MANAJEMEN PRAKTEK (KLINIK) DOKTER KELUARGA

MANAJEMEN PRAKTEK (KLINIK) DOKTER KELUARGAJoko MulyantoCHEM IV - 2011OUTLINEFamily Medicine and Healthcare Delivery SystemManagement Aspects of Family MedicineManaging PeopleManaging FacilitiesManaging InformationManaging FinancesManaging QualityFAMILY MEDICINE & HEALTHCARE DELIVERY SYSTEMPrimary Care (first contact care)Gate keeper in Integrated Delivery SystemStrategic role:Address common health problemsImprove access and equityComprehensive careEfficient and cost-effectiveIntegrative approach

MANAGEMENT ASPECTS OF FAMILY MEDICINEPeople and ResourcesFacilitiesInformationFinancingQuality

MANAGING PEOPLE & RESOURCESDoctor as manager.Management : convert the input to the output via process.Input: money, method, materialProcess: organizational work, operational work.Output: technical care, patient satisfaction.

ROLE AS MANAGERLeadership roleInformational roleDecisional roleMANAGERIAL SKILLConceptual skillHuman skillTechnical skillSCOPE OF MANAGEMENTRecruitment, selection, trainingMotivation, leadership, Staff developmentSeparation & PromotionCOMMON PROBLEMS OF MANAGING PEOPLRGrievancesDiscrepanciesAbsenteeismSTRATEGIC MANAGEMENTNon-price competitionVertical integrationForward integrationHorizontal integrationPERSONAL EFFECTIVENESSMake yourself look goodManaging paperManaging meetingsMANAGING FACILITIES AND UTILITIESOrdering, receipt, maintenance, issue when requiredMedical items: drugs, etcNon-medical items; office equipment, stationery.

SUPPLY MANAGEMENT PRINCIPLESEfficient systemDetermine stocking levelStorekeeperBin cardOrdering systemStore ledgerDefined procedureRegular stock takingDRUG STORE MANAGEMENTFIFOInformation Regular inventory takingDISCREPANCIESDifferences between recorded and actual quantityHuman error, machine counting error, incomplete recording, pilferage, fraudPrevention: Open systemClear disciplinary action for pilferage and fraudRandom checkPersonal accountabilityAuthorization MANAGING INFORMATIONMedical recordConfidentiality Computerization MEDICAL RECORDFilling systemFilling disciplineRules for missing recordCulling proceduresSOMR to POMRCONFIDENTIALITYCareConsentCompulsionConcernCOMPUTERISATIONAll staffOperational procedureBackup procedureSecurity systemTried systemUpgrade possibility MANAGING FINANCESIncome : consultation, medicine, fee of services, house call, investment revenue.Expenses: staff cost, occupancy cost, drug cost, other cost.Profit: Difference between income and expenses.

FINANCIAL RECORDRevenue: recorded in cash analysis book, up to date, in order, with supporting documentExpenditure: recorded in cash analysis book, with supporting document.Day book

FINANCIAL STATEMENTProfit and loss statementBalance sheetFINANCIAL PLANNINGOperating budget: expense and revenue budget.Financial budget: capital expenditure, cash budgets, financing budgets, balance sheet budget

MANAGING QUALITYTechnical carePatient satisfactionQuality assurance cycelTERIMA KASIH2011