Hospitals & Health Care Organizations: Management Strategies, Operational Techniques, Tools, Templates, and Case Studies

409 Pages·2012·11.34 MB·English

by  David Edward Marcinko

Health Care / Health Care Management M Hospitals & HealtH care
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… Dr. David Edward Marcinko and Professor Hope Rachel Hetico bring their vast health t c
care experience along with additional national experts to provide a health care model-based ic in
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framework to allow health care professionals to utilize the checklists and templates to evaluate o
their own systems, recognize where the weak links in the system are, and, by applying the well-
illustrated principles, improve the efficiency of the system without sacrificing quality patient care.
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—James Winston Phillips, MD, MBA, JD, LLM
o Management Strategies, Operational Techniques,
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… a must-read for any physician and other health care provider to understand the multiple, and
Tools, Templates, and Case Studies
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increasingly complex, interlocking components of the U.S. health care delivery system, whether
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they are employed by a hospital system or manage their own private practices. The operational t
principles, methods, and examples in this book provide a framework applicable on both the large a
organizational and smaller private practice levels and will result in better patient care. l
—Richard Berning, MD, Pediatric Cardiology s

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Drawing on the expertise of decision-making professionals, leaders, and managers in health care

organizations, Hospitals & Health Care Organizations: Management Strategies, Operational H
Techniques, Tools, Templates, and Case Studies addresses decreasing revenues, increasing e
costs, and growing consumer expectations in today’s increasingly competitive health care market.
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Offering practical experience and applied operating vision, the authors integrate Lean managerial t
applications and regulatory perspectives with real-world case studies, models, reports, charts, H
tables, diagrams, and sample contracts. The result is an integration of post PP-ACA market
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competition insight with Lean management and operational strategies vital to all health care
administrators, comptrollers, and physician executives. The text is divided into three sections: a
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(I) Managerial Fundamentals
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(II) Policy and Procedures
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(III) Strategies and Execution
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Using an engaging style, the book is filled with authoritative guidance, practical health care–
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centered discussions, templates, checklists, and clinical examples to provide you with the tools
to build a clinically efficient system. Its wide-ranging coverage includes hard-to-find topics a
such as hospital inventory management, capital formation, and revenue cycle enhancement.
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Health care leadership, governance, and compliance practices like OSHA, HIPAA, Sarbanes–
Edited by
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Oxley, and emerging ACO model policies are included. Health 2.0 information technologies,
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EMRs, CPOEs, and social media collaboration are also covered, as are 5S, Six Sigma, and other
Dr. David Edward Marcinko,
a MBa, CMP™
logistical enhancing flow-through principles. The result is a must-have “how-to” book for all
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industry participants.
Prof. Hope rachel Hetico,
i rn, MHa, CMP™
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n Foreword by James Winston Phillips, MD, MBa, JD, LLM
K13750
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ISBN: 978-1-4398-7990-0
90000
www.crcpress.com
9 781439 879900
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HOSPITALS & HEALTH CARE
ORGANIZATIONS
Management Strategies, Operational Techniques,
Tools, Templates, and Case Studies

HOSPITALS & HEALTH CARE
ORGANIZATIONS
Management Strategies, Operational Techniques,
Tools, Templates, and Case Studies
Edited by
Dr. David Edward Marcinko,
MBA, CMP™
Prof. Hope Rachel Hetico,
RN, MHA, CMP™
Foreword by James Winston Phillips, MD, MBA, JD, LLM
CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
© 2013 by iMBA, Inc.
CRC Press is an imprint of Taylor & Francis Group, an Informa business
No claim to original U.S. Government works
Version Date: 20120611
International Standard Book Number-13: 978-1-4398-7991-7 (eBook - PDF)
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It is an incredible privilege to edit Hospitals & Health Care Organizations:
Management Strategies, Operational Techniques, Tools, Templates, and Case
Studies. One of the most rewarding aspects of my career has been the personal
and professional growth acquired from interacting with protean professionals
of all stripes. The mutual sharing and exchange of practice-management
ideas stimulate the mind and fosters advancement at many levels.
Creating this text was a significant effort that involved all members of our
firm. Over the past year, we interfaced with numerous outside private and
public companies—as well as the Internet blogosphere—to discuss its
contents. Although impossible to list every person or company that played
a role in its production, there are several people we wish to thank for their
support and encouragement: Kristine Mednansky—Senior Editor, Business
Improvement (Health Care Management); Karen Sober—Editorial Assistant,
and Richard O’Hanley—Acquiring Editor, all of Taylor & Francis Group.
Any accolades are because of them. All other defects are my own.
Of course, this text would not have been possible without the support of our
families, whose daily advocacy encouraged all of us to completion. It is also
dedicated to our clients and contributing authors, who crashed the development
life cycle in order to produce time-sensitive material in an expedient manner.
The satisfaction we enjoyed from working with them is immeasurable.
David Edward Marcinko

Contents
Foreword ...........................................................................................................................................ix
Preface...............................................................................................................................................xi
Disclaimer ......................................................................................................................................xiii
Acknowledgments ............................................................................................................................xv
Editors ............................................................................................................................................xvii
Contributors ....................................................................................................................................xix
Section i Managerial Fundamentals
Chapter 1 Overview of Operations in Health Care Organizations Today: Understanding
Trends and Management Objectives ............................................................................3
David Edward Marcinko and Hope Rachel Hetico
Chapter 2 Market Competition in Modern Health Care Management: Surveying the
Current Ecosystem .....................................................................................................29
Robert James Cimasi
Chapter 3 Capital Formation Techniques for Hospitals: Institutional Types, Essentiality,
and Governance ..........................................................................................................81
David Edward Marcinko and Calvin W. Wiese
Chapter 4 Understanding Cash Flows and Medical Accounts Receivable: Monitoring,
Management, and Improvement ...............................................................................111
David Edward Marcinko and Karen White
Chapter 5 Appreciating the Impact of IBNR Claims on Hospital Revenue Cycles:
Monitoring, Management, and Enhancement ..........................................................129
David Edward Marcinko and Karen White
Section ii Policy and Procedures
Chapter 6 Health Care Workplace Violence Prevention: Strategies for Risk Reduction and
Prevention .................................................................................................................153
Eugene Schmuckler, David Edward Marcinko, and Hope Rachel Hetico
Chapter 7 Implications of the USA PATRIOT and Sarbanes–Oxley Acts for Hospitals:
Operational Policies for Affected Health Care Organizations.................................175
David Edward Marcinko and Hope Rachel Hetico
vii
viii Contents
Chapter 8 Collaborating to Enhance Performance in a Changing Health Care Landscape:
Opportunities for Widespread Policy and Outcomes Improvement ........................195
Jennifer Tomasik
Chapter 9 Tracking Medical Procedures with Outcomes Reporting: Techniques of
Benchmarking and Improvement .............................................................................207
Brent A. Metfessel
Chapter 10 Health Information Technology Security and Privacy: Rules, Regulations,
Penalties, and Recovery Efforts ...............................................................................227
Carol S. Miller
Section iii Strategies and execution
Chapter 11 Health Information Technology Execution and Use: Exchanging Patient
Data—Benefits and Rewards ...................................................................................265
Carol S. Miller
Chapter 12 Medical Supply Chain Inventory Management Strategies: Data Capture,
Just- in-Time Strategies, and Economic Order Quantity Analysis ...........................291
David J. Piasecki and David Edward Marcinko
Chapter 13 Lean Six Sigma Applications for Health Care Delivery Improvement: Gaining
and Maintaining a Competitive Edge.......................................................................315
Mark Mathews
Chapter 14 Hospital Flow-Through Efficiency, Operations, and Logistics: Achieving
Leaner and Faster Organizations with Sustainable Improvements ..........................349
Denice Soyring Higman, Adam Higman, and Dragana Gough
Chapter 15 Medical Career Leadership and Development: Transformational Strategies for
the Next Generation of Physician Executives...........................................................367
Eugene Schmuckler, David Edward Marcinko, and Hope Rachel Hetico