Submitted to : Dr Vardeep Singh
Managerial Activities For Effective Hospital Functioning
Submitted By: Sandeep SinghMBA-HCS, MPH, MHA, B.Pharmacy, Cert. Medical Tourism, Cert. Internal Audit Training Prog NABH,PG. Cert. Quality Management in Allopathic Clinics, Fellowship HTA [email protected]
Hospital
According to WHO” A hospital is an integral part of social and medical organization, the function of which is to provide for the population complete health care, both curative and preventive, and whose outpatient services reach out to the family and its home environment; the hospital is also a centre for the training of health workers and biosocial research.
Management
Henri Fayol / Henry Fayol considered the father of modern management defined : Management is to forecast, to plan, to organize, to command, to coordinate and control activities of others
Task of Management
Determining the goal and objectives of organization
• Acquisition & Utilization of resources• Institute Communication System• Determining Control Procedures• Evaluating the performance of the enterprise
Principles of Management
Division of work Authority and responsibility Discipline Unity Of command Unity of Direction Sub-ordination of individual interest to
general interest Remuneration of staff Centralization
• Scaler Chain• Order• Equity• Stability of Tenure• Initiative• Esprit de corps
Managerial activities of a hospital
Determination of Goals & Objectives Facility and Programme Planning Financial Management Personnel Management Coordination Departmental operation Programme review and evaluation Public and community activity Health Industry Activity Government related Activity Educational Development
Classification
1. Professional / Technical Management
Doctors Nurses Technicians Telephone operator Housekeeping Laundry
2. Functional Management
• Planning• Organizing• Staffing• Directing• Controlling
3.Administrative Management
• Marketing• Finance• Human Resource
4. Quality Management
• Process Mapping • Job Sequencing• Root Cause Analysis
Fishbone Diagram/Ishikawa Tree Diagram
Issues in Hospital Management Lacking of national policy on the hospital
management Undefined duties and the responsibilities of a hospital
manager Poor communication and team spirit among the
functionaries. In different hospitals in the medical system, there is
lack of coordination and cooperation. Absence of a national accreditation board of hospitals Hospital administration must be recognized as a
distinct and essential specialty.
• Shortage of hospitals and the beds• Management-by-crisis and ad hoc-ism in day to day administration• Hospital staff workload• The expansion and modernization of the existing hospitals• Storage of scientific planning and management in the emergency services• Poor care system to the patients• Resource mobilization and cost containment• Absence of planning and management• Budgeting• Shortage of incentives for better work
Major Problems in Hospital Administration
Leadership in Hospitals Lack of funds for hospital Services High degree of turnover Stringent control Ineffective allocation of work and
manpower utilization Absence of policies for motivating
employees Difficulty in adaption to external
pressure
Approaches to problem solving
Routine Scientific Decisional Creative Quantitative
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