Planning, Organisation, and Monitoring in Healthcare Organisations
A.Y. 2024/2025
Learning objectives
The course is aimed at providing students with knowledge about:
- systems and strategies for planning and controlling outcomes of the operating processes within public and private/private accredited healthcare structures;
- the relationships between planning and control systems and the concepts of effectiveness, efficiency and cost-effectiveness of public and private/private accredited healthcare structures;
- the organization of public, private/private accredited healthcare services, and their policies regarding human resource management;
- the national and regional legislation on inpatient and outpatient services management, specifically referring to accreditation and pricing;
- the contractual legislation and the use of appropriate tools to monitor assigned resources;
- the legislation governing reporting and management of clinical and professional-specific health records;
- the interconnection with other processes and/or structures/services for promoting process effectiveness;
- the underlying criteria and the technical tools that promote an effective human resource management;
- the management of the structure budget;
- the planning and control of service delivery;
- the concept of health organization and the areas of intervention of rehabilitation professionals;
- Clinical Governance (CG) and its evolution in the most recent health/regulatory contexts;
- the tools for applying CG and their application in the health area;
- the role of the Health Professions Manager (DPS) in the most recent organizational contexts;
- the critical assessment of the role of DPS in the application of CG tools;
- Company Quality Management System (SGQ) and the characteristics of the documentary apparatus;
- the main tools available for planning/verification/monitoring by the management in the health area.
- systems and strategies for planning and controlling outcomes of the operating processes within public and private/private accredited healthcare structures;
- the relationships between planning and control systems and the concepts of effectiveness, efficiency and cost-effectiveness of public and private/private accredited healthcare structures;
- the organization of public, private/private accredited healthcare services, and their policies regarding human resource management;
- the national and regional legislation on inpatient and outpatient services management, specifically referring to accreditation and pricing;
- the contractual legislation and the use of appropriate tools to monitor assigned resources;
- the legislation governing reporting and management of clinical and professional-specific health records;
- the interconnection with other processes and/or structures/services for promoting process effectiveness;
- the underlying criteria and the technical tools that promote an effective human resource management;
- the management of the structure budget;
- the planning and control of service delivery;
- the concept of health organization and the areas of intervention of rehabilitation professionals;
- Clinical Governance (CG) and its evolution in the most recent health/regulatory contexts;
- the tools for applying CG and their application in the health area;
- the role of the Health Professions Manager (DPS) in the most recent organizational contexts;
- the critical assessment of the role of DPS in the application of CG tools;
- Company Quality Management System (SGQ) and the characteristics of the documentary apparatus;
- the main tools available for planning/verification/monitoring by the management in the health area.
Expected learning outcomes
At the end of the course, the student will be able to:
- understand planning and control systems and the results in the operating processes of healthcare structures;
- understand the systems and tools employed for planning and controlling, in the light of the institutional and management targets of the health structure;
- understand the relationships between planning and control systems and the concepts of effectiveness, efficiency and cost-effectiveness of the healthcare structure;
- identify the organisation patterns of health services and their human resources policies
- understand planning and control systems and the results in the operating processes of healthcare structures;
- understand the systems and tools employed for planning and controlling, in the light of the institutional and management targets of the health structure;
- understand the relationships between planning and control systems and the concepts of effectiveness, efficiency and cost-effectiveness of the healthcare structure;
- identify the organisation patterns of health services and their human resources policies
Lesson period: First semester
Assessment methods: Esame
Assessment result: voto verbalizzato in trentesimi
Single course
This course can be attended as a single course.
Course syllabus and organization
Single session
Responsible
Course syllabus
Prof. Federico Lega, prof.ssa Francesca Ferrè:
1.Hospitals: characteristics and elements of complexity
2.La Planning and Management Control: Logic and Purpose
3. Problems and design criteria: the traditional system
3.1 The articulation of corporate responsibilities
3.2 The Structure of Cost Accounting
3.3 The architecture of the budget system
3.4 The budget sheet: varied and unchanged resources
3.5 Reporting and management control
3.6 The role of the controller
3.7 The link with staff incentive and appraisal systems
4. Example of the planning and control process of a public health company
5. Towards integrated performance measurement systems
Prof. Claudio Trotti
Organizing to do clinical governance (GC)
1. The GC - definition, objectives and tools (indication of the latest NSP-RDPs in health);
2. The Director of Health Professions (DPS): definition and roles in the application of the GC
3. Evidence Based Health Care (EBHC) and departmental models in healthcare
Organizing to make quality
1 Quality management systems
2 Definition of quality, the three aspects of quality and the Plan-Do-Check-Act (PDCA) system
3 Accreditation and certification in healthcare
4 How to manage internal quality processes: document systems
5 Presentation of field experiences
Organize to measure
1 Systems for measuring and monitoring managerial activities
2 Activity Based Management (ABM) and the dashboard of management indicators
Prof.ssa Roberta Caligiuri
1. Basic design elements: operational management tools (Organizational Chart, Flow Chart, Gantt Chart, ...)
2. Working by processes: definition and construction methods. Practical exercise in defining a process and its representation.
3. Work by objectives and define indicators (examples and construction methods). Practical exercise in defining an objective and related indicators.
4. The tools for planning, controlling and reporting activities. Practical exercise in defining a planning or control or reporting tool.
5. Human Resources Management: Reception, Integration and Evaluation of New Hires and/or New Transferees, Performance Evaluation, Staff Training and Definition of Skills (Job Description)
6. The Directorate of Health Professions: organization and articulation starting from the Social and Health Business Organization Plan (POAS) up to the Organizational Document of Processes (DOP).
Prof. Federico Filippini
1. The resources allocated: Characteristics of the Structure and accreditation requirements; process management: health, operators,
budget and quality; Calculation of requirements
2. Contractual regulations: CCNL: rights and duties; Supplementary company contracts; The management of requests (holidays, permits, 104, leave, time recovery, mandatory and optional agg.to); working and service hours (contract to TP or PT); recognition of uniform dressing/undressing time; Physical fitness: limitations/prescriptions from MC
3. Governance of activities: QMS in everyday life: procedures, protocols, operating instructions; Task management tools: work plans; Personnel management tools: absence planning, management of unforeseen events, from preventive planning to daily monitoring; Performance Monitoring: Internal Reporting vs Management Control; Assignment of personnel to different types of activities: alternation as a tool for growth
4. Professionals' health records: Clinical, nursing and rehabilitation records; integration and digitalization; Conservation and archiving
1.Hospitals: characteristics and elements of complexity
2.La Planning and Management Control: Logic and Purpose
3. Problems and design criteria: the traditional system
3.1 The articulation of corporate responsibilities
3.2 The Structure of Cost Accounting
3.3 The architecture of the budget system
3.4 The budget sheet: varied and unchanged resources
3.5 Reporting and management control
3.6 The role of the controller
3.7 The link with staff incentive and appraisal systems
4. Example of the planning and control process of a public health company
5. Towards integrated performance measurement systems
Prof. Claudio Trotti
Organizing to do clinical governance (GC)
1. The GC - definition, objectives and tools (indication of the latest NSP-RDPs in health);
2. The Director of Health Professions (DPS): definition and roles in the application of the GC
3. Evidence Based Health Care (EBHC) and departmental models in healthcare
Organizing to make quality
1 Quality management systems
2 Definition of quality, the three aspects of quality and the Plan-Do-Check-Act (PDCA) system
3 Accreditation and certification in healthcare
4 How to manage internal quality processes: document systems
5 Presentation of field experiences
Organize to measure
1 Systems for measuring and monitoring managerial activities
2 Activity Based Management (ABM) and the dashboard of management indicators
Prof.ssa Roberta Caligiuri
1. Basic design elements: operational management tools (Organizational Chart, Flow Chart, Gantt Chart, ...)
2. Working by processes: definition and construction methods. Practical exercise in defining a process and its representation.
3. Work by objectives and define indicators (examples and construction methods). Practical exercise in defining an objective and related indicators.
4. The tools for planning, controlling and reporting activities. Practical exercise in defining a planning or control or reporting tool.
5. Human Resources Management: Reception, Integration and Evaluation of New Hires and/or New Transferees, Performance Evaluation, Staff Training and Definition of Skills (Job Description)
6. The Directorate of Health Professions: organization and articulation starting from the Social and Health Business Organization Plan (POAS) up to the Organizational Document of Processes (DOP).
Prof. Federico Filippini
1. The resources allocated: Characteristics of the Structure and accreditation requirements; process management: health, operators,
budget and quality; Calculation of requirements
2. Contractual regulations: CCNL: rights and duties; Supplementary company contracts; The management of requests (holidays, permits, 104, leave, time recovery, mandatory and optional agg.to); working and service hours (contract to TP or PT); recognition of uniform dressing/undressing time; Physical fitness: limitations/prescriptions from MC
3. Governance of activities: QMS in everyday life: procedures, protocols, operating instructions; Task management tools: work plans; Personnel management tools: absence planning, management of unforeseen events, from preventive planning to daily monitoring; Performance Monitoring: Internal Reporting vs Management Control; Assignment of personnel to different types of activities: alternation as a tool for growth
4. Professionals' health records: Clinical, nursing and rehabilitation records; integration and digitalization; Conservation and archiving
Prerequisites for admission
No prior knowledge required
Teaching methods
The teaching includes 4 parts consisting of frontal classroom lessons, scheduled according to a timetable published on the ARIEL website of the master degree
Teaching Resources
- Slides and other material by the teacher- Lega F., Economics and Health Management: Sector, System, Companies, Protagonists, 3rd edition EGEA, 2023
- Lega F., Healthcare Economics and Management: Sector, System, Companies, Protagonists, EGEA, 2018.
- Pennini A., Barbieri G., The responsibilities of the coordinator of health professions 2/e, Mc Graw Hill, 2017.
- Calamandrei, Handbook of Management for Health Professions 4/e, Mc Graw Hill, 2015
- Lega F., Healthcare Economics and Management: Sector, System, Companies, Protagonists, EGEA, 2018.
- Pennini A., Barbieri G., The responsibilities of the coordinator of health professions 2/e, Mc Graw Hill, 2017.
- Calamandrei, Handbook of Management for Health Professions 4/e, Mc Graw Hill, 2015
Assessment methods and Criteria
The learning assessment takes place through a written test, organized in specific exam sessions, as per the Regulations.
Up to a maximum of six exam sessions may be scheduled for each academic year; two in each session.
The typology of the test is written (multiple choice quiz); the exam text will consist of 10 questions for each credit assigned to each teacher; the tests are designed for multiple choice with 5 answers of which only one is correct;
The time for the exam will be established in relation to the number of questions in the test (60 questions in 60 minutes);
There is no penalty for missing or incorrect answers (the final test score will be calculated according to the weighted average of the marks in relation to the credits of the various modules).
The exams of all the modules of the course are carried out together on the same day and contribute equally to determining the final evaluation expressed in thirtieths with the mathematical average of the partial marks.
The questions refer to the slides presented in the classroom and available in ARIEL, to the recommended texts and to the bibliography provided by the teacher.
No intermediate or early exam sessions are planned.
Didactic materials or notes are not admitted for the test.
The results are published online on the course's ARIEL website and students can view the test upon request.
The exam is recorded using the University's online procedure.
Up to a maximum of six exam sessions may be scheduled for each academic year; two in each session.
The typology of the test is written (multiple choice quiz); the exam text will consist of 10 questions for each credit assigned to each teacher; the tests are designed for multiple choice with 5 answers of which only one is correct;
The time for the exam will be established in relation to the number of questions in the test (60 questions in 60 minutes);
There is no penalty for missing or incorrect answers (the final test score will be calculated according to the weighted average of the marks in relation to the credits of the various modules).
The exams of all the modules of the course are carried out together on the same day and contribute equally to determining the final evaluation expressed in thirtieths with the mathematical average of the partial marks.
The questions refer to the slides presented in the classroom and available in ARIEL, to the recommended texts and to the bibliography provided by the teacher.
No intermediate or early exam sessions are planned.
Didactic materials or notes are not admitted for the test.
The results are published online on the course's ARIEL website and students can view the test upon request.
The exam is recorded using the University's online procedure.
SECS-P/10 - ORGANIZATION AND HUMAN RESOURCE MANAGEMENT - University credits: 6
Lessons: 48 hours
Professor(s)
Reception:
Weekly - plese write to [email protected]
Department of Scienze Biomediche per la Salute - Via Pascal 36