Intersession 2016

Krieger Schools Of Arts And Sciences Undergraduate

Public Health Studies Program

LeadingHealth Care Organizations (AS.280.228)

Term: Winter 2016 January 4-22

Time and Location: January 5 – January 21

Faculty:Kristian Hayes, MPH, DrPH(c):

Prerequisites:None

Office Hours:By Appointment

Course Description:

Leading Health Care Organizations is a seminar course designed for students who seek an understating of how to manage health care organizationsincluding management processes, organizational structures, and types of governance models and management issues of health care delivery systems. This course is designed to provide participants with an understanding of leadership and organizational behavior within health care organizations (HCOs). In this course, students will become skilled at identifying the forces that challenge the effective management of HCOs at multiple levels – individual, group and organization. Moreover, they will become skilled at developing and analyzing efforts to improve HCOs’ performance. Through case studies, readings, in-class exercises and class discussions, participants will learn analytic frameworks, concepts, tools and skills necessary for leading and managing organizational learning, innovation and overall performance improvement in health care organizations.

Course Learning Objectives:

Upon completing this course,students will be able to:

  1. Identify the main functions of management
  2. Evaluate decisions facing HCOs using management theories and perspectives
  3. Analyze how health care organizations facilitate change and implement performance improvement
  4. Evaluate the managerial and technical challenges of managing health care organizations
  5. Explain the approaches and processes required to manage an effective health care organization

Required Course Materials:

  • The Cleveland Clinic Way: Lessons in Excellence
  • Readings and cases from various management journals as outlined in this syllabus

Suggested Readings: (These readings are not required, but if you are looking for additional readings about Healthcare or Leadership, here is a list)

  • Management Lessons from Mayo Clinic: Inside One of the World’s Most Admired Service Organization – Leonard Barry and Kent Seltman
  • How Successful People Lead – John Maxwell
  • Patients Come Second – Britt Berrett & Paul Spiegelman
  • Winning With Accountability – Henry J. Evans
  • CEO Material – D.A. Benton
  • Tribal Leadership – Dave Logan and John King

Note that the readings ARE subject to change throughout the semester as a measure of keeping the information in this course as current as possible. If these readings change, you will be advised via a message on Blackboard. It is your responsibility to make sure that you are verifying the accuracy of each week’s readings.

Student Evaluation:

  • Class Participation and Attendance30%
  • Case Study Presentation and Written Case Analysis35%
  • Case Competition35%

Class Participation and Attendance (30%): The case-study method relies on interactive discussion between students (facilitated by instructor) therefore students are expected to attend every class prepared to participate. The assigned readings for each module have been carefully selected to help prepare students for seminar. Students are expected to complete these readings prior to each module in order to develop a foundational understanding of the concepts taught in the lectures. These readings represent only a small part of the literature for each module topic. If a student must miss a class s/he should notify the instructor. If the student wishes to receive credit for the missed class, s/he should submit one-page analysis of the case that was missed or a reading reflection.

Case Study Presentations (15%) and Written Case Analysis (20%): A student will present an assigned case study at the beginning of class each week. You will have 10 minutes to present, followed by 10 minutes of questions and discussion. You should provide a handout to the class that outline the problems in the cases and your proposed solutions. You are responsible for providing a critical summary of the case, relating it to relevant course theories and concepts, discussing its managerial implications, and taking a position in relation to the article.Presentations will be evaluated on style, clearness and conciseness of the slides as well as the content of the presentation in terms of summary of key ideas and synthesis. In addition, you will provide a written analysis of the case in no more than 4 pages (excluding any references or exhibits of financial analysis) with 1-inch margins and text in 12-point font by 12 midnighton the day you present your case.

Case Competition (35%):You will be expected to conduct a situational analysis, identify assumptions and missing information, define the problem definition, develop alternatives, and evaluate the alternatives and make recommendations to management. Standard deliverables include a written business plan complete with financial projections and one-page executive summary/handout. You do not need to create a PPT presentation. You will assume the role of an external consultant. Your team will have 10 minutes to make a pitch to the Board of Directorsfor a proposed solution set. There will be three other teams that will also present. After your presentation, you will have 2 minutes to point out the weaknesses competitors’ solution.

Assignment Submission: All assignments should be submitted electronically, via Blackboard, by the due date. Late assignments or assignments submitted via email WILL NOT BEaccepted. However, the resubmission of assignments that scored less than 90% will be allowed.

Mobile and Internet Device Etiquette: All devices should be turned off or put on mute through the duration of each class session.

Academic EthicsStatement:

ThestrengthoftheUniversitydependsonacademicandpersonalintegrity.Inthiscourse,you mustbehonestandtruthful.Ethicalviolationsincludecheatingonexams,plagiarism,reuseof assignments,improperuseoftheInternetandelectronicdevices,unauthorizedcollaboration, alterationofgradedassignments,forgeryandfalsification,lying,facilitatingacademic dishonesty,andunfaircompetition.

Reportanyviolationsyouwitnesstotheinstructor.YoumayconsulttheAssociateDeanof StudentAffairsand/ortheChairpersonoftheEthicsBoardbeforehand.Seetheguideon “AcademicEthicsforUndergraduates complete information.

StatementsonAccommodations:

“If you are a student with a disability or believe you might have a disability that requires accommodations, please contact Dr. Brent Mosser, in Student Disability Services, 385 Garland, (410) 516-4720, . Students that require an accommodation must obtain an accommodation letter from Student Disability Services. The office website is

If you believe you need other accommodations for assignments or examinations, please contact the course instructor ahead of time to discuss the matter privately.

Studentathletesareresponsibleforsubmittingtheirsemesterscheduleinwriting duringthefirstweekofclass.Theonlyexcusedabsencesforathleticrelatedpurposeswillbe forcompetitionrelatedevents.

Studentswhoheedtheadviceofhealthprofessionalstostayhomeduetoillnessandthusmiss classwillbeaccommodated.Studentswhomustmissaclassoranexaminationbecauseofa religiousholidaymustinformthe instructorasearlyinthesemesteraspossibleinordertomakeup anyworkthatismissed.

StatementofDiversityandInclusion:

JohnsHopkinsUniversityisacommunitycommittedtosharingvaluesofdiversityandinclusion inordertoachieveandsustainexcellence.Webelieveexcellenceisbestpromotedbybeinga diversegroupofstudents,facultyandstaffwhoarecommittedtocreatingaclimateofmutual respectthatissupportiveofoneanother’ssuccess.Throughitscurriculaandclinical experiences,theUniversitypurposefullysupportsthisgoalofdiversity,andinparticular,works towardsanoutcomeofbestservingtheneedsofstudents.Facultyandcandidatesareexpected todemonstrateanunderstandingofdiversityasitrelatestoplanning,instruction,management, andassessment.

CancelationofClass: Duetoweatherorunforeseencircumstances,lectureand/ordiscussionsessionmaybe canceled.IfJHUhascanceledclassesontheHomewoodcampusduringthecoursemeeting time,thenclasswillbecanceled.PleaserefertoJHUresourcesforemergencynotificationsat canceledbytheinstructorforanyreason,wewillnotifyyoubyemailassoonaspossible.

InCaseofEmergency

  • Emergencyinformationandweatheralerts,
  • Incaseofmedicalemergency,dial911
  • Incaseoffire,pullalarm,thendial911
  • HomewoodCampusSafetySecurity,Emergency410-516-7777,InformationandWalkingEscorts410-516-4600,
  • HopkinsEmergencyAlert(JHEA)systemsendsatextmessagetothecellphonesofthose whohavesubscribedtotheservice.IfyouarenotyetaJHEAsubscriber,youcansignup onthe JHED”tabthenupdateyouremergencyalertinformation.Remembertoclick“Save”when youaredone

Course Agenda

Day / Topic / Readings / Case/Speaker
1
January 5 / Welcome and
Introduction to Health Care Organizations / The Cleveland Clinic Way: Lessons in Excellence / DisC Assessment
2
January 7 / Organizational Culture / Chatman J, Cha SE. 2003. Leading by leveraging culture. California Management Review, 45(4): 20-34.
Waldman, D. “Corporate Culture: The Missing Piece of the Healthcare puzzle.” / Case #1: The Bad Image Radiology Department
3
January 12 / Physician Organization and Patient Safety / “‘Nothing Is Broken’: For An Injured Doctor, Quality-Focused Care Misses The Mark.” Health Affairs. Vol. 33, No. 11, and November 2014.
Hospital-based Emergency Care: At the Breaking Point. Washington, D.C.: National Academies, 2007. Print. / Case #2: ER that Became the Emergency
4
January 14 / Performance Improvement Strategies in Health Care / Spear S. Fixing healthcare from the inside, today. Harvard Business Review, 2005, 83(12):78-91.
McCannon CJ, Perla RJ. Learning networks for sustainable, large-scale improvement. Joint Commission Journal on Quality and Patient Safety. 2009; 35(5):286-291. / Case #3: Letter to the CEO
5
January 19 / Prepare for Case Competition / Ajeigbe et al. “Nurse-Physician Teamwork in the Emergency Department: Impact on Perceptions of Job Environment, Autonomy, and Control Over Practice.” Journal of Nursing Administration, March 2013 - Volume 43 - Issue 3 - p 142–148.
“Collaboration between hospital physicians and nurses: An integrated literature review.” International Nursing Review
Volume 60, Issue 3, pages 291–302, September 2013 / Case Competition: Managing Relationships: Taking Care of Your Nurses
6
January 21 / In-ClassCase Competition

1