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Management Roles. Management functions and roles How is the management of HCOs different? What are the challenges of HCOs management in the 90s and beyond? What are the necessary skills for HCO managers in the 90s and beyond?. What is a manager?. Definition By levels Senior management
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Management Roles • Management functions and roles • How is the management of HCOs different? • What are the challenges of HCOs management in the 90s and beyond? • What are the necessary skills for HCO managers in the 90s and beyond?
What is a manager? • Definition • By levels • Senior management • Mid-level management • Supervisory or first-line management.
What is management? • A process aimed at accomplishing organizational objectives through the utilization of human and other resources.
What do managers do? • Management functions and roles • Traditional model versus the Trinity model.
Traditional model of management Planning Organizing Controlling Staffing Directing
Planning • Deal with the present and anticipate the future. • Long-term or short-term. • Environment assessment -> Organizational Strategy (objectives and actions) -> Allocate resources
Organizing • Organizational structure • Work and job design • Departmentation • Authority and responsibility relationships • Ccoordinating among units
Staffing • Acquiring and retaining human resources. • Planning • Job analysis • Recruitment • Performance appraisal • Compensation and benefits.
Directing • Interpersonal: socio-behavioral aspects of management. • Motivating • Leading • Communicating.
Controlling • Are results consistent with organizational objectives? • Monitoring performance • Adjusting and improving performance.
Trinity model of management Designer Leader Strategist
Designer Internal focus Strategist Maintain an outward look for opportunities and threats. Leader Organizational transformation Power brokers Management Roles
Conceptual Human Technical Management Skills
How is the management of HCOs different? • Difficult to measure quality of care. • Work activities are highly interdependent. • High degree of specialization. • Primary loyalty belongs to the profession. • Minimum managerial control over physicians.
Challenges of HCOs management in the 90s and beyond? (External) • Demand for greater accountability. • Financing: shift to risk-based contracts. • Changes in technology emphasizing outpatient and home treatment. • Growth of information technology. • Aging of the population and chronic diseases. • Increasing population diversity.
Challenges of HCOs management in the 90s 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.
Skills for HCO managers in the 90s and beyond? • Managing costs and quality • Managing in a turbulent environment • Managing interdependencies • Transformational leadership