Cover image for Health care administration : planning, implementing, and managing organized delivery systems
Health care administration : planning, implementing, and managing organized delivery systems
Wolper, Lawrence F.
Third edition.
Publication Information:
Gaithersburg, Md. : Aspen Publishers, 1999.
Physical Description:
xxiv, 711 pages : illustrations ; 26 cm
Pt. I. Planning, implementing, and managing organized delivery systems-- Ch. 1. International health care: a comparison of the United States, Canada, and Western Europe-- Ch. 2. Multiprovider systems-- Ch. 3. The legal structure of health care delivery-- Ch. 4. Business combinations in the health care field: legal implications-- Ch. 5. Strategic planning for health care provider organizations-- Ch. 6. Strategic management of stakeholder relationships-- Ch. 7. Marketing health care services

Ch. 8. Financial management of organized health care delivery systems-- Ch. 9. Planning health care facilities and managing the development process-- Ch. 10. Financing of health care facilities-- Ch. 11. Human resources management-- Ch. 12. Health care information systems: an organized delivery system perspective-- Ch. 13. Management engineering-- Pt. II. The hospital in an organized delivery system-- Ch. 14. History of hospitals-- Ch. 15. Hospital organization and management

Ch. 16. Patient access services (admitting): into, through, and out of the health care process-- Ch. 17. Ambulatory care-- Ch. 18. Physician practice and organization-- Ch. 19. Inpatient hospital reimbursement-- Ch. 20. Outpatient hospital reimbursement-- Ch. 21. Managed health care-- Ch. 22. Quality assurance improvement-- Ch. 23. The management of nursing services-- Ch. 24. Laboratories-- Ch. 25. Material/resource management-- Ch. 26. Pharmacy.
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RA971 .H384 1999 Adult Non-Fiction Central Closed Stacks

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An excellent preparation for students in health care administration and nursing. Health Care Administration covers today's health care industry fully, from accredation and cost accounting, managed care, vertical integration, and internation health care systems. With this firm foundation of theory and practical strategies, your students will be equipped to meet the many challenges facing health care managers today.

Table of Contents

Grant T. Savage and Kim Sydow Campbell and Cassandra D. Ford and Leo van der ReisMyron D. Fottler and Donna MalveyGabriel L. Imperato and Mike Segal and Matthew T. StaabJohn D. Blair and Timothy W. Nix and G. Tyge Payne and Timothy M. Rotarius and Carlton J. WhiteheadLeslie G. Eldenburg and Eldon L. Schafer and Dwight J. ZulaufNorman MetzgerPeter D. Stergios and Patrick M. Collins and Joseph Z. Fleming and Ronald M. Rosengarten and John F. Scalia and Elissa McGovern and David B. Spanier and Leigh Anne Ciccarelli and Alan Jockers and Scott Johnson and John F. Lomax, Jr. and Eric B. SigdaMarjorie BeyersJames E. HoskingGeoffrey B. ShieldsRoberta N. ClarkeJoseph K. H. TanKarl BartschtKevin W. Barr and Charles L. BreindelPeter R. KongstvedtAllan M. GreenJohn D. Blair and Cynthia A. Holubik and Robert K. Keel and Angela M. Roberson and Steven R. TomlinsonLawrence F. Wolper and Jesus J. PenaI. Donald Snook, Jr.John WoerlyPaul J. Brzozowski and Paul D. CamaraAndrew L. WilsonWilliam L. Scheyer and Barbara B. FriedmanMichael R. Costa and Eleanor A. Kolton and Robert FineMary Reich CooperMichael J. KelleyLawrence F. Wolper
About the Author/Editorp. xv
Contributorsp. xvii
Prefacep. xxi
Acknowledgmentsp. xxv
Part 1 Planning, Implementing, and Managing Organized Delivery Systemsp. 1
Chapter 1 International Health Care: A 12-Country Comparisonp. 3
The Financing, Organization, and Outcomes from the Provision of Health Carep. 4
Tax-Funded Models for Direct Provision of Health Servicesp. 12
Tax-Funded Model for Indirect Provision of Health Servicesp. 21
Compulsory Insurance Models for Indirect Provision of Health Servicesp. 23
Mixed Models for Provision of Health Servicesp. 30
Shared Concerns and Learning Opportunitiesp. 42
Chapter 2 Organized Delivery Systemsp. 55
Healthcare System Developmentp. 56
System Characteristicsp. 59
The Impact of Managed Carep. 61
System Integrationp. 63
System Performancep. 68
A View from the Real Worldp. 70
In-Depth Case Study: Southeast Medical Centerp. 78
Managerial Implications and Recommendationsp. 85
Chapter 3 Legal Implications of Business Arrangements in the Healthcare Industryp. 93
Legal Structure of the Healthcare Delivery Systemp. 93
Federal Anti-Kickback Statutep. 97
Physician Self-Referral--Stark Lawp. 104
Comparison of the Federal Anti-Kickback Statute to the Physician Self-Referral Actp. 110
False Claims Actp. 130
Professional Liabilityp. 145
Antitrust Laws and the Healthcare Industryp. 148
Other Considerationsp. 151
Chapter 4 Stakeholder Management--Strategies and Stylesp. 157
Stakeholder Management Styles and Performancep. 158
The Strategic Webp. 159
Identification of Organizational Stakeholdersp. 161
Diagnosis of Key Stakeholder Relationshipsp. 164
Types of Stakeholder Relationshipsp. 168
Generic Strategies for Managing Stakeholder Relationshipsp. 172
Strategy Implementation and Outcomesp. 177
Stakeholder Management Styles: Changing the Focus to Types of Organizationsp. 178
Stakeholder Management Prioritiesp. 179
Managerial Responsibility for Stakeholder Relationshipsp. 183
Conclusionp. 184
Chapter 5 Financial Management of Organized Health Care Delivery Systemsp. 191
Financial Information Needsp. 191
Understanding Financial Statementsp. 192
Types of Financial Statementsp. 193
Long-Range Decisionsp. 217
Short-Range Decisionsp. 230
Conclusionp. 244
Appendix 5-A Present Value Tablesp. 247
Chapter 6 Human Resources Management in Organized Delivery Systemsp. 249
Human Resources Management: Historical Backgroundp. 249
Functions and Responsibilities of the Human Resources Departmentp. 252
Placement of the Human Resources Department in the Institution's Organizational Structurep. 268
Future Direction of Human Resources Managementp. 284
The Effect of Managed Care and Mergers on Human Resources Managementp. 285
Great Places to Workp. 291
Chapter 7 Labor and Employment Laws Applicable to Organized Delivery Systemsp. 295
Introductionp. 295
Federal and State Civil Rights Lawsp. 298
Affirmative Action/Federal Contractor Requirementsp. 302
Individual Employment Rightsp. 303
Wage and Hour Lawsp. 306
Employee Benefits in the Healthcare Industryp. 312
Privacy Issues in the Workplacep. 315
Safety in the Workplacep. 318
Collective Bargaining and Protected Concerted Activitiesp. 319
Employment Eligibility Verificationp. 327
Conducting an Effective Internal Investigationp. 331
Employment Records and Recordkeepingp. 337
Chapter 8 The Management of Nursing Servicesp. 349
The Evolving Practice of Nurse-Executivesp. 349
Organization of Nursing/Patient Care Servicesp. 354
Changing Health Care Delivery Methodsp. 357
Emerging Models for Nursing Care Deliveryp. 363
New Competencies for Nurses in Executive Practicep. 364
Challenges for Nurses in Executive Practicep. 365
The Future of Nurse-Executive Practicep. 370
Chapter 9 Planning Healthcare Facilities and Managing the Development Processp. 373
Backgroundp. 373
Facility Planning in Healthcare Systemsp. 374
Future Facility Planning Trendsp. 375
Facility Development Processp. 378
Functional Considerations in Facility Planningp. 383
Key Participantsp. 387
Design and Construction Approachesp. 390
Conclusionp. 392
Appendix 9-A Potential External Team Members and Responsibilitiesp. 394
Chapter 10 Financing of Healthcare Facilitiesp. 397
Tax-Exempt Financingsp. 397
Pooled Financingp. 406
Taxable Bondsp. 407
Equity Financing as a Capital-Raising Techniquep. 408
Joint Venture Structuresp. 409
Legal Issues: Control and Liability Exposurep. 410
Federal Income Taxation of a Business Corporationp. 411
Federal Income Taxation of a Partnership and Limited Liability Corporationp. 412
Sale as a Capital-Raising Techniquep. 413
Conversionp. 413
Private Placements and Public Offerings of Securitiesp. 414
Conclusionp. 415
Chapter 11 Marketing Healthcare Servicesp. 417
Marketing Mission and Objectivesp. 418
The Competition Definedp. 419
Business-to-Business Marketingp. 423
Derived Demandp. 425
Consumer Behavior: Information Search and Usep. 427
Consumer Behavior: Differentiationp. 431
Customer Retentionp. 434
Customer Satisfactionp. 437
Data-Driven Marketingp. 439
Chapter 12 Health Care Information Systems: An Organized Delivery System Perspectivep. 443
An Organized Delivery System HCIS Infrastructurep. 444
Trends in Organized Healthcare Delivery Systemsp. 445
Emergence and Scope of Organized Delivery System HCIS Technologiesp. 450
SSADM for Multiprovider HCIS Design and Developmentp. 458
Management and Administration of Organized Delivery System HCISsp. 466
Conclusionp. 472
Chapter 13 Management Engineeringp. 477
Historyp. 478
Cost Containmentp. 481
Productivity Managementp. 483
Quality Control Programp. 492
Management Engineering for Future Operationsp. 502
Chapter 14 Ambulatory Carep. 507
Ambulatory Care Services: Past and Presentp. 508
Organization and Management of Ambulatory Care Servicesp. 525
Reimbursementp. 528
Future Considerationsp. 542
Conclusionp. 544
Chapter 15 Managed Health Carep. 547
Part 1 What It isp. 547
Introductionp. 547
Forms of Bearing Risk for Medical Costsp. 548
Types of Payor-Based Managed Health Care Organizationsp. 551
Managed Health Care Provider Organizations--Integrated Delivery Systemsp. 557
Part 2 How It Worksp. 561
Introductionp. 561
Provider Reimbursementp. 561
Management of Utilizationp. 570
Benefits Administration and Claims Paymentp. 575
Finance and Underwritingp. 578
Conclusionp. 583
Chapter 16 Ethical Considerations in the Provision of Healthcare Services and Investigational Researchp. 585
Tragic Choicesp. 588
Ethics in Human Clinical Investigation and in the Use of New Drugs and Devicesp. 591
Chapter 17 Bioterrorism Preparednessp. 609
The Broader Context of Bioterrorismp. 614
The Specific Context of Terrorismp. 616
Biological Agentsp. 617
Bioterrorism Preparedness by Healthcare Organizationsp. 621
Conclusion Regarding Preparednessp. 629
Epiloguep. 630
Part 2 The Hospital in an Organized Delivery Systemp. 635
Chapter 18 The History of Hospitalsp. 637
Medicine and Hospitals as Political Factorsp. 637
Mesopotamiap. 638
Greek Hospitalsp. 638
Indian Hospitalsp. 638
Roman Hospitalsp. 638
Islamic Hospitalsp. 639
The Middle Agesp. 639
Hospitals during the Renaissancep. 640
Hospitals on the American Continentp. 641
Hospitals in the Seventeenth, Eighteenth, and Nineteenth Centuriesp. 642
The Modern Hospital and Health Systemsp. 645
Classification of Hospitalsp. 646
Chapter 19 Hospital Organization and Managementp. 651
Services Provided by Hospitalsp. 651
Change in the Hospital Industryp. 651
The Major Changes and Their Implicationsp. 652
What is an Organization?p. 652
The Structure of the Hospital Organizationp. 653
The Bureaucratic Principlesp. 653
A Team of Threep. 655
Governancep. 655
The Trustee in an Organized Delivery Systemp. 657
The CEO and the Administrationp. 658
Conclusionp. 660
Chapter 20 Patient Access Services: Into, Through, and Out of the Healthcare Processp. 663
Areas of Responsibilitiesp. 663
Departmental Functionsp. 665
Management Responsibilitiesp. 673
Staff Responsibilitiesp. 674
Emerging Technologies and Trendsp. 674
Conclusionp. 675
Chapter 21 Laboratoriesp. 677
Service Levelsp. 678
Organizationp. 679
Staffingp. 682
Information Systemsp. 688
Physical Plant and Equipmentp. 691
Laboratory Regulation/Compliancep. 697
Strategic Planningp. 699
Conclusionp. 701
Appendix 21-A Sample of Test Type by Sectionp. 703
Appendix 21-B Job Analysis Checklist: Medical Directorp. 704
Chapter 22 Pharmacyp. 707
Pharmacy Practicep. 708
Pharmacy Management and Leadershipp. 710
Pharmacist Training and Educationp. 713
Pharmacy Technician Training and Educationp. 714
Pharmacy Information Systemsp. 714
Inpatient Pharmacy Servicesp. 717
Inpatient Drug Distribution and Managementp. 719
Sterile Products Preparationp. 722
Pharmacy Service Locationp. 725
Ambulatory Care and Outpatient Pharmacy Systemsp. 726
Patient Care Committeesp. 728
Financial Managementp. 730
Cost and Productivity Managementp. 730
Managing Drug Costsp. 732
Conclusionp. 735
Chapter 23 Material and Resource Managementp. 737
Supply Chainp. 738
Managing the Core Functionsp. 743
Materials Management in Alternate Site Locationsp. 758
Future Trends in Materials Management and Purchasingp. 759
Appendix 23-A Bidding Instructions (Simple Format)p. 761
Appendix 23-B Bidding Instructions (Complex Format)p. 764
Chapter 24 Designing and Implementing a Hospital Compliance Programp. 773
The Value of an Effective Compliance Programp. 774
Basic Elements of an Effective Compliance Programp. 780
The Initial Needs Assessment/Compliance Reviewp. 784
Integrating the Compliance Programp. 784
HIPAA Privacy Rule Compliancep. 792
Investigations and Corrective Actionp. 801
Disability Access Compliancep. 803
Conclusionp. 811
Chapter 25 Quality Assurance and Improvementp. 815
Contributors to Quality Health Carep. 815
Organizationsp. 818
Methodsp. 825
Toolsp. 833
Conclusionp. 840
Chapter 26 Physician Practice: Organization and Operationp. 843
Forms of Physician Practicep. 843
Managed Care Delivery Systems and Forms of Physician Organizationsp. 850
Operational Aspects of Physician Practicep. 853
The Futurep. 869
Chapter 27 Implementing a Physician Practice Compliance Programp. 871
The Compliance Plan within the Context of a Physician Practicep. 872
The Elements of Compliance Plans and Programsp. 881
A Planning and Implementation Work Planp. 897
Sample Compliance Plan and Program Work Planp. 898
Indexp. 915