Managing Health Services Organizations 



 
 November 7, 2009

 
Course Syllabus


 

About the Course

Healthcare professionals around the world are experiencing pressures from patients, communities, governments, and payers to demonstrate value. Controlling costs, providing high quality outcomes, assuring access and patient safety, and enhancing patient satisfaction have become leading issues. Health services are increasingly provided within the context of multi-disciplinary teams and complex organizational and financial arrangements with tight resource constraints. Meeting these challenges within healthcare settings requires leadership and management skills in addition to clinical expertise.

Managing Health Services Organizations is a survey course. The content of the course is designed to provide students with a broad exposure to many of the topics that encompass the role of management, and to a lesser degree, leadership. Students will gain an understanding of these various topics as part of the course, but they will need to take additional specific courses to gain the in-depth knowledge of a particular subject. For example, the module on financial management provides students with an understanding of the importance of financial management, the existence of tools for making sound business decisions, the need to report on performance, approaches to improving financial performance and so on. It does not, however, provide an in-depth understanding of such techniques as volume adjusted variance analysis, benefit: cost ratio analysis, bilateral performance mapping, and so on.


Course Topics

This course provides an introduction to managing and leading health services organizations based on the JHSPH Leadership and Management Paradigm. Within this paradigm, the stated purpose of the organization is achieved by applying leadership skills to influence people and institutions and managing resources within a framework of principles, people, processes, and organizational design. Major course topics include the following:

  • The healthcare environment and its organizational implications
  • Creating a shared mission, vision, and values
  • Developing measurable goals and objectives
  • Stakeholders and customers
  • Organizational design and structure
  • Public participation in health service organizations
  • Managerial leadership effectiveness
  • Effective communication
  • Group decision making
  • Human resource management
  • Logistics management
  • Budgeting and financial management
  • Learning networks and collaboratives
  • Measuring and monitoring organizational performance

Course Objectives

Upon completion of this course, you will be able to:

  • Identify the complexities and challenges of managing health services organizations
  • Analyze health service organizations, their environments, and stakeholders in order to facilitate performance improvement
  • Describe the interplay between environmental and organizational factors that - Explain the relationship between quality improvement, patient safety and ethical behavior - Develop a basic understanding of leadership and management skills required in health service organizations - Demonstrate basic skills in budgeting and effective resource utilization - Develop a framework to measure and monitor organizational performance

Course Materials

Reading Materials: Articles

All articles are available on E-Reserve. If you are prompted for a password type "551601sph".

Additional Reading Materials

Brassard, M, and Ritter, D. (1994). The Memory Jogger II: A Pocket Guide for Tools for Continuous Improvement and Effective Planning, 1st Edition. Methuen, MA: Goal/QPC.

Additional reading material can be found at the following book center:

Matthews Johns Hopkins Medical Book Center
1830 East Monument Street
Baltimore, MD 21205, USA
410.955.3931
800.266.5725
410.955.0576 (fax)
http://www.jhumedbooks.com/

Please Note: To find your books on the website, look for the header "Find Text Books For Your Courses!" and select Bloomberg53 from the Campus/Terms pulldown menu.


Written Assignments

Assignment 1: Writing a SMART Objective

The purpose of this assignment is to help you learn to structure an objective in a way that meets the SMART criteria. Write an objective for an organization that you have participated in and then demonstrate how the objective is specific, measurable, achievable, relevant, and timely. Sample objectives from the class submissions will be discussed (with anonymity) by the class during Live Talk 2.

Please submit this assignment via the course Drop Box by the deadline established on the Course Schedule.

Assignment 2: Hopovia Ministry of Health Budget

The purpose of this assignment is to give you experience working on a management-related project in a group setting. Group work is ubiquitous in the field and the need for effective team skills cannot be overemphasized. You will use the online Wiki function to apply what you have learned about budgeting, leadership, decision-making and communication to prepare the overall budget for the seven health centers overseen by the Ministry of Health (MoH) of Hopovia. You must reconcile the amount allocated by the Minister of Finance for the MoH budget with the budget requests of the seven health centers.


Course Expectations

Assigned Readings: The assigned readings for each module have been carefully selected to help prepare students for lectures. Students are expected to complete these readings prior to each lecture in order to develop a foundational understanding of the concepts taught in the lectures. Clearly, these readings do not nearly represent the extent of the literature for each module topic. Students are expected to pursue additional readings of their interest.

Late Policy: Assignments must be submitted via the Drop Box on the date they are due or before. Late assignments will not be accepted. If you know in advance that you cannot turn an assignment in on time you may request an extension from the core faculty person who will make a determination as to the merit of the request. Extensions requested on the due date will not be granted.

Exams: All students are expected to take and submit (via their proctors) the mid-term and final exams on schedule except in the case of an emergency and with prior permission from the core faculty person. Follow the instructions on the Web site for proctor selection and approval. Students must identify and gain approval for exam proctors. YOU MUST HAVE ACCESS TO AN INTERNET ENABLED COMPUTER ON WHICH TO TAKE EXAMS IN THE PRESENCE OF YOUR PROCTOR. The mid-term exam will be based on the content in the course modules presented prior to the exam date. The final exam will be based only on content following the mid-term exam. To maintain question security from one MHSO cohort to the next, exams will not be returned to students after they are graded. Feedback on common mistakes will be provided to the class and students may ask the TAs specific questions regarding their exams.

Participation: Students are expected to view all lectures, attend all Live Talks or listen to the Live Talk archives, and post substantive messages on the Bulletin Board System (BBS). “Substantive” means posting a question about course material, starting a discussion about a reading, starting a discussion on a specific lecture, answering or attempting to answer a classmate’s question. Opening questions will be posted on the BBS by TAs and faculty for each lecture in order to get a discussion started. Students, however, should feel free to start your own discussion as well.

 

Grading Policy

Student grades will be based on the following:

  • Assignment 1: 5% (for turning it in)
  • Assignment 2: 20%
  • Mid-term exam: 35% (proctored, two-hour duration)
  • Final exam: 35% (proctored, two-hour duration)
  • Participation: 5%; Full credit for participation requires a minimum of at least four substantive postings on the BBS (counting the self-introduction); viewing all lectures; attending or listening to archives of all Live Talks; completion and submission of the Peer Evaluation form for group work 

Please refer to the Course Schedule for all important assignment dates and deadlines.

Note: Online quizzes for each module will be available when the module opens. These quizzes will not be calculated in your final grade. You are encouraged to complete them at the end of each module in order to gain feedback on how well you are learning the course material and to help you practice for your exams.


Contact Information

Core Faculty

Course Coordinator

Guest Speakers


Help

Concerns
Contact
Concerns about course topics and assignments
Technical concerns about the functionality and operation of course Web pages (before emailing, please make sure that you can replicate the problem)
  • DEHelp, the central help system for all tech support inquiries related to DED courses

Technical help on weekends
  • JHSPH User Support: 410-955-3781
Concerns about your Internet connection
  • Your Internet service provider (e.g., AT&T, Erols, etc.)
Concerns about your personal software
  • Your software vendor


Proctored Exam Guidelines

Step 1: Select a professional as your proctor—for example, a work supervisor, librarian, member of clergy, or other person that is approved by the instructor—and confirm your proctor’s availability to monitor your exams (midterm and final) on any of the approved testing dates listed in the Course Schedule. YOU MUST HAVE ACCESS TO AN INTERNET ENABLED COMPUTER ON WHICH TO TAKE YOUR EXAMS IN THE PRESENCE OF YOUR PROCTOR. If you normally take your exams at the East Baltimore campus, you may list a TA as your proctor; computer labs will be available at scheduled times.   

Step 2: Complete and submit the proctor selection form by the date indicated on the Course Schedule.

Step 3: Exams will be made available online during the approved testing dates. You will have a two-hour window during which to take the exam in the presence of your proctor. Your proctor will be asked to provide a statement of their presence during your exam. The exams are closed book.


Ethical Conduct

The academic ethics code, as discussed in the Policy and Procedure Memorandum for Students, March 31, 2002, will be adhered to in this class.


Disability Support Services

If you are a student with a documented disability who requires an academic accommodation, please contact Betty H. Addison in the Office of Career Services and Disability Support: dss@jhsph.edu, 410-955-3034, or Room E-1140.


 

© 2009 The Johns Hopkins University. All rights reserved.
Copyright to this collective work of materials is owned by The Johns Hopkins University.
Copyright to individual contributions may be retained by contributing authors.