Hospital Management Module Final Version

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Transcript of Hospital Management Module Final Version

Suitable for: Hospital Administrators and Managers

Jan 2010

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Table of ContentTable of Content ................................................................................................................. 2 Introduction......................................................................................................................... 8 Session1: Overview .......................................................................................................... 10 What is Hospitals? ............................................................................................................ 10 History of Hospitals .......................................................................................................... 11 Role of Hospitals in Health System .................................................................................. 13 Changing Role of Hospitals .......................................................................................... 16 Reasons for changing role of hospitals ......................................................................... 16 Function of an Acute Care Hospital.................................................................................. 17 Hospital viewed as a System............................................................................................. 19 Peculiarities of a Hospital System ................................................................................ 20 Component or Structure of a Hospital .............................................................................. 22 A. Administration Services........................................................................................ 23 B. Informational Services .......................................................................................... 23 C. Therapeutic Services ............................................................................................. 23 D. Diagnostic Services............................................................................................... 25 E. Support Services ................................................................................................... 25 Organization of Hospitals in Afghanistan......................................................................... 27 The Future of Hospitals in Afghanistan............................................................................ 28 Group work and Facilitator Notes: ............................................................................... 29 Materials ................................................................................................................... 29 Process ...................................................................................................................... 29 Hospital Policies in Afghanistan....................................................................................... 30 Levels of Hospitals in the country ................................................................................ 31 District Hospital ........................................................................................................ 32 Provincial Hospital.................................................................................................... 32 Regional Hospital...................................................................................................... 32 Rationalization of Hospital Services (components)...................................................... 33 Aga Khan University Hospital Components and Activities ............................................. 34 Hospital and Challenges in Afghanistan........................................................................... 36 Hospital and Community .................................................................................................. 37 The provider, support group and community ............................................................... 39 Community and its Participation .................................................................................. 39 Hospital community relationship.................................................................................. 40 Session 2: Effective Management at Hospitals................................................................. 42 Medical profession and management................................................................................ 42 Principles of Management ................................................................................................ 42 Administration or management......................................................................................... 44 The governing board of hospitals ................................................................................. 45 Hospital Administrator.............................................................................................. 46 Choice of Hospital Director (Administrator)............................................................ 46 Role and functions of Hospital Administrator .......................................................... 47 Management Styles........................................................................................................... 48 Laissez-faire Management style : ............................................................................. 48 Democratic Management Style:................................................................................ 48

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Autocratic Management Style: ................................................................................. 48 Group work: .................................................................................................................. 48 Skills of effective managers.............................................................................................. 51 Conceptual Skills .......................................................................................................... 51 Communication Skills................................................................................................... 52 Interpersonal Skills ....................................................................................................... 52 Importance of the managerial skills.................................................................................. 52 Ways to Improve Your Managerial Skills ........................................................................ 54 Coordination ..................................................................................................................... 58 Facilitation of coordination........................................................................................... 59 Characteristics of effective Hospital Manger ................................................................... 59 Efficiency versus Effectiveness ........................................................................................ 60 What is Efficiency?....................................................................................................... 60 What is Effectiveness?.................................................................................................. 60 Comparison of effectiveness and efficiency ................................................................. 61 Session 3: Hospital Planning and Design ......................................................................... 63 Guiding principles in Planning ......................................................................................... 63 Patient care of high quality ........................................................................................... 63 Effective community orientation .................................................................................. 64 Economic Viability ....................................................................................................... 64 Orderly Planning........................................................................................................... 65 A sound architectural plan ................................................................................................ 65 Hospital Utilization and planning ..................................................................................... 66 Bed Planning in Hospitals................................................................................................. 67 Planning for equipment in hospitals ................................................................................. 69 Session 4: Basics of Strategic Planning in Hospitals........................................................ 72 Importance of Strategic Planning...................................................................................... 72 Roles and Responsibilities in planning process ................................................................ 73 Strategic Planning Committee ...................................................................................... 73 The General Director/Chief Executive Officer............................................................. 74 Medical Staff................................................................................................................. 74 Patients and Community............................................................................................... 74 Planner and consultants................................................................................................. 75 The Steps of the Strategic Planning .................................................................................. 75 Get Organized ............................................................................................................... 76 Analysis of the Situations ............................................................................................. 77 Develop a Vision..................................................