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| 1. seeks to achieve efficiency by integrating the basic functions of health care delivery, 2. employs mechanisms to control (manage) utilization of medical services, 3. determines the price at which the services are purchased and, consequently, how much the providers get paid |
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| a third party to a dispute who intervenes by taking high control over the process but not the outcome of the dispute |
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| when selecting the “unit of analysis” in research and observations on organizations, the macro approach leads us to emphasize the organization as a social system in the context of other organizations |
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| low-income women, children, elderly, disabled: gov’t run to provide health services |
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| provides medical care to: 1. persons 65 and older, 2. disabled individuals of any age who are entitled to social security benefits; 3. people of any age who have permanent kidney failure |
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| anyone who uses management skills |
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| all business areas and organizational activities are the acts of getting people together to accomplish desired goals and objectives efficiently and effectively. Management comprises planning, organizing, staffing, leading or directing, and controlling an organization (a group of one or more people or entities) or effort for the purpose of accomplishing a goal. |
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| In the micro approach, the emphasis is on organizational behavior to understand organizations. The unit of analysis is the individual, the group, or the department units |
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| Mintzberg’s Model of Management |
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The organizational configurations framework of Mintzberg is a model that describes six valid organizational configurations:
Simple structure
Machine bureaucracy
Professional bureaucracy
Divisionalized form
Adhocracy |
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| a state of feeling or thinking in which one is engaged or aroused to perform a task or engage in a particular behavior |
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| National Health insurance |
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| 1. available to all residents, 2. comprehensive in coverage, 3. accessible w/o financial aid or other barriers, 4. portable w/in country and abroad, 5. publicly administered; financed by taxes; delivered by private providers |
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| a state of feeling or thinking in which one is engaged or aroused to perform a task or engage in a particular behavior |
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| this view emphasizes that organizations are parts of the external environment and, as such, must continually change and adapt to meet the challenges posed by the environment. The need for openness, adaptability, and innovation is consistent with an open system view. |
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See Micro Approach
In the micro approach, the emphasis is on organizational behavior to understand organizations. The unit of analysis is the individual, the group, or the department units |
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| A set of assumptions, concepts, values, and practices providing a way of viewing organizational goals, processes, and performance. |
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| one who manages an organization :-) |
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| there’s a lot of them...multiple perspectives and ways to view an organization |
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| The process whereby two or more parties decide what each will give and take in an exchange between them |
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| a multidisciplinary approach to patient care that centers the design of work around patients’ needs |
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| organizations can also be viewed as political systems in which various groups and actors vie for control of important resources. See Playing Fields |
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| care that is used as a determination for further specialized care; general health care provider |
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| Tennessee's Medicaid managed care program that provides health coverage for 1.2 million low-income children, pregnant women and disabled. Its purpose is to demonstrate that the use of managed-care principles can generate sufficient savings to enable the state to cover more than Medicaid eligible people. |
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| health insurance that is either independently purchased or sponsored through an employer, often includes HMOs, PPOs - sometimes fully sponsored by the organization |
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| Publicly-funded health care is a form of health care financing designed to meet the cost of all or most health care needs from a publicly managed fund |
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| is a management philosophy to improve the level of performance of key processes in the organization by focusing on the most important processes to improve, understanding the process, setting high standards for performance outcomes, and using statistical and behavioral methods and tools to measure current performance, interpret it, and take corrective action when necessary |
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| Operant conditioning in which a stimulus elicits a response that has a consequence. A consequence is an outcome following a response that changes the likelihood a response will occur again following that stimulus. Consequences include rewards and punishments. |
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| a way for a manager to view what they are doing |
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| providers who catch those who might fall through the cracks in the insurance system - vulnerable populations; health services, physicians that provide comprehensive care |
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| suggests that effective leadership is based upon three core skills: technical, conceptual, and human |
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| refer to the Institute of Medicine’s Quality Chasm report that identified the following six aims to assess health system performance: safety, effectiveness, efficiency, patient-centeredness, elimination of waste, and equity |
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| The comprehensive federal program of benefits providing workers and their dependents with retirement income, disability income, and other payments. The Social security tax is used to pay for the program. |
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| those aspects of management within a firm that link strategy analysis and planning to operational management |
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| a comprehensive analysis of an organization that identifies strengths, weaknesses, opportunities, and threats |
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| a theoretical school of leadership holding that personal traits (attributes/characteristics) have a significant effect on leadership effectiveness and success |
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| Transformational Leadership Role |
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| executive leadership role focusing on and accountable for achieving organizational transformation |
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| those who have no insurance at all |
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| Value Oriented Leadership |
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| committed to clarifying organizational values (i.e., principles, expectations, or qualities considered worthwhile or important to the organization) and using these values to guide all aspects of organizational culture and behavior |
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| the encompassing ideas of the organization that define its purpose and its principles; Mission/Goals - the organization’s mission and associated goals largely dictate the major tasks to be carried out and the kinds of technologies and human resources to be employed |
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