Copyright © 2008 Delmar. All rights reserved. Chapter 17 Health Care Management

Copyright © 2008 Delmar. All rights reserved.

Chapter 17

Health Care Management


2

Management and Public Health Nurses

• Conditions define use and application of management– Nurses’ personal interpretation– Organizations’ expectations– External environmental factors

• Nurses may be placed in management positions due to skills or longevity


3

Scope and Standards

• Quad Council of Public Health Nursing Organizations Scope and Standards of Public Health Nursing Practice (1999)– Provides guidance to those promoting and

protecting the health of populations


4

Scope and Standards

• Public health nurses need to incorporate prevention and intervention at the local level and at the policy level


5

Healthy People 2010

• 467 objectives in 28 focus areas

• Focus area 23 is specific to public health nurses in management positions– Improve public health capacity and

infrastructure – Essential public Health Services– (See box 17-2)


6

Administration and Leadership

• Challenges for nurse managers– Management, administration, and leadership

terms are often used interchangeably– Management defined– Administration defined– Leadership defined


7

Organizational Culture

• Important for nurses to understand– Nurse represents the organization in the

community– History and growth of organization shaped by

the target community– Responsiveness of the organization to new

and increasing health needs


8

Community Cultures• Influenced by:

– Geographical location – Climate– Population base– Settlement history– Growth potential – Politics– Economic and living conditions– Ideologies


9

Community Cultures

• Must be familiar with target community

• Basics of internal management– Personal insights and experiences

• Professional and personal development– Community engagement is a challenge– Productivity and participation – Work environment and personalities


10

Community Cultures

• Personnel management– Personnel

• Nursing leadership forum training

• Support services– Office managers, outreach workers– Receptionist, file clerks– Information systems


11

Community Cultures

• Fiscal management– Budgeting – Cash budgets– Capital budgets– Zero base budgeting


12

Community Cultures

• Case management– Provision and coordination of quality health

care service

• Program management– Promotes, protects, meets needs of the

community


13

Community Cultures

• Program management– Includes program evaluation

• Program Evaluation Review Technique• Critical Path Method


14

Community Cultures

• Basics of external management– Open network with other professionals– Can designate other staff to represent the

organization


15

Community Cultures

• Public engagement– Requires:

• Honesty• Openness• Consistency• Being present• Engage public • Set aside self-interest


16

Community Cultures

• Public Policy– Guides local, regional, national action plans– Influence behaviors


17

Community Cultures

• Globalization– Public health nurses must keep apprised of

local, national, and international issues– Must be culturally sensitive


18

Community Cultures

• Keys to improvement:– Hire and retain quality staff– Promote staff development– Create learning environments– Stay abreast of local, national, and global

issues– Maintain sense of balance


19

Community Cultures

• Keys to improvement:– Design, implement, evaluate practices – Upgrade technology– Appreciate all aspects of the public health

service team

• Future think

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Copyright © 2008 Delmar. All rights reserved. Chapter 17 Health Care Management