...Approach” Jennifer Garrett Principles of Health Care Administration Earl Greenia August 18, 2014 “Texas Health Harris Methodist–Cleburne, located in Cleburne, Texas has 137 acute care beds and over 80 physicians on its medical staff. It is part of Texas Health Resources, a large, nonprofit health care delivery system in north Texas that oversees 14 hospitals (Lashbrook, A. 2009).” In this paper I will summaries the systems approach of Texas Health Harris Methodist–Cleburne with a very brief over-view of the organizational theories, analyze how Texas Health Harris Methodist-Cleburne is a learning organization, explain the organizational structure displayed in this case study, describe the leaders involved in this case study, and discussing the role of the leaders in this case study. Organizational Theories The organizational theory described in this article treats organizational as a commitment to implementing an organizational change providing recommended treatment related to surgical care. This way of thinking about organizational is best suited for examining the performance improvement department and data management department that provide support for quality improvement activities at the hospital level (Lashbrook, A. 2009). Texas Health Resources makes three contributions to organizational theory. First, the article begins by talking about the improvement measure of success depends on the all-or-nothing approach. That Texas Health is not accepting failure when it comes...
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...MSTM- 6023 Strategic Planning & Policy Development Unit 2: Strategic Planning- Case Study Analysis 1 Drucker, P., 2008: Case # 13- What are “Results” in the Hospital? Table of Contents Overview ……………………………….………………………...……….. 2 Problem Statement ……………………….……………………...………… 2 Alternatives ………………………………….………………...…………... 3 Pros and cons ……………………………….………………………………4 Course of Action ……………………………..……………………………. 8 References ………………………………………………………………... 12 Overview Robert Armstrong, an ex-Navy sailor managed a successful family business for twenty years. During this time he also served as the chairman of the hospital board of directors. Healthcare had always been an interest if his. Armstrong had planned to become a physician before being drafted to the Navy while in college. After many years of business management he had begun to resent the time spent travelling and growing his business. He had secured what he described as an “over competent” team of managers within his family business and was ready for change. When the opportunity to become the hospitals administrator became available Armstrong accepted the challenge. However not being experienced in heath care management he was initially reluctant. Armstrong consulted with the hospital’s chief of medical services to inquire, “How do I measure performance?” Familiar with the definition of...
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...Public Health Nursing Vol. 22 No. 4, pp. 354—359 0737-1209/05 # Blackwell Publishing, Inc. SPECIAL FEATURES: PRACTICE CONCEPTS The Child Welfare System: Through the Eyes of Public Health Nurses Janet U. Schneiderman ABSTRACT Objective: This qualitative descriptive study investigates how public health nurses working within the child welfare system view the organization and the organizationÕs effect on their case management practice. Design: Semistructured interviews were conducted utilizing the Bolman—Deal Organizational Model. This model identifies four frames of an organization: symbolic, human resources, political, and structural. Sample: A purposive sample of nine nurses and one social worker was selected to participate in comprehensive interviews. Results: Data analysis identified two main themes. The first theme was the presence of organizational structural barriers to providing case management. The second theme was the lack of political influence by the nurses to change the structure of the organization; hence, their skills could be more completely utilized. Conclusions: Public health nurses who work in child welfare will need to systematically analyze their role within the organization and understand how to work in Òhost settings.Ó Nursing educators need to prepare public health nurses to work in non-health care settings by teaching organizational analysis. Key words: child protective services, organization, public health nursing. The purpose of this exploratory qualitative...
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...USE CLASSICAL MANAGEMENT APPROACH IN UTILIZING ACCIDENT &EMERGENCY DEPA RMENT? BY ZAHRA AHMED EBRAHIM Master in Business Administration General Management Organization and Business Management Open Asia e University 2011 Introduction Background of the Study A number of approaches to the structure and management of organizations developed during the late 1800s and early 1900s .The early philosophies are traditionally labelled classical theory while the later approaches include systems theory and contingency theory. The classical approach to organization focuses efficiency through design. Eleanor and Phillip (2009) kept four elements to build classical theory: division and specialization of labour, chain of command, organizational structure, and span of control. The first element emphasised about dividing the work reduces the number of task that lead to proficiency and specialization. The second element is the chain of command which is meant the hierarchy of authority and responsibility within the organization. However, the collaboration between staff and there managers improve the efficiency and productivity of the unit. Moreover, the third element is organizational structure that describes the arrangement of the work group. The design of the Organization is intended to faster the organization survival and success. Finally, the span of control addresses the pragmatic concern of how many employees a manager can effectively supervise. The later approaches are...
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...Natural Sciences HCS/405 Version 5 Health Care Financial Accounting Copyright © 2012, 2010, 2007, 2005, 2004, 2002, 1999 by University of Phoenix. All rights reserved. Course Description This course provides an understanding of the general principles of accounting applied in the health care environment. It includes an overview of sources of revenue for various health care entities. The fundamentals of financial planning, cost concepts, capital budgeting, and management analysis are applied in the health care environment. Issues surrounding the development and management of budgets are also examined. Policies Faculty and students will be held responsible for understanding and adhering to all policies contained within the following two documents: University policies: You must be logged into the student website to view this document. Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Baker, J. J., & Baker, R. W. (2011). Health care finance: Basic tools for nonfinancial managers (3rd ed.). Sudbury, MA: Jones & Bartlett Publishers. All electronic materials are available on the student website. Week One: Overview of Health Care Finance Details Objectives...
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...Workshop on Global Health Workforce Strategy Annecy, France, 9-12 December 2000 ASSESSING QUALITY, OUTCOME AND PERFORMANCE MANAGEMENT Dr Javier Martinez The Institute for Health Sector Development London World Health Organization Department of Organization of Health Services Delivery Geneva Switzerland 2001 © World Health Organization, 2001 This document is not a formal publication of the World Health Organization (WHO), and all rights are reserved by the Organization. The document may, however, be freely reviewed, abstracted, reproduced and translated, in part or in whole, but not for sale nor for use in conjunction with commercial purposes. Assessing quality, outcome and performance management Dr Javier Martinez The Institute for Health Sector Development London Contents Introduction ..................................................................................................................... 1 1. Background, objectives and methods ................................................................... 1 2. Mapping out the topic and this review .................................................................. 1 Chapter 1 1.1 1.2 1.2.1 1.2.2 1.2.3 1.2.4 1.2.5 1.2.6 1.2.7 1.2.8 What is performance management? How have the concept and practice of performance management evolved over time? ............................ 3 Definition .............................................................................................................. 3 How have...
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...ethical theories and principles. 1.3 Describe problem-solving methodologies. Readings Read Ch. 1 of Health Care Ethics. Read Ch. 1 & 2 of Medical Law and Ethics. Read this week’s Electronic Reserve Readings. Read the Week One Read Me First. Participation Participate in class discussion. 4/10/2014 1 Discussion Questions Respond to weekly discussion questions. 4/10/2014 1 Nongraded Activities and Preparation Ethics Case Study Begin working on the Ethics Case Study due in Week Two. Learning Team Instructions Begin working on the Code of Ethics Paper due in Week Three. Review the Week One objectives and discuss additional insights and questions that may have arisen Individual Health Care Ethics Matching Exercise Complete the Health Care Ethics Matching Exercise, located on your student website. Match keywords commonly used in health care ethics to the definitions on the page. Discuss the exercise in class and turn in your answer sheet to your facilitator. 4/10/2014 15 Week Two: Application of Ethics Within Individual Organizations Details Due Points Objectives 2.1 Describe ethical principles used in health care organizations. 2.2 Explain the relationship between an organization’s culture and ethical decision-making. 2.3 Recognize the role and importance of ethical values within an organization. Readings Read Ch. 3 & 5 of Health Care Ethics. Read Ch. 8 of Medical Law and Ethics. Read this week’s Electronic Reserve Readings. Read the...
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...Excellence: Case Study Jessica Moss October 9th, 2012 The HIMSS Davies Award of Excellence originated in 1994. The program and award is named after Dr. Nicholas E. Davies who was a practicing physician and the President elect of the American College of Physicians as well as a member of the Institute of Medicine Committee on Improving the Patient Record. Dr. Davies passed away in a plane crash in 1991 but he dedicated his work into improving the patient record. He believed that computer based patient records needed improvement to provide better care for the patients. The Davies Award of Excellence is an award that requires the staff in the health care system applying for the award to document and assess their progress and accomplishments using a framework for thinking about the implementation process of an electronic health records system. The HIMSS Nicholas E. Davies Award of Excellence identifies organizations use of health care information technology in four categories: public health, organizational health, ambulatory care and community health organizations. Each case study demonstrates the facilities innovation and the use of an existing application that delivers the new or improved functionality or original solutions created by the applicant enterprise. (HIMSS, 2011) In 2011, five case studies were awarded with the Davies Award. The New York City Department of Health and Mental Hygiene applied their case study and was awarded the Davies Award in the Public Health sector...
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...likely to have access to quality care, are more likely to be less educated, and a host of other disparities and factors. Therefore, teenager girls who live in poverty may feel that becoming a mother will give them a purpose in life and feel better about their economic condition. Due to this, poverty is a key factor of teenage pregnancy. In order to decrease the high prevalent of teenage pregnancy...
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...significance of the study 5 1.5 Nature of the study 6 1.6 Research questions and hypothesis 6 1.7 Conceptual or theoretical framework 7 1.8 Definition of terms 8 Strategic management 8 Employee welfare 8 Risk management 9 Public Health care sector 9 1.9 Assumptions 9 1.10 Scopes, limitations and delimitations 9 Chapter 2: Literature review 10 2.1 Resource management 10 2.2 Employee management 12 2.3 Risk management 15 References 18 Topic: The performance of doctors and administrators in the management of healthcare facilities Chapter 1: Introduction The management of health care facilities has been a major concern especially within public funded health facilities. Public health facilities have experience various cases of mismanagement and they have been unable to handle the increasing and changing demands towards health care (Dunn et.al, 2007). The private health institutions are considerably managed in an admirable manner because most owners treat them as an investment hence leading to the usage of strategic management in the running of these private health care centers. The public health care centers have less levels of accountability because of laxity by the funding authorities in instituting better management teams. Most public health care centers are managed by trained doctors who do not have any kind of training in the management of institutions (Dunn et.al, 2007). Owing to numerous reports regarding mismanagement of public health care systems, it is significant...
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...business is going to use to better their organization and breaking it down to see how it can better the business and what problems need to be fixed before implementing the system. It also predicts the cost of the system and the money it will save the business that is using it. The system I am going to be using is the implementation of Electronic Health Records (EHR) into small rural health care facilities. This particular one is for D.W. McMillan Memorial Hospital. D.W. McMillan Memorial Hospital is a 49 bed community hospital who are located in Brewton, Alabama. D.W. McMillan Memorial Hospital decided they wanted to take a shot at implementing HER to make their organization more modern and up to date on technology that is being used nationwide. Not only will it benefit their patients, but also the workers, and the organization as a whole. D.W. McMillan Memorial Hospital realized they needed and EHR system when they started using the bar code medication administration system. Up until the point they realized they need an automated system, they always used the traditional paper version of medical records. They used system analysis to take a look at their current paper medical records that were being used and they wanted to implement a software that would be an easy transition, with easy-to-navigate screens that “mirrored paper-based processes” (EHR implementation in a smaller hospital: A case study, 2014) This helped the health care providers to adapt to...
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...Change and Culture Case Study I In a hierarchical organization structure there is a top, middle and a bottom. Middle management sits in the middle of this type or organizing scheme. Middle managers are generally supervisors. Sometimes those that head up departments or units of a business can be considered middle management depending on how the business is structured. Most middle management implements or executes the plans and policies created by upper management (Burke, 2013). Middle managers have to ensure that all of the employees that work underneath them are following the business plans that have been laid out and that they are getting their work done on time. It is important that middle managers are able to communicate clearly and effectively with their staff whether it is verbal or written communication. Case Study Background In this case study the scenario is a middle manager within the health care organization has merged with a previous competitor. Up until now, employees saw the competition as an enemy that provided poor quality of care to their patients. The new corporation, however, has in place several inpatient and outpatient service that our health care organization does not. We will be discussing what impact the sale will have on the culture of the new combined health care organizations, as a middle manager what can be done to make sure that the combined staff work together in providing quality of care rather than seeing it as a competition and describing...
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...Fresco Community Health Center Case Study Analysis Abstract Arroyo Fresco (AF) currently provides services through eleven clinics and four mobile service vans across western Arizona. The three counties that are served through AF provide high quality primary care and preventative services to demographic areas with diverse geography, culture, income, and other varying factors (“Arroyo Fresco,” 2006). The facility guides its decision making process for organizational strategies with the combination of FOCUS and SWOT analysis. This allows for a well-rounded check and balance system to manage and prepare for current and future strategies for short term and long term processes. The increase in financial demands, consumer expectations, partnerships and mergers, quality of care given, and health care reform restructuring have placed a lot of expectations on health care facilities (“Creating an ethical culture,” 2011). The organizational strategy proves to be an important structure in order to provide a clear definition on how AF can change over time in order to successfully deliver a strategy and action plan that will benefit the short term and long term projections within the company (“Executive Insight,” 2008). AF has an found areas to improve the job descriptions, relationships, and management processes (Miles, Snow, Meyer, and Coleman, 2013). The organization strives to establish a strategic set of goals that will monitor, advance, and demonstrate health care results within...
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...HCS/514 MANAGING IN TODAY'S HEALTH CARE ORGANIZATION Start Date: 11/08/2011 Print COURSE DESCRIPTION This course focuses on the adaptation of organizational management to evolving health systems. Students will examine organizational theory, organizational performance, structure, change management and human resource management. Students apply various organizational theories to contemporary issues. Week 1 - Topic 1: Organizational/Management Theory Objectives Describe organizational design, function, and processes. Explain how accountability affects the behavior of an organization. Illustrate factors that define and shape an organization. Materials READ ME FIRST Week One Textbook used in this course: EBOOK COLLECTION: Liebler, J.G. & McConnell C.R (2008). Management Principles for Health Professionals. (5th ed.). Sudbury, MA: Jones and Bartlett. Reading Assignments for Week One: EBOOK COLLECTION: Management Principles for Health Professionals, Chapter 1 EBOOK COLLECTION: Management Principles for Health Professionals, Chapter 3 EBOOK COLLECTION: Management Principles for Health Professionals, Chapter 4 READING: Required Electronic Reserve Readings:"Ethical implications of transparency." by Nelson and Campbell ARTICLE: Week One Electronic Reserve Readings Assessment Memo Assignment: A new CEO has just taken over your organization and would like a brief report on the current state of your organization in order to formulate a strategy for improving its performance...
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...Decision Making Case Study Ciera Butts HCS/514 September 2, 2013 Michael Curtis Decision Making Case Study A major compound in managing an organization, resources, and staff members is an effective decision-making. Daily, managers may make dozens of important decisions that affect the operations, quality, and success of their organization. Not all managers have the natural ability to be effective decision-makers however that does not mean this is an unattainable skill. This skill can develop and improve to help managers make the most of their formal decision-making with the use of tools and intelligent use of resources. The standard definition of decision-making is; the process of mapping the likely consequences of decisions, working out the importance of individual factors and choosing the best course of action to take ("Definition of decision,"). Decision making takes qualified managers to determine what is the proper decision to make based on the information given and problems that may needs to solve; never cut and dry. Although decision-making is a job usually by the higher end of the pyramid, the bottom rung of the ladder can make it as well. Only a small portion of the company and other decisions may affect the whole company and the health of the patients by the decisions that are made. When facing many barriers making decisions, health care managers need as much help as they can get. With the advancement of medical technology comes the advancement in decision-making...
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