Leadership and Management in Health Care

Paper Summary:

This paper discusses how the most salient features of the current and future health care/aged care scenario are the increasing elderly population and the shift from private to government forms of payment; long-term care insurance is affordable to relatively few. It also discusses how, at the same time, with fewer people contributing to paying the bills, cost containment will be a factor. On the other hand, so will providing excellent care because the industry will be increasingly monitored. The paper stresses that the roles and responsibilities of the manager therefore must encompass financial management, customer service, and regulatory compliance. Moreover, attracting and keeping high-caliber staff, especially in traditionally low-paid areas, will also be necessary. The writer concludes that it will be essential for health care managers to achieve the highest level of professional competencies in half a dozen areas ranging from line supervision to global vision.

From the Paper:

"President Clinton's Secretary of Health and Human Services, Donna Shalala, used to tell a story about her mother, who was 86 at the time but still a full-time attorney representing several clients who lived in nursing homes. She would tell Shalala, "Donna, I don't care whether they are good nursing homes or bad nursing homes, you have to watch them like a hawk" (Cited in White House, 1998, quoted by Hovey 2000, 43). Clinton's presidency was very aware of health care issues, even if it was unable to solve them. Shalala's remarks were delivered at a press conference regarding nursing home regulation; arguably, under the current administration, issues of health care for the aged have gotten more problematical rather than less."

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