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There is a need to deal with the very rapid change in health care delivery through better management of scarce resources.
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THE FUTURE OF HEALTH CARE
There is a need to deal with the very rapid change in health care delivery through better management of scarce resources.
The Need For Better Management in Health
Services Delivery
Most of health care facilities worldwide are attempting to deal with this change through better management control.
The Need For Better Management in Health
Services Delivery
This requires greater empowerment of the health
care worker.
The Need For Better Management in Health
Services Delivery
Empowerment can be economic, social, educational,
gender-wise, psychological strength, motivational of target individuals and communities.
The Need For Better Management in Health
Services Delivery
Costs for health care insurance are generally exploding while
outcomes for health care interventions have been
decreasing in many countries.
NEED TO FOCUS ON HEALTH CARE OUTCOMES
This is mainly caused by serious infrastructure problems in health care delivery that has increased costs while allowing the quality of health care to
diminish.
NEED TO FOCUS ON HEALTH CARE OUTCOMES
HEALTH CARE SYSTEM
Input
• People• Technolog
y
Throughput
• Management of the process
Output
• Good Health
Efficient production of goods or services has become a very
important function of management.
#Efficiency #Productivity #Effectiveness
EMPHASIS ON EFFICIENCY OF SERVICES DELIVERY
This emphasis on efficiency has now become a critical concern of those who manage health
care services. (more or less depending on the country)
EMPHASIS ON EFFICIENCY OF SERVICES DELIVERY
The question becomes who determines what is important in health services delivery?
EMPHASIS ON EFFICIENCY OF SERVICES DELIVERY
DECISION MAKING?
The tremendous waste in our current health services delivery systems can only be eliminated
through better management
Building a New Process for health Services Delivery
The most important part of eliminating waste in any organization involves the
empowerment of its workers
Building a New Process for health Services Delivery
DECISION MAKING?
The secret to success in managing health care facilities
involves listening to your employees
Building a New Process for health Services Delivery
DECISION MAKING?
Example: The process audit proposed by Michael Hammer
is started by managers and supported by leaders in the
organization
REENGINEERING HEALTH CARE
>> DISCUSSIONS FORUMS
The audit is going to require an evaluation of the process of
delivering health care from the time the patient enters the
facility until they leave.
REENGINEERING HEALTH CARE
The audit will also require communication among all team
members with the ultimate goal of improved outcomes for
the patient
REENGINEERING HEALTH CARE
DECISION MAKING?
The health care sector needs to look at other sectors that have been successful in improving
productivity.
EMPHASIS ON PRODUCTIVITY
Imitation needs to be viewed as a driver of innovation not as a force that impedes innovation. Productivity gains in health care are not realized by innovation but by the improvements that result from the innovation. - Shenkar 2010 -
EMPHASIS ON PRODUCTIVITY
One of the most important skills required of the new health care manager is to learn what to prioritize on a daily basis. This seems like a very simple task but it can become very complicated and demanding.
THE NEED TO PRIORITIZE
Example: Many health care managers spend too much time going to meetings and too little
time being with the patients (Customers).
PATIENTS ARE THE PRIORITY!
THE NEED TO PRIORITIZE
Do we need a legislation reform? Why?
If a reform is adopted, it is going to cause massive changes in the
health care delivery system in the country. And in order to respond to this health care organizations need to change the way they do business.
HEALTH CARE REFORM LEGISLATION
To prepare better managers for the difficult challenges faced in the
evolving health care sector we need to understand past & current
theories of management.
A management theory: is a collection of observations about how the process of
managing people and things occurs in our world.
MANAGEMENT THEORY
• Scientific management• Bureaucratic management• Human relations Theory• Reengineering Theory
Popular Management Theories
The scientific management theory was developed by
Frederick W Taylor - the father of scientific
management-
Scientific Management Theory
SMT focusses on the study of the process of work in an attempt to improve output from that work. The goal of this process is to study a job to find the best way to perform that job.
Scientific Management Theory
This theory was developed by Max Weber.
The bureaucratic organization has become the dominant model for
organizations throughout the world. This model includes hierarchy of
authority, clear division of labor and formal rules and procedures.
Theory of Bureaucratic Management
There needs to be rules and regulations present in a business along with a very clear hierarchy of
authority in order to defeat the competition.Bureaucracy requires the development of highly
trained managers.Management was necessary to make businesses
efficient.Management was very impersonal and should
focus on the goal of efficiency.
Theory of Bureaucratic Management
This approach to management ushered in a human side to
management and resulted from a series of experiments conducted at a
Western Electric plant in Illinois in 1924.
A work brought about the theory developed by Abraham Maslow involving a hierarchy of human
needs which was published in 1943.
Human Relations Theory
Hammer introduced the concept of the process audit in 1990 focusing
on helping companies plan and execute process-based
transformations of their work process.
(required the total redesign of jobs that allowed decision making to move down to lower level
employees who would be rewarded for the work process and the work outcome.)
Reengineering Theory
Bureaucratic organizations are no longer working very well in the turbulent environment found in health care services delivery.
New problems faced by managers in the 21st century require new theories of management.
EMPOWERMENT OF EMPLOYEES LEADERSHIP STYLES
Need for change & innovation
Most managers, including those who manage health care facilities,
usually have developed special skills that allowed them to be appointed
to a managerial position. E.g. technical skills, human skills and
conceptual skills.These skills are usually associated with work
expertise or good people skills.
Managerial Skills
HCM 114
By Dr. Khaled Ouanes Ph.D.E-mail: [email protected]
Twitter: @khaled_ouanes
TEXTBOOK - Copyright © John Wiley & Sons, Inc.
