HCM-550 Healthcare Management class
For the Module 7 Written Assignment, please (a) select up to three provisions contained in the Patient Protection and Affordable Care Act (PPACA) and (b) write approximately 1,750-2,000 words addressing organizational preparation and strategic response to these provisions in the health reform law.B u rn s | B rad ley | W ein er Sh ortell & K alu zn y’s H ealth C are M an agem en t: O rgan ization D esign an d B eh avior S even th Ed ition SE/Lawton / Elizabeth / Bryan, Shortell & Kaluzny’s Health Care Management: Organization Design and Behavior Xe ISBN-13: 978-1-305-95117-4 ©2020 Designer: XXX Printer: XXX Binding: Casebound Trim: 8.5” x 10.875” CMYK 9781305951174_cvr_hr_dpc.indd 1 29/11/18 2:03 PM Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203 Seventh Edition Shortell and Kaluzny’s Health Care Management Organization Design and Behavior 51174_fm_ptg01_i-xiii.indd 1 03/12/18 2:22 PM Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203 51174_fm_ptg01_i-xiii.indd 2 03/12/18 6:15 PM Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203 Seventh Edition Shortell and Kaluzny’s Health Care Management Organization Design and Behavior Lawton Robert Burns | Elizabeth Howe Bradley | Bryan Jeffrey Weiner Australia • Brazil • Mexico • Singapore • United Kingdom • United States 51174_fm_ptg01_i-xiii.indd 3 03/12/18 2:23 PM Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203 © 2020, 2012, 2006 Cengage ALL RIGHTS RESERVED. No part of this work covered by the copyright herein may be reproduced, transmitted, stored, or used in any form or by any means graphic, electronic, or mechanical, including but not limited to photocopying, recording, scanning, digitizing, taping, Web distribution, information networks, or information storage and retrieval systems, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without the prior written permission of the publisher. For product information and technology assistance, contact us at Cengage Learning Customer & Sales Support, 1-800-354-9706 For permission to use material from this text or product, submit all requests online at www.cengage.com/permissions. Further permissions questions can be e-mailed to
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To learn more about Cengage platforms and services, register or access your online learning solution, or purchase materials for your course, visit: www.cengage.com Shortell and Kaluzny’s Health Care Management: Organization Design and Behavior, Seventh Edition Lawton Robert Burns, Elizabeth Howe Bradley, and Bryan Jeffrey Weiner SVP, GM Skills & Global Product Management: Jonathan Lau Product Director: Matthew Seeley Product Team Manager: Stephen Smith Associate Product Manager: Lauren Whalen Product Assistant: Jessica Molesky Executive Director, Content Design: Marah Bellegarde Director, Learning Design: Juliet Steiner Learning Designer: Deborah Bordeaux Vice President, Marketing Services: Jennifer Ann Baker Marketing Director: Sean Chamberland Marketing Manager: Jonathan Sheehan Senior Director, Content Delivery: Wendy Troeger Senior Content Manager: Thomas Heffernan Digital Delivery Lead: Derek Allison Managing Art Director: Jack Pendleton Senior Designer: Angela Sheehan Cover Image: Excellent backgrounds/ ShutterStock.com Compositor: Lumina Datamatics, Inc. 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WCN 02-200-203 Contents Contributors vi Foreword ix Preface x PART ONE Introduction / 2 Chapter 1 Delivering Value: The Global Challenge in Health Care Management 3 Chapter 2 Leadership and Management: A Framework for Action 32 PART TWO Micro Perspective / 56 Chapter 3 Organization Design and Coordination 57 Chapter 4 Motivating People 82 Chapter 5 Teams and Team Effectiveness in Health Services Organizations 98 Chapter 6 Communication 132 Chapter 7 Power, Politics, and Conflict Management 156 Chapter 8 Complexity, Learning, and Innovation 186 Chapter 9 Improving Quality in Health Care Organizations (HCOs) 213 PART THREE Macro Perspective / 240 Chapter 10 Strategy and Achieving Mission Advantage 241 Chapter 11 Managing Strategic Alliances: Neither Make Nor Buy but Ally 277 Chapter 12 Health Policy and Regulation 303 Chapter 13 Health Information Technology and Strategy 332 Chapter 14 Consumerism and Ethics 348 Chapter 15 The Globalization of Health Care Delivery Systems 379 Appendix Acronyms 418 Glossary 421 Author Index 433 Subject Index 443 51174_fm_ptg01_i-xiii.indd 5 03/12/18 2:23 PM Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203 Contributors Jane Banaszak-Holl, PhD Professor of Public Health School of Public Health and Preventive Medicine Monash University Melbourne, Australia Elizabeth Howe Bradley, PhD, MBA President Vassar College Poughkeepsie, New York Amanda Brewster, PhD Assistant Professor of Health Policy & Management School of Public Health University of California Berkeley, California Lawton Robert Burns, PhD, MBA The James Joo-Jin Kim Professor, Professor of Health Care Management, and Director of the Wharton Center for Health Management and Economics The Wharton School, University of Pennsylvania Philadelphia, Pennsylvania Martin P. Charns, MBA, DBA Professor of Health Policy and Management School of Public Health, Boston University Investigator and Director Emeritus Center for Healthcare Organization & Implementation Research VA Boston Healthcare System Boston, Massachusetts Jon A. Chilingerian, PhD Professor of Management Heller School, Brandeis University Adjunct Professor of Public Health & Community Medicine Tufts School of Medicine Waltham, Massachusetts Ann F. Chou, PhD, MPH, MA Associate Professor of Family and Preventive Medicine College of Medicine University of Oklahoma Health Sciences Center Oklahoma City, Oklahoma Ann Leslie Claesson-Vert, PhD, MSN, PSP Associate Clinical Professor Lead Faculty Personalized Learning MSN Program Northern Arizona University, North Valley Campus Phoenix, Arizona Thomas D’Aunno, PhD Professor of Management Robert F. Wagner Graduate School of Public Service New York University New York, New York Mark L. Diana, MBA, MSIS, PhD Drs. W.C. Tsai and P.T. Kung Professor in Health Systems Management Associate Professor and Chair, Department of Health Policy and Management Tulane University New Orleans, Louisiana Amy C. Edmondson, PhD Novartis Professor of Leadership and Management Harvard Business School Boston, Massachusetts Bruce Fried, PhD Associate Professor Department of Health Policy and Management University of North Carolina at Chapel Hill Chapel Hill, North Carolina Mattia J. Gilmartin RN, PhD, FAAN Executive Director NICHE I Nurses Improving Care for Healthsystem Elders Rory Meyers College of Nursing New York University New York, New York Jennifer L. Hefner, PhD, MPH Assistant Professor Division of Health Services Management and Policy College of Public Health The Ohio State University Columbus, Ohio Christian D. Helfrich, PhD, MPH Core Investigator, VA Puget Sound Health Services Research and Development Research Associate Professor, Health Services School of Public Health University of Washington Seattle, Washington 51174_fm_ptg01_i-xiii.indd 6 03/12/18 2:23 PM Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203 viiCONTRIBUTORS Derek Newberry Adjunct Professor Organizational Dynamics and Anthropology University of Pennsylvania Ann Nguyen, PhD, MPH Postdoctoral Fellow Department of Population Health School of Medicine New York University New York, New York Laurel E. Radwin, PhD, RN Research Health Scientist (formerly) Center for Healthcare Organization and Implementation Research Boston VA Healthcare System Boston, Massachusetts Kevin W. Rockmann, PhD Professor, School of Management George Mason University Fairfax, Virginia Aditi Sen, PhD Assistant Professor of Health Policy and Management Bloomberg School of Public Health Johns Hopkins University Baltimore, Maryland Lauren Taylor, MPH Doctoral Candidate Harvard Business School Harvard University Gregory L. Vert Assistant Professor College of Security and Intelligence Embry Riddle Aeronautical University Prescott, Arizona Karen A. Wager, DBA Professor and Associate Dean for Student Affairs Department of Healthcare Leadership and Management College of Health Professions Medical University of South Carolina Charleston, South Carolina Stephen L. Walston, PhD Professor Director, MHA Program David Eccles School of Business University of Utah Salt Lake City, Utah Timothy Hoff, PhD Professor of Management, Healthcare Systems, and Health Policy D’Amore-McKim School of Business School of Public Policy and Urban Affairs Northeastern University Boston, Massachusetts Peter D. Jacobson, JD, MPH Professor Emeritus of Health Law and Policy Director, Center for Law, Ethics, and Health University of Michigan School of Public Health Ann Arbor, Michigan John R. Kimberly, PhD Henry Bower Professor of Entrepreneurial Studies Professor of Management Professor of Health Care Management The Wharton School, University of Pennsylvania Philadelphia, Pennsylvania Sumit R. Kumar, MD, MPA Resident Physician, Yale New Haven Hospital Department of Internal Medicine Yale School of Medicine New Haven, Connecticut Kristin Madison, JD, PhD Professor of Law and Health Sciences Northeastern University Boston, Massachusetts Ann Scheck McAlearney, ScD, MS Executive Director, Professor of Family Medicine CATALYST, The Center for the Advancement of Team Science, Analytics, and Systems Thinking College of Medicine, Ohio State University Columbus, Ohio Eilish McAuliffe, PhD, MSc, MBA Professor of Health Systems School of Nursing, Midwifery, and Health Systems College of Health and Agricultural Sciences University College Dublin Dublin, Ireland Mario Moussa, PhD, MBA Adjunct Instructor Division of Programs in Business School of Professional Studies New York University New York, New York Ingrid M. Nembhard, PhD, MS Fishman Family President’s Distinguished Associate Professor of Health Care Management The Wharton School, University of Pennsylvania Philadelphia, Pennsylvania 51174_fm_ptg01_i-xiii.indd 7 03/12/18 2:23 PM Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203 viii CONTRIBUTORS Edward J. Zajac, PhD James F. Beré Professor of Organization Behavior J. L. Kellogg Graduate School of Management Northwestern University Evanston, Illinois Bryan Jeffrey Weiner, PhD Professor, Departments of Global Health and Health Services University of Washington Seattle, Washington Gary J. Young, JD, PhD Director, Northeastern University Center for Health Policy and Healthcare Research Professor of Strategic Management and Healthcare Systems Northeastern University Boston, Massachusetts 51174_fm_ptg01_i-xiii.indd 8 03/12/18 2:23 PM Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203 For twenty-five years and six editions, we have attempted to provide an integrative perspective to the organization and management of health services, presenting the major management theories, concepts, and practices of the day. We have also provided practical illustrations and guidelines to assist managers and pro- spective managers in the provision of health services in a variety of settings. As we go to press, we have entered the era of health care reform, presenting new and perhaps not so new chal- lenges and opportunities. Under the leadership of Rob Burns, Elizabeth Bradley, and Bryan Weiner, the invited chapter authors have provided a thoughtful and in-depth analysis of the theories, concepts, and approaches that managers and prospective managers need to address the critical issues in the provision of health services as well as meet the challenges and opportunities resulting from health care reform. The passage of health care reform brings a great deal of uncertainty as it attempts to address the long- standing problems of access, quality, cost contain- ment, and significant disparities under unprecedented economic conditions. Much has changed as reflected in the mandates regarding access to coverage, coverage itself, the role