Free Essay

Healthcare Leadership

In: Business and Management

Submitted By nanitamiss
Words 1455
Pages 6
Learning Activities from Chapter 1
Master in health information management
Healthcare information leadership
Millennia Atlantic University

Mariana Viloria 1. Differences between micro and macro perspective of healthcare.

MACRO-PERSPECTIVE: Macro perspective is a form of analysis which focuses on the structure of society and provides a way of seeing society as a unified whole. In this macro perspective minimal attention is given to the individual or the subjectivity of actors - the structures of society are thought to be primary and responsible for shaping the individual.
MICRO- PERSPECTIVE: A micro perspective focuses on the individual level, while a macro perspective focuses more broadly on society.
Ethics is a major concern in the health care field. Health care professionals must ensure that they are benefitting patients and meeting ethical and moral guidelines in the provision of care. There are two types of ethical issues facing the health care community: micro issues and macro issues. Micro issues cover issues that arise on a daily basis, and they involve such factors as technological change and dealing with a diverse population. Macro issues concern the allocation, use, and management of health care resources. Macro issues are of major importance as the amount of resources being consumed by health care continues to rise.
At the macro level there is a political issue, allegedly somewhere between 25 and 50 million persons who are "uninsured," by which the proponents of the current administration's view of reform mean to say that these persons are barred from health care. Bringing these persons under some insurance plan is the goal. Three major possibilities are a government plan, funded by taxpayers, private plans funded by taxpayers and subsidized by private carriers through lower premiums, and private plans at retail rates, funded by taxpayers. The goals of the proponents of this aspect of reform includes at least gaining the political support of the currently uninsured as well as others of a liberal political bent. The second issue is an economic one, that the cost of providing health care in this country is very high, it has been increasing at a rate much faster than the overall growth of the economy, and it threatens to crowd out most other economic activity and outcomes. This clearly cannot continue, but there is no current dynamic for stopping it, as long as we are spending "other people's money" to pay for it. Reform to address this problem, at the macro level, involves some combination of controls on cost, demand,and utilization, or a reversion to a more "free market" approach to providing health care. At the highest level, we have two extremes: (1) increase government control by providing insurance through the government, and reduce costs through government pricing controls; and (2) eliminate all government intervention other than quality control (FDA regulation, licensing of providers, etc.) and allow the free market to work.
Unless and until policy makers get back to basics, we will continue to hear the terms "health insurance" and "health care" used interchangeably. Of course nothing is further from the truth, but the existence of a health insurance industry gives the Government a convenient way to deal with the otherwise fragmented and unruly world of providing health care, especially with respect to giving away or subsidizing care to those whose votes it is courting. The problem of course is that insurance adds another layer of administration (cost = 15%) and middleman profit (cost = 15%) to the management and total cost of health care.
Four possible outcomes: (1) Insurers lose, essentially go out of business, Government steps in with a single payer system to save the day; (2) Insurers win, and Government finds some new sleight of hand to look good, but the end result is inflation; (3) Insurers and Government find a way to look like we have our cake but are still eating it, mainly by limiting access and benefits to the newly insured, and everyone wins except for the newly insured; (4) Government and insurers find a middle ground, and insurers become much like regulated utilities with a managed return on investment.

2. Solve problems according to the Eight-Step Strategic Problem Solving Method.

Problem solving technique known as the OODA Loop: The OODA Loop consists of four overlapping and interacting processes. Managers must: * Observe the current situation and form theories * Orient the picture by setting improvement targets and determining root causes * Decide by developing solutions * Act by means of implementing and evaluating.

The OODA Loop can be subdivided further into an eight-step problem solving process.

- Observe:

Step 1: Clarify the Problem.
This is a critical step. You need to recognize the correct problem and be sure it is completely understood by all. It helps to state the problem by developing a “problem statement” in terms of what, where, when, and the significance. You also need to “lay eyes” on the situation, ensuring you have first-hand observation. This will then help in drafting a flowchart that diagrams the steps of the process. Lastly, you need to conduct surveys and interviews, talking with the “customer” or end user who determines the value of the process under review.

Step 2: Break Down the Problem and Identify Performance Gaps.
It is tempting to jump to action but you must refrain from doing so just yet. Gather and review the key data. Understand what data is necessary and what role it plays in problem solving. Are there gaps in your analysis? Are there bottlenecks in the process you are reviewing? Under this step, you must also look at waste in your practice as it relates to the problem. There are generally eight types of waste: defects, over production, waiting, over processing, transportation, intellect, motion, and excess inventory. You should always look for waste in your processes.

- Orient:

Step 3: Set Improvement Targets.
Where do you want to be? Determine your desired outcome for the practice. Be sure to look at both strategic and tactical targets. Strategic targets are visions of what your practice strives to become. Tactical targets define the performance level necessary to make your strategic vision a reality. Remember to keep your tactical targets challenging but achievable.

Step 4: Determine Root Causes. This is the most vital step in the problem solving process. All too often practice managers find themselves addressing problems that have been “solved” many times before. This is usually due to directing problem solving efforts at the symptoms of a problem rather than at the root cause of the problem. It often helps to do much brainstorming and when you think you understand the cause of the problem, ask what caused the problem (continue to ask “why?”).

- Decide:

Step 5: Select Solutions.
When selecting solutions, consider both quality and practicality. Be sure to also gain acceptance (or “buy in”) from those that must implement the solutions. Some key factors to consider when analyzing solutions include effectiveness, feasibility, and impact. When developing your action plan, be sure that you have created a clear and detailed plan that everyone can understand. Most importantly, build consensus with others by involving all of your team appropriately to cultivate a sense of ownership in the solution and in its success. Effective communications can be a deciding element as to whether the plan succeeds.

- Act:

Step 6: See the Plan Through.
Collect data according to the action plan. Remember the old adage, “You can’t manage what you can’t measure.” You may need to implement a contingency plan as conditions change and you need to keep the project on focus. Continue to provide required training during this step as well.

Step 7: Confirm Results and Process.
Ensure the plan is producing the intended results. Monitor the project for performance relative to: a) the baseline developed in steps 1 and 2; b) the improvement targets established in step 3; c) where you thought you would be at this stage; and d) meeting targets by the established deadline. You should return to any step as necessary.

Step 8: Standardize Successful Processes.
This is the most commonly skipped and under completed step of the entire problem solving process. You can define this step by asking a series of questions. What is needed to standardize the improvements? Is the appropriate documentation in place? Were other opportunities or problems identified by the problem solving process?
If the answer to this last question is yes, begin the process over ... that is why it is referred to as the OODA Loop.

3. Does theory and research in management offer any guidance for practitioners seeking to improve quality of care?

4. What does each school of thought reviewed in this chapter suggest about what to do?

5. Which of the schools of thoughts seem to offer the most useful advice?…...

Similar Documents

Premium Essay

Healthcare Leadership Plan

...Health care management is certainly a difficult situation handling serious problems within society. Health care management combines intimate information as well as the experience needed to manage a healthcare organization. Any achievements will be a direct result of competent management skills and the ability to assess circumstances, produce a strategy, and use the master plan. Here is the strategy I have for my personal career within health care management: Short-term career goals · Obtain confirmation in a fellowship program which will provide a comprehensive education/training for health care management. · Create and code of ethics and values which will inspire commitment to excellence within the health care field. · develop executive leadership skills of the highest level. · Continually improve and perfect my organizational and leadership abilities. · Obtain marketable managerial as well as technical skills necessary to meet the actual demands as well as challenges dealing with tomorrow’s health care field. · Develop an understanding of how to use specialized and academic knowledge in practical difficulties. · improve the leadership/management potential in the staff members. · improve my personal responsibilities in a way that will contribute towards the organizations efficiency. · Learn how to take initiative for making management choices, and act independently, in addition to on the team. · Seek methods to improve processes as well as outcomes. ·......

Words: 773 - Pages: 4

Premium Essay


...Healthcare, is it still a Benefit? Donnalynn Sullivan Empire State College BME-213754 Organizational Strategy and Performance Instructor: David Morrell December 17, 2012 Table of Contents Table of Contents……………………………………………………………………………… 2 Abstract…………………………………………………………………………………………3 Healthcare, Is it Still a Benefit………………………………………………………………….4 The Reason Behind the Employee Benefit of Healthcare………………………………………5 Controlling Healthcare Costs, the Strategies and the Benefits…………………………………7 The Healthcare Reform…………………………………………………………………………9 Conclusion…………………………………………………………………………………….11 References…………………………………………………………………………………….12 Abstract This paper will address some of the issues and trends in health care as an employee benefit. “Employee benefits range dramatically between jobs and careers. Some jobs, such as those that pay minimum wage, do not provide employee benefits while others provide several benefits. Great employee benefits include a health insurance plan, dental insurance, vision insurance, life insurance and a retirement fund. Healthcare, is it still a Benefit? Health insurance ranks as the most important benefit that employees seek from an employer. This topic has been on the hot seat for most companies and employers. Health care costs are on the rise and companies are trying to find ways to combat it. How does this affect the employer/company? How does this affect the benefit...

Words: 2212 - Pages: 9

Premium Essay

Leadership in Healthcare Management

...INTRODUCTION The health care environment is constantly changing and producing new challenges that the competent nurse manager must work within (Jooste, 2004). Powerful leadership skills are needed by all nurses – those providing direct care to those in management positions. Anyone who is looked to as an authority or who is responsible for giving assistance to others is considered a leader (Mahoney, 2001). This assignment provides an avenue for competent nurse managers who also must have the necessary leadership skills to inspire and empower followers and team members. Concepts such as management and leadership will be defined as well as the differentiation between them. We are not all born leaders – leadership skills are developed and the principles are described by self-examination(Jooste, 2011: 31-32). Competent nurse managers are not merely those who control others, but they act as visionaries who help followers and the team to plan, organize, lead and control their activities. These four management process activities will be discussed ( Jooste, 2004). 1 MANAGEMENT AND LEADERSHIP AS CONSEPTS Management and leadership are not synonymous terms. Leaders are not automatically good managers, and managers are often not effective leaders(Jooste, 2010:26-27). 1.1. MANAGEMENT The main aim of a manager is to maximize the output of the organization through administrative implementation. According to Blagg and Youngh (2002:1), managers are thought to be the budgeters,...

Words: 1626 - Pages: 7

Premium Essay

Leadership Role in Healthcare

...summary, as a healthcare quality professional, if you want to improve the way you lead, it is important to understand the concepts and ideas behind great leadership and push yourself to improve your own leadership abilities. One way to do this is by learning about the theories and ideas behind great leadership. By empowering yourself first through knowledge, then through role modeling, it will help you empower others so that the organizational goals can be met. Leaders develop the structure of their practice and interpret their role to others. A leader should initiate actions of many different kinds including planning and organizing work, guiding and evaluating others, calling meetings, mobilizing support systems, risk taking, and confrontation. The leader should use the basic skills of problem solving, critical thinking, and communication to carry out performance improvement effectively. Teamwork and group development are very important in performance improvement. Tuckman and Jensen identified five stages of group development. Each stage has a characteristic emotional climate, group behaviors, and specific tasks. These include forming, storming, norming, performing, and adjourning. The role of the leader is very important to group dynamics. Different leader actions are appropriate for each of these stages (Tappen R.M.1986). Leadership actions should vary depending on the phase of group development. In the forming stage, the group does not need strong leadership,......

Words: 882 - Pages: 4

Free Essay


...Cortez MHA 601 Martha Plant August 12, 2013 When doing team processes in healthcare everyone must be on the same page to make the flow of systems flow smooth. Whether the team needs to be represented by a single person or multiple people everyone must communicate through the means of interventions, so that we can identify were mistakes are made and break downs in workflow occur. The three interventions identified are team design, training strategies, and leadership. Team design is important because of the individuals during nurses b’s teamwork mentioned on how they did not want to do specifics “we won’t do that again”. If people are not wanting to do specific things then other people on her team need to be cross trained. This is where training strategies falls into place to where each staff member can do different jobs. Components of team training that have the most effects on teamwork are cross-training, team coordination, and adaptation training (Salas, 2007). Nurse b explains on running around trying to get different things done to satisfy doctor’s needs. In all cases cross-training has helped out in healthcare clinics across the globe. Team cross-training is used to improve knowledge to adapt quickly in issues that arise in healthcare settings (Strang, 2012). It seems nurse b wants some structure within her team. This is where leadership as an intervention falls into place. Leadership must come up with a structure to make their team run smoothly. ......

Words: 657 - Pages: 3

Premium Essay


...Stress A Conceptual Analysis of Stress Abstract Stress is a prominent factor that affects the lives of people who deliver healthcare to patients every day. It is important to examine the concept because unhealthy stress can cause multiple effects on the caregiver and patient. Positive forms of stress can be beneficial to practice, and negative forms of stress can put practice in danger. A conceptual analysis of stress will strategically define the concept, explore antecedents, and pinpoint consequences associated with stress. The mental and physical effects of stress will be examined, and the link between effects and antecedents will be established. The antecedents of stress are essential to identifying the underlying problem, and prevention methods can be implored once those problems have been identified. In addition, cases will be presented reflecting the use of stress to educate the reader with knowledge and recognition of the concept. A model case, related case, contrary case, and borderline case are given in the text as examples to illustrate the concept of stress. A Conceptual Analysis of Stress Stress is a concept that derives from strain placed on a human being. (2012) defines stress as “mental, emotional, or physical strain or tension”. Positive and negative aspects of stress exist depending on the particular incident or situation. Stress can be activated when a student is nervous about presenting a speech, or a supervisor is worried......

Words: 2278 - Pages: 10

Premium Essay

Leadership in Healthcare

...‘triangulation’, which takes three different elements – step change goals, know-how and creative thinking – and combines them to achieve a mutually reinforcing effect capable of turning high ambitions into real achievements. To emphasise the point, the book insists on using the word exclusively with a little triangle figure substituted for the letter ‘a’. That might seem a minor quibble but it quickly becomes rather irritating, as do many of the its other stylistic tricks. The same goes for its attempts to play with words as a means of getting its message across. Maybe there is a message underneath the all this surface clutter, but finding it becomes an increasingly arduous task. Price £12.99, published by Nicholas Brealey Publishing Leadership and management in the 21st century Edited by Cary L Cooper Leading figures from industry and academia, the public sector, the professions and the media are gathered here to conduct a ‘systematic exploration’ of the changing trends in organisations and what this means for leaders and managers. There are many reasons, according to Prof Starbuck of New York University to question , the usefulness and validity of current beliefs about what corporations are, what they can do and what structures they should have. Sir Michael Bichard of the University of the Arts, London, offers a more positive view: “One thing that will distinguish 21st century organisations from the past is their creativity and innovation.” Will individuals have to......

Words: 705 - Pages: 3

Premium Essay


...HEALTHCARE Name Professor’s name Institution affiliation Course title Communication is the transmission of information between people objectively. It is quite important in the professional development of an individual as it determines the extent to which lasting relationships are built. Face to face talks have served to establish trust in the content of information communicated and helped to build warm relationships among frequently communicating people. Effective ways of expressing oneself like maintaining eye contact and identifying body language coupled with good listening skills would easily allow a doctor to ascertain the symptoms of a patient easily and further diagnose the patient accurately. Listening involves recognizing the words, understanding their meanings, distinguishing facts from fantasy and empathizing with the speaker. To listen well, focus on the content of the message and not the messenger; think while listening; seek clarification when necessary; and check out for non-verbal cues. The transition from hearing of information to its understanding and a gain of insight on the exact matter at hand defines the habits of a good communicator. If used effectively, communication can help attain various goals such as discovery, presentation of ideas, development of relationships, and creation of influence.An effort to eliminate communication barriers such as time deadlines, culture, linguistic barriers and relationship barriers can also come in......

Words: 690 - Pages: 3

Premium Essay


...being one of the United States most valued centers dedicated entirely to the care of patients with cancer, education and research. Located in Houston, Texas Medical Center, established in 1941 MD Anderson was a part of “The University of Texas System”. Further research shows The University of Texas MD Anderson Cancer Center is known to many just as MD Anderson Cancer Center, and “is one of the original all-inclusive cancer treatment centers in the United States established by the National Cancer Act of 1971”. (“Institutional Profile”, n.d.) Currently elected by the National Cancer Institute MD Anderson Cancer Center is one of 68. MD Anderson relishes the university prestige by providing internship, fellowship, and potential residency to healthcare professionals and Doctors of Philosophy. MD Anderson Cancer Center’s mission is to eradicate cancer in the United States, and the throughout the world by way of extraordinary programs that incorporate patient care, prevention, and research through teaching undergraduate and graduate scholars, apprentices, specialists, personnel and the community. Their website reads, “We shall be the premier cancer center in the world, based on the excellence of our people, our research-driven patient care and our science. We are Making Cancer History.” (“Vision”, n.d.) With the aim of achieving their mission employing individuals from diverse and different upbringings is one of MD Anderson Cancer Center specialties. Whether you are in the health......

Words: 2071 - Pages: 9

Premium Essay

Healthcare Management and Leadership

...Healthcare management and leadership Kerry A. Reyman HCS/325 August 27, 2014 Charlotte Stoudmire Healthcare management and leadership Managing employees and leading employees can be two in the same but often managers are not leaders. My view is that leaders are born and not taught. [In India, M.K. Gandhi inspired millions of people to fight for their rights, and he walked shoulder to shoulder with them so India could achieve independence in 1947. His vision became everyone’s dream and ensured that the country’s push for independence was unstoppable. The world needs leaders like him who can think beyond problems, have a vision, and inspire people to convert challenges into opportunities, a step at a time (Nayar, 2013).] In the military there are many requirements such as time in your position, time in the military, schools and physical fitness. I have said more times than I can count that just because you can run two miles in 13 minutes does not qualify a person to lead soldiers into combat. That statement can be changed slightly for the healthcare industry and will be applicable. Just because a person has a degree or certificate, does not mean that they are qualified to lead employees in a hospital environment. A person can be an effect manager and possess the ability to lead. Only the managers with the ability to influence as well will make the company, their subordinates and themselves a thriving success. In conclusion, having the ability and knowledge to lead and...

Words: 391 - Pages: 2

Free Essay


...Initiation of actions that reduce these risks Reporting the findings & action taken to improve processes & systems. Minimizing of individual blame or retribution for involvement in a medical health care errors. Organizational learning about medical health care errors. Sharing of acknowledgment to effect behavioral changes to minimize risk to patients. Risk management objectives There have been a great confusion among health care professional, about the deference’s between patient safety and risk management. Patient safety is one of the most important aspect in the healthcare environment. Keeping patient safe is one the issue doctors, nurses, and every other healthcare professionals worried about every day. When it comes to errors it is one thing that make executive not been able to go sleep at night. According to the Institute of Medicine the issue of medical error is recognized as a very serious U.S. healthcare concern in terms of avoidable patient death and injury, achieving efficacious treatment, and in controlling the costs. The prevention of medical errors may seem to be a relatively simple task and with recent awareness, some improvements have been accomplished. However, the search for reasonable, acceptable, and more effective remedies and countermeasures continue with force. Attention to medical errors escalated over eight years ago with the release of a study from the Institute of Medicine (IOM), To Err is Human, which found that between 44,000 and 98,000......

Words: 4796 - Pages: 20

Premium Essay


...Three Ideas That May Improve the Performance of Healthcare Abstract This paper explores eight published articles, and one book that report on results from research conducted on three big ideas that represent great opportunities to improve the performance of healthcare organizations. Three articles explain the helpfulness of virtual teaming, two articles and one book explains the benefits of outsourcing, and the last three articles explain why customer relationship management, also known as CRM, is a helpful resource. This paper will define the management practice or breakthrough idea, discuss the expected impact on improved patient outcomes, higher levels of customer satisfaction, and identify the critical success factors associated with implementing these programs in a health services organization. These management practices or breakthrough ideas, in my judgment, will be ranked the greatest, second greatest, and third greatest potential benefit for healthcare organizations. Healthcare is one of the biggest organizations around. Because of its size, and the many departments within a healthcare cooperation there is much need for organization between management, staff and their patients. There are many ways to make sure that a healthcare system operates smoothly. I agree with Martin Van Buren when he stated that it is easier to do a job right, then to explain why you didn’t. In this paper there will be three ideas that may get the job done right such as, virtual......

Words: 2450 - Pages: 10

Premium Essay


...important job to be a leader in the healthcare field. You have a lot of people depending on you and the choices that you make for the team. In order to fulfill the purpose and functions of operational leadership within his or her area, a first-line leader would be highly well-informed and skillful at his or her tasks, which would invariably motivate assistants to follow this example. The first-line leader would also make a sincere effort to give 100% at all times, as well as to continuously seek methods to make his or her assistants feel involved and knowledgeable about what is going on within the facility. To implement the operational infrastructure, first-line leaders returns conceptually to the basic contribution of the organization, fulfilling needs that the stakeholders cannot fulfill by themselves, and improves the processes for reaching decisions rather than focusing on the decisions themselves. When these processes are aligned, the chances of correct decisions those that optimize the long run contribution to the mission are maximized. The operational topics that I would include in a training program for new leaders are rhetoric and composition, intro to business information systems, effective speech, financial and managerial accounting for decision making, and elementary statistics. For a head nurse the responsibility for boundary spanning is increasing role complexity that has intensified the work of managers in supporting healthcare teams. This has examined the......

Words: 660 - Pages: 3

Premium Essay

Healthcare Upon completion of the core curriculum health care students have the opportunity to select an area of focus that is designed to expand their professional opportunities. 2) Program aligns to industry and educational standards a) General education courses provide the start to your educational journey and can lead to your success with skills like writing and thinking. b) Program courses/curriculum continue the journey with discipline-related content. c) The program curriculum aligns to the Association of University Programs in Health Administration (AUPHA) criteria for program content areas. d) In addition, coursework aligns to industry standards provided by the American College of Healthcare Executives (ACHE). e) One resource to use is the National Center for Healthcare Leadership. f) Course content focuses on building a greater understanding of the diverse health care industry. 1) This will include examples like medical device manufacturing, technology, nonprofit organizations, insurance, and public health. g) Students will develop business skills for the evolving health care sector. h) Students will value the opportunity to expand their learning with team interaction and skills valued in the workplace. b. Explain the importance of the preferred course sequence. 1) Courses are designed to build on each other. 2) Following a guided framework builds on a continuity of learning. 3) Foundational courses are lower division and are taken first. a) These......

Words: 1204 - Pages: 5

Premium Essay


...Health Care Utilization Paper Wendy Witt HCS/235 8/13/2012 Delores Usea Healthcare Utilization Paper For many individuals acquiring and using a regular source of medical care is often influenced by many factors. Perceived and evaluated need, and potential access are connected with both predisposing (immutable) and enabling (mutable) factors. Predisposing factors determining the use of health services include demographics, age, gender, race, ethnicity, education, occupation, location, health and cultural beliefs. Immutable factors cannot be changes. Immutable factors are connected with mutable beliefs regarding health values, beliefs, and knowledge. Mutable factors are enabling factors that can be changed. Enabling factors consist of personal and community factors. For example, a personal factor would be an individual s income changed, or the individual gained health insurance or lost health insurance. Community factors include health services resources, health facilities, and transportation. Location has an effect on John’s ability to utilize health care because John recently has moved to a rural community and the nearest physician is 40 minutes away. Providing a healthcare facility within John’s community he would be able to utilize healthcare on a regular basis will help John to live a healthier longer life. Factors that may affect John’s utilization of health care include transportation. Transportation has a large impact on the ability for individuals who......

Words: 1035 - Pages: 5

Zadruga Official | WhatsApp Messenger v2.18.351 modded apk | Beautiful And Amazing Anime Wallpapers Set - 23