Article Abstract:
Strategic planning has many applications for hospital administrators. The strategy formulation process is reviewed and explained how it may be adapted in various ways for hospitals. A constraint in implementing the process in hospitals is the perceived social, not-for- profit role of the hospital. Another hindrance to strategic planning in hospitals is their bureaucratic organization around a medical staff. In industry, strategic planning has traditionally thrived in hierarchically structured organizations. Tables list decision making factors hospitals must face in long-range planning without compromising their social roles.
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Article Abstract:
Employees at a large Midwestern academic medical center were studied between Jun 1, 1990, and Aug 30, 1990, to measure the effects of total quality management programs (TQM) on overall job satisfaction. Job satisfaction was measured on general, intrinsic and extrinsic levels. TQM participants only experienced marginally higher job satisfaction levels than non-participants. TQM participants, however, were more likely to recommend the hospital for patient care and employment practices.
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Article Abstract:
Federal changes in Medicare billing and other health care system services will inevitably draw individual practitioners unused to corporate settings closer to hospitals and group practices. Health services administrators can help sole practitioners adjust to group settings by offering supplemental income and other financial incentives. Administrators must also respect a sole practitioner's autonomy and relationships with other physicians to reduce possible tensions in the workplace.
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