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

Staffing Directing

Controlling

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

Management Roles

Designer Internal focus

Strategist Maintain an outward look for opportunities

and threats. Leader

Organizational transformation Power brokers

Management Skills

Conceptual Human Technical

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