Understanding Effectiveness, Efficiency, and Care Management Quiz

Management in Healthcare

• Effectiveness is the degree to which a stated objective is being achieved.
• Efficiency is the optimized use of resources (human resources, equipment, supplies, money, space, time, and information).

Care Management

• Care management involves resource coordination, utilization management, follow-up, patient education, and clinical management.

Good Management

• Good management highlights priorities, adapts services to needs and changing situations, makes the most of limited resources, improves the standard and quality of services, and maintains high staff morale.

Management Process

• The management process consists of planning, implementation (organizing, staffing, directing, and controlling/monitoring), and evaluation.

Systems View of Management

• A systems view of management involves process inputs (human resources, non-human resources), conversion mechanism, outputs, and objectives achievement.

Administration

• Administration is the process of achieving defined goals through guidance, leadership, and control of efforts, and efficient utilization of non-human resources.
• Elements of administration include planning, organization, staffing, directing, coordinating, reporting, budgeting, supervising, and evaluation.

Health Care Administration

• Health care administration involves systematically utilizing knowledge, energies, and social structures to achieve specific objectives.
• Functions of healthcare administration include ensuring access to timely, appropriate, and affordable healthcare services, and tailoring services to specific health needs and preferences.

Health Care System

• A health care system operates at macro, meso, and micro levels.
• The system includes six functions or building blocks: oversight, policy making, regulations, health service provision, financing, and managing resources.
• Delivery system design includes multiple levels: regional/national (macrosystem), integrated medical care organization (mesosystem), and practice level (microsystem).

Health Care Delivery System

• The health care delivery system consists of three major components: facilities, practitioners, and entities.

Health Sector Reform

• Health sector reform involves planning, management, and evaluation functions to improve health.

Levels of Administration

• There are three levels of administration: central level, intermediate level, and local level.

Levels of Health Care

• There are four levels of health care: preventive, primary, secondary, and tertiary, as well as restorative and continuing care.

Preventive and Primary Care Settings

• Preventive and primary care settings include school health services, occupational health services, physicians' offices, clinics, and nursing centers.

Secondary and Tertiary Care Settings

• Secondary and tertiary care settings include hospitals, medical centers, emergency departments, medical units, intensive care, and psychiatric facilities.

Restorative Care Settings

• Restorative care settings include home health care, rehabilitation centers, and extended care facilities.

Quality in Healthcare

• Quality involves carrying out interventions correctly according to pre-established standards and procedures, with an aim of satisfying customers and maximizing results.
• Dimensions of quality include technical competence, access to service, effectiveness, efficiency, amenities, interpersonal relations, continuity, and safety.