This course provides the conceptual dimensions and framework for health services organizations/systems at the macro and micro level. The student is provided a conceptual framework for identifying, analyzing, evaluating and managing factors which influence the design, structure and effective operation of hospitals and other health care organizations. Material for this course is drawn from a sundry of disciplines including sociology, economics, behavioral and biological sciences, and leadership.
This course allows the student to refine and utilize the conceptual dimensions and frame of reference presented at the macro-level in previous courses. The point of emphasis is the mid-level health care administrator as he or she relates to various forces in the operational environment. Those issues which most heavily influence the administrator will be given particular attention. Emerging concepts as well as those issues signifying change in the health care field will be studied and discussed.
Analysis and synthesis of current and evolving concepts regarding the management of health services delivery. Focus is on evolving trends and their implications for the future. Issues range from the effects of changing socio-economic trend to the environmental, organization and economic determinates of health care delivery decisions.
Statistical techniques for problem solving and decision making including theoretical and applied statistical and quantitative skills to understand, conduct and evaluate biomedical, scientific, and managerial research. Emphasis on selection, computation, and interpretation of analytic procedures and methods. Functional relationships, descriptive measures, probability distributions, sampling, hypothesis testing, inference, chi-square, student's test, correlation and regression, and analysis of variance are discussed. Lab required.
Introduce students to the basic and advanced concepts, techniques, and technologies used in the scientific inquiry of applied clinical, administrative, and managerial research. Topics to be investigated include measurement theory and the scientific method, the research process, experimental design, hypothesis construction and testing, critical evaluation of health care research, questionnaire construction, rating scales, sampling, indices of validity and reliability, data collection, coding, and reduction, computer analysis, and interpretation of statistical results. Presentation of research findings, table construction, report writing, and briefing of results are also covered.
Health policies and delivery mechnisms within representative countries and cross-cultural analytical techniques are reviewed. International health organizations, programs, and other cooperative efforts are discussed. International issues concerning environmental health, health status, and health care activities are studied.
This course presents both macroeconomic and microeconomic theories and concepts as applied to health care institutions, health care delivery systems, and the interrelationships of these health care delivery systems with other social, legal, political and economic organizations and systems. Concepts of efficiency, production, distribution, demand, and supply are examined in light of their relationships to health insurance, federal programs, health care personnel, health services organizations, and health policies. The student is prepared to explore at a greater depth the application of these theories and concepts to health care institutions and delivery systems in subsequent classes of study.
This course is designed for students with specific career goals in the health planning and operations career field and features the interrelated areas of health policy and health planning. This course emphasizes policy development/admini-stration and focuses on health care delivery planning at the national, state, region and local levels with emphasis on the medical treatment facility. This course will also deal more specifically with the mobilization and contingency operations planning to include medical emergency response to civilian diasters.
Concepts and theories pertaining to marketing management with the study of their application in the health care industry. A comprehensive approach to translating the strategic plan of the health care organization into a functional marketing plan that can be implemented in an effective manner in order to increase the market share of the target public.
Course is designed to teach Chief Executive Officers what they need to know about information and technology to improve the healthcare enterprise. Emphasis is on the production of useful and timely information that supports health management, operations, and decision making. Health care case studies are discussed and students will have the opportunity to utilize an executive information system to help solve a real world management issue. Current healthcare management information systems used in the federal sector will be examined.
Examination of current and developing a managed-care models with emphasis on health maintenance organizations, preferred provider organizations, and independent practice associations. Explores the interdependence of the three components of the managed-care paradigm; quality, access, and cost. Addresses alternative strategies and tactics for planning, organizing, directing, controlling, and coordinating the managed-care process within alternative delivery systems. Topics addressed will include utilization management, authorization systems, coordination and delivery of primary care, negotiation and contracting, quality management, management information, common operational problems, ethical considerations, and federal sector initiatives.
This course integrates the historical evolution, current concepts, and future trends associated with the monitoring and evaluation of the quality and appropriateness of health care. The major components of the quality and appropriateness of health care. The major components of quality assurance (patient care assessment, risk management, utilization management and privileging) will be discussed along with program development and evaluation. The health care evolution toward total quality management and continual quality improvement will be emphasized.
Techniques of statistical analysis applied to problems in biomedical and health care research. Emphasis on general linear models including multiple regression and correlation models, discriminate analysis, analysis of categorical data, and mixed binary and continuous functions. Computer support is used for statistical analysis in applications aspects.
Theory and practice of materials management within the health care industry. Emphasis will be placed upon various purchasing and acquisition methodologies, inventory management, production and distribution in the health care organization.
Emphasis is on integrating theory and concepts from the behavioral and social sciences as a basis for understanding human behavior within organizations. Topics include factors which influence the structure, design, operation and performance of individuals in complex organizations.
Institutional strategic management as a staff activity. Topics include strategic management concepts, epidemiology and databases for market areas, marketing approaches to patients, medical staff, and major client communities. Cases include goal setting, strategy formulation, and managerial action to implement the institutional strategy.
Health care facilities planning concepts with emphasis on the planning process, functional planning, accreditation, OSHA and handicap design standards, conversion of existing buildings, transition planning, and construction project management. Topics are discussed relative to the role of the administrator.
A survey of contract law principles and of negotiation issues and practices. The course will address government contracting and the contractual aspects of managed care. After an investigation of negotiation stages, strategies, tactics, communications, styles, and the role of power, students will apply negotiating techniques to practical situations in health care.
Advanced study of human resource management with emphasis on issues confronting health care administrators. Examination of emerging practices affecting procurement, compensation, retention, evaluation, training and development of the human resources needed to provide health care, and labor management relations to include organizing, contracting negotiation and administration, and the resolution of disputes. Emphasis on case studies and the development of managerial skills.
Discussion of fundamentals of ethical decision making followed by study of current critical areas: abortion; the right to die; organ harvesting and transplantation; genetic screening, counseling, and engineering; other human subject research; and the right to health care.
The foundations of our legal system, the process of civil litigation, and tort law and contract law as they pertain to the health care system. Basic elements of contracting will be addressed, but the emphasis will be on tort law and the interface between tort law and contract law. More specific topics may include: the medical standard of care; federal tort law/liability of federal providers, informed decision-making; defining death and legal actions involving dead bodies, abortion and family planning; medical research; management of medical information; the right to practice; and anti-trust issues. Medical ethics will be distinguished from medical law and ethical aspects of classic cases will be noted.
Critical issues of human resources management which also include labor-management relations. Emphasis on the particular problems of attracting, retaining, sustaining, and developing the human resources necessary to accomplish enterprise objectives in health care organizations.
Managing the external interface with markets (stock and bond valuation and issuing, endowment management, cash management and dividend policy) and advanced tools for managing financial resources (modeling and simulation, process costing, activity-based costing, transfer pricing and joint product costing).
Software tools used within the health care setting to enhance productivity and efficiency. Emphasis will be on problem-solving through the use of micro-computer technology using word processing, spreadsheet and graphic packages. A brief introduction to high-level language computer programming will also be provided. Utilization of personal computer technology for improved productivity will be discussed.
A survey of the various topics, issues, problems, and techniques in health care productivity. Emphasis will be on defining productivity in various health care settings (ambulatory care, nursing, hospitals) and understanding the inherent measurement difficulties encountered. Management options explored will include: industrial engineering techniques, time management, budgeting, technological improvements, scheduling, and quality control.
Quantitative decision techniques will be applied to problems commonly found in health care systems. These include modeling, analysis of decision alternatives, management of finite resources, personnel scheduling, project management, queuing in treatment areas and problems related to vehicle routing, facility location, inventory and warehousing. Quantitative software packages will be introduced to facilitate problem solving.
Techniques used for the design and development of mathematical models that provide administrators with a quantitative basis for making decisions. The principal focus of the course is model building and interpretation of results. Topics discussed include mathematical programming, inventory models, waiting line models, networking techniques, decision theory, simulation, and the systems approach to management sciences.
Purpose and methods of financial accounting (including for-profit, not-for-profit, and government), function and organization of the financial resource department, and special industry characteristic affecting financial management (to include third party payers and insurers, price or rate-setting and cost-shifting, taxation and health care incentives, and lternative organizational structures).
Planning and controlling functions (time value of money, pro formas and budgets, ratio analysis), balance sheet management (working capital budgeting, debt and equity financing) and cost management (cost classification, allocation and apportioning methods, standard budgeting, break-even and variance analysis).
Strategic planning experience as applied to medical readiness issues. Planning for the evolving Military Health Services System using strategic planning as a basis.
Advanced work jointly planned by the professor and student in any of the various disciplines of health care administration represented by members of the graduate program faculty. The course provides students with a structured study in the selected topic area and permits advanced application of prior course work. Course may be repeated with different area of concentration.
Course is designed to explore a broad range of leadership issues. Students will have the opportunity to analyze their own leadership qualities, and develop ways to improve them. Readings will cover both theoretical bases for leadership, and practical strategies for effective leadership. The format for the class will be group discussion.
This course is a work group project course where students personally observe, analyze, synthesize, evaluate, and report on various real-world healthcare problems in local health services facilities. Students are expected to integrate acquired knowledge, skills, and analytical tools previously obtained in the didactic year regarding the management of health services. The course focuses on significant problems and evolving trends in the local community and their implications for efficient and effective healthcare delivery.
Degree candidates are required to serve an administrative residency in a selected health care institution. During the residency, performed under the guidance of a qualified preceptor, students are provided an opportunity to study and analyze the functional elements of the health care institution. They develop managerial skills through varied experience in the performance of administrative tasks and through direct participation in the problem solving process. Additionally, students perform special studies in functional areas and conduct a graduate management project. Approval of the proposal and the completed project is secured from the Program Director at the Academy of Health Sciences.