Chapter 17 Health Care Management Copyright 2008 Delmar

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

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

Management and Public Health Nurses • Conditions define use and application of management –

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 2 Copyright © 2008 Delmar. All rights reserved.

Scope and Standards • Quad Council of Public Health Nursing Organizations Scope and Standards

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 3 Copyright © 2008 Delmar. All rights reserved.

Scope and Standards • Public health nurses need to incorporate prevention and intervention at

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

Healthy People 2010 • 467 objectives in 28 focus areas • Focus area 23

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) 5 Copyright © 2008 Delmar. All rights reserved.

Administration and Leadership • Challenges for nurse managers – Management, administration, and leadership terms

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

Organizational Culture • Important for nurses to understand – Nurse represents the organization in

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 7 Copyright © 2008 Delmar. All rights reserved.

Community Cultures • Influenced by: – Geographical location – Climate – Population base –

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

Community Cultures • Must be familiar with target community • Basics of internal management

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 9 Copyright © 2008 Delmar. All rights reserved.

Community Cultures • Personnel management – Personnel • Nursing leadership forum training • Support

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

Community Cultures • Fiscal management – Budgeting – Cash budgets – Capital budgets –

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

Community Cultures • Case management – Provision and coordination of quality health care service

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

Community Cultures • Program management – Includes program evaluation • Program Evaluation Review Technique

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

Community Cultures • Basics of external management – Open network with other professionals –

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

Community Cultures • Public engagement – Requires: • • • Honesty Openness Consistency Being

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

Community Cultures • Public Policy – Guides local, regional, national action plans – Influence

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

Community Cultures • Globalization – Public health nurses must keep apprised of local, national,

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

Community Cultures • Keys to improvement: – Hire and retain quality staff – Promote

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 18 Copyright © 2008 Delmar. All rights reserved.

Community Cultures • Keys to improvement: – Design, implement, evaluate practices – Upgrade technology

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