MN 7181- People and Organization - Performance management in health care practice
MN 7181- People and Organization - Performance management in health care practice
The performance management in a health care system is a set of management directives to safeguard optimal performance by guidance through policies, monitoring through collection and analysis of information and responding with appropriate remedies to performance problems and continuous development despite the satisfactory performance ( Smith, 2002).
In most of the health care settings this kind of strategic organizational behavior does not seem to be applied consciously and reliably. Instead it appears to be relying on clinical behavior micro-management directives like clinical audit or utilization review or passive management instruments like professional peer review, self-regulation and public disclosure of performance data( Hurst and Je-Hughes, 2000)
Some of the successful health care systems are missionary thorough thorough objectives developed carefully through negotiations like reduction of mortality from major causes, reduction of health disparities, treating the patients to suit their medical needs, reducing the waiting period in outpatient and inpatient care, continuously improving patient satisfaction, providing preventive and rehabilitative health care outside the hospitals, fast tracking the primary care access and continuously improving the cost-effectiveness( Her Majesty’s Treasury, 2000).
There should be setting of national standards of care for specific conditions or services involving clinicians, managers and patient groups and detailed guidance on the usage of current health technology into day to day practice though a series of recommendations. However it may be criticized for budget constraints in endeavoring the best practice through the clinical guidelines (Tyler, 1999).
The monitoring of the progress of the health care organizations is usually done with high level performance indicators which could be about sixty and they grouped under six categories like health improvement, fair access, effective delivery of appropriate care, efficiency, patient/caregiver experience and health outcome parameters.
The leadership is necessary in order to stimulating the performance in the health care settings. In most of the cases it is mostly underdeveloped and additional support is necessary through the strategic management to bring about the change in reality. In our health care setup transformational leadership may appear to be useful in establishing a sustainable change in the practice.
References
- Smith P C (2002), Performance management in British Health care: will it deliver, Health Affairs 21(3), pp 103-115.
- Hurst J & Hughes M J (2000), Performance measurement and performance management in OECD health systems, Labour market and Social Policy Occasional papers 47.
- Her Majesty’s Treasury (2000), Spending Review 2000: New Public Spending Plans, 2001-2004, Cm 4808 ( London stationary Office).
- Tyler P (2000), The National service framework: A scaffold for mental health, British Medical Journal, pp 1017- 1018.
This is a good article but wondering whether this common for both government and private hospitals? Private hospitals are more critical on this as we understood.
ReplyDeleteVery valid point to raise. The performance management in private sector is oriented on financial gain rather than safety and quality. Public sector the performance management is basically self monitored and maintained by the enthusiastic consultants,
DeleteWhat I have discussed hear is the state of the art practice we should achieve. Many miles to go mate for such in our set up. Anyway I like to keep my fingers crossed all the time.
Leader is an online management and leadership simulation program that allows teams of health care professionals to practice their responses to challenges in patient safety and quality improvement.
ReplyDeleteThe program was created to fill a critical learning gap in patient safety training: Health care leaders have few opportunities to build the skills needed to guide their organizations’ efforts effectively to prevent medical errors and complications and improve patient outcomes.
Main problem in our health care is lack of performance appraisal. As a patient what is your experience in getting a proper advice or appropriate referral to a specialist? The leadership is not concerned about audits and critical event evaluation system in curative medicine. The patients go on self referral behind the “word of mouth excellency”.
DeleteHowever the ministry of health is always coming out with figures in preventive medicine and obstetric data which is only political. We do not have a proper health care referral and follow up system in Sri Lanka. very sad to say.
Healthcare is one of the fastest growing industries. To offer quality care to patients, a large pool of well-trained, dedicated medical professionals and cost saving clinical procedures are required.
ReplyDeleteIn Sri Lanka we all know healthcare is a sector which has high performance. Doctors including nurses and the other staff work 24 hours straight to treat the patients. But as the bad side we see some people neglect their duty. So I think its better to focus on those people and guide them as well.
ReplyDeleteChathurika thank you for thinking high about the emergency health care. We are lacking the performance appraisal and nothing can be done for poor performance. Simply nothing can be done to a doctor or nurse not doing their job properly in SL. There is no registration renewal barrier for health care professionals depending on the performance appraisal as in developed countries.
DeleteIn any industry, the basic three stages should be followed in performance management. Developing and planning performance, Managing and reviewing performance, and Rewarding performance. In state healthcare sector, I would like to know how the current performance management is practicing?
ReplyDeleteEvery organization, healthcare establishments included, have business goals which are expected to be met every year. And the way those goals are achieved is through the employees of the business. Now, performance management is the holistic process of monitoring, encouraging and constantly communicating with employees in order to ensure goals are reached and employees are doing their job to the best of their ability.
ReplyDeleteas a result of performance management in healthcare, it can manage medical activities efficiently and promote service quality improvement. its aims are to improve employee performance, building high-performance workforce and delivering high-quality services.
ReplyDeleteAs you always bringing new knowledge from your industry i was wondering how you will combine performance management with your industry, in first you have given good illustration as per Smith,2002, he talked about performance management in health care sector and ensuring performance through policies, monitoring through collection and analysis of information and responding with appropriate remedies to performance problems and continuous development despite the satisfactory peformance, this simply says in your industry expectation of performance managemnet is bit diverse but mostly goes as other industries, good article Doctor
ReplyDeleteGood investigations regarding the topic.
ReplyDeletePerformance is what is expected to be delivered by an individual or a set of individuals within a time frame. What is expected to be delivered could be stated in terms of results or effort, tasks and quality, with specification of conditions under which it is to be delivered.
ReplyDeletewell explained on performance management. interesting article .
ReplyDeleteInteresting article to read. Performance managemant is a key factor for organization.
ReplyDelete