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Index
Cover Page Title Page Copyright Page Dedication Contents FOREWORD PREFACE ACKNOWLEDGMENTS ABOUT THE EDITORS CONTRIBUTORS CHAPTER 1 An Overview of Health Care Management
Introduction The Need for Managers and Their Perspectives Management: Definition, Functions, and Competencies Management Positions: The Control in the Organizational Heirarchy Focus of Management: Self, Unit/Team, and Organization Role of the Manager in Establishing and Maintaining Organizational Culture Role of the Manager in Talent Management Role of the Manager in Ensuring High Performance Role of the Manager in Leadership Development and Succession Planning Role of the Manager in Innovation and Change Management Role of the Manager in Health Care Policy Research in Health Care Management Chapter Summary
CHAPTER 2 Leadership
Leadership vs. Management History of Leadership in the U.S. Contemporary Models Leadership Styles Leadership Competencies Leadership Protocols Governance Barriers and Challenges Ethical Responsibility Important New Initiatives Leaders Looking to the Future Special Research Issues Conclusion
CHAPTER 3 Management and Motivation
Introduction Motivation—The Concept History of Motivation Theories of Motivation A Bit More About Incentives and Rewards Why Motivation Matters Motivated vs. Engaged—Are the Terms the Same? Measuring Engagement Misconceptions About Motivation and Employee Satisfaction Motivational and Engagement Strategies Motivating Across Generations Managing Across Generations Research Opportunities in Management and Motivation Conclusion
CHAPTER 4 Organizational Behavior and Management Thinking
Introduction The Field of Organizational Behavior Organizational Behavior’s Contribution to Management Key Topics in Organizational Behavior Organizational Behavior Issues in Health Organizations Thinking: The “Inner Game” of Organizational Behavior The Four Key Features of Thinking Mental Representation: The Infrastucture of Thinking Processing Information: Fundamental Thinking Habits Decision Making, Problem Solving, and Biased Thinking Habits Social Cognition and Socio-Emotional Intelligence Research Opportunities in Organizational Behavior and Management Thinking Conclusion
CHAPTER 5 Strategic Planning
Introduction Purpose and Importance of Strategic Planning The Planning Process SWOT Analysis Strategy Identification and Selection Rollout and Implementation Outcomes Monitoring and Control Strategy Execution Strategic Planning and Execution: The Role of the Health Care Manager Opportunities for Research in Strategic Planning Conclusion
CHAPTER 6 Healthcare Marketing
Introduction What Is Marketing? A Brief History of Marketing in Health Care The Strategic Marketing Process Understanding Marketing Management Health Care Buyer Behavior Marketing Mix Marketing Plan Ethics and Social Responsibility Opportunities for Research in Health Care Marketing Conclusion
CHAPTER 7 Quality Improvement Basics
Introduction Defining Quality in Health Care Why Is Quality Important? The Relevance of Health Information Technology in Quality Improvement Quality Improvement Comes (Back) to America Leaders of the Quality Movement Baldrige Award Criteria: A Strategic Framework for Quality Improvement Common Elements of Quality Improvement Three Approaches to Quality Improvement Quality Improvement Tools Opportunities for Research in Health Care Quality Conclusion
CHAPTER 8 Information Technology
Introduction Information Systems Used by Managers The Electronic Medical Record (EMR) The Challenges to Clinical System Adoption The Future of Health Care Information Technology The Impact of Information Technology on the Health Care Manager Opportunities for Research on Health Care Professionals Conclusion
CHAPTER 9 Financing Health Care and Health Insurance
Introduction Introduction to Health Insurance Brief History of Health Insurance Characteristics of Health Insurance Private Health Insurance Coverage The Evolution of Social Insurance Major “Players” in the Social Insurance Arena Statistics on Health Insurance Coverage and Costs Those Not Covered—The Uninsured Opportunities for Research on Emerging Issues Conclusion
CHAPTER 10 Managing Costs and Revenues
Introduction What Is Financial Management and Why Is It Important? Tax Status of Health Care Organizations Financial Governance and Responsibility Structure Managing Reimbursements from Third-Party Payers Coding in Health Care Controlling Costs and Cost Accounting Setting Charges Managing Working Capital Managing Accounts Receivable Managing Materials and Inventory Managing Budgets Opportunities for Research on Managing Costs and Revenues Conclusion
CHAPTER 11 Managing Health Care Professionals
Introduction Physicians Registered Nurses Licensed Practical Nurses/Licensed Vocational Nurses Nursing Assistants and Orderlies Home Health Aides Midlevel Practitioners Allied Health Professionals Opportunities for Research on Health Care Professionals Conclusion
CHAPTER 12 The Strategic Management of Human Resources
Introduction Environmental Forces Affecting Human Resources Management Understanding Employees as Drivers of Organizational Performance Key Functions of Human Resources Management Workforce Planning/Recruitment Employee Retention Research in Human Resources Management Conclusion
CHAPTER 13 Teamwork
Introduction What Is a Team? The Challenge of Teamwork in Health Care Organizations The Benefits of Effective Health Care Teams The Costs of Teamwork Electronic Tools and Remote and Virtual Teams Face to Face Versus Virtual Teams Real-World Problems and Teamwork Who’s on the Team? Emotions and Teamwork Team Communication Methods of Managing Teams of Health Care Professionals Opportunities for Research on Emerging Issues Conclusion
CHAPTER 14 Addressing Health Disparities: Cultural Proficiency
Introduction Changing U.S. Demographics and Patient Populations Addressing Health Disparities by Fostering Cultural Competence in Health Care Organizations Best Practices Addressing Health Disparities by Enhancing Public Policy Opportunities for Research on Health Disparities and Cultural Proficiency Conclusion
CHAPTER 15 Ethics and Law
Introduction Legal Concepts Tort Law Malpractice Contract Law Ethical Concepts Patient and Provider Rights and Responsibilities Legal/Ethical Concerns in Managed Care Biomedical Concerns Beginning- and End-of-Life Care Opportunities for Research in Health Care Ethics and Law Conclusion
CHAPTER 16 Fraud and Abuse
Introduction What Is Fraud and Abuse? History The Social Security Act and the Criminal-Disclosure Provision The Emergency Medical Treatment and Active Labor Act Antitrust Issues Physician Self-Referral/Anti-Kickback/Safe Harbor Laws Management Responsibility for Compliance and Internal Controls Corporate Compliance Programs Opportunities for Research in Fraud and Abuse Conclusion
CHAPTER 17 Special Topics and Emerging Issues in Health Care Management
Introduction Re-Emerging Outbreaks, Vaccine Preventable Diseases, and Deaths Bioterrorism in Health Care Settings Human Trafficking Violence in Health Care Settings Medical Tourism Consumer-Directed Health Care Opportunities for Research on Emerging Issues
CHAPTER 18 Health Care Management Case Studies and Guidelines
Introduction Case Study Analysis Case Study Write-Up Team Structure and Process for Completion
CASE STUDIES*
Metro Renal—Case for Chapters 12 and 2 United Physician Group—Case for Chapters 5, 9, 11, and 15 Piecework—Case for Chapters 9 and 10 Building a Better MIS-Trap—Case for Chapter 8 Death by Measles—Case for Chapters 17, 11, and 15 Full Moon or Bad Planning?—Case for Chapters 17, 11, and 15 How Do We Handle a Girl Like Maria?—Case for Chapters 17 and 4 The Condescending Dental Hygienist—Case for Chapters 7, 12, 15, and 4 The “Easy” Software Upgrade at Delmar Ortho—Case for Chapters 8 and 13 The Brawler—Case for Chapters 11, 12, and 17 I Love You…Forever—Case for Chapters 17, 12, and 11 Managing Health Care Professionals—Mini-Case Studies for Chapter 11 Problems with the Pre-Admission Call Center—Case for Chapters 13 and 10 Such a Nice Young Man—Case for Chapters 17, 11, and 12 Sundowner or Victim?—Case for Chapters 15 and 17 Last Chance Hospital—Case for Chapters 5 and 6 The Magic Is Gone—Case for Chapters 3, 12, and 13 Set Up for Failure?—Case for Chapter 3 Sustaining an Academic Food Science and Nutrition Center Through Management Improvement—Case for Chapters 2 and 12 Giving Feedback—Empathy or Attributions?—Case for Chapter 4 Socio-Emotional Intelligence Exercise: Understanding and Anticipating Major Change—Case for Chapter 4 Madison Community Hospital Addresses Infection Prevention—Case for Chapters 7 and 13 Trouble with the Pharmacy—Case for Chapter 7 Emotional Intelligence in Labor and Delivery—Case for Chapters 2, 12, and 13 Communication of Patient Information During Transitions in Care—Case for Chapters 7 and 12 Multidrug-Resistant Organism (MDRO) in a Transitional Care Unit—Case for Chapters 7 and 12 Are We Culturally Aware or Not?—Case for Chapters 14 and 5 Patients “Like” Social Media—Case for Chapters 6 and 5 Where Do You Live? Health Disparities Across the United States—Case for Chapter 14 My Parents Are Turning 65 and Need Help Signing Up for Medicare—Case for Chapter 9 Newby Health Systems Needs Health Insurance—Case for Chapter 9 To Partner or Not to Partner with a Retail Company—Case for Chapters 17, 5, and 6 Wellness Tourism: An Option for Your Organization?—Case for Chapters 17 and 5 Conflict in the Capital Budgeting Process at University Medical Center: Let’s All Just Get Along—Case for Chapter 10 The New Toy at City Medical Center—Case for Chapters 11 and 13 Recruitment Challenge for the Middle Manager—Case for Chapters 2 and 12 I Want to Be a Medical Coder—Case for Chapter 10 Managing Costs and Revenues at Feel Better Pharmacy—Case for Chapter 10 Who You Gonna Call?—Case for Chapter 16 You Will Do What You Are Told—Case for Chapter 15
GLOSSARY INDEX
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