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| Foreword | |
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| Preface | |
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| Acknowledgments | |
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| Leadership | |
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| Leadership vs. Management | |
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| Followership | |
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| History of Leadership in the United States | |
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| Contemporary Models | |
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| Leadership Styles | |
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| Leadership Competencies | |
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| Leadership Protocols | |
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| Governance | |
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| Barriers and Challenges | |
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| Ethical Responsibility | |
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| Leaders Looking to the Future | |
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| Management and Motivation | |
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| Introduction | |
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| Motivation-The Concept | |
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| Theories of Motivation | |
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| A Bit More about Incentives and Rewards | |
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| Misconceptions about Motivation and Employee Satisfaction | |
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| Motivational Strategies | |
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| Conclusion | |
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| Organizational Behavior and Management Thinking | |
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| Introduction | |
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| The Field of Organizational Behavior | |
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| Organizational Behaviors Contribution to Management | |
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| Key Topics in Organizational Behavior | |
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| Organizational Behavior Issues in Health Organizations | |
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| How Thinking Influences Organizational Behavior | |
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| Individual Perception and Thinking | |
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| Managing and Learning | |
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| Thinking and Sensemaking in Communication and Problem Solving | |
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| Conclusion and Applications | |
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| Strategic Planning | |
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| Introduction | |
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| Purpose and Importance of Strategic Planning | |
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| The Planning Process | |
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| Situational Assessment | |
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| Strategy Tactical Plans | |
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| Rollout and Implementation | |
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| Monitoring and Control | |
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| Strategy Execution | |
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| Strategic Planning and Execution-The Role of the Healthcare Manager | |
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| Conclusion | |
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| Performance Improvement in Health Care: The Quest to Achieve Quality | |
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| Introduction | |
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| Defining Quality in Health Care | |
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| Why Is Quality Important? | |
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| A Brief History of Quality and Performance Improvement | |
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| Quality Assurance | |
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| The End Result System and the Flexner Report | |
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| The Joint Commission | |
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| QA Essentials | |
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| QA Assumptions and Actions | |
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| From Peer Review to Quality Improvement Organizations | |
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| Professional Standards Review Organizations (PSROs) Programs | |
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| Peer Review Organization (PRO) Program | |
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| Quality Improvement Organization (QIO) Program | |
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| Continuous Quality Improvement | |
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| The Concept of CQI in Health Care | |
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| Applying CQI | |
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| Other Leading Quality Improvement Models | |
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| Key Quality Improvement Concepts | |
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| Quality Improvement Tools | |
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| System Thinking and Healthcare Quality Improvement | |
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| Health Care as High Hazard Industry | |
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| Approaches to System Improvement | |
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| Assessing Healthcare System Improvement | |
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| Healthcare System Improvement Challenges | |
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| Developing a National Information Technology Infrastructure | |
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| Conclusion | |
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| Information Technology | |
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| Introduction | |
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| Historical Overview | |
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| Health Information and Its Users | |
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| Health Information Technology and Applications | |
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| The Role of the Health Manager | |
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| Challenges | |
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| Conclusion | |
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| Financing Health Care and Health Insurance | |
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| Introduction | |
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| National Health Spending | |
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| Paying for Health Care | |
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| Introduction to Health Insurance | |
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| Brief History of Health Insurance | |
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| Characteristics of Health Insurance | |
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| Private Health Insurance Coverage | |
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| Consumer-Driven Health Plans | |
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| The Evolution of Social Insurance | |
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| The Convergence of Political Opportunity and Leadership | |
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| Major Legislation | |
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| Major "Players" in the Social Insurance Arena | |
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| Statistics on Health Insurance Coverage and Costs | |
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| Those Not Covered-The Uninsured | |
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| Conclusion | |
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| Managing Costs and Revenues | |
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| Introduction | |
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| What Is Financial Management and Why Is it Important? | |
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| Ten Major Objectives of Financial Management | |
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| Tax Status of Healthcare Organizations | |
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| Financial Governance and Responsibility Structure | |
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| Managing Reimbursements from Third-Party Payers | |
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| What Are the Primary Methods of Payment Used by Private Health Plans for Reimbursing Providers? | |
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| What Are the Primary Methods of Payment Used for Reimbursing Providers by Medicare and Medicaid? | |
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| How Are Providers Reimbursed by Individuals with No Health Insurance? | |
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| Controlling Costs and Cost Accounting | |
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| Classifying Costs | |
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| Allocating Costs | |
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| Determining Product Costs | |
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| Break-Even Analysis | |
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| Setting Charges | |
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| Other Determinants of Setting Charges and Prices | |
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| Managing Working Capital | |
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| Managing Accounts Receivable | |
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| Major Steps in Accounts Receivable Management | |
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| Managing Materials and Inventory | |
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| Managing Budgets | |
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| Conclusion | |
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| Managing Healthcare Professionals | |
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| Introduction | |
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| Physicians | |
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| Registered Nurses | |
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| Licensed Practical Nurses/Licensed Vocational Nurses | |
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| Nursing, Psychiatric, and Home Health Aides | |
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| Midlevel Practitioners | |
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| Allied Health Professionals | |
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| Conclusion | |
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| The Strategic Management of Human Resources | |
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| Introduction | |
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| Environmental Forces Affecting HR Management | |
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| Understanding Employees as Drivers of Organizational Performance | |
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| Key Functions of Human Resources Management | |
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| Workforce Planning/Recruitment | |
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| Employee Retention | |
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| Conclusion | |
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| Teamwork | |
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| Introduction | |
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| What Is a Team? | |
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| The Challenge of Teamwork in Healthcare Organizations | |
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| The Benefits of Effective Healthcare Teams | |
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| The Costs of Teamwork | |
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| Who's on the Team? | |
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| Team Communication | |
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| Methods of Managing Teams of Healthcare Professionals | |
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| Conclusion | |
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| Cultural Competency and Diversity | |
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| Introduction | |
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| Cultural Frameworks in Healthcare Management | |
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| Cultural Competency and Diversity Staff Training | |
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| Cultural Competency at the Workplace | |
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| Conclusion | |
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| Ethics and Law | |
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| Introduction | |
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| Ethical Concepts | |
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| Legal Concepts | |
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| Elements of a Contract | |
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| Types of Torts | |
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| Malpractice | |
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| Patient and Provider Rights and Responsibilities | |
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| Legal/Ethical Concerns in Managed Care | |
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| Biomedical Concerns | |
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| Beginning- and End-of-life Care | |
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| Research in Healthcare Settings | |
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| Conclusion | |
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| Fraud and Abuse | |
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| Introduction | |
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| What Is Fraud and Abuse? | |
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| History | |
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| Operation Restore Trust | |
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| The Social Security Act and the Criminal-Disclosure Provision | |
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| The Emergency Medical Treatment and Active Labor Act | |
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| Hospital Compliance with EMTALA | |
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| The Balanced Budget Act of 1997 | |
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| Antitrust Issues | |
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| Federal Enforcement Actions | |
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| Safe Harbor/Anti-Kickback Regidations | |
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| Anti-Kickback Statutes | |
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| Safe Harbor Laws | |
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| Stacked Penalties | |
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| Management Responsibility for Compliance and Internal Controls | |
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| Corporate Compliance Programs | |
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| Conclusion | |
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| Healthcare Management Guidelines and Case Studies | |
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| Introduction | |
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| Guidelines | |
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| Team Structure and Process for Completion | |
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| Guidelines for Effective Participation | |
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| Case Studies | |
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| Oops Is Not an Option | |
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| Building a Better MIS-Trap | |
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| Case of the Complacent Employee | |
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| Managing Healthcare Professionals: Mini-Case Studies | |
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| Negotiation in Action | |
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| The Merger of Two Competing Hospitals: A Case Study | |
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| The Orchestra: A Narrative in a Minor Key | |
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| Labor and Delivery Dilemma | |
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| Sexual Harassment at the Diabetics Clinic | |
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| Seaside Convalescent Care Center | |
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| Staffing at River Oaks Community Hospital: Measure Twice, Cut Once | |
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| Heritage Valley Medical Center: Are Your Managers Culturally Competent? | |
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| Humor Strategies in Healthcare Management Education | |
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| Electronic Medical Records in a Rural Family Practice Residency Program | |
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| Medication Errors Reporting at Community Memorial Hospital | |
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| Index | |