Syllabus

Schedule

Course learning modules are divided into weeks. Each week starts on Wednesday at 12:00 am Eastern Time (ET) and closes on Wednesday at 11:59 pm ET, with the exception of Week 8, which ends on Sunday. All assignments must be submitted by 11:59 pm ET on the due date.

Course Schedule at a Glance

Learning Modules	Topic	Assignments and Due Dates
Week 1 5/2 – 5/9	Introduction to Leadership	Introductory Discussion Discussion – Initial post by Sunday 5/6, responses by Wednesday 5/9 Leadership Framework and Ethical Scenario – Wednesday 5/9
Week 2 5/9 – 5/16	Types of Leadership	Discussion – Initial post by Sunday 5/13, responses by Wednesday 5/16 Leadership Assessments – Wednesday 5/16
Week 3 5/16 – 5/23	Leadership Skills and Tactics	Discussion – Initial post by Sunday 5/20, responses by Wednesday 5/23 Employee Engagement or Empowerment Case Study – Wednesday 5/23
Week 4 5/23 – 5/30	Strategic Leadership and Leadership Development	Discussion – Initial post by Sunday 5/27, responses by Wednesday 5/23 Leadership Development Plan, Part I (first 4 sections) – Wednesday 5/30
Week 5 5/30 – 6/6	Strategic Planning Fundamentals	Discussion – Initial post by Sunday 6/3, responses by Wednesday 6/6 SWOT analysis Case Study – Wednesday 6/6
Week 6 6/6 – 6/13	Strategic Planning and HIT	Discussion – Initial post by Sunday 6/10, responses by Wednesday 6/13 Case study Performance management – the Coastal Medical Center exercises and questions – Wednesday 6/13
Week 7 6/13 – 6/20	Strategic Management for Health Systems, ACOs, and Post Acute Care	Discussion – Initial post by Sunday 6/17, responses by Wednesday 6/20 Leadership Development Plan – submit Part II and resubmit part I – Wednesday 6/20
Week 8 6/20 – 6/24	Strategic Management and Value	Discussion – Initial post by Friday 6/22, responses by Sunday 6/24 Reflection – Sunday 6/24

Detailed Course Schedule

Week 1 — Introduction to Leadership

Learning Outcomes:

• Identify general and task-related traits that contribute to leadership effectiveness
• Describe how emotional intelligence contributes to leadership effectiveness
• Articulate what leaders can do to foster an ethical and socially responsible organization
• Apply a framework for understanding leadership

Course Materials:

• DuBrin textbook chapters 1, 2, and 6
• NHS Leadership Academy (2013), The Healthcare Leadership Model (Version 1.0). Leeds: NHS Leadership Academy. Retrieved from http://www.leadershipacademy.nhs.uk/wp-content/uploads/dlm_uploads/2014/10/NHSLeadership-LeadershipModel-colour.pdf
• NHS Leadership Academy website (https://www.leadershipacademy.nhs.uk/resources/healthcare-leadership-model/)
• National Center for Healthcare Leadership. (2017). NCHL Health Leadership Competency Model™ . Retrieved from http://nchl.org/static.asp?path=2852,3238
• Becker’s Hospital Review (n.d.). The profile of an effective healthcare leader. Retrieved from https://www.beckershospitalreview.com/hospital-management-administration/the-profile-of-an-effective-healthcare-leader.html

Audio/Video:

• Besmithhealthcare1. (2014, February 10). The importance of strategic healthcare leadership [Video file]. Retrieved from https://youtu.be/c2mq9ZUEizQ

Assignments:

Introductory Discussion: Please use this forum to introduce yourselves to your instructor and classmates. Briefly share if you are in a leadership role now or identify the leadership role to which you aspire.

Discussion Question: Choose one or two well-known leaders as a topic for this discussion. Discuss this leader’s traits, motives, and characteristics, based on information from this week’s readings. Identify the leader’s strongest and weakest personal attributes. Is there something that you particularly admire about the leader?

Leadership Framework and Ethical Scenario: Healthcare organizations are under increasing financial pressures because of healthcare reform and the shift to value-based care. These organizations must seek to balance maximizing profit with serving patients and, in particular, providing charity care; a common healthcare CFO statement is: “no margin, no mission.” In addition, physicians, nurses and clinical staff are limited resources. Due to all these factors, healthcare organizations face many ethical decisions involving their business operations.

Scenario: MidWest Health is a health system of four hospitals and over 30 clinics in the region it serves. There is strong competition in its markets, and many of its competitors are actively moving into new health models such as accountable care organizations (ACOs) and patient-centered medical homes (PCMH). Because profits are under pressure, MidWest Health must now evaluate how to best use its resources. For example, should MidWest Health invest its scarce resources in areas that make high profits, but may serve a smaller number of patients? Or, alternatively should they provide basic care to a larger number of patients? There is no one set answer to these types of questions, but they do have to be addressed. An important consideration for healthcare organizations is to support good care through ethically sound policy, decision making, and processes.

Use one of the leadership frameworks from this week’s readings (e.g. NHS or NCHL) to assess the scenario and how you might handle it as a leader. Your response should include the following:

• Select a leadership framework
• Apply framework to scenario
• Provide specific examples on how leadership competencies might be used, including emotional intelligence
• Address any ethical concerns

Submit your response in a 3-4 page, double-spaced WORD document. Use APA format. See Leadership Framework Rubric and assignment instructions for submission guidelines.

Week 2 — Types of Leadership

Learning Outcomes:

• Describe transformational and charismatic leadership in terms of traits, behaviors, and communication style
• Provide an overview of the contingency theory of leadership effectiveness
• Present the case for the entrepreneurial style of leadership
• Apply task- and relationship-oriented attitudes and behaviors considering situational influences

Course Materials:

• DuBrin textbook chapters 3–5
• West, M., Armit, K., Loewenthal, L., Eckert, R., West, T., & Lee, A. (2015). Leadership and leadership development in health care: The evidence base. London, UK: Faculty of Medical Leadership and Management
• Hu, Y., Parker Henrickson, S., Lipsitz, S. R. Arriaga, A.F., Peyre, S. E., Corso, K. A., . . . Greenberg, C. C. (2016). Surgeons’ leadership styles and team behavior in the operating room. Journal of the American College of Surgeons, 222(1), 41-51. https://doi.org/10.1016/j.jamcollsurg.2015.09.013
• B.E. Smith Team. (2013, July 29). Situational leadership: Long-term success in the rapidly changing healthcare environment [Blog post]. Retrieved from https://www.besmith.com/trends-and-insights/articles/situational-leadership-long-term-success-in-the-rapidly-changing-healthcare-environment/

Videos:

• Athenahealth. (2016, June 9). Healthcare leadership advice: AthenaInsight: Athenahealth [Video file]. Retrieved from https://youtu.be/xGtwtUqJZTs
• IHI: Institute for Healthcare Improvement. (2017, August 15). Four steps leaders can take to increase joy in work [Video file]. Retrieved from https://youtu.be/EkOKxXU31B0

Assignments:

Discussion Question: Identify a personality trait you think would help a manager to function as a contingency leader. Why do you consider that trait an asset? In addition, identify a trait you think might detract from a manager’s ability to function as a contingency leader. Why do you consider that trait a disadvantage?

Leadership Assessments: This week’s assignment is based on activities from the DuBrin (2016) textbook. First, complete the following leadership assessments in your text:

• p. 80 – Behaviors reflecting charisma
• p. 116 – Task-oriented attitudes and behaviors
• p. 128-129 – What style of leader are you or would you be?
• p. 132 – Entrepreneurial thinking and behavior

Then, write a 2-3 page, double-spaced WORD document; in your document respond to the items below. Use APA format.

• Summarize your results. Were there any surprises? What areas did you identify for skill development?
• Now consider that you are in a leadership role on a health informatics project, what skills from the assessments do you think would be most important and why?
• Conclude with any actions you may take given your analysis and results.

See Leadership Assessment Rubric and assignment instructions for submission guidelines.

Week 3 — Leadership Skills and Tactics

Learning Outcomes:

• Describe the relationship between power and influence and how a leader might influence group members
• Describe leader actions that foster teamwork, motivate and empower others, and engage employees
• Explain how a leader can establish an environment that fosters creativity
• Identify several leadership practices that contribute to organizational innovation

Course Materials:

• DuBrin textbook chapters 7 – 11
• HIMSS website: Review executive summary – 27th Annual HIMSS Leadership Survey (http://www.himss.org/resourcelibrary/27th-annual-himss-leadership-survey)
• Gable, S. (2012). Power, leadership and transformation: the doctor’s potential for influence. Medical Education, 46(12),1152-1160. doi:10.1111/medu.12036.
• Eiser, B.J. A., Eiser, A. R., & Parmer, M. A. (2006). Power of persuasion: Influence tactics for health care leaders. Leadership in Action, 26(1), 3-7. doi:10.1002/lia.1147
• Laureani, A. & Antony, J. (2015). Leadership characteristics for Lean Six Sigma. Total Quality Management & Business Excellence, 28(3-4), 405-426. doi:10.1080/14783363.2015.1090291

Video:

• Cleveland Clinic. (2012, December 13). Healthcare management & leadership [Video file]. Retrieved from https://youtu.be/b0P7tLk46Bc

Assignments:

Discussion Question: Do you agree that creativity is a legitimate part of a leader’s role? If so, what percentage of working time do you think a leader should invest in creative thinking? If you do not agree, why not? Explain your response.

Employee Engagement or Empowerment Case Study: Many healthcare organizations have formed or are considering forming accountable care organizations and/or clinically integrated networks. To date, only one-quarter of ACOs have produced shared savings and there is industry uncertainty over the transition to value-based care. However, organizations that embrace the new models have the opportunity to gain competitive advantage, innovate, and learn through the process – with potential for longer term clinical and financial gains. Assume you are a leader of a large Independent Physician Association (IPA) that wants to transition to a clinically integrated network. Consider what changes need to be made to move forward with this initiative. Address the following areas:

• Discuss what changes might need to be made to move forward with the clinically integrated network.
• How will employee and physician engagement and empowerment play a role in this effort?
• How might influencing or creativity skills be used?
• What leadership practices might contribute to innovation?

Link your ideas to the class readings. Submit your response in a 2-3 page, double-spaced WORD document. Use APA format. See Engagement Case Study Rubric and assignment instructions for submission guidelines.

Week 4 — Strategic Leadership and Leadership Development

Learning Outcomes:

• Describe how leaders contribute to the management of knowledge and the learning organization
• Pinpoint leadership initiatives to enhance the acceptance of cultural diversity
• Explain how leaders develop through self-awareness, education, and mentoring

Course Materials:

• DuBrin textbook chapters 13 – 15
• Schwartz, R. W., & Tumblin, T. F. (2002). The power of servant leadership to transform health care organizations for the 21st-century economy. Archives of Surgery, 137(12), 1419-1427. doi:10.1001/archsurg.137.12.1419

Video:

• FutureofNursing. (2015, March 27).Transforming health care through nurse leadership: Campaign for action [Video file]. Retrieved from https://youtu.be/K4kI9_ntt-U

Assignments:

Discussion Question: Describe a recent example of revolutionary thinking by a healthcare organization. In what way was their thinking revolutionary? How were their ideas received by their employees, their public, and their competitors?

Leadership Development Plan, Part I: The Leadership Development Plan is designed to guide your leadership development activities over the next 12-24 months. The plan is meant to be a self-guided activity that allows for reflection and development. It is made up of 8 sections.

This week you will turn in the first half of your plan in a 3 to 4 page WORD document which is APA formatted. Part I (sections 1-4) includes the following elements:

• 1. Complete a Self-Assessment
• 2. Create a Life Mission Statement
• 3. Master Core Skills
• 4. Identify Leader Role Models

See Blackboard for complete assignment prompt and refer to the rubric for Part I, Leadership Plan for submission guidelines. You will turn in the second half of the plan in week 7, along with a resubmitted first half.

Week 5 — Strategic Planning Fundamentals

Learning Outcomes:

• Demonstrate the ability to assess healthcare strategic planning problems and, using the various knowledge disciplines, develop comprehensive and practical solutions
• Exercise strong individual managerial problem-solving skills through the use of SWOT analysis
• Formulate strategy and implement change through the use of gap analysis

Course Materials:

• Harrison textbook chapters 3 and 4
• Sharpe, R. E., Mehta, T.S., Eisenberg, R. L., Kruskal, J. B. (2015). Strategic Planning and Radiology Practice Management in the New Health Care Environment. Radiographic, 35(1). https://doi.org/10.1148/rg.351140064

Video:

• Bplans. (2013, July 23). What is a SWOT analysis? [Video file]. Retrieved from https://youtu.be/4aFB9xrkdiU

Assignments:

Discussion Question: Provide examples of how gap analysis can be used to improve the quality of healthcare services.

SWOT Analysis Case Study: Read the case study on page 110 of the Harrison (2016) textbook. Write a response in which you do the following:

• Complete a SWOT analysis for Coastal Medical Center
• Answer question 4 outlined in the case
• Reference information from the chapter and class materials that relate to the issues discussed
• Support your analysis with outside research as well

Submit your response in a 2-3 page, double-spaced WORD document. Use APA format. See Textbook Case Study Rubric for submission guidelines.

Week 6 — Strategic Planning and HIT

Learning Outcomes:

• Articulate the role of health information system development and integration
• Demonstrate the use of healthcare information in management and organizational decision making
• Demonstrate the ability to make financial decisions and develop a strategy for change

Course Materials:

• Harrison textbook chapters 6 and 7
• The Office of the National Coordinator for Health Information Technology (ONC). (n.d.). Federal Health IT Strategic Plan 2015-2020. Retrieved from https://www.healthit.gov/sites/default/files/9-5-federalhealthitstratplanfinal_0.pdf
• Cadwell, D. F., Chatman, J., O’Reilly, C. A., Ormiston, M., & Lapiz, M. (2008). Implementing strategic change in a health care system: The importance of leadership and change readiness. Health Care Management Review, 33(2), 124-133. Retrieved from http://faculty.haas.berkeley.edu/chatman/papers/05_StrategicChangeHealthcare.pdf
• Foshay, N. & Kuziemsky, C. (2014). Towards an implementation framework for business intelligence in healthcare. International Journal of Information Management, 34(1), 20-27. https://doi.org/10.1016/j.ijinfomgt.2013.09.003
• Brooks, P., El-Gayar, O., & Sarnikar, S. (2015). A framework for developing a domain specific business intelligence maturity model: Application to healthcare. International Journal of Information Management, 35(3), 337-345. https://doi.org/10.1016/j.ijinfomgt.2015.01.011

Video:

• Kotter International. (2015, January 16). Change management versus change leadership: What’s the difference? [Video file]. Retrieved from https://youtu.be/yseq-v9DFqg

Assignments:

Discussion Question: What role does information play in strategic planning in healthcare? How can HIT help healthcare providers adapt to the rapidly changing healthcare environment? Provide examples of several HIT systems experiencing significant growth.

Case Study Performance management – the Coastal Medical Center exercises and questions: Read the information on performance management on page 145 of the Harrison (2016) textbook. Write a response in which you do the following:

• Answer questions 1, 2, and 3 outlined in the case
• Reference information from the chapter and class materials that relate to the issues discussed
• Support your analysis with outside research as well

Submit your response in a 2-3 page, double-spaced WORD document. Use APA format. Refer to the Textbook Case Study Rubric for submission guidelines.

Week 7 — Strategic Management for Health Systems, ACOs, and Post Acute Care

Learning Outcomes:

• Master the concept of physician-hospital alignment and health system integration including consumer, provider, and regulatory developments
• Describe the challenges faced by healthcare executives as they develop a strategy to meet post-acute care needs as well as increase efficiencies across the continuum of care
• Relate the concept of healthcare consolidation to the development, assessment, and redesign of healthcare systems

Course Materials:

• Harrison textbook chapters 9 and 10

Video:

• AHA Health Forum. (2015, March 12). Building a physician alignment strategy around patient care [Video file]. Retrieved from https://youtu.be/Umvudjx9_Nw

Assignments:

Discussion Question: How does involving physicians in the strategic planning process help a hospital reach its goals? Why is clinical integration important in the current healthcare environment?

Leadership Development Plan, Part II: This week you will do the second half of your plan (sections 5-8) and then submit your final leadership development plan. Final plan should include sections 1-8 and address any feedback you received on the Part I submission. Part II (sections 5-8) includes the following elements:

• 5. Find a Mentor
• 6. Seek Challenging and Varied Experiences
• 7. Schedule Training
• 8. Seek Feedback

See Blackboard for complete assignment prompt and refer to the rubric for Part II, Leadership plan for submission guidelines.

Week 8 — Strategic Management and Value

Learning Outcomes:

• Demonstrate the ability to link quality, efficiency, and financial decision making in an organization’s strategic plan
• Articulate the concept of value and discuss performance measures that are important in healthcare organizations
• Discuss the fundamentals of population health, include the role of the patient-centered medical home and telemedicine, as well as the HIT needed to support these initiatives

Course Materials:

• Harrison textbook chapters 12 and 13

Videos:

• St. David’s Healthcare. (2015, April 8). Baldrige Strategic Plan [Video file]. Retrieved from https://youtu.be/EmOkoDOD9to
• Pytte, M. (2012, September 21). Healthcare technology outlook 2020 – Technology uptake [Video file]. Retrieved from https://youtu.be/totMfYaq8O8
• TEDx Talks. (2012, March 22). Implants & technology – The future of healthcare? Kevin Warwick at TEDxWarwick [Video file]. Retrieved from https://youtu.be/Z8HeFNJjuj0
• Martini-Klinik am UKE GmbH. (2016, April 26). Measured outcomes: A future view of value-based healthcare [Video file]. Retrieved from https://youtu.be/hMoRd4xg1zc

Assignments:

Discussion Question: Where would population health management fit in the strategic plan of a hospital, a clinic, or an integrated system? How would you go about assessing community or population needs? What HIT requirements might need to be considered?

Reflection: Provide a response of about 350-500 words that reflect on what we have covered in this class and your experience. Address the following key areas:

• What are the top three things you learned in this class and why? Address both leadership and strategic management.
• How can you apply these learnings? How is what you learned in this class relevant to your current and/or future work?

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