Ebook Introduction to health care management (3/E): Part 1

THIRDEDITION

IntroductiontoHealthCareManagement
Editedby
SharonB.Buchbinder,RN,PhD
ProfessorandProgramCoordinator
MSinHealthcareManagementProgram
SchoolofGraduateandProfessionalStudies
StevensonUniversity
OwingsMills,Maryland

NancyH.Shanks,PhD
ProfessorEmeritus
DepartmentofHealthProfessions
HealthCareManagementProgram
MetropolitanStateUniversityofDenver
Denver,Colorado


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Title:Introductiontohealthcaremanagement/[editedby]SharonB.
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Wededicatethisbooktoourlovinghusbands,
DaleBuchbinderandRickShanks—
Whocoached,collaborated,andcoercedusto
“FINISHTHETHIRDEDITION!”

Contents
FOREWORD
PREFACE
ACKNOWLEDGMENTS
ABOUTTHEEDITORS
CONTRIBUTORS
CHAPTER1AnOverviewofHealthCareManagement
JonM.Thompson,SharonB.Buchbinder,andNancyH.
Shanks
Introduction
TheNeedforManagersandTheirPerspectives
Management:Definition,Functions,and
Competencies
ManagementPositions:TheControlinthe
OrganizationalHeirarchy
FocusofManagement:Self,Unit/Team,and
Organization
RoleoftheManagerinEstablishingandMaintaining
OrganizationalCulture
RoleoftheManagerinTalentManagement
RoleoftheManagerinEnsuringHighPerformance
RoleoftheManagerinLeadershipDevelopmentand
SuccessionPlanning
RoleoftheManagerinInnovationandChange
Management
RoleoftheManagerinHealthCarePolicy
ResearchinHealthCareManagement
ChapterSummary

CHAPTER2Leadership
LouisRubino
Leadershipvs.Management
HistoryofLeadershipintheU.S.
ContemporaryModels
LeadershipStyles
LeadershipCompetencies
LeadershipProtocols
Governance
BarriersandChallenges
EthicalResponsibility
ImportantNewInitiatives
LeadersLookingtotheFuture
SpecialResearchIssues
Conclusion
CHAPTER3ManagementandMotivation
NancyH.ShanksandAmyDore
Introduction
Motivation—TheConcept
HistoryofMotivation
TheoriesofMotivation
ABitMoreAboutIncentivesandRewards
WhyMotivationMatters
Motivatedvs.Engaged—AretheTermstheSame?
MeasuringEngagement
MisconceptionsAboutMotivationandEmployee
Satisfaction
MotivationalandEngagementStrategies

MotivatingAcrossGenerations
ManagingAcrossGenerations
ResearchOpportunitiesinManagementand


Motivation
Conclusion
CHAPTER4OrganizationalBehaviorandManagementThinking
SheilaK.McGinnis
Introduction
TheFieldofOrganizationalBehavior
OrganizationalBehavior’sContributionto
Management
KeyTopicsinOrganizationalBehavior
OrganizationalBehaviorIssuesinHealth
Organizations
Thinking:The“InnerGame”ofOrganizational
Behavior
TheFourKeyFeaturesofThinking
MentalRepresentation:TheInfrastuctureofThinking
ProcessingInformation:FundamentalThinking
Habits
DecisionMaking,ProblemSolving,andBiased
ThinkingHabits
SocialCognitionandSocio-EmotionalIntelligence
ResearchOpportunitiesinOrganizationalBehavior
andManagementThinking
Conclusion
CHAPTER5StrategicPlanning
SusanCasciani

Introduction
PurposeandImportanceofStrategicPlanning
ThePlanningProcess
SWOTAnalysis
StrategyIdentificationandSelection
RolloutandImplementation


OutcomesMonitoringandControl
StrategyExecution
StrategicPlanningandExecution:TheRoleofthe
HealthCareManager
OpportunitiesforResearchinStrategicPlanning
Conclusion
CHAPTER6HealthcareMarketing
NancyK.Sayre
Introduction
WhatIsMarketing?
ABriefHistoryofMarketinginHealthCare
TheStrategicMarketingProcess
UnderstandingMarketingManagement
HealthCareBuyerBehavior
MarketingMix
MarketingPlan
EthicsandSocialResponsibility
OpportunitiesforResearchinHealthCareMarketing
Conclusion
CHAPTER7QualityImprovementBasics
EricS.Williams,GrantT.Savage,andPatriciaA.Patrician
Introduction

DefiningQualityinHealthCare
WhyIsQualityImportant?
TheRelevanceofHealthInformationTechnologyin
QualityImprovement
QualityImprovementComes(Back)toAmerica
LeadersoftheQualityMovement
BaldrigeAwardCriteria:AStrategicFrameworkfor
QualityImprovement


CommonElementsofQualityImprovement
ThreeApproachestoQualityImprovement
QualityImprovementTools
OpportunitiesforResearchinHealthCareQuality
Conclusion
CHAPTER8InformationTechnology
NancyH.ShanksandSharonB.Buchbinder
Introduction
InformationSystemsUsedbyManagers
TheElectronicMedicalRecord(EMR)
TheChallengestoClinicalSystemAdoption
TheFutureofHealthCareInformationTechnology
TheImpactofInformationTechnologyontheHealth
CareManager
OpportunitiesforResearchonHealthCare
Professionals
Conclusion
CHAPTER9FinancingHealthCareandHealthInsurance
NancyH.Shanks
Introduction

IntroductiontoHealthInsurance
BriefHistoryofHealthInsurance
CharacteristicsofHealthInsurance
PrivateHealthInsuranceCoverage
TheEvolutionofSocialInsurance
Major“Players”intheSocialInsuranceArena
StatisticsonHealthInsuranceCoverageandCosts
ThoseNotCovered—TheUninsured
OpportunitiesforResearchonEmergingIssues
Conclusion


CHAPTER10ManagingCostsandRevenues
KevinD.Zeiler
Introduction
WhatIsFinancialManagementandWhyIsIt
Important?
TaxStatusofHealthCareOrganizations
FinancialGovernanceandResponsibilityStructure
ManagingReimbursementsfromThird-PartyPayers
CodinginHealthCare
ControllingCostsandCostAccounting
SettingCharges
ManagingWorkingCapital
ManagingAccountsReceivable
ManagingMaterialsandInventory
ManagingBudgets
OpportunitiesforResearchonManagingCostsand
Revenues
Conclusion

CHAPTER11ManagingHealthCareProfessionals
SharonB.BuchbinderandDaleBuchbinder
Introduction
Physicians
RegisteredNurses
LicensedPracticalNurses/LicensedVocationalNurses
NursingAssistantsandOrderlies
HomeHealthAides
MidlevelPractitioners
AlliedHealthProfessionals
OpportunitiesforResearchonHealthCare
Professionals
Conclusion


CHAPTER12TheStrategicManagementofHumanResources
JonM.Thompson
Introduction
EnvironmentalForcesAffectingHumanResources
Management
UnderstandingEmployeesasDriversof
OrganizationalPerformance
KeyFunctionsofHumanResourcesManagement
WorkforcePlanning/Recruitment
EmployeeRetention
ResearchinHumanResourcesManagement
Conclusion
CHAPTER13Teamwork
SharonB.BuchbinderandJonM.Thompson
Introduction

WhatIsaTeam?
TheChallengeofTeamworkinHealthCare
Organizations
TheBenefitsofEffectiveHealthCareTeams
TheCostsofTeamwork
ElectronicToolsandRemoteandVirtualTeams
FacetoFaceVersusVirtualTeams
Real-WorldProblemsandTeamwork
Who’sontheTeam?
EmotionsandTeamwork
TeamCommunication
MethodsofManagingTeamsofHealthCare
Professionals
OpportunitiesforResearchonEmergingIssues
Conclusion


CHAPTER14AddressingHealthDisparities:CulturalProficiency
NancyK.Sayre
Introduction
ChangingU.S.DemographicsandPatientPopulations
AddressingHealthDisparitiesbyFosteringCultural
CompetenceinHealthCareOrganizations
BestPractices
AddressingHealthDisparitiesbyEnhancingPublic
Policy
OpportunitiesforResearchonHealthDisparitiesand
CulturalProficiency
Conclusion
CHAPTER15EthicsandLaw

KevinD.Zeiler
Introduction
LegalConcepts
TortLaw
Malpractice
ContractLaw
EthicalConcepts
PatientandProviderRightsandResponsibilities
Legal/EthicalConcernsinManagedCare
BiomedicalConcerns
Beginning-andEnd-of-LifeCare
OpportunitiesforResearchinHealthCareEthicsand
Law
Conclusion
CHAPTER16FraudandAbuse
KevinD.Zeiler
Introduction


WhatIsFraudandAbuse?
History
TheSocialSecurityActandtheCriminal-Disclosure
Provision
TheEmergencyMedicalTreatmentandActiveLabor
Act
AntitrustIssues
PhysicianSelf-Referral/Anti-Kickback/SafeHarbor
Laws
ManagementResponsibilityforComplianceand
InternalControls

CorporateCompliancePrograms
OpportunitiesforResearchinFraudandAbuse
Conclusion
CHAPTER17SpecialTopicsandEmergingIssuesinHealthCare
Management
SharonB.BuchbinderandNancyH.Shanks
Introduction
Re-EmergingOutbreaks,VaccinePreventable
Diseases,andDeaths
BioterrorisminHealthCareSettings
HumanTrafficking
ViolenceinHealthCareSettings
MedicalTourism
Consumer-DirectedHealthCare
OpportunitiesforResearchonEmergingIssues
CHAPTER18HealthCareManagementCaseStudiesand
Guidelines
SharonB.Buchbinder,DonnaM.Cox,andSusanCasciani
Introduction
CaseStudyAnalysis


CaseStudyWrite-Up
TeamStructureandProcessforCompletion
CASESTUDIES*
MetroRenal—CaseforChapters12and2
UnitedPhysicianGroup—CaseforChapters5,9,11,
and15
Piecework—CaseforChapters9and10
BuildingaBetterMIS-Trap—CaseforChapter8

DeathbyMeasles—CaseforChapters17,11,and15
FullMoonorBadPlanning?—CaseforChapters17,
11,and15
HowDoWeHandleaGirlLikeMaria?—Casefor
Chapters17and4
TheCondescendingDentalHygienist—Casefor
Chapters7,12,15,and4
The“Easy”SoftwareUpgradeatDelmarOrtho—Case
forChapters8and13
TheBrawler—CaseforChapters11,12,and17
ILoveYou…Forever—CaseforChapters17,12,and
11
ManagingHealthCareProfessionals—Mini-Case
StudiesforChapter11
ProblemswiththePre-AdmissionCallCenter—Case
forChapters13and10
SuchaNiceYoungMan—CaseforChapters17,11,
and12
SundownerorVictim?—CaseforChapters15and17
LastChanceHospital—CaseforChapters5and6
TheMagicIsGone—CaseforChapters3,12,and13
SetUpforFailure?—CaseforChapter3
SustaininganAcademicFoodScienceandNutrition
CenterThroughManagementImprovement—Case


forChapters2and12
GivingFeedback—EmpathyorAttributions?—Casefor
Chapter4
Socio-EmotionalIntelligenceExercise:Understanding

andAnticipatingMajorChange—CaseforChapter
4
MadisonCommunityHospitalAddressesInfection
Prevention—CaseforChapters7and13
TroublewiththePharmacy—CaseforChapter7
EmotionalIntelligenceinLaborandDelivery—Case
forChapters2,12,and13
CommunicationofPatientInformationDuring
TransitionsinCare—CaseforChapters7and12
Multidrug-ResistantOrganism(MDRO)ina
TransitionalCareUnit—CaseforChapters7and12
AreWeCulturallyAwareorNot?—CaseforChapters
14and5
Patients“Like”SocialMedia—CaseforChapters6
and5
WhereDoYouLive?HealthDisparitiesAcrossthe
UnitedStates—CaseforChapter14
MyParentsAreTurning65andNeedHelpSigning
UpforMedicare—CaseforChapter9
NewbyHealthSystemsNeedsHealthInsurance—
CaseforChapter9
ToPartnerorNottoPartnerwithaRetailCompany—
CaseforChapters17,5,and6
WellnessTourism:AnOptionforYourOrganization?
—CaseforChapters17and5
ConflictintheCapitalBudgetingProcessatUniversity
MedicalCenter:Let’sAllJustGetAlong—Casefor
Chapter10
TheNewToyatCityMedicalCenter—Casefor
Chapters11and13

RecruitmentChallengefortheMiddleManager—Case
forChapters2and12
IWanttoBeaMedicalCoder—CaseforChapter10
ManagingCostsandRevenuesatFeelBetter
Pharmacy—CaseforChapter10
WhoYouGonnaCall?—CaseforChapter16
YouWillDoWhatYouAreTold—CaseforChapter
15
GLOSSARY
INDEX


Foreword
IntheU.S.,healthcareisthelargestindustryandthesecond-largest
employer,withmorethan11millionjobs.Thiscontinuousgrowthtrendisa
resultofmanyconsequences,including:thelarge,agingBabyBoomer
population,whosemembersareremainingactivelaterinlife,contributingto
anincreaseinthedemandformedicalservices;therapidlychanging
financialstructureandincreasinglycomplexregulatoryenvironmentof
healthcare;theintegrationofhealthcaredeliverysystems,restructuringof
work,andanincreasedfocusonpreventivecare;andtheubiquitous
technologicalinnovations,requiringunceasingeducationaltrainingand
monitoring.
Giventhistremendousgrowthandtheaforementionedcausesofit,itis
notsurprisingthatamongthefastest-growingdisciplines,accordingto
federalstatistics,ishealthcaremanagement,whichisprojectedtogrow23%
inthenextdecade.Supportingthisgrowtharetheincreasingnumbersof
undergraduateprogramsinhealthcaremanagement,healthservices

administration,andhealthplanningandpolicy—withover300programsin
operationnationwidetoday.
Thehealthcaremanager’sjobdescriptionisconstantlyevolvingtoadapt
tothishyper-turbulentenvironment.Healthcaremanagerswillbecalledon
toimproveefficiencyinhealthcarefacilitiesandthequalityofthecare
provided;tomanage,direct,andcoordinatehealthservicesinavarietyof
settings,fromlong-termcarefacilitiesandhospitalstomedicalgroup
practices;andtominimizecostsandmaximizeefficiencies,whilealso
ensuringthattheservicesprovidedarethebestpossible.
Asthepersoninchargeofahealthcarefacility,ahealthcare
administrator’sdutiescanbevariedandcomplex.Handlingsuch
responsibilitiesrequiresamixofbusinessadministrationskillsand
knowledgeofhealthservices,aswellasthefederalandstatelawsand
regulationsthatgoverntheindustry.
Writtenbyleadingscholarsinthefield,thiscompendiumprovidesfuture
andcurrenthealthcaremanagerswiththefoundationalknowledgeneeded
tosucceed.Drs.BuchbinderandShanks,withtheirmanyyearsofclinical,


practitioner,administration,andacademicexperience,haveassembled
expertsinallaspectsofhealthcaremanagementtosharetheirknowledge
andexperiences.Theseuniqueviewpoints,sharedinboththecontentand
casestudiesaccompanyingeachchapter,providevaluableinsightintothe
healthcareindustryanddelveintothecorecompetenciesrequiredoftoday’s
healthcaremanagers:leadership,criticalthinking,strategicplanning,
financeandaccounting,managinghumanresourcesandprofessionals,
ethicalandlegalconcerns,andinformationandtechnologymanagement.
Contributingauthorsincludeclinicians,administrators,professors,and
students,allowingforavarietyofperspectives.
Facultywillalsobenefitfromthedepthandbreadthofcontentcoverage

spanningallclassesinanundergraduatehealthcaremanagement
curriculum.Itsmostappropriateutilitymaybefoundinintroductory
managementcourses;however,thevastarrayofcaseswouldbringvalueto
coursesinhealthcareethics,managerialfinance,qualitymanagement,and
organizationalbehavior.
Thistextwillserveasacornerstonedocumentforstudentsinhealth
managementeducationalprogramsandprovidethemwiththeinsight
necessarytobeeffectivehealthcaremanagers.Studentswillfindthis
textbookanindispensableresourcetoutilizebothduringtheiracademic
programs,aswellaswhentheyenterthefieldofhealthcaremanagement.It
isalreadyonitswaytobecomingoneofthe“classics”inthefield!
DawnOetjen,PhD
AssociateDean,AdministrationandFacultyAffairs
CollegeofHealthandPublicAffairs
UniversityofCentralFlorida
Orlando,FL


Preface
ThethirdeditionofIntroductiontoHealthCareManagementisdrivenbyour
continuingdesiretohaveanexcellenttextbookthatmeetstheneedsofthe
healthcaremanagementfield,healthcaremanagementeducators,and
studentsenrolledinhealthcaremanagementprogramsaroundtheworld.
Theinspirationforthefirsteditionofthisbookcameoveragoodcupof
coffeeandadeep-seatedunhappinesswiththetextsavailablein2004.This
editionbuildsonthestrengthsofthefirsttwoeditionsandisbasedonan
ongoingconversationwithendusers—instructorsandstudents—fromall
typesofhighereducationinstitutionsandalltypesofdeliverymodalities.
Whetheryourinstitutionisatraditional“bricksandmortar”schoolora
fullyonlineone,thisbookanditsancillarymaterialsareformattedforyour

easeofuseandadoption.
Forthisedition,manyofthesamemasterteachersandresearcherswith
expertiseineachtopicrevisedandupdatedtheirchapters.Severalnew
contributorssteppedforwardandwrotecompletelynewcasesforthistext
becausewelistenedtoyou,ourreadersandusers.Withatrackrecordof
morethaneightyearsinthefield,welearnedexactlywhatdidordidnot
workintheclassroomsandonline,sowefurtherenhancedandrefinedour
student-andprofessor-friendlytextbook.Wearegratefultoallourauthors
fortheirinsightful,well-writtenchaptersandourabundant,realisticcase
studies.
Asbefore,thistextbookwillbeusefultoawidevarietyofstudentsand
programs.Undergraduatestudentsinhealthcaremanagement,nursing,
publichealth,nutrition,athletictraining,andalliedhealthprogramswill
findthewritingtobeengaging.Inaddition,studentsingraduateprograms
indiscipline-specificareas,suchasbusinessadministration,nursing,
pharmacy,occupationaltherapy,publicadministration,andpublichealth,
willfindthematerialsboththeory-basedandreadilyapplicabletoreal-world
settings.Withfourdecadesofexperienceinhighereducation,weknowfirst
andforemostthatteachingandlearningarenotsolosports,butateameffort
—acontactsport.Theremustbeagive-and-takebetweenthestudentsand
theinstructorsfordeeplearningtotakeplace.Thistextusesactivelearning


methodstoachievethisgoal.Alongwithlivelywritingandcontentcritical
forafoundationinhealthcaremanagement,thisthirdeditioncontinuesto
providerealisticinformationthatcanbeappliedimmediatelytothereal
worldofhealthcaremanagement.Inadditiontorevisedandupdated
chaptersfromthesecondedition,therearelearningobjectives,discussion
questions,andcasestudiesincludedforeachchapter,withadditional
instructors’resourcesonlineandInstructor’sGuidesforallofthecase

studies.PowerPointslides,TestBankitems,andresearchsourcesarealso
includedforeachchapter,aswellasaglossary.Asamplesyllabusisalso
provided.Specifically,thethirdeditioncontains:
Significantlyrevisedchaptersonorganizationalbehaviorand
managementthinking,qualityimprovement,andinformation
technology.
Revisionsandupdatestoallchapters,includingcurrentdataandrecent
additionstotheliterature.
Anewemphasisonresearchthatisongoingineachoftheareasof
healthcare.
Anewchapteronadiversegroupofemergingissuesinhealthcare
managementincluding:re-emergingoutbreaks,vaccine-preventable
diseases,anddeaths;bioterrorisminhealthcaresettings;human
trafficking;violenceinhealthcaresettings;medicaltourism;and
consumer-directedhealthcare.
Fortycasesinthelastchapter,26ofwhicharenewortotallyrevisedfor
thisedition.Theycoverawidevarietyofsettingsandanassortmentof
healthcaremanagementtopics.Attheendofeachchapter,atleastone
specificcasestudyisidentifiedandlinkedtothecontentofthat
chapter.Manychaptershavemultiplecases.
Guidesforall40casesprovidedwithonlinematerials.Thesewillbe
beneficialtoinstructorsastheyevaluatestudentperformanceandwill
enableprofessorsateverylevelofexperiencetohitthegroundrunning
onthatfirstdayofclasses.
Totallyrevisedtestbanksforeachchapter,providinglargerpoolsof
questionsandaddressingourconcernsthatanswerstotheprevioustest
bankscouldbepurchasedonline.


Neverunderestimatethepowerofagoodcupofjoe.Wehopeyouenjoy

thisbookasmuchasweenjoyedrevisingit.Mayyourclassroomandonline
discussionsbefilledwithactivelearningexperiences,mayyourteachingbe
filledwithgoodhumorandfun,andmayyourcoffeecupalwaysbefull.
SharonB.Buchbinder,RN,PhD
StevensonUniversity
NancyH.Shanks,PhD
MetropolitanStateUniversityofDenver


Acknowledgments
Thisthirdeditionistheresultofwhathasnowbeena10-yearprocess
involvingmanyoftheleadersinexcellenceinundergraduatehealthcare
managementeducation.Wecontinuetobedeeplygratefultothe
AssociationofUniversityProgramsinHealthAdministration(AUPHA)
faculty,members,andstaffforallthesupport,bothintimeandexpertise,in
developingtheproposalforthistextbookandforprovidinguswithexcellent
feedbackforeachedition.
Morethan20authorshavemadethiscontributedtextaone-of-a-kind
book.Notonlyareourauthorsexpertteachersandpractitionersintheir
disciplinesandresearchniches,theyarealsopracticedteachersandmentors.
Aswereadeachchapterandcasestudy,wecouldhearthevoicesofeach
author.Ithasbeenaprivilegeandhonortoworkwitheachandeveryoneof
them:MohamadAli,DaleBuchbinder,SusanCasciani,DonnaCox,Amy
Dore,BrendaFreshman,CallieHeyne,RitamarieLittle,SheilaMcGinnis,
MikeMoran,PatriciaPatrician,LouRubino,SharonSaracino,Grant
Savage,NancySayre,WindsorSherrill,JonThompson,EricWilliams,and
KevinZeiler.
And,finally,andnevertoooften,wethankourhusbands,Dale
BuchbinderandRickShanks,wholistenedtolongtelephoneconversations
aboutthebook’srevisions,trailedustomeetingsanddinners,andservedus

winewithourwhines.Weloveyouandcouldnothavedonethiswithout
you.


AbouttheEditors
SharonB.Buchbinder,RN,PhD,iscurrentlyProfessorandProgram
CoordinatoroftheMSinHealthcareManagementProgramatStevenson
UniversityinOwingsMills,Maryland.Priortothis,shewasProfessorand
ChairoftheDepartmentofHealthScienceatTowsonUniversityand
PresidentoftheAmericanHospitalManagementGroupCorporation,
MASAHealthcareCo.,ahealthcaremanagementeducationandhealthcare
deliveryorganizationbasedinOwingsMills,Maryland.Formorethanfour
decades,Dr.Buchbinderhasworkedinmanyaspectsofhealthcareasa
clinician,researcher,associationexecutive,andacademic.WithaPhDin
publichealthfromtheUniversityofIllinoisSchoolofPublicHealth,she
bringsthisblendofreal-worldexperienceandtheoreticalconstructsto
undergraduateandgraduateface-to-faceandonlineclassrooms,wheresheis
constantlyremindedofhowimportantgoodteachingreallyis.Sheispast
chairoftheBoardoftheAssociationofUniversityProgramsinHealth
Administration(AUPHA)andcoauthoroftheBugbeeFalkAward–winning
CareerOpportunitiesinHealthCareManagement:PerspectivesfromtheField.
Dr.BuchbinderalsocoauthorsCasesinHealthCareManagementwithNancy
ShanksandDaleBuchbinder.
NancyH.Shanks,PhD,hasextensiveexperienceinthehealthcarefield.
For12years,sheworkedasahealthservicesresearcherandhealthpolicy
analystandlaterservedastheexecutivedirectorofagrant-making,fundraisingfoundationthatwasassociatedwithalargemultihospitalsystemin
Denver.Duringthelast20years,Dr.Shankshasbeenahealthcare
administrationeducatoratMetropolitanStateUniversityofDenver,where
shehastaughtavarietyofundergraduatecoursesinhealthservices
management,organization,research,humanresourcesmanagement,

strategicmanagement,andlaw.SheiscurrentlyanEmeritusProfessorof
HealthCareManagementandanaffiliatefacultymember,afterhaving
servedasChairoftheDepartmentofHealthProfessionsforsevenyears.Dr.
Shanks’sresearchinterestshavefocusedonhealthpolicyissues,suchas
providingaccesstohealthcarefortheuninsured.


Contributors
MohamadA.Ali,MBA,MHA,CBM
HealthcareStrategyConsultant
MASAHealthcare,LLC
Washington,DC
DaleBuchbinder,MD,FACS
Chairman,DepartmentofSurgeryandClinicalProfessorofSurgery
TheUniversityofMarylandMedicalSchool
GoodSamaritanHospital
Baltimore,MD
SusanCasciani,MSHA,MBA,FACHE
AdjunctProfessor
StevensonUniversity
OwingsMills,MD
DonnaM.Cox,PhD
ProfessorandDirector
Alcohol,Tobacco,andOtherDrugsPreventionCenter
DepartmentofHealthScience
TowsonUniversity
Towson,MD
AmyDore,DHA
AssociateProfessor,HealthCareManagementProgram
DepartmentofHealthProfessions

MetropolitanStateUniversityofDenver
Denver,CO
BrendaFreshman,PhD