2 - 1 Introduction to US Health Care HS230 Health Care Administration Unit 2: Health Care Professionals Chapter 2 & Chapter 5 Kaplan University Kathy L. Lantz, MHS, MBA

2 - 2 Introduction to US Health Care Chapter 2 Boards and Governance

2 - 3 Core Responsibilities 1.Determine mission, vision and values 2.Ensure a high level of management performance 3.Ensure the quality and safety of patent care 4.Ensure the organization’s financial health

2 - 4 Mission Statement Purpose Characteristics and values of organization Identify target market Organizational philosophy and values Serves all stakeholders!

2 - 5 Ensuring Management Performance BoardCEO Recruit and select CEO Specify CEO performance expectations Assess CEO performance Adjust CEO compensation If needed, terminate CEO CEO is responsible to institutes policies and strategies to carry out mission

2 - 6 Board of Directors Ensuring Quality of Care Appoint member of the medical staff Ensure quality, utilization, and risk measurement systems are in place Assess the quality and safety of care for patients employees and services delivers

2 - 7 Ensuring Financial Health Financial Health Approve budget Financial objectives Protect Assets Financial controls Monitor outcomes vs. budget Budget aligned with plans?

2 - 8 Board Structure Board Composition Board Infrastructure Board of Directors Key Components:

2 - 9 Standing Committees Executive Finance Planning or strategy Quality Credentialing Nominating Audit Compensation Quality / Performance / Process Improvement

Financial Status of Hospitals More complex health systems Rising cost of health care Changing regulations regarding board composition & accounting In 2003, nearly 1/3 hospitals lost money overall… (AHA)

Laws: Protecting Investors, Governing Boards and Healthcare Organizations Sarbanes-Oxley Act Health Care Quality Improvement Act

Sarbanes-Oxley Act Passed in 2002 Intended to protect investors by improving the accuracy and reliability of financial statement and establishing harsher penalties for those who violate the law. Key components include, mandates regarding board composition and financial and auditing responsibilities

Liability of Board Members Health Care Quality Improvement Act of 1986 (HCQIA) Reporting and Disclosure of Accounting Information Conflict of Interest Board Performance Current Issues Facing Boards

Health Care Quality Improvement Act of 1986 HCQIA Act established primarily to protect individuals and hospitals conducting medical peer review against legal action by physicians whose practice privileges were revoked

Critical Thinking Application Why is a mission statement important for the effective operation of governing board?

Mission Statement The purpose of the organization is determined by mission, vision and value statements. The mission statement may include: 1) the purpose of the organization 2) characteristics and values of the organization 3) identification of target customers and markets 4) organizational philosophy and values 5) types of services delivered

Chapter 2: Vocabulary Quiz Board of directors Chief executive officer (CEO) Compensation committee Credentialing committee Executive committee Finance committee Governing board Health Care Quality Improvement Act of 1986 Mission statement Sarbanes-Oxley Act

Introduction to US Health Care Chapter 5 The Health Care Workforce

Health Care Industry: Statistics 12 million working in health care By 2010, employment is expected to increase 25% Between , health care will account for 13% of new jobs created

Health Care Workers

Health Care Occupations Professional –Physicians, nurses, pharmacists… Service Worker –Patient assistants, aids… Administrative Personnel –Support staff, managers…

Physicians Doctors of Medicine (MDs) Doctors of Osteopathy (DOs) Treating diseaseEmphasis on neuromusculoskeletal system Preventative care Holistic care

Physicians Generalists Family Doctors Comprehensive Healthcare Referral to Specialists Specialists Residency Program Medical Specialty Exam Higher Income

Becoming a Physician Undergraduate Medical School –Preclinical –Clinical Residency Board Certified Subspecialty

Ensuring Financial Health Registered Nurse (RNs) Graduate Trained Administer Medications Supervise Personnel Assist Physicians Licensed Practical Nurses (LPNs) Take Vital Signs Keep Records Assist in Patient Hygiene

Critical Thinking Application Discuss the profile of nurses in the U.S

Nursing Profile There are many levels of nursing based on education level. There are 2.7 million registered nurses. In 2000, there were 816 nurses per 100,000 people. The average age of a nurse is % of nurses are female and married. 86% are white. 59% of nurses are employed in hospitals

Health Care Professionals Dentists Optometrists Chiropractors Podiatrists Pharmacists

Physical Therapists Musculoskeletal focus Restore functioning and improve mobility Non-drug, non-surgical therapy Graduate training

Physician Assistants (PAs) Conduct histories and exams Interpret tests Make diagnoses Perform procedures Supervised by physician

Chapter 5: Vocabulary Quiz Allopathic physicians (M.D.) Chiropractors Hospitalist Nurse midwife Nurse practitioner Optometrists Osteopathic physicians (D.O.) Pharmacists Physician assistants (P.A.s). Podiatrists Registered nurse (R.N)

Unit 2: Assignment Create a mission statement for your hospital or practice. Think about what types of patients you will be seeing, what types of care you will provide, and the members of the team that you have assembled. Remember that a mission statement provides the purpose of your business

Unit 2: Assignment NOTE: There are (2) parts to the Mission Statement Assignment Part 1: Describe your hospital or practice in detail. Part 2: Create a mission statement for your hospital or practice

Unit 2: Assignment Expectations: Two (2) paragraphs in APA format, with a word count of at least 150. Grading criteria will be based upon APA guidelines, spelling and grammar, as well as how well your mission statement reflects the goals of the practice you have set up. This assignment is worth 75 points