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109 Cards in this Set
- Front
- Back
Health Programs |
Programs related to health determinants |
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Health Projects vs Health Programs |
PROJECTS: smaller, more focused, more time limited -PROGRAMS: ideally would last forever |
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Direct Work |
Actual work the program is doing |
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Support Work |
Behind the scenes people (e.g. PR, financial, maintenance, clerical) |
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Management Work |
Activities through which the mission and objectives of a program are established and pursued through various processes utilizing human & other resources |
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What are the four key ethical principles? |
1. Respect for person (autonomy, truth telling, confidentiality, fidelity) 2. Justice (fairness) 3. Beneficence (acting with clarity & kindness) 4. Nonmaleficence (first do no harm) |
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What are the three core program management activities? |
Leading, Designing, Developing/Strategizing |
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Developing/Strategizing |
For new programs, this is conceptualizing the program. In existing programs, this is improving, revising, & expanding the program. -This focuses the attention on desired results. Helps to offset uncertainty faced by health programs. |
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Designing |
Changing the patterns of relationships among program resources -Distributing authority and responsibility appropriately -Including features which minimize and resolve conflict among program participants |
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Leading |
Work that managers do when influencing other participants to contribute to performance -Instilling shared understanding of mission & objectives -Must take into account heterogeneous needs & preferences of patients/customers and also those of program participants |
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Marketing |
Human and social needs identified and met |
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Evaluating |
Collecting and analyzing information about a program or some aspect of a program as a basis for making decisions about the programs |
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Roles |
Typical or customary sets of behaviors that accompany particular positions |
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Three roles played by managers |
Interpersonal, informational, decisional |
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Interpersonal roles |
Play interpersonal roles as figureheads, influencers/leaders, and liaisons |
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Interpersonal: Figurehead |
-Figurehead role played as managers participate in ceremonial/symbolic activities |
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Interpersonal: Influencer/Leader |
-Play the leader when they inspire others/motivate them to better performance, or exemplify it |
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Interpersonal: Liason |
Makes formal & informal contact with people in the program and with stakeholders |
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Informational Roles |
Monitors, disseminators & spokespeople |
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Informational Roles: Monitors |
Gather info from networks of contacts, then evaluate it, then choose how to act |
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Informational Roles: Disseminator |
Managers have many choices about whom inside & outside they route information to |
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Informational Roles: Spokesperson |
Related to the figurehead role. Managers communicate info about a program to internal & external stakeholders |
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Decisional Roles |
Includes: Entrepreneur, distrubance handler, resources allocator & negotiator |
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Desicional Roles: Entrepreneur |
Managers are initiators and designers of changes intended to improve performance in a program |
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Decisional Roles: Disturbance Handler |
Managers decide how to handle disturbances that arise as they carry out daily work routines |
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Decisional Roles: Allocator |
Manager must allocate human & other resources across alternative uses |
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Decisional Roles: Negotiator |
Managers interact and bargain with participants, suppliers, regulators, patients/customers, and others who have relationship with the program |
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Competency |
Cluster of related skills, knowledge, and ability that: 1) affect a major part of one's job, 2)correlate with performance on the job, 3) can be measured against well accepted standards, and 4) can be improved by training & development |
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Katz model of skills define the competencies useful to program managers as (five) |
1) Conceptual, 2) Technical, 3) Interpersonal & collaborative, 4) policy, & 5) commercial |
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Program Theory |
A model of how it is intended to work. Should be plausible & sensible |
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Stakeholders |
Individuals/organizations/groups with a stake or significant interest in the program |
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Internal Stakeholders |
The participants |
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External Stakeholders |
Existing & potential patients/customers; public & private funders; accrediting agencies, competitors, gov't bodies, insurance plans, media, suppliers, etc. |
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As program managers seek to establish & maintain highly positive relationships with stakeholders, they must do two things: |
1. Achieve widespread understanding & acceptance of the desired results est for the program 2. Garner support for and resource contributions toward achievement of these desired results from external stakeholders & secure internal stakeholders direct involvement |
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Situational Analysis |
Available information about the program's current situation is collected and analyzed |
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3 Components of Situational Analysis |
External, Internal, Inventory of desired results est. for a program |
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SWOT Analysis |
Internal & External analyses --Strengths, Weaknesses, Opportunities, Threats |
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External Situational Analysis |
Includes cultural, societal, social, competitive, demographic, economical, financial, ethical, legal, policy & scientific context -Opportunities & threats -Scanning, monitoring, forecasting, assessing, using, & disseminating |
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Internal Situational Analysis |
Strengths & weaknesses of a program -Done via financial analysis; HR analysis; marketing analysis, operational analysis |
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Inventory of Desired Results |
What the program hopes to achieve. Exist as written statements for the program's mission & objectives. Objectives are the specific, quantifiable desired results est for a program. They should be flexible. Mission statements are inherently qualitative |
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Buisness plan |
Projects 3-5 years ahead & outlines the company's intended route to growing revenues |
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Using results from analysis |
Develop operational plans to achieve revisions planned for program's current state. Evaluate current performance. |
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Operational plans |
Detailed means of how the "ends" can be accomplished |
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Controlling |
Regulation of actions and decisions in accord with stated desired results. Want to monitor that standards are being met |
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Budgets |
Reflect projected activities in numerical terms over specified periods of time. Allows managers to track progress & take corrective action. Typically monetary, but can be expresses in other units (personnel, staff hours). |
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Organization designs |
The intentional patters of relationships among human and other resources within a program. Managers est. & revise these patters through designing activities |
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What is the building block of all organization designs? |
The individual position |
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Staffing |
The process of filling individual positions |
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What are the key features of organization designs? |
Division of work & specialization of workers; authority & responsibility relationships; clustering/departmentalization; span of control |
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Authority |
Structural power |
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Responsibility |
the accountability that you get things done |
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What do vertical organizational layers show? |
Evidence of delegation of authority & responsibility |
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What 3 forms of interpersonal power are restricted to managers? |
Legitimate, reward & coercive |
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Clustering/departmentalization |
Broken down for efficiency |
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Span of control |
How far the manager has control. Amount of overshight that needs to be provided in order to manage it. |
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Legitimate Power |
Based on your position |
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Reward power |
Ability to reward employees based on your position (e.g. raise, promotion, time off) |
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Coercive power |
Ability to threaten/punish employees |
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Expert power |
You have knowledge in your field more than others, but it doesn't necessarily come with position |
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Referent power |
Doesn't come with position |
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Narrow span of control means... |
Tall organizational structure. Closer supervision. Narrower span of control needed when work is closely coordinated |
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Wide span of control... |
Flatter organizational structure. Less supervision. Works for more standardized & less complex jobs, as well as for more professional & technically trained. |
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Interdependence of Workers: Pooled |
Everyone is doing the same thing--or at least similar things |
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Interdependence of Workers:Sequential |
Things need to be done in a particular order |
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Interdependence of Workers: Reciprocal |
They play off of eachother. B needs A and A needs B. |
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Matrix Organization Design |
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Asset |
A resource, owned or controlled by an entiity, that will yield future economic benefits. Eg. cash, buildings |
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Liability |
A claim against the assets, or legal obligations of a person or organization, arising out of past or current transactions or actions. Liabilities require mandatory transfer of assets, or provision of services, at specified dates or in determinable future. Eg. owing money |
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Expense |
Money spent or cost incurred in an organization's efforts to generate revenure, representing the cost of doing business. Expenses can be in actual cash payments (wages, salaries), a computed expired portion (depreciation) of an asset, or an among taken out of earnings (bad debts). Expenses are summarized and charged in the income statement as deductions from the income before assessing income tax. All expenses are costs, not all costs are expenses. |
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Revenue/Income |
The income generated from sale of goods or services, or any other use of capital or assets, associated with the main operations of an organization before any costs or expenses are deducted. Revenue is shown usually as the top item in an income statement from which all charges, costs, and expenses are subtracted to arrive at net income. |
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Double entry bookkeeping system |
Set of rules for recording financial information in a financial accounting system in which every transaction or event changes at least two different nominal ledger accounts. One side of the transaction is debit, and the other is credit. |
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Debit (left side) |
Assets, expenses, and drawings |
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Credit (right side) |
Liability, Revenue & Capital |
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Mission |
Primary driver for nonprofit entity. |
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Financial Statements: Audit Opinion |
This matters! Tells you if audited, compiled, or reviewed. Audited is the best, as its most reliable. Tells you if there's a clean opinion. |
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Financial Statements: Disclosure Notes |
Tells story about any items of exception, the rules of accounting the organization follows, affiliate organizations, corporate structure issues, issues related to reimbursement agreements, debt, etc. MOST IMPORTANT SECTION TO READ. |
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Balance Sheet (Statement of Financial Position): Why is this most important? |
Reports net resources at a given point in time. Assets= Liabilities plus Net Assets. On the left are all the resources of the organization (assets) & on the right side are all the claims against the resources (liabilities). The difference is net assets, a form of ownership claim. |
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Current assets (Balance Sheet) |
timeframe of a year or less |
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Current Assets in order of most to least liquid (Balance Sheet) |
Cash; savings or temporary investments; accounts receivable; inventories; prepaid expense |
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Noncurrent assets (Balance Sheet) |
timeframe of greater than a year |
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Noncurrent assets most to least liquid (Balance Sheet) |
Investments; property plant & equipment |
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Current liabilities (Balance Sheet) |
Obligations due within a year. Accounts payable, accrued expenses, grants payable |
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Noncurrent liabilities (Balance Sheet) |
Deferred revenues; mortgages and other notes payable |
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Net Assets (Balance Sheet) |
Unrestricted; Temporarily restricted, donor has restricted uses; Permanently Restricted, does not expire with passage of time |
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Income Statement, Form 990(Statement of Activity and Changes in Net Assets) |
Reports how much the organization earns and subtracts from that how much the organization has spent for a given period of time. |
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Revenues (Income Statement, Form 990) |
Contracts, government funding; contributions & grants; program income & fees; investment income |
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Expenses (Income Statement, Form 990) |
Program expenses consist of direct and indirect costs incurred to provide services associated with the exempt purpose. |
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Management & General expenses (Income Statement, Form 990) |
Accounting, HR, Executive Mgmt, etc |
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Statement of Functional Expenses (Income Statement, Form 990) |
Provides additional info on how resources in the organization are used. Usually breaks expenses down by specific program & type of cost |
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Statement of Cash Flows (Income Statement, Form 990) |
Shows the amt of cash generated and how it was used |
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Job Analysis |
Process to determine in detail a job's duties & responsibilities. Provides management with setting appropriate levels of responsibility by position, crafting of realistic job descriptions. |
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When should a job analysis be done? |
Very important to do when someone leaves a positions. But regular periodic review may be necessary as well. In the event of poor performance or productivity. |
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Benefits of Job Analysis |
-Determine training needs, developmental opportunities. Salary survey, compare outside positions/related salaries. Candidate selection process. Ongoing performance eval. |
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Methods to conduct job analysis |
Direct observation, task inventories, work logs, time tracking, interviews with employees, comparing to job description, surveying employee |
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Components to be analyzed in job analysis |
Actual tasks & responsibilities as they are performed, physical environment of job, necessary tools, related job positions, knowledge and skill requirements |
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Job Descriptions |
Articulates skills needed by an employee and outcomes expected of the job holder. It is beneficial if it also describes how this position benefits the organization and where it fits in the organization. |
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Components of job descriptions: |
General position description; ESSENTIAL functions of the job; required knowledge, skills & abilities; required as well as preferred education & experience; physical demands and normal work environment; direct supervisor; department costs are charged to; salary (range); FT/PT |
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Traditional Interviews |
Opinions/Theories; No basis for validation/probing on actual issues |
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Behavioral Interviews |
Facts/specific choices made; Can be validated by probing |
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Benefits of Behavioral Interviewing |
Candidate is less likely to manipulate interview. More accurate selection information to assure fit with actual job. Uses facts rather than opinion. |
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Legally Compliant Interviews... |
Ask everyone the same core questions. Avoid questions referring to "protected groups" such as; age, religious affiliation, parenthood status, child care requirements, race/ethnicity, national origin; sexual preference; health status/disabilities |
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Bona Fide Occupational Qualifications (BFOQ) |
Rule that allows for the hiring of individuals based on race, sex, age, and national origin if the characteristics are bona fide occupational qualifications. Eg. Sexual Assault Interviewers for the police dept |
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Flow of the Logic Model |
Inputs/Resources; Processes; Outputs; Outcomes; Impact |
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Logic Model: Inputs/Resources |
Human, Financial, Technological, Organizational |
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Logic Model: Processes |
Activities; events; procedures; techniques |
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Logic Model: Outputs |
The direct results of the processes undertaken by a program or project. Actual participation and follow through. |
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Logic Model: Outcomes |
Changes in attitudes, behaviors, knowledge, health status, level of functioning resulting from the processes undertaken by a program or project |
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Logic Model: Impact |
This is degree to which the mission is accomplished. Ultimate changes resulting from a program or project |
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Stages of a Team |
Forming, Storming, Norming, Performing, and Dissolution |