Mha601.online.sg.2011.v1.1025.mn

MHA601

Principles of Health Care

Administration

The focus of this course is on the application of advanced organizational

principles in complex healthcare environments. Organizational issues,

administrative processes and applications are explored. The managerial

perspectives of a mid-to senior healthcare administrator are emphasized.

MHA601: Principles of Health Care Administration

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Table of Contents

COURSE AT A GLANCE ...................................................................................................................................................................... 4

COURSE DESCRIPTION ............................................................................................................................................................................ 4

COURSE DESIGN ..................................................................................................................................................................................... 4

COURSE PREREQUISITES ......................................................................................................................................................................... 6

LEARNING OUTCOMES ........................................................................................................................................................................... 6

LEARNING RESOURCES .......................................................................................................................................................................... 6

Required Text .................................................................................................................................................................................... 6

Required Multi-Media ....................................................................................................................................................................... 7

Recommended Readings .................................................................................................................................................................... 7

Required Multi-Media ....................................................................................................................................................................... 8

COMPONENTS OF COURSE EVALUATION ................................................................................................................................. 10

DISCUSSIONS ........................................................................................................................................................................................ 10

ASSIGNMENTS ...................................................................................................................................................................................... 10

Written Assignments ........................................................................................................................................................................ 10

FINAL PAPER ........................................................................................................................................................................................ 10

COURSE GRADING ................................................................................................................................................................................ 12

Course Grading Breakdown ............................................................................................................................................................ 12

Grading Percent Breakdown ........................................................................................................................................................... 12

WEEK ONE ........................................................................................................................................................................................... 13

COURSE CONTENT ................................................................................................................................................................................ 13

Overview ......................................................................................................................................................................................... 13

Learning Outcomes ......................................................................................................................................................................... 13

Readings .......................................................................................................................................................................................... 13

Recommended Readings .................................................................................................................................................................. 14

Discussions ...................................................................................................................................................................................... 14

Assignments ..................................................................................................................................................................................... 14

WEEK TWO .......................................................................................................................................................................................... 15

COURSE CONTENT ................................................................................................................................................................................ 15

Overview ......................................................................................................................................................................................... 15



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Readings .......................................................................................................................................................................................... 15


Discussions ...................................................................................................................................................................................... 16

Assignments ..................................................................................................................................................................................... 16

WEEK THREE ...................................................................................................................................................................................... 17

COURSE CONTENT ................................................................................................................................................................................ 17

Overview ......................................................................................................................................................................................... 17


Readings .......................................................................................................................................................................................... 17


Discussions ...................................................................................................................................................................................... 18

Assignments ..................................................................................................................................................................................... 18

WEEK FOUR ......................................................................................................................................................................................... 19

COURSE CONTENT ................................................................................................................................................................................ 19

Overview ......................................................................................................................................................................................... 19


Readings .......................................................................................................................................................................................... 19


Multi-Media .................................................................................................................................................................................... 20

Discussions ...................................................................................................................................................................................... 20

Assignments ..................................................................................................................................................................................... 21

WEEK FIVE .......................................................................................................................................................................................... 22

COURSE CONTENT ................................................................................................................................................................................ 22

Overview ......................................................................................................................................................................................... 22


Readings .......................................................................................................................................................................................... 22


Discussions ...................................................................................................................................................................................... 23

Assignments ..................................................................................................................................................................................... 23

WEEK SIX ............................................................................................................................................................................................. 25

COURSE CONTENT ................................................................................................................................................................................ 25

Overview ......................................................................................................................................................................................... 25


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Readings .......................................................................................................................................................................................... 25


Discussions ...................................................................................................................................................................................... 26

Assignments ..................................................................................................................................................................................... 26

COURSE MAP ....................................................................................................................................................................................... 27

Course at a Glance

Course Description

The focus of this course is on the application of advanced organizational principles in complex healthcare environments.

Organizational issues, administrative processes and applications are explored. The managerial perspectives of a mid-to

senior healthcare administrator are emphasized.

Course Design

Effective health care organizational management in a very complex environment is the “heart and soul” of this course.

The course is designed to provide opportunities and tools to equip participants to assume health administrator roles within

any healthcare organization. Participants will analyze current healthcare dilemmas and develop insights into the

organizational challenges facing administrators today –regardless of healthcare setting.

This course progressively builds up to provide students the ability to complete a project, covering basic health care

organizational principles, strategic planning, financial planning, human resource management, effective leadership, and

effective communication. Much of the learning will come from a series of discussion questions, short papers, and realistic

case studies.

Week One: Examines and evaluates principles of healthcare administration in complex situations. Students will be asked

to evaluate modern management theories that can be applied to their own work environment by means of two Discussion

Questions.


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Week Two: Examines and evaluates the concept of power, politics, and conflict within a health care organization. One

discussion question asks the students to evaluate power and political games in their own organization. For the second

discussion question, the students are asked to recommend a course of action from the point of view of conflict

management and interpersonal relationships. The written assignment for the week deals with conflict and teamwork

within a hospital department.

Week Three: Introduces, examines, and evaluates the principles of leadership and decision making within the health care

environment. In one discussion question, students will be asked to identify the most important factors concerning

effective leadership and then evaluate and recommend leadership qualities within their own organization. A second

discussion question deals with effective decision-making. A third discussion questions requires the students to review a

Case Study focusing on decision making and communication. The written assignment asks the students for a reflective

paper on their own personal leadership philosophy.

Week Four: Introduces and examines the concepts of values, ethics, and organizational dysfunction. For the first

discussion question, students are asked to view a slide presentation and to read and respond to a case study dealing with

racism rules. The second discussion question deals with organizational dysfunction. For the written exercise, the students

will reflect on and write about various stakeholders’ views of the uninsured.

Week Five: Focuses on change, human resources, and the development of the most effective management team. The

students, for the first discussion question, create their own thoughts on "whitewater changes" occurring in healthcare

today. The second discussion question deals with human resources and the effects of poor communication. For the third

discussion question, the students are asked to review a video focusing on the theme, “Why do some succeed where others

fail? What makes high-achievers different?”

Week Six: Concludes the course by focusing on the medical staff and the board of directors as well as the final paper.

The first discussion questions asks students to evaluate challenges faced by medical staff leadership, while the second

discussion question requires the students to review a case study dealing with the failure of the board of directors to act

effectively. Finally, there is a summative assignment allowing the students to utilize their reading and learning from the

six weeks of class to create a solution to a problem of an exodus of nursing personal within a health care organization.


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Course Prerequisites

There are no prerequisites for MHA601.

Learning Outcomes

Upon successful completion of this course, students will be able to:

1. Apply principles of healthcare administration in complex situations.

2. Apply organizational principles of healthcare administration to the changing healthcare organizational

environment.

3. Apply strategic planning methodologies in the planning or healthcare services.

4. Analyze the financial factors influencing healthcare administration.

5. Apply theories of human resource management to healthcare situations.

6. Analyze the role of administrative leadership in creating a learning organization.

7. Submit a project demonstrating mastery of course content.

Learning Resources

Required Text

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.).

Washington, DC: American Psychological Association. ISBN: 9781433805615.

Johnson, J. (2009). Health organizations: Theories, behavior, and development. Boston: Jones and Bartlett. ISBN:

9780763750534.


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Required Multi-Media

Ethical Culture. Retrieved from http://www.slideshare.net/dcoe/an-ethical-culture-by-jack-gilbert.

Bad Medicine: The Glaxo Case. Retrieved from http://www.cbs.com/primetime/60_minutes/video/index.php?pid

=t7t1k2KJDWP8_8t3NSjao9SqDIZhf2Pp.

Facing Death. Retrieved from http://video.pbs.org/video/1639625115.

Recommended Readings

Anderson, M. (2009). The role of group personality composition in the emergence of task and relationship conflict within

groups. Journal of Management and Organization, 15(1), 82. Retrieved from the ProQuest database.

Anderson, J. (1999). Al gets the chainsaw. Institutional Investor, 33(10), 224. Retrieved from the ProQuest database.

Ball, T. (2010). Five simple steps to better decisions: Your business processes can lead you to targeted variables for

improvement. Information Management, 20(5), 24. Retrieved from the ProQuest database.

Bell, C. & Hughes-Jones, J. (2008). Power, self-regulation and the moralization of behavior. Journal of Business Ethics,

83(3), 503. Retrieved from the ProQuest database.

Bird, K., Kundu, A. & de Lujan Perez, G. (2010). Using Deming’s principles to create the next generation of healthcare

leaders. The Journal for Quality and Participation, 33(2), 15. Retrieved from the ProQuest database.

Borden, J. (2009). Five ways to survive your medical staff presidency. Physician Executive, 35(4), 46. Retrieved from

the ProQuest database.

Crosby, F. & Shields, C. (2010). Preparing the next generation of nurse leaders: An educational needs assessment. The

Journal of Continuing Education in Nursing, 41(8), 363. Retrieved from the ProQuest database.

Curran, C. & Totten, M. (2010). Board oversight of executive performance and compensation. Nursing Economics,


http://www.slideshare.net/dcoe/an-ethical-culture-by-jack-gilbert

http://www.cbs.com/primetime/60_minutes/video/index.php?pid%20=t7t1k2KJDWP8_8t3NSjao9SqDIZhf2Pp

http://video.pbs.org/video/1639625115


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Guo, K. (2010). The entrepreneurial manager in health care organizations. The Business Review, Cambridge, 15(2), 11.

Retrieved from the ProQuest database.

Luck, S. (2010). Changing the health of our nation-the role of nurse coaches. Alternative Therapies in Health and

Medicine, 16(5), 68. Retrieved from the ProQuest database.

Naas, P. & Smithson, K. (2009). CMOs: The new generation. Physician Executive, 35(3), 18. Retrieved from the

ProQuest database.

Nirenberg, J. (1997). Mean business: How I save bad companies and make good companies great/nuts!: Southwest

Airlines’ crazy recipe for business and personal success. International Journal of Organizational Analysis, 5(2),

212. Retrieved from the ProQuest database.

Rhodes, C., Pullen, A. & Clegg, S. (2010). If I should fall from grace…stories of change and organizational ethics.

Journal of Business Ethics, 91(4), 535. Retrieved from the ProQuest database.

Richardson, P. & Denton, K. (1996). Communicating change. Human Resource Management, 35(2), 203. Retrieved

from the ProQuest database.

Simonet, D. The new public management theory and European health-care reforms. Retrieved from

http://www.accessmylibrary.com/article-1G1-192437324/new-public-management-theory.html.

Swedish, J. (2009). Leadership: Meeting the demands of the times. Frontiers of Health Services Management, 26(2), 31.


Sword, L.D. (2008). A complexity science view of conflict. Emergence: Complexity and Organization, 10(4), 10.


Required Multi-Media

Ethical Culture. Retrieved from http://www.slideshare.net/dcoe/an-ethical-culture-by-jack-gilbert.

http://www.accessmylibrary.com/article-1G1-192437324/new-public-management-theory.html



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Bad Medicine: The Glaxo Case. Retrieved from http://www.cbs.com/primetime/60_minutes/video/index.php?pid

=t7t1k2KJDWP8_8t3NSjao9SqDIZhf2Pp.

Facing Death. Retrieved from http://video.pbs.org/video/1639625115.


http://video.pbs.org/video/1639625115


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Components of Course Evaluation

Multiple measures of evaluation are used in the course, allowing students opportunities to demonstrate their learning in

more than one way, and giving consideration to individual learning styles. Course components that will be evaluated

include:

Discussions

Each week students will participate in online discussions with classmates, which are related to the week’s readings. These

discussions replace the interactive dialogue that occurs in the traditional classroom setting. Each week, students’ initial

discussion posts are due by 11:59 p.m. (of the time zone in which each student resides) on Day 3 (Thursday). Students

will have until 11:59 p.m. on Day 7 (the following Monday) to make the required minimum number of response posts to

classmates. Discussions represent 46% of the overall course grade.

Assignments

Written Assignments

There is a written assignment due in weeks one through five of this course. These assignments must reflect college-level

writing and critical thinking. Assignments represent 29% of the overall course grade.

Final Paper

The final assignment for this course is a Final Paper. The purpose of the Final Paper is for you to culminate the learning

achieved in the course by creating a proposal for the Renfrey Memorial Hospital Board of Directors. The Final Project

represents 25% of the overall course grade.

Focus of the Final Paper

Renfrey Memorial Hospital (RMH) is a 200 bed regional hospital located in the Midwest. It has been in existence for 32

years and was named after a prominent philanthropist in the area, Mr. Gilbert H. Renfrey, who made many financial

contributions to projects in and around the community where Renfrey Memorial Hospital is located. The hospital

maintains the only 24 hour emergency department in the area, as well as an "extended hours" urgent care clinic. The

hospital is encountering a problem with nursing staff retention. Sixty-eight percent of the nursing staff is over the age of


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45, and facing retirement. The hospital commissioned a survey that revealed many of the nursing staff finds the work too

physically demanding and many are feeling physically exhausted and report emotional burn out as well. Several of the

survey respondents report they are stressed to the breaking point caring for aging parents in addition to working at

Renfrey. In the past two years, the hospital has seen an exodus of nurses. The hospital has been forced to use temporary

pool nurses from an agency. This has driven up personnel costs and also resulted in decreased rankings on patient

satisfaction surveys. In addition, the nursing shortage is making it difficult to recruit replacement nurses for the staff who

plans on retiring within the next couple of years. Renfrey Memorial Hospital faces significant staffing challenges ahead

as it grapples with these issues and the hospital board is very concerned. They know there must be some changes made in

order to prevent a major financial and human resources crisis in the future.

For your final course project, you will create a 10 -15 page proposal for the Renfrey Memorial Hospital Board of

Directors. In your proposal, you will:

Include an executive summary

Research and identify solutions implemented at five other hospitals in the US that were dealing with these same

issues (benchmarking).

Based on your research, identify two solutions that are the most viable for Renfrey Memorial Hospital to

implement within the next two years.

Present an analysis of the two solutions that you have selected in terms of at least 5 stakeholder groups involved

(e.g. patients, hospital administration, accounting, H.R., marketing, third-party payers, etc.) Who is impacted?

What change processes may be required? What fiscal impact would occur?

Make a recommendation with detailed justification and research support, on the single solution that you feel is

best for RMH. Explain why you feel it is the best and most viable solution given the financial impact, HR issues,

interpersonal dynamics of hospital personnel, cultural shift, and change management.

Utilize 10 -12 reference sources written within the last 5 years to prepare your board proposal.

Writing the Final Paper

The Final Paper:

1. Must be 10 to 15 double-spaced pages in length, and formatted according to APA style as outlined in the Ashford

Writing Center.

2. Must include a title page with the following:

a. Title of paper


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b. Student’s name

c. Course name and number

d. Instructor’s name

e. Date submitted

3. Must include an introductory paragraph with a succinct thesis statement.

4. Must address the topic of the paper with critical thought.

5. Must conclude with a restatement of the thesis and a conclusion paragraph.

6. Must use at least 10 scholarly resources, including a minimum of 5from the Ashford Online Library.

7. Must document all sources in APA style, as outlined in the Ashford Writing Center.

8. Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing

Center.

Course Grading

Course Grading Breakdown

Please note that there are neither D grades in Ashford University graduate course work nor grades with a plus or minus.

Letter Grade Percent

A 90-100

B 80-89

C 70-79

F 69 and below

Grading Percent Breakdown

Discussions 46

Assignments 29

Final Paper 25

Total: 100%


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Week One

Course Content To be completed during the first week of class

Overview

Assignment

Due Date Format Grading Percent

Post Your Introduction Day 1

Discussion 1

Applied Modern Management Theory Day 3 (1

st post)

Discussion 3

Complexity Science and Postmodernism in the Healthcare Arena

Day 3 (1

st post)

Discussion 3

Error Avoidance in Post Modern/Complex Adaptive Systems

Day 7 Assignment

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Learning Outcomes

This week students will:

1. Evaluate principles of healthcare administration in complex situations.

2. Evaluate modern management theories that can be applied to students’ own work environment.

Readings

Read from the text, Healthcare Organizations: Theories, Behavior, and Development:

1. Chapter 4: Modern Theories of Organization

This chapter provides an overview on modern organizational theories.

2. Chapter 5: Complexity and Postmodern Theory

This chapter introduces postmodern, complex adaptive systems in managing health care organizations.

3. Chapter 6: Individual Behavior and Motivation

This chapter presents a picture of organizational behavior and dynamics.


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1. Bird, K., Kundu, A. & de Lujan Perez, G. (2010). Using Deming’s principles to create the next generation of

healthcare leaders. The Journal for Quality and Participation, 33(2), 15. Retrieved from the ProQuest database.

2. Swedish, J. (2009). Leadership: Meeting the demands of the times. Frontiers of Health Services Management,


3. Simonet, D. The new public management theory and European health-care reforms. Retrieved from

http://www.accessmylibrary.com/article-1G1-192437324/new-public-management-theory.html.

Discussions

Participate in the following discussions:

1. Due by Day 1. Post Your Introduction. Post your introduction on the discussion titled, “Introductions” found in

Week One. Respond to at least three of your classmates’ postings.

2. 1st Posting Due by Day 3. Applied Modern Management Theory. Which principles of modern management

theory can be applied in a healthcare/related setting? Which do you see in your own work environment?

Respond to at least two of your classmates’ postings.

3. 1st Posting Due by Day 3. Complexity Science and Postmodernism in the Healthcare Arena. As CEO of

Ashford Medical Center, the Board has authorized you to work with the Medical Director, the Chief of Staff, and

Medical Staff in the development of an exciting new program to attempt to meet the medical, health, and

nutritional needs of the community for the next ten years. What conflicts might you anticipate as you attempt to

adapt a post modernist/complexity science strategy? Justify your response. Respond to at least two of your

classmates' postings.

Assignments

1. Due by Day 7. Error Avoidance in Post Modern/Complex Adaptive Systems. Review Exercise 2 in Chapter

5. Each bullet presents a possible health care management error which may have a significantly negative effect on

the organization. From your readings this week, describe why each of these may be considered errors. Finally,

how might the ideas presented in your reading help you avoid each of these errors? Your written assignment must

be 2-3 pages, excluding title and reference pages. Include a minimum of 3 scholarly references in APA format.

http://www.accessmylibrary.com/article-1G1-192437324/new-public-management-theory.html


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Week Two

Course Content To be completed during the second week of class

Overview

Assignment


Analysis of Power and Politics within Healthcare Organizations

Day 3 (1

st post)

Discussion 3

Managing Conflict and Interpersonal Relationships

Day 3 (1

st post)

Discussion 3

Case Study: Team and Team Processes Day 7

Assignment 6

Learning Outcomes


1. Evaluate the concepts of power and politics within a health care organization.

2. Examine the concepts of team work and conflict resolution within a health care organization.

Readings


1. Chapter 7: Group Dynamics

This chapter provides concepts such as teams and group processes within the health care organization

are evaluated.

2. Chapter 8: Power and Politics

This chapter provides concepts such as sources of power and politics within the health care organization.

3. Chapter 9: Conflict and Interpersonal Relations

This chapter provides concepts such as conflict management and interpersonal relationships.


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1. Anderson, M. (2009). The role of group personality composition in the emergence of task and relationship

conflict within groups. Journal of Management and Organization, 15(1), 82. Retrieved from the ProQuest

database.

2. Sword, L.D. (2008). A complexity science view of conflict. Emergence: Complexity and Organization, 10(4),

10. Retrieved from the ProQuest database.

Discussions


1. 1st Posting Due by Day 3. Analysis of Power and Politics within Healthcare Organizations. [Review Henry

Mintzberg’s model of political games, in which Dr. Bewley, (Chapter 8) relates to health care organizations.

Evaluate members of your health care organization to determine their bases of power. Also, identify any political

games played by managers, administration and/or the Board. If you currently work in a health care organization,

also please identify political games played by members of the medical staff, nursing, and/or ancillary staff.

Discuss motivations of why the games may have been pursued. Also, identify any negative impacts on an

organization by these games. Respond to at least two of your classmates' postings.

2. 1st Posting Due by Day 3. Managing Conflict and Interpersonal Relationships. Review the case study

presented in the course text at the top of page 151. What organizational strategy would you recommend the CEO

utilize to get the organization back on track considering conflict management and interpersonal relationships?

Respond to at least two of your classmates’ postings.

Assignments

1. Due by Day 7. Case Study: Team and Team Processes. In the course text, read the case study on the top of

page 133. Write up your responses to the questions at the end of the case. Identify a minimum of 3 interventions

to recommend that address the concerns expressed by Nurse B. Support your recommended interventions with

justification/explanation. Include a minimum of 4 citations published within the last 5 years from industry-related

references. Your paper must be a minimum of 2-3 pages in length, excluding title and reference pages, in APA

format.


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Week Three

Course Content To be completed during the third week of class

Overview

Assignment


Personal Leadership Philosophy Day 3

(1st post)

Discussion 3

Effective Communication Day 3

(1st post)

Discussion 3

Case Study: Organizational Culture versus Organizational Leadership

Day 3 (1

st post)

Discussion 3

Case Study: Decision Making Based on Mission and Vision of an Organization

Day 7

Assignment 6

Learning Outcomes


1. Develop a personal leadership philosophy.

2. Evaluate effective communication skills in healthcare.

3. Create a mission and vision for a community medical center.

4. Apply an appropriate leadership model for a healthcare organization.

Readings


1. Chapter 10: Leadership Theory and Influence

This chapter describes leadership and leadership theory.

2. Chapter 11: Leadership and Transformation

This chapter describes various leadership models.

3. Chapter 12: Decision Making and Communication

This chapter describes various tools of decision making.


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1. Ball, T. (2010). Five simple steps to better decisions: Your business processes can lead you to targeted variables

for improvement. Information Management, 20(5), 24. Retrieved from the ProQuest database.

2. Crosby, F. & Shields, C. (2010). Preparing the next generation of nurse leaders: An educational needs

assessment. The Journal of Continuing Education in Nursing, 41(8), 363. Retrieved from the ProQuest database.

3. Guo, K. (2010). The entrepreneurial manager in health care organizations. The Business Review, Cambridge,


Discussions


1. 1st Posting Due by Day 3. Personal Leadership Philosophy. In 300-500 words, write what you believe it means

to “lead and manage resources” in healthcare. Respond to at least 2 of your classmates’ posts.

2. 1st Posting Due by Day 3. Effective Communication. In 300-350 words, describe the active listener and how

active listening can impact communication between leaders/managers and their employees. Respond to at least 2

of your classmates’ posts.

3. 1st Posting Due by Day 3. Case Study: Organizational Culture versus Organizational Leadership. In 300-

350 words, compare and contrast organizational culture from organizational leadership. Respond to at least 2 of

your classmates’ posts.

Assignments

1. Due by Day 7. Case Study- Decision Making Based on Mission and Vision of an Organization. In the course

text, read the case study at the bottom of page 230. Write a 3-5 page paper on what could be a mission or vision of

the Community Medical Center that would guide the president in his decision about the case of an operating room

nurse who may have HIV/AIDS. What could be the decision and how will the decision be communicated to the

physicians, employees, to the board, and the public. Use at least 3 APA resources excluding your course text.


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Week Four

Course Content To be completed during the fourth week of class

Overview

Assignment


Cultural Values and Ethics Day 3

(1st post)

Discussion 3

Organizational Dysfunction Day 3

(1st post)

Discussion 3

Abuses and Unethical Behavior in Health Care?

Day 3 (1

st post)

Discussion 3

Case Study: Stakeholder Dynamics Day 7

Assignment 6

Learning Outcomes


1. Analyze the concept of values within a health care organization.

2. Apply the concept of ethics within a health care organization.

3. Assess the concepts of organizational dysfunction within a healthcare organization.

Readings

Read from the text, Health Organizations: Theory, Behavior, and Development:

1. Chapter 13: Culture Values and Ethics

This chapter describes organization culture and ethics within the health care organization environment.

2. Chapter 14: Stakeholder Dynamics

This chapter describes stakeholder dynamics.

3. Chapter 15: Organizational Dysfunction and Pathology

This chapter describes organization dysfunction and pathology within the health care organization

environment.


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1. Nirenberg, J. (1997). Mean business: How I save bad companies and make good companies great/nuts!:

Southwest Airlines’ crazy recipe for business and personal success. International Journal of Organizational

Analysis, 5(2), 212. Retrieved from the ProQuest database.

2. Rhodes, C., Pullen, A. & Clegg, S. (2010). If I should fall from grace…stories of change and organizational

ethics. Journal of Business Ethics, 91(4), 535. Retrieved from the ProQuest database.

3. Bell, C. & Hughes-Jones, J. (2008). Power, self-regulation and the moralization of behavior. Journal of Business

Ethics, 83(3), 503. Retrieved from the ProQuest database.

4. Anderson, J. (1999). Al gets the chainsaw. Institutional Investor, 33(10), 224. Retrieved from the ProQuest

database.

Multi-Media

1. Ethical Culture. Retrieved from http://www.slideshare.net/dcoe/an-ethical-culture-by-jack-gilbert.

2. Bad Medicine: The Glaxo Case. Retrieved from http://www.cbsnews.com/video/watch/?id=7206290n.

Discussions


1. 1st Posting Due by Day 3. Cultural Values and Ethics. Review the Ethical Culture slide presentation and read

the case starting on page 251 of the course text. Post responses to following questions:

How do culture, values, and ethics enter into this case study?

Reflect on the term used in the slide presentation, “Ethical Wisdom.” How might the use of ethical

wisdom assist in this case study?

If you were in a leadership role of this health care organization, how would you have handled this

situation compared to the way the hospital’s president?

Your combined responses to all three questions should be at least three paragraphs. Respond to at least two of

your classmates' postings.

2. 1st Posting Due by Day 3. Organizational Dysfunction. Albert John Dunlap, also known as “Chainsaw Al” and

“Rambo in Pinstripes” was hired by the Sunbeam Company, makers of small household appliances, to turn the





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company around. He was eventually fired by the board having cut thousands of jobs and reducing the company to

practically a skeleton. Describe some of the factors that might lead a health care organization toward, as Graber

suggests in your text, “a neurotic style” (pg 286). Also, describe how health care organizations should avoid such

actions. Clarify/explain why you selected these. Respond to at least two of your classmates’ postings.

3. 1st Posting Due by Day 3. Abuses and Unethical Behavior in Health Care. [Watch Bad Medicine: The Glaxo

Case. Drugs provide society with enormous benefits: they reduce mortality and morbidity, relieve pain and

suffering, are less expensive forms of treatment than surgery and hospitalization, and are more readily accessible

to a larger portion of the population than are more expensive technologies and have enabled physicians to see

more patients with improved treatment outcomes. The U.S. spends over $300 billion drugs annually, and we

expect safe and effective drugs. Yet society seems to have a special place for the U.S. Drug Industry, because

they do produce these life savings/sustaining products. Yet within the past few years, issues have been raised that

question some of these company’s ethics and the safety of some of these drugs. Question: Should we treat

abuses/unethical behavior in the U.S. drug industry and our entire health care industry differently than we do in

the banking industry or auto industry? Why or why not? Please respond to at least two of your classmates’

postings.

Assignments

1. Due by Day 7. Case Study: Stakeholder Dynamics. In the course text, read the “Business Feels the

Consequences of the Uninsured Problem” case on page 273. Type up your response to the box section at the

bottom of page 273 (Identification of case issues). Fill in the Review the stakeholder group table in the text on

the top of page 274. Based on your responses to the stakeholder group table, type up your responses to the

sections in the box found at the bottom of page 274. Summarize the effect of cost, quality, and access. Finally, in

no more than five pages, what is your evaluation of the problem of the uninsured from a stakeholder perspective?

Incorporate a minimum of 5 references written within the past five years, to support your responses/justifications.

The paper must be a minimum of 3-5 pages, excluding title and reference pages, in APA format.

http://www.cbsnews.com/video/watch/?id=7206290n




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Week Five

Course Content To be completed during the fifth week of class

Overview

Assignment


Changes in Healthcare Day 3

(1st post)

Discussion 3

Benefits and Value of Teams Day 3

(1st post)

Discussion 3

Team Building Trends Day 3

(1st post)

Discussion 3

Learning Healthcare Organizations Day 7

Assignment 6

Learning Outcomes


1. Apply analytical strategies in evaluating organizational change.

2. Develop activities for team building in healthcare organizations.

3. Evaluate team-building trends in leading edge health related companies.

4. Assess change in healthcare.

Readings


1. Chapter 16: Transformational Change and Development

This chapter describes concepts of organizational change and the capacity to change.

2. Chapter 17: Team Building and Development

This chapter describes team building and employee development.


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1. Luck, S. (2010). Changing the health of our nation-the role of nurse coaches. Alternative Therapies in Health

and Medicine, 16(5), 68. Retrieved from the ProQuest database.

2. Richardson, P. & Denton, K. (1996). Communicating change. Human Resource Management, 35(2), 203.


Discussions


1. 1st Posting Due by Day 3. Changes in Healthcare. In 300-350 words, describe the factors that contribute to

unpredictable changes in the healthcare industry. What strategies can be applied to respond to these demands?

Respond to at least 2 of your classmates’ post.

2. 1st Posting Due by Day 3. Benefits and Value of Teams. In 300-350 words, discuss the benefits and value of

teams to healthcare organizations and to the individual members. Why are teams more effective than individuals?

Respond to at least 2 of your classmates’ posts.

3. 1st Posting Due by Day 3. Team Building Trends. In 300-350 words, describe some trends in team building

related to health care teams. What activities are done to promote bonding, training, and growth of the team?

Respond to at least 2 of your classmates’ posts.

Assignments

1. Due by Day 7. Learning Healthcare Organizations. Change is the theme of Week 5. Mark Twain is said to

have uttered the following about change, “It's not the progress I mind, it's the change I don't like”. Utilizing the

Ashford library, and other web-based resources, identify two healthcare organizations that have instituted

transformational changes to promote/create learning organizations. Write a four to five page paper (excluding

title and reference pages) covering the following points:

What were the problems/issues that lead to the change or the needs for change?

Who were the various stakeholders involved in the change?

What time frame was involved in the change process?

What financial resources were allocated for the change?


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What issues surfaced during the change process?

What is/are the outcomes of the change?

Are there institutional lessons learned from the change process?

Include 4-6 references written within the last five years in your paper.


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Week Six

Course Content To be completed during the sixth week of class

Overview

Assignment


Physician Leadership Development Day 3

(1st post)

Discussion 3

Applied Administrative Leadership Day 3

(1st post)

Discussion 3

Final Paper Day 7

Assignment 25

Learning Outcomes


1. Analyze challenges faced by physician leaders in their attempts to “lead” physicians.

2. Apply principles of healthcare administration in complex situations.

3. Apply organizational principles of healthcare administration to the changing healthcare organizational

environment.

4. Examine physician leadership development.

5. Analyze Board of Directors’ influence on health care organizations.

Readings


1. Chapter 18: Physician Leadership and Development

This chapter describes the importance and difficulties of physician leadership and development.

2. Chapter 19: Governance and Board Development

This chapter describes the importance of board of directors in a health care organization and relationship

with senior management.


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1. Borden, J. (2009). Five ways to survive your medical staff presidency. Physician Executive, 35(4), 46.


2. Naas, P. & Smithson, K. (2009). CMOs: The new generation. Physician Executive, 35(3), 18. Retrieved

from the ProQuest database.

3. Curran, C. & Totten, M. (2010). Board oversight of executive performance and compensation. Nursing

Economics, 28(5), 343. Retrieved from the ProQuest database.

Discussions


1. 1st Posting Due by Day 3. Physician Leadership Development. Identify at least three challenges faced by

physician leaders in their attempts to "lead" physicians toward a common vision of healthcare performance.

Support your response and include a minimum of 2 APA references from scholarly sources. Respond to at least

two of your classmates' postings.

2. 1st Posting Due by Day 3. Applied Administrative Leadership. Read the “Bankruptcy of Allegheny Health

Education and Research Foundation” (HERF) on page 368 of the course text. Select one of the board’s practices.

Identify and discuss the problems with the practice you have selected. Suggest ways the practice could be

modified/changed in order to eliminate the problems you identified. Post your response and respond to at least

two of your classmates’ postings.

Assignments

1. Due by Day 7. Final Paper. For complete instructions, refer to the “Components of Course Evaluation” section

of this guide, or Week Six of your online course.


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Course Map

The course map illustrates the careful design of the course through which each learning objective is supported by one or

more specific learning activities in order to create integrity and pedagogical depth in the learning experience.

Learning Outcome

Week Assignment

1. Apply organizational principles of healthcare administration to the changing healthcare organizational environment.

1 1 1 2 2 2 3 3 3 3 4 4 4 4 5 5 5 6 6 6

Applied Modern Management Theory Discussion Complexity Science and Postmodernism in the Healthcare Arena Discussion Error Avoidance in Post Modern/Complex Adaptive Systems Discussion Analysis of Power and Politics within Organizations Discussion Managing Conflict and Interpersonal Relationships Discussion Case Study: Team and Team Processes Assignment Effective Leadership Discussion Methods of Decision Making Discussion Case Study: Decision Making and Communication Discussion Personal Leadership Philosophy Statement Assignment Cultural Values and Ethics Discussion Organizational Dysfunction Discussion Abuses and Unethical Behavior in Health Care Discussion Case Study: Stakeholder Dynamics Assignment Learning Organizations Discussion The American Way of Dying Discussion Learning Healthcare Organizations Discussion Physician Leadership Development Discussion Applied Administrative Leadership Discussion Final Paper

2. Apply organizational principles of healthcare administration to the changing healthcare organizational environment.

1 1 1 2 2 2 3

Applied Modern Management Theory Discussion Complexity Science and Postmodernism in the Healthcare Arena Discussion Error Avoidance in Post Modern/Complex Adaptive Systems Discussion Analysis of Power and Politics within Organizations Discussion Managing Conflict and Interpersonal Relationships Discussion Case Study: Team and Team Processes Assignment Effective Leadership Discussion


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3 3 3 4 4 4 4 5 5 5 6 6 6

Methods of Decision Making Discussion Case Study: Decision Making and Communication Discussion Personal Leadership Philosophy Statement Assignment Cultural Values and Ethics Discussion Organizational Dysfunction Discussion Abuses and Unethical Behavior in Health Care Discussion Case Study: Stakeholder Dynamics Assignment Learning Organizations Discussion The American Way of Dying Discussion Learning Healthcare Organizations Discussion Physician Leadership Development Discussion Applied Administrative Leadership Discussion Final Paper

3. Apply strategic planning methodologies in the planning or healthcare services.

1 1 1 2 2 2 3 3 3 3 4 4 4 4 5 5 5 6 6 6

Applied Modern Management Theory Discussion Complexity Science and Postmodernism in the Healthcare Arena Discussion Error Avoidance in Post Modern/Complex Adaptive Systems Discussion Analysis of Power and Politics within Organizations Discussion Managing Conflict and Interpersonal Relationships Discussion Case Study: Team and Team Processes Assignment Effective Leadership Discussion Methods of Decision Making Discussion Case Study: Decision Making and Communication Discussion Personal Leadership Philosophy Statement Assignment Cultural Values and Ethics Discussion Organizational Dysfunction Discussion Abuses and Unethical Behavior in Health Care Discussion Case Study: Stakeholder Dynamics Assignment Learning Organizations Discussion The American Way of Dying Discussion Learning Healthcare Organizations Discussion Physician Leadership Development Discussion Applied Administrative Leadership Discussion Final Paper

4. Analyze the financial factors influencing healthcare administration.

1 1 1 6 6 6

Applied Modern Management Theory Discussion Complexity Science and Postmodernism in the Healthcare Arena Discussion Error Avoidance in Post Modern/Complex Adaptive Systems Discussion Physician Leadership Development Discussion Applied Administrative Leadership Discussion Final Paper


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5. Apply theories human resource management to healthcare situations.

1 1 1 2 2 2 2 4 4 4 5 5 5 5 6

Applied Modern Management Theory Discussion Complexity Science and Postmodernism in the Healthcare Arena Discussion Error Avoidance in Post Modern/Complex Adaptive Systems Discussion Analysis of Power and Politics within Organizations Discussion Managing Conflict and Interpersonal Relationships Discussion Case Study: Team and Team Processes Assignment Cultural Values and Ethics Discussion Organizational Dysfunction Discussion Abuses and Unethical Behavior in Health Care Discussion Learning Healthcare Organizations Discussion Human Resources Management Discussion The American Way of Dying Discussion Learning Healthcare Organizations Discussion Final Paper

6. Analyze the role of administrative leadership in creating a learning organization.

1 1 1 2 2 3 3 3 3 5 5 5 4 5 5 5 6 6 6

Applied Modern Management Theory Discussion Complexity Science and Postmodernism in the Healthcare Arena Discussion Error Avoidance in Post Modern/Complex Adaptive Systems Discussion Managing Conflict and Interpersonal Relationships Discussion Case Study: Team and Team Processes Assignment Effective Leadership Discussion Methods of Decision Making Discussion Case Study: Decision Making and Communication Discussion Personal Leadership Philosophy Statement Assignment Cultural Values and Ethics Discussion Organizational Dysfunction Discussion Abuses and Unethical Behavior in Health Care Discussion Case Study: Stakeholder Dynamics Assignment Learning Organizations Discussion The American Way of Dying Discussion Learning Healthcare Organizations Discussion Physician Leadership Development Discussion Applied Administrative Leadership Discussion Final Paper

7. Submit a project demonstrating mastery of course content.

6 Final Paper

Mha601.online.sg.2011.v1.1025.mn

Health & Medicine

de lujan perez

group personality

save bad companies

health care

1st posting

stakeholder

human resource

project demonstrating