1. Slide 1 醫務管理學 Healthcare Services Management 94 學年度下學期課程 (Feb 23, 2006 ~ June 22, 2006) 7/13/2015

2. Slide 2 Chapter 1 – – Management and Managers

3. Slide 3 Health Not the absence of infection or the shrinking of a tumor; not the absence of disease. WHO, a state or condition of complete physical, mental, and social well-being, not merely the absence of disease. 1958 年 : 生理、心理和社會的安 康狀態，而不只是沒有疾病而已 The maximization of the biological and clinical indicators of organ function and the maximization of physical, mental, and role functioning in everyday life. Key Definitions

4. Slide 4 Health Care and Health Services Health services are specific activities undertaken to maintain or improve health or to prevent decrements of health. Services can be preventive, acute, chronic, restorative, or palliative in nature. Services can be divided into two basic types. Public health services are activities that are conducted on a communitywide or populationwide basis. Personal health services are activities directed at individuals. Key Definitions

5. Slide 5 Health Services Organizations Health services are provided through a variety of organization arrangements. HSOs are entities that provide the organizational structure within which the delivery of health services is made directly to consumers, whether the purpose of the services is preventive, acute, chronic, restorative, or palliative. Services : from neonatal intensive care units(NICUs) and PICUs to CCUs, MICUs, SICUs. Key Definitions

6. Slide 6 Health Systems HSOs have significantly changed how they relate to one another. Mergers, consolidations, acquisitions, and affiliations between and among previously independent HSOs are pervasive. At the extreme end of the activity is vertical integration, in which HSOs join into unified organizational arrangements or systems of organizations. Key Definitions

7. Slide 7 Changing structure of HSOs

8. Slide 8 Managers HSO/HS managers are people formally appointed to positions of authority in organizations or systems who enable others to do their direct or support work effectively, who have responsibility for resource utilization, and who are accountable for work results. Senior managers, presidents, or chief executive officers(CEOs) and vice presidents in HSOs have authority over and are responsible for entire organization. Key Definitions

9. Slide 9 Management and Organizational Culture, Philosophy, and Performance

10. Slide 10 Management Functions, Skills, Roles, and Competencies

11. Slide 11 Managing in a Dynamic Environment Health Insurance Plan Restrictive reimbursement environment Demographic shifts Critical shortages and shifts of manpower IT and high-tech cost Development of Integrated networks of care Importance of market niche strategies Increasing number of physician executives in leadership Reduce the costs of administration of health care

12. Slide 12 Management Competencies Work of managers: the functions that they perform, the skills that they use in doing management work, and the roles that they play as managers. A person’s capacity to work well depends on possession of the relevant competencies.

13. Slide 13 Management Competencies Conceptual Competence Technical Managerial / Clinical Competence Interpersonal / Collaborative Competence Political Competence Commercial Competence Governance Competence 高階主管尤應具備何種能力 ? Governance 之 5 種對應之責任 ?

14. Slide 14 Considering Management Work FunctionsSkillsRolesCompetencies PlanningTechnicalInterpersonalConceptual Organizing Human/Int erpersonal Informational Technical managerial/clinical StaffingConceptualDecisional Interpersonal/ collaborative Directing (motivating, leading, and communicating (Designer) Political (Commercial) Controlling StrategistGovernance Decision making Leader

15. Slide 15 A Management Model for HSO s / HS s

16. Slide 16

17. Slide 17 Important relationships A HSO/HS is a formal setting where outputs are produced (objectives accomplished) through use (conversion) of inputs (resources). Managers and the management work that they perform are the catalyst that converts inputs to outputs A HSO/HS (and its managers) interact with the HSO’s/HS’s external environment; this makes HSOs/HSs open systems because inputs are obtained from the external environment and outputs go into it.