Health System Administration & Management (exam 2) Flashcards
goals of health system (3)
health status improvement
responsiveness
fair financing
health status improvement
improvement of health status of the population
responsiveness
system meets the expectations of the health care consumers/patients
fair financing
health-related costs distributed according to the household’s ability to pay
functions of health care system (4)
stewardship
resource generation
financing
service provision
stewardship
ownership, management/administration
resource generation
health manpower development, equipment/health care consumables
financing
revenue generation, payment of providers/facilities
service provision
organization/distribution of providers & facilities/health programs
administration (definition)
-at the very top level of an organization
-makes major policies
-decides on the overall direction of organization
management (definiton)
-middle level of the organization
-makes decisions within the policy framework set by the administration
-implements and executes the policies
administration functions (4)
determinative or decisive functions
- policy-making body
-decision making influenced by external factors (ex.: government policies, religious factors)
-handles business side of the organization (ex.: finance) - planning & organizing –> main functions
management functions (4)
executive or implementation functions
-implement the policies set by administration
-decision making influenced by organization’s values, opinions, vision & mission
-handles more technical aspects (ex.: health care service provision)
-directing/leading & controlling ones
–> main functions
finite resources
available resources not limited
system is evaluated by its (3)
- attachment
- performance
- quality of care it provides
attachment
effectiveness in achieving results/goals
performance
effectiveness & efficiency of its operations
quality of care it provides
structure, process, & outcomes which include patient satisfaction
importance of administration & management
- system evaluation
- system meets accreditation standards
- 4 functions of health care systems are managed for goal achievement and outcomes improvement
does health care system have many different categories of stakeholders?
yes
each stakeholder category has different expectations of the system
does every health care system have finite resources?
yes
Resources in the health system
Includes health manpower, facilities, equipment, programs, funds, and more
Management definition
The effective and efficient use of available resources to achieve organizational goals and objectives
functions of management (diagram)
-organizing
-controlling
-planning
-staffing (can come under organizing)
-directing (another name: leading)
cyclical nature of management
controlling –> planning –> organizing –> directing –> controlling –> etc.
CIRCLE
planning
setting goals/objectives
deciding on tasks
allocating resources to achieve organizational goals and objectives
organizing
Assigning tasks
grouping tasks into departments
allocating resources to departments addressing the what, where, when, how, who, and why
achieve organizational goals and objectives
staffing
Ensuring departments have the requisite human resources in terms of numbers, distribution, and technical competence (qualifications and specialization)
achieve organizational goals and objectives
directing/leading
Influencing the organization’s human resource through motivation, rewards , coaching etc.
the achievement of organizational goals & objectives
controlling
setting standards, performance indicators monitoring & comparing actual performance against set standards
taking corrective actions
keep the organization on course towards achieving its goals & objectives
health care system
Consists of a network of hospitals & Clinics
hospitals
clinics may be affiliated with specific hospitals in the network for oversight, etc.
hospital department
we can have various services, programs etc. according to the nature of the health care system
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