Contents The Evolving Healthcare Delivery System -- Rules and Regulations in the Healthcare System -- Publicly Operated vs. Privately Operated Healthcare Facilities -- Organizational Structure of a Healthcare Facility -- Challenges Facing Hospitals -- Challenges Facing Long-Term Care Facilities -- Challenges Facing Residential Care Facilities -- Challenges Facing Ambulatory Care Centers -- Challenges Facing Home Healthcare Agencies -- Challenges Facing Managed Care Organizations -- Challenges Facing Preferred Provider Organizations -- Work Rules and Unions -- Nursing Leadership and Management -- Nurse Management: A Look Back -- Nurse Manager Roles and Management Styles -- Nursing Leadership -- Standards of Practice of Professional Performance -- Emotional Intelligence -- Nursing Care Delivery Models and Staffing -- What Is a Nursing Care Delivery Model? -- Staffing -- Union and Union Contracts -- Delegation and Supervision -- Crunch Time-The Pressure to Do More with Fewer Staff -- What Is Delegation? -- What Is Supervision? -- Effective Communication and Conflict Resolution -- The Art of Communication -- Conflict Resolution -- Policy -- What Is a Policy -- Creating a Policy -- Work Rules and Policy -- When a Policy Is Not a Policy -- Enforcing Policy -- Policy and Power -- Legal Issues -- Legal Environment -- Legally Prepared -- Nurse Practice Acts -- Exposure to Legal Claims -- Living Wills and Durable Power of Attorney -- Health Insurance Portability and Accountability Act -- Medical Orders -- Personnel Law -- Healthcare Economics -- Basic Economics -- The Development of the Unique U.S. Healthcare Economy -- The Business of Healthcare -- Nurse Managers and Healthcare Economics -- Budget Planning and Financial Management -- Financial Structure of a Healthcare Facility -- The Nurse Manager's Fiscal Responsibilities -- Unions, Management, and Employee Relations -- The Changing Labor Environment -- Provoking Unionization -- Unionizing -- Pros and Cons of a Union -- Collective Bargaining -- Negotiating -- The Collective Bargaining Agreement -- On Strike -- Contract Signing -- The Workplace Changes -- Discipline, Suspension, and Terminations -- Time Management -- How Do You Use Your Time? -- It's a Matter of Time -- Schedules -- Time Wasters -- Productive Meetings -- Nursing Informatics and Measurement -- What Is Informatics? -- What Is Measurement? -- Electronic Informatics and Measurement -- Nursing Informatics -- Electronic Medical Record -- Technology 101 -- Nursing Informatics Applications in Home Healthcare -- The Informatics Team -- Risk Management -- What Is Risk Management? -- Managing Risk -- The Incident Report -- Common Risk Exposures -- The Risk Management Department -- The Nurse Manager and Managing Risk -- Managing Scarce Resources -- What Is a Scarce Resource? -- Causes of Scarce Resources -- Managing Scarce Resources Using Technology -- Managing Scarce Resources Through Better Organization -- Strategies for Managing Scarce Nonhuman Resources.