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    CONTENTS IN DETAIL

    Preface......................................................................................................xv

    Part I: Stepping into Management ...........................................................1

    1. The Supervisors Job, Roles, Functions, and Authority......................3

    The Healthcare Perspective .........................................................................3

    The Demands of the Supervisory Position...................................................6

    The Managerial Aspects of the Supervisory Position .................................11

    The Meaning of Management ..................................................................12

    Managerial Skills and Technical Skills ........................................................13

    Managerial Functions and Authority .........................................................16

    Expect Surprises .......................................................................................21

    Benefits of Better Management.................................................................22

    2. The Theories and History of Management .....................................25

    Industrial Revolution (1700s1800s) ........................................................25

    Classical School (1800s1950s).................................................................26

    Human Relations Movement (1930Present) ...........................................30

    Human Resources School (1950Present) ................................................31

    Contemporary Management Theories (1940sPresent).............................32

    Part II: Connective Processes ................................................................. 41

    3. Decision Making .............................................................................43

    Programmed and Non-Programmed Decisions .........................................44

    The Importance of Decision-Making Skills ...............................................45

    4. Coordinating Organizational Activities ............................................55

    The Meaning of Coordination ..................................................................56

    Coordination and Cooperation .................................................................57

    Difficulties in Attaining Coordination .......................................................59

    Coordination and Managerial Functions ...................................................60

    Coordination and Decision Making ..........................................................61Coordination and Communication............................................................61

    Dimensions of Coordination .....................................................................62

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    5. Communicating............................................................................... 67

    The Nature of Communication.................................................................69

    Communication Network .........................................................................71

    Formal Channels.......................................................................................71

    Communication Media .............................................................................75

    The Managers Role in Communication....................................................80

    Barriers to Communication.......................................................................81

    Overcoming Barriers to Improve Communication Effectiveness ................85

    The Grapevine: The Informal Communication Network ...........................89

    6. Legal Aspects of the Healthcare Setting...........................................99

    Liability ..................................................................................................100

    Personnel-Related Regulations ................................................................114

    Part III: Planning................................................................................... 123

    7. Managerial Planning ......................................................................125

    The Nature of Planning ..........................................................................126

    Forecasting Future Trends ......................................................................127

    Supervisory Forecasts..............................................................................129

    Benefits of Planning ................................................................................131

    The Strategic Planning Process................................................................132

    The Use of Objectives in Planning ..........................................................142

    Monitoring the Effectiveness of the Strategic Plan ..................................1458. Tactical Considerations in Planning ...............................................157

    The Supervisor as a Change Agent..........................................................157

    Planning Strategies..................................................................................158

    9. Planning Tools...............................................................................173

    Policies ...................................................................................................174

    Procedures ..............................................................................................179

    Methods .................................................................................................181

    Rules.......................................................................................................182Work Simplification.................................................................................183

    Organizational Manuals ..........................................................................184

    Programs and Projects ............................................................................186

    Budgets ..................................................................................................188

    10. Time Management Techniques ......................................................199

    Use of Time............................................................................................200

    Time-Use Chart......................................................................................202

    Managing the Employees Time..............................................................205

    Part IV: Organizing................................................................................ 209

    11. Fundamental Concepts of Organizing............................................211

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    Formal Organization Theory ..................................................................212

    Authority and Span of Control................................................................213

    Authority ................................................................................................214

    Line of Staff............................................................................................222

    Span of Management ..............................................................................229

    12. Division of Work and Departmentalization ....................................241

    Division of Work or Job Specialization ....................................................242

    Departmentalization ...............................................................................244

    Organizing at the Supervisory Level........................................................252

    Departmental Organizational Structure...................................................253

    Organization and Personnel ....................................................................257

    Organizational Design ............................................................................257

    Organizational Charts .............................................................................263

    13. Delegation of Authority.................................................................271

    The Meaning of Delegation ....................................................................271

    The Scalar Chain (Chain of Command) ..................................................273

    Unity of Command.................................................................................274

    The Process of Delegation ......................................................................274

    Availability of Trained Subordinates ........................................................282

    Selecting a Backup ..................................................................................283

    Recognition ............................................................................................284

    Equality of the Three Essential Parts.......................................................285

    CentralizationDecentralization Continuum ...........................................286

    Achieving Delegation of Authority..........................................................287

    Organizational Maturity..........................................................................290

    Delegation and General Supervision........................................................290

    Advantages and Disadvantages of Delegation ..........................................292

    14. Process of Reorganization and Tools to Improve the Process........295

    Reorganization Concepts and Tools ........................................................297

    Reorganization Vocabulary......................................................................299

    The Supervisors Role in Quality Management........................................300

    What Is Quality? .....................................................................................301

    An Example of Six Sigma ........................................................................313

    Six Sigma vs. Lean vs. Kaizen..................................................................316

    Reengineering.........................................................................................317

    Downsizing and Rightsizing ...................................................................319

    Recentralization of Authority ..................................................................320

    15. Committees as an Organizational Tool .........................................323

    The Nature of Committees .....................................................................324

    Functions of Committees........................................................................325

    Benefits of Committees...........................................................................326

    Disadvantages of Committees .................................................................327The Effective Operation of a Committee.................................................329

    The Committee Meeting.........................................................................337

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    16. The Informal Organization............................................................345

    The Genesis of the Informal Group ........................................................345

    Benefits Derived from Groups.................................................................346

    The Informal Organization .....................................................................348

    The Supervisor and the Informal Organization .......................................351

    Part V: Staffing: Human Resources Management ..................................357

    17. The Staffing Process ......................................................................359

    The Staffing Function and the Human Resources Department................360

    Staffing and Legal Implications ...............................................................366

    Functional Authority and the Human Resources Department .................368

    The Supervisors Staffing Function..........................................................368

    The Organizing Side of Staffing..............................................................385

    18. The Selection Process ....................................................................391

    Interviews ...............................................................................................393

    The Employment Interview ....................................................................394

    Evaluating the Applicant .........................................................................406

    Testing the Applicant ..............................................................................408

    Diversity .................................................................................................410

    Making the Decision...............................................................................410

    19. Performance Appraisals and Position Changes ..............................415

    The Performance Appraisal System..........................................................416

    Performance Appraisal Methods..............................................................417

    Performance Appraisal Purposes..............................................................418

    Mentoring, Skill Building, and Succession Planning ................................421

    Timing of Appraisals ...............................................................................422

    Who is the Appraiser?..............................................................................423

    Performance Rating ................................................................................425

    Preparing for the Interview .....................................................................433

    The Appraisal Interview ..........................................................................435

    Proper Wages, Salaries, and Benefits........................................................439

    Promotion ..............................................................................................443

    Part VI: Influencing............................................................................... 451

    20. Giving Directives and Managing Change .......................................453

    Characteristics of Good Directives...........................................................454

    Directing Techniques ..............................................................................458

    Explaining Directives ..............................................................................465

    General Supervision Compared with No Supervision ..............................466

    Team Management .................................................................................467Change and Influencing..........................................................................468

    21. Leadership .....................................................................................481

    Leadership Theories ................................................................................482

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    Leadership Roles.....................................................................................485

    Leadership Style ......................................................................................486

    Energizing Staff ......................................................................................489

    Diversity .................................................................................................489

    Social Responsibility................................................................................492

    22. Motivation..................................................................................... 495

    Theories of Motivation ...........................................................................495

    Model of Motivational Processes.............................................................496

    Perceptions, Values, and Attitudes...........................................................508

    Modifying Motivational Techniques ........................................................516

    Working with the Generations and Diversity ...........................................517

    23. Morale........................................................................................... 531

    The Nature of Morale.............................................................................532The Level of Morale ...............................................................................532

    Factors Influencing Morale .....................................................................541

    The Supervisors Role .............................................................................542

    The Third Shift.......................................................................................541

    The Effects of Morale .............................................................................543

    Assessing Current Morale........................................................................544

    24. Discipline....................................................................................... 563

    Organizational Discipline ........................................................................563

    When Discipline Is Warranted .................................................................566The Supervisors Dilemma ......................................................................574

    The Red-Hot Stove Approach.............................................................575

    Discipline Without Punishment...............................................................578

    Right of Appeal ..................................................................................... 580

    Part VII: Controlling...................................................................................583

    25. Fundamentals of Control and the Controlling Function ................585

    The Nature of Control............................................................................586

    Human Reactions to Control..................................................................586The Supervisor and Control....................................................................587

    Anticipatory Aspect of Control ...............................................................587

    Control Systems......................................................................................590

    The Feedback Model of Control.............................................................593

    The Closeness of Control........................................................................595

    Basic Requirements of a Control System .................................................595

    The Supervisors Role in the Control Function .......................................597

    Benchmarking.........................................................................................610

    26. Budgetary and Other Control Techniques .....................................613

    The Nature of Budgeting and Budgetary Control...................................614

    The Supervisors Concern About Budgeting ...........................................614

    Numerical Terms in Budgeting ...............................................................615

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    Making the Budget .................................................................................615

    Participation in Traditional Budgeting ....................................................616

    Budgeting Approaches ............................................................................617

    Types of Budgets ....................................................................................620

    Preparing the Budget..............................................................................620Other Budget Considerations..................................................................622

    Additional Controls ................................................................................627

    Part VIII: Labor Relations ..............................................................................631

    27. The Labor Union and the Supervisor .................................................633

    The Nuances of Unions ..........................................................................634

    Unionization and Labor Negotiations.....................................................635

    The Supervisor and the Shop Steward.....................................................642

    Employee-Friendly Legislation ................................................................644

    28. Handling Grievances .............................................................................647

    The Shop Stewards Role ........................................................................648

    The Supervisors Role .............................................................................649

    Non-unionized Organizations.................................................................654

    29. Emerging Influences in Healthcare .....................................................657

    The Force of Change ..............................................................................657

    Changing Occupations............................................................................657

    Changing Consumers and Satisfaction.....................................................659Changing Technology and Medicine.......................................................661

    Changing Economics ..............................................................................663

    Changing Policies and Regulations..........................................................664

    Changing Staff Issues..............................................................................666

    Changing Communication Methods .......................................................669

    Changing Our Cost Structure Through Collaboration

    to Achieve Quality..............................................................................669

    A Final Word ..........................................................................................670

    Glossary .........................................................................................................675

    References ......................................................................................................689

    Index..............................................................................................................709

    About the Author...........................................................................................733

    C o n t e n t s i n D e t a i lxiv