Managing a Hospital: How to Succeed as a Clinical Leader in the Post-Pandemic Age PDF
Preview Managing a Hospital: How to Succeed as a Clinical Leader in the Post-Pandemic Age
Otto Armin Smiseth Managing a Hospital How to Succeed as a Clinical Leader in the Post-Pandemic Age Business Guides on the Go “Business Guides on the Go” presents cutting-edge insights from practice on particular topics within the fields of business, management, and finance. Written by practitioners and experts in a concise and accessible form the series provides professionals with a general understanding and a first practical approach to latest developments in business strategy, leader- ship, operations, HR management, innovation and technology manage- ment, marketing or digitalization. Students of business administration or management will also benefit from these practical guides for their future occupation/careers. These Guides suit the needs of today’s fast reader. Otto Armin Smiseth Managing a Hospital How to Succeed as a Clinical Leader in the Post-Pandemic Age Otto Armin Smiseth Oslo, Norway ISSN 2731-4758 ISSN 2731-4766 (electronic) Business Guides on the Go ISBN 978-3-031-17610-4 ISBN 978-3-031-17611-1 (eBook) https://doi.org/10.1007/978-3-031-17611-1 © The Editor(s) (if applicable) and The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG. The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Preface This book is written for leaders at all organizational levels in hospitals. It may also be of interest to economists and politicians. Key points in the book are that you must meet patients with empathy and respect and prove quality by showing outcome data. A hallmark of efficient leaders is ability to run good processes. Rather than working as a controller, spend most of your energy on developing better services. Set objectives for your personal contribution. Delegate as much as you can, but do it right. Recruit leaders with the right attitudes and support them in their work. Have a slim and efficient administrative staff and minimize bureaucracy Be strong on metrics and use this to take control over the economy, instead of the economy controlling you. Improve efficiency by scaling up outpatient services, hotel capacity and by same day surgery in a hospital or in free- standing ambulatory surgical centers. See your employees when working and meet them with respect and a smile. Ultimately, your suc- cess as leader is determined by how well you interact with the employees. Oslo, Norway Otto A. Smiseth v Acknowledgments These people are thanked for helpful comments in the writing process: – Professor Emeritus Ole T. Berg. Department of Health Management and Health Economics, Institute of Health and Society, Faculty of Medicine, University of Oslo, Norway. – Dr. Jacob Bergsland. Cardiothoracic surgeon. Past Director of Cardiothoracic Surgery and Heart Transplantation, Buffalo, New York, USA. – Dr. Per O. Wium. Specialist in Public Health. Past Leader Health Committee, Council of Europe. – Civil Engineer Dordi Smiseth Strand. Career as quality manager in food industry. Currently working in patient organizations, with focus on quality issues. – Public Health Nurse Kaja P. Smiseth. These people are thanked for valuable contributions: – Ms Rakel Smiseth Lervold is thanked for making several of the draw- ings in the book. – M.Phil. Petter Jørgensen Thorshaug is thanked for technical help. vii Key Messages • Safety first • Listen to employees and patients • Take control of finance—don’t let finance control you • Be a developer, not just a controller • Don’t forget to smile ix Contents 1 S afety First 1 1.1 Patient Safety rounds 5 1.2 Safety at Point of Care: Safety Cross 6 Reference 8 2 P rove Quality 9 2.1 Outcome Data Is the Most Important 11 2.2 V olume Data Reflect Quality 13 2.3 Present Complication Data, But Do It Right 14 2.4 D ocument Adherence to Guidelines 15 2.5 What About Quality Data in Psychiatry? 16 2.6 Help Patients Who Want a Second Opinion 16 2.7 The Importance of Respecting Patient Preferences 17 2.8 Physicians Doing Research Is a Quality Marker 18 2.9 S upport Employees Who Want External Training 18 Reference 18 3 S how Empathy 19 3.1 Empathy Is a Core Value for Hospitals 19 3.2 B e Aware of Your Behavior 20 xi xii Contents 3.3 The Hospital Is Not a Repair Shop: It Is All About Empathy 21 Reference 21 4 Reduce the Administrative Burden 23 4.1 Organization: Chain of Command 24 4.2 Organization: Hospital Support Staff 28 4.3 Make the Administrative Staff Efficient 29 4.4 Power Up Your Routines 32 4.4.1 Make the Meeting Agenda Efficient 32 4.4.2 The “Must Have” Meetings 34 4.4.3 Additional Meetings 37 4.5 Energize the Organization 38 Reference 39 5 Take Control of Finances 41 5.1 Macro Perspective: Big Challenges 42 5.2 Core Curriculum of Hospital Finance 50 5.3 Capitation and Fee for Service 51 5.4 Hospital Payment Based on Diagnosis 53 5.5 Hospital Payment Based on Value 54 5.6 You Need to Read This Brief Theory 56 5.7 Know Your Metrics 57 5.8 The Good, the Bad, and the Ugly 58 5.9 Be Up to Date on Clinical Activity 61 5.10 Be Up to Date on Procedure Cost 62 5.11 Be Up to Date on Employee Numbers 63 5.12 Flat Budget Cuts Are Demoralizing 66 5.13 Keep Your Finger on the Pulse 66 5.14 The Role of the Finance Manager 66 5.15 Avoid Fragmentation of Responsibility 67 5.16 Hunt Down the Big Five 69 5.17 Doctors vs. Managers 77 5.18 Be Professional with Evidence-Based Medicine 79
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