Management of Hospitals and Health Services: Strategic Issues and Performance

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Beard Books, 2003 - Medical - 330 pages
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"It is a provocative and useful compendium of ideas and historic perspectives that are current and applicable. It is a worthy contribution to the health care literature."
 

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Contents

BARRIERS TO PHYSICIANMANAGEMENT RELATIONSHIPS
158
WHO ARE PHYSICIANS?
159
WHAT IS THE CONDITIONING PROCESS OF MEDICAL EDUCATION?
160
THE PHYSICIAN SURPLUS
161
ORGANIZED MEDICINE
162
HOSPITAL MEDICAL STAFF ORGANIZATION
164
CORPORATE INTEGRATION OF PHYSICIAN SERVICES
165
MANAGEMENT AND PHYSICIANS
168

PERSONAL HEALTH CARE SYSTEM
25
PHYSICIAN SERVICES
27
HOSPITAL SERVICES
31
CONCLUSIONS
32
Environmental Pressures from Cost Controls and Consolidation
35
WHY ARE COSTS RISING?
36
HOW ARE PHYSICIANS PAID?
38
HOW ARE HOSPITALS PAID?
40
HOW DO PAYERS CONTROL COSTS AND QUALITY OF CARE?
41
FUTURE PROSPECTS FOR COST CONTROLS
46
CONSOLIDATION OF HEALTH SERVICES
47
INVESTOROWNED HEALTH SYSTEMS
49
ARE HORIZONTAL VERTICAL AND FORPROFIT CONSOLIDATIONS BENEFICIAL?
51
STRATEGIC MANAGEMENT
55
Strategic Management Defined
57
THE CONCEPT OF ULTRASTABLE EQUILIBRIUM
58
THE STRATEGIC MANAGEMENT PROCESS
60
THE MAJOR COMPONENTS OF THE STRATEGIC MANAGEMENT PROCESS
61
THE ROLE OF THE STRATEGIC MANAGER
63
COMPETENCIES
64
SUMMARY
67
Strategy Formulation
68
DETERMINING THE MISSION GOALS AND OBJECTIVES
69
SOCIAL RESPONSIBILITY
72
COMPETITIVE POSITION
73
THE SWOT ANALYSIS
75
STRATEGIES
76
SUMMARY
81
Implementation Processes
83
MANAGEMENT INITIATIVESSTYLES
87
TRAINING
95
STRUCTURE
96
RESOURCE DEPLOYMENT
97
POLICIES
99
CULTURE
101
SUMMARY
104
Changing Roles of the Chief Executive Officer with Special Emphasis on the EvaluationControl Process
106
ROLE MODELSAN OVERVIEW
107
ROLESPROCESSES
110
MONITORING EVALUATING CONTROLLING
117
CONCLUSIONS
125
HEALTH SERVICES ORGANIZATION ISSUES
127
Organizational Arrangements of Health Services Delivery Systems
129
HEALTH SERVICE FUNCTIONS AND THE PATIENT CARE SYSTEMS
133
ORGANIZATIONAL DESIGN
136
JOINT VENTURES
140
Governance of Health Services Organizations
142
STRUCTURAL CHARACTERISTICS OF A GOVERNING BOARD
143
WHO REALLY CONTROLS HOSPITALS AND HEALTH SERVICES?
149
HOSPITAL PERFORMANCE SEEMS TO RELATE TO ACCOUNTABILITY
150
HOW DOES CONSUMERISM RELATE TO GOVERNANCE?
151
BOARD DECISION PROCESSES
153
CONCLUSIONS
154
Physicians
157
Nursing
177
ISSUES IN NURSING
182
IMPLICATIONS FOR MANAGEMENT
187
MANAGERIAL FUNCTIONS AND ISSUES
191
Other Health Professionals and Programs
193
MANAGEMENT OF PROFESSIONAL SERVICES TO PATIENTS
203
Functional Managers
208
FUNCTIONAL MANAGERS
210
COMPUTER SYSTEMSMEDICAL AND MANAGEMENT INFORMATION SYSTEMSDECISION SUPPORT SYSTEMS
214
MARKETING
216
PLANNING
219
HUMAN RESOURCES MANAGEMENT
220
MATERIALS MANAGEMENT
221
RISK MANAGEMENT
222
PUBLIC RELATIONS AND VOLUNTEER SERVICES
225
CONSULTANTS
226
MANAGEMENT CONTRACTS
227
CONCLUSIONS
229
Management of Access an Epidemiological Approach to Marketing
231
MARKETING AND DEMARKETING HEALTH SERVICES
232
AN EPIDEMIOLOGICAL APPROACH TO MARKETING
233
EPIDEMIOLOGY
238
BALANCING COMMUNITY AND INSTITUTIONAL HEALTH NEEDS
241
Management of Quality and Costs
245
FORCES FOR MORE ATTENTION TO QUALITY
248
METHODS FOR MANAGING QUALITY OF PHYSICIANS SERVICES
250
MANAGEMENT OF QUALITY OR COST?
253
THE BOTTOM LINE AND THE RATIONAL MANAGER
255
The Management of Human Resources
261
THE NATURE OF THE HUMAN RESOURCES FUNCTION
262
MANAGEMENTS HUMAN RESOURCES TOOLS
271
SUMMARY
278
Managing Conflict and Labor Management Relations
280
THE NATURE OF CONFLICT
281
GROUP CONFLICT
282
THE STATUS FACTOR
283
MITIGATION OF CONFLICT
284
WINWIN STRATEGIES
285
PARTICIPATIVE MANAGEMENT
287
COLLECTIVE BARGAINING
289
EMPLOYEES MANAGERS AND UNIONS
291
COLLECTIVE BARGAINING PROCESS
293
CONTRACT ADMINISTRATION
295
SUMMARY
299
FUTURE CHALLENGES STRATEGIES AND ETHICS
303
Managerial Performance and Ethics for Hospitals and Health Services into the Twentyfirst Century
305
ORGANIZATION AND MANAGEMENT STRATEGIES FOR MEETING FUTURE CHALLENGES TO MANAGEMENT
306
DISEASES OF HEALTH SERVICES MANAGEMENT
308
MANAGEMENT OF ORGANIZATIONAL DECLINE
309
AN ETHICAL FRAMEWORK FOR HEALTH SERVICES MANAGEMENT
310
PERSONAL APPROACHES TO MANAGEMENT
319
Index
322
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About the author (2003)

ROCKWELL SCHULZ is Professor of Preventive Medicine Programs in Health Management and Director of the Wisconsin International Center for Health Services Studies at the University of Wisconsin Medical School.

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