Strategic management and US health care: Marquette General Health System ; a case study
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Stuttgart
Ibidem-Verl.
2002
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Zugl.: Hannover, Univ., Diss. |
| Beschreibung: | 189 S. Ill., graph. Darst., Kt. : 21 cm |
| ISBN: | 3898211878 |
Internformat
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Datensatz im Suchindex
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|---|---|
| adam_text | Contents
Content Overview VII
Contents IX
Illustrations and Tables XV
Abbreviations XVII
Foreword XIX
1 Study Design and Methods 1
1.1 Theme, Object and Research 1
1.2 Study Design 2
1.3 Research Propositions 3
1.4 Boundaries 3
1.5 Units of Research 4
1.6 Data Collection 5
1.7 Analysis of Data 6
1.7.1 Qualitative Content Analysis 6
1.7.2 Hermeneutic Circling 7
1.7.3 Quantitative Data Analysis 7
1.8 Line of Discussion 7
2 History of Health Care in the United States 9
2.1 The Beginnings of Medical Service in Colonial America 9
2.2 Hospitals in the 1800s 12
2.2.1 General Hospitals 12
2.3 The 1900s Changing the Face of Health Care 13
2.4 Medical Expenditures and Coverage within the History 16
2.4.1 Self payment and Philanthropy 16
2.4.2 Private Insurance 16
2.4.3 Prepaid Group Insurance 17
2.4.4 Health Maintenance Organizations 17
2.4.5 Medicare and Medicaid 18
IX
Contents
3 Approaches to Health Care 1960 2000 21
3.1 Health Expenditures and Socioeconomic Facts 21
3.2 Theory of Health Care Economy 23
3.2.1 Health as a Meritorious Good 24
3.3 Cost Containment and Planning of Health Care 25
3.4 Restrictive Planning 26
3.5 Rate Regulation 28
3.6 Competition in Care Delivery 29
3.6.1 Anti trust laws and Advertising 31
3.7 Overall View onto Health Care in the 20th Century 32
4 Michigan, Marquette and its General Hospital 35
4.1 The State of Michigan 35
4.2 The Upper Peninsula and Marquette County 36
4.3 Short Facts about Marquette General Hospital 39
4.3.1 History and Development of Marquette General Hospital 40
4.3.2 System Development From MGH to MGHS 43
4.3.3 Management, Financial Situation and Status 45
5 Theoretic Foundations of Strategic Hospital Management 49
5.1 Introduction into Strategic Management 49
5.2 Organizational Theory Key Terms for Strategic Planning 53
5.2.1 Structural Contingency Theory 53
5.2.2 Resource Dependent Theory 53
5.2.3 Institutional Theory 53
5.3 Key Terms of Strategic Health Care Management 54
X
Contents
5.3.1 Systems 54
5.3.2 Organizations 54
5.3.3 Institutions 55
5.3.4 Integration and Differentiation 55
5.3.5 Economies of Scale and Strategic Alliances 55
5.3.6 Strategic Piggybacking 56
5.3.7 Organizational Behavior Perspectives for Observation 56
5.3.8 Three Key Points as Potential Foundation for Planning 57
6 Strategic Planning at MGH 59
6.1 Basic Situation of MGH in 1996 59
6.2 The Strategic Plan for MGH Factor Analysis 60
6.2.1 The Diverse Challenges of MGH 60
6.3 The Strategic Plan The Consultants Conclusion 66
7 Strengths, Weaknesses, Opportunities and Threats of MGH 71
7.1 The CEO s Perspective 71
7.2 The CFO s Perspective 73
7.3 A Board Member s Perspective 76
8 The Transformation of Strategic Thinking into Practice 79
8.1 Staying on the Cutting Edge of Technology 79
8.2 Establishing Cooperative Arrangements 80
8.3 Critical Access Hospitals 80
8.4 EKG Network 82
8.5 Behavioral Health Service and Rehabilitation 82
8.6 Brookridge Heights Assisted Living Facility 84
8.7 Quality and Cost Control Strategic Finance Management 84
8.8 HR Management Promoting Staff Quality and Satisfaction 85
8.9 Community Relations, Governmental Relations and Marketing 88
XI
Contents
8.10 Franchise Players of MGH Physician Recruitment 92
8.11 Pastoral Care and Hospital Administration 93
8.12 The Patient Advocate and Customer Service 96
8.13 The Strategic Basis Networks, Teams and Symbiotic Partnerships 99
8.14 Virtual Networking and Teamworking via Telehealth 100
9 Strategic Orientation and Staff Opinion 103
9.1 Non profit Management between Margin and Mission 103
9.2 No Margin, No Mission or No Mission, No Markup ... 103
9.3 The Administration s Perspective on Margin and Mission 108
9.3.1 No Margin, No Mission and its Certain Balance 108
9.3.2 The Other Perspective: No Mission No Margin 110
9.4 The Administrators Preferred Strategy 111
9.5 The Department Heads and Program Directors Preferred Strategy 113
9.5.1 Development of New Fields of Business 114
9.5.2 Investing in New Buildings and Technical Equipment 115
9.5.3 Staff Training, Customer Friendliness and New Ways of Treatment 116
9.5.4 Specialist Recruitment and its Cost Effect Relation 117
9.5.5 Provider Alliances Networking versa Competition 118
9.5.6 Importance of Governmental, Public Relations and Pastoral Care 119
9.5.7 Knowledge Sharing and Communications at MGH 120
9.5.8 Monetary Incentives Effects on Performance and Satisfaction 120
10 Summary, Evaluation and Conclusion 123
10.1 Summary 123
10.1.1 U.S. Healthcare 124
10.1.2 Healthcare Delivery in Michigan 125
10.1.3 Healthcare Management by MGH 127
10.2 The Line of Sight at MGH 130
10.3 Evaluation of the Thesis Research Propositions 134
10.4 Strategic Management at MGHS The Past, the Present, the Future 139
XII
Contents
11 Learning Aspects 145
11.1 Strategic Learning Aspects for German Non Pro fit Organizations 145
11.2 Learning Aspect: Efficiency Need Merit Relation 146
11.3 Learning Aspect: Referral Network 147
11.4 Learning Aspect: Mission Marketing Relation 149
11.4.1 Tue Gutes und sprich daruber 150
Appendix 153
U.S. Health Expenditures and Socioeconomic Facts 153
U.S. Health Expenditures Aggregate Amounts 154
Average Annual Percent Change of U.S. Health Expenditures 155
Percent Distribution of U.S. Health Expenditures and Funding 156
Average Annual Percent Growth of U.S. Health Expenditures 156
Aggregate Amounts of Personal Health Care Expenditures 157
Percent Distribution of U.S. Health Expenditures by Source of Funds 158
Payment Plans and Effects on Prices and Care Delivery 159
Medical Care Markets and Economical Interrelations 160
Map of Eastern North America 161
Map of Michigan 162
Map of the City of Marquette 163
Logo and Picture of MGHS 164
Upper Peninsula Health Care Network 165
Provider Network MGH 166
Organizational Chart of MGH(S) 167
Business Ethics of MGH(S) 168
MGHS Strategic Development Questionnaire 170
Contact 174
References 175
XIII
Illustrations and Tables
Table 1 Marquette County s 10 Largest Employers 37
Table 2 Marquette s Distance to Selected U.S. Metropolitan Areas 38
Table 3 MGH Gross Patient Revenue 46
Table 4 Steps of Strategic Management 49
Table 5 Rating: New Fields of Business 114
Table 6 Rating: Investing in New Buildings and Technical Equipment 115
Table 7 Rating: Staff Training, Customer Friendliness etc. 116
Table 8 Rating: Specialist Recruitment 117
Table 9 Rating: Provider Alliances and Networking 118
Table 10 Rating: Governmental Relations, Marketing and Pastoral Care 119
Table 11 Rating: Knowledge Sharing and Communications 120
Table 12 Rating: Monetary Incentives 121
Table 13 U.S. Health Expenditures and Socioeconomic Facts 153
Table 14 U.S. Health Expenditures Aggregate Amounts 154
Table 15 Average Annual Percent Change of U.S. Health Expenditures 155
Table 16 Percent Distribution of U.S. Health Expenditures and Funding 156
Table 17 Average Annual Percent Growth of U.S. Health Expenditures 156
Table 18 Aggregate Amounts of Personal Health Expenditures 157
Table 19 Percent Distribution of U.S. Health Expenditures by Source 158
Table 20 Payment Plans and Effects on Price and Care Delivery 159
Table 21 Medical Care Markets and Economical Interrelations 160
Table 22 Map of Eastern North America 161
Table 23 Map of Michigan 162
Table 24 Map of the City Marquette 163
Table 25 Logo and Pictures of MGHS 164
Table 26 Upper Peninsula Health Care Network 165
Table 27 Provider Network MGH(S) 166
Table 28 Organizational Chart of MGH(S) 167
Table 29 Business Ethics of MGH(S) 168
Table 30 MGHS Strategic Development Questionnaire 170
XV
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| spelling | Neunert, Thomas Verfasser (DE-588)123713552 aut Strategic management and US health care Marquette General Health System ; a case study Thomas Neunert Stuttgart Ibidem-Verl. 2002 189 S. Ill., graph. Darst., Kt. : 21 cm txt rdacontent n rdamedia nc rdacarrier Zugl.: Hannover, Univ., Diss. Marquette General Health System (Marquette, Mich.) Case studies Health services administration United States Planning Case studies Strategic planning United States Case studies Nonprofit-Organisation (DE-588)4293729-2 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Strategisches Management (DE-588)4124261-0 gnd rswk-swf USA USA (DE-588)4078704-7 gnd rswk-swf (DE-588)4522595-3 Fallstudiensammlung gnd-content (DE-588)4113937-9 Hochschulschrift gnd-content USA (DE-588)4078704-7 g Gesundheitswesen (DE-588)4020775-4 s Nonprofit-Organisation (DE-588)4293729-2 s Strategisches Management (DE-588)4124261-0 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009784950&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Neunert, Thomas Strategic management and US health care Marquette General Health System ; a case study Marquette General Health System (Marquette, Mich.) Case studies Health services administration United States Planning Case studies Strategic planning United States Case studies Nonprofit-Organisation (DE-588)4293729-2 gnd Gesundheitswesen (DE-588)4020775-4 gnd Strategisches Management (DE-588)4124261-0 gnd |
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| title | Strategic management and US health care Marquette General Health System ; a case study |
| title_auth | Strategic management and US health care Marquette General Health System ; a case study |
| title_exact_search | Strategic management and US health care Marquette General Health System ; a case study |
| title_full | Strategic management and US health care Marquette General Health System ; a case study Thomas Neunert |
| title_fullStr | Strategic management and US health care Marquette General Health System ; a case study Thomas Neunert |
| title_full_unstemmed | Strategic management and US health care Marquette General Health System ; a case study Thomas Neunert |
| title_short | Strategic management and US health care |
| title_sort | strategic management and us health care marquette general health system a case study |
| title_sub | Marquette General Health System ; a case study |
| topic | Marquette General Health System (Marquette, Mich.) Case studies Health services administration United States Planning Case studies Strategic planning United States Case studies Nonprofit-Organisation (DE-588)4293729-2 gnd Gesundheitswesen (DE-588)4020775-4 gnd Strategisches Management (DE-588)4124261-0 gnd |
| topic_facet | Marquette General Health System (Marquette, Mich.) Case studies Health services administration United States Planning Case studies Strategic planning United States Case studies Nonprofit-Organisation Gesundheitswesen Strategisches Management USA Fallstudiensammlung Hochschulschrift |
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