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Health Care Management Discussion

Health Care Management Discussion

Chapter 3 of the Olden book covers the first management function: planning. In the early stages of planning, organizations should develop a mission, vision, and set of values to guide all actions and decisions. An organization’s mission encompasses its purpose (why do we exist?). The vision describes what the organization aspires to become in the future. Finally, the values are deeply held beliefs, ideals, and standards that guide actions and decisions.
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Definition of management
Management theories
• Scientific management; admin theory; human
relations; management functions; bureaucratic
theory; open systems; adaptive systems; org
development; contingency theory; management
skills; institutional theory; management roles
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5 management functions
• POSIC (planning, organizing, staffing,
influencing/directing/leading, controlling)
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
Management of Healthcare Organizations: An Introduction
Third Edition
Peter C. Olden
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
Studying this chapter will help you to
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explain what planning is,
compare and contrast planning at different levels,
explain a model of strategic planning,
examine types of strategies for HCOs,
describe implementation of plans,
explain project planning,
identify sources of planning data, and
understand useful planning guidelines.
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
Planning is deciding
what to do and how to it.
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Higher-level managers plan “What to do”
• Long time periods
• Broad perspective of entire organization
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Lower-level managers plan “How to do it”
• Shorter time periods
• Narrower perspective (smaller parts of organization)
• Steps to achieve higher-level plans
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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How do you create short- and long-term
goals for yourself?
What are some tools and methods you use
to track your progress toward achieving
those goals?
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
A decision-making activity that
defines where an organization is going,
sets its future direction, and
guides its future efforts to move the organization
toward its intended future.
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Highest level of planning
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Enables organization to
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Emphasis on beating competitors and satisfying customers
• Examine where it is now
• Decide where it wants to be in the future
• Figure out how it will get there
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Epworth HealthCare Strategic Plan 20182022
• https://www.youtube.com/watch?v=MfWDk5MjiV0
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Gathers input from all parts of HCO
Provides viable direction and focus for HCO
Enables each part of HCO to align with HCO’s direction
Sets priorities to address crucial issues
Allocates scarce resources to biggest potential payoff
Establishes measures of success to gauge progress
Generates commitment to the plan
Coordinates and unifies diverse parts of HCO
Creates shared learning
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Not involving appropriate stakeholders
Overanalyzing data and delaying planning process
Avoiding difficult critical issues
Not including financial planning
Ignoring resistance to change
Not developing consensus and enthusiasm
Not transitioning from planning to execution
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College of Healthcare Executives. Not for sale.
Thompson, Harver, & Eure, 2009
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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What is Strategic Planning, Really?
• https://www.youtube.com/watch?v=-gcNK-1IaiQ
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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SWOT: Strengths & weaknesses (internal),
opportunities & threats (external)
2 functions:
• To understand how the organization is currently
interacting with the market in comparison to
internal capabilities & strategic direction
• To identify market opportunities and threats that
the organization may want to address in future
strategic efforts (Buchbinder & Shanks, 2017)
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Managers plan HCO’s organizational direction as
the desired future state
Managers review and decide organization’s. . .
• Mission: Purpose of HCO; why HCO exists
• Vision: What HCO aspires to become in future
• Values: Deeply held beliefs, ideals, standards of
behavior
• Strategy: Idea that guides HCO’s decisions, actions,
and behaviors in a consistent way
? To achieve mission and vision
? To gain competitive advantage
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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https://blog.hubspot.com/marketing/inspir
ing-company-mission-statements
Healthcare:
https://www.gracehealthmi.org/healthcare-mission-vision-values/
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Porter identified two broad strategies:
• Low-cost strategy
• Differentiation strategy
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Each strategy can be used in a. . .
• Wide market: entire population
• Narrow market: e.g., only children, only male retirees
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Four strategies
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Low-cost in a wide market
Differentiation in a wide market
Low-cost in a narrow market
Differentiation in a narrow market
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Gaining a competitive advantage
• https://www.youtube.com/watch?v=V14kuqYEsxE
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Plan how to resolve each critical issue identified in
prior organizational assessments
• Example: Coordinate care to deliver value
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Set specific goals, objectives, major initiatives that
enable HCO to achieve new organization direction
• SMART goals
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For each issue, managers set a measurable goal
that will. . .
• Resolve the issue
• Enable HCO to move toward vision and mission
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Work shifts from top managers to managers at
lower levels of hierarchy
Work shifts from strategic planning to. . .
• Planning projects
• Planning changes to day-to-day operations
• Planning who will do what, when, using which resources
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Managers add detail to plans to achieve goals,
resolve issues, achieve mission
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Specify actions, steps, tasks
Set schedules
Allocate resources
Assign responsibility to specific positions
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Lower level managers and departments. . .
• Help implement strategic plans
• Perform forecasted annual workloads set in strategic plan
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Lower level managers prepare implementation plans
• Bring to life strategic mission, vision, strategy, goals
• Perform forecasted workload (e.g., # lab tests, # meals)
? Convert annual forecast to seasonal, monthly, weekly forecasts
? In big departments, supervisors plan for smaller work units
• Prepare workload targets, schedules, staffing plans,
resource requirements, budgets
• Identify in detail what departments must do
• Review plans with higher managers for approval
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
Project: A temporary endeavor undertaken
to create a unique product, service, or result
Project management: Application of
knowledge, skills, tools, and techniques to
project activities to meet project requirements
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Project managers develop implementation plans
that help achieve strategic plan
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Initiate: Define new project by obtaining
authorization to start.
Plan: Establish scope of project, refine objectives,
and define course of action required.
Execute: Complete work defined in project plan to
satisfy project requirements.
Monitor and control: Track, review, regulate
performance of project; identify changes required;
initiate the changes.
Close: Formally complete or close the project.
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College of Healthcare Executives. Not for sale.
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Do you revisit your goals to determine
whether any changes are required? If so,
how often do you do this?
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College of Healthcare Executives. Not for sale.
Project managers plan and manage for a project
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Scope (i.e., expected results, project boundaries)
Schedule and timing of detailed tasks and
activities required
Resources needed
Cost and budget
Procurement of supplies, equipment, and services
Risks involved
Work needed from other people and stakeholders
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College of Healthcare Executives. Not for sale.
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https://www.pmi.org/
https://www.youtube.com/watch?v=mS33Q
hgLbro
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Use all 3 management skills (technical,
human, and conceptual) & all 5
management functions (planning,
organizing, staffing, directing, controlling)
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Create teams
Motivate members of the project team
Make decisions & resolve conflicts
Communicate
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Graphic arrangement that depicts:
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Tasks needed to complete a project
Order in which tasks should be completed
Start and end dates for each task
Person responsible for each task
Resources needed
Keep tasks simple (e.g., “Train employees,”
“Plan budget”)
https://www.youtube.com/watch?v=cGkHjb
y1xKM
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Gantt Chart

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College of Healthcare Executives. Not for sale.
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Make use of data and available information
when planning for your organization
• External data: government databases, interviews
with industry experts, projections
• Internal data: financial records, customer/patient
satisfaction surveys
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Talk to people inside and outside of the
organization
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
Consider these guidelines when planning:
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View planning as continual process, not one-time event.
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Realize planning is orderly yet messy, sequential yet circular.
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Allow flexibility in planning process and in plan.
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Combine objective analysis with subjective judgment.
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Use—but don’t overuse—historical records and data.
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Be open to new ideas, including “crazy” ideas.
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Look inward (at organization), look outward (at environment).
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Value both the plan and the process of planning.
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Strategic planning
Strategy
Environmental assessment
Organizational assessment
SWOT analysis
Porter’s strategies
Project management
Planning guidelines
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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Planning is deciding what to do and how to do it.
Higher-level managers plan for long term and
entire HCO.
Lower-level managers plan for shorter time periods
and smaller parts of HCO.
Strategic planning helps HCOs prepare for future:
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Examine where it is now in its external environment
Decide where it wants to be in future
Plan how it will get there
Plan in detail how to execute (implement) its strategic plan
Managers use project management to plan and
execute projects.
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.
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For next class, draft a mission, vision, and
value statement for this class. Think about
the following:
• What do you hope to gain from taking this class?
• What skills/knowledge/abilities do you hope to
have as a future HCO manager?
• What values do you wish to see incorporated into
this class?
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Submit via Blackboard, and be prepared to
share next class.
Copyright © 2019 Foundation of the American
College of Healthcare Executives. Not for sale.

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