Health Management Course

Prepared by: Dr. Liban Hassan Mohamud

MBBS, MPH in Hospital Management
Diploma in Medical Ultrasound (PGDMU)
 Everybody, Somebody, Anybody, Nobody
There was an important job to be done And
Everybody was sure Somebody would do it.
Anybody could have done it, but Nobody did it.
Somebody got angry about that because it was Everybody’s
job.
Everybody thought Anybody could do it, but Nobody realized
that Everybody wouldn’t do it.
It ended up that Everybody blamed Somebody
 Course Content

 Introduction to health management

 Health care services
 Hospital management
 Health system research
 Management process of health services
 Health managemet information system
 Cont...

 Clinical services management:

 Out patient services and emergancy management
 Ward management
 Operation theatre management
 Patient care evaluation
 Supportive services management:
 Laboratory management
 Management of medical records
 Community participation in management of hospitals
 Refferal services development
 Cont...

 Administrative services:
 General administrative and functions
 Financial management
 Management of drugs and supplies
 Utility services:
 Diet services
 Ambulance services
 Sanitation
 Communition
 Fire and safety awareness services
 Linen services
 Assignment

 Duties and responsibilities of medical officer.

 Duties and responsibilities of health inspector and public health.
 Duties and responsibilities of nurse (staff and assistant nurse).
 Health care waste management.
 Roles & responsibilities the hospital health teams and planning.
 Roles & responsibilities of the "fire & safety officers.
 Duties and responsibilities of hospital attendant.
 Duties and responsibilities of pharmacist.
What is “Health”
 WHO Definition

Health is a state of complete

physical, mental and social
well-being and not merely the
absence of disease or infirmity.
 Brief Description of Each Dimension

OCCUPATIONAL
The occupational dimension recognizes personal satisfaction and
enrichment in one’s life through work.
The choice of profession, job satisfaction, career ambitions, and personal
performance are all important components of your path’s terrain.
PHYSICAL
The physical dimension recognizes the need for regular physical activity.
Physical development encourages learning about diet and nutrition while
discouraging the use of tobacco, drugs and excessive alcohol
consumption.
 Brief Description of Each Dimension

SOCIAL
The social dimension encourages contributing to one’s
environment and community.
It emphasizes the interdependence between others and nature.

INTELLECTUAL
The intellectual dimension recognizes one’s creative,
stimulating mental activities.
 Brief Description of Each Dimension

SPIRITUAL
The spiritual dimension recognizes our search for meaning
and purpose in human existence.

EMOTIONAL
The emotional dimension recognizes awareness and
acceptance of one’s feelings.
(Cont’d.)
 Health Management

Health administration or healthcare
administration is the field relating to leadership,
management, and administration of public
health systems, health care systems, hospitals,
and hospital networks.
 Cont...

 Health management is one of the most important branches of

community demand, public health sciences and hospital
services.
 The study of health management here is generally aimed at
introducing its general principles is Helps to understand the
environment in which we work and understand the functions
and activities of the management process.
 Cont...

 Health care administration is aimed at providing management

skills to professionals responsible for delivery of health care
services in the country.
 Managing primary health centres and government hospitals is
the task assigned largely to doctors who may not essentially have
managerial training.
 Nevertheless, the trends are likely to show changes in favour of
professionals trained for managing health services.
 Management

 Management is a ‘SCIENCE’ because it proves, predicts,

define, measure and utilizes knowledge.
 At the same time it is an ‘ART’ because it feels, guesses,
describe, express, communicates and practices.
 It is also a ‘PROFESSION’ because it requires skills,
knowledge and the development of a positive mental
attitude.
 Health System Resources
• Men
• Money
• Materials
• Machinery
• Method
• Market
In the end, all management can be reduced to three
words : People, Product and Profit, People come first.
 DIFFERENCE BETWEEN MANAGEMENT AND
ADMINISTRATION
Management
Management is an executive function involving the
direction of human effort towards the realization of
the basic objectives of the organizations.
Management is more popular to business enterprises
where economic performance is of prime importance
Management is a doing function concerned with of
implementation policies largely done and is influenced
by the objectives of organizations and is done usually
at middle level management.
Management - You order others
Administration
Administration is a determinative function
concerned with laying down of basic objectives and
broad policies of an organizations.
It is preferred in Government departments, Hospitals
and other non business organizations.
Administration is a thinking process concerned with
determination of policies done mainly at Top Level
management and is influenced by outside forces and
public opinion.
Administration - You order yourself
 Health Management

 In today’s, world of advancing technology health care

delivery represents an extremely complex collection of
diagnostic, operational and administrative processes.
Management skills in Planning, Operation, Marketing,
Materials, Telemedicine, HIS and Human Resource
Management are the need of the hour.
 Cont...

 Hospital administrator are in great demand, In fact,

they are the most sought professionals in health care
sector today. Hospitals are becoming a highly scientific
and complex medical centre and are becoming hub of
whole system of health care. Medical sector becoming
increasingly competitive and capital intensive the need
for managing hospitals has become even more acute.
 Managerial Functions

Managerial functions are either future oriented or presented oriented

Future oriented management functions:
1. Planning and organizational goal setting.
2. Organizational design and development.
3. Leadership and motivation.
4. Management of change.
Present Oriented Management Functions

They are:
1. Organizing.
2. Decision-making.
3. Directing.
4. Controlling.
5. Conflict resolution.
 Managerial Skills

 Managerial skills are technical skills, human skills, and

conceptual skills.
Technical skills:
 Technical skills are abilities to use the methods, processes
and techniques of a particular field in managerial work.
Example epidemiolgical investigation of a disease
outbreak.
 Cont...

Human skills:
 These involve the ability to get along with other people,
to understand them and to motivate them towards the
organizational objectives.
Conceptual skills:
 This is the mental ability to visualize the complex inter-
relationships that exist in the workplace that is among
people, among departments or units of an organization.
 Functions of Health Management

 Planning of course of action/health activities (implementation

& evaluation).
 Organizing resources, Organizational structure and assigning
a specific job chart.
 Staffing: recruitment, training, supervision, monitoring.
 Controlling the quality of activities of the members through
setting up standards for performance.
 Directing and Decision making: issuing orders & instructions.
 Cont...

 Coordinating all the efforts and activities of all the team

members/stakeholders and other sectors.
 Reporting: to higher levels.
 Budgeting: maintaining accounts & spending
contingencies.
 Innovation of new work methods.
 Representation/Delegating of organization at different
levels.
 Health Management

A. Management for health Services delivery:

1. Planning and Management Service
2. Financial planning and management
3. Human Resources Planning and Management
4. Governance and accountability
5. Planning and management of service provision
6. Managing performance Through information
 Health Management

B. Management of health facilities:

1. Over all facility management
2. Health Centres and Clinics
3. Hospitals
4. Laboratory management
5. Waste management
6. Referral system management
7. Supportive supervision
 Health Management

C. Management of health programmes:

1. HIV/AIDS.
2. Tuberculosis.
3. Malaria.
4. Other Communicable diseases.
5. Non communicable diseases and mental health.
6. Child and adolescent health.
7. Immunization.
8. Reproductive health.
9. Health promotion and education.
10. Emergency preparedness.
 Health Management

D. Management Community health Services:

1. Overall management of Community health services.
2. Primary Health care.
3. Supportive Supervision.
4. Referral Services.
5. Waste management.
6. Health Promotion and education.
 Health Management

E. Management of resources and support Systems:

1. Human resources.
2. Financial resources.
3. information resources.
4. Drugs and supplies.
5. Equipment, vehicles and buildings.
6. Procurement system.
 Health Management

F. Management of Quality of Care:

1. Quality Assurance.
2. Standards.
3. Accreditation.
4. User Satisfaction.
5. Patient Safety.
6. Waste Management.
7. Monitoring and evaluation of quality of care.
8. Risk management.
9. Supportive Supervision.
Difference Roles Doctor and Manager