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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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