Administration of Hospital Departments: Competencies Needed by Chiefs of Hospitals and Heads of Departments

Administration of Hospital Departments: Competencies Needed by Chiefs of Hospitals and Heads of Departments

Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg

February 24, 2012

Since 1992, I have been giving lectures to students of Master in Hospital Administration in the UP College of Public Health on administration of hospital departments, particularly on Department of Surgery, Operating Room – Recovery Room, and Emergency Room.  (See: https://sites.google.com/site/rojlecturesupcph/)

Whenever I would give the lectures, I would consider the students as hospital- as well as department-administrators to be.  Along this line, I usually start with these two questions:

Question 1:

If  you are the chief of hospital / hospital administrator / senior manager, what essential competencies do you need to have to be able to ensure that your various departments (e.g., Department of Surgery, OR-RR, ER Complex) are being adminstered properly by your middle managers?

Question 2:

If you are the head of a department (e.g., Department of Surgery, OR-RR, ER Complex), what essential competencies do you need to have to be able to ensure that your department is being properly managed?

Competencies needed by chiefs of hospitals:

The first essential competencies needed by chiefs of hospitals are leadership and managership.

There is a difference between leadership and managership.  There is a difference between a chief of hospital being a manager and being a leader.

Some differences between managers and leaders are the following:

Management is… Leadership is….
Coping with complexity  Coping with and promoting change
Planning and Budgeting Setting a Direction
Organizing and Staffing Aligning People
Controlling and Problem Solving Motivating and Inspiring People
Effective Action Meaningful Action

Although there is a difference between leadership and managership, both are necessary and important.  Though leadership is a higher level competency, managership is a prerequisite to leadership. One cannot be a good leader without being a good manager.

Please take note of the difference between leadership and managership.  However, aspire to be both, initially a manager then a leader. Please remember that both are necessary and important to ensure successful management of a hospital and its departments.

The second essential competency needed by a chief of hospital is possession of knowledge and behavior related to the following:

Hospital-wide or Global Philosophy (Line of Thinking)

The hospital is the macrosystem while the units (clinical, ancillary and support departments) are the subsystems.

The vision-mission-goal-objectives of the macrosystem (the hospital) should be cascaded into and imbibed by the subsystems (units) to produce an organization with compatible, integrated, and unified elements or units.

Corollary to this, all units should be working towards the vision-mission-goal-objectives of the macrosystem (hospital).

Basically and universally, the vision-mission-goal-objectives of the hospital is rendering quality health care service while maintaining financial viability and sustainability.

The different units in the hospital should be systematically organized not only to accomplish their expected roles and responsibilities but also to interface with each other for reasons of integration, coordination and collaboration which will contribute to effectiveness and efficiency not only for the units but also for the hospital as a whole.

The third essential competency needed by a chief of hospital is possession of essential information on operations of the different departments starting with their functions and based on the functions, the structure including equipment, staffing, policies and procedures, programs and resources required for a successful operation and the problems commonly encountered together with known effective corrective and preventive action plans.  Knowing the essential information on operations can facilitate organization and management of the different departments by the chief of hospital.   It can facilitate his exercise of managership and leadership.

Department

Functions

Structure

(Equipment)

Staffing

Policies

and

Procedures

Programs

Resources

 

Problems and Solutions

Surgery

 

 

 

 

 

 

 

OR – RR

 

 

 

 

 

 

 

ER

 

 

 

 

 

 

 

ICU-CCU- Special Care Unit

 

 

 

 

 

 

 

OPD

 

 

 

 

 

 

 

Competencies needed by heads of departments:

The first essential competencies are still leadership and managership (same as in the case of chiefs of hospitals).

The second competency needed by a department head is possession of knowledge and behavior related to following:

Unit Philosophy (Line of Thinking)

Philosophy to be adopted by unit manager.

  Although my unit is unique, it is still part of the hospital.

Under my stewardship, my unit should deliver quality services expected of my unit specialty contributing towards hospital stability and sustainability (making my unit financially viable and sustainable).  My unit should be collaborating with other units towards the hospital’s vision-mission-goal-objectives.

Surgery

OR-RR

 

ER

 

ICU-CCU- Special Care Unit

 

OPD

 

The third essential competency needed by a department head is possession of essential information on operations of his department starting with its functions and based on the functions, the structure including equipment, staffing, policies and procedures, programs, and resources required for a successful operation and the problems commonly encountered together with known effective corrective and preventive action plans.  Knowing the essential information on operations can facilitate organizing the different intradepartmental activites and management of the whole department by the head of unit.   It can facilitate his exercise of managership and leadership.

Department

Functions

Structure

(Equipment)

Staffing

Policies

and

Procedures

Programs

Resources

 

Problems and Solutions

Surgery

 

 

 

 

 

 

 

OR – RR

 

 

 

 

 

 

 

ER

 

 

 

 

 

 

 

ICU-CCU- Special Care Unit

 

 

 

 

 

 

 

OPD

 

 

 

 

 

 

 

To be able to integrate, coordinate, collaborate with other units, it is also recommended that a head of a particular unit must have essential information on the operations of other units in the hospital, at the very least, the authorized functions, structure, staffing, policies and procedures, and programs.

In 2010, I developed the following department design and development framework which is also a department administrative design and development program which I think will facilitate learning, planning and administration.

Welcome feedback and queries.

Email: rjoson2001@yahoo.com

 

Advertisements
This entry was posted in Uncategorized. Bookmark the permalink.

2 Responses to Administration of Hospital Departments: Competencies Needed by Chiefs of Hospitals and Heads of Departments

  1. ANALYN SALIVIO says:

    Sir, thank you for having this program. May this will help us to be more effective leader. I will ask my colleague to join on this program sir. Thank you. lyn

  2. jong magugat says:

    Sir, thank you for this article. It is short , very practical and direct to the point. You are indeed a very good lecturer, facilitator and educator! please continue your advocacy and efforts to help students in hospital administration.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s