Managing Health Services Organizations and Systems
7th Edition
Published on 28. February 2021
Book
Paperback/Softback
756 pages
978-1-938870-90-3 (ISBN)
Description
A trusted professional reference and a teaching text, the new edition of Managing Health Services Organizations and Systems continues to provide the most comprehensive coverage available of the leadership, financial understanding, and conceptual frameworks required to effectively manage the delivery of health services in the U.S. Emphasizing continuous quality and performance improvement throughout the organization, the authors explore essential knowledge and skills required for success in areas that include managerial problem solving, resource allocation and utilization, effective communication, organizational culture, human resources, facilitation of change, and ethical and legal responsibilities.This fully updated, reorganized, and revised 7th edition contains new content on information technology, artificial intelligence, and financial/quantitative analysis currently in widespread demand. Ninety case studies with discussion questions sharpen readers' problem-solving skills while inviting them further into the real world of hospital administration.
Instructor materials are available with this text and include:
PowerPoint presentations
Test banks and answer keys
Learning objectives
Instructor manual
Figures and tables
PLUS a PDF of all acronyms used in the text
Instructor materials are available with this text and include:
PowerPoint presentations
Test banks and answer keys
Learning objectives
Instructor manual
Figures and tables
PLUS a PDF of all acronyms used in the text
More details
Edition
Seventh Edition
Language
English
Place of publication
Baltimore
United States
Target group
Professional and scholarly
Edition type
New edition
Dimensions
Height: 254 mm
Width: 178 mm
Thickness: 35 mm
Weight
1288 gr
ISBN-13
978-1-938870-90-3 (9781938870903)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Classification
Other editions
Additional editions
E-Book
02/2021
Health Professions Press, Inc.
€245.99
Available for download
Persons
Kurt Darr is Professor of Hospital Administration in the Department of Health Services Management and Leadership and Professor of Health Care Sciences at The George Washington University. He holds the Doctor of Science from The Johns Hopkins University and the Master of Hospital Administration and Juris Doctor from the University of Minnesota. Dr. Darr completed his administrative residency at Rochester (Minnesota) Methodist Hospital and subsequently worked as an administrative associate at the Mayo Clinic. After being commissioned in the U.S. Navy, he served in administrative and educational assignments at St. Albans Naval Hospital and Bethesda Naval Hospital. He completed postdoctoral fellowships with the Department of Health and Human Services, the World Health Organization, and the Accrediting Commission on Education for Health Services Administration. Dr. Darr is a Fellow of the American College of Healthcare Executives, a member of the District of Columbia and Minnesota Bars, and serves as a mediator in the Superior Court of the District of Columbia. He serves on commissions and committees for various professional organizations, including The Joint Commission on Accreditation of Healthcare Organizations, the American College of Healthcare Executives, and the Commission on Accreditation of Healthcare Management Education. He is a voluntary consultant to several hospitals in the District of Columbia metropolitan area. Dr. Darr regularly presents seminars on health services ethics, hospital organization and management, quality improvement, and the application of the Deming method in health services. He is the author and editor of several books used in graduate health services administration programs and numerous articles on health services topics.Michael Nowicki, M.H.A., Ed.D., FACHE, FHFMA, holds an Ed.D. degree in Educational Policy Studies & Evaluation from the University of Kentucky and a master of hospital administration from George Washington University. He is currently a professor of health administration at Texas State University. Board certified in both healthcare management and healthcare financial management, he is a fellow of the American College of Healthcare Executives and the Healthcare Financial Management Association. Dr. Nowicki has held various administrative positions in healthcare organizations around the country. He is a noted speaker and author on healthcare financial management.
Content
PART I. THE ENVIRONMENTChapter 1: Healthcare Services in the United States
Health and System Goals
Lack of Synchrony
Processes That Produce Health Policy
A Brief History of Health Services in the United States
Other Western Systems
Structure of the Health Services System Classification and Types of HSOs
Local, State, and Federal Regulation of HSOs/HSs Other Regulators of HSOs/HSs
Accreditation in Healthcare
Regulation and Education of Selected Health Occupations
Associations for Individuals and Organizations
Paying for Health Services Government Payment Methodologies
System Trends
Case Study 1. Gourmand and Food-A Fable
Case Study 2. Normal Saline and Hurricane MariaWhere's My Organ?
Case Study 3. Bipartisan Policy Group Proposes Cuts to Hospital Spending
Chapter 2: Ethical and Legal Dimensions
Society and the Law
Relationship of Law to Ethics
Ethics Framework
Personal Ethic and Professional Codes
Health Services Codes of Ethics
Ethical Issues Affecting Governance and Management
Biomedical Ethical Issues
End-of-Life Decisions
Organizational Responses to Ethical Problems Managers and the Law
Torts and HSOs/HSs
Reforms of the Medical Malpractice System
Select Legal Areas Affecting HSOs/HSs
Legal Process of a Civil Lawsuit
Special Considerations for the Manager
Case Study 1. Understanding
Case Study 2. Viral Pandemic
Case Study 3. Concerned Physicians; Unconcerned Managers
Case Study 4. Which Hurts More: The Truth or the Lie?
Chapter 3: Healthcare Economics
Economic Growth in Healthcare
Special Characteristics of the Healthcare Economy
Healthcare Demand
Healthcare Supply
Economic Solutions for Healthcare
Case Study 1. Price and Discount Transparency
Case Study 2. Comparing Health Care in High-Income Countries
Case Study 3. The Role of Health Insurance in Guaranteeing Health
Case Study 4. Physician Consolidation
Chapter 4: The Quality Imperative: The Theory
Improving Quality and Performance
Taking a CQI Approach
CQI, PI, and Competitive Position
Theory of CQI
Strategic Quality Planning: Hoshin Planning Organizing for Improvement
The Next Iteration of CQI: A Community Focus
Case Study 1. Extent of Obligation
Case Study 2. Surgical Safety-Retained Foreign Objects
Case Study 3. Which Team's Fastest?
Chapter 5: Healthcare Technology
Background
Types of Technologies
Effects of Technology on Health Status
Forces Affecting Development and Diffusion of Technology
Responses to Diffusion and Use of Technology
Health Technology Assessment
HSO/HS Technology Decision Making
Managing Biomedical Equipment
Health Information Technology
Telemedicine
Future Developments
Technology and the Future of Medicine
Case Study 1. Is Cleansing Your Hands in my Room a Problem, Doctor?
Case Study 2. "Who Does What?"
Case Study 3. "Let's 'Do' a Joint Venture"
PART II. THE TOOLS
Chapter 6: Managerial Problem Solving and Decision Making
Problem Analysis and Decision Making
Problem Solving
Process and Model
Influencing Problem Solving and Decision Making Unilateral and Group Problem Solving
Problem-Solving and Decision-Making Styles
Case Study 1. The Nursing Assistant
Case Study 2. The New Charge Nurse
Case Study 3. Chris's New Baby
Chapter 7: Financial Management
Organization of Financial Management
Healthcare Financial Accounting
Cost Accounting
Reimbursement
Working Capital
Resource Allocation
Case Study 1. Calculating Net Patient Services Revenue
Case Study 2. Calculating Bad Debt Expense
Case Study 3. Analyzing Financial Statements
Case Study 4. Break-even Analysis for a Capitated Contract
Case Study 5. Your Organization's Path to the Second Curve: Integration and Transformation
Case Study 6. Economic Order Quantity and Total Cost
Chapter 8: The Quality Imperative: Implementation
Undertaking Process Improvement
Other Improvement Methodologies
Improvement and Problem Solving
Statistical Process Control (SPC)
Tools for Improvement
Productivity and Productivity Improvement
LIPs and CQI
Patient and Staff Safety in Healthcare
QI Methods Useful in Patient and Staff Safety
Overlap of Patient and Staff Safety
Sustainability
Case Study 1. The Carbondale Clinic
Case Study 2. Respiratory Pandemic and the Hospital
Case Study 3. Infections-CLABSI
Case Study 4. Sharps Injuries
Case Study 5. Violence in the Workplace
Chapter 9: Communicating
Communicating Is Key to Effective Stakeholder Relations Communication Process Model
Barriers to Effective Communication
Flow of Intraorganizational Communication
Communicating with External Stakeholders
Special Situations of Communicating with External Stakeholders
Special Situations of Communicating with Internal Stakeholders
Case Study 1. How Much Should We Say?
Case Study 2. Getting Help When Needed
Case Study 3. Adding Verbal Orders to Written Orders
PART III. THE APPLICATION
Chapter 10: Planning
Strategizing and Systems Theory
Strategizing and Planning
The Strategizing Process
Situational Analysis
Internal Environmental Analysis
External Environmental Analysis
Formulating Strategy
Implementing Strategy
Strategic Control
Strategic Marketing
Core Concepts in Marketing
Examples of Marketing Strategies
Strategic Issues Management
Case Study 1. No Time for Strategizing
Case Study 2. A Response to Change
Case Study 3. HSO Strategic Assessment
Chapter 11: Organizing
Designing the Organization
Culture and Values
Theoretical Background
Formal and Informal Organizations
Designing Interorganizational Relationships
The Triad of Key HSO Components
Organization of Select HSOs
Diversification in HSOs and HSs
The HSO/HS Environment
Case Study 1. The Clinical Staff
Case Study 2. State Allocation Decisions-Centralize or Decentralize
Case Study 3. Physicians' Unprofessional Behavior
Case Study 6. CEO Salary versus Patient Care
Chapter 12: Staffing
Background
Staffing
HRM Activities
Labor Relations Law and Unionization
Self-service HR
Foreign Workers
Teams
Virtual Workforce
Social Media in the Workplace and in HR
Personality Testing
Outsourcing Some HRM
Case Study 1. Today's Workforce
Case Study 2. The Photographer Who Posed as a Gynecologist
Case Study 3. Doctor of Death
Case Study 4. Let the Punishment Fit the Crime
Chapter 13: Directing
Directing as Leading: Defined and Modeled
Work of Managers
Management Functions, Skills, Roles, and Competencies
Managers and Leaders: Are They Different?
Ethical Responsibilities of Leaders
Power and Influence in Leading
Motivation Defined and Modeled
Conclusions About Power, Influence, and Motivation in Leading
Approaches to Understanding Leadership
Toward an Integrative Approach to Effective Leading
Case Study 1. Healthcare Executives' Responsibility to Their Communities
Case Study 2. The Young Associate's Dilemma
Case Study 3. Ethical Aspects of Leadership
Case Study 4. Reluctant Leader
Chapter 14: Controlling
Monitoring (Control) and Intervention Points Control Model
Levels of Control
Control Considerations
Control and CQI
Control and Problem Solving
Control and Information Systems
RM and Quality Improvement
Healthcare and Public Health Emergency Preparedness Control Methods
Project Management
Case Study 1. Centralized Printers
Case Study 2. Healthcare Emergency Preparedness
Case Study 6. Placing Imaging Services to Support ED Operations
Health and System Goals
Lack of Synchrony
Processes That Produce Health Policy
A Brief History of Health Services in the United States
Other Western Systems
Structure of the Health Services System Classification and Types of HSOs
Local, State, and Federal Regulation of HSOs/HSs Other Regulators of HSOs/HSs
Accreditation in Healthcare
Regulation and Education of Selected Health Occupations
Associations for Individuals and Organizations
Paying for Health Services Government Payment Methodologies
System Trends
Case Study 1. Gourmand and Food-A Fable
Case Study 2. Normal Saline and Hurricane MariaWhere's My Organ?
Case Study 3. Bipartisan Policy Group Proposes Cuts to Hospital Spending
Chapter 2: Ethical and Legal Dimensions
Society and the Law
Relationship of Law to Ethics
Ethics Framework
Personal Ethic and Professional Codes
Health Services Codes of Ethics
Ethical Issues Affecting Governance and Management
Biomedical Ethical Issues
End-of-Life Decisions
Organizational Responses to Ethical Problems Managers and the Law
Torts and HSOs/HSs
Reforms of the Medical Malpractice System
Select Legal Areas Affecting HSOs/HSs
Legal Process of a Civil Lawsuit
Special Considerations for the Manager
Case Study 1. Understanding
Case Study 2. Viral Pandemic
Case Study 3. Concerned Physicians; Unconcerned Managers
Case Study 4. Which Hurts More: The Truth or the Lie?
Chapter 3: Healthcare Economics
Economic Growth in Healthcare
Special Characteristics of the Healthcare Economy
Healthcare Demand
Healthcare Supply
Economic Solutions for Healthcare
Case Study 1. Price and Discount Transparency
Case Study 2. Comparing Health Care in High-Income Countries
Case Study 3. The Role of Health Insurance in Guaranteeing Health
Case Study 4. Physician Consolidation
Chapter 4: The Quality Imperative: The Theory
Improving Quality and Performance
Taking a CQI Approach
CQI, PI, and Competitive Position
Theory of CQI
Strategic Quality Planning: Hoshin Planning Organizing for Improvement
The Next Iteration of CQI: A Community Focus
Case Study 1. Extent of Obligation
Case Study 2. Surgical Safety-Retained Foreign Objects
Case Study 3. Which Team's Fastest?
Chapter 5: Healthcare Technology
Background
Types of Technologies
Effects of Technology on Health Status
Forces Affecting Development and Diffusion of Technology
Responses to Diffusion and Use of Technology
Health Technology Assessment
HSO/HS Technology Decision Making
Managing Biomedical Equipment
Health Information Technology
Telemedicine
Future Developments
Technology and the Future of Medicine
Case Study 1. Is Cleansing Your Hands in my Room a Problem, Doctor?
Case Study 2. "Who Does What?"
Case Study 3. "Let's 'Do' a Joint Venture"
PART II. THE TOOLS
Chapter 6: Managerial Problem Solving and Decision Making
Problem Analysis and Decision Making
Problem Solving
Process and Model
Influencing Problem Solving and Decision Making Unilateral and Group Problem Solving
Problem-Solving and Decision-Making Styles
Case Study 1. The Nursing Assistant
Case Study 2. The New Charge Nurse
Case Study 3. Chris's New Baby
Chapter 7: Financial Management
Organization of Financial Management
Healthcare Financial Accounting
Cost Accounting
Reimbursement
Working Capital
Resource Allocation
Case Study 1. Calculating Net Patient Services Revenue
Case Study 2. Calculating Bad Debt Expense
Case Study 3. Analyzing Financial Statements
Case Study 4. Break-even Analysis for a Capitated Contract
Case Study 5. Your Organization's Path to the Second Curve: Integration and Transformation
Case Study 6. Economic Order Quantity and Total Cost
Chapter 8: The Quality Imperative: Implementation
Undertaking Process Improvement
Other Improvement Methodologies
Improvement and Problem Solving
Statistical Process Control (SPC)
Tools for Improvement
Productivity and Productivity Improvement
LIPs and CQI
Patient and Staff Safety in Healthcare
QI Methods Useful in Patient and Staff Safety
Overlap of Patient and Staff Safety
Sustainability
Case Study 1. The Carbondale Clinic
Case Study 2. Respiratory Pandemic and the Hospital
Case Study 3. Infections-CLABSI
Case Study 4. Sharps Injuries
Case Study 5. Violence in the Workplace
Chapter 9: Communicating
Communicating Is Key to Effective Stakeholder Relations Communication Process Model
Barriers to Effective Communication
Flow of Intraorganizational Communication
Communicating with External Stakeholders
Special Situations of Communicating with External Stakeholders
Special Situations of Communicating with Internal Stakeholders
Case Study 1. How Much Should We Say?
Case Study 2. Getting Help When Needed
Case Study 3. Adding Verbal Orders to Written Orders
PART III. THE APPLICATION
Chapter 10: Planning
Strategizing and Systems Theory
Strategizing and Planning
The Strategizing Process
Situational Analysis
Internal Environmental Analysis
External Environmental Analysis
Formulating Strategy
Implementing Strategy
Strategic Control
Strategic Marketing
Core Concepts in Marketing
Examples of Marketing Strategies
Strategic Issues Management
Case Study 1. No Time for Strategizing
Case Study 2. A Response to Change
Case Study 3. HSO Strategic Assessment
Chapter 11: Organizing
Designing the Organization
Culture and Values
Theoretical Background
Formal and Informal Organizations
Designing Interorganizational Relationships
The Triad of Key HSO Components
Organization of Select HSOs
Diversification in HSOs and HSs
The HSO/HS Environment
Case Study 1. The Clinical Staff
Case Study 2. State Allocation Decisions-Centralize or Decentralize
Case Study 3. Physicians' Unprofessional Behavior
Case Study 6. CEO Salary versus Patient Care
Chapter 12: Staffing
Background
Staffing
HRM Activities
Labor Relations Law and Unionization
Self-service HR
Foreign Workers
Teams
Virtual Workforce
Social Media in the Workplace and in HR
Personality Testing
Outsourcing Some HRM
Case Study 1. Today's Workforce
Case Study 2. The Photographer Who Posed as a Gynecologist
Case Study 3. Doctor of Death
Case Study 4. Let the Punishment Fit the Crime
Chapter 13: Directing
Directing as Leading: Defined and Modeled
Work of Managers
Management Functions, Skills, Roles, and Competencies
Managers and Leaders: Are They Different?
Ethical Responsibilities of Leaders
Power and Influence in Leading
Motivation Defined and Modeled
Conclusions About Power, Influence, and Motivation in Leading
Approaches to Understanding Leadership
Toward an Integrative Approach to Effective Leading
Case Study 1. Healthcare Executives' Responsibility to Their Communities
Case Study 2. The Young Associate's Dilemma
Case Study 3. Ethical Aspects of Leadership
Case Study 4. Reluctant Leader
Chapter 14: Controlling
Monitoring (Control) and Intervention Points Control Model
Levels of Control
Control Considerations
Control and CQI
Control and Problem Solving
Control and Information Systems
RM and Quality Improvement
Healthcare and Public Health Emergency Preparedness Control Methods
Project Management
Case Study 1. Centralized Printers
Case Study 2. Healthcare Emergency Preparedness
Case Study 6. Placing Imaging Services to Support ED Operations