How to become a better healthcare manager

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A talk I gave for Healthcare MBA students at Symbiosis University, Pune

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How to become a better healthcare manager

  1. 1. How to become a better health care manager Dr Aniruddha Malpani, MD Medical Director HELP www.healthlibrary.com
  2. 2. It’s hard being a student of healthcare management ! <ul><li>Need to understand management principles </li></ul><ul><li>Need to understand healthcare delivery – complex ! </li></ul><ul><li>Deal with teachers and professors </li></ul>
  3. 3. It’s hard being a student of healthcare management ! <ul><li>Pass examinations </li></ul><ul><li>Deal with doctors and hospitals . These can be scary places – how do you manage ? </li></ul><ul><li>Need to get a job ! </li></ul><ul><li>Keep your parents happy </li></ul><ul><li>Compete with your peers </li></ul><ul><li>Have a life ! </li></ul>
  4. 4. It’s hard being a teacher for healthcare managers ! <ul><li>How do we teach students </li></ul><ul><ul><li>Ethics ? </li></ul></ul><ul><ul><li>Legal principles ? </li></ul></ul><ul><ul><li>Advances in medical technology ? </li></ul></ul><ul><ul><li>Managerial principles ? </li></ul></ul><ul><ul><li>CRM, ERP, IT ? </li></ul></ul>
  5. 5. It’s hard being a teacher for healthcare managers ! <ul><ul><li>How do we make sure the curriculum is uptodate ? </li></ul></ul><ul><ul><li>What standards should we follow ? </li></ul></ul><ul><ul><li>How do we give them real-life experience ? </li></ul></ul>
  6. 6. It’s hard being a teacher for healthcare managers ! <ul><ul><li>How do we grade them ? </li></ul></ul><ul><ul><li>How can we ensure placements for </li></ul></ul><ul><ul><li>them ? </li></ul></ul><ul><ul><li>How do we know we are doing a good job ? </li></ul></ul>
  7. 7. Difficult Challenges ! Huge opportunities ! <ul><li>Healthcare managers can change Indian society </li></ul><ul><li>You can make a difference! </li></ul>
  8. 8. <ul><ul><li>Where do we start ? </li></ul></ul><ul><ul><li>How do we teach the next generation of healthcare managers ? </li></ul></ul>
  9. 9. A different viewpoint ! <ul><ul><li>You cannot teach anyone anything ! </li></ul></ul><ul><ul><li>You can only help them to learn </li></ul></ul>
  10. 10. Job of a good teacher <ul><li>Empower students to learn for themselves </li></ul><ul><li>Give real-life opportunities to do so </li></ul><ul><li>Let them make mistakes in a controlled environment </li></ul><ul><li>“ See one, do one, teach one” </li></ul>
  11. 11. <ul><li>Let students learn from each other ! </li></ul><ul><li>The web allows them to do this. </li></ul><ul><li>Online learning communities where they can share knowledge </li></ul><ul><li>Allow students to design their own teaching. Can get useful feedback from fresh grads ! </li></ul>
  12. 12. The web ! <ul><li>Web 2.0 technology allows this to happen with ease </li></ul><ul><li>Wikis and blogs </li></ul><ul><li>Online textbooks </li></ul><ul><li>Online courses </li></ul><ul><li>E-learning ! </li></ul>
  13. 13. Open source <ul><li>Everyone can contribute ! </li></ul><ul><li>Free </li></ul><ul><li>Not to compete – but to co-operate </li></ul><ul><li>Everyone wins ! </li></ul><ul><li>Huge opportunities – we have lots of talents and brains – let’s make use of this. </li></ul><ul><li>Good teachers learn from students </li></ul>
  14. 14. India specific ! <ul><li>We need to learn from Indian success stories </li></ul><ul><li>Aravind Eye Care – SOPs and systems </li></ul><ul><li>We do not need to ape the West or try to borrow their standards – recipe for disaster and failure </li></ul>
  15. 15. My advise for students <ul><li>Learn to be an entrepreneur </li></ul><ul><li>These are real-life skills which will help you for the rest of your life </li></ul><ul><li>Don’t only think of your next job – plan a career and a life ! </li></ul><ul><li>You are your own brand – You, Inc </li></ul>
  16. 16. <ul><li>Think “out of the box” – and apply what you learn to managing your own career ! </li></ul><ul><li>If you do what everyone else does, you’ll be another cog in the wheel ! </li></ul><ul><li>What’s your USP ? Differentiate ! </li></ul><ul><li>For example, start a blog. This is your digital reputation ! </li></ul>
  17. 17. <ul><li>You have certain skills the older generation does not have. Capitalise on this ! </li></ul><ul><li>Don’t expect to be spoonfed – need to learn how to learn for yourself </li></ul><ul><li>You are a lifelong learner ! </li></ul>
  18. 18. What does a healthcare manager do ? <ul><li>Manage what ? </li></ul><ul><ul><li>Money ? </li></ul></ul><ul><ul><li>People ? </li></ul></ul><ul><ul><li>Resources ? </li></ul></ul><ul><ul><li>Equipment ? </li></ul></ul>
  19. 19. What does a healthcare manager do ? <ul><li>Help people to get better healthcare </li></ul><ul><li>Help people to remain well </li></ul>
  20. 20. How to become a better healthcare manager <ul><li>Become a patient ! </li></ul><ul><li>This will help you see things from the patient’s point of view </li></ul>
  21. 21. Today’s Health Care System Physician Health Insurance Self-Care Information Overload Media The Patient
  22. 22. Doctor versus Patient <ul><li>Patients are unhappy with doctors </li></ul><ul><ul><li>Make them wait </li></ul></ul><ul><ul><li>Do not explain </li></ul></ul><ul><li>Doctors are unhappy with patients </li></ul><ul><ul><li>Underpaid </li></ul></ul><ul><ul><li>Stressed and burntout </li></ul></ul>
  23. 23. What is a healthcare manager to do ? <ul><li>You need to keep your doctors happy </li></ul><ul><li>You need to keep your patients happy </li></ul>
  24. 24. Doctor and Patient <ul><li>We are all on the same side – the patients’ </li></ul><ul><li>Medicine is a service profession </li></ul><ul><li>Doctors like helping patients </li></ul><ul><li>Want them to get better </li></ul><ul><li>How can we create a win-win situation ? </li></ul>
  25. 25. We will always have a shortage <ul><li>Shortage of doctors </li></ul><ul><li>Shortage of nurses </li></ul><ul><li>Shortage of money </li></ul><ul><li>Shortage of equipment </li></ul><ul><li>Shortage of resources </li></ul>
  26. 26. This is the challenge <ul><li>Too many patients </li></ul><ul><li>Not enough doctors/nurses/equipment/ </li></ul><ul><li>hospital beds/money ! </li></ul><ul><li>This is seen to be the problem. </li></ul><ul><li>We are a “poor country” </li></ul>
  27. 27. This is the opportunity !
  28. 28. <ul><li>Patients are not the problem – they are the solution ! </li></ul><ul><li>Patients are the largest untapped healthcare resource ! </li></ul>
  29. 29. Today <ul><li>Patients make medical decisions all the time ! </li></ul><ul><li>Can I manage this headache at home ? </li></ul><ul><li>Should I smoke ? Cheat on my diet ? </li></ul><ul><li>Go to the gym ? Join a yoga class ? </li></ul><ul><li>When should I go to a doctor ? Which doctor should I go to ? </li></ul><ul><li>Should I take out an insurance policy ? </li></ul>
  30. 30. <ul><li>Often they make poor decisions </li></ul><ul><li>This hurts everyone ! </li></ul><ul><li>How can we help them make better decisions about their health ? </li></ul>
  31. 31. Information Therapy ! <ul><li>Information Therapy is Powerful Medicine ! </li></ul><ul><li>Help patients to make better health decisions </li></ul><ul><li>Patients are the largest untapped healthcare resource ! </li></ul><ul><li>Empower them with information – so they can take better care of themselves , in partnership with their doctor. </li></ul>
  32. 32. Don’t underestimate a patient’s abilities ! <ul><li>1. Patients are smart . With the right tools, they can make the right decisions ! </li></ul><ul><li>2. Knowledge is Power ! </li></ul><ul><li>3. The doctor is a partner </li></ul><ul><li>You cannot afford to leave everything upto God – or upto the doctor ! </li></ul>
  33. 33. Information Therapy helps patients save money on medical care <ul><li>1. Promote SelfCare . Help you to do as much for yourself as you can, so you are not completely dependent on the doctor </li></ul>
  34. 34. Information Therapy helps patients save money on medical care <ul><li>2. Provide Evidence-Based Guidelines , so you can ask for the right medical treatment that they need - no more and no less </li></ul>
  35. 35. Information Therapy helps patients save money on medical care <ul><li>3. Help you with Veto Power, so you can say No to medical care you don’t need, thus preventing overtesting and unnecessary surgery . </li></ul>
  36. 36. My personal experience <ul><li>I learn a lot from my patients ! </li></ul><ul><li>If you treat patients with respect, they will respect you in return </li></ul><ul><li>Patients get the doctors they deserve – and doctors get the patients they deserve </li></ul><ul><li>Well-informed patients are easier to treat, because they have realistic expectations </li></ul>
  37. 38. Our focus areas now are: <ul><li>Encouraging health insurance companies to invest in patient education </li></ul><ul><li>Makes business sense ! </li></ul>
  38. 39. Our focus areas now are: <ul><li>Encouraging corporate to invest in patient education </li></ul><ul><li>Makes business sense ! </li></ul><ul><li>Reduces medical absenteeism and sick leave </li></ul>
  39. 40. National Network <ul><li>Every hospital should have a Patient Education Resource Center </li></ul><ul><li>Win-win situation </li></ul><ul><li>Great tool to empower patients </li></ul><ul><li>Helps doctors and hospitals too ! </li></ul>
  40. 42. Patient Information Center <ul><li>Core collection of books </li></ul><ul><li>DVDs </li></ul><ul><li>PC with internet connection and printer </li></ul><ul><li>Staff member </li></ul><ul><li>“ Corner” centers – need just about 100 sq ft </li></ul><ul><li>Costs only Rs 2 lakhs per year ! </li></ul>
  41. 43. Online Information Therapy <ul><li>Free </li></ul><ul><li>24/7 </li></ul><ul><li>Easily accessible </li></ul><ul><li>Increased internet penetration </li></ul><ul><li>Answer questions free by email ! </li></ul>
  42. 44. How do we provide the right information to the right patient ? <ul><li>Free floating information ( google) is useless </li></ul><ul><li>Information Therapy needs to be prescribed to them, tailored to their needs, based on their medical problems </li></ul><ul><li>How can we do this ? </li></ul><ul><li>Personal Health Record </li></ul>
  43. 45. PHR – Personal Health Record <ul><li>For the Tax Department, you are your tax return </li></ul><ul><li>For the Bank, you are your bank statement </li></ul><ul><li>For the healthcare system, you are your medical record . </li></ul>
  44. 46. PHR <ul><li>Patients store their medical records on their personal website. </li></ul>
  45. 49. PHR = organised medical information = improved medical care <ul><li>Keeping this record will help them to get better medical care. </li></ul><ul><li>Patients need to manage their own health record. </li></ul><ul><li>Doing so will teach them a lot about their health </li></ul>
  46. 50. How patients can improve the healthcare system <ul><li>Patients can add a lot of value to the healthcare system using Patient to Patient ( P2P) networking. </li></ul><ul><li>Social networking – an online community , in which patients share information </li></ul><ul><li>“ Wisdom of the crowds” </li></ul><ul><li>“ Expert patients “ can act as mentors and email buddies. </li></ul>
  47. 51. How patients can improve the healthcare system <ul><li>Grading system for doctors and hospitals </li></ul><ul><li>Get feedback from patients </li></ul><ul><li>Help doctors and hospitals ( and healthcare managers) to improve their services </li></ul>
  48. 52. Today’s Health Care System Physician Health Insurance Self-Care Information Overload Media The Patient
  49. 53. The Patient as Integrator Care Choice Information & Feedback The Empowered Patient – with the help of Information Therapy

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