Characteristics of a Leader
Honest
Forward-looking
Inspiring
Competent
Leadership Skills
Influencing others
Providing Direction
Getting Voluntary acceptance
Differences in Types of Power
Position
- Coercive
- Reward
- Legitimate
- Connection
Personal
- Expert
- Information
- Referent
Skills for Providing Direction
-Strategic thinking
-Planning
-Managing change
-Decision Making
Skills for getting Voluntary Acceptance
- Enabling
- Providing feedback
- Problem solving
- Conflict resolution
- Negotiation
- Mentoring
- Team Building
- Managing stress
Two ways the term culture change is used
- as it applies to long-term care consumers (nursing home residents)
- as it relates to changing organizational (corporate) culture in long-term care
What is Culture Change?
the common name given to the national movement for the transformation of older adult services, based on person-directed values and practices where the voices of elders and those working with them are considered and respected
Residential Benefits of Culture Change
-reduces loneliness, helplessness, and boredom
-improves physical and mental health
-reduces unanticipated weight loss
-reduces mortality
Staffing Benefits of Culture Change
-reduces employee turnover
-eliminates temporary agency staffing and mandatory overtime
- reduces workers compensation claims/costs
Additional Benefits of Culture Change
-significantly improves employee, resident, and family satisfaction
-increases involvement with the outside community including children, students, clubs, and religious organizations
Types of Culture Change Programs
The Eden Alternative
The Wellspring Model
The Green House Project
The Pioneer Network
Components of Culture Change
- Decision Making
- Leadership
- Staff Roles
- The Physical environment
- Organizational design
Organizational Culture
the collection of self-sustaining patterns of behaving, feeling, thinking, and believing; the patterns that determine how things are done
Characteristics of successful organizational change
1. Respect for all individuals, including employees, residents, and visitors
2. Responsiveness to question
3. Freedom from blame
4. Honesty
5. Respect for Scientific Evidence
Role of the Leader in Cultural Change
-to motivate team members
-to be a visible role model
- to explain what is acceptable and desired
Two Categories of Technology in LTC
1. Applied Technology
2. Health Information Technology (HIT)
Applied Technology
-artificial functioning
-remote monitoring/telehealth
-emergency notification
-telemedicine
Health Information Technology
Applications
- clinical
- administrative
- strategic support
- networking
- system wide
Privacy concerns and HIPPA
- encourages use of information technology in transactions
- protects the privacy of consumers' health information
- creates standards governing electronic transfer of information
Cyber Security
-IT systems are vulnerable
-more systemwide applications increase vulnerability
-information losses could be catastrophic
-need to be proactive
Benefits of Technology for the LTC system
for the long-term care system
for providers
for consumers
Benefits for consumers/providers
????
Barrier to using IT
-lack of commitment
-lack of understanding
-financial investment
-need to upgrade old tech
-changing operational systems
-obtaining HIT expertise
Marketing
processes for creating, communicating, delivering, and exchanging offerings that have value for customers, clients, partners, and society at large
Public Relations
a strategic communication process that builds mutually beneficial relationships between organizations and their publics
Community Relations
positive interaction with the community served; participation in community activities, providing needed services, and being a good neighbor
Market Planning
-follow same path, and data as strategic
-helps to realize the goals of the organization
Strategic Thinking
-develops strategies for the organization
Parts of the Planning Process
-self-assessment
-external assessment
-strategy development
-implementation
-evaluation of results
Growth Strategies
-identification of alternative strategies
-selection of strategy
-selection of target markets
-marketing mix
Parts of the Marketing Mix
product
price
place
promotion
Types of Promotion
advertising
community relations
public relations
publicity
branding
Who does the Marketing
-marketing department
-staff with combined functions
-contracted marketing advisors
-contracted full-service marketing firms
Challenges for the Future of Healthcare
-desire for cost effectiveness helped create managed care with improved efficiency, but it created quality and service complaints
-integration improved services and efficiency; some providers haven't survived
-new, consumer-friendly services have created
Changing Consumer Demographics
-the aging society
-increase in chronic conditions
-greater cultural and ethnic diversity
-a consumer-driven system
Focus on Quality and Outcomes
-quality of care
-patient safety
-quality of life
Changes in the workforce
-growth in demand
-aging of the workforce
-staff shortage
-blending of professional roles
Changes in organization and delivery
-toward seamless system of care
-consumer-directed care
Innovative delivery methods
-special care units
- informal caregivers
New organizational relationships
-among providers
-between providers and payers
-institutional to non institutional care
-efficiency
Changes in finance and reimbursement
-increase overall healthcare spending
-decrease in employer-sponsored insurance
-public payers continue to struggle
-providers continue to struggle
-innovative financing
-public/private partnerships
ethical dilemmas
-life and death issues
-allocation of resources
Reward power is a form of personal power
False
Regulators may find it difficult to anticipate and deal with future change because of:
statutory rigidity
When compared to public relations, marketing is:
narrower in scope
The four types of power are reward power, coercive power, connection power, and:
legitimate power
Which is not a type of promotion?
evaluation
Three components of leadership
1. influencing
2. providing direction
3. getting voluntary acceptance
4 P's of Marketing Mix
product, price, promotion, place