The development of good management practices and ICT use in NHS Hospital Trusts

1. The development of good management practices and ICT use in NHS Hospital Trusts Patrick Dunleavy, Leandro Carrera and Jane Tinkler

2. How to measure Management and ICT use within the NHS? • It’s vitally important that the NHS does patient care in an organization for service delivery that is as efficient as possible, using management good practice and modern ICTs • Previous researchers have relied on surveys of trusts to tap progress on these fronts, but • Generating full responses is often a problem • Responses show a bias towards “correct” answers

3. Organizations’ underlying pattern of activities can be mapped from their online presence

4. 15 Indicators of good management practices found in most hospital trusts

5. 15 indicators of management practices present in around half of hospital trusts

6. 15 Indicators of management practices not found in most hospital trusts

7. Management Practices Index • We included 45 indicators covering 11 dimensions • Dimensions were weighted to reflect relative significance for good management practice

8. Management Practices: Frequency distribution

9. Management Practices: How Trusts perform

10. Top performers in Management Practices

11. Low performers in Management Practices

12. ICT use Index • We included 22 indicators divided in 3 dimensions

13. Indicators of good ICT practice present in most hospital trusts

14. Indicators of good ICT practice present in around half of hospital trusts

15. Indicators of good ICT practice not present in most hospital trusts

16. ICT use: Results

17. ICT use: How Trusts Perform

18. Top performers in ICT use Maximum possible score = 22

19. Low performers in ICT use Maximum possible score = 22

20. Implications • Management and ICT practices can be measured and are not the same phenomena (correlation coefficient = 0.17) • These measures suggest which trusts are more or less likely to innovate in service delivery beyond medical care areas • Many trusts still have a long way to go in managing the service delivery aspects of their work • We are analysing the determinants of trust productivity, and preliminary results suggest a definite IT/management interaction effect

21. Thank you

22. Assessment • Our Management and ICT measures provide non-reactive objective measures • They are robust in measuring different phenomena (correlation coefficient = 0.17) • They provide insights as to which trusts are more likely to innovate • Potential application in research designs analysing the determinants of productivity

23. Our alternative approach: web-census • Developed an index measure of ICT use and Management practices based on objective-non reactive measures • Used Trusts’ websites to record the absence or presence of key indicators that form part of the index • Aggregated results in single indexes • We systematically reviewed the sites of 166 Acute Health Care Trusts in England and populated the indexes