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Leading Management and Organisation Development for the Health Services PowerPoint PPT Presentation


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Leading Management and Organisation Development for the Health Services. Whose Health Service is it Anyway?.

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Leading Management and Organisation Development for the Health Services

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Leading Managementand

Organisation

Developmentfor the HealthServices

Whose Health Service is it Anyway?


Public and Patient Partnership in Healthcare:Outline of Discussion PaperProfessor Hannah McGeeHealth Services Research CentreDepartment of PsychologyRoyal College of Surgeons in Ireland


Partnership: what is it?

  • Promoting patient participation in own care

  • Enabling patients to become informed about

  • treatment & to make informed choices

  • Involving patients & carers in improving

  • service quality

  • Involving the public as citizens in health

  • service decision-making processes


Partnership: why?

  • Crisis intervention

  • Reforms/restructuring

  • Safety & complaints systems

  • Quality in healthcare movement

  • Increased voice of patients & advocates


Partnership in Ireland

  • NATIONAL HEALTH STRATEGY (2001)

  • Goal No. 3: responsive & appropriate

  • care delivery

  • Objective 1: The patient is at the centre in

  • the delivery of care

  • Participation: one-to-one / care management /

  • community involvement


Principles of Partnership I

  • Rights-based approach

  • Commitment to building trust

  • Flexible & accessible communication process

  • Motivation & commitment to partnership

  • Flexibility & willingness to adapt

  • Ethos of fairness & accountability


Principles of Partnership II

  • Mutual co-operation & support

  • Concern for process as well as outcome

  • Commitment to delegate power equally

  • Commitment to embedding partnership

  • within & across health system structures

  • Commitment to financial support


Evaluation framework for participation


ENABLERS

Intrinsic respect

Increased adherence

Increased health responsibility

Increased staff satisfaction

Health Strategy (2002)

BARRIERS

Paternalism

Fear of loss of control

Inequity

Time/other pressures

Lack of staff support

Factors enabling/mitigating against participation


Evaluation of partnership: key questions

WHY?………aims, clarity of purpose

HOW? …….right approach, clear roles, involvement in planning, use of feedback, timescales

WHAT?……techniques, expectations met, appropriate information & views sought

WHO?……..representatives, support given to participation


Participation: the three ‘Ps’

  • Purpose (what to achieve?)

  • Process (how to do it?)

  • Personal integrity

  • (‘keeping your word’)


Information needs for partnership

  • Strategies for participation

  • How to be effective as participant

  • Making links with participants

  • Integrating feedback into QI

  • Role of consumer councils

  • Why public input is important

  • Patient satisfaction surveys

  • Working with particularly excluded groups


Partnership Paper: key points

  • Emphasis on process as much as outcome

  • Role of quality in healthcare movements

  • Dedicated structures (legislative, administrative & educational) & coordinating centres

  • Explicitly identified partners

  • Staff as partners


Partnership?

  • Change is inevitable……


Partnership?

  • Change is inevitable……

  • …..….except from

  • slot machines……


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