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

2. 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.

3. 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.

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

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

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

7. 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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

22. 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

23. 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.

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