Introduction to Health Care Management

ISBN-10: 076373473X

ISBN-13: 9780763734732

Edition: 2007

Authors: Nancy H. Shanks, Sharon B. Buchbinder

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Description:

Introduction to Health Care Management is an introductory principles of health care management book developed specically for AUPHA certi ed undergraduate health administration programs. Covering a wide variety of healthcare settings, from hospitals to nursing homes, this essential text contains numerous case studies. This indispensable book covers key areas such as ethics, cost management, strategic planning and marketing, information technology, and human resources.
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Book details

List price: $160.95
Copyright year: 2007
Publisher: Jones & Bartlett Learning, LLC
Publication date: 2/21/2007
Binding: Paperback
Pages: 470
Size: 5.75" wide x 9.00" long x 1.00" tall
Weight: 1.496
Language: English

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