1. Copyright © 2008 Delmar. All rights reserved. Chapter 17 Health Care Management

2. Copyright © 2008 Delmar. All rights reserved. 2 Management and Public Health Nurses Conditions define use and application of management –Nurses’ personal interpretation –Organizations’ expectations –External environmental factors Nurses may be placed in management positions due to skills or longevity

3. Copyright © 2008 Delmar. All rights reserved. 3 Scope and Standards Quad Council of Public Health Nursing Organizations Scope and Standards of Public Health Nursing Practice (1999) –Provides guidance to those promoting and protecting the health of populations

4. Copyright © 2008 Delmar. All rights reserved. 4 Scope and Standards Public health nurses need to incorporate prevention and intervention at the local level and at the policy level

5. Copyright © 2008 Delmar. All rights reserved. 5 Healthy People 2010 467 objectives in 28 focus areas Focus area 23 is specific to public health nurses in management positions –Improve public health capacity and infrastructure –Essential public Health Services –(See box 17-2)

6. Copyright © 2008 Delmar. All rights reserved. 6 Administration and Leadership Challenges for nurse managers –Management, administration, and leadership terms are often used interchangeably –Management defined –Administration defined –Leadership defined

7. Copyright © 2008 Delmar. All rights reserved. 7 Organizational Culture Important for nurses to understand –Nurse represents the organization in the community –History and growth of organization shaped by the target community –Responsiveness of the organization to new and increasing health needs

8. Copyright © 2008 Delmar. All rights reserved. 8 Community Cultures Influenced by: –Geographical location –Climate –Population base –Settlement history –Growth potential –Politics –Economic and living conditions –Ideologies

9. Copyright © 2008 Delmar. All rights reserved. 9 Community Cultures Must be familiar with target community Basics of internal management –Personal insights and experiences Professional and personal development –Community engagement is a challenge –Productivity and participation –Work environment and personalities

10. Copyright © 2008 Delmar. All rights reserved. 10 Community Cultures Personnel management –Personnel Nursing leadership forum training Support services –Office managers, outreach workers –Receptionist, file clerks –Information systems

11. Copyright © 2008 Delmar. All rights reserved. 11 Community Cultures Fiscal management –Budgeting –Cash budgets –Capital budgets –Zero base budgeting

12. Copyright © 2008 Delmar. All rights reserved. 12 Community Cultures Case management –Provision and coordination of quality health care service Program management –Promotes, protects, meets needs of the community

13. Copyright © 2008 Delmar. All rights reserved. 13 Community Cultures Program management –Includes program evaluation Program Evaluation Review Technique Critical Path Method

14. Copyright © 2008 Delmar. All rights reserved. 14 Community Cultures Basics of external management –Open network with other professionals –Can designate other staff to represent the organization

15. Copyright © 2008 Delmar. All rights reserved. 15 Community Cultures Public engagement –Requires: Honesty Openness Consistency Being present Engage public Set aside self-interest

16. Copyright © 2008 Delmar. All rights reserved. 16 Community Cultures Public Policy –Guides local, regional, national action plans –Influence behaviors

17. Copyright © 2008 Delmar. All rights reserved. 17 Community Cultures Globalization –Public health nurses must keep apprised of local, national, and international issues –Must be culturally sensitive

18. Copyright © 2008 Delmar. All rights reserved. 18 Community Cultures Keys to improvement: –Hire and retain quality staff –Promote staff development –Create learning environments –Stay abreast of local, national, and global issues –Maintain sense of balance

19. Copyright © 2008 Delmar. All rights reserved. 19 Community Cultures Keys to improvement: –Design, implement, evaluate practices –Upgrade technology –Appreciate all aspects of the public health service team Future think