DACUM Research Chart for Rural Health Administrator - CA-HWI

DACUM Research Chart forRural Health AdministratorDACUM Panel MembersDavid L. YarbroughRural Health Design Consortium/Aspen StreetArchitects, Inc.Mokelumne Hill, CAKathy Sue YarbroughRural Health Design Consortium/Aspen StreetArchitects, Inc.Mokelumne Hill, CAHeather Anne MandellGeorgetown Family Medical CenterGeorgetown, CATerrie L. SpenstCopper Towers Family Medical Center, Inc.Cloverdale, CAPam TupperShasta Consortium of Community HealthCentersRedding, CAHeather Bonser-BishopNorthcoast Clinics NetworkEureka, CACamille CoverdellEastern Plumas HealthcareWestwood, CATeresa A. JacquesModoc Medical CenterAlturas, CADACUM FacilitatorCarolyn BraunAssistant Director RHORCHartnell CollegeSalinas, CALinda ZornDirector of the Butte College - RHORCChico, CAProduced ByGrossmont CollegeLeadership and Economic Development Institute8800 Grossmont College DriveEl Cajon, CA 92020May 23-24, 2002Developed and published under contract #01-005-002 with the California CommunityColleges Chancellor's Office. This work is a product of the Statewide Special ProjectCollaborative in Health Occupations operated by Grossmont-Cuyamaca CommunityCollege District and does not necessarily reflect the policy of the Board of Governorsof the California Community Colleges. Permission is hereby granted to reproducethis work, in whole or part, for classroom or curriculum use.

DACUM Research Chart for Rural Health AdministratorADutiesProvide Governing BoardLeadershipA-1 Ensure Board educationalopportunitiesTasksA-2 Present policies &procedures for Board approvalA-3 Oversee medical staffactivities (hospital)A-4 Coordinatestrategic/operations planningprocessA-5 Coordinate facilitiesmaster planning processA-6 Involve Board inlegislative activitiesA-7 Coordinate with BoardcommitteesA-8 Develop physicianpractice contractualarrangementsA-9 Plan for Boardsuccess(ion)A-10 Encourage Boardinvolvement (community,trade associations)BOversee Management ofService FacilityB-1 Implement programs toachieve board goalsB-2 Oversee ambulanceservicesB-3 Oversee anesthesiaservicesB-4 Oversee behavioral healthservicesB-5 Oversee business services B-6 Oversee cardiacrehabilitation servicesB-7 Oversee central supplyservicesB-8 Oversee dental servicesB-9 Oversee diagnosticimaging servicesB-10 Oversee emergencydepartment operationB-11 Oversee environmentalservicesB-12 Oversee healthinformation servicesB-13 Oversee home healthservicesB-14 Oversee hospice services B-15 Oversee informationtechnology servicesB-16 Oversee laboratoryservicesB-17 Oversee medical services B-18 Oversee medical staff B-19 Oversee nursing services B-20 Oversee nutritionservicesB-21 Oversee obstetricalservicesB-22 Oversee occupationaltherapy servicesB-23 Oversee outreachactivitiesB-24 Oversee plantmaintenanceB-25 Oversee physical therapyservicesB-26 Oversee respiratorytherapy & ECGB-27 Oversee satelliteoperationsB-28 Oversee school-basedservicesB-29 Oversee skilled nursing B-30 Oversee social services B-31 Oversee specialtyservicesB-32 Oversee surgical servicesB-33 Oversee telemedicineservicesB-34 Oversee transportationservicesB-35 Oversee volunteerservicesB-36 Take administrative callB-37 Liaison with state countyhealth services (EMS) & OES

CManage FinancialResourcesC-1 Develop and maintainfinancial policies andproceduresC-2 Manage budget cycle C-3 Manage cash flow C-4 Maximize medicalreimbursementC-5 Monitor medical recordmanagement (e.g., charting,coding)C-6 Develop external fundingresourcesC-7 Administer grantprogramsC-8 Analyze ROI on programsand servicesC-9 Analyze productivityreportsC-10 Benchmark operations C-11 Control inventory C-12 Manage investments

Future Trends and Concerns Bio-terrorism Changing reimbursement Designations and maintenance of specialdesignations (Frontier, MUA, MUP,HPSA, MSSA, Rural) Funding Growing disparity of "haves" and "havenots" HIPPA, Seismic Inadequate preparation of healthcareworkers Increasing health care access in ruralareas Increasing insurance costs (e.g., workers,malpractice, health, liability) Interpreters - maintain cultural diversityissues Knowledge of governing boards Regulation changes Rise in risk management Rise in Rx costs Rise inelderly population Rising costs for medical treatment Rising knowledge of general population(e.g., internet, advertising, decisionmaking of population) Survival of regulations and financialimpacts Technology Unfunded mandates Uninsured/under insured What are our facilites going to look likein the future Workforce shortagesGeneral Knowledge and Skills Ability to work with diverse populations Academic preparation Accounting skills Basic knowledge of diagnostictechnology Change agent/facilitate change Clinical services Coaching Communications skills: (written, oral,presentation, listening) Computer skills Contact development/management Crisis management Critical thinking Delegation skills Healthcare laws Human resource regulations Legislative process knowledge Mandated reporting regulations Manpower designations (e.g., MUA,HPSA, Frontier, MUP, "Rural") Mentoring Motivation skills Multitasking skills Negotiation/mediation Organizational skills Professional staff management Recruitment and retention Regulatory agencies (e.g., CLIA, CMS,HIPPA, OSHA, OSHPD, EMS, JCAHO,DHS, HRSA, Fire Marshall, ADA, CCR) Research Resource management Statistics Stewardship Stress management Succession management Team development Time managementTools, Equipment, Supplies andMaterials 10-key/adding machine Car Cell phone Computer hardware and software Copy machine Fax machine Internet access Overhead projector Reference manuals TypewriterWorker Behaviors Ability to laugh Analytical Anticipate change Compassionate Consistency Creative thinker Curious Empathetic Energetic Enthusiastic Ethical conduct Extrovert Facilitator Fair Flexibility Honesty Open minded Optimistic Patience Perseverance Proactive Professional demeanor Resiliency Respectful Risk taker Role model Self assured Self directed Visionary