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Dr. Marie Habib
Master in Healthcare Quality Management
From High Institute of Public Health – Alex. University – 2009.
Dr. Marie Habib 1
• The word "hospital" comes from the Latin hospes,
signifying a stranger or foreigner, hence a guest.
• Hospes is thus the
root for the English
words host
(hospitality, hospice,
hostel and hotel)
Dr. Marie Habib 2
Dr. Marie Habib 3
Supervise
Others
Work
on Jobs
Dr. Marie Habib 4
• Top Managers
– Responsible for making decisions about the direction of
the organization and establishing policies and
philosophies that effect all organizational members .
– Examples; President, Chief Executive Officer, Vice-
President
• Middle Managers ( btw the lowest and top levels)
– Manage the activities of other managers and non
managerial employees and translating the goals set by top
managers to specific details that lower managers can
understand.
– Examples; District Manager, Division Manager
Dr. Marie Habib 5
• First-line Managers
– Responsible for directing the day to day activities
of non-managerial employees
– Examples; Supervisor, Team Leader
• Non-managerial Employees
– People who work directly on a job or task and
have no responsibility for overseeing the work of
others.
Dr. Marie Habib 6
The individual responsible for achieving
organizational objectives through efficient and
effective utilization of resources
Dr. Marie Habib 7
8
Goals
Low
Waste
High
Attainment
Efficiency Effectiveness
Resource
Usage
Goal
Attainment
Dr. Marie Habib
Dr. Marie Habib 9
Management researchers have developed three
approaches to describe what managers do:
• Functions
• Roles
• Skills
Dr. Marie Habib 10
Dr. Marie Habib 11
Dr. Marie Habib 12
• Planning
– Defining the organizational purpose and ways to
achieve it
– example: defining goals, developing plans,
coordinate the activities, and establishing the
strategy.
• Organizing
– Arranging and structuring work to accomplish
organizational goals
– example: who reports to whom and dividing work
on employees.
Dr. Marie Habib 13
• Leading
– Directing the work activities of others
– example: resolving conflicts, motivating
employees, chosen the most effective channel to
communicate
• Controlling
– Monitoring, comparing, and correcting work
performance
– example: evaluation
Dr. Marie Habib 14
• Interpersonal role
• Informational role
• Decisional role
Dr. Marie Habib 15
Dr. Marie Habib 16
• Figurehead- ethical guidelines and the principles of
behavior employees are to follow in their dealings
with customers and suppliers
• Leader- give direct commands and orders to
subordinates and make decisions
• Liaison-coordinate between different departments
and establish alliances between different
organizations
Dr. Marie Habib 17
• Monitor- evaluate the performance of
managers in different functions
• Disseminator-communicate to employees the
organization’s vision and purpose
• Spokesperson- give a speech to inform the
local community about the organization’s
future intentions
Dr. Marie Habib 18
• Entrepreneur- commit organization resources to
develop innovative goods and services
• Disturbance handler- to take corrective action to deal
with unexpected problems facing the organization
from the external as well as internal environment
• Resource allocator- allocate existing resources
among different functions and departments
• Negotiator- work with suppliers, distributors and
labor unions
Dr. Marie Habib 19
• Technical Skills
– The ability to use a special proficiency or expertise
to perform particular tasks.
• Conceptual Skills
– The ability to think critically and analytically.
• Human Skills
– The ability to work with others.
– A high level of emotional intelligence
Dr. Marie Habib 20
Dr. Marie Habib 21
A persons’ knowledge and ability to make effective
use of any process or technique constitutes his
technical skills.
For example: Engineer, accountant, data entry
operator, lawyer, doctor etc.
Dr. Marie Habib 22
An individuals’ ability to cooperate with other
members of the organization and work effectively in
teams.
For example: Interpersonal relationships, solving
people’s problem and acceptance of other
employees.
Dr. Marie Habib 23
Ability of an individual to analyze complex situations
and to rationally process and interpret available
information.
For example: Idea generation
and analytical process of
information.
Dr. Marie Habib 24
Classical
Behavioral
Management
Science
Systems
Theory
Attempts to develop the best way to manage in all
organizations by focusing on the jobs and structure of the
firm.
Attempts to develop a single best way to manage in all
organizations by focusing on people and making them
productive.
Recommends using math (computers) to aid in problem
solving and decision making.
Manages by focusing on the organization as a whole and
the interrelationship of its departments, rather than on
individual parts.
Sociotechnical
Theory
Recommends focusing on the integration of people and
technology.
Contingency
Theory
Recommends using the theory or the combination of
theories that best meets the given situation.
Dr. Marie Habib 25
• Planning is the function of management that
involves setting objectives and determining a
course of action for achieving those
objectives, with the proper utilization of the
resources.
Dr. Marie Habib 26
Dr. Marie Habib 27
• Strategic,
• Tactical, and
• Operational.
– Operational plans lead to the achievement of
tactical plans, which in turn lead to the attainment
of strategic plans.
• In addition to these three types of plans,
managers should also develop a contingency
plan in case their original plans fail.
Dr. Marie Habib 28
• Strategic plans are all about why things need
to happen. It's big picture, long-term
thinking. It starts at the highest level with
defining a mission and casting a vision.
• Who are we? Where are we?
• Who do want to be? Where do we want to go?
• How do we get there? When do we want to be
there?
Dr. Marie Habib 29
• Tactical plans are about what is going to happen.
Basically at the tactical level, there are many
focused, specific, and short-term plans, where
the actual work is being done, that support the
high-level strategic plans.
• What needs to happen at each level, each day, to
support the strategic plan?
• What needs to happen in each department, each
day, to support the strategic plan?
• What does each team member need to do, each
day, to support the strategic plan?
Dr. Marie Habib 30
• An operational plan draws directly from strategic
plans to describe the missions and goals, program
objectives, and program activities.
• An operational plan addresses four questions:
• Where are we now?
• Where do we want to be?
• How do we get there?
• How do we measure our progress
Dr. Marie Habib 31
Dr. Marie Habib 32
• Strategic planning is an organizational
management activity that is used to set
priorities, focus energy and resources,
strengthen operations, ensure that employees
and other stakeholders are working toward
common goals, establish agreement around
intended intended outcomes/results, and
assess and adjust the organization's direction
in response to a changing environment.
Dr. Marie Habib 33
Dr. Marie Habib 34
1) Analysis or assessment, where an
understanding of the current internal and
external environments is developed,
2) strategy formulation, where high level
strategy is developed and a basic organization
level strategic plan is documented
Dr. Marie Habib 35
3) strategy execution, where the high level plan
is translated into more operational planning
and action items, and
4) evaluation or sustainment, where ongoing
refinement and evaluation of performance,
culture, communications, data reporting, and
other strategic management issues occurs.
Dr. Marie Habib 36
Dr. Marie Habib 37
38
Dr. Marie Habib
Dr. Marie Habib 39
A vision statement is not limited to business
organizations and may also be used by non-
profit or governmental entities
A vision statement is a
declaration of
an organization's
objectives, intended to
guide its internal decision-
making.
Dr. Marie Habib 40
Although most of the time it will remain the
same for a long period of time, it is not
uncommon for organizations to update their
mission statement. Mission statements are
normally short and simple statements.
A mission statement, is
a statement which is used
to communicate the
purpose of an
organization.
Dr. Marie Habib 41
Dr. Marie Habib 42
ACTION PLAN include:
• Action step(s): What will happen
• Person(s) responsible: Who will do what
• Date to be completed: Timing of each action
step
• Resources required: Resources and support
(both what is needed and what's available )
Dr. Marie Habib 43
1 2 3 4 5 6 7 8 9 10
1-
2-
3-
Objective:………………………………….
Dr. Marie Habib 44
• Addressing goal measurement involves articulation of
objectives, indicators, and benchmarks.
• Objectives are the short-term conditions needed to
achieve desired conditions of well-being for children,
families, or communities in the long term.
• Indicators are quantifiable measures of progress; they
provide numeric assessment of the desired conditions
of well-being.
• Benchmarks are target levels of performance
expressed in measurable terms and specified time
frames, against which actual achievement is measured.
Dr. Marie Habib 45
• Tactical planning is intermediate-range (one
to three years) planning that is designed to
develop relatively concrete and specific means
to implement the strategic plan. Middle-level
managers often engage in tactical planning.
Dr. Marie Habib 46
• Operational planning generally assumes the
existence of organization-wide or subunit
goals and objectives and specifies ways to
achieve them. Operational planning is short-
range (less than a year) planning that is
designed to develop specific action steps that
support the strategic and tactical plans.
Dr. Marie Habib 47
• Organizing is the function of management
that involves developing an organizational
structure and allocating human resources to
ensure the accomplishment of objectives.
Dr. Marie Habib 48
• Structure
• Work specialization
• Chain of command
• Delegation
• Centralization, decentralization
• Departmentalization
Dr. Marie Habib 49
• Leading involves the social and informal
sources of influence that you use to
inspire action taken by others.
• The behavioral sciences have made many
contributions to understanding this
function of management.
• Studies of motivation and motivation
theory provide important information
about the ways in which workers can be
energized to put forth productive effort.
Dr. Marie Habib 50
The function of making sure
that plans succeed.
51
Dr. Marie Habib
• Know the success or the failure of the pilot
intervention
• Ensure that Performance Improvement is sustained
52
Dr. Marie Habib
• Setting Control Standards
• Measuring performance against
standards (Monitoring and comparison)
• Corrective action
Controlling is a continuous dynamic process
53
Dr. Marie Habib
Establish Standards and
methods of Measuring
Performance
Measure
actual
Performance
Does Actual
Performance
match the
Standards?
Take Corrective
Action
Basic steps of controlling
54
Dr. Marie Habib
Standards
55
Dr. Marie Habib
Predetermined targets against which actual
performance will be measured and
deviations identified.
56
Dr. Marie Habib
Standards are the key to
effective
quality management
57
Dr. Marie Habib
Excellence
Quality ball on the hill
Quality
Standard
58
Dr. Marie Habib
• Avoid repetition of past mistakes.
• Remove or minimize confusions,
conflicts and frustrations.
• Increase the opportunities for
improving performance.
59
Dr. Marie Habib
• They involve checking compliance to
standards.
• They provide continuity – new staff can
understand the organization by
understanding the standards that are
used.
60
Dr. Marie Habib
“Good standards make good
workers and good
managers”
Griffith
61
Dr. Marie Habib
Clinical Practice Guidelines
62
Dr. Marie Habib
Clinical Practice Guidelines define
steps to carry out different clinical
processes.
63
Dr. Marie Habib
To minimize unnecessary variation in
clinical practice & consequently improve
performance and increase efficiency of
health care.
64
Dr. Marie Habib
• For utilization review
• In making everyday decisions
• For Quality Improvement
• Practitioner's evaluation
• Continuity of care
• Cost containment
• Medical education
65
Dr. Marie Habib
Dr. Marie Habib 66
• Objectives-It is the ultimate goal towards which the
activities of the organization are directed
• Strategies-general program of action and
deployment of resources
• Policies-general statement or understanding which
guide or channel thinking in decision making
• Procedures-states a series of related steps or tasks to
be performed in a sequential way
• Programs-comprehensive plan that includes future
use of different resources
Dr. Marie Habib 67
68
Dr. Marie Habib

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General principals of Hospital Management

  • 1. Dr. Marie Habib Master in Healthcare Quality Management From High Institute of Public Health – Alex. University – 2009. Dr. Marie Habib 1
  • 2. • The word "hospital" comes from the Latin hospes, signifying a stranger or foreigner, hence a guest. • Hospes is thus the root for the English words host (hospitality, hospice, hostel and hotel) Dr. Marie Habib 2
  • 5. • Top Managers – Responsible for making decisions about the direction of the organization and establishing policies and philosophies that effect all organizational members . – Examples; President, Chief Executive Officer, Vice- President • Middle Managers ( btw the lowest and top levels) – Manage the activities of other managers and non managerial employees and translating the goals set by top managers to specific details that lower managers can understand. – Examples; District Manager, Division Manager Dr. Marie Habib 5
  • 6. • First-line Managers – Responsible for directing the day to day activities of non-managerial employees – Examples; Supervisor, Team Leader • Non-managerial Employees – People who work directly on a job or task and have no responsibility for overseeing the work of others. Dr. Marie Habib 6
  • 7. The individual responsible for achieving organizational objectives through efficient and effective utilization of resources Dr. Marie Habib 7
  • 10. Management researchers have developed three approaches to describe what managers do: • Functions • Roles • Skills Dr. Marie Habib 10
  • 13. • Planning – Defining the organizational purpose and ways to achieve it – example: defining goals, developing plans, coordinate the activities, and establishing the strategy. • Organizing – Arranging and structuring work to accomplish organizational goals – example: who reports to whom and dividing work on employees. Dr. Marie Habib 13
  • 14. • Leading – Directing the work activities of others – example: resolving conflicts, motivating employees, chosen the most effective channel to communicate • Controlling – Monitoring, comparing, and correcting work performance – example: evaluation Dr. Marie Habib 14
  • 15. • Interpersonal role • Informational role • Decisional role Dr. Marie Habib 15
  • 17. • Figurehead- ethical guidelines and the principles of behavior employees are to follow in their dealings with customers and suppliers • Leader- give direct commands and orders to subordinates and make decisions • Liaison-coordinate between different departments and establish alliances between different organizations Dr. Marie Habib 17
  • 18. • Monitor- evaluate the performance of managers in different functions • Disseminator-communicate to employees the organization’s vision and purpose • Spokesperson- give a speech to inform the local community about the organization’s future intentions Dr. Marie Habib 18
  • 19. • Entrepreneur- commit organization resources to develop innovative goods and services • Disturbance handler- to take corrective action to deal with unexpected problems facing the organization from the external as well as internal environment • Resource allocator- allocate existing resources among different functions and departments • Negotiator- work with suppliers, distributors and labor unions Dr. Marie Habib 19
  • 20. • Technical Skills – The ability to use a special proficiency or expertise to perform particular tasks. • Conceptual Skills – The ability to think critically and analytically. • Human Skills – The ability to work with others. – A high level of emotional intelligence Dr. Marie Habib 20
  • 22. A persons’ knowledge and ability to make effective use of any process or technique constitutes his technical skills. For example: Engineer, accountant, data entry operator, lawyer, doctor etc. Dr. Marie Habib 22
  • 23. An individuals’ ability to cooperate with other members of the organization and work effectively in teams. For example: Interpersonal relationships, solving people’s problem and acceptance of other employees. Dr. Marie Habib 23
  • 24. Ability of an individual to analyze complex situations and to rationally process and interpret available information. For example: Idea generation and analytical process of information. Dr. Marie Habib 24
  • 25. Classical Behavioral Management Science Systems Theory Attempts to develop the best way to manage in all organizations by focusing on the jobs and structure of the firm. Attempts to develop a single best way to manage in all organizations by focusing on people and making them productive. Recommends using math (computers) to aid in problem solving and decision making. Manages by focusing on the organization as a whole and the interrelationship of its departments, rather than on individual parts. Sociotechnical Theory Recommends focusing on the integration of people and technology. Contingency Theory Recommends using the theory or the combination of theories that best meets the given situation. Dr. Marie Habib 25
  • 26. • Planning is the function of management that involves setting objectives and determining a course of action for achieving those objectives, with the proper utilization of the resources. Dr. Marie Habib 26
  • 28. • Strategic, • Tactical, and • Operational. – Operational plans lead to the achievement of tactical plans, which in turn lead to the attainment of strategic plans. • In addition to these three types of plans, managers should also develop a contingency plan in case their original plans fail. Dr. Marie Habib 28
  • 29. • Strategic plans are all about why things need to happen. It's big picture, long-term thinking. It starts at the highest level with defining a mission and casting a vision. • Who are we? Where are we? • Who do want to be? Where do we want to go? • How do we get there? When do we want to be there? Dr. Marie Habib 29
  • 30. • Tactical plans are about what is going to happen. Basically at the tactical level, there are many focused, specific, and short-term plans, where the actual work is being done, that support the high-level strategic plans. • What needs to happen at each level, each day, to support the strategic plan? • What needs to happen in each department, each day, to support the strategic plan? • What does each team member need to do, each day, to support the strategic plan? Dr. Marie Habib 30
  • 31. • An operational plan draws directly from strategic plans to describe the missions and goals, program objectives, and program activities. • An operational plan addresses four questions: • Where are we now? • Where do we want to be? • How do we get there? • How do we measure our progress Dr. Marie Habib 31
  • 33. • Strategic planning is an organizational management activity that is used to set priorities, focus energy and resources, strengthen operations, ensure that employees and other stakeholders are working toward common goals, establish agreement around intended intended outcomes/results, and assess and adjust the organization's direction in response to a changing environment. Dr. Marie Habib 33
  • 35. 1) Analysis or assessment, where an understanding of the current internal and external environments is developed, 2) strategy formulation, where high level strategy is developed and a basic organization level strategic plan is documented Dr. Marie Habib 35
  • 36. 3) strategy execution, where the high level plan is translated into more operational planning and action items, and 4) evaluation or sustainment, where ongoing refinement and evaluation of performance, culture, communications, data reporting, and other strategic management issues occurs. Dr. Marie Habib 36
  • 40. A vision statement is not limited to business organizations and may also be used by non- profit or governmental entities A vision statement is a declaration of an organization's objectives, intended to guide its internal decision- making. Dr. Marie Habib 40
  • 41. Although most of the time it will remain the same for a long period of time, it is not uncommon for organizations to update their mission statement. Mission statements are normally short and simple statements. A mission statement, is a statement which is used to communicate the purpose of an organization. Dr. Marie Habib 41
  • 43. ACTION PLAN include: • Action step(s): What will happen • Person(s) responsible: Who will do what • Date to be completed: Timing of each action step • Resources required: Resources and support (both what is needed and what's available ) Dr. Marie Habib 43
  • 44. 1 2 3 4 5 6 7 8 9 10 1- 2- 3- Objective:…………………………………. Dr. Marie Habib 44
  • 45. • Addressing goal measurement involves articulation of objectives, indicators, and benchmarks. • Objectives are the short-term conditions needed to achieve desired conditions of well-being for children, families, or communities in the long term. • Indicators are quantifiable measures of progress; they provide numeric assessment of the desired conditions of well-being. • Benchmarks are target levels of performance expressed in measurable terms and specified time frames, against which actual achievement is measured. Dr. Marie Habib 45
  • 46. • Tactical planning is intermediate-range (one to three years) planning that is designed to develop relatively concrete and specific means to implement the strategic plan. Middle-level managers often engage in tactical planning. Dr. Marie Habib 46
  • 47. • Operational planning generally assumes the existence of organization-wide or subunit goals and objectives and specifies ways to achieve them. Operational planning is short- range (less than a year) planning that is designed to develop specific action steps that support the strategic and tactical plans. Dr. Marie Habib 47
  • 48. • Organizing is the function of management that involves developing an organizational structure and allocating human resources to ensure the accomplishment of objectives. Dr. Marie Habib 48
  • 49. • Structure • Work specialization • Chain of command • Delegation • Centralization, decentralization • Departmentalization Dr. Marie Habib 49
  • 50. • Leading involves the social and informal sources of influence that you use to inspire action taken by others. • The behavioral sciences have made many contributions to understanding this function of management. • Studies of motivation and motivation theory provide important information about the ways in which workers can be energized to put forth productive effort. Dr. Marie Habib 50
  • 51. The function of making sure that plans succeed. 51 Dr. Marie Habib
  • 52. • Know the success or the failure of the pilot intervention • Ensure that Performance Improvement is sustained 52 Dr. Marie Habib
  • 53. • Setting Control Standards • Measuring performance against standards (Monitoring and comparison) • Corrective action Controlling is a continuous dynamic process 53 Dr. Marie Habib
  • 54. Establish Standards and methods of Measuring Performance Measure actual Performance Does Actual Performance match the Standards? Take Corrective Action Basic steps of controlling 54 Dr. Marie Habib
  • 56. Predetermined targets against which actual performance will be measured and deviations identified. 56 Dr. Marie Habib
  • 57. Standards are the key to effective quality management 57 Dr. Marie Habib
  • 58. Excellence Quality ball on the hill Quality Standard 58 Dr. Marie Habib
  • 59. • Avoid repetition of past mistakes. • Remove or minimize confusions, conflicts and frustrations. • Increase the opportunities for improving performance. 59 Dr. Marie Habib
  • 60. • They involve checking compliance to standards. • They provide continuity – new staff can understand the organization by understanding the standards that are used. 60 Dr. Marie Habib
  • 61. “Good standards make good workers and good managers” Griffith 61 Dr. Marie Habib
  • 63. Clinical Practice Guidelines define steps to carry out different clinical processes. 63 Dr. Marie Habib
  • 64. To minimize unnecessary variation in clinical practice & consequently improve performance and increase efficiency of health care. 64 Dr. Marie Habib
  • 65. • For utilization review • In making everyday decisions • For Quality Improvement • Practitioner's evaluation • Continuity of care • Cost containment • Medical education 65 Dr. Marie Habib
  • 67. • Objectives-It is the ultimate goal towards which the activities of the organization are directed • Strategies-general program of action and deployment of resources • Policies-general statement or understanding which guide or channel thinking in decision making • Procedures-states a series of related steps or tasks to be performed in a sequential way • Programs-comprehensive plan that includes future use of different resources Dr. Marie Habib 67