Emerging Issues in Health Care ManagementSelect?one?emerging health issue from Chapter 17 in your textbook:Vaccine Preventable DiseasesBioterrorismHu
Emerging Issues in Health Care Management
Select one emerging health issue from Chapter 17 in your textbook:
- Vaccine Preventable Diseases
- Bioterrorism
- Human Trafficking
- Violence in Health Care Settings
- Medical Tourism
Present a 12 – 15 slide PowerPoint on the emerging health issue you picked. The number of slides exclude the title and reference pages. Substantial Speaker Notes are required throughout the entire presentation. Below you will find articles with more info on speaker notes.
- Discuss the potential impact of the issue on a health care organization.
- Analyze the potential risks of the issue on a health care organization.
- Propose strategies for addressing the issue in health care settings.
- Examine the role of the health care manager for the health issue.
Reference your readings and include a minimum of 5 peer-reviewed, scholarly, or similar articles.
Format your PowerPoint according to APA guidelines.
Review attached Grading Rubric, Presentation Tips, and Articles on Speaker Notes
Grading Criteria: Introduction to Health Care Management HSA 3180 – Dr. Kameka
1
Grading Criteria
Emerging Issues in Health Care Management Select one emerging health issue from Chapter 17 in your textbook:
Vaccine Preventable Diseases
Bioterrorism
Human Trafficking
Violence in Health Care Settings
Medical Tourism
Present a 12 – 15 slide PowerPoint on the emerging health issue you picked. The number of slides exclude the title and reference pages. Substantial Speaker Notes are required throughout the entire presentation.
Discuss the potential impact of the issue on a health care organization. Analyze the potential risks of the issue on a health care organization. Propose strategies for addressing the issue in health care settings. Examine the role of the health care manager for the health issue.
Reference your readings and include a minimum of 5 peer-reviewed, scholarly, or similar articles.
Format your PowerPoint according to APA guidelines. .
Content
60 Percent
Points Available
60
Points Earned
X/60
Additional Comments:
The PowerPoint includes the following:
An introduction of the emerging health issue and some background information on the topic.
A discussion of the potential impact on the health care organization.
An analyzes of the potential risks for the health care organization.
Strategies for addressing the issue in health care settings.
The role of the health care manager.
Substantial Speaker Notes throughout the presentation.
Organization/Development
20 Percent
Points Available
20
Points Earned
X/20
Additional Comments:
The PowerPoint is 12-15 slides (excluding title and reference pg.)
The introduction provides sufficient background on the topic and previews major points.
The conclusion is logical, flows, and reviews the major points.
Cites 5 peer-reviewed, scholarly, or similar resources.
Grading Criteria: Introduction to Health Care Management HSA 3180 – Dr. Kameka
2
Mechanics
20 Percent
Points Available
20
Points Earned
X/20
Additional Comments:
The PowerPoint, including tables and graphs, headings, title page, and reference page, is formatted according to APA guidelines and meets requirements.
Intellectual property is recognized with in-text citations and a reference page.
The PowerPoint effectively uses headings, font styles, and white space.
Rules of grammar, usage, and punctuation are followed; spelling is correct.
Total Available
Total Earned
100
,
Making PowerPoint Slides
Avoiding the Pitfalls of Bad Slides
Tips to be Covered
- Outlines
- Slide Structure
- Fonts
- Colour
- Background
- Graphs
- Spelling and Grammar
- Conclusions
- Questions
Outline
- Make your 1st or 2nd slide an outline of your presentation
Ex: previous slide
- Follow the order of your outline for the rest of the presentation
- Only place main points on the outline slide
Ex: Use the titles of each slide as main points
Slide Structure – Good
- Use 1-2 slides per minute of your presentation
- Write in point form, not complete sentences
- Include 4-5 points per slide
- Avoid wordiness: use key words and phrases only
Slide Structure – Bad
- This page contains too many words for a presentation slide. It is not written in point form, making it difficult both for your audience to read and for you to present each point. Although there are exactly the same number of points on this slide as the previous slide, it looks much more complicated. In short, your audience will spend too much time trying to read this paragraph instead of listening to you.
Slide Structure – Good
- Show one point at a time:
Will help audience concentrate on what you are saying
Will prevent audience from reading ahead
Will help you keep your presentation focused
Slide Structure – Bad
- Do not use distracting animation
- Do not go overboard with the animation
- Be consistent with the animation that you use
Fonts – Good
- Use at least an 18-point font
- Use different size fonts for main points and secondary points
this font is 24-point, the main point font is 28-point, and the title font is 36-point
- Use a standard font like Times New Roman or Arial
Fonts – Bad
- If you use a small font, your audience won’t be able to read what you have written
- CAPITALIZE ONLY WHEN NECESSARY. IT IS DIFFICULT TO READ
- Don’t use a complicated font
Colour – Good
- Use a colour of font that contrasts sharply with the background
Ex: blue font on white background
- Use colour to reinforce the logic of your structure
Ex: light blue title and dark blue text
- Use colour to emphasize a point
But only use this occasionally
Colour – Bad
- Using a font colour that does not contrast with the background colour is hard to read
- Using colour for decoration is distracting and annoying.
- Using a different colour for each point is unnecessary
Using a different colour for secondary points is also unnecessary
- Trying to be creative can also be bad
Background – Good
- Use backgrounds such as this one that are attractive but simple
- Use backgrounds which are light
- Use the same background consistently throughout your presentation
Background – Bad
- Avoid backgrounds that are distracting or difficult to read from
- Always be consistent with the background that you use
Graphs – Good
- Use graphs rather than just charts and words
Data in graphs is easier to comprehend & retain than is raw data
Trends are easier to visualize in graph form
- Always title your graphs
Graphs – Bad
Good
January | January |
February | February |
March | March |
April | April |
Bad
January | January |
February | February |
March | March |
April | April |
Sheet1
January | February | March | April | |
Blue Balls | 20.4 | 27.4 | 90 | 20.4 |
Red Balls | 30.6 | 38.6 | 34.6 | 31.6 |
Sheet2
Sheet3
Graphs – Good
Good
January | January |
February | February |
March | March |
April | April |
Sheet1
January | February | March | April | |
Blue Balls | 20.4 | 27.4 | 90 | 20.4 |
Red Balls | 30.6 | 38.6 | 34.6 | 31.6 |
Sheet2
Sheet3
Graphs – Bad
Good
January | January |
February | February |
March | March |
April | April |
Bad
January | January |
February | February |
March | March |
April | April |
Sheet1
January | February | March | April | |
Blue Balls | 20.4 | 27.4 | 90 | 20.4 |
Red Balls | 30.6 | 38.6 | 34.6 | 31.6 |
Sheet2
Sheet3
Graphs – Bad
- Minor gridlines are unnecessary
- Font is too small
- Colours are illogical
- Title is missing
- Shading is distracting
Spelling and Grammar
- Proof your slides for:
speling mistakes
the use of of repeated words
grammatical errors you might have make
- If English is not your first language, please have someone else check your presentation!
Conclusion
- Use an effective and strong closing
Your audience is likely to remember your last words
- Use a conclusion slide to:
Summarize the main points of your presentation
Suggest future avenues of research
Questions??
- End your presentation with a simple question slide to:
Invite your audience to ask questions
Provide a visual aid during question period
Avoid ending a presentation abruptly
,
THIRD EDITION
Introduction to Health Care Management
Edited by
Sharon B. Buchbinder, RN, PhD Professor and Program Coordinator
MS in Healthcare Management Program School of Graduate and Professional Studies
Stevenson University Owings Mills, Maryland
Nancy H. Shanks, PhD Professor Emeritus
Department of Health Professions Health Care Management Program
Metropolitan State University of Denver Denver, Colorado
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Production Credits VP, Executive Publisher: David D. Cella Publisher: Michael Brown Associate Editor: Lindsey Mawhiney Sousa Associate Editor: Nicholas Alakel Associate Production Editor: Rebekah Linga Senior Marketing Manager: Sophie Fleck Teague Manufacturing and Inventory Control Supervisor: Amy Bacus Composition: Integra Software Services Pvt. Ltd. Cover Design: Kristin E. Parker Rights & Media Specialist: Merideth Tumasz Media Development Editor: Shannon Sheehan Cover and Title Page Image: © Yegor Korzh/ShutterStock, Inc. Printing and Binding: Edwards Brothers Malloy Cover Printing: Edwards Brothers Malloy
10950-4
Library of Congress Cataloging-in-Publication Data Names: Buchbinder, Sharon Bell, editor. | Shanks, Nancy H., editor. Title: Introduction to health care management / [edited by] Sharon B.
Buchbinder and Nancy H. Shanks. Description: Third edition. | Burlington, Massachusetts : Jones & Bartlett
Learning, [2015] | Includes bibliographical references and index. Identifiers: LCCN 2015040132 | ISBN 9781284081015 (paper) Subjects: | MESH: Health Services Administration. | Efficiency, Organizational. | Health
Care Costs. | Leadership. Classification: LCC RA971 | NLM W 84.1 | DDC 362.1–dc23 LC record available at
http://lccn.loc.gov/2015040132
6048
Printed in the United States of America 20 19 18 17 16 10 9 8 7 6 5 4 3 2 1
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We dedicate this book to our loving husbands, Dale Buchbinder and Rick Shanks—
Who coached, collaborated, and coerced us to “FINISH THE THIRD EDITION!”
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Contents
FOREWORD PREFACE ACKNOWLEDGMENTS ABOUT THE EDITORS CONTRIBUTORS
CHAPTER 1 An Overview of Health Care Management Jon M. Thompson, Sharon B. Buchbinder, and Nancy H. Shanks
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 Louis Rubino
Leadership vs. Management
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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 Nancy H. Shanks and Amy Dore
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 Sheila K. McGinnis
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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 Susan Casciani
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 Nancy K. Sayre
Introduction
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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 Eric S. Williams, Grant T. Savage, and Patricia A. Patrician
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 Nancy H. Shanks and Sharon B. Buchbinder
Introduction Information Systems Used by Managers The Electronic Medical Record (EMR)
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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 Nancy H. Shanks
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 Kevin D. Zeiler
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
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Managing Materials and Inventory Managing Budgets Opportunities for Research on Managing Costs and
Revenues Conclusion
CHAPTER 11 Managing Health Care Professionals Sharon B. Buchbinder and Dale Buchbinder
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 Jon M. Thompson
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 Sharon B. Buchbinder and Jon M. Thompson
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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 Nancy K. Sayre
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 Kevin D. Zeiler
Introduction Legal Concepts Tort Law Malpractice
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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 Kevin D. Zeiler
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 Sharon B. Buchbinder and Nancy H. Shanks
Introduction Re-Emerging Outbreaks, Vaccine Preventable Diseases,
and Deaths Bioterrorism in Health Care Settings Human Trafficking Violence in Health Care Settings
13
Medical Tourism Consumer-Directed Health Care Opportunities for Research on Emerging Issues
CHAPTER 18 Health Care Management Case Studies and Guidelines Sharon B. Buchbinder, Donna M. Cox, and Susan Casciani
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
14
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
15
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
16
Foreword
In the U.S., health care is the largest industry and the second-largest employer, with more than 11 million jobs. This continuous growth trend is a result of many consequences, including: the large, aging Baby Boomer population, whose members are remaining active later in life, contributing to an increase in the demand for medical services; the rapidly changing financial structure and increasingly complex regulatory environment of health care; the integration of health care delivery systems, restructuring of work, and an increased focus on preventive care; and the ubiquitous technological innovations, requiring unceasing educational training and monitoring.
Given this tremendous growth and the aforementioned causes of it, it is not surprising that among the fastest-growing disciplines, according to federal statistics, is health care management, which is projected to grow 23% in the next decade. Supporting this growth are the increasing numbers of undergraduate programs in health care management, health services administration, and health planning and policy—with over 300 programs in operation nationwide today.
The health care manager’s job description is constantly evolving to adapt to this hyper-turbulent environment. Health care managers will be called on to improve efficiency in health care facilities and the quality of the care provided; to manage, direct, and coordinate health services in a variety of settings, from long-term care facilities and hospitals to medical group practices; and to minimize costs and maximize efficiencies, while also ensuring that the services provided are the best possible.
As the person in charge of a health care facility, a health care administrator’s duties can be varied and complex. Handling such responsibilities requires a mix of business administration skills and know
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