Management Roles Management functions and roles l How

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Management Roles Management functions and roles l How is the management of HCOs different?

Management Roles Management functions and roles l How is the management of HCOs different? l What are the challenges of HCOs management in the 90 s and beyond? l What are the necessary skills for HCO managers in the 90 s and beyond? l

What is a manager? Definition l By levels l n Senior management n Mid-level

What is a manager? Definition l By levels l n Senior management n Mid-level management n Supervisory or first-line management.

What is management? l A process aimed at accomplishing organizational objectives through the utilization

What is management? l A process aimed at accomplishing organizational objectives through the utilization of human and other resources.

What do managers do? Management functions and roles l Traditional model versus the Trinity

What do managers do? Management functions and roles l Traditional model versus the Trinity model. l

Traditional model of management Planning Organizing Staffing Controlling Directing

Traditional model of management Planning Organizing Staffing Controlling Directing

Planning Deal with the present and anticipate the future. l Long-term or short-term. l

Planning Deal with the present and anticipate the future. l Long-term or short-term. l Environment assessment -> Organizational Strategy (objectives and actions) -> Allocate resources l

Organizing l Organizational structure n Work and job design n Departmentation n Authority and

Organizing l Organizational structure n Work and job design n Departmentation n Authority and responsibility relationships n Ccoordinating among units

Staffing l Acquiring and retaining human resources. n Planning n Job analysis n Recruitment

Staffing l Acquiring and retaining human resources. n Planning n Job analysis n Recruitment n Performance appraisal n Compensation and benefits.

Directing l Interpersonal: socio-behavioral aspects of management. n Motivating n Leading n Communicating.

Directing l Interpersonal: socio-behavioral aspects of management. n Motivating n Leading n Communicating.

Controlling l Are results consistent with organizational objectives? n Monitoring performance n Adjusting and

Controlling l Are results consistent with organizational objectives? n Monitoring performance n Adjusting and improving performance.

Trinity model of management Designer Leader Strategist

Trinity model of management Designer Leader Strategist

Management Roles l Designer n Internal l focus Strategist n Maintain an outward look

Management Roles l Designer n Internal l focus Strategist n Maintain an outward look for opportunities and threats. l Leader n Organizational n Power brokers transformation

Management Skills Conceptual l Human l Technical l

Management Skills Conceptual l Human l Technical l

How is the management of HCOs different? Difficult to measure quality of care. l

How is the management of HCOs different? 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. l

Challenges of HCOs management in the 90 s and beyond? (External) Demand for greater

Challenges of HCOs management in the 90 s and beyond? (External) 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. l

Challenges of HCOs management in the 90 s and beyond? (Internal) Changes within organizations:

Challenges of HCOs management in the 90 s and beyond? (Internal) 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. l

Skills for HCO managers in the 90 s and beyond? Managing costs and quality

Skills for HCO managers in the 90 s and beyond? Managing costs and quality l Managing in a turbulent environment l Managing interdependencies l Transformational leadership l

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