Principles of
Healthcare
Management
Yodi Mahendradhata
Excellent healthcare organization?
1. Name an excellent healthcare organization
2. Why do you think that organization is
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
Excellent healthcare organizations are
Management?
Getti g ork
done through
people
American Management Association
Getti g the right
thi gs do e
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
Leadership roles
(Shortell & Kaluzny 2000)
Innovator
Broker
Producer
Director
Coordinator
Monitor
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
Management competencies*
Informational
Actional
Interpersonal
Personal
Components of healthcare organizations*
Caregiving teams
Clinical support teams
Operational support teams
Strategic support teams
Caregiving teams*
Caregiving teams Clinical support teams Operational support teams Strategic support teams•
Primary care
•
Secondary care
•
Tertiary care
Clinical support teams*
Caregiving teams Clinical support teams Operational support teams Strategic support teams•
Clinical laboratory
•
Pharmacy
•
Imaging
•
Social service
Operational support teams*
Caregiving teams Clinical support teams Operational support teams Strategic support teams•
Personnel
•
Information
•
Facilities
•
Accounting
•
Supply management
Strategic support teams*
Caregiving teams Clinical support teams Operational support teams Strategic support teams•
Governance
•
Strategic positioning
•
Finance
•
Stakeholder relation
•
Internal consulting
•
Marketing
Healthcare management is unique
Customized
A eed ser i e
Customers are sick
Custo ers li e i
service sites
Inherently personal
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
Personnel challenges
• Commitment • Turnover
• Apathy
Technical performance challenges
• Productivity • Efficiency • Quality
Changing environment
• Technological and social change
• Environmental complexity and uncertainty • Competitive forces
Survival and growth challenges
• Long-run survival
Personnel
Technical
perfomance
Changing
environment
Survival &
growth
Challenges faced by
healthcare organization managers
How to lead effectively?
• Motivating people • Leadership
How to best operate the technical system?
• Managing groups and teams • Work design
How to renew the organization
• Organization design
• Managing strategic alliance
How to chart the future
• Strategy making
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