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Organizational Behavior And Theory In Healthcare Leadership Perspectives And Management Applications 2nd Edition Kenneth L. Johnson, Stephen L. Walston - Solutions
Are there ethical considerations in this decision?You are in charge of a 310-bed hospital and have an excellent management team that has won many awards. Aside from the high operating margins, as high as 40 percent, your hospital has won consistent awards for public relations, television, and
Create a question to state the moral problem.You are in charge of a 310-bed hospital and have an excellent management team that has won many awards. Aside from the high operating margins, as high as 40 percent, your hospital has won consistent awards for public relations, television, and newspaper
What are the economic outcomes of your potential decisions?You are in charge of a 310-bed hospital and have an excellent management team that has won many awards. Aside from the high operating margins, as high as 40 percent, your hospital has won consistent awards for public relations, television,
What are the cultural issues involved in this case?You are in charge of a 310-bed hospital and have an excellent management team that has won many awards. Aside from the high operating margins, as high as 40 percent, your hospital has won consistent awards for public relations, television, and
What legal and ethical duties are involved?You are in charge of a 310-bed hospital and have an excellent management team that has won many awards. Aside from the high operating margins, as high as 40 percent, your hospital has won consistent awards for public relations, television, and newspaper
What are the commitment issues in this case?Some actions in life, once taken, instantly relegate a person to the status of villain. Six months after my taking a senior position at a major children’s hospital, I had the unpleasant experience of discovering one of these: taking a playroom away from
How does consistency in decisions affect the respect for a leader?Some actions in life, once taken, instantly relegate a person to the status of villain. Six months after my taking a senior position at a major children’s hospital, I had the unpleasant experience of discovering one of these:
When making such a decision, what are the important factors to consider?Some actions in life, once taken, instantly relegate a person to the status of villain. Six months after my taking a senior position at a major children’s hospital, I had the unpleasant experience of discovering one of these:
Should the most powerful person influence what decision is made?Copying and distribution of this PDF is prohibited without written permission.For permission, Some actions in life, once taken, instantly relegate a person to the status of villain. Six months after my taking a senior position at a
What ethical framework would you use to either justify or demonstrate that the associate minister’s proposed arrangement is ethical?Copying and You have spent three years expanding your consulting services in the Middle East. After spending more than nine months in Saudi Arabia, you have
Is this an ethical arrangement?You have spent three years expanding your consulting services in the Middle East. After spending more than nine months in Saudi Arabia, you have established close relationships with key healthcare professionals and educational leaders. You have been appointed to the
If you had to negotiate an agreement, what would you do?You have spent three years expanding your consulting services in the Middle East. After spending more than nine months in Saudi Arabia, you have established close relationships with key healthcare professionals and educational leaders. You
How do the cultural differences in this case affect the available options?You have spent three years expanding your consulting services in the Middle East. After spending more than nine months in Saudi Arabia, you have established close relationships with key healthcare professionals and
What were the stated benefits of the proposed merger?Beaumont Health’s leadership thought they had found the perfect match for their health system. Beaumont Health was the largest healthcare system in Michigan, with $4.7 billion in annual net revenues, eight hospitals, nearly 5,000 affiliated
Do you think the benefits of the proposed merger were consistently explained by Beaumont’s leadership? Explain your answer.Beaumont Health’s leadership thought they had found the perfect match for their health system. Beaumont Health was the largest healthcare system in Michigan, with $4.7
What could have Beaumont Health’s leadership have done better to avoid many of the problems in this case?Beaumont Health’s leadership thought they had found the perfect match for their health system. Beaumont Health was the largest healthcare system in Michigan, with $4.7 billion in annual net
How did the professional cultures help create disagreements on which direction to take?Beaumont Health’s leadership thought they had found the perfect match for their health system. Beaumont Health was the largest healthcare system in Michigan, with $4.7 billion in annual net revenues, eight
How could the decision-making have been better organized and accomplished?Beaumont Health’s leadership thought they had found the perfect match for their health system. Beaumont Health was the largest healthcare system in Michigan, with $4.7 billion in annual net revenues, eight hospitals, nearly
From an organizational commitment perspective (affective, continuance, and normative commitment), what keeps Lauretta at her current job?Lauretta is a night shift nursing supervisor and has tremendous problems covering the evening and night shifts. Her ability to pay nurses to work evenings is
Refer to chapter 5 and the discussion on equity theory. How does Lauretta’s perception of her inputs and outputs affect her feelings and behavior?Lauretta is a night shift nursing supervisor and has tremendous problems covering the evening and night shifts. Her ability to pay nurses to work
What could management do to increase Lauretta’s organizational commitment?Lauretta is a night shift nursing supervisor and has tremendous problems covering the evening and night shifts. Her ability to pay nurses to work evenings is constrained by a union contract which clearly states that a
What should Patricia do to positively communicate her concerns and feedback to Mike? How could he positively address this?Mike has been the CEO of BCCH for almost two years. He is a smart, hard-working person, but often has difficulty relating to others.Most of the time he is fine, but if he
Why does Mike’s perception of his leadership vary from what his employees think? How does this happen in organizations?Mike has been the CEO of BCCH for almost two years. He is a smart, hard-working person, but often has difficulty relating to others.Most of the time he is fine, but if he becomes
How would you rate Mike’s emotional intelligence? What should Mike do to improve his emotional intelligence?Mike has been the CEO of BCCH for almost two years. He is a smart, hard-working person, but often has difficulty relating to others.Most of the time he is fine, but if he becomes angry, he
How is this an example of primary and secondary emotions? How does this demonstrate the lasting impact of inappropriate expression of emotions?Mike has been the CEO of BCCH for almost two years. He is a smart, hard-working person, but often has difficulty relating to others.Most of the time he is
What are the key issues in this case?Sakal, who graduated from medical school five years ago, has just completed a residency and fellowship in radiology and joined a five-member group in the Southwest United States. He is eager to do a good job and started out by putting in long hours at two of the
How do group incentives influence the behaviors of the physicians?Sakal, who graduated from medical school five years ago, has just completed a residency and fellowship in radiology and joined a five-member group in the Southwest United States. He is eager to do a good job and started out by
Do you believe there was discrimination in this situation? If so, what should Sakal do?Sakal, who graduated from medical school five years ago, has just completed a residency and fellowship in radiology and joined a five-member group in the Southwest United States. He is eager to do a good job and
How would you negotiate this situation with Sakal’s group leader?Sakal, who graduated from medical school five years ago, has just completed a residency and fellowship in radiology and joined a five-member group in the Southwest United States. He is eager to do a good job and started out by
What would you do if you were Sakal?Sakal, who graduated from medical school five years ago, has just completed a residency and fellowship in radiology and joined a five-member group in the Southwest United States. He is eager to do a good job and started out by putting in long hours at two of the
What were the customer relations problems in this case?Sam had a hernia, but he did not have insurance and was self-employed.After 13 years of just pushing the hernia back when it stuck out, he decided to take care of it. He found a reputable local surgical center that offered a flat price of
How could the different organizations have improved their communication with Sam?Sam had a hernia, but he did not have insurance and was self-employed.After 13 years of just pushing the hernia back when it stuck out, he decided to take care of it. He found a reputable local surgical center that
What are the advantages and disadvantages of company policies?Sam had a hernia, but he did not have insurance and was self-employed.After 13 years of just pushing the hernia back when it stuck out, he decided to take care of it. He found a reputable local surgical center that offered a flat price
How does this case describe the complexity of the US healthcare system?Sam had a hernia, but he did not have insurance and was self-employed.After 13 years of just pushing the hernia back when it stuck out, he decided to take care of it. He found a reputable local surgical center that offered a
How did the hospital follow or not follow its mission and values?Shannon was a healthy young man, so it was a shock to wake with a serious pain in his abdomen. He was not certain, but he feared appendicitis.He worked for an outdoor company that did not provide health insurance, so he was concerned
When establishing healthcare policies such as those discussed in this case, what should be considered?Shannon was a healthy young man, so it was a shock to wake with a serious pain in his abdomen. He was not certain, but he feared appendicitis.He worked for an outdoor company that did not provide
How do attitudes and perceptions influence what actions were taken in this case?Shannon was a healthy young man, so it was a shock to wake with a serious pain in his abdomen. He was not certain, but he feared appendicitis.He worked for an outdoor company that did not provide health insurance, so he
From a societal perspective, how could organizational justice be involved?Shannon was a healthy young man, so it was a shock to wake with a serious pain in his abdomen. He was not certain, but he feared appendicitis.He worked for an outdoor company that did not provide health insurance, so he was
Why is the billing situation so complicated and confusing in US hospitals?Shannon was a healthy young man, so it was a shock to wake with a serious pain in his abdomen. He was not certain, but he feared appendicitis.He worked for an outdoor company that did not provide health insurance, so he was
What ethical questions are involved in this case? How do these involve differences in values?Hepatitis C affects about 3.5 million Americans, though up to half may not realize they have it (Nall 2018). The number of potential hepatitis C patients out there should push down drug costs. However,
How would you address this issue if you were:a. The director of a state Medicaid program?b. The CEO of a safety-net hospital?c. The CEO of a pharmaceutical firm that manufactures one of the drugs?Hepatitis C affects about 3.5 million Americans, though up to half may not realize they have it (Nall
What should be the key elements of the Governance Council’s charter?Appointed to your position nearly 18 months ago, you are the CEO of a 400-bed tertiary acute care hospital operating in a very competitive urban environment. The for-profit hospital is part of a large, wellmanaged, well-financed,
What decision-making authority parameters should be determined before the Governance Council is initially convened with respect to key areas? These areas may include (a) capital equipment and facilities identification, prioritization, budgeting, and spending; (b) the authority to hire, fire, or
Should decisions of the Governance Council be premised on majority rule, majority rule subject to veto, consensus, or something else?Appointed to your position nearly 18 months ago, you are the CEO of a 400-bed tertiary acute care hospital operating in a very competitive urban environment. The
Should some issues or policies be sacrosanct, meaning they are off the table for the Governance Council? If so, what might those be?Appointed to your position nearly 18 months ago, you are the CEO of a 400-bed tertiary acute care hospital operating in a very competitive urban environment. The
Who should be on the Governance Council? Should new hospital surgical services management be recruited and included? What personality traits, leadership experience, level of surgical activity at the hospital, and professional skills, including surgical specialties, should be prioritized when
Who should convene and charter the Governance Council? What form of leadership should the Governance Council adopt (e.g., leadership by a single administrator, surgeon, or anesthesiologist; leadership by a physician–administrator dyad)?Appointed to your position nearly 18 months ago, you are the
If physicians are selected to participate, what must be done to ensure effective, legal, and meaningful shared decision-making?Appointed to your position nearly 18 months ago, you are the CEO of a 400-bed tertiary acute care hospital operating in a very competitive urban environment. The for-profit
How should the agenda for Governance Council meetings be determined? How should the efforts and results of the Governance Council be tracked and communicated to stakeholders?Appointed to your position nearly 18 months ago, you are the CEO of a 400-bed tertiary acute care hospital operating in a
What must be done to ensure that all stakeholders, physicians, and hospital employees throughout the hospital’s surgical services departments perceive the Governance Council as having true clout, so much so that a seat on the Governance Council becomes a coveted position?Appointed to your
Besides addressing the issues with the OR, what must the Governance Council do to achieve better coordination with other aspects of the hospital’s surgical services?Appointed to your position nearly 18 months ago, you are the CEO of a 400-bed tertiary acute care hospital operating in a very
What must be done to ensure that this Governance Council does not run afoul of the hospital’s parent organization’s decision-making processes, whether centralized or decentralized?Appointed to your position nearly 18 months ago, you are the CEO of a 400-bed tertiary acute care hospital
Should the Governance Council be chartered as a work team that will be disbanded at some fixed date after tackling, but perhaps not yet solving, the described problems? Or should the Governance Council be a standing work team?Appointed to your position nearly 18 months ago, you are the CEO of a
What should the Governance Council be tasked with achieving within its first six months of work? First year?Appointed to your position nearly 18 months ago, you are the CEO of a 400-bed tertiary acute care hospital operating in a very competitive urban environment. The for-profit hospital is part
What is the difference between coaching and mentoring?Caden had just joined a physicians’ office as their director of operations.The practice was made up of 22 physicians, 6 advanced practice providers, and 54 staff, which included nurses, medical assistants, front office staff, and billing
When is coaching appropriate?Caden had just joined a physicians’ office as their director of operations.The practice was made up of 22 physicians, 6 advanced practice providers, and 54 staff, which included nurses, medical assistants, front office staff, and billing staff. The medical director,
When is mentoring appropriate?Caden had just joined a physicians’ office as their director of operations.The practice was made up of 22 physicians, 6 advanced practice providers, and 54 staff, which included nurses, medical assistants, front office staff, and billing staff. The medical director,
What should Caden do to find out what is causing the turnover?Caden had just joined a physicians’ office as their director of operations.The practice was made up of 22 physicians, 6 advanced practice providers, and 54 staff, which included nurses, medical assistants, front office staff, and
What should Jennifer be doing as a manager to help fix the problem?Caden had just joined a physicians’ office as their director of operations.The practice was made up of 22 physicians, 6 advanced practice providers, and 54 staff, which included nurses, medical assistants, front office staff, and
What type of coaching should Caden offer to Jennifer?Caden had just joined a physicians’ office as their director of operations.The practice was made up of 22 physicians, 6 advanced practice providers, and 54 staff, which included nurses, medical assistants, front office staff, and billing staff.
What types of things should Caden delegate to Jennifer to fix the turnover issue?Caden had just joined a physicians’ office as their director of operations.The practice was made up of 22 physicians, 6 advanced practice providers, and 54 staff, which included nurses, medical assistants, front
How can Caden help Jennifer in his role as mentor?Caden had just joined a physicians’ office as their director of operations.The practice was made up of 22 physicians, 6 advanced practice providers, and 54 staff, which included nurses, medical assistants, front office staff, and billing staff.
differentiate between coaching and mentoring, Appendix
describe the different types of coaching?
distinguish between responsibility and authority? Appendix
explain the different levels of delegation and the best time to apply them. Appendix
What are the major differences between mentoring and coaching? Appendix
How can coaching be different from having a consultant assist a healthcare leader? Appendix
Visit the website of one of the professional coaching organizations listed in exhibit 20.1 and describe the services it provides to its members. Appendix
How might mentoring increase an employee’s job satisfaction? Appendix
What guidelines could be established for mentoring? Appendix
Are there times when delegation should not occur? Appendix
How does delegation help establish trust? Appendix
What is positive and negative about gofer delegation? Appendix
What is micromanagement, and why is it destructive? Appendix
How did the CEO’s actions involve both mentoring and delegation?Early in my career as a 26-year-old assistant administrator at a hospital, I was on administrative call for the weekend. Our hospital provided the only obstetric service for the county, and its three anesthesiologists and five
What did I learn from the way the CEO handled my call?Early in my career as a 26-year-old assistant administrator at a hospital, I was on administrative call for the weekend. Our hospital provided the only obstetric service for the county, and its three anesthesiologists and five certified
What else could the CEO have done to emphasize stewardship delegation?Early in my career as a 26-year-old assistant administrator at a hospital, I was on administrative call for the weekend. Our hospital provided the only obstetric service for the county, and its three anesthesiologists and five
What could the director of strategy do to assist his boss in focusing on more strategic issues?The CEO of a large health system with more than 9,000 employees, 20 of whom reported to her, liked to be involved in decisions, even if they were trivial. In fact, she often put off making a big decision
Why do people such as this CEO want to be involved in trivial decisions?The CEO of a large health system with more than 9,000 employees, 20 of whom reported to her, liked to be involved in decisions, even if they were trivial. In fact, she often put off making a big decision because she was too
What are the consequences when bosses spend most of their time on nonstrategic decisions?The CEO of a large health system with more than 9,000 employees, 20 of whom reported to her, liked to be involved in decisions, even if they were trivial. In fact, she often put off making a big decision
What do you think the CEO and VP should have done to clarify the delegation issue?If the CEO must make all the decisions, then no one makes decisions. At one organization, it had been the previous CEO’s custom to analyze and critique every decision. Rather than support important decisions made by
Why was the VP reluctant to make the final decision, even though he was told to do so?If the CEO must make all the decisions, then no one makes decisions. At one organization, it had been the previous CEO’s custom to analyze and critique every decision. Rather than support important decisions
How could the delegation have been more clearly defined?If the CEO must make all the decisions, then no one makes decisions. At one organization, it had been the previous CEO’s custom to analyze and critique every decision. Rather than support important decisions made by his subordinates, the CEO
Take the MindTools test “How Well Do You Delegate?” (www.mindtools.com/pages/article/newTMM_60.htm). What did you learn from the test?How good are your delegation skills?
Watch the ten-minute EntreLeadership video “How to Delegate” (https://youtu.be/DMsHHS-Gs_o). Write a one-page paper pointing out the principles discussed in this chapter and in the video. What points does the presenter emphasize?
Identify someone nearby who is currently working in an occupation and role that interests you. Make an appointment and visit with that individual.During your visit, ask the person (1) how they prepared for the job, and the background that brought them to this point; (2) what advice they might have
contrast between masculine and feminine organizational behaviors and preferences?
What happens to an organization’s culture if the actions of its leaders differ from their expressed, written values and mission? Appendix
How do behaviors reflect an organizational culture? Appendix
How do values interact with an organization’s culture? Appendix
How can positive storytelling help a culture? Appendix
How do uniforms serve as symbols? Appendix
Why does the acceptable power distance vary across different cultures? Appendix
What would a cultural assessment gap analysis contain? Appendix
Provide an example of a firm whose culture may have contributed to its deteriorating market position, as its environment changed but its culture did not adjust to match the new environment. Appendix
Many academic medical centers have merged with community not-for-profit hospitals and struggled to combine their workforces. Think of three ways the cultures of these two types of organizations might differ. Appendix
What is the difference between the primary and secondary mechanisms that Schein (2010) suggested? Appendix
How do cultures become dangerous, as in this case?Eastern Medical Center (EMC) struggled with its quality indicators, consistently ranking in the bottom quartile of its corporation’s quality measures. Several interventions—training, motivational talks by respected authorities, and financial
How does the way physicians are treated in a healthcare organization reflect the organization’s culture?Eastern Medical Center (EMC) struggled with its quality indicators, consistently ranking in the bottom quartile of its corporation’s quality measures. Several interventions—training,
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