Health Care Management: Issues, Challenges and Job Requirements Milan Gurung

Abstract The Health Care Services is fast moving, unpredictable and ever changing. The ever increasing environmental turbulence, managerial uncertainty, financial instability, organizational volatility, ambivalent public policy, escalating costs, fervent competition, insistent regulation, ever changing technologies, lofty public expectations and persistent health care labor shortages are the challenges frequently faced by management.

Abstract This presentation is to generate the academic discussion and secure consensus opinion regarding the skills, knowledge and abilities which would be needed for successful health care executive performance in the changed environment.

Issues faced by health care managers 1. Cost/Finance Cost of care Financial resources Reimbursement Scarcity of resources

Issues faced by health care managers 2. Leadership Characteristics Human resource management Organization skill Strategic planning Coping with the changing role

Issues faced by health care managers 3. Professional staff Medical staff Health care provider response

Issues faced by health care managers 4. Health care delivery concepts Health care delivery system Ambulatory delivery system Regional health care Wellness & preventive concept Managed care organization relation

Issues faced by health care managers 5. Accessibility Accessibility to care Indigent patients Long term care

Issues faced by health care managers 6. Ethics Medical ethics Professional ethics

Issues faced by health care managers 7. Quality & risk management Maintenance of standards Medical audit and CQI Government involvement

Issues faced by health care managers 8. Technology Types of technology Effect of technology Forces affecting development and diffusion of technology

Issues faced by health care managers 9. Marketing Market concept Marketing audit Maintaining competitive edge

Job Skill, Knowledge and Ability Requirement (SKA) 1. Cost/Finance Knowledge of hospital finance and hospital accounting system

Job Skill, Knowledge and Ability Requirement (SKA) 2. Leadership characteristics Leadership, management and human relations in relations to health care institution

Job Skill, Knowledge and Ability Requirement (SKA) 3. Professional Staff Patience, listening skills and communication with medical, paramedical and nursing staff

Job Skill, Knowledge and Ability Requirement (SKA) 4. Health care delivery concepts Concept, types, problem solving and practical management skill

Job Skill, Knowledge and Ability Requirement (SKA) 5. Accessibility Demographic knowledge, and ability to develop mission statement for hospitals and other health care institution

Job Skill, Knowledge and Ability Requirement (SKA) 6. Ethics Ability to lead board, medical, paramedical and nursing staffs

Job Skill, Knowledge and Ability Requirement (SKA) 7. Quality and Risk Management Effective training on quality assurance and utilization management

Job Skill, Knowledge and Ability Requirement (SKA) 8. Technology Proper understanding and recognition of cost benefit of use of various technologies within the hospital

Job Skill, Knowledge and Ability Requirement (SKA) 9. Marketing Strategic thinking and sense of vision

Current Challenges in Health Care Management in Nepal Confident Manpower (Right person in right place) Job Uncertainty Lack of Team approach (Medical Professional vs Management Professionals) Public Relation Less opportunity for new generation

Conclusion To overcome the challenges faced by management, organizer of academic programs in health care management must maintain a strong market orientation and internal assessment to ensure the continued relevance of their curricula to the job skill, knowledge and ability requirements. Policy makers and provider of cares are urged to think cautiously whether the executives appointed by them, posses the job skill, knowledge and ability requirements which are needed to cope effectively with the changing managerial and leadership demands of emerging health care organizations of present and future.

Thanks for your patience!!! Together We Can……. Thanks for your patience!!!