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醫務管理學 ( 一 )Healthcare Services

Management 95學年度上學期課程

Schedule of Course(2006.9.18 ~ 2007.1.19)

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Course Goals

授課目標（ Aim）：經由歷史及國內外現況，了解台灣健康照護體系及醫療服務機關之經營未來 , 並進而運用管理知能進行管理實務之探討 .

可獲得之知識、技能或進階學習之基礎（ Learning Outcome）： 1.區別醫療事務與一般商務之異同處2.了解醫療院所在醫療體系中扮演之角色3.了解行政人員及管理者在醫療院所中扮演之角色

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Course Goals

This course, first, provides an overview of the managing in the health care settings. To tell how health services organization are organized, review the changing relationships between patients, physicians, hospitals, insures, employers, communities, and government.

Second, the course examines three board segments of the health care services: OPD, EMS, and Inpatient services using the managing relationships.

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Course Requirements

Course grading will be based on:1.課後作業 / 習題2.考試 : 包括期中考 , 但無期末考 .3.平時成績 : 包括出缺席紀錄 , 個案討論 , 小組發言提問4.期末報告 :分組口頭及書面報告 ( 以醫療院所為主體 , 探討各臨床科別之內外部環境 ) 以達到資訊共享及促進同學研討之能力 .

分組口頭及書面報告 : up to 12 groups

每組 3~4 人以投稿“大專生國科會計畫”內容撰寫書面報告 : 10~15 頁 ( 含附件 )

以最優分數錄取前 5 組，可進一步選擇是否參加計劃甄選

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95 年度「大專學生參與專題研究計畫」http://web.nsc.gov.tw/

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授課進度 , Schedule of Course9/18 課程介紹 / 醫療院所之發展 9/25 The Health Care System ( 健康照護體系 ) 10/2 醫院發展與醫療本質 10/9 Concepts of Organization Design ( 醫療服務組織設計 ) 10/16 How Health Services Organizations Are Organized ( 如何組織醫療服務組織 ) 10/23 How Health Systems Are Organized 1 ( 醫療體系 1) 10/30 How Health Systems Are Organized 2 ( 醫療體系 2) 11/6 醫療院所未來之挑戰 / 醫療機構實地參訪 11/13 Mid Term Exam11/20 醫療院所未來之挑戰 / 醫療機構實地參訪 11/27 、 12/4 門診醫療12/11 、 12/18 急診醫療12/25 、 1/1 住院醫療1/8~1/15 分組報告

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TextBook:

1. 莊逸洲 , 黃崇哲 " 醫院功能與管理 -- 門診急診住院 ", 華杏出版股份有限公司 ,

2005年版2. Managing Health Services Organizations &

Systems,Fourth Edition,Beaufort B. Longest,Jonathon S. Rakich, 2000, Health

Professions Press

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一、 Governance (治理 )1. Board-Conflict Resolution, Education,

Orientation, Policy

2. Board Selection and Recruitment Process

3. For Profit Subsidiaries Relations

4. Foundation Relations

5. Governance Structures

6. Joint Ventures

7. Lobbying-National, Provincial, State and Local

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二、 Ethics (倫理 )

1. Ethics Management and Administration

2. Medical Ethics

3. Management Ethics

4. Ethics

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三、 Human Resources (人力資源 )1. CEO—Employment Contracts

2. Compensation Strategies

3. Downsizing

4. Employment Law

5. Health Professionals Legislation/Regulation

6. Hiring and Performance Management

7. Human resource Administration

8. Labor Relations

9. Labor Strikes

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四、 Healthcare Delivery (醫療供應體系 )1. Ambulatory Care

2. Clinical Pathways and Disease

3. Complementary Medicine

4. Field Hospital Management

5. Group Practice

6. Health Systems

7. Home Healthcare

8. Integration-Horizontal, Vertical

9. Long Term Care

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五、 Finance (財政 )

1. Revenue Cycle Management

2. Auditors – Selection

3. Business Plan Development

4. Capital Asset Management

5. Financial Analysis, Planning and Budgeting

6. Reimbursement – Medicare/Medicaid/3rd Party

7. Subrogation and Coordination of Benefits

8. Underwriting

9. Unrelated Business Income

10. Finance

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六、Management (管理 )

1. Change Management

2. Communication Skills

3. Conflict Resolution

4. Crisis Management

5. Culture Development/Team Building

6. Developing Physician Leaders

7. Disaster Preparedness

8. Facilities Management

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六、Management (管理 )

9. Interpersonal Skills

10.Mentoring/Executive Coaching

11.New Facility Construction

12.Physician Practice Management

13.Principles of Diversity

14.Resource Management

15.Restructuring/Reorganization

16.Supply Chain Management

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七、 Technology (科技 )

1. Computerized Physicians Order Entry

2. Electric Medical Record

3. Freedom of Information/Protection of Privacy

4. HIPAA

5. Information Systems Selection/Implementation

6. Information Skills/Experience

7. Medical Informatics

8. OutsourcingTelemedicine/Telecommunications Systems

9. Technology

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八、 Business (商業行為 )

1. Community Relations

2. Customer Service Centers

3. Divestitures

4. Fundraising

5. Marketing and New Business Development

6. Mergers/Acquisitions/Affiliations

7. Public Relations

8. Strategic Planning

9. Business

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九、 Quality Improvement (品質促進 )

1. Accreditation—JCAHO2. Benchmarking3. Continuous Quality Improvement4. Leapfrog Initiatives5. Organizational Alignment 6. Patient Safety7. Risk Management8. Six Sigma9. Utilization Management10. Utilization Review11. Reengineering12. CQI

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十、 Legal (律法 )

1. Attorneys/Legal Counsel2. Certificates of Need3. Compliance—Medicare/Medicaid4. Credentialing and Licensing5. Government Relations6. Legal Risk Management and Antitrust

Compliance7. Malpractice8. OSHA (Occupational Safety & Health

Administration)9. Stark Rules10. Legal