Transcript Titel - HPH-Conferences

Designing a corporate culture to achieve
a „magnet hospital” position:
How to empower people to create a
health promoting environment?
Centrum für Krankenhausmanagement
Universität Münster, Germany
Kerstin Stachel
Kerstin Stachel
Centrum für Krankenhaus-Management, Universität Münster
Director: Prof. Dr. Dr. Wilfried von Eiff
Organization
The structure of the organization consists of a formal and an informal organization.
1/8
tasks
ratios
finances
formal organization
 originates as a result of rational and conscious structuring
 is based on entrepreneurial objectives and statutory regulations
 is expressed in the organizational structure
 is visualized in position descriptions and organizational
diagrams
customer
process
7/8
attitudes
sanctioning
structure
secret rules of
the game
behaviour
Kerstin Stachel
ideas
informal organization
 originates as a result of unplanned relation-ships
between colleagues (communication, power
structures, formation of groups)
 is based on personal goals and colleagues’
 supports or hinders the formal organization
mistakes objections
Centrum für Krankenhaus-Management, Universität Münster
Director: Prof. Dr. Dr. Wilfried von Eiff
Karasek’s “job strain” model
The greatest risk to physical and mental health from stress occurs to workers facing high
psychological workload demands or pressures combined with low control or decision latitude
in meeting those demands.
High
Job Decision latitude
Job Demands
Low
High
Low
Strain
Active
Passive
High
Strain
Active Learning
B
Motivation to
Develop New
Behavior
(Skill use + Decision
authority)
Risk of
Psychological
Stress an
Physical Illness
Low
A
Reference: Schnall PL Landsbergis PA, Baker D. Job Strain and Cardiovascular Disease. Annual Review of Public Health: 15; 381-411, 1994.
Kerstin Stachel
Centrum für Krankenhaus-Management, Universität Münster
Director: Prof. Dr. Dr. Wilfried von Eiff
The Status Quo in German Hospitals
The status of employee's illness in german hospitals is higher than in other industries.
• The status of employee's illness in hospitals is with 5,8 % significant
higher than the average in the service industry (4,9 %)
• In average the employees in hospital were ill during 19,2 days per year.
(Average in the service industry: 17,7 days)
• Main Deseases: psychological stress and muscle or skeleton diseases
Kerstin Stachel
Centrum für Krankenhaus-Management, Universität Münster
Director: Prof. Dr. Dr. Wilfried von Eiff
Magnet-Hospitals
In a competitive environment hospitals with a brand equity have the advantage of acting as a
magnet.
suppliers
general staff
unique
inimitably
irreplaceable
New business
portfolio based on
brand image
association
capital
invested
Brand
patients
MAGNET
competency claim
sponsors
Market Power
payers
professional
staff
E07-03-02.ppt
Kerstin Stachel
presumed
medical
quality
Centrum für Krankenhaus-Management, Universität Münster
Director: Prof. Dr. Dr. Wilfried von Eiff
Magnet-Hospitals
You can see the corporate culture! What do magnet hospitals look like?
University Hospital Dresden, Germany (Photo: Stachel/CKM)
Kameda Hospital, Japan (Photo: von Eiff/CKM)
Kerstin Stachel
Centrum für Krankenhaus-Management, Universität Münster
Director: Prof. Dr. Dr. Wilfried von Eiff
Social Quality
… is a quality dimension which shows the influence of corporate culture on effectivity and
efficiency of processes, working together and organizational structure.
Criteria
 Dealing with failure, mistakes
 Dealing with proposals, initiative
 Dealing with different opinions and disagreement
 Coping with information
 Coping with resources
 Meeting culture
Means and function
 Quality promoter
 Crucial to achieve quality in results, processes and structure
Kerstin Stachel
Centrum für Krankenhaus-Management, Universität Münster
Director: Prof. Dr. Dr. Wilfried von Eiff
Social Quality
A comparison between German and foreign hospitals reveals a significant insufficiency in the
cooperation, the organization and the leadership of German hospitals.
X – German Hospital
X – Foreign Hospital
totally disagree
1
2
totally agree
3
Information
Informationfor
forthe
thepatients
patientsisis
provided
promptly
and
provided promptly and
effectively
effectively
No
Nocomplaints
complaintsfrom
frompatients
patients
4
X
(3,1)
X
(4,6)
X (4,2)
(4,2)
Adequate
Adequatereaction
reactionto
tothe
theneeds
needsof
of
relatives
relatives
Adequate
Adequateexchange
exchangeof
of
information
information
Supportive
Supportiveco-workers
co-workers
To
Tobe
be proud
proudof
ofbeing
beingpart
partof
ofthis
this
hospital
hospital
Kerstin Stachel
6
X X
(3,5)(4,0)
Complaints
Complaintsfrom
frompatients
patientsare
are
taken
takenseriously
seriously
Cooperative
Cooperativeleadership
leadership
5
X X
(4,1)(4,4)
X
(3,1)
X
(2,9)
X
(5,2)
X
(4,4)
X
(3,4)
X
(3,3)
X
(4,6)
X
(4,3)
Centrum für Krankenhaus-Management, Universität Münster
Director: Prof. Dr. Dr. Wilfried von Eiff
Social Quality
A comparison between German and foreign hospitals reveals a significant insufficiency in the
cooperation, the organization and the leadership of German hospitals.
X – German Hospital
X – Foreign Hospital
totally disagree
1
2
3
Positive
Positiverelationship
relationshipbetween
betweenthe
the
physicians
and
the
nurses
physicians and the nurses
Improvement
Improvementof
ofthe
theworkflow
workflow
by
the
employees
by the employees
Regular
Regulardiscussions
discussionsabout
aboutthe
the
exchange
exchangeof
ofinformation
information
Effective
Effectiveemployee
employeesuggestion
suggestion
system
system
Acceptable
Acceptableand
andproductive
productive
behavior
behaviorduring
duringdecision
decisionmaking
making
discussions
discussions
Kerstin Stachel
4
5
6
X X
(3,2)(3,7)
Awareness
Awarenessof
ofeconomic
economiceffects
effects
Smooth
Smoothinterdepartmental
interdepartmental
production
productionflow
flow
totally agree
X
(3,5)
X
(2,8)
X
(2,6)
X
(4,7)
X
(4,2)
X
(3,5)
X X (3,7)
(3,3)
X
X
(2,9) (3,5)
X
X
(3,0) (3,9)
Centrum für Krankenhaus-Management, Universität Münster
Director: Prof. Dr. Dr. Wilfried von Eiff
Designing a corporate culture to achieve
a „magnet hospital” position:
How to empower people to create a
health promoting environment?
Centrum für Krankenhausmanagement
Universität Münster, Germany
Kerstin Stachel
Kerstin Stachel
Centrum für Krankenhaus-Management, Universität Münster
Director: Prof. Dr. Dr. Wilfried von Eiff