MEALTH CARE MANGEMENT

1. Health Management
Dr Mona Aboserea
Zagazig University

2. Learning objectives:
 To define administration, management, and
management cycle
 To identify management functions
 To enumerate the planning functions
 To define situation analysis & how to do
problem priorities
 To apply a health program
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3. Definition of Management
 A continuous dynamic process
of getting things effectively done.
 May be defined as effectively
achieving the identified objectives
through proper planning,
efficient implementation
and achievements’ evaluation to
identify the needs for re-planning. 3

4. 4

5.  Effective
 Efficient
 Objective
 Planning
 Implementation
 Evaluation
 Achievement
 Need
 Re-planning




---------




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6.  WHO stated that
effective leadership
and management
are essential.
Why?????
 To scale up the
quantity & quality of
health services.
 To improve the
population health.
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7. Effectiveness is the degree to
which a stated objective is being
achieved.
Efficiency is the % of success per
money spent.
(a measure of effectiveness per
unit cost).
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8. Aim of health management:
To promote health,
To prevent health problems,
To control problems (mortality
& morbidity),
To rehabilitate the handicaps
In:
-A proper way.
-With least resources, effort
and time
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9. Management vs
Implements these
polices and goals
Middle level
activity with
Executive
functions
Administration
 FRAMES the polices
& goals of the
organization
 It is the top level
with
 Decisive functions
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10. 10

11.  Situation analysis
 Evaluate (check) plan
 Do (perform, implement)
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12. Management is thus a
dynamic process.
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13. Scope of management for Doctors
In:
 Scientific research
 Health project & program
 Medical service
(hospitals, health units, clinics),
To
-Add new thing
Improve already present thing(s). 13

14. 14

15. Management
Planning Implementation
Situational
analysis
Evaluation
Setting vision, mission,
Goals & objectives
Situation analysis -------------
Vision ----------------------------
Mission -------------------------- 15

16. PLANNING IMPLEMENTATION
EVALUATION
Objectives: not fulfilled fulfilled
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17. I-Situation analysis
 Def:- Knowing background knowledge of the
problem of interest to study & understand its:
• Nature
• Distribution
• Importance
• Contributing factors (Fish bone analysis)
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18. Situation analysis
 Method:-
• Collect data from all sources (1ry & 2ry) about all
aspects (political, administrative, economic,
demographic, social, educational, cultural,
traditional, nutritional, sanitation, leadership
pattern& community organization) .
• Do field study & get demands of customers.
•
Do S W O T analysis
Strengths weakness opportunities threats
• Formulate problem statement. 18

19. SWOT/SWOC
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20. 21

21. How to stay here
2-Where I want to
be?
Objectives
1-Where I am now?
Situation analysis
How
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22. Needs assessment
Desired situation
Current situation
Gap/needs
problems
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23. 24
Health care service

24. Sources of information for situation
analysis/needs assessment:
1. Documents or files (governmental and NGOs)
2. Reports or surveys, records, books, census,.
3. Community members & experts.
4. Informal leaders in the community.
5. Senior citizens.
6. Government officers or formal leaders.
7. NGO personnel.
8. Inernet.
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25. Priority setting
Priority: having the right
to proceed other events
because of need or
importance.

26. Priority Setting
1- Frequency (incidence &prevalence)
2- Seriousness (urgency, severity,
cost& Impact on others
3- Effect on economy, productivity &
social aspects.
4- Cheapness & availability of
prevention& control tools.
5- Feasibility of implementation&
monitoring of program& if single or
multiple sectors
6- Time required to get results 27

27. 28
need= necessity;
it is very important
If we don’t have this we will die
want= desire;
If we don’t have,
we won’t die

28. II-Formulation of Vision,
Mission, Goals & Objectives
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29. If you can dream it,
you can make it happen
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30. 31

31. Vision: is the
broad scope for
the importance of
the selected
problem.
(it is the dream)
e.g. promotion of
child health &
welfare.
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32. Mission:
 “reason for presence” or goals to be
achieved.
 e.g. vaccination coverage rate 100%.
-proper nutrition, Socioeconomic
development.
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33. Goals and Objectives
If you do not have clear
objectives one may end no
where

34. GOAL=general objective
=ultimate objectives
A goal is a general statement that
describes the final outcome of a
program/project.
It is a "timeless statement of aspiration”
What would be the goal for
MCH??????
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35. Objectives:
Establish realistic objectives
and targets.
Objectives must be SMARTER
which stands for: Specific
Measurable
Achievable/Attainable/Appropriate
Relevant/
Time bound/time specific
Ethical consideration Rcordable
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36. when you develop your objectives, be sure
to keep in mind
 WHAT is going to be accomplished?
 HOW will it be done?
 WHEN will it be done?
 HOW MUCH will it cost?
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37. Give examples of objectives to decrease
IMR????
To decrease IMR in Egypt from 25per 1000 to
1 per 1000 at the end of the year 2020.
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38. Vision
Mission
Goals
Objectives
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39. III-Planning (Plan preparation)
 Def:-
- Detailed description
of the activities that
must be done to
reach the objectives.
-Thinking before
doing to determine
“what, where, when,
how & who”
Which picture represents the
correct plan preparation?
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40. Planning is needed for all
aspects of our life, and all the
activities we need to do
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41. Value of planning
Planning is needed:
To avoid duplication of work.
For sense of responsibility
To avoid waste of resources.
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42. 43

43. TEAM:
Together
Each of us
Achieves
More 44

44. Planning HORIZONS
 Long range planning extends for a period of
3- 5 years.
 MEDIUM term planning: 1-3 YEARS.
 SHORT TERM plans are usually termed work
plans and describe all the activities that
have to be carried within a year OR LESS.
 A three monthly implementation plan
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45. Population-based planning:
Depends on the level of the planning.
A-Ministry of Health and Population
(MOHP) is concerned with the planning
at the country level. e.g Egypt
B-Health Directorate is concerned
with planning at the governorate
level.e.g. Sharkia governorate
C-Health District is concerned with
planning at the district level e.g.
Zagazig district.
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46. IV- Implementation=
Performance =Execution=
Action
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47. Implementation
 def:- Plan activation or carry the plan into action
 Components:-
- Pilot testing
- Tasks performance (described by a flow charts )
- Supervision (to help & guide..
Not to pick mistakes & punish)
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48. Supervision
 Def:- Making sure that staff perform their duties
effectively with competency to keep the work standards
 Objectives:-
1- maintain quantity & quality of work
2- assess performance of members
3- identify causes of work insufficiency
4- resolve problems among team members
5- help in personal problems
6- on job training
 Methods:- observation check lists- records- report
review 49

49. V-Evaluation
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50. Evaluation
 Def:- assessment of
the effectiveness to
reach the planned
objectives during and
after the program.
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51.  Aspects:- plan, time, effort,
cost-benefit, performance &
sustainability 52

52. Remember: Management Cycle
evaluation implementation
Situation analysis planning
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53. The advice for today
Failure in planning
is a planning for
failure
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54. PROBLEMS
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55. Thank you
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