PH 351 Health Care Management and Systems in the Pacific and Micronesia

Course Description:
This course introduces an overall perspective on the study of health services organizations and the associated managerial role. It deals with the fundamental building blocks of managerial activity involving motivation, leadership, conflict management, and negotiations. It also focuses on performance issues related to organizational design, strategic alliances, innovation and change, and managing for efficiency and effectiveness. It also tackles on strategic issues and attempts to anticipate future issues that will challenge health service leadership.

Prerequisite Courses: none

A. PROGRAM LEARNING OUTCOMES (PLOS):
The student will be able to:

Recognize, describe and discuss and research about the basic principles and practices of the specialty;
List, discuss and demonstrate the essential public health functions or the specialty and its interrelationships with the other specialties and health disciplines at community and national levels;
Describe, discuss and research adult, children and family health issues at community level;
Discuss and demonstrate an understanding and practice of the specialty public health competencies;
Demonstrate proper public health skills for its practice in the community as a national specialty practitioner;
Discuss and demonstrate community and cultural sensitivity in the health care environment;
Describe, discuss and research the health determinants and problems of adults, children and families;
Demonstrate proper cardio-pulmonary resuscitation (CPR) and first aid techniques and other healing and patient care abilities;
Demonstrate the ability and discuss how to conduct a community diagnosis and need assessment of the health determinants of the specialty in a community;
Identify and demonstrate good practice in the specialty; and
Have had management, planning experience and leadership role at a public health specialty at community and national levels.

B. STUDENT LEARNING OUTCOMES (SLOS) - GENERAL
The student will be able to:

Describe the role of managers, the meaning of leadership, the distinctions between leadership and management, and the challenges of leadership and management.
Define motivation as a factor influencing individuals’ performance, including situational aspects, managerial roles, the concept of conflict, its causes in health care organizations, types and levels, management techniques, and the use of groups as a conflict management tool and negotiation as a resolution tool.
Describe and distinguish the types and structures of groups and teams and their importance to health services organizations, their functions, and key processes, including communication in decision making processes.
Describe the principles of organization design and its evolution, the change process in organizations, its technical operations, types of change (administrative, structural, strategies), and the human resources necessary for the management of change.
Discuss the importance of assessing organizational performance, its measurement and evaluation, management models of quality assurance, and related concepts of strategic management, including the changing roles of health care providers.

SLO	PLO 1	PLO 2	PLO 3	PLO 4	PLO 5	PLO 6	PLO 7	PLO 8	PLO 9	PLO 10	PLO 11
1	M	D		M					D	D	M
2	M	D		M					D	D	M
3	M	D		M					D	D	M
4	M	D		M					D	D	M
5	M	D		M					D	D	M

I = Introduced
D = Demonstrated
M = Mastered

C. STUDENT LEARNING OUTCOMES (SLOS) – SPECIFIC
The student will be able to:

General SLO 1:Describe the role of managers, the meaning of leadership, the distinctions between leadership and management, and the challenges of leadership and management

Student Learning Outcomes	Assessment strategies
1.1 Describe the historical perspectives in the managerial role and their underlying concepts	Group discussions and oral reports to be graded according to a specified rubric Individual assignments. Direct and multiple choice question in examinations and quizzes
1.2 Explain the distinction between management and leadership	Group discussions and oral reports to be graded according to a specified rubric Individual assignments. Direct and multiple choice question in examinations and quizzes
1.3 Identify managerial challenges posed by changes in the external environment and within the healthcare organization	Group discussions and oral reports to be graded according to a specified rubric Individual assignments. Direct and multiple choice question in examinations and quizzes
1.4 Describe the changing roles of managers in providing vision and leadership, adapting the organization to its environment, and designing the organization to enact its mission and to achieve its objectives	Group discussions and oral reports to be graded according to a specified rubric Individual assignments. Direct and multiple choice question in examinations and quizzes
1.5 Identify changing skills and knowledge required by managers in light of environmental and organizational dynamics	Group discussions and oral reports to be graded according to a specified rubric Individual assignments. Direct and multiple choice question in examinations and quizzes

General SLO 2: Define motivation as a factor influencing individuals' performance, including situational aspects, managerial roles, the concept of conflict, its causes in health care organizations, types and levels, management techniques, and the use of groups as a conflict management tool and negotiation as a resolution tool.

Student Learning Outcomes	Assessment strategies
2.1 Define motivation and distinguish it from other factors that influence individuals' performance	Group discussion and oral reports to be graded according to a specified rubric. Multiple choice question / direct questions in quizzes and examinations. Written and oral case analysis on motivational problems
2.2 Explain how motivation depends heavily on the situations in which individuals work	Group discussion and oral reports to be graded according to a specified rubric. Multiple choice question / direct questions in quizzes and examinations. Written and oral case analysis on motivational problems
2.3 Describe a managers' role in motivating people	Group discussion and oral reports to be graded according to a specified rubric. Multiple choice question / direct questions in quizzes and examinations. Written and oral case analysis on motivational problems
2.4 Identify key characteristics of the content of people's work that motivates them	Group discussion and oral reports to be graded according to a specified rubric. Multiple choice question / direct questions in quizzes and examinations. Written and oral case analysis on motivational problems
2.5 Identify important processes involved in motivating people	Group discussion and oral reports to be graded according to a specified rubric. Multiple choice question / direct questions in quizzes and examinations. Written and oral case analysis on motivational problems
2.6 Assess and deal with motivational problems	Group discussion and oral reports to be graded according to a specified rubric. Multiple choice question / direct questions in quizzes and examinations. Written and oral case analysis on motivational problems

General SLO 3: Describe and discuss the types and structures of groups and teams and their importance to health services organization, their functions, and key processes, including communications in decision making process

Student Learning Outcomes	Assessment strategies
3.1. Describe the importance and types of groups and teams in health services organizations	Oral report / group discussions to be graded according to a specified rubric. Multiple choice and direct questions in quizzes and examinations
3.2 Distinguish between different approaches to assessing group work performance	Oral report / group discussions to be graded according to a specified rubric. Multiple choice and direct questions in quizzes and examinations
3.3 Analyze the effects of a group's structure on group performance	Oral report / group discussions to be graded according to a specified rubric. Multiple choice and direct questions in quizzes and examinations
3.4 Describe key aspects of group process including communication structures, decision making, and stages of group development	Oral report / group discussions to be graded according to a specified rubric. Multiple choice and direct questions in quizzes and examinations
3.5 Define the major causes and consequences of intergroup conflict and identify alternative strategies for managing conflict	Oral report / group discussions to be graded according to a specified rubric. Multiple choice and direct questions in quizzes and examinations

General SLO 4: Describe the principles of organization design and its evolution, the change process in organizations, its technical operations, types of change (administrative, structural, strategies), and the human resources necessary for the management of change

Student Learning Outcomes	Assessment strategies
4.1. Describe the principles of organizational design	Oral reports to be graded according to a specified rubric. Direct question in quizzes and examinations
4.2. Describe the evolution of organizational design	Oral reports to be graded according to a specified rubric. Direct question in quizzes and examinations
4.3 Analyze common organizational designs in terms of their applicability, strengths, and limitations	Oral reports to be graded according to a specified rubric. Direct question in quizzes and examinations
4.4 Identify guidelines for changing organizational design	Oral reports to be graded according to a specified rubric. Direct question in quizzes and examinations
4.5 Describe the change process that occurs within health services organizations and identify factors which facilitate or inhibit that process	Oral reports to be graded according to a specified rubric. Direct question in quizzes and examinations
4.6 Describe the types of changes involving administrative, structural, or strategy mechanisms and the approaches that affect such change processes	Oral reports to be graded according to a specified rubric. Direct question in quizzes and examinations
4.7 Describe human resource changes and identify methods for managing such change	Oral reports to be graded according to a specified rubric. Direct question in quizzes and examinations

General SLO 5: Describe and discuss the principles of assessing organizational performance, its measurement and assessment and evaluation, management models of quality assurance, and related concepts of strategic management, including the changing roles of health care providers.

Student Learning Outcomes	Assessment strategies
5.1 Describe the importance of assessing organizational performance	Direct / multiple choice questions in quizzes and examinations
5.2 Define performance measures for organizations	Direct / multiple choice questions in quizzes and examinations
5.3 Describe the important issues in defining, measuring, and using performance measures	Direct / multiple choice questions in quizzes and examinations
5.4 Compare management models based on quality assurance and quality improvement	Direct / multiple choice questions in quizzes and examinations
5.5 Define the concepts of strategic management, strategy and competitive advantage	Direct / multiple choice questions in quizzes and examinations

D. COURSE CONTENT

The Managerial Role and Leadership

a. Managerial role and challenges
Leadership Core Concepts
Distinction Between Leadership and Management
Distinctive Challenges of Leading in Health Service Organizations

Motivating People
1. Motivation and Management
2. Conflict and Its Prevalence in Health Care Organization
3. Conflict Management Techniques
4. Basic Concepts and Dimensions of Negotiation
Managing Groups and Teams
1. Types of Groups and Teams in Organizations
2. A Model of Work Group Performance
3. Group Structure
4. Group Process
5. Intergroup Relationships
6. Coordination and Communications
  1. Interdependence
  2. Coordination
  3. Communication
Organization Design
1. The Meaning of Organizational Design
2. Levels of Organization Design
3. Systematic Assessment Before Design
4. Designs for a Variety of Health Services Organizations
5. New Evolving Designs
6. Organizational Innovation and Change
Organizational Performance: Managing for Efficiency and Effectiveness
1. The Challenge of Performance
2. The Challenge of Performance
3. Issues on Accessing Effectiveness Performance
4. The Manager’s Role in Creating High-Performance Health Care Organizations

E. METHODS OF INSTRUCTION

Lectures: in-class lectures
Group discussions and exercise on the critical review of the research methods, findings and evidence from selected samples of clinical studies.

F. REQUIRED TEXT AND COURSE MATERIALS
Shortell SM., Kaluzny AD. (1997). Essentials of health care management (1st ed.). Albany, NY: Delmar Cengage Learning. (or most recent edition)

G. REFERENCE MATERIALS
none

H. INSTRUCTIONAL COST
none

I. EVALUATION
None

J. CREDIT BY EXAMINATION
None

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PH 351 Health Care Management and Systems in the Pacific and Micronesia