The document discusses trends and challenges facing health services organizations. Major trends include changing social norms around access and individualism, an aging population with different disease burdens, and rapid technological developments. Organizations will need to integrate vertically and horizontally to respond to demands for cost containment, quality improvement, and accountability. Managing populations rather than individual departments will require new skills in building partnerships, negotiating, and managing quality across networks. The future requires organizational responsiveness, information systems to monitor performance, and leadership competencies to address these complex issues.

1. CREATING & MANAGING
THE FUTURE
LECTURE 10

2. THE ORGANIZATION & THE
ENVIRONMENT
The health services organizations function as
corporate actors with legal responsibilities.
The increasing complexity & unpredictability of the
environment increase the demand for organizational
responsiveness & accountability from different
groups.
Like cost control demand from govt.
Consumer participation in decision making.

3. A number of major trends & their implications
are presented below:

4. Changing social norms &
Expectations
Society has established norms & expectations
for health service delivery.
Changing norms & expectations demands new
trends in health services.
As a society, we have valued quality of access &
opportunity, emphasis on individualism.
Future demands universal access to health care
& individual freedom.
Accountability in clinical & non clinical.

5. DEMOGRAPHIC COMPOSITION &
EPIDEMIOLOGY
Managing the future requires a thorough
understanding of evolving demographics &
epidemiological characteristics of the organization.
Increasing proportion of elderly & over age persons
in USA represent demographic & epidemiological
change.
Racial & ethnic composition of the population.
Diseases of aging, lifestyle & behavior will present
major challenges to the delivery system.
For e.g. cardiovascular diseases, Cancer, substance
abuse, STDs etc.

6. Technology , Development, Assessment
& outcomes
Technology development in both treatment, prevention
& early detection activities will continue to have a major
impact on health services in the future.
New developments change our understanding of
disease.
for e.g. Human Genome Project in which geneticist
conduct research & knows function of human genes &
predict diseases based on genetic inheritance.
Development of biomarkers & chemoprevention agents
such as breast cancer prevention agent.

7. Technology , Development,
Assessment & outcomes
Outcomes assessment is the process of
collecting evidence that indicates whether the
services, activities, or experiences it offers
are having the desired impact.
outcomes management is how this
information used & eliminate unnecessary
procedures & improve quality of care.

8. Organizational Arrangement
Vertical & horizontal integration represents interorganizational effort
to be more responsive to changing environmental condition.
Unrelenting demand of cost containment, improving quality,
assuring technology transfer & accountability will force managers to
increasingly consider the other forms of organizational
arrangement.
Several options are available including the
Organized delivery system
Community care networks
Or more loosely coupled alliances.

9. Information Management
Existing data system within organization are
inadequate to meet the information needs &
strategies inherit in many of these important
developments.
Health service organization is responsible for
defining their service area & ensuring the health
status of the people they serve.

10. Information Management
•How well service delivery practice adhere to
established guidelines.
•The efficiency of clinical & administrative
procedure.
•The occurrence of adverse outcomes.
•The effectiveness of problem-solving
interventions.
•Patient’s satisfaction with services.
•Staff satisfaction with the organization.

11. The Managerial Role
Managing an organization to managing a market
or network of services.
Manage across boundaries this will requires
increased skills in coalition building, negotiation
& ability to put together strategic alliance &
partnership to serve defined population.
•For middle managers, it involves transition from
managing a department to managing a
continuum of care.
•Managing quality across continuum of care.

12. Role Performance And Emerging
Challenges:
Adequate role performance requires skills and
competencies in
 leadership,
 coalition building,
 policy & political acuity,
 quality importance & assurance,
 sensitivity to cost- quality relationship,
 research utilization,
 innovation & collaboration problem solving.

13. THE END