Essentials of Management and Leadership in Public …

1 Robert E. Burke, PhDGordon A. Friesen Professor of Health Care AdministrationSchool of Public Health and Health ServicesThe George Washington UniversityWashington, DCLeonard H. Friedman, PhD, MPHP rofessorDepartment of Health Services Management and LeadershipSchool of Public Health and Health ServicesThe George Washington UniversityWashington, DCEssentials of Management and Leadership in Public 5/4/10 11:14 AM Page i Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION9653 World HeadquartersJones & Bartlett Learning40 Tall Pine DriveSudbury, MA & Bartlett Learning books and products are available through most bookstores and online booksellers. To contact Jones &Bartlett Learning directly, call 800-832-0034, fax 978-443-8000, or visit our website, discounts on bulk quantities of Jones & Bartlett Learning publications are available to corporations, professional asso-ciations, and other qualified organizations.

2 For details and specific discount information, contact the special sales department atJones & Bartlett Learning via the above contact information or send an email to 2011 by Jones & Bartlett Learning, LLCAll rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form, electronic or me-chanical, including photocopying, recording, or by any information storage and retrieval system, without written permission fromthe copyright publication is designed to provide accurate and authoritative information in regard to the Subject Matter covered. It is sold withthe understanding that the publisher is not engaged in rendering legal, accounting, or other professional service.

3 If legal advice orother expert assistance is required, the service of a competent professional person should be CreditsPublisher: Michael BrownEditorial Assistant: Catie HeverlingEditorial Assistant: Teresa ReillyProduction Manager: Tracey ChapmanSenior Marketing Manager: Sophie FleckManufacturing and Inventory Control Supervisor: Amy BacusComposition: Auburn Associates, Credit: AbleStockCover Design: Kristin E. ParkerCover Image: Top left: CDC/Dawn Arlotta; Top right: CDC/Dawn Arlotta; Bottom: Photo credit: James Gathany, Centers for Disease Control and PreventionPrinting and Binding: Courier StoughtonCover Printing: John Pow CompanyLibrary of Congress Cataloging-in-Publication DataBurke, Robert of Management and Leadership in Public health / Robert E.

4 Burke, Leonard H. ; bibliographical references and : 978-0-7637-4291-1 (pbk.)ISBN-10: 0-7637-4291-0 (pbk.)1. Health services administration. I. Friedman, Leonard H. II. Title.[DNLM: 1. Public Health Administration methods. 2. Personnel Management methods. 3. Public Health 525 B959e 2010] dc2220100002946048 Printed in the United States of America14 13 12 11 10 10 9 8 7 6 5 4 3 2 1 Jones & Bartlett Learning Canada6339 Ormindale WayMississauga, Ontario L5V 1J2 CanadaJones & Bartlett Learning InternationalBarb House, Barb MewsLondon W6 7 PAUnited 5/4/10 2:35 PM Page ii Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION9653 The essential Public Health SeriesixProloguexiAbout the AuthorsxiiiPrefacexvContributorsxviiChap ter 1 Introduction1 Robert E.

5 Burke Why Study Management ? 1 What Is Management ?2 Public Health3 essential Public Health Services3 Framework for the Book and the Study of Management4 Chapter 2 Introduction to Management and Leadership Concepts,Principles, and Practices7Ku r t D a r r Introduction7 Learning Objectives7 Organizational Culture, Philosophy, and Performance7 Management Theory8 Management Functions and Decision Making8 Classical Concepts18 Contemporary Theorists20 Integrated 5/4/10 11:14 AM Page iii Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION9653 Contentsiv Management Practices20 Strategic and Operational Planning20 Contingency Planning in Public Health21 Managers as Negotiators21 Nonjudicial Means of Resolving Disputes22 Measuring Managerial Performance22 Importance of Values22 Chapter 3 Leading Public Health Organizations: Team Building,Reorganization, and Board Relationships25 Leonard H.

6 Friedman Introduction25 Learning Objectives25 Teams25 Importance of Teams in Public Health26 Types of Groups and Teams26 Improving Team Effectiveness27 Team Characteristics29 Nature of the Task29 Environmental Context30 Organization Design30 Principles of Organization Design30 Factors Influencing the Choice of Organzational Form32 Forms of Organization Design33 Governing Board Relationships34 Roles and Responsibilities34 Governing Board Composition35 Managing Your Relationship with the Governing Board35 Conclusion36 Chapter 4 Strategic Planning and Marketing for Public Health Managers39 Leonard H. Friedman Introduction39 Learning Objectives39 Topic Presentation39 Environmental Assessment40 External Environmental Analysis40 Internal Environmental Analysis and Value Creation42 Strategic Choice43 Mission, Vision, and Values43 Strategic 5/4/10 11:14 AM Page iv Jones & Bartlett Learning, LLC.

7 NOT FOR SALE OR DISTRIBUTION9653 Contentsv Strategy and Organizational Culture47 Change Management47 Conclusion48 Chapter 5 Conflict Resolution and Negotiation in Healthcare Management53 Douglas G. Anderson Introduction53 Learning Objectives53 Conflict Resolution54 The Causes of Conflict54 Techniques for Conflict Resolution54 Negotiation57 The Concept of Negotiation57 Negotiation Planning Developing Preferences and Alternatives57 Negotiation Strategy Emphasis on Relationships Versus Issues60 Negotiation Execution Tactics62 Conclusion64 Closing Thoughts and Further Readings65 Chapter 6 Finance and Economics69 Steven Eastaugh and Robert E. Burke Introduction69 Learning Objectives69 Basics of Healthcare Finance69 Finance Health Care and Resource Allocation70 Principles of Health Economics71 Public Health Funding Sources71 Federal Government Financing72 Economics and Modeling of Public Health Systems72 Measures of Health Status74 Methods of Economic Analysis75 Cost-Benefit Analysis77 Measurement of Intangible Benefits78 Opinions on Risk Are Not Mathematical79 Willingness to Pay79 Hypothetical WTP Survey Techniques80 5/4/10 2:23 PM Page v Jones & Bartlett Learning, LLC.

8 NOT FOR SALE OR DISTRIBUTION9653 ContentsviChapter 7 Ethics and Professionalism in Public Health85Ku r t D a r r Introduction85 Learning Objectives85 Background85 Healthcare Ethics86 Relationship of Law to Ethics86 The Manager s Personal Ethic86 Organizational Philosophy and Values87 Linking Theory and Action90 Summary92 Ethics in Practice92 Codes of Ethics that Affect Public Health Management92 Summary95 Professionalism in Public Health95 Ethical Issues in Public Health Management95 conflicts of Interest95 Conclusion100 Chapter 8 Informatics in Public Health Management103 Philip Aspden Introduction103 Learning Objectives104 Public Health Information System Applications104 Reporting Systems104 Registries106 Surveys106 Electronic Knowledge Sources107 Networks for Linking Public Health Professionals108 Public Health Information System: The Needed Skill Sets109 Using Databases: Medical Data Confidentiality and Privacy Legislation109 Accessing the Data110 Understanding Public Health Data Standards110 Analysis Tools111 Searching Electronic Knowledge Sources111 Building and Managing Information Systems: Project Life Cycle112 Information Technology Projects Are Challenging113 Implementing Syndrome Surveillance Systems114 Implementing Registries114 5/4/10 11:14 AM Page vi Jones & Bartlett Learning, LLC.

9 NOT FOR SALE OR DISTRIBUTION9653 Chapter 9 Managing Relationships and Effective Communication117 Blaine Parrish and Robert E. Burke Introduction 117 Learning Objectives118 Management Framework118 Relationship Management120 Primal Leadership120 Taught Leadership120 The Collective Process of Leadership121 The Challenges of Managing Different Groups121 Understanding and Communication121 Conclusion124 Chapter 10 Managing Complex and Culturally Diverse Workplaces127 Sara Rosenbaum and Leonard H. Friedman Introduction127 Learning Objectives127 Workplace Diversity127 Workplace Diversity Defined127 The Legal Basis of Healthcare Workforce Diversity130 Managing for Workplace Diversity135 Conclusion136 Chapter 11 Fundraising, Grant Writing, Budgeting, and Project Management139 Robert E.

10 Burke and Pam Larmee Introduction 139 Learning Objectives139 Principles of Healthcare Philanthropy139 A Diverse Base of Funding Sources139 Revenue Types140 Philanthropic Trends141 Fundraising Basics141 Fundraising Staffing143 Ethics144 Transparent Budget144 Project Management145 Strategic Project Management145 Setting Organizational Strategy145 5/4/10 11:14 AM Page vii Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION9653 Chapter 12 Changing Role of Public Health Managers and Leaders149 Leonard H. Friedman Introduction149 Learning Objectives149 Leadership Principles149 Leadership Roles and Power150 Theories of Leadership151 Trait Perspective151 Behavior Perspective151 Contingency Perspectives153 Alternative Leadership Perspectives154 Evidence-Based Leadership154 Servant Leadership154 Transformational Leadership155 Emotional Intelligence and Leadership155 Conclusion155 Closing Thoughts and Further 5/4/10 11:14 AM Page viii Jones & Bartlett Learning, LLC.