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Health Care Administration : Planning, Implementing, and Managing Organized Delivery Systems

by: Wolper, Lawrence F.

Health Care Administration : Planning, Implementing, and Managing Organized Delivery Systems

by: Wolper, Lawrence F.

ISBN 13:
9780763732837
ISBN 10:
0763732834
Edition: 3rd
Format: Paperback
Copyright: 02/01/1999
Publisher: Jones & Bartlett
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Summary

Primary Courses: Health Care AdministrationPrograms: Health Administration, Business (Health Administration track)

About the Author/Editor

xiii

Contributors

Preface

xix

Acknowledgments

xxiii

PART I-PLANNING, IMPLEMENTING, AND MANAGING ORGANIZED DELIVERY SYSTEMS

(388)

Chapter 1-International Health Care: A Comparison of the United States, Canada, and Western Europe

(50)

Grant T. Savage, Mark L. Hoelscher, and Elizabeth W. Walker

The Organization and Financing of Health Care

(3)

Outcomes Associated with Various Health Care Systems

(2)

Common Problems

(1)

Health Care in Canada

(5)

Health Care in Sweden

(2)

Health Care in Germany

(8)

Health Care in the United Kingdom

(8)

Health Care in the Netherlands

(5)

Shared Concerns and Learning Opportunities

(16)

Chapter 2-Multiprovider Systems

(35)

Myron D. Fottler and Donna Malvey

Health Care System Development

(3)

System Membership

(3)

The Impact of Managed Care

(3)

System Integration

(6)

System Performance

(2)

Characteristics of Systems

(7)

Managerial Implications

(2)

Recommendations

(8)

Chapter 3-The Legal Structure of Health Care Delivery

(21)

Robert H. Rosemeld

The Charitable Model and the Workshop Model

(1)

The Organized Delivery System Model

(7)

A Critique of the Organized Delivery System Model

(2)

Physician Practice Management Companies

(2)

New Directions

100

(9)

Chapter 4-Business Combinations in the Health Care Field: Legal Implications

109

(12)

Norton L. Travis, Loreen A. Peritz, Hayden S. Wool, and Greg E. Bloom

Hypothetical

109

(1)

Federal Medicare/Medicaid Fraud and Abuse and Antikickback Regulations

110

(3)

Physician Self-Referral--The Stark Law

113

(2)

Antitrust in the Health Care Industry

115

(3)

Tax Exemption Issues

118

(1)

Other Legal Considerations

118

(3)

Chapter 5-Strategic Planning for Health Care Provider Organizations

121

(15)

E. Gordon Whyte and John D. Blair

Strategic Thinking

122

(1)

Preparation for the Strategic Planning Process

123

(3)

Strategic Planning Process

126

(8)

Role of the Planning Director and Department

134

(1)

Conclusion

134

(2)

Chapter 6-Strategic Management of Stakeholder Relationships

136

(25)

John D. Blair, G. Tyge Payne, Timothy M. Rotarius, Carlton J. Whitehead, and E. Gordon Whyte

Identification of Organizational Stakeholders

139

(3)

Diagnosis of Key Stakeholder Relationships

142

(3)

Emerging Levels of Integration in Health Care Delivery

145

(1)

Types of Stakeholder Relationships

146

(3)

Generic Strategies for Stakeholder Relationship Management

149

(5)

Strategy Implementation and Outcomes

154

(2)

Managerial Responsibility for Stakeholder Relationships

156

(1)

Conclusion

157

(4)

Chapter 7-Marketing Health Care Services

161

(22)

Roberta N Clarke

Marketing Mission and Objectives

162

(1)

The Competition Defined

163

(3)

Business-to-Business Marketing

166

(2)

Derived Demand

168

(2)

Consumer Behavior: Information Search and Use

170

(3)

Consumer Behavior: Differentiation

173

(3)

Customer Retention

176

(3)

Customer Satisfaction

179

(2)

Data-Driven Marketing

181

(2)

Chapter 8-Financial Management of Organized Health Care Delivery Systems

183

(48)

Leslie G. Eldenburg, Eldon L. Schafer, and Dwight J. Zulauf

Financial Information Needs

183

(1)

Understanding Financial Statements

184

(1)

Types of Financial Statements

185

(9)

Segment or Responsibility Center Reporting

194

(7)

Analysis of Financial Statements

201

(4)

Financial Management Practices in Health Care Organizations

205

(1)

Financial Statements in Review

206

(1)

Long-Range Decisions

207

(13)

Long-Range Decisions in Review

220

(1)

Short-Range Decisions

221

(11)

Short-Range Decisions in Review

232

(1)

Conclusion

232

(3)

Appendix 8-A: Present Value Tables

235

Chapter 9-Planning Health Care Facilities and Managing the Development Process

231

(29)

James E. Hocking

Background

237

(1)

Facility Planning in Health Care Systems

238

(1)

Future Facility Planning Trends

239

(2)

Facility Development Process

241

(5)

Functional Considerations in Facility Planning

246

(4)

Key Participants

250

(4)

Design and Construction Approaches

254

(2)

Conclusion

256

(1)

Appendix 9-A: Potential External Team Members and Responsibilities

257

(3)

Chapter 10-Financing of Health Care Facilities

260

Geoffrey B. Shields and Debra J. Schnebel

Tax-Exempt Financings

260

(9)

Pooled Financing

269

(1)

Taxable Bonds

270

(1)

Equity Financing as a Capital-Raising Technique

271

(4)

Sale as a Capital-Raising Technique

275

(1)

Conversion

276

(1)

Private Placements and Public Offerings of Securities

276

(1)

Conclusion

277

Chapter 11-Human Resources Management

219

(106)

Norman Metzger

Human Resources Management: Historical Background

279

(3)

Functions and Responsibilities of the Human Resources Department

282

(15)

Placement of the Human Resources Department in the Institution's Organizational Structure

297

(17)

Future Direction of Human Resources Management

314

(1)

The Growth of Mergers, Affiliations, Organized Delivery Systems, and HMOs

315

(1)

The Effect of Managed Care on Human Resources Management

316

(5)

Great Places To Work

321

(4)

Chapter 12-Health Care Information Systems: An Organized Delivery System Perspective

325

(34)

Joseph K.H. Tan

An Organized Delivery System HCIS Infrastructure

326

(7)

Emergence and Scope of Multiprovider HCIS Technologies

333

(7)

SSADM for Multiprovider HCIS Design and Development

340

(10)

Management and Administration of Multiprovider HCISs

350

(5)

Conclusion

355

(4)

Chapter 13-Management Engineering

359

(30)

Karl Bartscht

History

360

(3)

Cost Containment

363

(2)

Productivity Management

365

(9)

Quality Control Program

374

(10)

Management Engineering for Future Operations

384

(5)

PART II-THE HOSPITAL IN AN ORGANIZED DELIVERY SYSTEM

389

(296)

Chapter 14-History of Hospitals

391

(15)

Lawrence F. Wolper and Jesus J. Peña

Medicine and Hospitals as Political Factors

391

(1)

Mesopotamia

391

(1)

Greek Hospitals

392

(1)

Indian Hospitals

392

(1)

Roman Hospitals

392

(1)

Islamic Hospitals

392

(1)

The Middle Ages

393

(1)

Hospitals During the Renaissance

394

(1)

Hospitals on the American Continent

395

(1)

Hospitals in the Seventeenth, Eighteenth, and Nineteenth Centuries

396

(3)

The Modern Hospital and Health Systems

399

(1)

Classification of Hospitals

400

(6)

Chapter 15-Hospital Organization and Management

406

(12)

I. Donald Snook, Jr.

The Hospital Industry

406

(1)

Services Provided by Hospitals

406

(1)

Change in the Hospital Industry

407

(1)

The Major Changes and Their Implications

407

(1)

What Is an Organization?

408

(1)

The Structure of the Hospital Organization

408

(1)

The Bureaucratic Principles

409

(2)

A Team of Three

411

(1)

Governance

411

(2)

The Trustee in an Organized Delivery System

413

(1)

The CEO and the Administration

414

(2)

Conclusion

416

(2)

Chapter 16-Patient Access Services (Admitting): Into, Through, and Out of the Health Care Process

418

(13)

John Woerly

Areas of Responsibilities

418

(2)

Departmental Functions

420

(8)

Management Responsibilities

428

(1)

Staff Responsibilities

429

(1)

Emerging Technologies and Trends

429

(1)

Conclusion

430

(1)

Chapter 17-Ambulatory Care

431

(37)

Kevin W. Barr and Charles L. Breindel

Ambulatory Care Services-Past and Present

432

(9)

Organization and Management of Ambulatory Care Services

441

(9)

Reimbursement

450

(13)

Future Considerations

463

(3)

Conclusion

466

(2)

Chapter 18-Physician Practice and Organization

468

(24)

Michael J. Kelley

Forms of Physician Practice

468

(6)

Managed Care Delivery Systems and Forms of Physician Organization

474

Operational Aspects of Physician Practice

471

(19)

The Future

490

(2)

Chapter 19-Inpatient Hospital Reimbursement

492

(22)

Michael J. Dalton

Cost Finding

492

(3)

Medicare Prospective Payment System

495

(18)

Conclusion

513

(1)

Chapter 20-Outpatient Hospital Reimbursement

514

(8)

Michael J. Dalton

Bundling of Outpatient Services

515

(2)

Non-Cost-Based Outpatient Reimbursement

517

(3)

The Future

520

(2)

Chapter 21-Managed Health Care

522

(23)

Peter R. Kongstvedt

Introduction

522

(1)

Definition of Managed Health Care

523

(1)

Types of Health Plans

524

(6)

Provider Reimbursement

530

(7)

Utilization Management

537

(2)

Quality Management

539

(2)

Other Operational Aspects of Managed Care

541

(1)

The Numbers

541

(2)

Conclusion

543

(2)

Chapter 22-Quality Assurance and Improvement

545

(29)

Mary Reich Cooper

Contributors

545

(3)

Organizations

548

(7)

Methods

555

(9)

Tools

564

(7)

Conclusion

571

(3)

Chapter 23-The Management of Nursing Services

574

(22)

Marjorie Beyers

The Evolving Practice of Nurse-Executives

574

(5)

Organization of Nursing/Patient Care Services

579

(2)

Changing Health Care Delivery Methods

581

(6)

Emerging Models for Nursing Care Delivery

587

(1)

New Competencies for Nurses in Executive Practice

588

(1)

Challenges for Nurses in Executive Practice

589

(5)

The Future of Nurse-Executive Practice

594

(2)

Chapter 24-Laboratories

596

(25)

Paul J. Brzozowski and Ellen A. Moloney

Service Levels

597

(1)

Organization

598

(3)

Staffing

601

(5)

Information Systems

606

(4)

Physical Plant

610

(1)

Laboratory Regulation/Compliance

611

(3)

Strategic Planning

614

(1)

Conclusion

615

(3)

Appendix 24-A: Sample of Test Type by Section

618

(1)

Appendix 24-B: Job Analysis Checklist: Medical Director

619

(2)

Chapter 25-Material/Resource Management

621

(35)

William L. Scheyer and Barbara B. Friedman

Supply Chain

622

(5)

Managing the Core Functions

627

(15)

Materials Management in Alternate Site Locations

642

(1)

Future Trends in Materials Management and Purchasing

642

(3)

Appendix 25-A: Bidding Instructions (Simple Format)

645

(3)

Appendix 25-B: Bidding Instructions (Complex Format)

648

(8)

Chapter 26-Pharmacy

656

(29)

Andrew L. Wilson

Introduction

656

Pharmacy Practice

651

(8)

Pharmacy Management and Leadership

659

(3)

Pharmacist Training and Education

662

(1)

Pharmacy Technician Training and Education

663

(1)

Pharmacy Information Systems

663

(2)

Inpatient Pharmacy Services

665

(2)

Inpatient Drug Distribution and Management

667

(3)

Sterile Products Preparation

670

(2)

Pharmacy Service Location

672

(1)

Ambulatory Care and Outpatient Pharmacy Systems

673

(3)

Patient Care Committees

676

(1)

Financial Management

677

(1)

Cost and Productivity Management

678

(2)

Managing Drug Costs

680

(3)

Conclusion

683

(2)

Index

685

Amazon no longer offers textbook rentals. We do!

Health Care Administration : Planning, Implementing, and Managing Organized Delivery Systems

Health Care Administration : Planning, Implementing, and Managing Organized Delivery Systems

9780763732837

0763732834

Summary

Table of Contents

Supplemental Materials

Write a Review

Amazon no longer offers textbook rentals. We do!

Health Care Administration : Planning, Implementing, and Managing Organized Delivery Systems

Health Care Administration : Planning, Implementing, and Managing Organized Delivery Systems

9780763732837

0763732834

Summary

Table of Contents

Supplemental Materials

Write a Review

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