governance of a department of surgery - an overview using a framework
TRANSCRIPT
Governance of a Department of Surgery – an Overview Using a Framework
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Annual Conference of Tripartite Training Institution in Manila
March 27, 2015
Governance of a Department of Surgery – an Overview using a Framework
Greetings!
Thank you!
• invitation and opportunity to share with you
• my thoughts, perceptions, opinions and recommendations (TPOR) on
• Governance of a Department of Surgery
Governance of a Department of Surgery – an Overview using a Framework
ROJ’s TPOR derived mainly from being
• Chief of Division of the Surgical Oncology, Head and Neck, Thyroid, Breast, Skin and Soft Tissues and Esophago-Gastric Surgery (from 1991 to 2000)
• Chairman of Department of Surgery of Ospital ng MaynilaMedical Center (from 2000 to 2009)
• Lecturer on Administration of a Department of Surgery for Master in Hospital Administration students (since 1993 up to present)
Governance of a Department of Surgery – an Overview using a Framework
Definition of Governance
“Establishment of policies, and continuous monitoring of their proper implementation, by members of the governing
body of an organization.
It includes mechanisms required to balance the powers of the members (with the associated accountability), and their
primary duty of enhancing the prosperity and viability of the organization.”
Source: http://www.businessdictionary.com/definition/governance.html#ixzz3Q13RuEMp
Governance of a Department of Surgery – an Overview using a Framework
This topic on governance of a department of surgery is relevant to all of you -
• whether you are surgical residents or surgical consultants
• whether you are members of the governing body or not
Governance of a Department of Surgery – an Overview using a Framework
Governance is related to one of the competencies expected of surgeons, that is,
• being a physician-manager or surgeon-manager
aside from
• being a clinician, teacher, researcher, etc.
Governance of a Department of Surgery – an Overview using a Framework
Governance of a department of surgery - extensive topic to discuss and to learn!
Will just give an overview of governance of a department of surgery
and
Governance of a Department of Surgery – an Overview using a Framework
Governance of a department of surgery - extensive topic to discuss and to learn!
will just present 3 projects
(developed when I was Chairman of Department of Surgery of the Ospital ng Maynila Medical Center
from 2001 - 2009)
Governance of a Department of Surgery – an Overview using a Framework
Governance of a department of surgery - extensive topic to discuss and to learn!
The 3 projects selected
by the OMMC Organizing Committee:
• Problem-based Learning Issues
• Medical Anecdotal Reports
• Indigent Patient Help Program
ROJoson Framework - Overview of Governance of a Department of Surgery
ROJoson Framework - Overview of Governance of a Department of Surgery
• Have been lecturing to students taking up Masters in
Hospital Administration since 1993
• Over the years, specifically, in 2010, came up with this
framework which can use as a guide and checklist
• in the establishment and development of any
department in a hospital by the governing bodies,
• both at the top level as well as at the department level
ROJoson Framework - Overview of Governance of a Department of Surgery
• A generic framework which can be used for a department of surgery
• Just change the word “Department” into “Department of Surgery”
ROJoson Framework - Overview of Governance of a Department of Surgery
ROJoson Framework - Overview of Governance of a Department of Surgery
ROJoson Framework - Overview of Governance of a Department of Surgery
Primary responsibility of governing body or leadership!
For each box, must have documents -
• design and development blueprint
• evidence of implementation
• evaluation results of implementation
ROJoson Framework - Overview of Governance of a Department of Surgery
Basic processes of management – inputs, outputs, throughputs and
evaluation and continual improvement
ROJoson Framework - Overview of Governance of a Department of Surgery
Systems Approach to Hospital Operations: Department of Surgery
http://www.slideshare.net/rjoson/systems-approach-to-hospital-operations-department-of-surgery
ROJoson Framework - Overview of Governance of a Department of Surgery
ROJoson Framework - Overview of Governance of a Department of Surgery
Functions - officially authorized functions of the department
of surgery
• Have to be clearly and completely spelled out and
publicized
• Serve as the main steering wheel or compass for the
department development
• Bases for interfacing with other departments in hospital
• Bases for evaluation purpose
ROJoson Framework - Overview of Governance of a Department of Surgery
Example of authorized functions:
General Function:
To provide quality health services to all patients needing
management in the field of surgery (general surgery,
colorectal surgery, pediatric surgery, urologic surgery,
neurosurgery, plastic and reconstructive surgery,
thoracocardiovascular surgery, and orthopedic surgery).
ROJoson Framework - Overview of Governance of a Department of Surgery
Example of authorized functions:
Specific Functions:
• To provide quality health promotion and disease
prevention program in the field of surgery to clients in
need of such service.
• To provide quality and safe diagnostic and therapeutic
procedures to all patients with surgical problems.
• To provide quality and safe pre-operative, intra-operative,
and post-operative surgical care to all patients in need of
such health care service.
• To provide quality rehabilitative health programs in the
field of surgery to all clients in need of such service.
ROJoson Framework - Overview of Governance of a Department of Surgery
ROJoson Framework - Overview of Governance of a Department of Surgery
Service outputs - ultimate goals of the department of surgery
in terms of service
generally and basically cost-effective or value-based
services
In simpler terms:
good health care delivery outcomes (good results) such
as
• optimal surgical mortality and morbidity rates
• success treatment rates
• quality and safe services with reasonable costs and
expenses
ROJoson Framework - Overview of Governance of a Department of Surgery
ROJoson Framework - Overview of Governance of a Department of Surgery
RISK MANAGEMENT PROGRAM
- planned and systematic process or program to reduce
and/or eliminate the probability of a “risk” that usually results
in injuries, losses, and legal suits
BUSINESS DEVELOPMENT PROGRAM
- program that will develop the business of the department of
surgery to make it viable and sustainable
ROJoson Framework - Overview of Governance of a Department of Surgery
REGULAR PERFORMANCE EVALUATION AND CONTINUAL
IMPROVEMENT PROGRAM
- appraising extent of accomplishment of the department of
surgery in its authorized functions and business plans
- at planned intervals (quarterly, biannually, and annual) and
- to determine areas of improvement and to act on them.
ROJoson Framework - Overview of Governance of a Department of Surgery
Primary responsibility of governing body or leadership!
For each box, must have documents -
• design and development blueprint
• evidence of implementation
• evaluation results of implementation
Advices:
• Use as checklist
• Start develop them now
To become an excellent
department of surgery!
ROJoson Framework - Overview of Governance of a Department of Surgery
Systems Approach to Hospital Operations: Department of Surgery
http://www.slideshare.net/rjoson/systems-approach-to-hospital-operations-department-of-surgery
ROJoson Framework - Overview of Governance of a Department of Surgery
Details on what and how I did in Department of Surgery of Ospital ng
Maynila Medical Center from 2001 to 2009, when I was its Chairman, visit
the following website:
(https://rojosonommcsurgeryfilesandnotes.wordpress.com/governance-
2001-to-2009)
ROJoson Framework - Overview of Governance of a Department of Surgery
Feel free to ask me questions either through email
or
through my cellphone number (09188040304)
Governance of a Department of Surgery – an Overview using a Framework
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Annual Conference of Tripartite Training Institution in Manila
March 27, 2015