1. 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. 2 FRENCH PUBLIC HEALTH SYSTEM Hospital Manager & Health promotion Hospitals have the following 4 missions ( public status) Provide care prevention training research

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

4. 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. 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. 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. 7 MANAGEMENT Development of quality insurance systems Create the necessary conditions to involve Health staff Insure the best use of available resources

8. 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. 9 Examples Training in school Adaptation of the Establishment of box condoms Advertising signs in town