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2016 Sesi 7 YM Principles of Healthcare Management

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(1)

Principles of

Healthcare

Management

Yodi Mahendradhata

(2)

Excellent healthcare organization?

1. Name an excellent healthcare organization

2. Why do you think that organization is

(3)

Excellence in healthcare organization*

Patient care is safe, effective, patient-centred, timely, efficient

and equitable

The o

u ity s health a d health are eeds are et

Caregivers and other associates are attracted and they are

given support to do their best

Expenditures are controlled so that the total cost is within the

o

u ity s e o o i rea h

(4)

Excellent healthcare organizations are

(5)
(6)

Management?

Getti g ork

done through

people

American Management Association

Getti g the right

thi gs do e

(7)
(8)

Management process

What needs to be done, when and

how

Planning

Who does what, under what

conditions

Organizing

How employee are led, motivated

Actuating

How the plan is being followed up

(9)

Leadership roles

(Shortell & Kaluzny 2000)

Innovator

Broker

Producer

Director

Coordinator

Monitor

(10)

Organization frames and management challenges

(Bolman & Deal 2008)

Frames

Challenges

Machine

Align structure to task, technology, environment

Family

Align organizational and human needs

Jungle

Develop agenda and power base

(11)

Management competencies*

Informational

Actional

Interpersonal

Personal

(12)

Components of healthcare organizations*

Caregiving teams

Clinical support teams

Operational support teams

Strategic support teams

(13)

Caregiving teams*

Caregiving teams Clinical support teams Operational support teams Strategic support teams

Primary care

Secondary care

Tertiary care

(14)

Clinical support teams*

Caregiving teams Clinical support teams Operational support teams Strategic support teams

Clinical laboratory

Pharmacy

Imaging

Social service

(15)

Operational support teams*

Caregiving teams Clinical support teams Operational support teams Strategic support teams

Personnel

Information

Facilities

Accounting

Supply management

(16)

Strategic support teams*

Caregiving teams Clinical support teams Operational support teams Strategic support teams

Governance

Strategic positioning

Finance

Stakeholder relation

Internal consulting

Marketing

(17)

Healthcare management is unique

Customized

A eed ser i e

Customers are sick

Custo ers li e i

service sites

Inherently personal

(18)

Management

Medicine

Position not profession

Profession not position

Apply science, but not a science by

itself

Science

Effectiveness = art + craft + science

Effectiveness = science + craft + art

(19)
(20)

Personnel challenges

• Commitment • Turnover

• Apathy

(21)

Technical performance challenges

• Productivity • Efficiency • Quality

(22)

Changing environment

• Technological and social change

• Environmental complexity and uncertainty • Competitive forces

(23)

Survival and growth challenges

• Long-run survival

(24)

Personnel

Technical

perfomance

Changing

environment

Survival &

growth

Challenges faced by

healthcare organization managers

(25)
(26)

How to lead effectively?

• Motivating people • Leadership

(27)

How to best operate the technical system?

• Managing groups and teams • Work design

(28)

How to renew the organization

• Organization design

• Managing strategic alliance

(29)

How to chart the future

• Strategy making

(30)

From organization challenges to

management competencies

(Shortell & Kaluzny 2000)

Challenges

Competencies

Environment

How to renew the organization

Survival and growth

How to chart the future

Technical performance

How to operate the technical system

(31)

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