Managing the Family Practice

8/8/2019 Managing the Family Practice

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MANAGING THE FAMILYMEDICINE PRACTICE

dr. Merry Tiyas A.


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THE FIVE STAR DOCTOR

CARE PROVIDER

DECISION MAKER

COMMUNICATOR

COMMUNITY LEADER

MANAGER OF HEALTH CARE


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MANAGING THE FAMILY MEDICINEPRACTICE

Managing People and Resources

Managing Facilities and Utilities

Managing Information

Managing Finance and Managed Care

Managing Quality


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MANAGING PEOLPLE ANDRESOURCES


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BEING A MANAGER

The doctor is often the manager of the

practice Managing is to get work done through the

efforts of others.

Managing producing an output from input

and processes.


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Input 3M : manpower, money and

materials. Process operational work,

developmental work, and

organizational work.

Output technical care and patient

satisfaction


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BASIC FUNCTION OF A MANAGER

Planning process of setting objectives

and formulating the steps. Long term strategic planning

Short term operational planning

Organizing process of getting activities,

people, materials structured to meetorganizational objectives setting of job

description.


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Leading process of influencing staff to meet

predetermined objectives.The skills to be an effective leader communication and

feedback skills, motivation of staff, and use appropriate

leadership style.

Control process of ensuring that things happen

according to plan and taking corrective actions where

necessary.

3 steps setting standards, comparing performance

against standards and correcting deviations.


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SKILL SET OF THE MANAGER

Conceptual skills skills of perceiving how

the part of the organization link together instructure and processes.

Human skills skills involved in working with

people.

Technical skills skills in managing things

rather than people and are often learned

through on the job training programs.


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MANAGING PEOPLE

From entry to exit of staff, there are many aspects in managingpeople :

Recruitment Selection

Induction training

Motivation

People handling

Structure

Leadership Personal effectiveness

Change management

Staff development delegation, appraisal, courses

Separation

promotion


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MANAGING FACILITIES ANDUTILITIES


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SUPPLIES AND STORESMANAGEMENT PRINCIPLES

Deals with ordering; receipt; maintenance;

and issue when required. The supplies can range from drugs and

pharmaceuticals to syringes and needles aswell as general use items like stationery.

Stocks of pharmaceuticals and medicalrequire close monitoring to ensure they donot deteriorate or reach expiry dates.


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MAINTENANCE AND STORAGE

DRUGS. The operations management

principles are: Use principle of first in, first out (FIFO)

Circulate information on maintaining shelf lifethrough proper storage.

Do spot checks and regular inventory

VACCINES. The operations managementprinciples are : Maintain the cold chain.


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MANAGING INFORMATION


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MEDICAL RECORDS

Documentation of clinical details.

Properly kept and used, allow us to see the problemsolving process form which we can deliver better

care.

An effective record keeping system contributes to

the standard of care.

Attention paid to how medical records are organized,

filed and maintained is integral to effective practice.


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System of filling records :

Numeric Alphabetical

Address or company

Color coding


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MANAGING FINANCE ANDMANAGED CARE


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FINANCIAL MANAGEMENT

Keeping proper records of income, expenditure andprofit.

Preparing financial statements at the end ofaccounting period.

Analyzing financial statements and taking thenecessary actions.

Implementing inventory and stock control processes.

Acting on discrepancies. Ensuring that financial records are audited.

Developing financial plans.


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Income :

Consultation

Sale of medicine

Fee for service

House calls

Investment from surplus revenue

Expenses : Staff cost as salary, bonus etc.

Occupancy cost such as rents, repair, telephone, utilities.

Profit : difference between income and expenses.


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MANAGED CARE

Refers to a variety of techniques for

influencing the clinical behavior of healthcare provider and/or patients, often byintegrating the payment and delivery ofhealth care.

Aim : to place administrative control overcost, quality, or access to health careservices in a specific population coveredenrollees.


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Managed Care Systems

The prototype managed care system is the

Health Maintenance Organization (HMO). Capitation system of payment is key feature.

Capitation involves paying physicians a fixed,

prospective amount for each patient

regardless of the cost of caring for thepatient.


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Capitation is one example of managed care

practices that seek to control costs of healthcare.

Some managed care practices seek to

impact the quality of care.


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Managed care is structured around a variety ofincentives to encourage the practice of cost-effective

medicine, and to minimize variation in clinicalpractice pattern.

In its ideal state, money is saved through severalmechanisms: Standardization of fees

Reduced variations of care Cheaper alternatives without undue sacrifice of quality or

convenience

Exclusion of non effective treatment

Reduction of unnecessary tests and treatments


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MANAGING QUALITY


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QUALITY AND QUALITY ASSURANCE

QUALITY care that meets or exceeds

expectations.

Two aspects : technical and patient

satisfaction.

Evaluated by structure, process and outcome

indicators.

Based on the result of these indicators implement

improvement programs to close the quality gaps.


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QUALITY ASSURANCE is an attempt to

protect and enhance quality. Concerned with patient care that is high in

professional quality, and satisfying to the

patient.


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Quality holds the promise of being able to :

Deliver the most appropriate and up to datemedical care.

Reduce the chance of unsuitable treatment andcare, and an appropriate variation in carebetween doctors.

Encourage accountability between providers,consumers and founders of health care.

Save unnecessary costs by reducing waste,duplication and increasing efficiency.


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TUGASTUGAS

MEMBUAT MAKALAHMEMBUAT MAKALAH

KEL. IKEL. I--III : KEDOKTERANIII : KEDOKTERAN

KELUARGAKELUARGA

KEL. IVKEL. IV--VI : ASURANSIVI : ASURANSI

KESEHATANKESEHATAN

KEL. SESUAI TUTORIALKEL. SESUAI TUTORIAL

DIKUMPULKAN MINGGUDIKUMPULKAN MINGGUDEPAN.DEPAN.

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Managing the Family Practice