Management strategies of healthcare institutions e learning course lecture 7_ka
1. Course Developed by: Dr. Khaled Abdelhalim, Assistant Professor
Public Policy and Administration Department, The American University in Cairo
Management Strategies
for Healthcare Institutions
Lecture Seven:
GUIDELINES FOR IMPROVING MANAGEMENT
OF HEALTHCARE INSTITUTIONS
2. Understand the framework conditions needed to support
improvement of management of healthcare institutions
Know how to clarify mandates of healthcare institutions
Be familiar with the capacity development measures
needed to prepare for implementing strategic planning of
healthcare institutions
Comprehend the strategic change management process
and how to introduce and sustain strategic management
of healthcare institutions
Lecture Seven: Objectives
3. Management Strategies for Healthcare Institutions
Lecture Seven: Guidelines for Managing
Healthcare Institutions
Lesson One:
GUIDELINES FOR IMPROVING MANAGEMENT
OF HEALTHCARE INSTITUTIONS
4. Enabling Framework
Mandates & Principles
Strategic Planning
Strategic Change
Management
Guidelines for Improving Management of
Healthcare Institutions
Ensuring that the framework conditions are
favorable for improving management of
healthcare institutions
Setting mandates & principles + agreeing on
them with managers & staff of the institution
Conducting the strategic planning process: vision,
mission, SWOT analysis, issues identification,
strategic options & action plan
Implementing the strategic plan through strategic
change management approach (Incentive scheme,
well-designed M&E system, etc.)
Capacity Development Developing capacities of management & staff on
the new management modes of operation
5. Enabling Framework
Enabling public policy environment
Supportive legislative framework
Resource allocation
Support of controlling institutions (Ministry of Health,
for example)
6. Mandates and Principles
Which mandates? (according to establishment decree,
contract, law, etc.):
Which functions or services to be provided?
Which principles that form the reference for the
management of the institution?
Good governance,
customer orientation,
quality assurance,
etc.
7. Strategic Planning
Mandating the strategic planning process
Good preparation & involving all internal stakeholders
Conducting the strategic planning process: vision,
mission, SWOT analysis, issues identification, strategic
options & action plan
Endorsing the strategic plan
8. Capacity Development
Need for Capacity Development (CD): new roles,
responsibilities & modes of management
Planning for CD: capacity & training needs assessment
CD measures:
- Training
- On the job training
- Field visits and experience exchange
- Awareness-raising seminars
- Retreats and workshops
9. Strategic Change Management
Radical changes in the way the institution is being
managed that require Strategic Change Management:
- Keep presenting the strategic plan, vision, principles,
etc. that form the desirable change
- Set indicators of success & “improved performance”
- Create attractive incentive scheme
- Design M&E system based on indicators of the
strategic plan and the improved performance
- Document and disseminate achievements of
improving performance
Editor's Notes
The objectives of this lecture are:
Understand the framework conditions needed to support improvement of management of healthcare institutions
Know how to clarify mandates of healthcare institutions
Be familiar with the capacity development measures needed to prepare for implementing strategic planning of healthcare institutions
Comprehend the strategic change management process and how to introduce and sustain strategic management of healthcare institutions
Having learned about the strategic planning & management of healthcare institutions, this lecture introduces guidelines for how to use what we have learnt to improve the management of healthcare institutions, which include:
Providing an Enabling Framework: Ensuring that the framework conditions are favorable for working on improving the management of healthcare institutions
Clarifying Mandates & Principles: Setting the mandates of healthcare institutions (that is expected roles & functions), as well as the principles that the management improvement process will adhere to. These mandates and principles should be introduced to and agreed upon by the managers & staff of the healthcare institution
Conducting Strategic Planning: Conducting the strategic planning process: setting the vision, mission, SWOT analysis, issues identification, strategic options & action plan
Apply Capacity Development: Developing capacities of management & staff on the new management modes of operation
Introduce Strategic Change Management: Implementing the strategic plan through strategic change management approach (Incentive scheme, well-designed M&E system, etc.)
The introduction of the process of improving the management of healthcare institutions requires first to ensure that the context is ripe; i.e. that there is an enabling framework, including:
Enabling public policy environment: that the government is keen on reforming healthcare institutions with a view to improve their performance
Supportive legislative framework: that laws and regulations governing the healthcare sector and the issues addressed by their reform (such as public employees) are favorable for improving the management of healthcare institutions
Resource allocation: that government and/or other societal stakeholders committed resources for the improvement of the management of healthcare institutions. The ability to provide a basic physical requirement (building, equipment, supplies, etc.) is essential to allow considering management improvement.
Support of controlling institutions: that the Ministry of Health or other organizations in control of the healthcare institution is supportive to the reform and improvement of its management.
When approaching institutional reform processes, it is useful to ask the very basic questions about the healthcare institution’s existence:
What is the mandate of the healthcare institution, given to it by its establishment decree, contract, law, etc.
What are the expected functions that it should perform and the services it should provide
What are the principles that form the reference for the management of the institution
These mandates and principles should be known to and agreed upon by all stakeholders inside and outside the healthcare institution
The principles could include: good governance, customer orientation & quality assurance.
As elaborated in previous lectures, conducting strategic planning is one of the key measures for improving the management of healthcare institutions. This can be done as follows:
Mandating the strategic planning process: getting approval from higher organizations and ensuring the support of the top management of the institution
Good preparation: involving all internal stakeholders and external one if relevant. Also, human and material resource mobilization is important.
Conducting the strategic planning process: vision, mission, SWOT analysis, issues identification, strategic options & action plan
Endorsing the strategic plan: by higher authorities, top management, but also by the staff of healthcare institution.
As the strategic planning and the reform efforts for public institutions usually introduce radical changes to the roles and responsibilities of staff at different levels and new modes of management, it is important to follow up with capacity development measures to ensure that the management and staff are equipped to implement the reform agenda implied in the strategic plan.
Planning for capacity development should be on the basis of a capacity and training needs assessment
These capacity development measures can include:
Training on new topics and functions
On the job training on new tasks
Field visits and experience exchange with other model institutions
Awareness-raising seminars through leading scholars and/or practitioners
Retreats and workshops grounding new concepts and practices.
Tangible improvement in the management of healthcare institutions through conducting strategic planning will eventually result in radical changes in the way the institution is being managed, for example, from a centralized management to a more participatory and enabling management.
The introduction of these changes needs to be managed strategically in order not to disrupt the operation of the institution, and also to ensure the grounding of the new concepts and practices, which usually takes time.
The following measures should help in this process of strategic change management:
Keep presenting the strategic plan, vision, principles, etc. that form the desirable change, over and over again
Set clear indicators for the success of the institution and the “improved performance”
Create an attractive incentive scheme for good achievers and best practitioners
Design (in a participatory way) a monitoring and evaluation system based on indicators of the strategic plan and the improved performance
Document and disseminate achievements of improving performance