Public health: Challenges in health service management

Question 1

What is maxwells dimensions of quality?

Answer 1

1. Effectiveness
2. Efficiency
3. Acceptability
4. Access
5. Equity
6. Relevance

Each dimension measures of quality can be derived based on Donabedian model of structure-process-outcomes

Question 2

What is the organisations towards achieving quality?

Answer 2

McKinsey 7S variables
1. Strategy
2. Structure (how tasks are divided and integrated)
3. System and procedure (guiding concepts and innovations)
4. Shared values (removing berries between staff, promoting effective team work)
5. Staff capabilities (training for everyone, empowerment)
6. Styles of management (involvement in tasks, continuity of process)
7. Skills contained within the organization

Question 3

What are the principles of effective health care management?

Answer 3

Domains:
* External: comminity needs, policies, licensure, accreditation
* Internal: daily management issues (staff, financing, standards, performance, quality
Organizations:
* Functional: with pyramid shaped hierarchy
* Matrix: team based, program based: elderly, marketing
* Service line management: specific clinical services

Question 4

What are the 3 areas of a managers job in Mintzbergs theory?

Answer 4

Question 5

What is leadership vs management?

Answer 5

Question 6

What leaders do?

Answer 6

1. Set direction (mission, goals, vision) and generate enthusiasm in followers (charisma)
2. Build commitment (spirit, motivation)
3. Confront challenges (innovation, changes, turbulence)

Question 7

What is the risk managemetn and patients safety assessment?

Answer 7

Likelihood +seriousness
The aim of the assessment is ensure that risk is reduced to as low as reasonably practicable (ALARP)
Team + responsibilities + governance
Management: TPP (time, place, people)

Question 8

How do teams progress from forming to performing?

Answer 8

• Forming (purposeful)
• Storming (brainstorm)
• Norming
• Performing (achieve objects)

Question 9

What is the strategic planning process?

Answer 9

Stage 1: SWOT- detailed analysis of strengths-weaknesses-oppurtunities-threats
Stage 2: identify - barriers and resources, organization, behaviour
Stage 3: launch - communicate, communicate,communicate
Stage 4: follow up and commitment - measure outcomes
Stage 5: embed strategy and track results

Question 10

What is the bridges model of transition?

Answer 10

Ending of the old way –> turbulent zone (transition process) –> new way

Question 11

What is the model for 8 steps to successul change?

Answer 11

Question 12

What are the 7 steps to successful management of change?

Answer 12

Question 13

What are the forces driving and opposing change?

Answer 13

Question 14

What is the graph of uptake of innovation and change?

Answer 14

Question 15

What is the planning model for change?

Answer 15

Question 16

What are the different resource allocation strategies?

Answer 16

Technical efficiency (productivity): relationship between input and output irrespective of cost (example no of nurses and no of patient visits)
Economic efficiency: relationship between inputs and cost (e.g. treatment provided at the minimum possible cost)
Allocation efficiency: determines which inputs are least costly for achieving an improved level of output