Topic 4: Managing Healthcare Professionals

Question 1

Types of Administrators

Answer 1

-Nursing Home administrators
-Practice managers (like office managers, bookkeeping)
-Hospital administrators (supervise facilities or divisions)
-Clinical managers
-Medical information managers
-Assistant administrators (help higher level administration with daily tasks)

Question 2

Health Administrator’s Responsibilties

Answer 2

-create goals and strategies to address future and current healthcare needs of the community and the funding required to provide such services (set the mission)
-Ensure the highest quality clinical care delivered and patient safety is maintained (better to have that clinical background)
-Ensure service delivery is both efficient and effective in a worker-friendly environment (budget and schedule, determine what needs to be expanded or reduced, performance improvement)
-> Technological innovations
-> Compliance strategies
->Organizational behavior and human resources
->Healthcare financing
->Health information management
->Facility management

Question 3

Critical Success Factors

Answer 3

-visibility and availability (need to be available to staff)
-vertical orientation (dont want this)
-Servant leadership philosophy
-Relationship management
-Negotiation between professional and organizational requirements
-Flexibility and adaptability

Question 4

Healthcare vs Industry

Answer 4

-healthcare requires a different approach
-hospitals are more of a business now
-competition works differently (patients can’t really tell good from bad healthcare)
-“typing” organizations
-two theoretical extremes ( Job organization routine tasks vs cooperative motivation variable tasks)

Question 5

Reinforcement Theory: operant conditioning

Answer 5

-behavior is learned through experience
-rewarded behavior likely to be repeated
-punished or ignored behavior less likely to be repeated

Question 6

Applying reinforcement theory (extrinsic)

Answer 6

-Shaping behavior (first identify the behavior you want)
-Timing (consequences should closely follow behavior)
-Avoid punishment (punishment is no the most effective)
-Reinforcement schedules
->continuous (fast learning, new skill)
-> variable (slower learning)

Question 7

goal-setting theory (intrinsic)

Answer 7

-specific goals with feedback lead to increased performances
-difficult goals when accepted resulted in higher output than easy goals
Requires:
->self set goal
->high internal locus of control (they can control their behavior)
->Achievers don’t like hard goals, must accept them to be motivated (might get discouraged if the goal is too hard)

Question 8

Intrinsic motivation

Answer 8

-Autonomy
-mastery
-purpose

Question 9

Job Charateristics Model

Answer 9

1.skill variety
->high = business owner
->low = assembly line worker
2. Task identity
high = cabinet maker
low = machinist
3. Task significance
high = nurse
low = chicken sexer
4. Autonomy
high = commission sales
low = telemarketer
5. feedback
high = auto mechanic, student
low = assembly line, transcription