1 THE ROLE OF A HOSPITAL MANAGER IN HEALTH PROMOTION Annie Bourdil Health Politics Management, Département of New Organisations and Health Promotion, Assistance Publique Hôpitaux de Paris

2 FRENCH PUBLIC HEALTH SYSTEM Hospital Manager & Health promotion Hospitals have the following 4 missions ( public status) Provide care prevention training research

3 The Role of a Hospital Manager in Health Promotion Strategic Management Organisational Political HOSPITAL MANAGER

4 POLITICAL Define & implement health promotion policy in accordance with the regional and national strategy Examples : Cancer Plan  Screening diseases programme  Tabacco prevention Dependance Plan for ageing population Ageing and Solidarity Plan Heat Wave Plan

5 STRATEGIC Define and implement the decision-making and consultatives bodies Define and implement the medical strategy who is in accordance with in the political theme based. Impulse a culture changement The patient is a stake holder

6 ORGANISATIONAL Implement the appropriate structures and means Development of preventive care ( Tobacco, Canabis, nutrition, alcohol ….) Development of the Network « City- Hospital » ( links between Hospitals and community setting Development of alternatives to hospitalisation ( HAD: care provided at home, adolescence – house) Renewing and increasement of equipment

7 MANAGEMENT Development of quality insurance systems Create the necessary conditions to involve Health staff Insure the best use of available resources

8 Conclusion The role of the hospital manager is also to be the link to the supervisor authorities. Political Level Organisational Level Strategic Level Management Level Impact Outside the Hospital on

9 Examples Training in school Adaptation of the Establishment of box condoms Advertising signs in town