The Physician's Essential MBA: What Every Physician Leader Needs to Know
, by Stahl, Michael J.- ISBN: 9780834212442 | 0834212447
- Cover: Paperback
- Copyright: 4/1/1999
About the Editors | p. xiii |
About the Authors | p. xv |
Preface | p. xxiii |
Acknowledgements | p. xxv |
Change and Strategy in the Health Care Industry | p. 1 |
Strategy in the Mutating Health Care Industry: Strategic Planning Processes for Changes in Managed Care | p. 3 |
Executive Summary | p. 4 |
Strategic Environmental Analysis | p. 4 |
The Strategic Management Process | p. 4 |
Internal Strengths and Weaknesses and External Opportunities and Threats (SWOT) Analysis | p. 5 |
Economic and Financing Changes | p. 8 |
Eight Big Health Care Trends for the Millenium | p. 8 |
Managed Care | p. 11 |
Health Maintenance Organization (HMO) Growth | p. 12 |
Oversupply of Physicians | p. 13 |
Multiple Stages of Managed Care | p. 13 |
The Strategic Plan | p. 14 |
Mission | p. 16 |
Vision | p. 16 |
Values | p. 16 |
Objectives | p. 17 |
Strategies | p. 17 |
Quo Vadis? | p. 18 |
Glossary | p. 19 |
References | p. 20 |
Economics of Health Care Policy | p. 23 |
Executive Summary | p. 23 |
Trends and Projections | p. 24 |
The Solow Growth Model | p. 28 |
Saving and Investment | p. 29 |
Population Growth | p. 32 |
Technical Progress | p. 33 |
The Augmented Solow Model | p. 33 |
Reducing Aggregate Variability | p. 35 |
What Causes Recessions? | p. 36 |
Inflation and the Phillips Curve | p. 37 |
Imperfect Competition and Menu Costs | p. 37 |
The Shifting Phillips Curve | p. 39 |
Glossary | p. 42 |
References | p. 44 |
Health Policy for the Physician Leader | p. 45 |
Executive Summary | p. 46 |
Integration | p. 47 |
Key Questions of Health Policy | p. 47 |
Where Are We? | p. 48 |
How Did We Get Here? | p. 49 |
Do We Want To Be There? | p. 52 |
What Alternatives Are Out There? | p. 53 |
What is Likely To Work in the Future? | p. 56 |
How Do We Prepare For it, Given Our Political Process? | p. 60 |
What Is the Likely Role of Physician Leaders in This Process? | p. 61 |
How Can Such Roles Be Enhanced? | p. 62 |
Glossary | p. 63 |
References | p. 64 |
Managing Organizational Design to Lead Change in Health Care Enterprises | p. 67 |
Executive Summary | p. 68 |
Introduction | p. 69 |
Global Change | p. 69 |
Change in Health Care | p. 69 |
Organizational Design Helps Enterprises Adapt to Change | p. 70 |
Organization Design--What Has Been Learned | p. 71 |
How To Avoid Inflexibility and Optimize Organizational Design | p. 74 |
Organizational Design Decisions Directly Impact Performance | p. 75 |
A Physician Can Lead Change With Organizational Design | p. 76 |
Two Kinds of Change in Organizations | p. 76 |
An Organizational Design Process | p. 78 |
Self-Designing System Concept | p. 79 |
Conclusion | p. 82 |
Glossary | p. 84 |
References | p. 84 |
The Practice of Marketing: What Every Physician Leader Needs to Know | p. 89 |
Executive Summary | p. 90 |
The Environmental Imperative: Why Physicians | |
Need to Know About Marketing | p. 90 |
Increasing Competition | p. 91 |
The Changing Patient Environment | p. 92 |
Multiple, Competing Customers | p. 93 |
What is Marketing? | p. 94 |
Marketing's Bad Rap: Misperceptions, Biases, and Misinformation | p. 94 |
The Marketing Concept | p. 96 |
What Do Physician Leaders Need to Know About Marketing? | p. 99 |
MOA | p. 99 |
CVD | p. 101 |
Customer Value as a Unifying, Cross-Functional Orientation | p. 106 |
The Importance of MOA and CVD for Physician Leaders | p. 110 |
Glossary | p. 111 |
References | p. 112 |
Business Processes and Systems for Financial Stability | p. 113 |
Measuring Business Performance | p. 115 |
Executive Summary | p. 116 |
Financial Statements | p. 116 |
Why Do Physician Leaders Need An Understanding Of Accounting? | p. 116 |
What Is It Physician Leaders Really Need To Understand About Financial Statements? | p. 118 |
Why Is It Important That We Understand How The Different Financial Statements Work Together? | p. 120 |
Costing | p. 122 |
Why Is Getting A Handle On Costs Still So Important? | p. 122 |
How Can We Develop More Accurate Costs? | p. 124 |
Business Integration | p. 127 |
How Can We Possibly Keep Track Of Everything That Is Going On In Our Organizations? | p. 127 |
How Do We Begin To Understand How To Integrate All This Business Knowledge? | p. 129 |
Why Use A Simulation? | p. 130 |
Glossary | p. 132 |
References | p. 132 |
Cash Flows, Expansion and the Access to Capital | p. 135 |
Executive Summary | p. 135 |
Capital | p. 136 |
Internal Capital | p. 137 |
External Capital | p. 137 |
Cash Flows | p. 142 |
Operating Cash Flows | p. 143 |
Investments | p. 144 |
Free Cash Flow | p. 146 |
A Cash Flow Example | p. 147 |
Cash Flows and Equity | p. 150 |
Conclusion | p. 150 |
Glossary | p. 151 |
References | p. 152 |
Designing, Managing and Improving Health Care Operations | p. 153 |
Executive Summary | p. 154 |
Operations as a Transformation Process | p. 154 |
Are Operations Important? | p. 156 |
Why Does a Physician Leader Need to Know About Operations? | p. 158 |
Designing, Managing, and Improving Operations | p. 159 |
Characteristics of Service Operations | p. 160 |
Special Challenges Within Health Care Service Operations | p. 162 |
Health Care in the Context of Service Operations | p. 162 |
The Phenomenon of Queuing | p. 165 |
Interdependent Activities and Variation | p. 169 |
Systems Within Systems | p. 170 |
Conclusion | p. 171 |
Glossary | p. 171 |
References | p. 172 |
Disease Management: What Every Physician Leader Needs to Know | p. 173 |
Executive Summary | p. 174 |
The Concept and Rationale of Disease/Care Management | p. 174 |
Component Care--The Failed Model | p. 176 |
Pharmaceutical Companies: A Growing Force in Disease Management | p. 177 |
Elements of Care Management | p. 178 |
The Role of Case Management in Disease/Care Management | p. 178 |
Knowledge Base for Care Management | p. 179 |
Characteristics of Care Management Organizations | p. 179 |
Cross-Industry Teams | p. 181 |
Role of Clinical Practice Guidelines in Care Management | p. 181 |
Intervention Tools for Care Management | p. 181 |
Conclusion | p. 183 |
Glossary | p. 183 |
References | p. 184 |
Leading Exemplar Performance | p. 187 |
Strategic Leadership in the Health Care Industry | p. 189 |
Executive Summary | p. 189 |
My Perspective | p. 190 |
Leadership Versus Management | p. 191 |
Strategic Leadership | p. 192 |
Strategic Leadership Competencies | p. 193 |
Strategic Leadership Character | p. 194 |
Conclusion | p. 195 |
Glossary | p. 195 |
References | p. 196 |
Transitioning Leadership Styles: Physicians Preparing for Health Care Leadership | p. 199 |
Executive Summary | p. 200 |
Introduction | p. 200 |
Skill Assessment | p. 203 |
Formal Assessment | p. 203 |
Informal Assessment | p. 207 |
Skill Development | p. 208 |
One-on-One Coaching | p. 208 |
Creating a Development Plan | p. 210 |
Glossary | p. 213 |
References | p. 214 |
Business Law and Business Ethics for Physician Leaders | p. 217 |
Executive Summary | p. 218 |
Legal Issues in the Business of Health Care | p. 218 |
Contracting in the Managed Care Environment | p. 218 |
Antitrust and Price Fixing | p. 220 |
Healthcare Fraud and Abuse | p. 222 |
Ethical Standards for the Business of Health Care | p. 226 |
Ethical Standards Help Us Create an Ethical Climate | p. 227 |
Ethics Officers | p. 228 |
Two Traditional Sides of Business Ethics | p. 229 |
Health Care Organizational Issues | p. 235 |
Conclusion | p. 237 |
Glossary | p. 238 |
References | p. 241 |
Turning Data Into Information Using Technology | p. 245 |
Learning in a Variable World: Statistics and Decision-Making for Physician Leaders | p. 247 |
Executive Summary | p. 248 |
Introduction | p. 248 |
Statistics and Medical Practice | p. 248 |
Statistics and Management | p. 249 |
Chapter Outline | p. 250 |
Collecting Data | p. 252 |
Assessing Patient Satisfaction Levels | p. 252 |
Comparing Suppliers | p. 253 |
Sex Discrimination in Salaries | p. 254 |
Summarizing Data | p. 255 |
Assessing Patient Satisfaction Levels | p. 255 |
Comparing Suppliers | p. 255 |
Sex Discrimination in Salaries | p. 257 |
Making Inferences from Data | p. 259 |
Assessing Patient Satisfaction Levels | p. 259 |
Comparing Suppliers | p. 259 |
Sex Discrimination in Salaries | p. 260 |
Conclusion | p. 262 |
Glossary | p. 263 |
References | p. 264 |
Continuous Quality Improvement: What Every Physician Leader Needs to Know | p. 265 |
Executive Summary | p. 266 |
Application of the Quality Improvement Cycle to Health Care | p. 267 |
Trends in Health Care Economics | p. 267 |
Continuous Quality Improvement in American Industry | p. 268 |
Deming's Fourteen Quality Principles | p. 269 |
Juran--The Foundation of Total Quality Management | p. 270 |
Shewhart--The PDSA Cycle | p. 271 |
Crosby--The Concept of Zero Defects | p. 272 |
Quality Improvement Tools | p. 273 |
Flow Charts | p. 274 |
Control Charts | p. 274 |
Goals of TQM and CQI | p. 277 |
Conclusion | p. 278 |
Glossary | p. 278 |
References | p. 280 |
Diagnosing the Security of Your Organization's Information | p. 281 |
Executive Summary | p. 282 |
Rewards and Risks of Sharing Information | p. 282 |
Connecting Internal Systems | p. 283 |
Connecting To the World | p. 283 |
Know the Enemies | p. 284 |
Competitive Spies and Teenagers | p. 284 |
The Quiet Ones | p. 286 |
The Sly Ones | p. 287 |
The Unwitting Ones | p. 288 |
An Ounce of Prevention | p. 289 |
The Aches and Pains of Computer Viruses | p. 289 |
What Viruses Are | p. 290 |
The Frustrating Surprises | p. 290 |
How Do I Know You're You? | p. 291 |
Passwords | p. 291 |
Physical Identification Cards | p. 293 |
Encryption | p. 293 |
Digital Signatures | p. 294 |
Digital Certificates | p. 295 |
Biometrics | p. 296 |
When to Quarantine Your Computers | p. 297 |
Disaster Recovery | p. 297 |
Put it on Paper | p. 298 |
Glossary | p. 299 |
References | p. 300 |
Information Technology | p. 303 |
Executive Summary | p. 304 |
Fighting Against the Future | p. 304 |
A Culture of Change for Individuals and Businesses | p. 305 |
Informunication | p. 306 |
New Basic Skills: A Change in Leadership Approach | p. 306 |
Collaborative Partnerships | p. 306 |
Change Brokering | p. 307 |
The Informunication-driven Enterprise | p. 307 |
New Basic Skills: A Commitment to Lifelong Learning | p. 308 |
New Research Methods | p. 308 |
Just-In-Time Learning | p. 308 |
Trend Spotting | p. 308 |
The Urgency of Adaptation | p. 309 |
Technology as a Tool, Not a Toy | p. 309 |
Implementation as a River, Not a Waterfall | p. 310 |
Critical Technology Skills for Personal Adaptation | p. 310 |
Conclusion | p. 311 |
Glossary | p. 311 |
References | p. 312 |
Index | p. 313 |
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