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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?


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


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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


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Partnership: why?

  • Crisis intervention

  • Reforms/restructuring

  • Safety & complaints systems

  • Quality in healthcare movement

  • Increased voice of patients & advocates


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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


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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


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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


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Evaluation framework for participation


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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


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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


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Participation: the three ‘Ps’

  • Purpose (what to achieve?)

  • Process (how to do it?)

  • Personal integrity

  • (‘keeping your word’)


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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


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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


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Partnership?

  • Change is inevitable……


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Partnership?

  • Change is inevitable……

  • …..….except from

  • slot machines……


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