Role of a Health Care Manager
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Preface
he fourth edition of Introduction to Health Care Management is driven by our continuing desire to
have an excellent text that meets the needs of the health care management field, health care management educators, and students enrolled in health care management programs around the world. The inspiration for the first edition of this book came over a good cup of coffee and a deep-seated unhappiness with the texts available in 2004. This edition builds on the strengths of the first three editions and is based an ongoing conversation with end users—instructors and students—from all types of higher education institutions and all types of delivery modalities. Whether your institution is a traditional “bricks and mortar” school or a fully online one, this book and its ancillary materials are formatted for your ease of use and adoption.
For this edition, many of the same master teachers and researchers with expertise in each topic revised and updated their chapters. A third editor, Bobbie Kite, joined the Buchbinder/Shanks team for this new edition in an effort to bring greater knowledge of several increasingly important areas in the health field, bringing expertise in
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health information systems and population health. Several other new contributors stepped forward to revise several chapters and write completely new cases for this text. This was the result of our listening to you, our readers and users. With a track record of more than 12 years in the field, we learned exactly what did or did not work in the classrooms and online, so we further enhanced and refined our student- and professor-friendly text. We are grateful to all our authors for their insightful, well-written chapters and our abundant, realistic case studies.
As before, this text will be useful to a wide variety of students and programs. Undergraduate students in health care management, nursing, public health, nutrition, athletic training, and allied health programs will find the writing to be engaging. In addition, students in graduate programs in discipline-specific areas, such as business administration, nursing, pharmacy, occupational therapy, public administration, and public health will find the materials both theory-based and readily applicable to real-world settings. With a combined five decades of experience in higher education, we know first and foremost that teaching and learning are not solo sports, but a team effort—a contact sport. There must be a give-and-take between the students and the instructors for deep learning to take place. This text uses active learning methods to achieve this goal. Along with lively writing and content critical for a foundation in health care management, this new edition continues to provide realistic information that can be applied immediately to the real world of health
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care management. In addition to revised and updated chapters from the prior edition, there are learning objectives, discussion questions, and case studies included for each chapter, with additional instructors’ resources online and Instructor’s Case Guides for each case study. PowerPoint slides, test bank items, and research sources are also included for each chapter, as well as an updated glossary. A sample syllabus is also provided. Specifically, this edition contains:
■ Significantly revised chapters on quality improvement, health information systems and technologies, law and ethics, and health care regulation and compliance.
■ Revisions and updates have been made to all chapters, including current data and recent additions to the literature.
■ There is continued emphasis on research that is on- going in each of the areas of health care.
■ The chapter on emerging issues in health care management that was new to the third edition has been updated in some areas and revised in other areas to include the following topics: re-emerging outbreaks, vaccine preventable diseases, and deaths; violence in health care settings; mental illness, substance use disorders, and federal legislation; and emergency and disaster management.
■ There are 42 cases or exercises in the last chapter; 34 are new for this edition with a wider variety of settings than in our previous edition. Six exercises focus on a variety of topics, including reviving the art of letter writing, addressing gun violence as a public
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health issue, addressing the opioid epidemic as a public health problem, addressing politics and policy, how to write an email, and how to do informational interviewing. The cases cover a wide variety of settings and an assortment of health care management topics. At the end of each chapter in the text, at least one specific case study and/or exercise is identified and linked to the content of that chapter. Many chapters have multiple cases.
■ Case guides for these cases are again included in the online materials for this edition. These will be beneficial to instructors as they evaluate student performance and will enable professors at every level of experience to hit the ground running on that first day of classes.
■ The test banks for each chapter have been totally revised, providing larger pools of questions and addressing our concerns that answers to the previous test banks could be purchased online.
Never underestimate the power of a good cup of joe. We hope you enjoy this book as much as we enjoyed revising it. May your classroom and online discussions be filled with active learning experiences, may your teaching be filled with good humor and fun, and may your coffee cup always be full.
Sharon B. Buchbinder, RN, PhD
Stevenson University
Nancy H. Shanks, PhD
Metropolitan State University of Denver
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Bobbie Kite, PhD, MHS
University of Denver
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Acknowledgments
This fourth edition is the result of what has now been a 15-year process involving many of the leaders in excellence in undergraduate health care management education. We continue to be deeply grateful to the Association of University Programs in Health Administration (AUPHA) faculty, members, and staff for all the support, both in time and expertise, in developing the proposal for this text, and for providing us with excellent feedback for each edition.
More than 20 authors have made this contributed text a one-of-a-kind book. Not only are our authors expert teachers and practitioners in their disciplines and research niches, they are also practiced teachers and mentors. As we read each chapter and case study, we could hear the voices of each author. It has been a privilege and honor to work with each and every one of them: Rachael Akshar, Trina Armstrong, Mark Arvisais, Brooke Barclay, Jodie Bell, Ellen Breckenridge, Dale Buchbinder, Robert Casanova, Susan Casciani, Donna Cox, Stephen Duarte, Matthew Dyer, Anna Kayes, Jihan Mahmoud, Sheila McGinnis, Lea Nolan, Lou Rubino,
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Sharon Saracino, Nancy Sayre, Jon Thompson, and Stephanie Williams.
And, finally, and never too often, we thank our spouses, Dale Buchbinder, Rick Shanks, and Casey Kite who listened to long telephone conversations about the book’s revisions, trailed us to meetings and dinners, and served us wine with our whines. We love you and could not have done this without you.
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About the Editors
Sharon B. Buchbinder, RN, PhD, is currently Professor and Program Coordinator of the MS in Healthcare Management Program at Stevenson University in Stevenson, Maryland. Prior to this she was professor and chair of the Department of Health Science at Towson University and president of the American Hospital Management Group Corporation, MASA Healthcare Co, a health care management education and health care delivery organization based in Owings Mills, Maryland. For more than four decades, Dr. Buchbinder has worked in many aspects of health care as a clinician, researcher, association executive, and academic. With a PhD in public health from the University of Illinois School of Public Health, she brings this blend of real-world experience and theoretical constructs to undergraduate and graduate face-to-face and online classrooms, where she is constantly reminded of how important good teaching really is. She is past chair of the Board of the Association of University Programs in Health Administration (AUPHA) and coauthor of the Bugbee-Falk Award-winning Career Opportunities in Health Care Management: Perspectives
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from the Field. Dr. Buchbinder also coauthored Cases in Health Care Management with Nancy Shanks and Dale Buchbinder.
Nancy H. Shanks, PhD, has extensive experience in the health care field. For 12 years, she worked as a health services researcher and health policy analyst and later served as the executive director of a grant-making, fund- raising foundation that was associated with a large multihospital system in Denver. This was followed by more than 20 years as a health care administration educator at Metropolitan State University of Denver, where she has taught a variety of undergraduate courses in health services management, organization, research, human resources management, strategic management, and law. Dr. Shanks developed the first online health care management course at Metropolitan State and was instrumental in moving the HCM undergraduate degree online. She is currently an Emeritus Professor of Health Care Management, after serving as chair of the Department of Health Professions for 7 years and as an affiliate faculty member for 5 years. Dr. Shanks’s research interests have focused on health policy issues, such as providing access to health care for the uninsured.
Bobbie Kite, PhD, MHS is currently the Academic Director of the Healthcare Management program, and an Associate Professor at the University of Denver. Prior to the University of Denver, Dr. Kite was at The Ohio State University Wexner Medical Center, where she served as a postdoctoral fellow for the National Library of Medicine and then as a Clinical Assistant Professor in the field of
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Biomedical Informatics and a consultant with The Ohio State University Health Plan. With an avid interest in teaching, community collaboration, and research, Dr. Kite has a passion for teaching and also maintains her research focused on population health. Before entering the field of biomedical informatics, Dr. Kite earned her doctorate degree in Public Health from the University of Texas Health Science Center, with minors in epidemiology and health policy. She also holds a Master’s in Health Science with a focus on emergency and disaster management.
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Contributors
Rachael Lynn Akshar, MS
Data Analyst
Cardiac Surgery
University of Maryland Medical Center
Baltimore, MD
Trina G. Armstrong, DHA, MBA, MFP
Adjunct Faculty
Stevenson University
Owings Mills, MD
Mark A. Arvisais, PhD, MBA
Assistant Professor of Management
Stevenson University
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Owings Mills, MD
J. Brooke Barclay, MPH
Houston, TX
Jodie Bell, MSN, RNC, IBCLC
Assistant Director
Women’s and Children’s Services
Greater Baltimore Medical Center
Towson, MD
Ellen D. Breckenridge, PhD, JD, MPH
Faculty Associate
The University of Texas Health Science Center at Houston
School of Public Health
Houston, TX
Dale Buchbinder, MD, FACS
Clinical Professor, University of Maryland and
Vascular Surgeon, Maryland Vascular Specialists
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Lutherville, MD
Robert Casanova, MHS
Adjunct Faculty
University of Denver
Denver, CO
Susan Casciani, MSHA, MBA, FACHE
Adjunct Professor
Stevenson University
Owings Mills, MD
Donna M. Cox, PhD
Professor Emeritus
Department of Health Science
Towson University
Towson, MD
Stephen Duarte, EdD, MHA, FACHE
Associate Professor
Health Administration Program
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Health Sciences Department
California State University, Northridge
Northridge, CA
Matthew Dyer, MBA
Adjunct Faculty
University of Denver
Denver, CO
Anna B. Kayes, EdD
Professor of Management
Department of Business Administration
Brown School of Business and Leadership
Stevenson University
Owings Mills, MD
Jihan Mahmoud, PhD, RN, BSN
Assistant Professor
School of Nursing
Florida Gulf Coast University
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Ft. Myers, FL
Sheila K. McGinnis, PhD
Retired faculty
Montana State University - Billings
Billings, MT
Lea Nolan, MA
Adjunct Instructor
MS in Healthcare Management Program
Stevenson University Online
Owings Mills, MD
Louis Rubino, PhD, FACHE
Professor & Program Director
Health Administration Program
Health Sciences Department
California State University, Northridge
Northridge, CA
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Sharon Saracino, RN, CRRN
Patient Safety Officer
Nursing Department
Allied Services Integrated Health Care System
Wilkes-Barre/Scranton, PA
Nancy K. Sayre, DHEd, PA, MHS
Fulbright Scholar
Universidad Politecnica de Madrid
Madrid, Spain
Jon M. Thompson, PhD, FACHE
Professor Emeritus and Director Emeritus
Health Services Administration Program
James Madison University
Harrisonburg, VA
Stephanie Williams, BS
HR Coordinator
Johns Hopkins Hospital
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Neurology and Neurosurgery Administration
Baltimore, MD