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 jonathan.metsch@baruch.cuny.edu 

•       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

http://www.studygs.net/casestudy.htm
http://www.uiweb.uidaho.edu/ag/agecon/391/casestudmeth.html
http://writing.colostate.edu/guides/guide.cfm?guideid=60

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

http://www.njcu.edu/programs/jchistory/pages/m_pages/Medical_Center_Complex.htm
http://www.hudsonreporter.com/pages/full_story/push?article-Medicine+through+the+years+New+photograph+book+chronicles+history+of+old+JC+Medical+Center%20&id=2400277

Google

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

http://www.nj.gov/health/rhc/finalreport/index.shtml

Commission on Health Care Facilities in the 21st Century

http://www.nyhealthcarecommission.org/

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

http://www.nami.org/Content/NavigationMenu/NAMI_Center_for_Excellence/Tools_for_Excellence/TenBasicResponsibilitiesofNonprofitBoards.pdf
http://www.guidestar.org/rxa/news/articles/2012/board-roles-and-responsibilities.aspx
http://www.idealist.org/info/Nonprofits/Gov2
http://www.charitiesnys.com/pdfs/Right%20From%20the%20Start%20Final.pdf
http://www.hallrender.com/health_care_law/library/articles/1220/Governance_booklet.pdf

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 ,

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