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SE/Lawton / Elizabeth / Bryan, Shortell & Kaluzny’s Health Care Management: Organization Design and Behavior Xe ISBN-13: XXXXXXXXXX ©2020
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Seventh Edition
Shortell and Kaluzny’s
Health Care Management
Organization Design and Behavio
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Seventh Edition
Shortell and Kaluzny’s
Health Care Management
Organization Design and Behavio
Lawton Robert Burns | Elizabeth Howe Bradley | Bryan Jeffrey Weine
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Shortell and Kaluzny’s Health Care
Management: Organization Design and
Behavior, Seventh Edition
Lawton Robert Burns, Elizabeth Howe
Bradley, and Bryan Jeffrey Weine
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Contents
Contributors vi
Foreword ix
Preface x
PART ONE
Introduction / 2
Chapter 1 Delivering Value: The Global Challenge in Health Care Management 3
Chapter 2 Leadership and Management: A Framework for Action 32
PART TWO
Micro Perspective / 56
Chapter 3 Organization Design and Coordination 57
Chapter 4 Motivating People 82
Chapter 5 Teams and Team Effectiveness in Health Services Organizations 98
Chapter 6 Communication 132
Chapter 7 Power, Politics, and Conflict Management 156
Chapter 8 Complexity, Learning, and Innovation 186
Chapter 9 Improving Quality in Health Care Organizations (HCOs) 213
PART THREE
Macro Perspective / 240
Chapter 10 Strategy and Achieving Mission Advantage 241
Chapter 11 Managing Strategic Alliances: Neither Make Nor Buy but Ally 277
Chapter 12 Health Policy and Regulation 303
Chapter 13 Health Information Technology and Strategy 332
Chapter 14 Consumerism and Ethics 348
Chapter 15 The Globalization of Health Care Delivery Systems 379
Appendix Acronyms 418
Glossary 421
Author Index 433
Subject Index 443
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Contributors
Jane Banaszak-Holl, PhD
Professor of Public Health
School of Public Health and Preventive Medicine
Monash University
Melbourne, Australia
Elizabeth Howe Bradley, PhD, MBA
President
Vassar College
Poughkeepsie, New York
Amanda Brewster, PhD
Assistant Professor of Health Policy & Management
School of Public Health
University of California
Berkeley, California
Lawton Robert Burns, PhD, MBA
The James Joo-Jin Kim Professor, Professor of Health
Care Management, and Director of the Wharton
Center for Health Management and Economics
The Wharton School, University of Pennsylvania
Philadelphia, Pennsylvania
Martin P. Charns, MBA, DBA
Professor of Health Policy and Management
School of Public Health, Boston University
Investigator and Director Emeritus
Center for Healthcare Organization &
Implementation Research
VA Boston Healthcare System
Boston, Massachusetts
Jon A. Chilingerian, PhD
Professor of Management
Heller School, Brandeis University
Adjunct Professor of Public Health & Community
Medicine
Tufts School of Medicine
Waltham, Massachusetts
Ann F. Chou, PhD, MPH, MA
Associate Professor of Family and Preventive Medicine
College of Medicine
University of Oklahoma Health Sciences Cente
Oklahoma City, Oklahoma
Ann Leslie Claesson-Vert, PhD, MSN, PSP
Associate Clinical Professo
Lead Faculty Personalized Learning MSN Program
Northern Arizona University, North Valley Campus
Phoenix, Arizona
Thomas D’Aunno, PhD
Professor of Management
Robert F. Wagner Graduate School of
Public Service
New York University
New York, New York
Mark L. Diana, MBA, MSIS, PhD
Drs. W.C. Tsai and P.T. Kung Professor in Health
Systems Management
Associate Professor and Chair, Department of Health
Policy and Management
Tulane University
New Orleans, Louisiana
Amy C. Edmondson, PhD
Novartis Professor of Leadership and Management
Harvard Business School
Boston, Massachusetts
Bruce Fried, PhD
Associate Professo
Department of Health Policy and Management
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina
Mattia J. Gilmartin RN, PhD, FAAN
Executive Directo
NICHE I Nurses Improving Care for Healthsystem
Elders
Rory Meyers College of Nursing
New York University
New York, New York
Jennifer L. Hefner, PhD, MPH
Assistant Professo
Division of Health Services Management and Policy
College of Public Health
The Ohio State University
Columbus, Ohio
Christian D. Helfrich, PhD, MPH
Core Investigator, VA Puget Sound Health Services
Research and Development
Research Associate Professor, Health Services
School of Public Health
University of Washington
Seattle, Washington
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viiCONTRIBUTORS
Derek Newbe
y
Adjunct Professo
Organizational Dynamics and Anthropology
University of Pennsylvania
Ann Nguyen, PhD, MPH
Postdoctoral Fellow
Department of Population Health
School of Medicine
New York University
New York, New York
Laurel E. Radwin, PhD, RN
Research Health Scientist (formerly)
Center for Healthcare Organization and
Implementation Research
Boston VA Healthcare System
Boston, Massachusetts
Kevin W. Rockmann, PhD
Professor, School of Management
George Mason University
Fairfax, Virginia
Aditi Sen, PhD
Assistant Professor of Health Policy and
Management
Bloomberg School of Public Health
Johns Hopkins University
Baltimore, Maryland
Lauren Taylor, MPH
Doctoral Candidate
Harvard Business School
Harvard University
Gregory L. Vert
Assistant Professo
College of Security and Intelligence
Em
y Riddle Aeronautical University
Prescott, Arizona
Karen A. Wager, DBA
Professor and Associate Dean for
Student Affairs
Department of Healthcare Leadership
and Management
College of Health Professions
Medical University of South Carolina
Charleston, South Carolina
Stephen L. Walston, PhD
Professor
Director, MHA Program
David Eccles School of Business
University of Utah
Salt Lake City, Utah
Timothy Hoff, PhD
Professor of Management, Healthcare Systems,
and Health Policy
D’Amore-McKim School of Business
School of Public Policy and U
an Affairs
Northeastern University
Boston, Massachusetts
Peter D. Jacobson, JD, MPH
Professor Emeritus of Health Law and Policy
Director, Center for Law, Ethics, and Health
University of Michigan School of Public Health
Ann A
or, Michigan
John R. Kimberly, PhD
Henry Bower Professor of Entrepreneurial Studies
Professor of Management
Professor of Health Care Management
The Wharton School, University of Pennsylvania
Philadelphia, Pennsylvania
Sumit R. Kumar, MD, MPA
Resident Physician, Yale New Haven Hospital
Department of Internal Medicine
Yale School of Medicine
New Haven, Connecticut
Kristin Madison, JD, PhD
Professor of Law and Health Sciences
Northeastern University
Boston, Massachusetts
Ann Scheck McAlearney, ScD, MS
Executive Director, Professor of Family Medicine
CATALYST, The Center for the Advancement of Team
Science, Analytics, and Systems Thinking
College of Medicine, Ohio State University
Columbus, Ohio
Eilish McAuliffe, PhD, MSc, MBA
Professor of Health Systems
School of Nursing, Midwifery, and Health Systems
College of Health and Agricultural Sciences
University College Dublin
Dublin, Ireland
Mario Moussa, PhD, MBA
Adjunct Instructo
Division of Programs in Business
School of Professional Studies
New York University
New York, New York
Ingrid M. Nembhard, PhD, MS
Fishman Family President’s Distinguished Associate
Professor of Health Care Management
The Wharton School, University of Pennsylvania
Philadelphia, Pennsylvania
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viii CONTRIBUTORS
Edward J. Zajac, PhD
James F. Beré Professor of Organization Behavio
J. L. Kellogg Graduate School of Management
Northwestern University
Evanston, Illinois
Bryan Jeffrey Weiner, PhD
Professor, Departments of Global Health
and Health Services
University of Washington
Seattle, Washington
Gary J. Young, JD, PhD
Director, Northeastern University Center for
Health Policy and Healthcare Research
Professor of Strategic Management
and Healthcare Systems
Northeastern University
Boston, Massachusetts
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For twenty-five years and six editions, we have attempted to provide an integrative perspective to the organization and management of health services,
presenting the major management theories, concepts,
and practices of the day. We have also provided practical
illustrations and guidelines to assist managers and pro-
spective managers in the provision of health services in a
variety of settings.
As we go to press, we have entered the era of health
care reform, presenting new and perhaps not so new chal-
lenges and opportunities. Under the leadership of Rob
Burns, Elizabeth Bradley, and Bryan Weiner, the invited
chapter authors have provided a thoughtful and in-depth
analysis of the theories, concepts, and approaches that
managers and prospective managers need to address the
critical issues in the provision of health services as well
as meet the challenges and opportunities resulting from
health care reform.
The passage of health care reform
ings a great
deal of uncertainty as it attempts to address the long-
standing problems of access, quality, cost contain-
ment, and significant disparities under unprecedented
economic conditions. Much has changed as reflected
in the mandates regarding access to coverage, coverage
itself, the role