What makes a hospital manager competent at the middle and senior levels?

2013 ◽  
Vol 37 (5) ◽  
pp. 566 ◽  
Author(s):  
Zhanming Liang ◽  
Sandra G. Leggat ◽  
Peter F. Howard ◽  
Lee Koh
Keyword(s):  
Health Service ◽  
Rural Areas ◽  
Service Management ◽  
Core Competencies ◽  
Public Hospitals ◽  
Future Health ◽  
Educational Approach ◽  
Managerial Training ◽  
Competency Based ◽  
Service Managers

Objective. The purpose of this paper is to confirm the core competencies required for middle to senior level managers in Victorian public hospitals in both metropolitan and regional/rural areas. Methods. This exploratory mixed-methods study used a three-step approach which included position description content analysis, focus group discussions and online competency verification and identification survey. Results. The study validated a number of key tasks required for senior and middle level hospital managers (levels II, III and IV) and identified and confirmed the essential competencies for completing these key tasks effectively. As a result, six core competencies have been confirmed as common to the II, III and IV management levels in both the Melbourne metropolitan and regional/rural areas. Conclusions. Six core competencies are required for middle to senior level managers in public hospitals which provide guidance to the further development of the competency-based educational approach for training the current management workforce and preparing future health service managers. With the detailed descriptions of the six core competencies, healthcare organisations and training institutions will be able to assess the competency gaps and managerial training needs of current health service managers and develop training programs accordingly. What is known about the topic? A competent health service management workforce is critical to the effective functioning of the healthcare system. Consequently, a competency-based educational approach has been proposed to prepare current and future health professionals including health service managers. Although the literature has suggested that core competencies exist for different management levels in different healthcare settings, there has been no study which has provided valuable data to indicate what the core competencies are for hospitals managers in Australian public hospitals. What does this paper add? This paper identified and confirmed that six core competencies are common to middle to senior level managers (levels II-IV) in Victorian public hospitals in both Melbourne metropolitan and regional/rural areas. What are the implications for practitioners? The findings of the study is the first step towards supporting the competency-based educational approach for training and preparing current and future health service managers for their roles. The six identified core competencies provide a very useful guide to the identification of competency gaps and managerial training needs, and the further development of the health service management training curriculum.

Competency requirements for middle and senior managers in community health services

2013 ◽  
Vol 19 (3) ◽  
pp. 256 ◽  
Author(s):  
Zhanming Liang ◽  
Peter F. Howard ◽  
Lee C. Koh ◽  
Sandra Leggat
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Rural Areas ◽  
Online Survey ◽  
Service Management ◽  
Core Competencies ◽  
Community Health Services ◽  
Health Care Environment ◽  
Future Health

The Australian health system has been subjected to rapid changes in the last 20 years to meet increasingly unmet health needs. Improvement of the efficiency and comprehensiveness of community-based services is one of the solutions to reducing the increasing demand for hospital care. Competent managers are one of the key contributors to effective and efficient health service delivery. However, the understanding of what makes a competent manager, especially in the community health services (CHS), is limited. Using an exploratory and mixed-methods approach, including focus group discussions and an online survey, this study identified five key competencies required by senior and mid-level CHS managers in metropolitan, regional and rural areas of Victoria: Interpersonal, communication qualities and relationship management; Operations, administration and resource management; Knowledge of the health care environment; Leading and managing change; and Evidence-informed decision-making. This study confirms that core competencies do exist across different management levels and improves our understanding of managerial competency requirements for middle to senior CHS managers, with implications for current and future health service management workforce development.

Development and validation of health service management competencies

2018 ◽  
Vol 32 (2) ◽  
pp. 157-175 ◽  
Author(s):  
Zhanming Liang ◽  
Peter F. Howard ◽  
Sandra Leggat ◽  
Timothy Bartram
Keyword(s):  
Health Service ◽  
Quantitative Methods ◽  
Service Management ◽  
Assessment Tool ◽  
Core Competencies ◽  
Competency Framework ◽  
Management Competencies ◽  
Content Type ◽  
Service Managers ◽  
Management Competency

Purpose The importance of managerial competencies in monitoring and improving the performance of organisational leaders and managers is well accepted. Different processes have been used to identify and develop competency frameworks or models for healthcare managers around the world to meet different contextual needs. The purpose of the paper is to introduce a validated process in management competency identification and development applied in Australia – a process leading to a management competency framework with associated behavioural items that can be used to measure core management competencies of health service managers. Design/methodology/approach The management competency framework development study incorporated both qualitative and quantitative methods, implemented in four stages, including job description analysis, focus group discussions and online surveys. Findings The study confirmed that the four-stage process could identify management competencies and the framework developed is considered reliable and valid for developing a management competency assessment tool that can measure management competence amongst managers in health organisations. In addition, supervisors of health service managers could use the framework to distinguish perceived superior and average performers among managers in health organisations. Practical implications Developing the core competencies of health service managers is important for management performance improvement and talent management. The six core management competencies identified can be used to guide the design professional development activities for health service managers. Originality/value The validated management competency identification and development process can be applied in other countries and different industrial contexts to identify core management competency requirements.

Future Health Services Managers' and Health Information Managers' Views on Information Technology: A Pilot Survey

1996 ◽  
Vol 26 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Jeffrey Braithwaite ◽  
Johanna I Westbrook
Keyword(s):  
Information Technology ◽  
Health Service ◽  
Health Information ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Future Health ◽  
Disk Storage ◽  
Pilot Survey ◽  
Service Managers ◽  
Insight Into

This pilot survey examined the views of a sample of health service managers (HSMs) and health information managers (HIMs) undertaking tertiary studies about the application of information technology (IT) in health care. The survey was based on a questionnaire designed as part of a 1994 study of health service executives (HSEs) commissioned by the Australian College of Health Service Executives (ACHSE). We examined views about current and future IT expenditure, satisfaction with IT, impact of IT on quality and efficiency and the future use of electronic medical records and optical disk storage. Results identify differences and some similarities between respondent groups on these issues. The paper explores these differences and similarities and provides insight into the views held by future HSMs and HIMs.

scholarly journals Protocol for Automated Content Analysis of Corpus to Determine Informatics Competencies amongst Health Service Managers

2021 ◽  
Vol 16 (3) ◽  
pp. 174-183
Author(s):  
Mark Brommeyer ◽  
Mark Mackay ◽  
Zhanming Liang ◽  
Peter Balan
Keyword(s):  
Content Analysis ◽  
Health Service ◽  
Natural Language ◽  
Language Processing ◽  
Thematic Analysis ◽  
Health Informatics ◽  
Service Management ◽  
Analysis Approach ◽  
Automated Content Analysis ◽  
Service Managers

Background: Competencies have emerged as being important to develop health professionals, including managers in healthcare. Professional institutions adopted specific competency frameworks to guide designing professional development opportunities for health service managers, in particularly managers working in the area of health informatics. The fast-growing nature of healthcare settings means that the required competencies continue to evolve. Objective: The aim of this protocol is to outline a reflexive thematic analysis process, including using an automated content analysis approach, and identify what is missing in existing health service management competency empirical studies in relation to health informatics competencies.   Methods: A rapid literature review has been performed using a PRISMA approach for eligibility screening, with 185 publications meeting the inclusion criteria. The Leximancer natural language processing software was used to transform a large corpus of literature from natural language into semantic themes and concepts. A reflexive thematic analysis was then undertaken using the text mining automated content analysis approach to identify predominant concepts and the co-occurrence between them.   Results: A search strategy was developed using three primary electronic databases: 1) Scopus; 2) ProQuest; and 3) the Cumulative Index to Nursing and Allied Health Literature (CINAHL); and five secondary electronic databases: 1) Web of Science 2) PubMed; 3) ACM Digital Library; 4) Open Access Theses and Dissertations Database, and 5) Google Scholar. The initial search undertaken on 10 November 2020 resulted in 1,212 publications. The results of the reflexive thematic analysis will be submitted for publication by November 2021.   Conclusions: New understanding and knowledge in the area of health management competencies, specifically relating to informatics will be developed. Health informatics competencies will be defined for Australian health service managers. Further, this study helps inform the discourse regarding automated content analysis for the healthcare and informatics industry, healthcare organisations and university course requirements.

scholarly journals Management and leadership competence for hospital managers: a systematic review and best fit framework synthesis

2019 ◽  
Author(s):  
Edris KAKEMAM ◽  
Zhanming LIANG ◽  
Ali JANATI ◽  
Morteza ARAB-ZOZANI ◽  
Bahram MOHAGHEGH ◽  
...  
Keyword(s):  
Health Service ◽  
Core Competencies ◽  
Competency Framework ◽  
Healthcare Organizations ◽  
Global Management ◽  
Hospital Managers ◽  
Service Managers ◽  
Best Fit ◽  
Best Fit Framework Synthesis ◽  
Management Competency

Abstract Background Competent managers are vital to the productivity and service quality of healthcare organizations and the sustainability of the healthcare system including hospitals. The purpose of this study is to synthesize the evidence related competency to management and leadership in healthcare organizations including hospitals through the Best Fit Method. Methods A systematic literature review was performed to identify studies focusing on confirming and/or assessing the competency requirements of health service managers in particular hospital managers. The following electronic databases were searched from January 2000 and December 2018: ISI/Web of Sciences, PubMed, Scopus, Emerald, and the Scientific Information Database. Applying the Best Fit Framework Synthesis Method, we mapped all of the competency and associating behavioral items against the validated MCAP management competency framework which includes 6 core competencies, 18 subthemes and 83 associating behavioural items. Results Eleven studies were identified for inclusion in the review. The mapping of the competencies and relevant items identified in these studies with the validated MCAP management competency framework and associating items confirm that the MCAP framework has vastly represented findings of all recent studies. Although the MCAP framework incorporated behavioral items associating with the competency of Professionalism into the six core competencies, the study found the necessity of treating Professionalism as an independent competency to be included in the global management competency framework for health service managers, in particular hospital managers. As a result, the proposed Global Management Competency Framework includes the following 7 competencies: evidence-informed decision making, operations, administration and resource management, knowledge of healthcare environment and the organization, interpersonal, communication qualities and relationship management, leading people and organisation, enabling and managing change, and professionalism. Conclusions This review and the mapping of the competencies identified in previous studies with the validated MCAP framework resulted in the recommendation of Global Management Competency Framework for health service managers. It provides useful guidance to the formulation of training and development direction for the health service management workforce. However, since management competencies are context sensitive, in order to developing a more targeted approach or target curriculum for the development managers from different sectors, management levels, validation is recommended.

scholarly journals Inquiry-based learning: an effective approach to teaching science aiming to develop students’ competencies

2020 ◽  
Vol 4 (1) ◽  
pp. 61-68
Author(s):  
Linh Thi Ngoc Bui ◽  
Vu Thuan Khuu
Keyword(s):  
Teaching And Learning ◽  
Core Competencies ◽  
School Curriculum ◽  
Successful Implementation ◽  
School Life ◽  
School Students ◽  
Educational Approach ◽  
Teaching Goals ◽  
Competency Based ◽  
Based Instruction

Competency-based learning is among major changes of 2018 in Vietnam’s school curriculum, where teaching and learning aim to help school students develop core qualities and competencies in order to be successful in school, life, and prospective workplace. As this educational approach is relatively unfamiliar to Vietnamese teachers, they may feel confused about appropriate teaching strategies allowing them to obtain the new teaching goals. This would be the case when teachers have to teach integrated subjects such as Science in lower-secondary education. This paper will elaborate why inquiry-based instruction could be an effective approach that enables secondary teachers to accomplish their professional work in terms of facilitating their students to develop core competencies and those in Science. Some recommendations on teacher education and training will be made to enhance the successful implementation of inquiry-based teaching in Vietnamese classrooms.

A framework to improve evidence-informed decision-making in health service management

2012 ◽  
Vol 36 (3) ◽  
pp. 284 ◽  
Author(s):  
Zhanming Liang ◽  
Peter F. Howard ◽  
Sandra G. Leggat ◽  
Gregory Murphy
Keyword(s):  
Decision Making ◽  
Health Service ◽  
Service Management ◽  
Informed Decision ◽  
Management Decision ◽  
Informed Decision Making ◽  
Management Decision Making ◽  
Decision Making Processes ◽  
Research Questions ◽  
Service Managers

Objective. The objective of this paper is to present and provide justification for a framework to improve evidence-informed management decision-making among health service managers. Three research questions informed the study: How have different perspectives influenced how evidence has been defined? What are the barriers to the practice of evidence-informed decision-making (EIDM)? What are the factors that may encourage the application of evidence to guide management decision-making processes? Methods. A literature review was conducted to identify studies that examined the practice of EIDM among health service managers. Information relevant to the three research questions was collectively analysed, compared and contrasted based on their relevance to the EIDM process. Conclusion. Several factors have played different but significant roles in affecting the practice of EIDM among health service managers. Although interaction between these factors is complex, the framework developed in this paper may guide the development of strategies to encourage and improve the utilisation of evidence in management decision-making process. What is known about the topic? EIDM has been promoted as a mechanism for improving the quality of management decisions, and hence better service delivery, effectiveness and efficiency. Previous studies have explored and discussed various factors that may affect the practice of EIDM amongst health service managers. However, a greater understanding of how these factors interact is required so that relevant strategies to promote the increased use of EIDM can be developed. What does this paper add? The paper clarifies ‘evidence’ from the view of both managers and members of the research community. It discusses factors that may affect the practice of EIDM among health service managers and develops a framework to for better understanding of how these factors interact and affect practice at various levels. The framework will guide the development of strategies to encourage the utilisation of evidence among health service managers. What are the implications for practitioners? To encourage the practice of evidence-informed decision-making amongst health service managers, multi-level changes in the system, organisation and individual levels are required. To maximise the benefit and relevance of research evidence, managers should be actively involved in setting research agendas and guiding the appropriate presentation of research findings to meet the needs of potential readers.

Validation of a management competency assessment tool for health service managers

2018 ◽  
Vol 32 (1) ◽  
pp. 113-134 ◽  
Author(s):  
Peter F. Howard ◽  
Zhanming Liang ◽  
Sandra Leggat ◽  
Leila Karimi
Keyword(s):  
Health Service ◽  
Assessment Tool ◽  
Community Services ◽  
Public Hospitals ◽  
Competency Assessment ◽  
Validity And Reliability ◽  
Content Type ◽  
Australian Health ◽  
Service Managers ◽  
Management Competency

Purpose The purpose of this paper is to report on the validation of a management competency assessment tool for health services managers (HSM), which resulted from the development and validation of the framework, addressed by a previous paper. Design/methodology/approach The management competency assessment tool (MCAP Tool) was validated using assessment data from a sample of 117 senior and middle managers working in two public hospitals and five community services in Victoria, Australia. The assessments were conducted between January 2013 and September 2014. Findings Both validity and reliability of the MCAP Tool were demonstrated. Practical implications The MCAP Tool has the potential to assist in the measurement of the competencies of HSM. Further research is required to determine if the framework and tool are applicable to HSM in other settings. Originality/value This is the first published study outlining the validity and reliability of an assessment tool to measure the management competencies of Australian health service managers.

scholarly journals Ingredients for Innovation: impacts for practice and the education of health service managers

2018 ◽  
Vol 13 (2) ◽  
pp. i15
Author(s):  
Sheree Lloyd ◽  
Sarah Low ◽  
Su Lei Win ◽  
Gerard Fitzgerald ◽  
Cynthia Cliff ◽  
...  
Keyword(s):  
Organizational Culture ◽  
Problem Solving ◽  
Health Service ◽  
Health Services ◽  
Literature Review ◽  
Health System ◽  
Service Management ◽  
Successful Innovation ◽  
Service Managers

Background: Innovation is associated with improvement, however, there is little published about the “ingredients” for successful innovation in healthcare, and the skills required of Health Service Managers (HSMs) who facilitate change in their organisations.   Aim: This paper synthesizes the findings of a literature review performed to describe the organizational and contextual factors that enable and sustain innovation in healthcare settings.   Implications for the practice of Health Service Management and curriculum development have been extrapolated as innovation has been identified as a solution to escalating health system demands in a rapidly changing environment.Approach: A literature review used a systematic approach to source articles from the Scopus and Emerald databases over the period of 1993 to February 2016.  Papers were also retrieved from a BMC Health Services Research weekly alert.  Snowballing from relevant articles identified additional and significant papers.  Grey literature, peer-reviewed papers and reports were similarly reviewed to incorporate contemporary perspectives on this topic across the business, health and University sectors, and to facilitate discussion of the skills and competencies for HSMs practice and education in relation to this topic. Context: Innovation is crucial to the sustainability and viability of Australia’s world class health system.  There is potential for innovation to lead to more cost-effective and efficient ways to address the challenges of limited health budgets and increasingly complex morbidities in an ageing population. Main findings: Successful innovation according to the literature, is determined by a complex interaction of determinants including organizational culture, support and resourcing for innovation, leadership and a clear and shared vision.  An organizational culture supportive of innovation includes strong transdisciplinary communication, engaged and invested staff and recognition of the role of innovation in health improvement and outcomes.  A setting that is open to identifying, testing and evaluating initiatives for innovation requires capabilities to establish and maintain the working relationships, team dynamics and to prioritise resourcing to facilitate and sustain new ways of working, services, products or technologies.Recent research on the skills required for health service management employability and career success was also examined and identified the importance of skills such as communication, creativity and problem solving.  These skills are critical and linked to the role of the HSM in accelerating innovation in their organisations.Conclusions: The key ingredients for successful innovation in health were inferred from the literature.  HSMs are well positioned to support innovation as they possess the necessary technical and professional skillsets. The literature suggests that the development of graduate skills in the areas of communication, problem solving, and team work is critical to meet industry needs and for HSMs to enable innovation.Universities educating health service managers strive to ensure that graduates are professionals equipped to lead and manage health services. HSM graduates can foster the organizational and contextual factors that sustain and sanction innovative ideas to flourish and progress to implementation.  Current research advocates that strong industry and higher education collaboration is important to further develop the graduate attributes necessary for innovation. 

Training Aides to Screen Children for Speech and Language Problems

1976 ◽  
Vol 7 (4) ◽  
pp. 236-241 ◽  
Author(s):  
Marisue Pickering ◽  
William R. Dopheide
Keyword(s):  
Rural Areas ◽  
Large Scale ◽  
School Personnel ◽  
School Age Children ◽  
Speech And Language ◽  
Elementary School Age ◽  
Evaluation Procedures ◽  
Language Problems ◽  
Competency Based ◽  
Large Scale Screening

This report deals with an effort to begin the process of effectively identifying children in rural areas with speech and language problems using existing school personnel. A two-day competency-based workshop for the purpose of training aides to conduct a large-scale screening of speech and language problems in elementary-school-age children is described. Training strategies, implementation, and evaluation procedures are discussed.

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