
| |
| Cost Containment | |
| |
| |
| Productivity Management | |
| |
| |
| Quality Control Program | |
| |
| |
| Management Engineering for Future Operations | |
| |
| |
| |
| Ambulatory Care | |
| |
| |
| |
| Ambulatory Care Services: Past and Present | |
| |
| |
| Organization and Management of Ambulatory Care Services | |
| |
| |
| Reimbursement | |
| |
| |
| Future Considerations | |
| |
| |
| Conclusion | |
| |
| |
| |
| Managed Health Care | |
| |
| |
| |
| |
| What It is | |
| |
| |
| Introduction | |
| |
| |
| Forms of Bearing Risk for Medical Costs | |
| |
| |
| Types of Payor-Based Managed Health Care Organizations | |
| |
| |
| Managed Health Care Provider Organizations--Integrated Delivery Systems | |
| |
| |
| |
| How It Works | |
| |
| |
| Introduction | |
| |
| |
| Provider Reimbursement | |
| |
| |
| Management of Utilization | |
| |
| |
| Benefits Administration and Claims Payment | |
| |
| |
| Finance and Underwriting | |
| |
| |
| Conclusion | |
| |
| |
| |
| Ethical Considerations in the Provision of Healthcare Services and Investigational Research | |
| |
| |
| |
| Tragic Choices | |
| |
| |
| Ethics in Human Clinical Investigation and in the Use of New Drugs and Devices | |
| |
| |
| |
| Bioterrorism Preparedness | |
| |
| |
| |
| The Broader Context of Bioterrorism | |
| |
| |
| The Specific Context of Terrorism | |
| |
| |
| Biological Agents | |
| |
| |
| Bioterrorism Preparedness by Healthcare Organizations | |
| |
| |
| Conclusion Regarding Preparedness | |
| |
| |
| Epilogue | |
| |
| |
| |
| The Hospital in an Organized Delivery System | |
| |
| |
| |
| The History of Hospitals | |
| |
| |
| |
| Medicine and Hospitals as Political Factors | |
| |
| |
| Mesopotamia | |
| |
| |
| Greek Hospitals | |
| |
| |
| Indian Hospitals | |
| |
| |
| Roman Hospitals | |
| |
| |
| Islamic Hospitals | |
| |
| |
| The Middle Ages | |
| |
| |
| Hospitals during the Renaissance | |
| |
| |
| Hospitals on the American Continent | |
| |
| |
| Hospitals in the Seventeenth, Eighteenth, and Nineteenth Centuries | |
| |
| |
| The Modern Hospital and Health Systems | |
| |
| |
| Classification of Hospitals | |
| |
| |
| |
| Hospital Organization and Management | |
| |
| |
| |
| Services Provided by Hospitals | |
| |
| |
| Change in the Hospital Industry | |
| |
| |
| The Major Changes and Their Implications | |
| |
| |
| What is an Organization? | |
| |
| |
| The Structure of the Hospital Organization | |
| |
| |
| The Bureaucratic Principles | |
| |
| |
| A Team of Three | |
| |
| |
| Governance | |
| |
| |
| The Trustee in an Organized Delivery System | |
| |
| |
| The CEO and the Administration | |
| |
| |
| Conclusion | |
| |
| |
| |
| Patient Access Services: Into, Through, and Out of the Healthcare Process | |
| |
| |
| |
| Areas of Responsibilities | |
| |
| |
| Departmental Functions | |
| |
| |
| Management Responsibilities | |
| |
| |
| Staff Responsibilities | |
| |
| |
| Emerging Technologies and Trends | |
| |
| |
| Conclusion | |
| |
| |
| |
| Laboratories | |
| |
| |
| |
| Service Levels | |
| |
| |
| Organization | |
| |
| |
| Staffing | |
| |
| |
| Information Systems | |
| |
| |
| Physical Plant and Equipment | |
| |
| |
| Laboratory Regulation/Compliance | |
| |
| |
| Strategic Planning | |
| |
| |
| Conclusion | |
| |
| |
| |
| Sample of Test Type by Section | |
| |
| |
| |
| Job Analysis Checklist: Medical Director | |
| |
| |
| |
| Pharmacy | |
| |
| |
| |
| Pharmacy Practice | |
| |
| |
| Pharmacy Management and Leadership | |
| |
| |
| Pharmacist Training and Education | |
| |
| |
| Pharmacy Technician Training and Education | |
| |
| |
| Pharmacy Information Systems | |
| |
| |
| Inpatient Pharmacy Services | |
| |
| |
| Inpatient Drug Distribution and Management | |
| |
| |
| Sterile Products Preparation | |
| |
| |
| Pharmacy Service Location | |
| |
| |
| Ambulatory Care and Outpatient Pharmacy Systems | |
| |
| |
| Patient Care Committees | |
| |
| |
| Financial Management | |
| |
| |
| Cost and Productivity Management | |
| |
| |
| Managing Drug Costs | |
| |
| |
| Conclusion | |
| |
| |
| |
| Material and Resource Management | |
| |
| |
| |
| Supply Chain | |
| |
| |
| Managing the Core Functions | |
| |
| |
| Materials Management in Alternate Site Locations | |
| |
| |
| Future Trends in Materials Management and Purchasing | |
| |
| |
| |
| Bidding Instructions (Simple Format) | |
| |
| |
| |
| Bidding Instructions (Complex Format) | |
| |
| |
| |
| Designing and Implementing a Hospital Compliance Program | |
| |
| |
| |
| The Value of an Effective Compliance Program | |
| |
| |
| Basic Elements of an Effective Compliance Program | |
| |
| |
| The Initial Needs Assessment/Compliance Review | |
| |
| |
| Integrating the Compliance Program | |
| |
| |
| HIPAA Privacy Rule Compliance | |
| |
| |
| Investigations and Corrective Action | |
| |
| |
| Disability Access Compliance | |
| |
| |
| Conclusion | |
| |
| |
| |
| Quality Assurance and Improvement | |
| |
| |
| |
| Contributors to Quality Health Care | |
| |
| |
| Organizations | |
| |
| |
| Methods | |
| |
| |
| Tools | |
| |
| |
| Conclusion | |
| |
| |
| |
| Physician Practice: Organization and Operation | |
| |
| |
| |
| Forms of Physician Practice | |
| |
| |
| Managed Care Delivery Systems and Forms of Physician Organizations | |
| |
| |
| Operational Aspects of Physician Practice | |
| |
| |
| The Future | |
| |
| |
| |
| Implementing a Physician Practice Compliance Program | |
| |
| |
| |
| The Compliance Plan within the Context of a Physician Practice | |
| |
| |
| The Elements of Compliance Plans and Programs | |
| |
| |
| A Planning and Implementation Work Plan | |
| |
| |
| Sample Compliance Plan and Program Work Plan | |
| |
| |
| Index | |