Lecture to UPCPH MHA Students - HA202 - 15feb21

1. A Systematic Approach to Hospital Operations: A Unique
Framework Applicable to all Departments
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
February 21, 2015
UP College of Public Health
HA 202 [Organization and Management of the Different Hospital
Departments]

2. A Systematic Approach to Hospital Operations: A Unique
Framework Applicable to all Departments
A hospital / medical center is made up of different
departments.
The number can be as many as 50.
If you are the hospital administrator,
what strategy
will you use to facilitate governance of the operations of the
many different departments in your hospital?

3. A Systematic Approach to Hospital Operations: A Unique
Framework Applicable to all Departments
Assuming there are 50 departments.
What strategy will you use to facilitate governance of the
operations of the 50 departments in your hospital?

4. A Systematic Approach to Hospital Operations: A Unique
Framework Applicable to all Departments
Option 1: Master the procedures and work instructions of all or each of
the 50 departments and govern accordingly.
Option 2: Master the principles and processes of all or each of the 50
departments and govern accordingly.
Option 3: Option 1 and Option 2
Option 4: Look for commonality in procedures and work instructions
across the 50 departments, master this commonality, and govern
accordingly.
Option 5: Look for commonality in principles and processes across the
50 departments, master this commonality, and govern accordingly.
Option 6: Option 4 and Option 5.

5. A Systematic Approach to Hospital Operations: A Unique
Framework Applicable to all Departments
Assuming there are 50 departments.
What strategy will you use to facilitate governance of the
operations of the 50 departments in your hospital?

6. A Systematic Approach to Hospital Operations: A Unique
Framework Applicable to all Departments
Option 1: Master the procedures and work instructions of all or each of
the 50 departments and govern accordingly.
Option 2: Master the principles and processes of all or each of the 50
departments and govern accordingly.
Option 3: Option 1 and Option 2
Option 4: Look for commonality in procedures and work instructions
across the 50 departments, master this commonality, and govern
accordingly.
Option 5: Look for commonality in principles and processes across the
50 departments, master this commonality, and govern accordingly.
Option 6: Option 4 and Option 5.

7. A Systematic Approach to Hospital Operations: A Unique
Framework Applicable to all Departments
Option 1: Master the procedures and work instructions of all or each of
the 50 departments and govern accordingly.
Option 2: Master the principles and processes of all or each of the 50
departments and govern accordingly.
Option 3: Option 1 and Option 2
Option 4: Look for commonality in procedures and work instructions
across the 50 departments, master this commonality, and govern
accordingly.
Option 5: Look for commonality in principles and processes across the
50 departments, master this commonality, and govern accordingly.
Option 6: Option 4 and Option 5.

8. A Systematic Approach to Hospital Operations: A Unique
Framework Applicable to all Departments
Assuming there are 50 departments.
What strategy will you use to facilitate governance of the
operations of the 50 departments in your hospital?
Option 5: Look for commonality in principles and processes
across the 50 departments, master this commonality, and
govern accordingly.
A Systematic Approach to Hospital Operations: A Unique
Framework Applicable to all Departments

9. A Systematic Approach to Hospital Operations: A Unique
Framework Applicable to all Departments
Dr. Emer Faraon’s Instructions:
•Provide the class with a systematic approach in managing
department operations.
•Give and explain the unique diagram you created to achieve the goals
of learning, planning, and administration.

10. A Systematic Approach to Hospital Operations: A Unique
Framework Applicable to all Departments
Dr. Emer Faraon
•Provide the class with a systematic approach in managing
department operations.
•Give and explain the unique diagram you created to achieve the goals
of learning, planning, and administration.
ROJoson –
Systematic approach 1 – All-department approach
Systematic approach 2 – Systems approach or perspective
Systematic approach 3 – Framework with inputs, throughputs, and
outputs
Use a department to illustrate.

11. The Systems Approach to Hospital Operations
Systems Approach or Perspective
A framework in organization and management of all the
different departments and services of a hospital
Systems approach or perspective

12. The Systems Approach to Hospital Operations
Systems approach or perspective as a framework
- taking into account the whole hospital system as well as the
components of the system for purposes of
synthesis (i.e., looking at and managing the hospital as a
whole),
alignment (i.e., promoting consistency of all plans,
processes, evaluations, actions of the component
systems to support the whole hospital’s goals) and
integration (i.e, making all components function as an
interconnected unit).

13. Systems Approach Frameworks
• ISO Quality Management System
• Baldrige Criteria for Performance Excellence or
Philippine Quality Award Criteria
• Balanced Scorecard
• ROJoson’s Department Design and Development
Framework

18. Philippine Quality Award
Criteria for Performance Excellence
Framework

20.
ROJoson’s
Department Design and Development Framework /
Administrative Design and Development Program
Officially developed in 2010
Facilitate Learning, Planning, and Administration!
The Systems Approach to Hospital Operations

21. Whole
Hospital
Concepts
and Design
Whole
Hospital
Governance
Policies
Procedures
Whole
Hospital
Operations
Policies
Procedures
Interfacing
Units
Operations
Policies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-
efficient
/ value-
based
Determinants of
Functions / services
requirements
Functions
(authorized)
Services
(authorized)
Leadership
IT-enabled System
DOH
Licensing
& Structural
Requirements
Policies &
Procedures /
Clinical
Practice
Guidelines/
Clinical
Pathways
Risk
Management
Program
Physical
Structure
(Location,
space)
Human
Resource
Program
Equipment
/ Material
Program
Data /
Documents
Records
Program
Business
Development
Program
Budget
Program

24. Whole
Hospital
Concept
and Design
Whole
Hospital
Governance
Policies
Procedures
Whole
Hospital
Operations
Policies
Procedures
Interfacing
Units
Operations
Policies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-
efficient
/ value-
based
Determinants of
Functions / services
requirements
Functions
(authorized)
Services
(authorized)
Leadership
IT-enabled System
DOH
Licensing
& Structural
Requirements
Policies &
Procedures /
Clinical
Practice
Guidelines/
Clinical
Pathways
Risk
Management
Program
Physical
Structure
(Location,
space)
Human
Resource
Program
Equipment
/ Material
Program
Data /
Documents
Records
Program
Business
Development
Program
Budget
Program
22 elements
Essential
Interdependent
Interfacing
22 elements –
must be
Aligned
Integrated

25. Whole
Hospital
Concept
and Design
Whole
Hospital
Governance
Policies
Procedures
Whole
Hospital
Operations
Policies
Procedures
Interfacing
Units
Operations
Policies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-
efficient
/ value-
based
Determinants of
Functions / services
requirements
Functions
(authorized)
Services
(authorized)
Leadership
IT-enabled System
DOH
Licensing
& Structural
Requirements
Policies &
Procedures /
Clinical
Practice
Guidelines/
Clinical
Pathways
Risk
Management
Program
Physical
Structure
(Location,
space)
Human
Resource
Program
Equipment
/ Material
Program
Data /
Documents
Records
Program
Business
Development
Program
Budget
Program

26. Chief of Hospital
Department of Surgery
OR-RR
ER Complex
Facilitate
Managership
and
Leadership!
Facilitate
Organization
and
Management!
Dept Functions Structure
Equipment
Staffing Policies
and
Procedures
Program Resource Problems
and
Solutions
Surgery
OR - RR
ER
ICU-
Special
Care
Unit
OPD
Integration
Coordination
Collaboration

27. Head
Department of Surgery
OR-RR
ER Complex
Facilitate
Managership
and
Leadership!
Facilitate
Organization
and
Management!
Dept Functions Structure
Equipment
Staffing Policies
and
Procedures
Program Resource Problems
and
Solutions
Surgery
OR - RR
ER
ICU-
Special
Care
Unit
OPD
Integration
Coordination
Collaboration

28. Systems Approach Frameworks
• ISO Quality Management System
• Baldrige Criteria for Performance Excellence or
Philippine Quality Award Criteria
• Balanced Scorecard
• ROJoson’s Department Design and Development
Framework

29. A Systematic Approach to Hospital Operations: A Unique
Framework Applicable to all Departments
Dr. Emer Faraon
•Provide the class with a systematic approach in managing
department operations.
•Give and explain the unique diagram you created to achieve the goals
of learning, planning, and administration.
ROJoson –
Systematic approach 1 – All-department approach
Systematic approach 2 – Systems approach or perspective
Systematic approach 3 – Framework with inputs, throughputs, and
outputs
Use a department to illustrate.

30. The Systems Approach to Hospital Operations - Using the
Department of Surgery as an Illustration
Learning Objectives:
• General understanding of the philosophy, objectives, structure,
staffing, policies, systems, and methods of selected hospital services
and departments
• Working knowledge of the responsibilities of hospital managers in
directing and coordinating the various units
• Glimpse of common problems in these hospital units

32. A Systematic Approach to Hospital Operations: A Unique
Framework Applicable to all Departments
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
February 21, 2015
UP College of Public Health
HA 202 [Organization and Management of the Different Hospital
Departments]