Health Care Administration Planning, Implementing, and Managing Organized Delivery Systems

ISBN-10: 0763731447
ISBN-13: 9780763731441
Edition: 4th 2004 (Revised)
List price: $121.95
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Description: A definitive guide to contemporary health administration. It provides comprehensive coverage of detailed functional, technical, and organizational matters that pertain to organized delivery systems.

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Book details

List price: $121.95
Edition: 4th
Copyright year: 2004
Publisher: Jones & Bartlett Learning, LLC
Publication date: 3/31/2004
Binding: Hardcover
Pages: 750
Size: 7.25" wide x 10.25" long x 1.75" tall
Weight: 4.158
Language: English

A definitive guide to contemporary health administration. It provides comprehensive coverage of detailed functional, technical, and organizational matters that pertain to organized delivery systems.

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

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