Health care management - Introduction (Third edition): Part 2

(BQ) Continued part 1, part 2 of the document Health care management - Introduction (Third edition) has contents: Managing health care professionals, the strategic management of human resources, health care management case studies and guidelines, special topics and emerging issues in health care management,.... and other contents. Invite you to refer.
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Health care management - Introduction (Third edition): Part 2 CHAPTER11 ManagingHealthCareProfessionals SharonB.BuchbinderandDaleBuchbinderLEARNINGOBJECTIVESBytheendofthischapter,thestudentwillbeableto: Distinguishamongtheeducation,training,andcredentialingof physicians,nurses,nurseaides,midlevelpractitioners,andalliedhealth professionals; Deconstructfactorsaffectingthesupplyofanddemandforhealthcare professionals; Analyzereasonsforhealthcareprofessionalturnoverandcostsof turnover; Proposestrategiesforincreasingretentionandpreventingturnoverof healthcareprofessionals; Createaplantopreventconflictofinterestinahealthcaresetting; Examineissuesassociatedwiththemanagementoftheworklifeof physicians,nurses,nurses’aides,midlevelpractitioners,andallied healthprofessionals;and Investigatesourcesofdataforhealthworkforceissues.INTRODUCTIONHealthcareorganizationsemployawidearrayofclinical,administrative,andsupportprofessionalstodeliverservicestotheirpatients.TheBureauofLaborStatistics(BLS)indicatedthattherewerecloseto16millionjobsinhospitals,officesofhealthpractitioners,nursingandresidentialcarefacilities,homehealthcareservices,andoutpatientsettings(Torpey,2014). Thelargestemploymentsettinginhealthcareishospitalsandthelargestcategoryofhealthcareworkersisregisterednurses,with2.7millionjobs,61%ofwhichareinhospitals(BLS,2014h).AccordingtotheBLS,therewere691,400physiciansandsurgeonswhoheldjobsin2012(BLS,2014e).Increasingly,physiciansarechoosingtopracticeinlargegroupsortobeemployedbyhospitals,ratherthaninsoloorsmallpractices.In2013,JacksonHealthcarere-conductedasurveyofphysiciansandfound26%wereemployedbyhospitals,anincreaseof6%overthepreviousyear.Ownershipstakesinpractices,solopractices,andindependentcontractorstatusesalldeclinedinthesameperiod(Vaidya,2013).Employmentoffersphysiciansasafehaveninavolatilehealthcareenvironment.Undertheumbrellaofahospitalorotherlargehealthcareorganization,theyhavebetterworkhours,benefits,andtimeoff,whichtheycouldnotalwaysaffordinsmallorsolopractice.Itisexpectedtheproportionofemployedphysicianswillcontinuetogrowinthecomingdecade.In2012,physicianassistantsheld86,700jobs,over55%ofwhichwereinambulatoryhealthcareservices,includingphysicianpractices,about20%wereinhospitals,andtherestinnursingcarefacilitiesandgovernmentsettings(BLS,2014f).Alliedhealthprofessionalsconstituteabroadarrayof28healthscienceprofessions,including,butnotlimitedto,anesthesiologistassistants,medicalassistants,respiratorytherapists,andsurgicaltechnologists(CommissiononAccreditationofAlliedHealthEducationPrograms,2015). Thesestatisticsmeanthat,asahealthcaremanager,inmanyinstancesyouwillbeworkingwithamixofpeoplewitheithermoreorlesseducationthanyouhave.Italsomeansyouwillnothavetheclinicalcompetenciesthatthesehealthcareprovidershave—anintimidatingscenario,tosaytheleast.Insteadofclinicalexpertise,however,youwillbringabackgroundthatenablesyoutoenhancetheenvironmentinwhichthesehighlyspecializedpersonneldeliverhealthcareservices.Youwillbethepersonresponsibleformakingsurenurses,doctors,andotherhealthcareprofessionalshavetheresourcestoprovidesafeandeffectivepatientcare.Yourrolewillbetoprovideandmonitortheinfrastructureandprocessestomakethehealthcareorganizationresponsivetotheneedsofthepatientsandtheemployees.Themoreyouunderstandclinicalhealthcareprofessionals,thebetterpreparedyouwillbetodoyourjobasahealthcaremanager.Thepurposeofthischapteristoprovideyouwithanoverviewofwhoyourfuturecolleaguesare,howtheyweretrained,andwaystomanagethequalityoftheirworkenvironment.PHYSICIANSPhysiciansbegintheirpreparationformedicalschoolasundergraduatesinpremedicalprograms.Premedicalstudentscanobtainadegreeinanysubject;however,theAssociationofAmericanMedicalColleges(AAMC)(2015)indicatesthattheexpectationisthattheywillgraduatewithastrongfoundationinmathematics,biology,chemistry,andphysics.Entryintomedicalschooliscompetitive;applicantsmusthavehighgradepointaveragesandhighscoresontheMedicalCollegeAdmissionTest(MCAT). Therearesomeshorter,combinedBachelorofScience/MedicalDoctor(BS/MD)programs;however,themajorityofmedicalschoolgraduateswillhave8yearsofpost–highschooleducationbeforetheygothroughtheNationalResid ...