Management for health services delivery

Readings for a new hospital manager

Set 1: Short and concise

The set of 20 short readings are listed under the photograph.
If you seriously plan to undertake to read all of Set 1 for a new hospital manager ... ...

  • General skills: Core management functions
    A Barometer of District Hospital Management
    Kwik-Skwiz #27, 2000, Health System Trust
    (4 pages, pdf 478KB)
    This Kwik-Skwiz:
    • Is aimed at management teams of health districts and of district hospitals
    • Raises issues about managing District Hospitals in the context of the District Health System
    • Provides a framework, criteria and indicators to assess how well the District Hospital is managed
  • Service Delivery: Collaboration and new tools
    Team Players: Building the skills of local health care planners
    TEHIP, International Development Resource centre, Canada, 2004
    (4 pages, pdf 95KB)
    • Capacity building in team-work, planning, managing and implementing is needed for improved service delivery - then a little money can go a long way!
    • Members of management teams need to work together to solve problems, delegate and share responsibilities.
    • Tools are needed to understand the burden of disease and allocate resources
  • General skills: Organising Work
    Organizing Work Better
    Global Health Technical Briefs, 2004, Maximizing Access and Quality (MAQ) USAID
    (2 pages, pdf 166KB)
    Increasingly, organizations must do more with the same or reduced resources. Simple changes in the way work is organized can help to serve clients better, offer more satisfying work to staff, operate more effectively and become more efficient. This 2 page summary of a 20 page report lists 9 elements of work organization at 3 levels of service delivery, and gives an example of each.

    Setting Priorities: The Basic List
    CIGNA Behavioural Health
    (1 page, pdf 36KB)
    A sheet for entering what has to be done and highlighting priorities
  • General skills: Team meetings
    Meetings and Minutes - Making them More Effective
    Kwik-Sqwiz #28, 2001, Health Systems Trust
    (4 pages, pdf 191KB)
    Well-run meetings promote full participation in decision-making, drewing on the group's accumulated experience and expertise.
    This Kwik-Skwiz provides tips to improve:
    Preparation of meetings, participation in meetings, chairing meetings, effective minute taking

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  • HR: Staff motivation
    Creating a positive work climate in health care organizations
    Global Health Technical Briefs, 2006, USAID
    (2 pages, 65KB)
    A positive work climate leads to and sustains employee motivation, high performance, and better results in health care. Good leadership and management practices contribute to a positive work climate. Three key features: clarity, support, challenge.
  • HR - Supervision
    Supporting Staff Through Effective Supervision: How to Assess, Plan and Implement More Effective Clinic Supervision
    Kwik-Skwiz #15, 1998, Health Systems Trust
    (4 pages, pdf 635KB)
    The best supervisor provides support with skill, understanding and patience and without taking charge.
    This Kwik-Skwiz covers:
    Role of the clinic supervisor; qualities of an effective supervisor, effective use of clinic visits, keeping records of training that staff have received.
  • HR - Staff absenteeism
    How to Monitor and Address Absenteeism in District Hospitals
    Kwik-Skwiz #25, 2000, Health Systems Trust
    (4 pages, pdf 604KB)
    This Kwik-Skwiz aims to help hospital managers:
    • Assess whether or not they have a problem with absenteeism
    • Understand management and staff issues leading to absenteeism
    • With a 5-step framework for addressing absenteeism
  • Resources: Financial management
    Can Managing District Services Be Separated From Managing its Finances?
    Kwick-Skwiz #21, 1999, Health System Trust
    (4 pages, pdf 626KB)
    This Kwik-Skwiz aims to support managers understand:
    • Service management and financial management cycles and links between them
    • Sequencing of steps to integrate the cycles
    • Roles of management committees and financial administration staff
  • Resources: Mobilizing resources
    Mobilizing Local Resources to Support Health Programs – Global Technical Brief
    2007, Management Sciences for Health, USAID Washington DC
    (2 pages, pdf 67 KB)
    Local resources can directly contribute to program implementation by complementing, strengthening, and extending existing resources. Assessing local resources, practical tips: think beyond money; build local skills; be cost-effective; keep records; focus on your mission.

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  • Service delivery: Referral system
    Referral System Guidelines
    Department of Health - South Africa, 2003
    (3 pages, pdf 40KB)
    Close relations between all levels of the health system; seamless continuum of services for optimal care; referral integral to PHC; clear communication; referral on and referral back; 5 to 10% of clinic patients will be referred; sample referral form
  • Drugs: stock cards
    Using Stock Cards to Improve Drug Management
    Kwik Skwiz #13, 1998, Health Systems Trust
    (4 pages, pdf 518KB)
    This KwikSkwiz deals with:
    • Reasons for using stock cards, how they work, example of a stock card,
    • Calculating re-order amounts, levels of stock to hold
    • Implementing a stock card system, what can go wrong,
    • Self test: what do you know about drug usage in your facility?
  • Drugs - Indicators on use of drugs
    Collecting and Using Drug Use Indicators in Districts
    Kwik-Skwiz #19, 1999, Health Systems Trust
    (2 pages, pdf 998KB)
    Drugs are used rationally when clients "receive medications appropriate to their clinical needs, in doses that meet their individual requirements, for an adequate period of time and at the lowest cost to them and their community".
    This KwikSkwiz deals with:
    • measurement of drug use patterns and prescribing behaviour
    • structures which can be used to promote rational drug use at district level
    • and how to use drug measurement information (indicator data).
  • Quality: Standards
    Hospital Policy for Afghanistan’s Health System
    2004, Islamic Transitional Government of Afghanistan, Ministry of Health
    (6 pages, pdf )
    Includes a list of standards for hospitals covering:
    • Responsibilities to the community
    • Patient Care
    • Leadership and management
    • Human resources management
    • Management systems
    • Hospital environment
  • Waste Management - facility issues
    Health Care Waste Management - at a glance
    WHO and The World Bank, 2003
    (4 pages, pdf 75KB)
    Categories of waste; handling and disposal; waste management cycle; health worker safety; who is responsible for waste management; do's and don'ts
  • Waste Management - clinical issues
    Waste Disposal in Clinical Procedures in a Resource Limited Health Care Facility
    WHO/EHT/CPR 2005
    (2 pages, pdf 33KB)
    15 key points for dealing with different types of waste
  • Drugs: WHO Drugs - Essential medicines list - Reference Document
    Essential Medicines: WHO Model List
    (36 pages, pdf 423KB)
    The core list presents minimum medicine needs for a basic health care system, specifying the most efficacious, safe and cost-effective medicines for priority conditions.
    The complementary list presents essential medicines for priority diseases, for which specialized diagnostic or monitoring facilities, and/or specialist medical care, and/or specialist training are needed.
    The list is presented in clinical groupings with type and dosage. At the end of the document is an alphabetical listing of all the drugs with page references for the details.
  • Quick references on Financial Management
    This link takes you to another page with a set of 8 readings - each is between 3 to 8 pages

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