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Management Roles l Management functions and roles l How is the management of HCOs different? l What are the challenges of HCOs management in the 90s and beyond? l What are the necessary skills for HCO managers in the 90s and beyond?
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What is a manager? l Definition l By levels n Senior management n Mid-level management n Supervisory or first-line management.
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What is management? l A process aimed at accomplishing organizational objectives through the utilization of human and other resources.
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What do managers do? l Management functions and roles l Traditional model versus the Trinity model.
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Traditional model of management Planning Organizing Staffing Directing Controlling
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Planning l Deal with the present and anticipate the future. l Long-term or short-term. l Environment assessment -> Organizational Strategy (objectives and actions) -> Allocate resources
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Organizing l Organizational structure n Work and job design n Departmentation n Authority and responsibility relationships n Ccoordinating among units
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Staffing l Acquiring and retaining human resources. n Planning n Job analysis n Recruitment n Performance appraisal n Compensation and benefits.
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Directing l Interpersonal: socio-behavioral aspects of management. n Motivating n Leading n Communicating.
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Controlling l Are results consistent with organizational objectives? n Monitoring performance n Adjusting and improving performance.
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Trinity model of management Designer LeaderStrategist
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Management Roles l Designer n Internal focus l Strategist n Maintain an outward look for opportunities and threats. l Leader n Organizational transformation n Power brokers
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Management Skills l Conceptual l Human l Technical
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How is the management of HCOs different? l Difficult to measure quality of care. l Work activities are highly interdependent. l High degree of specialization. l Primary loyalty belongs to the profession. l Minimum managerial control over physicians.
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Challenges of HCOs management in the 90s and beyond? (External) l Demand for greater accountability. l Financing: shift to risk-based contracts. l Changes in technology emphasizing outpatient and home treatment. l Growth of information technology. l Aging of the population and chronic diseases. l Increasing population diversity.
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Challenges of HCOs management in the 90s and beyond? (Internal) l Changes within organizations: Moving from the reactive acute care paradigm to a more holistic paradigm of providing a coordinated continuum of services that will enhance the health status of populations.
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Skills for HCO managers in the 90s and beyond? l Managing costs and quality l Managing in a turbulent environment l Managing interdependencies l Transformational leadership
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