Health care institution is very active and complex. All activities and business goals can be focused on the patients /clients, and/or at the same time to the business results or capacity.
Making the decision to go in the process of changes is always very brave, it needs a mastering a lot of challenges and barriers. In this process have to use a leadership approach. Authors Srića and Kaufman suggest using catalysator management, which can influence the team members, support each team member and through the coaching process help each to utilize the maximum of own value. Using catalysator management each leader by the own example leads to the best practice. Catalysator management is the most damaging kind of leading and including cognitive, technical and interpersonal skills and knowledge. (Srića & Kaufman, 2019)
Elementary needments healthcare institution is to achieving goals and results in financial efficacy and goals for quality control. For realization efficacy, it needs to achieve effectiveness. Wisdom and strategy planning are the only correct way and perspective process management processes in medicine. (Svetic Cisic, 2019)
The orientation of the efficacy is on the time and process of conduction, measure and definition time which is planned for activities. To do activities in a very short time has to try, with minimum budget, persons and equipment.
Efficacy has to focus on achievement planned aims, without measuring efficacy, only focused on time and money. (Goleš, 2018)
Managements activities in health care system is differentiated regarding to intern and extern shape. (Holder, 2019)
High management commitment and leadership skills in a healthcare organization are important. Sharing the same values through high, middle and low-level management.
All managers from each level are important and have an own rule in all processes od decision making, achievement business aims and implementation of quality assurance and using resources. Sharing information and open two ways communication is the basis for final success, efficacy, and prosperity.
Basic activity is to define the business process and to definition intervention, responsible person, documentation, medical equipment and time. (Infographic1) Using Paretto’s law and definition 80% of intervention can be helpful for harmony and efficacy through the business process. The rule is that only 20% of activities can be improvised and can be adapt according to the current situation. (Infographic1) Investing 20% of your time in strategic planning will yield 80% of results and lead to success. In such an organized system, employee satisfaction and thus customer satisfaction are achieved.
Successful set goals
Establishing quality management requires defining goals, monitoring, and an annual report. It is necessary to define and implement goals in the field of medicine and monitor their success. Each field of medicine has specific indicators that should be defined at the level of senior and middle management, with the support of high management.
In nursing, one of the disciplines of management in the healthcare system, some of the quality indicators such as are:
Competitive atmosphere in healthcare service requires a high level of motivation, development of management skills, continue education and continue extensive knowledge. This is basic for managers in low, middle or high management. Developed leadership skills, along with catalytic management implementation processes, a positive example of own practice can influence associates, team members and encourage them to be engaged, proactive, create a positive atmosphere of acceptance and support. Only in such conditions is growth and development possible. A carefully crafted strategy carefully planned with the use of SWOT analysis is a roadmap to be pursued in order to achieve efficiency and effectiveness. (Svetic Cisic, 2019)
Each successfully leading and implementation management principle is depending on the management/leadership skills of the director. Competences are defined by Lotich and are including skills, knowledge, qualification, and abilities to lead. (Lotich, 2015)
The complexity of health care organization, there dynamic, complex workflow process and financial specific requirement demand from management personal knowledge, skills, leadership. Work process with clear definition activities, responsible persons and documentation enable efficacy, monitoring work process in the time, achievement financial aims and quality control goals. Wisdom strategy, monitoring efficacy and efficiency leading to successful management in the healthcare system.
Goleš, D. (03. 02 2018). bizpro.hr/efikasnost-i-ili-ucinkovitost-isto/. Dohvaćeno iz https://www.bizpro.hr: https://www.bizpro.hr/efikasnost-i-ili-ucinkovitost-isto/
Holder, H. (05 2019). Jones and Bartlett Publishers, LLC. Dohvaćeno iz Managing the hospital and social care interface – The Nuffield Trust: https://samples.jbpub.com/9780763759643/59643_CH02_5289.pdf
Srića, V., & Kaufman, I. (12. 04 2019). The World is Broken We Need to Fix It. Dohvaćeno iz https://skopemag.com: https://skopemag.com/2019/04/12/ira-kaufman-velimir-srica-presents-the-world-is-broken-we-need-to-fix-it-path-to-strategic-harmony
Svetic Cisic, R. (03. 04 2019). Mudra strategija za uvođenje promjena u zdravstvenim ustanovama – Consultecca. Dohvaćeno iz Consultecca.org: https://www.consultecca.org/mudra-strategija-za-uvodenje-promjena-u-zdravstvenim-ustanovama/
Lotich, P. (01. 07 2015). thethrivingsmallbusiness.com/manager-competencies/. Dohvaćeno iz thethrivingsmallbusiness.com: https://thethrivingsmallbusiness.com/manager-competencies/
Svetic Cisic R., F. S. (2016). Using Nursing Peer Review for Quality Improvement and Professional Development with Focus on Standards of Professional Performance. Nursing and Health, Vol. 3(5), pp. 103 – 109.
WHO. (2009). Save lives, Clean your hands. Dohvaćeno iz World Health Organization : https://apps.who.int/iris/bitstream/handle/10665/44196/9789241598606_eng.pdf?sequence=1
Goldsmith, S. B. (2012). Understanding Healthcare management. U S. B. Goldsmith, Understanding Health Care Management: A Case Study Approach 1st Edition (str. 17-31). Massachusetts: Jones & Bartlett Learning;