Hospital Management Lec 7 PDF
Document Details
Uploaded by TruthfulCherryTree3335
Physical Therapy Benha University
Tags
Summary
This document is a lecture on hospital management and covers topics such as the foundations of planning, strategic management process, different types of goals and plans, strategic flexibility, and innovation strategy. The lecture focuses on practical concepts and strategies relating to organizational management in the context of hospitals.
Full Transcript
# The Foundations of Planning ## The Objectives By the end of this day the participant could be able to: - Define the nature and purposes of planning. - Classify the types of goals organizations might have and the plans they use. - Compare and contrast approaches to goal-setting and planning. - D...
# The Foundations of Planning ## The Objectives By the end of this day the participant could be able to: - Define the nature and purposes of planning. - Classify the types of goals organizations might have and the plans they use. - Compare and contrast approaches to goal-setting and planning. - Discuss contemporary issues in planning. ## Planning - **Planning** - A primary managerial activity that involves: - Defining the organization's goals - Establishing an overall strategy for achieving those goals - Developing plans for organizational work activities - **Formal planning** - Specific goals covering a specific time period - Written and shared with organizational members ## What are Purposes of Planning? - **Reasons for Planning** - A diagram illustrating the different reasons for planning. - Set Control Standards - Provide Direction - Minimize Waste or Redundancy - Reduce the Impact of Change ## The Relationship Between Planning and Performance - **Formal planning** is associated with: - Higher profits and returns on assets - Positive financial results - The quality of planning and implementation affects performance more than the extent of planning. - The external environment can reduce the impact of planning on performance. - Formal planning must be used for several years before planning begins to affect performance. ## Elements of Planning - **Goals** (also Objectives) - Desired outcomes for individuals groups or entire organizations - Provide direction and evaluation performance criteria - **Plans** - Documents that outline how goals are to be accomplished - Describe how resources are to be allocated and establish activity schedules ## Types of Goals - **Financial Goals** - Are related to the expected internal financial performance of the organization. - **Strategic Goals** - Are related to the performance of the firm relative to factors in its external environment (e.g. competitors). ## Types of Plans - **Strategic Plans** - Apply to the entire organization. - Establish the organization's overall goals. - Seek to position the organization in terms of its environment. - Cover extended periods of time. - **Operational Plans** - Specify the details of how the overall goals are to be achieved. - Cover a short time period. ## Types of Plans: Categorization - Diagram of Types of plans, categorized by: - **Breadth** - Strategic - Operational - **Time Frame** - Long Term - Short Term - **Specificity** - Directional - Specific - **Frequency of Use** - Single use - Standing ## Types of Plans: Scope and Flexibility - Diagram illustrating a spectrum of objectives and flexibility in two extremes. - **Specific Plans** - Clear objectives - Low flexibility - **Directional Plans** - General objectives - High flexibility ## Single-Use and Standing Plans - Diagram showing a split between two types of plans - **Single-Use Plans** - Unique Situations - **Standing Plans** - Ongoing Operations ## Arguments Against Strategic Planning - 1) Rigid Assumptions of Stability - 2) Environmental Turbulence - 3) Intuition and Creativity - 4) Focus on Today's Competition - 5) Preoccupation with Current Success ## Strategic Management - **Strategic management** is what managers do to develop the organization's strategies. ## Strategic Management Process - A diagram outlining the Strategic Management Process, with steps: - Identify the organization's current mission, goals, and strategies - External Analysis - Opportunities - Threats - Internal Analysis - Strengths - Weaknesses - **SWOT Analysis** - Formulate Strategies - Implement Strategies - Evaluate Results ## Importance of Strategic Management - 1) The organizations that use strategic management do have higher levels of performance - 2) They cope with this uncertainty by using the strategic management process to examine relevant factors and decide what actions to take. - 3) Organizations are complex and diverse. Each part needs to work together toward achieving the organization's goals. ## Strategic Flexibility - It is the ability to recognize major external changes, to quickly commit resources, and to recognize when a strategic decision isn't working. ## Benefits of Developing Strategic Flexibility - 1) Encourage leadership unity by making sure everyone is on the same page - 2) Know what's happening with strategies currently being used by monitoring and measuring results. - 3) Encourage employees to be open about disclosing and sharing negative information. - 4) Multiple alternatives when making strategic decisions. - 5) Learn from mistakes. ## Innovation strategy - They can include applying existing technology to new uses - The organization innovates new and improved ways for employees to do their work in all organizational areas. - This innovation strategy can lead to lower costs, as we know, also can be a significant source of competitive advantage. ## Setting Goals and Developing Plans - 1) **Traditional Goal Setting** - Broad goals are set at the top of the organization. - Goals are then broken into sub-goals for each organizational level. - Assumes that top management knows best because they can see the "big picture". - Goals are intended to direct, guide, and constrain from above. - Goals lose clarity and focus as lower-level managers attempt to interpret and define the goals for their areas of responsibility. ## Maintaining the Hierarchy Of Goals - **Means-Ends Chain** - The integrated network of goals that results from establishing a clearly-defined hierarchy of organizational goals - Achievement of lower-level goals is the means by which to reach higher-level goals (ends). ## Management By Objectives (MBO) - **Specific Performance Goals** are jointly determined by employees and managers. - **Progress** towards accomplishing goals is periodically reviewed. - **Rewards** are allocated on the basis of progress towards the goals. - **Key elements of MBO:** - Goal specificity - Participative decision making - Explicit performance/evaluation period - Feedback ## Common MBO Elements - A diagram illustrating the following elements of MBO: - Goal Specificity - Participative Decision Making - Explicit Time Period - Performance Feedback ## Steps in a Typical MBO Program - 1) The organization's overall objectives and strategies are formulated. - 2) Major objectives are allocated among divisional and departmental units. - 3) Unit managers collaboratively set specific objectives for their units with their managers. - 4) Specific objectives are collaboratively set with all department members. - 5) Action plans, defining how objectives are to be achieved, are specified and agreed upon by managers and employees. - 6) The action plans are implemented. - 7) Progress towards objectives is periodically reviewed, and feedback is provided. - 8) Successful achievement of objectives is reinforced by performance-based rewards. ## Reason for MBO Success - Top management commitment and involvement. ## Potential Problems with MBO Programs - Not as effective in dynamic environments that require constant resetting of goals - Overemphasis on individual accomplishment may create problems with teamwork ## Well-Written Goals - Diagram outlining 5 features of well-written goals. - Written in terms of outcomes, not actions - Measurable and quantifiable - Clear as to time frame - Challenging yet attainable - Written down - Communicated to all necessary organizational members ## Steps in Goal Setting - 1) Review the organization's mission statement. Do goals reflect the mission? - 2) Evaluate available resources. Are resources sufficient to accomplish the mission? - 3) Determine goals individually or with others. Are goals specific, measurable, and timely? - 4) Write down the goals and communicate them. Is everybody on the same page? - 5) Review results and whether goals are being met. What changes are needed in mission, resources, or goals? ## Contingency Factors in a Managers Planning - **Manager's level in the organisation** - Strategic plans at higher levels - Operational plans at lower levels. - **Degree of environmental uncertainty** - Stable enviroment: specific plans - Dynamic environment: specific but flexible plans - **Length of future commitments** - Commitment Concept: current plans affecting future commitments must be sufficiently long-term to meet those commitments. ## Planning in the Hierarchy of Organizations - Diagram outlining the planning hierarchy in an organization: - **Strategic Planning** - Top Executives - **Operational Planning** - Middle-Level Managers - First-Level Managers ## Approaches to Planning - **Establishing a formal planning department**: - A group of planning specialists who help managers write organizational plans. - Planning is a function of management; it should never become the sole responsibility of planners. - **Involving organizational members in the process**: - Plans are developed by members of organizational units at various levels and then coordinated with other units across the organization. ## Contemporary Issues in Planning - **Criticisms of Planning:** - 1) Planning may create rigidity. - 2) Plans cannot be developed for dynamic environments. - 3) Formal plans cannot replace intuition and creativity. - 4) Planning focuses managers' attention on today's competition, not tomorrow's survival. - 5) Formal planning reinforces today's success, which may lead to tomorrow's failure. - 6) Just planning isn't enough. ## Effective Planning in Dynamic Environments - **Develop plans** that are specific but flexible. - **Understand** that planning is an ongoing process. - **Change Plans** when conditions warrant. - **Persistence** in planning eventually pays off. - **Flatten** the organizational hierarchy to foster the development of planning skills at all organizational levels. ## Setting Employee Objectives - Identify key job tasks - Set specific hard goals - Let employees participate - Prioritize goals - Build in feedback - Reward goal attainment ## What is Management by Objectives? - A diagram illustrating the hierarchy of objectives in Management by Objectives, starting from Organizational objectives down to Individual objectives. ## The Strategic Management Process - A diagram outlining the Strategic Management Process, with a focus on the flow of steps: - Set Mission, Objectives, and Strategies - Analyze the Environment - Identify Opportunities and Threats - Analyze Resources - Identify Strengths and Weaknesses - Reassess Mission and Objectives - Formulate Strategies - Implement Strategies - Evaluate Results ## Starting the Strategic Management Process - Diagram showing the focus is on Mission, Obejectives, and Strategies. ## SWOT Analysis - Diagram showing the four components of SWOT analysis: - Strengths - Weaknesses - Opportunities - Threats ## Determining A Competitive Strategy - Diagram outlining the 3 main competitive Strategies: - Cost leadership - Differentiation - Focus ## What Happens After Strategies are Formulated? - Diagram outlining the steps that follow formulation, with focus on **Implementation** and **Evaluation**.