3. Definitions
ď¨
ď¨
ď¨
ď¨
Management means âthe process of dealing with or
controlling things or peopleâ
Definition: âthe art of securing maximum results with
minimum of efforts so as to secure maximum prosperity
and happiness for both employer and employee and give
the public the best possible service.â (John F Mee.1963)
Technique: methods of accomplishing a desired aim or
purpose.
Programme: integrated suite of related projects for wider
group of people and often across a wider region , over a
longer period of time and involve multiple strategies and
projects.
4. Project
More
complex
interface
with the
strategy
â˘Defined start and finish dates.
â˘Focus is more on targets. Rather than
benefits.
â˘Simpler; only have to focus on targets.
â˘Projects are âring fencedâ.
Programme
â˘Less well defined end date.
â˘Focus is on delivering benefits and
requires involvement after projects have
ended.
â˘More interative with the external factors
5. What is need for management
techniques
ď¨
ď¨
ď¨
ď¨
ď¨
ď¨
ď¨
Detection: What is happenning ??
Evaluation : What is wrong or right??
Improvement: How can wrong be converted to right??
Optimization: what is the best way for best results??
Specification: for use appropriate resources, objectives
Control: control of resources
Communication: proper dissemination of information
8. Different Managemant
techniques
Highest
Middle
â˘
â˘
â˘
â˘
â˘
System analysis
Statistical trends
Cost Benefit analysis
Cost Effective Analysis
Programme Budgetting
â˘
â˘
â˘
â˘
â˘
Statistical trends and forecasting
Manpower planning
Simulation Studies
System analysis
Cost Benefit analysis
Information system and record linkage
Lower
â˘
â˘
â˘
â˘
Network analysis
Work Study
Behaviour Science
Simulation studies
9. Techniques used in management
of resources
Human
resource
Material
Money
Time
⢠Organizational analysis and behaviour
⢠Method Study
⢠Work Measurement
⢠Incentive scheme
⢠Job analysis
⢠Inventory control
⢠Value analysis
⢠Cost accounting
⢠Cost benefit
⢠Cost effective
⢠Input- output
⢠Programme budgetting
⢠Network analysis
⢠Method study
⢠Work measurement
11. Different Managemant
techniques
Highest
Middle
â˘
â˘
â˘
â˘
â˘
System analysis
Statistical trends
Cost Benefit analysis
Cost Effective Analysis
Programme Budgetting
â˘
â˘
â˘
â˘
â˘
Statistical trends and forecasting
Manpower planning
Simulation Studies
System analysis
Cost Benefit analysis
Information system and record linkage
Lower
â˘
â˘
â˘
â˘
Network analysis
Work Study
Behaviour Science
Simulation studies
12. System analysis
ď
A system is a set of interacting or interdependent
components forming an integrated whole.
ď
A system has nine characteristics:
ď Components----------------------Subsystems
ď Interrelated components
ď A boundary
ď A purpose
ď An environment
ď Interfaces
ď Input
ď Output
ď Constraints
14. System analysis
ď
System analysis â decomposes a system into its
component pieces for the purpose of studying how
well those component parts work and interact to
accomplish their purpose.
ď
Systems design â a complementary technique (to
systems analysis) that reassembles a systemâs
component pieces back into a complete systemâ
hopefully, an improved system
ď
This an appropriate course of action to choose
alternatives in terms of cost effectiveness, reexamination of the objectives.
16. System analysis
ď
1.
2.
3.
ď¨
Done by:
Investigating problems
Searching out objectives
Finding alternative solution
The technique is used to study different factors in totality
and also to study changes necessary for improvement.
19. Time trends and forecasting
ď¨
ď¨
A time-series is a set of observations on a
quantitative variable collected over time.
Examples
ď¤ Historical data on number of cases, beneficiaries,
costs etc.
ď¨
Time trends is the practice of collecting information and
attempting to spot a pattern, or trend, in the information.
ď¨
In time trends, we analyze the past behavior of a
variable in order to predict its future behavior.
20. Time trends and forecasting
ď¨
Epidemiologist can construct endemic curves based
on incidence of disease and also establish the likely
limits of variations.
ď¨
If the incidence of a disease exceeds the
expectation by certain limits, the occurrence of an
increased incidence or epidemic can be anticipated.
ď¨
Forecasting the demands for the supplies of the
material can be anticipated and a state of
preparedness maintained
21. Decision theory
ď
Decision theory is the body of analytical tools, including
logic and mathematical models, using probability theory
and diagrammatic presentation for use in decision
making.
ď
Future events, which may affect decision making, are
shown diagrammatically.
ď
It has enabled policy makers to study alternative health
strategies logicically in disease screening , immunization
etc.
22. Decision tree
ď
Decision tree is a diagram that depicts key
interactions among decisions and associated
chance events, as the decision maker
understands them.
ď
The base of the decision tree, drawn
horizontally is the starting point denoting an
event which occurs by chance.
ď
Branching of tree into two or more branches begins at
the first chance event.
23. Cost â accounting
ď
Provides basic data on cost structure of any programme.
ď
It has three important purposes in health services
1.
2.
3.
Cost control
Planning and allocation of people and financial
resources.
Pricing of cost reimbursement.
24. Cost â accounting
ď
Comparison can be made on the basis of cost
accounting where there is variation in unit cost of
similar types of services
ď
Cost accounting is valuable management tool
to
identify inefficient services
ď locate wasteful use of resources
ď bring efficiency into health care system.
ď
25. Cost â benefit analysis
ď
Benefits are expressed in monetary terms to determine
whether a given programme is economically sound and to
select best out of several programmes.
ď
Cost of sickness calculated from direct cost of treatment of
patient and he being the non productive member of the
society.
ď
Once the cost of disease is known, the cost of preventive
measures can be compared with it.
26. Cost â benefit analysis
ď
Drawback:
Benefits can not always be expressed in monetary terms as
in health field benefits are generally in terms of deaths or
births prevented or illness avoided.
ď
E.g .Cost benefit analysis of intensified programme against
smallpox in India during period July 1973 to December 1975
has shown net benefit of Rs 1058 million.
27. Indoor pollution
Cost â benefit analysis of household
energy interventions at global and
regional levels
28. Cost â effective analysis
ď
This is a better tool than cost benefit analysis.
ď
Benefit is expressed in terms of result achieved rather than
to express in monetary terms. eg. Number of lives saved.
ď
Two ways in which analysis can be done :
A system which gives more units of effectiveness for a
given rupee is more efficient.
A system which enables the attainment of effectiveness
at minimum cost in terms of rupees is more effective.
1.
2.
29. Cost â effective analysis
ď
DDT was the cost effective method accepted for the vector
control
30. A budget helps
Want
Need
Budget
can
ď Stay within a limit
ď Control
ď Forecasting
ď Delegate
ď Prioritise
Wants, Organise Needs,
ď Within the realm of what
we Can
31. Planning Programming
Budgeting System (PPBS)
ď
The system focuses on funding those projects that will
bring the greatest progress toward organisational goals
for the least cost
ď
Basically a Program and Planning Budgeting System
ď
It is a link between planning and programming covering it
into annual budget format.
32. Planning Programming
Budgeting System (PPBS)
ď¨
ď¨
ď¨
ď¨
ď¨
Identification of goals and objectives for each major
area of activity - Planning
Analysis of the programs proposed to obtain
organizational objectives - programming
Estimation of the total costs for each project.
Final analysis of alternative projects in terms of costs,
expected costs, expected benefits, and expected project
lives.
Cost/benefit analyses are performed for each program a portfolio of projects is selected for funding. - Budgeting
33. Zero base budgeting
ď¨
Zero budget approach was developed by Peter Phyrr
ď¨
Defined as an operating, planning and budgeting process
which requires each officer to justify his budget from zero
level upwards
ď¨
No one gets a budget that he cannot justify on year to
year basis
ď¨
Fresh justification of funds is required to run a programme
34. Zero Based Budgeting
ď¨
It begins with identifying all the constituent tasks that are involved
in implementing a project and working out the resources and
funding required by each.
ď¨
Provides the opportunity to create organisation level budgets by
rolling up project budgets.
ď¨
Create centralised project level budgets from their sub-project
budgets
35. Benefits
ď¨
ď¨
ďą
ď¨
ď¨
Accuracy of the budgets for individual tasks
Participation in the process leads to ownership and
acceptance
motivates managers to find cost effective ways to
improve operations.
For Project Managers : flexibility to define their
project budgets independently
For Financial Managers :ability to centrally review the
total project budget/s
36. Zero base budgeting
ď¨
Drawbacks
ď¤ time-consuming
ď¤ Justifying
every line item can be problematic for
departments with intangible outputs.
ď¤ Requires specific training, due to increased
complexity.
ď¤ In a large organization, the amount of information
backing up the budgeting process may be
overwhelming.
37. Different Managemant
techniques
Highest
â˘
â˘
â˘
â˘
â˘
System analysis
Statistical trends
Cost Benefit analysis
Cost Effective Analysis
Programme Budgetting
Middle
â˘
â˘
â˘
â˘
â˘
Statistical trends and forecasting
Manpower planning
Simulation Studies
System analysis
Cost Benefit analysis
Information system and record linkage
Lower
â˘
â˘
â˘
â˘
Network analysis
Work Study
Behaviour Science
Simulation studies
38. Man power planning
ď¨
It is the process of systematically reviewing
human resource requirements to ensure that
the number of the employees matches the
required skills.
METHODOLOGY
1. Forecasting demand
2. Forecasting supply
3. Reconciling supply/demand
4. Monitoring manpower utilisation
38
40. Model/simulation study
ď¨
ď¨
Model : is a representation of the construction and working of
some system of interest.
It is similar to but simpler than the system it represents.
ď
A Simulation of a system is the operation of a model, which is
a representation of that system.
ď
Basic concept of management science in which there is
symbolic representation of idealized situation.
ď
It helps to understand how the factors in a situation affect one
another.
41. Model/simulation study
ďą
An epidemiological model of typhoid fever was made to
study transmission of infection at different levels.
ďą
Numerical values based on known evidence were
assigned to parameters.
Changes were introduced in some parameters to study
the effect of mass vaccination and improvement in
general health and sanitation on incidence of typhoid.
Human papilloma virus vaccination programs reduce health inequity in most
ďą
scenarios: a simulation study(BMC 2012,12:935)
a total number of 3,793,902 scenarios. In 63.9% of scenarios considered, vaccination
would lead to a better outcome for a population or subgroup with that combination of
parameters. Regardless of vaccine effectiveness and coverage, most simulations led to
lower rates of disease.
42. ADVANTAGES
ď¨
Advantages
ď¤ highly valid
ď¤ Easy to compare alternatives
ď¤ Control experimental conditions
ď¤ Can study system with a very long time frame
DISADVANTAGES
ď¨
Disadvantages
ď¤ expensive
ď¤ Difficult to summarize and statistically analyze
43. Information systems
ď¨
ď¨
1.
2.
3.
4.
4.
5.
6.
Raw data when properly analyzed results in information and
it is disseminated through the system known as information
system
Function of information system is
Collection
Classification
ďIt provides up to date, reliable, complete
Transmission
and timely information to managers at
Storage
various levels
Retrieval
Transformation
Display of information
45. Health Information System
WHO proposes to categorize the health information
system under five interrelated âsubsystemsâ:
ď¨ Epidemiological Surveillance (notifiable infectious
diseases, environmental conditions, and risk factors)
ď¨ Routine service reporting
ď¨ Special programmes reporting systems (tuberculosis
and leprosy control, MCH, school health)
ď¨ Administrative systems (health care financing
systems, health personnel systems, logistic systems)
ď¨ Vital registration systems (births, deaths, and
migratory movements)
46. Different Managemant
techniques
Highest
â˘
â˘
â˘
â˘
â˘
System analysis
Statistical trends
Cost Benefit analysis
Cost Effective Analysis
Programme Budgetting
Middle
â˘
â˘
â˘
â˘
â˘
Statistical trends and forecasting
Manpower planning
Simulation Studies
System analysis
Cost Benefit analysis
Information system and record linkage
Lower
â˘
â˘
â˘
â˘
Network analysis
Work Study
Behaviour Science
Simulation studies
47. Network analysis
ď¨
ď¨
It is a general name given to certain specific
techniques which can be used for the planning,
management and control of projects.
The basic principle of network analysis is to show
diagrammatically the logical sequence in which
different events necessary between the start and end
point need to take place.
49. Critical path
ď¨
Critical Path
F, 15
CPM network represent activities
H, 9
G, 17
A, 6
I, 6
B, 8
D, 13
J, 12
C, 5
E, 9
ďLongest path of the network is called critical
path.
50. PERT
ď
ď
ď
Programme Evaluation and Review Technique
This is for more detailed planning and more
comprehensive supervision
Shown by an arrow diagram representing logical
sequence in which events must take place.
51. Difference between PERT & CPM
PERT
ď¨
ď¨
ď¨
ď¨
A probability model with
uncertainty in activity
duration
Multiple time estimates
For planning & scheduling
research projects.
Does not usually consider
costs
CPM
ď¨
ď¨
ď¨
ď¨
A deterministic model
with well known activity
time
Single/fixed estimate
time
For construction projects
& business problems.
Deals with cost of project
schedules
52. Methods of behaviour science
ď¨
ď¨
ď¨
Organizational design
Personnel management
Communication
53. Organizational design
ď
Organization is a group of people who all work towards
some common goal
ď
Organization behaviour : in a health setup like PHC or
CHC, it is behaviour of health volunteers, honorary
workers, health workers, supervisors and also panchayati
raj institution
ď
Organization must be suited to its objectives and the
needs
ď
In health sector, it should be designed to meet the
health needs and demands of people.
54. Personnel management
Skillful use of human resources
1.
Delegation of power / authority
2.
Proper methods of selection
3.
Training and motivation
4.
Division of responsibility
5.
Elimination of âsquare pegs in round holesâ
6.
Incentive for better work
7.
Opportunities for promotion and
professional advancement.
55. Communication
ď¨
ď¨
1.
2.
3.
4.
5.
Communication is a process of transfer of information from a
person or persons to others
Elements
Source of information
Message or content of information
Channel of information
Receiver of information
feedback
56. Communication barriers
ď
1.
2.
3.
4.
ď
ď§
ď§
Communication barriers
Physiological
-difficulty in hearing
Psychological
-level of intelligence, language
Environmental
-noise, invisibility
Cultural
- customs ,belief, religion
Communication barriers are responsible for :
Delay in regular reporting and notification and delay in
compilation of statistics
Delay in release of supplies and salaries
57. WORK STUDY
ď
Work Study is the systematic examination of carrying on
activities so as to improve the effective use of resources and
to set standards of performance for the activities being carried
out. (ILO)
ď
It is the systematic study of work systems with the purposes
of
ď Developing the preferred system and Method ( with lowest
cost)
ď Standardizing this system and method
ď Determining standard time for the task
ď Assisting in training the worker in the preferred Method
ď
Work Study is a Tool Of Productivity Enhancement.
58. Techniques Of Work Study
METHOD
STUDY
ďit simplifies the job and
develops more economical
method of doing it.
WORK MEASUREMENT
ďMeasure the quantity of work
involved in the method selected
and calculate a standard time for
59. Method Study
ď
It is the systematic recording and critical examination of ways
of doing things in order to make improvements.
ď
STEP I : JOB/TASK/PROCESS SELECTION
ď Economic Considerations
ď Technological Considerations
ď Human Considerations
ď
STEP II : RECORDING THE FACTS
ď
STEP III : CRITICAL EXAMINATION
ď PURPOSE
: for which the activity is done
ď PLACE
: at ,,
,,
,, ,, ,,
ď SEQUENCE : in
,,
,,
,, ,, ,,
ď PERSON : by whom ,,
,, ,, ,,
,,
ď MEANS
: by which ,, ,, ,, ,, ,,
60. Work Measurement
ď
ď
It is the application of techniques designed to
establish the time for a qualified worker to carry out
a task at a defined rate of working.
THUS
it determines how long it should take to carry out
the work
63. Inventory control
ď¨
ď¨
Inventory Control is the supervision of supply, storage
and accessibility of items in order to ensure an adequate
supply without excessive oversupply.
Inventory control
ď¤ Helps in maintaining an optimum level of the all
resource at least possible cost.
ď¤ Determine appropriate levels of holding
inventories, ordering sequence & the quantities, so
that the total costs incurred are minimized.
65. Value analysis
ď¨
Value is a broad term often used to denote cost and
Price.
ď¨
Value can be divided into the following classifications :ď¤ Use or Functional Value:- the properties and qualities
which accomplish a use, work or service.¡
ď¤ Cost Value :- The sum of labour, material and various
other costs required to produce it.
66. Value analysis
ďą
VA is defined as systematic study of the function of a
material, part , component to identify areas of
unecessary costs that can be eliminated without
impairing the capacity of the items.
Benefits :
ď¤
ď¤
A reduction in cost of existing products or
systems.
Prevention of unnecessary cost in new products
or systems.
67. Management by objectives
(MBO)
ď¨
ď¨
Management by objectives (MBO) is a
process of defining objectives within an
organization so that management and
employees agree to the objectives and
understand what they need to do in the
organization in order to achieve them.
The essence of MBO is
ď¤ participative
goal setting,
ď¤ choosing course of actions and
ď¤ decision making.
68. Management by objectives
(MBO)
ď¨
Benefits
Employees tend to have a clear understanding of the
roles and responsibilities expected of them
ď¤ Subordinates tend to have a higher commitment to
objectives
ď¤ Better communication and Coordination between
superiors and subordinates
ď¤
ď¨
Drawbacks
Setting up of targets is in reality not participatory but
top management hand down targets
Distribution of family welfare priority different districts in a State considering
ď¤ Targets become targets to
ď¤
past performance, special conditions like drought, unrest. The targets were then
distributed among several sub district units on similar lines. The same cycle
repeated in subsequent year.
69. Management by exceptions
ď¨
ď¨
Management by Exception is a "policy by
which management devotes its time to
investigate only those situations in which
actual results differ significantly from planned
results.
The idea is that management should spend its
valuable time concentrating on more important
items (such as shaping the project's future
strategic course).
70. Management by exceptions
ď¨
Benefits
ď¤ It
reduces the amount of financial and operational
results that management must review, which is a
more efficient use of their time.
ď¤ This type of management can be powerful when it
is necessary to process lots of data in order to
make managerial decisions.
ď¨
Drawbacks
ď¤ This
policy of management result in myopic
behavior.
71. Situational analysis
ď¨
ď¨
This method described as âwhere are we
nowâ, is the means by which a company can
identify its own strengths and weaknesses as
they relate to external opportunities and
threats.
It is an integral component of the management
process to find out what the existing situation
is, analyze the same, identify, which aspects
needs changing, and then plan accordingly.
For example, studies regarding Measles, immunisation and disease: situation
analysis in a resettlement area of east delhi 1998 reveal one fifth of the children
aged 12 months or above were not immunized against measles at all and coverage of
74%.
72. SWOT analysis
ď¨
It involves identifying the internal and external
factors that are favorable and unfavorable to
achieve a objective.
73. SWOT analysis
ď¨
Benefits
ď¤ Source
of information for strategic planning.
ď¤ Helps in setting of objectives for strategic
planning
ď¤ Helps in identifying core competencies of firm
ď¨
Drawbacks
ď¤ Categorizing
aspects might be very subjective
ď¤ It may cause organizations to view circumstances
as very simple which organizations might
overlook
74. Logical Framework
ď¨
ď¨
ď¨
The Logical framework (Logframe) is a method
found useful for bringing about clarity in the
process of planning, monitoring and
evaluation.
It compresses the entire programme being
proposed in a summary format.
The Log frame consists of a matrix of 16 cells
75.
76. Conclusion
To achieve the most without wasting the
resources in experimentation there is need for
devising and introducing techinques that bring
maximum results with limited resources.
MOTTO:
The Right technique ,at the right place,at the
right time, at the right cost, by the right methods.
ď¨
77. References
ď¨
ď¨
ď¨
ď¨
ď¨
Management techniques â Dr. S.L Goel
Epidemiology and management health care
for all- Sathe
WHO document on Modern Management
techniques -1977
journal article BMC :Human papilloma virus
vaccination programs reduce health inequity in
most scenarios: a simulation study -2012
WHO Health research system analysis .pdf
John F. Mee, former chairman of the department of management at the Indiana University School of Business,
(MJ Clay General theory of management techniques I London)
System" means "something to look atâ
Definition of 'Cost Control'The practice of managing and/or reducing business expenses. Cost controls starts by the businesses identifying what their costs are and evaluate whether those costs are reasonable and affordable. Then, if necessary, they can look for ways to cut costs through methods such as cutting back, moving to a less expensive plan or changing service providers. The cost-control process seeks to manage expenses ranging from phone, internet and utility bills to employee payroll and outside professional servicesFinancial accountingFinancial accounting aims at finding out results of accounting year in the form of Profit and Loss Account and Balance Sheet. Cost Accounting aims at computing cost of production/service in a scientific manner and facilitate cost control and cost reduction. Financial accounting reports the results and position of business to government, creditors, investors, and external parties. Cost Accounting is an internal reporting system for an organizationâs own management for decision making. In financial accounting, cost classification based on type of transactions, e.g. salaries, repairs, insurance, stores etc. In cost accounting, classification is basically on the basis of functions, activities, products, process and on internal planning and control and information needs of the organization. Financial accounting aims at presenting âtrue and fairâ view of transactions, profit and loss for a period and Statement of financial position (Balance Sheet) on a given date. It aims at computing âtrue and fairâ view of the cost of production/services offered by the firm.
Planning, programming and budgeting system (PPBS) is a middle type of budget between the traditional character and object budget, on the one hand, and the performance budget on the other. The major contribution of PPBS lies in the planning process, i.e- the process of making program policy decisions that lead to a specific budget and specific multi-year plans. The preferred programs form in effect a long term plan to be pursued over a number of years; each program budget will disclose the cost of providing a service to satisfy an objective, Broken down into time periods, it therefore informs management in a manner allowing them to make judgments about such effectiveness that would not be possible it programs were fragmented in the departmental of budget concerned. Â
Bottom Up Budgeting
Project managers can have the responsibility of the planning, execution and closing of any project, typically relating to construction industry, architecture, aerospace and defense, computer networking, telecommunications or software development.financial manager is responsible for providing financial advice and support to clients and colleagues to enable them to make sound business decisions.DisadvantageTop management has limited influence over the budgeting process, Individual tend to overstate their resource needs because they suspect that higher management will probably cut all budgets by the same percentageMore persuasive managers sometimes get a disproportionate share of resources A significant portion of budget building is in the hands of the junior personnel in the organisation Sometimes critical activities are missed and left unbudgeted
Refrences: Bull World Health Organ. 1971; 45(1): 53â75.
Application of techniques designed to establish the time for a qualified worker to carry out a specified job at a defined level of performance.Eg. Determining the number of machines that an operator can run, minimizing the idle time.
Asia Pac J Public Health. 1998;10(1):29-32
AdvantagesDuring initial stages, it can be used to test project ideas and concepts for relevance and usefulnessIt guides systematic and logical analysis of the key interrelated elements that constitute a well-designed project (THE WORLD BANK 2000)It defines linkages between the project and external factorsDuring implementation, the logframe serves as the main reference for drawing up detailed work plans, terms of reference, budgets, etc (WAGENINGEN UR 2010)A logframe provides indicators against which the project progress and achievements can be assessed (WAGENINGEN UR 2010)It provides a shared methodology and terminology among governments, donor agencies, contractors and clients (THE WORLD BANK 2000)DisadvantagesFocusing too much on problems rather than opportunities and vision (WAGENINGEN UR 2010)Organisations may promote a blueprint, rigid or inflexible approach, making the logframe a straitjacket to creativity and innovation (THE WORLD BANK 2000)Limited attention to problems of uncertainty where a learning or adaptive approach to project design and management is required (WAGENINGEN UR 2010)The strong focus on results can miss the opportunity to define and improve processes