Management Process & Skills

Management Process & Skills

Introduction

·       Management is the process of planning, organizing, leading, and controlling resources efficiently and effectively to achieve organizational goals.

·       In hospitals, management ensures smooth delivery of medical care, resource allocation, patient satisfaction, and regulatory compliance.

Hospital Management = Medical Services + Administrative Efficiency + Patient-Centered Care

Functions of Management

a) Planning

  • Setting objectives
  • Forecasting future trends (e.g. patient load, technology needs)
  • Making strategic decisions

b) Organizing

  • Structuring departments (OPD, IPD, Emergency, etc.)
  • Assigning roles & responsibilities
  • Delegating authority

c) Staffing

  • Recruiting skilled professionals (Doctors, Nurses, Technicians)
  • Training and development
  • Performance appraisal

d) Directing

  • Providing guidance and leadership
  • Motivating staff
  • Effective communication

e) Controlling

  • Monitoring performance
  • Quality assurance (NABH, ISO)
  • Budget control and audit

Roles of Management (Mintzberg’s Managerial Roles)

a) Interpersonal Roles

  • Figurehead – ceremonial duties
  • Leader – motivates and manages staff
  • Liaison – coordinates between departments or external agencies

b) Informational Roles

  • Monitor – gathers internal & external info (e.g. patient feedback)
  • Disseminator – shares info with staff
  • Spokesperson – represents hospital in meetings/public

c) Decisional Roles

  • Entrepreneur – innovates new systems (e.g. EHR)
  • Disturbance handler – manages conflicts & crises
  • Resource allocator – assigns budgets, rooms, manpower
  • Negotiator – with unions, suppliers, government

Levels of Management

a) Top-Level Management

b) Middle-Level Management

c) Lower-Level Management

  • Daily operations, staff supervision
  • Includes Ward In-charges, OPD Supervisors, Admin Officers

Functional Areas of Management in Hospitals

Area

Function

Clinical Services

Quality medical care, patient treatment

Human Resources

Staffing, training, employee welfare

Finance

Budgeting, billing, procurement

Operations

Housekeeping, laundry, security, CSSD

IT Management

HIS, EHR, data analytics, telemedicine

Marketing/PR

Patient relations, community outreach, hospital branding

Legal & Compliance

Licensing, statutory norms, medico-legal issues

Management Skills Required in Hospitals

a) Technical Skills

  • Knowledge of hospital software (HIS, ERP)
  • Medical terminology
  • Equipment operations

b) Human/Interpersonal Skills

  • Leadership
  • Teamwork
  • Conflict resolution
  • Communication (with patients, staff, relatives)

c) Conceptual Skills

  • Strategic thinking
  • Policy making
  • Innovation in hospital systems

d) Administrative Skills

  • Time management
  • Resource optimization
  • Documentation & reporting

Challenges Before Hospital Managers

Category

Key Challenges

HR Issues

Shortage of trained staff, absenteeism, staff burnout

Technological

Rapid change, digitalization, data privacy

Financial

Rising costs, reimbursement delays, budgeting

Patient Expectations

Quality care, fast service, empathy, transparency

Legal/Regulatory

Compliance with laws (CPCB, NABH, MCI, etc.)

Operational

Emergency preparedness, infection control, bed occupancy

Coordination

Interdepartmental coordination, communication gaps

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