Syllabus. Health Care “Transformational” Management (2013)
BUS 9100: Business and Society
Health Care “Transformational” Management
COURSE MATERIALS – Required
1. RESPONDING TO HEALTHCARE REFORM – A Strategy Guide for Health Care Leaders, By Daniel B/ McLaughlin, HAP ACHE Management Series Read one chapter per week starting with Chapter 1, Week
2. Harvard Case Studies
The Cradle Dilemma, kel511
Performance Management at Intermountain Healthcare, HBS 9-609-103
Newton-Wellsley Hospital, HBS 9-609-088
Evidence-Based Management, HBS R0601E
What More Evidence Do You Need?, HBS R1005X
Collaborating to Improve, HBS 9-608-054
Jeanette Clough at Mount Auburn Hospital, HBS 9-406-068
3. Additional readings posted on Blackboard; Web sites are also assigned for some sessions.
4. “Doctor, Did You Wash Your Hands?” http://hoboken.patch.com/blogs/metsch-on-health-care
Visiting Professors
(* Program Graduate)
Jeffrey Kraut*
Senior Vice President for Strategy of the North Shore-LIJ Health System and Associate Dean for Strategy for the Hofstra North Shore-LIJ School of Medicine
– “North Shore-LIJ Health System’s strategy to maintain its leadership position under health care reform”?
Frank Goldstein*
Vice President, Physician Services, Meridian Health
– “Converting hospital based physician practices from FFS to Patient Centered Medical Homes“
Annette Catino*
President & CEO, QualCare Alliance Networks, Inc.
– “Obamacare from the Payers perspective“
Carmine Asparro*
Principal in charge of the managed care consulting practice, OnPoint Partners
– “Provider and health plan strategies with Health Insurance Exchanges“
David Florman*
Partner of Florman Tannen LLC
– “Population health management – organizational transformation in the health care reform era“
Jeffrey Menkes*
Senior Vice President ,System Network Development, Montefiore Medical Center
– “Lessons Learned as a “seller” now “buyer” under Obamacare“
Joel Seligman
President and CEO of Northern Westchester Hospital
– “Northern Westchester Hospital Center’s strategy to maintain its leadership position under health care reform“
Lee Perlman
Executive Vice President of Administration and Chief Financial Officer of the Greater New York Hospital Association; President of GNYHA Ventures, Inc.; and CEO of Happtique
– “Creating Value: GPOs and the Business and Politics of Health Care”
Section Objectives
To learn the basics about the American health care system
To understand the implications of the Affordable Care Act
To learn to use the Case Study method as an analytical tool
To start using an “evidence-based” approach to management
To be a successful contributor in small group meetings
To get comfortable being a discussion leader
To meet and interact with industry leaders (your future bosses)
To begin a personal career diary of “Lessons Learned”
Section Paradigm
Using the CASE STUDY METHOD the course presentations by Professor Metsch and the Visiting Professors address COMPLEX PROBLEMS and the value of LESSONS LEARNED.
Case Study types: original Case Studies prepared by Prof. Metsch; Case Studies presented by senior health administrators (Visiting Professors); and iconic Harvard Case Studies.
Sessions are comprised of two complementary parts paired to integrate the Case Studies with Student Learning Outcomes and the Course Objectives.
The Case Study Method
Cases attempt to reflect the various pressures and considerations that professionals of all varieties confront in the workplace.
Using complex, realistic open-ended problems as a focus, cases are designed to challenge you and help you develop and practice skills that you may need in your future careers.
Cases are also an excellent way to see how abstract principles learned in class are applied to real world situations.
Remember that case assignments involve a different kind of learning than other assignments. There is no one single answer and sometimes even the issue is deliberately not stated clearly.
Complex Problems
situations where the decision-maker must integrate or reconcile at least two competing priorities that may not be linear or complementary
having to reach agreement on goals while simultaneously evaluating options
where goals are clear but political support is not
where the definition of the problem keeps changing and consensus has to constantly be reestablished
where there are so many variables it is difficult to determine the actual possible outcomes
various combinations/ permutations of the above
Lessons Learned
Start a diary of 3 Lessons Learned each week from the
following categories:
• – the Visiting Professor and/ or ProfM
• – the course text – RESPONDING TO HEALTHCARE REFORM
• – the articles posted on Blackboard or articles you find yourself
• – a Harvard Case Study (but only if different from the LLs you used in your 8 slide set)
• – an experience at work or elsewhere
•
• USE 3 DIFFERENT CATEGORIES EACH WEEK!
• For Week 12 use LLs from Final Case Study presentations ONLY (but not your own)
• Post on Blackboard after each class & email to [email protected]
• then synthesize them into a Lessons Learned essay after the last class
Objective of Case Study Analysis =
To develop an evidence based theme (“thread”) through the slide set so the conclusion (“policy recommendation” or “project plan”) is accepted
How to Structure Your Harvard Case Study Homework
Assignments
& Final Case Study Project
USING POWERPOINT (one slide on each of the following)
1. Introduction, Situation, Background -This section describes the reason for the case study.
2. Problem – This section states the main problems which need to be resolved. Some case studies include charts and graphs to illustrate key points.
3. Questions/ Issues*
4. Solution – This section describes the solution in detail, what changes were made, and the impact. Some case studies include charts and graphs to illustrate key solutions.
5. Evaluation – This section recap the main benefits of the solution and the impact/ outcomes/ results.
6. Lessons Learned!
7. Anchor Concepts
8. Overlay 2013 ACA and “transformational” (if case was taking place today)
*Note: For final Student Case Presentations – #3 Questions/ Issues for class discussion before presenting #4 Solution
Week 1 – December 3rd
Case Study Method 1
Professor Metsch
“Project Management – The Hardest Part about Getting Started………… is Getting Started”
(7 health care related vignettes with break-out groups to understand and practice case study analytics)
1. Getting Started – “The First Day”
2. Program Planning – Hoboken H1N1 “Swine Flu” Task Force
3. Service Recovery – Hospital ER
4. Professional Status – When the Nurse Wants to be Called “Doctor”
5/6. Resource Allocation – Food Sustainability Programs
7/8/9. NFP Board of Trustees – Program Evaluation, Changing Accreditation Agencies, New Service Opportunities
10. Joining a NFP Board of Trustees – What should you know?
Reading
Week 2 – December 10th
Case Study Method 2
Professor Metsch
Hudson Cradle,
Jubilee Center, &
Hudson County Child Abuse Prevention Center
( 3 integrated health care related vignettes with break-out groups to further understand and practice case study analytics)
Homework* The Cradle Dilemma kel511
(a health care related NFP CEO grapples with its “mission” in a turbulent environment)
Week 3 –December 17th
Case Study Method 3
Professor Metsch
Jersey City Medical Center (1989-2013)
( an original case study based on Dr. Metsch’s 17 year tenure as President and CEO of LibertyHealth/ Jersey City Medical Center, with break-out groups; to finish practicing case study analytics)
Reading
Jersey City Medical Center + Images of America + Len Vernon
Then scroll down and click on
Jersey City Medical Center – Google Books Result
books.google.com/books?isbn=0738536644
Leonard F. Vernon – 2004 – History
Leonard F. Vernon. IMAGES of America JERSEY CITY MEDICAL CENTER . 1,1 1.1 . . – . IMAGES of America JERSEY CITY MEDICAL CENTER Ono …
Week 4 – January 7th
Frank Goldstein
Vice President, Physician Services, Meridian Health
– “Converting hospital based physician practices from FFS to Patient Centered Medical Homes”
(a case study on one system’s journey from fee-for-service to “population” health)
Homework* Performance Management at Intermountain Healthcare HBS 9-609-103
(a mega system’s data driven approach to Medicare reimbursement)
Week 5 – January 14th
Joel Seligman
President and CEO of Northern Westchester Hospital
– “Northern Westchester Hospital Center’s strategy to maintain its leadership position under health care reform“
(A case study addressing the future of a high quality, free-standing, suburban community hospital)
Case Study Method 4 –
Professor Metsch
Restructuring a Failing Public Hospital in Hoboken
(a policy case study about how to stabilize a city-owned hospital)
Reading
New Jersey Commission on Rationalizing Health Care Resources, Final Report 2008
Commission on Health Care Facilities in the 21st Century
Week 6 – January 21st
Annette Catino
President & CEO, QualCare Alliance Networks, Inc.
– “Obamacare from the Payers perspective“
(Insurance Reform versus Healthcare Reform)
Homework * Newton-Wellesley Hospital HBS 9-609-088
(a CEO faces the challenge of multiple physician payment methods in one hospital)
Week 7 – January 28th
Jeffrey Kraut
Senior Vice President for Strategy of the North Shore-LIJ Health System and Associate Dean for Strategy for the Hofstra North Shore-LIJ School of Medicine
– “North Shore-LIJ Health System’s strategy to maintain its leadership position under health care reform”?
(A case study on the transformation of the Health System’s clinical and business models to succeed under value-based health reform.)
Case Study Method 5
Professor Metsch
Evidence Based Decision Making
(fostering a framework for inter-disciplinary collaboration)
Reading
Evidence-Based Management – HBS R0601E
What More Evidence Do You Need? – HBS R1005X
Week 8 – February 4th
David Florman
Partner of Florman Tannen LLC
– “Population health management – organizational transformation in the health care reform era“
(a health care consultant presents case studies on organizational adaptation)
Homework* Collaborating to Improve HBS 9-608-054
(a hospital Chief Medical Officer’s efforts to introduce a new quality paradigm)
Homework* Collaborating to Improve HBS 9-608-054
(a hospital Chief Medical Officer’s efforts to introduce a new quality paradigm)
Week 9 – February 11th
Lee Perlman
Executive Vice President of Administration and Chief Financial Officer of the Greater New York Hospital Association; President of GNYHA Ventures, Inc.; and CEO of Happtique
– “Creating Value: GPOs and the Business and Politics of Health Care“
(a senior health care trade association executive discusses creating new revenue streams for its members)
Case Study Method 6
Professor Metsch
The role of the Board of Trustees
(a series of vignettes on “best practices” of NFP Boards of Trustees)
Reading
Week 10 – February 18th
Carmine Asparro
Principal in charge of the managed care consulting practice, OnPoint Partners
– “Provider and health plan strategies with Health Insurance Exchanges“
(a health care consultant presents cases on client HIE strategies)
Homework * Jeanette Clough at Mount Auburn Hospital HBS 9-406-068
(a hospital CEO leads a financial “turn-around” then faces new sustainability challenges)
Week 11 – February 25th
Jeffrey Menkes
Senior Vice President ,System Network Development, Montefiore Medical Center
– “Lessons Learned as a “seller” now “buyer” under Obamacare“
(a senior health system executive discusses “selling” a hospital to a system, now expanding the continuum of care for a mega-system)
Case Study Method 7
Professor Metsch
“Associated Camps”
(a case study of failed strategic planning)
Week 12 –March 4th
Student Case Study Presentations
– Groups of 3 -set by the class –
(but different from Harvard groups and any groups from first trimester courses)
Topics RELATED TO HEALTH CARE REFORM
Due: January 7th
First PP Draft: February 4th
Second PP Draft: February 25th
Case Presentations: March 4th
Post Final on Blackboard on: March 5th
Week 13
Final Lessons Learned Essay ,