Presented by dr.

TAMZIL BURMAWI, MPH

MANAGING THE FAMILY MEDICINE PRACTICE

MATERI
1.

2.
3.

4.

5.

MANAGING PEOPLE AND RESOURCE MANAGING FACILITIES AND UTILITIES MANAGING INFORMATION MEDICAL RECORDS, CONFIDENTIALITY, AND COMPUTERISATION MANAGING FINANCES, INCLUDING MANAGED CARE MANAGING QUALITY

1. MANAGING PEOPLE AND RESOURCE

BEING A MANAGER

Managing is to get work done through the efforts of other, also producing an output and processes. Basic function of Manager

Planning Organising Leading Control Leadership roles Informational roles Decisional roles

Roles of Manager

Skill sets of the Manager

Conceptual skills Human skills Technical skills

EFFECTIVE LEADERSHIP
Leadership is the process whereby one person influences the though and behaviors of others Models of leadership and leadership styles The task, group, and individual needs leadership model Personal leadership styles

Autocratic or permissive theory X or theory Y concern for production and people: the managerial grid

MANAGING PEOPLE

Scope to work Dealing with unpleasant issues Grievances Discrepancies Absenteeism Idea from the one- minute manager

One- minute telling One- minute praising One- minute reprimand

STRATEGIC MANAGEMENT

Basic of strategic planning SWOT analysis Gap analysis Some strategig relevant to health care Manage of change

PERSONAL EFFECTIVENESS Make yourself look good Managing paper Managing meeting

2. MANAGING FACILITIES AND UTILITIES

SUPPLIES AND STORES MANAGENENT PRINCIPLES

The supplies and stores system deals with ordering, receipt, maintenace and issue when required. The Operating Principles:
Have an efficient system Determine stocking levels Have a stroke keeper Insist on bin cards Have a ordering system Have a strore ledger Have a define procedures Conduct regular stock-taking

MAINTENANCE AND STORAGE

Drugs Vaccines

LABORATORY INVESTIGATIONS AND X- RAYS

In- house or external test? Key points in quality control

MANAGING DISCREPANCIES

Definition
Discrepancies may difined as differences between record and actual quality of money or inventory.

Reasons

Human erros, machine counting error, incomplete recording, pilferage, fraud

Preventive measures Action to be taken for all discrepancies

3. MANAGING INFORMATION MEDICAL RECORDS, CONFIDENTIALITY, AND COMPUTERISATION

MEDICAL RECORDS

Operation management principles for paper record are:

Have a workable filling system Have a filling diciplline Have operational rules for missing records Have a culling procedures

From Source Oriented Medical Record(SOMR) to Problem Oriented Medical Record (POMR) Componet of POMR :
The master record Progress note and source documents Flow charts Source document

Organizing a new records system

MEDICAL RECORDS AND PATIEN CONFIDENTIALITY

Care Consent Compulsion Concern

COMPUTERISATION

Management principles Work processes to be computerised Leveld of computerisation and configuration The personal digital assistant (PDA) Internet resource for the PDA

4. MANAGING FINANCES, INCLUDING MANAGED CARE

FINANCIAL MANAGEMENT DEFINE

Keeping proper records Preparing statements Analysing and action Implementing and stock control Ansurering audited Developing

INCOME, EXPENCES AND PROFIT

Income source of income for a sole practitioner or a partnership Expenses expenxex are largerly under the control of the practice Profit the different between the income and the expenses

FINANCIAL RECORDS

Revenue (income) Expenditure Bank overdraft Cash receipts Cash book Day books Petty cash reports

HELPING THE PRACTICE ACCOUNTANT

FINANCIAL STATEMENTS

Profit and loss statement Balance sheet

FINANCIAL AUDITS

External audit Internal audit

FINANCIAL PLANNING

Operating budget

An expenses, a revenue budget and a profit dudget

Financial budget
To justify, to reveal and to indicate There are 4 type of Financial budget Capital expenditure Cash budgets Financing budgets Balance sheet budget (or pro forma balance sheet)

Zero based budgeting Budgetary controls

UNDERSTANDING MANAGEMENT CARE

Manage care system Encouraging cost effective practice and its limit Current though of manage care Evolution of manage care in the united states Can manage care work?

5. MANAGING QUALITY

QUALITY AND QUALITY ASSURANCE

Quality in health care may be simply define as care that meets or exceed expectation. Quality assurance is an attempt to protect and and enchance quality.

CONTINUING IMPROVEMENT
QUALITY ASSURANCE CYCLE Each quality assurance cycle is made up of four step:
Select or review the topic Observe practice Compare practice with explicit standards Implement change

SELF-AUDIT PROJECT

Each quality assurance cucle can be a self-audit project to assess the level of quality service delivery.

TERIMA KASIH

Daftar Pustaka
Gan,

Goh Lee, Azrul Azwar dan Sugito Wonodirekso. 2004. A Primer On Family Medicine Practice. Singapore- Singapore International Foundation.