Health Management Essentials
Health Management Essentials
A.     COURSE OUTLINE
   The course is designed to enable the students understand the principles of
    health management and carry out managerial and administrative duties in
    health institutions.
OBJECTIVES
Objectives
1. Define terms used in management
2. Explain the classical and contemporary theories of management
3. Explain functions of management
4. Apply principles of management
Content
▫ Definition of terms
▫ Foundations of Management
▫ classical and contemporary theories
▫ Major functions of management: - planning. Implementation and evaluation
▫ Sub functions of management: - organizing, directing, supervising,
    delegating, co-ordinating, monitoring and controlling
Content
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▫ Shortest decision path
▫ Delegation
▫ Management strategies: - ; Managerial skills – technical skill, human skill,
   planning related skill and flexibility: Function determined structure; economic
   use of resources – substitutions of resource, division of labour and team work;
   Decision making – programmed and non-programmed; Decision making
   process; Factors affecting rational decision making; Problem solving –
   situation analysis, prioritisation, options, implementation of decision and
   evaluation of outcome
 MODULE 2 HUMAN RESOURCE MANAGEMENT
Objectives
Content
Content
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▫ Performance appraisal
▫ Civil service code of regulations
▫ Filling systems
▫ Referencing official correspondence
▫ Memos, circulars, posting orders, letters, staff returns and handling
   confidential information.
▫ Conducting meetings
                               B.     INTRODUCTION
 Health managers are under pressure to achieve sustainable results. therefore
  managers must develop high performing workgroups (group of people who work
  together on a regular basis to produce results e.g. a department, clinic, faculty etc)
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 A good work atmosphere or work climate encourages and sustains staff motivation.
  While a poor work climate can result in absenteeism, unmet performance
  objectives, lack of initiative, reduced interest in work or the organization.
 The study of management outlines the connections between work climate,
  employee motivation and performance. It describes how managers can assess the
  climate in their workgroup and shows how they can use the results to make
  changes in leadership and management practices that will motivate workers to do
  the best work possible and improve results.
 Therefore, a manager is someone who is controlling and administering an
  organization or a part of an organization. Managers decide what should be done
  and then get one to do it. They must satisfy the needs of each employee while also
  meeting the goals of the business or the organization.
 Being capable of doing this involves leadership.
      C.     DEFINITIONS OF MANAGEMENT
Has been defined in different ways by different writers:
1. Management is the act of getting things done through and with other people in
  formally organized groups.
 Act of creating an environment in which people can perform as individuals and yet
  operate towards attainment of group goals.
 Act of removing blocks to performance as a way of optimizing efficiency
  (productive with minimum waste or effort) in reaching goals. H.KNOONTZ
2. Management involves design or creation or maintenance of an internal
  environment in an enterprise where individuals working together in groups can
  perform efficiently and effectively towards attainment of group goals. KNOONTZ $
  O. DONELL
3. Management is a process of achieving an organizational goal through the
  coordinated performance of 5 specific functions:
      i. Planning
      ii. Organizing
      iii. Staffing
      iv. Directing
      v. Controlling
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4. Management is the process of getting things done through the efforts of other
  people. ( MONDY et al)
5. Management is the process of working with and through others to achieve
  organizational objectives in a changing environment, central to this is the effective
  and efficient use of limited resources.
      D.     HISTORY OF MANAGEMENT
 Management has been there since the beginning of mankind. People had their way
  of doing things or carrying out their daily activities such as planning, organizing,
  coordinating and controlling, but the methods were crude. They had no standards
  of measuring work, and there was no formal training of workers. Work was not
  studied to determine the most desirable way to complete a task.
 The development of management as a discipline of study came as a result of
  important developments in both Europe and America from the 16 th century.
 In the 16th century there was development of administrative technology in Austria
  and Germany aimed at improving particular functions and activities of the
  government system.
 In the 19th century there was the need to establish a reputable civil service in
  Europe especially Britain. These developments helped to portray management as
  an area that could be studied and taught. In preparing civil servants in managerial
  skills it was found out that they could interpret and implement governmental
  policies more effectively and efficiently.
 PRESCIENTIFIC
 CLASSICAL
 NEOCLASSICAL AND
 MODERN MANAGEMENT ERAS
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He came up when there was a shortage of labor in industries. He contributed his
ideas to show how important it was to utilize the few people available to do the work.
He did the following:
Parker Follet
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Chester Bernard
Hugo Munsteberg
Abraham Maslow
Douglas McGregor
David McClelland
       F.    PRINCIPLES OF MANAGEMENT
The search for universally acceptable principles of management began in the
industrial areas of Europe and America in the last years of the 19th century. Henry
Fayol put the general principles of management forward; he stated the key activities
of any industrial undertaking as;
He saw:
      Forecasting and planning as looking to the future and drawing a plan of action.
      Organizing in structural terms
      Commanding as maintaining activity among personnel
      Coordinating as a unifying activity
      Controlling as ensuring that things happen in accordance with established
       policies and practice.
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Fayol concluded that managerial activities were not exclusively for management but
were part of the total activities of any undertaking.
He listed 14 principles but emphasized that they were not absolute but capable of
adaptation, according to need.
1. Division of work/labor- reduces the span of attention or effort for any one
    person or group. Develops practice and familiarity.
2. Authority- The right to give orders. Should not be considered without reference to
    responsibility
3. Discipline- Outward mark of respect in accordance with formal or informal
    agreement between the organization and the employee.
4. Unity of command- One man one superior
5. Unity of direction- One head one plan for a group of activities
6. Subordination of individual interests- The interest of one individual or group
    should not prevail over the general good.
7. Remuneration- Pay should be fair to employee and the organization.
8. Centralization- Depends on the size of the company and quality of management.
9. Hierarchy or scalar chain- Line of authority from top to bottom.
10.     Order- A place for everything and everything in its place.
11.     Equity- Combination of kindness and justice towards employees.
12.     Stability of staff- Employees need to be given time to settle into their jobs.
13.     Initiative- Encourage employees to show initiative within the limits of
    authority and discipline.
14.     Espirit de corps- Harmony/teamwork should be encouraged.
                                   1. DIVISION OF LABOUR
 Work is allocated to various employees since one person can not do all the work.
 Work is divided into specialized tasks or elements. Responsibilities are assigned to
    specific individuals.
o     MERITS:
        -Increases productivity
-Increases efficiency
-Leads to specialization
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        -Time saving
o   DEMERITS
        -Fatigue
-Boredom
-Powerlessness
-Isolation
-Unemployment
-Self-estrangement
                                         2. ORDER
 A place for everything and everything in its place
 People are required to be in specific places of work
 goals and objectives cannot be achieved if there is no order
 there must be schedules or timetables to be followed
                                         3. EQUITY
 Fair discipline and order enhance employee commitment. Managers should be fair
    and friendly to subordinates and exercise impartiality.
 there should be fairness with no favoritism
 ensures there is no discrimination
 one is paid according to the work done regardless of gender, language, color or
    race
                                  4. CENTRALIZATION
 All major policy decisions should be made at the top of the management level or
    central point
 Delegation of duties from top-down
 Top most person is always answerable for the running of the organization
                           5. HIERACHY OR SCALAR CHAIN
 Refers to Junior-senior relationship
   it is the chain of command
 major decisions are made at the top
 Communication should follow the right channel in the hierarchy. it should be kept
    within the chain of command
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 remuneration should be given according to the position held by the concerned
  person
                                    6. AUTHORITY
 Delegate responsibility along with authority (the right to command and get work
  done) assignment: define authority
 All employees should have power (delegated authority) assignment
 All employees should have power and authority in their sections
 they should be able to delegate duties
 They should self initiative and judgment and therefore power and authority have a
  limit. If misused it can cause chaos leading to demotivation which will affect
  efficiency and productivity in the work place
                                     7. INITIATIVE
 Encourage employees to act on their own in support of the organization’s direction
  despite the mistakes made.
 This boosts the staff morale.
                                  8. REMUNERATION
 All workers should be fairly paid with appropriate additional incentives for
  additional work/efforts.
 Includes salary, allowances, free benefits etc
                                  9.ESPIRIT DE CORPS
 Refers to teamwork.
 Promotes unity of interests between employees working in different sections and
  between employees working and management.
 There is co-operation, togetherness and cohesion.
 This gives an organization a corporate image.
10. DISCIPLINE
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 Interests of the organization must take priority over the interests of the individual
  or a group whenever there is a conflict between the two.
 An employee’s personal needs should not be met using time and material from the
  organization.
 One should not misuse funds, vehicles etc for individual needs
                               12. UNITY OF COMMAND
 Or tenure of employees
 Employment turnover should be minimized. High labor turnover is no desirable, it
  shows an organization is not doing well.
 Tenure and long term commitment of employees should be encouraged
 This results in a sense of belonging to the organization giving rise to dedication
  and better outcome or output
 This can be enhanced by better remuneration, job security, employee benefits etc
                               14. UNITY OF DIRECTION
 The principle of Fayol states that ‘there should be one head and one plan’ for a
  group of activities or tasks having the same objectives.
 This ensures that all related activities are controlled from one source e.g. there
  should be one personnel officer for the personnel department with specified plan
  for personnel policies, feeding personnel in all departments of the organization.
      G.     APPROACHES TO MANAGEMENT
There are 3 basic approaches to management:
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 Started in the early 20th century to increase efficiency and productivity at the work
  place.
 It marked the beginning of the study of modern management. It is looked at in two
  perspectives:
i. Problem of lower level managers- the scientific management
ii. Problem of top level management- classical organizational theory- to develop
  principles and basic
  functions of managing organizations.
 From the classical approach Henri Fayol came with the principles of management
 Scientific management was pioneered by Fredrick Winslow Taylor. He was
  interested in efficiency of working methods. He concluded that workers tended to
  put minimal effort into their daily work.
 The scientific approach required the following steps:
       Develop a science for each operation to replace opinion and rule of thumb
       Determine accurately from science the correct time and method for each job
       Set up a suitable organization to take up all responsibility from the workers
           except for actual job performance
       Accept that management be governed by science developed for each
           operation
 Other theorists in scientific management include- Frank and Lillian Gilbreth, Henry
  Gantt.
2. BEHAVIOURAL APPROACH
 This approach developed because it was found that the classical approach did not
  achieve total efficiency and harmony at the workplace
 It has two branches:
I. Human relations approach
 This refers to the manner in which managers interact with subordinates
 Managers must know why their subordinates behave the way they do and what
  psychological and social factors are important
 This approach concentrated on the social environment
II. Behavioural science approach
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 Believed that man is much more complex than the ‘economic man’ description of
  the classical management and ‘social man’ description of human relations
  approach
 It mainly looked at the nature of work and the degree to which it can fulfil human
  needs to use skills and abilities
 An individual is motivated by more than money and forming social relations
[-Rational economic man- theories of Adam smith in the 1770s suggested that self
-interest and maximization of gain are the prime motivators.
-Social man- people mainly motivated by social needs i.e. need for personal
relationships.
The ideas of scientific management were pioneered by F.W Taylor, Frank and Lillian
Gilbreth, and H. Gantt.
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Taylor was convinced that few workers put in more than minimal effort into their daily
work. He described this as “soldiering”- man’s tendency to take things easy and the
organized restriction of the rate of work by the employer.
His approach used mathematics and statistics to aid in resolving production and
operations problems. It required a series of steps;
    Develop a science for each operation to replace opinion and rule of thumb
    Determine scientifically the correct time and method for each job
    Set up a suitable organization to take all responsibility from workers except
      that of actual job performance
    Select and train workers
    Accept that management itself be governed by science
His approach came to be known as the Work Study- facts are substituted by
opinions by studying wwork and timing how long each operation would take in order
to produce the best method of doing a job.
After Taylor, came the Gilbreths with the theory of Motion Study- the study of task
movements. They said that measurement be applied to management in order to find
the best way of doing a job.
Assignment;
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Its basic concept is that there is no one best way to manage. It has developed from
the systems approach. It determines the most appropriate organizational design and
management style for a given set of circumstances.
      H.      MANAGERIAL SKILLS
1. Technical skills. This is the ability to use specific knowledge, techniques and
  resources in performing work.
2. Analytical skill. Using scientific approaches of techniques to solve management
  problems.
3. Decision making skill.
4. Human skill. Ability to work with and understand others.
5. Communication skill. Effective communication.
Conceptual skill. Ability to know how each part of the organization interrelates and
contributes to the overall objectives of the organization
      I.      FUNCTIONS OF MANAGEMENT
1. Planning
2. Staffing
3. Organizing
4. Delegating
5. Coordinating/controlling/directing
6. Motivating
7. Leadership
8. Evaluation
9. Communication
10.    Budgeting
11.    Decision making
12.    Implementation
13.    Problem solving/preventing
PLANNING
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    Planning is concerned with the future impact of today's decisions. It is the
     fundamental function of management from which the other four stem. The
     need for planning is often apparent after the fact.
    The organizing, staffing, leading and controlling functions stem from the
     planning function.
    The manager is ready to organize and staff only after goals and plans to reach
     the goals are in place.
    The leading function, influencing the behavior of people in the organization,
     depends on the goals to be achieved.
    Finally, in the controlling function, the determination of whether or not goals
     are being accomplished and standards met is based on the planning function.
    The planning function provides the goals and standards that drive the
     controlling function.
    Planning is important at all levels of management. However, its characteristics
     vary by level of management.
Planning Terminology
     Strategic Planning
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    Strategic planning is one specific type of planning. Strategies are the outcome
      of strategic planning.
    An organization's strategies define the business the organization is in, the
      criteria for entering the business, and the basic actions the organization will
      follow in conducting its business
    Strategies are major plans that commit large amounts of the organization's
      resources to proposed actions, designed to achieve its major objectives and
      goals. Strategic planning is the process by which the organization's strategies
      are determined. In the process, three questions are answered:
1. Where are we now?
 The "where are we now?" question is answered through the first three steps of the
  strategy formulation process: (1)perform internal and external environmental
  analyses, (2)review vision, mission and objectives, and (3)determine SWOT:
  Strengths, Weaknesses, Opportunities and Threats. SWOT analysis requires
  managers to be honest, self-disciplined and thorough
 Strengths and weaknesses come from the internal environment of the firm.
  Strengths can be exploited, built upon and made key to accomplishment of mission
  and objectives. Strengths reflect past accomplishments in production, financial,
  marketing and human resource management.
 Weaknesses are internal characteristics that have the potential to limit
  accomplishment of mission and objectives. Weaknesses may be so important that
  they need to be addressed before any further strategic planning steps are taken.
 Opportunities and threats are uncontrollable by management because they are
  external to the firm. Opportunities provide the firm the possibility of a major
  improvement. Threats may stand in the way of a firm reaching its mission and
  objectives.
Directing
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 Directing is influencing people's behavior through motivation, communication,
  group dynamics, leadership and discipline.
 The purpose of directing is to channel the behavior of all personnel to accomplish
  the organization's mission and objectives while simultaneously helping them
  accomplish their own career objectives.
 It has a variety of names, ie leading, influencing, coaching, motivating,
  interpersonal relations, and human relations.
 The directing function gives the manager an active role in employee performance,
  conduct and accomplishments. Managers accomplish their objectives through
  people. In blaming others for her or his human resource problems, a manager is
  denying the management responsibilities in the directing function.
 Helping people in the organization with career planning and professional
  development is an integral part of the directing function.
Organizing
2. Delegation of authority
3. Departmentation
4. Span of control
5. Coordination
Division of Labor
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Division of labor is captured in an organization chart, a pictorial representation of an
organization's formal structure. An organization chart is concerned with relationships
among tasks and the authority to do the tasks. Eight kinds of relationships can be
captured in an organization chart:
Delegation of Authority
Scalar chain of command - The exception principle functions in concert with the
concept of scalar chain of command - formal distribution of organizational authority is
in a hierarchial fashion. The higher one is in an organization, the more authority one
has.
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Parity principle - Delegated authority must equal responsibility. With responsibility
for a job must go the authority to accomplish the job.
Span of control - The span of control is the number of people a manager supervises.
The organizational structure decision to be made is the number of subordinates a
manager can effectively lead. The typical guideline is a span of control of no more
than 5-6 people. However, a larger span of control is possible depending on the
complexity, variety and proximity of jobs.
Departmentation
The formal structure in each organization that has been put in place by management
has an accompanying informal structure. Management does not and cannot control
the informal structure.
The informal structure has no written rules, is fluid in form and scope, is not easy to
identify, and has vague or unknown membership guidelines.
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information. The informal structure gives people a sense of being in the know.
Management can feed information into the informal structure at very low cost. The
informal structure can also help satisfy employees' social needs.
The negative qualities of the informal structure mirror the positive qualities in several
ways. The more juicy a rumor, the more likely is the informal structure to repeat it,
expand it and make it into the "truth." Management may not know what information
is flowing through the informal structure. Employees can waste a great deal of time
nurturing and participating in the informal structure. Finally, the informal structure
can fence out new employees, "rate breakers," and change agents no matter the
extent to which the formal structure makes them a part of the organization.
Controlling
 The control process is cyclical which means it is never finished. Controlling leads to
  identification of new problems that in turn need to be addressed through
  establishment of performance standards, measuring performance etc.
 Employees often view controlling negatively.
 The process anticipates problems and takes preventive action. With corrective
  action, the process also follows up on problems.
 The organizational culture should prevent a person walking away from a small,
  easily solvable problem because "that isn't my responsibility."
 Controlling builds on planning, organizing and leading.
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Disadvantages of Control
2. Resisting control
                       LEADERSHIP
It is a dynamic process in a group whereby one individual influences the others to
contribute voluntarily to the achievement of group tasks in a given situation.
The activities of managers cover many areas but the most important function as a
leader is to encourage employees to produce the best work in order to improve the
performance.
A leader:
o   Plans
o   Makes policies
o   Organizes
o   Controls
o   Coordinates
TYPES OF LEADERS.
1. Charismatic leader
Has influence due to the strength of personality e.g. Napoleon, Hitler, Churchill etc
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2. Traditional leader
By birth or inheritance
3. Situational leader
Provides temporary leadership- being at the right place at the right time.
4. Appointed leader
Influence arises from his position in the hierarchy e.g. managers, supervisors etc
5. Functional leader
Acquires leadership by what he does. Determined by the expertise or skills.
Types of leaders can also be divided into the formal and informal:
 Informal- chosen by the group i.e. social group, church, political party etc
 Formal- appointed or chosen
LEADERSHIP APPROACHES
 Good personality.
 Intelligent.
 Self confident.
 Courage.
 Initiative.
 Imaginative.
This suggests that authority flows from one who knows. A person with appropriate
ability for group’s task is likely to make a better leader.
The leadership process is a function of the leader, the followers and the situations.
Therefore the basic elements of leadership are:
By Louis Lundberg:
There are five kinds of power bases, which generally make an effective
leader;
1. Legitimate power
Power given to the manager by the organization because of the manager’s position in
the hierarchy e.g. director.
2. Expert power
Most professionals rely on this power. It is derived from, special ability, skill or
knowledge demonstrated by an individual. It makes the leader to be believed
because of superior knowledge and skills.
3. Reward power
4. Referent power
It is based on:
i. A certain attractiveness or appeal of one person to another e.g. one who is able to
    influence others easily to agree with his or her views.
ii. Also based on a person’s connection or relationship with another powerful
    individual.
5. Coercive power
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Gives the leader ability to discipline or reprimand subordinate or punish for non-
compliance with management.
LEADERS MANAGERS
LEADERSHIP STYLES.
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 A style is a way in which something is said or done.
 It is a particular forma of behavior directly associated with an individual.
 There are three types:
          I. Authoritarian/ autocratic
1. AUTHORITARIAN OR AUTOCRATIC
He is a boss and others are there to follow his instructions. He can have any of the
following:
2. DEMOCRATIC OR CONSULTATIVE.
 Employees feel and believe that their inputs are desired and can influence a
    decision.
 The subordinates are encouraged to participate in decision making. But the leader
    knows he is accountable for whatever is going to be produced.
                                             STAFFING
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 In an organization the people who work, there is the most valuable resource.
 Staffing is the process of identifying, recruiting, training and developing personnel,
   in order to utilize resources appropriately to achieve objectives and goals of the
   organization.
 Technology and physical resources are not enough, managers should be interested
   in employees’ needs. Personnel department recruits and looks after employees.
Apart from these, the personnel department has other functions :
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4. Perform selection through the preliminary interviews to eliminate the obviously
  unqualified applicants based on excessive demands, inadequate training or
  education.
5. Testing is applied to screen the applicants in terms of skills, abilities, aptitudes,
  interest, personality, and attitudes. The test should be reliable, valued,
  standardized, and objective.
6. After the management approval of engaging the employee, a medical examination
  will be performed to determine the presence of any existing medical conditions
  and to ascertain if the applicant is physically capable of performing the job and to
  provide a record to protect the company against claims for previously existing
  medical conditions.
7. An offer is then made to the successful applicant, subject to a favorable response
  from the referees and the medical report.
8. Employee then undergoes an orientation programme i.e. introduction to the job,
  the organization and other employees.
Disadvantages
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 Short familiarization course
 following an experienced employee around
 part-time working
 any other means of gentle induction
Purposes of induction
CAREER MANAGEMENT
When employee’s career needs are not in line with the needs of the organization, he
will probably decide to leave.
PERFORMANCE APPRAISAL.
It is an integral part of the staffing function which provides the periodic feedback
needed to evaluate the effectiveness of the individuals who are trainable and who
possess the essential skills needed to meet the current and future job requirements.
Objectives of appraisal.
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   To enable employees improve performance.
   Provide a basis for rewarding employees in relation to their contribution to the
    organizational goals.
   To motivate individuals.
   To identify training and development needs.
   To identify potential performance
   To identify information for succession planning.
    The end result is to assess present performance in order to;
       - reward people fairly
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 Diligence
 Discipline and conduct
 Communication
 Promotion potential
 Proposal for performance improval
DECISION MAKING
Decision making is an everyday activity that may be on the spur of the moment or
may involve much thought and consultation. It may be emotional or reasoned.
Definition
Or
Problem finding.
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We make decisions in order to solve problems and initiate action which will hopefully
solve the problem.
When is it required.
1. When choosing a particular remedy for solving the problem e.g. outbreak of
   cholera, serious accidents etc.
2. When sorting out objectives e.g. the policies of the ministry of health.
3. When there is an obstacle to overcome e.g. constitutional review.
Stages or requirements in decision making.
1. Facts - All facts that have an influence on the decision should be known.
2. Analysis- Analyze the facts to weigh the pros and cons.
3. Authority - formal authority permitting decisions at that level .
4. Action - takes the decision and implements it.
5. Follow-up - ensure the decisions are carried out.
Types of decisions.
1. Emergency decisions
In a crisis such as accidents, or an issue that calls for immediate action.
2. Routine decisions
Everyday decisions e.g. reporting time for duty, budget speech, etc.
3. Debatable decisions
These are tough decisions that involve more thought and discussion. They usually
   bring changes e.g. constitutional review, salary review etc.
1. Interim action
When one buys time on finding the cause of the problem.
2. Adaptive action
You adapt to the problem so that you live with it, e.g. a disabled man using a wooden
   leg.
3. Corrective action
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When one gets rid of the known cause of the problem, e.g. repairing a leaking,
    performing an operation etc.
4. Preventive action
When the action taken makes the problem less likely to occur e.g. putting up a strong
    roof.
5. Contingency action
Provides standby arrangements to minimize the effects of a serious problem e.g.
    generator to cater for power failures or gas.
DEF:
It is the art of working with people through the management functions (i.e. planning,
directing, coordinating, controlling, and communicating.) effectively to achieve the
objectives of the organization.
Objectives of supervision.
a) Handle grievances.
b) Handle indiscipline cases.
c) Responsible for giving instructions.
d) Coordinates activities.
e) Training and development of the people he supervisor.
f) Effectiveness and efficiency.
Principles of effective supervision.
1. Planning
 what is to be done
 why is it to be done
 where should it be done
 who should do it
2. Directing
 Direct others to ensure plans are executed and achieved according to the set
    objectives.
3. Coordination
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 Coordinate individual activities so that job is done in a proper manner.
4. Controlling
 Inspect to see plans are being carried out.
5. Have the “skills of personnel”
 communicate and relate well
 select people to perform specific tasks
 appraisal
 discipline - self discipline
 personnel development
 custodian of morale - increase morale and motivate
 interviewing and counseling skills
 orientation skills
 skills in teamwork
 Encourage self development.
                                 TIME MANAGEMENT.
Definitions.
1. Organization culture — the way workers are used to doing their jobs.
2. Nature of the job.
3. Demands made by own staff.
4. Management style of the superior.
5. Influence of colleagues.
6. Personality and skills of the job holder.
Concepts of time management.
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   The purpose is to improve the quality of your life while improving your
    productivity.
   The principle of time management relies on the concept of efficiency and
    effectiveness which requires knowing your personal goals and work goals, setting
    the priorities needed to reach them and having the discipline to reach them and
    having the discipline to stick to the priorities.
 Time utilization and reduction of time wasted are the key aspects of time
    management.
— Related to the people who make up the job holders role set.
2. Personal attributes.
Good time management depends on personality and inclinations e.g.:
   Some people work well early in the day while others work best later in the day.
Some spread out their work while others prefer short intensive periods of work.
   Some only deal with one issue at a time , while others juggle several issues .
   Some like to delegate while others keep tasks to themselves.
   Some are tidy and methodical, others are untidy and disorganized.
   Some are more skilled and experienced than others.
3. Job context.
It is related to:
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   Physical surroundings — office, location of others.
   Culture of the organization.
How can managers improve use of time.
Personal planning
   Personal priority and action planning- develop personal priorities and means for
    achieving them.
   Identify time wasting activities.
   Set targets for self and staff in order to focus on parts of the job that matter, what
    needs to be delegate etc.
Delegation.
   The capacity to express ideas, opinions or feelings openly and directly without
    putting down ourselves or others.
Personal communication skills.
   Be proactive.
   Begin with the end in mind.
   Put first things first.
   Think of win-win situation i.e. all can benefit.
   Understand first before being understood.
   Personal renewal and reflection.
   Synergize.
TIME WASTERS.
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   3.   Idle conversations and over socializing.
   4. Unnecessary memos and other paperwork.
   5. Misplaced materials
   6. Procrastination(delay)
   7. Management by crisis.
   8. Poor filing systems.
   9. Conflicting policies.
   10. Unselective reading .
   11.Over concern with details.
   12. Poor information and communication.
   13.Inability to say “no”
   14.Poor delegation.
   15.Traveling between jobs and departments.
TIME PROGRESS.
                                                                 STICK TO
 KNOW                    SET              ORGANISE
                                                                PRIORITIES
 GOALS               PRIORITIES           ACTIVITIES
Efficiency.
Effectiveness.
Achieving the desired results, while efficiency is achieving the targets with the least
possible use of resources.
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1. Know how you spend your time.
2. Learn why your time goes where it goes.
3. Delegate.
4. Sort out what needs to be done now from what can wait until later.
5. Cut down on time wasting activities.
6. Be ruthless about distractions or interruptions.
7. Locate information fast.
8. Build a time control plan that fits your job and your unique personality.
9. Beat the procrastination habit.
10.Use other people’s time to your advantage.
11.Be creative with use of your time.
12. Work smarter not harder.
                          SKILLS FOR MANAGING MEETINGS
    When conveying the same message to everyone at once and getting a feedback.
    When seeking new ideas.
    When identifying and solving other problems.
    When gaining support or commitment.
    Bringing a variety of specialized perspectives to bear on a problem.
Meeting arrangements.
1. Decide who is to attend the meeting according to the purpose of the meeting i.e.
     individuals with decision-making authority may be important for the meeting.
2. Arrange for physical comfort e.g. room, seating arrangements, writing materials,
     food, parking space, security etc.
3. Develop and distribute the agenda.
Planning an agenda
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b)       Arrange them in order according to priorities and time needed.
c)       Notify those who will be responsible for presenting information.
Importance of Agenda.
1. Write it daily.
2. Be realistic and aware of limits of time available.
3. Do not over schedule.
4. Allow time cushion in between.
5. Review the list every morning.
6. Before doing each item, ask why me(delegate when possible.
7. Group related activities together.
8. Do.
                                    DELEGATION
DEF:
 Passing down of authority from a superior to a subordinate.
 Process of entrusting authority and responsibility from a manager or a supervisor
     to a subordinate.
 The one to whom authority is delegated becomes responsible to the superior for
     doing the job, but the superior remains responsible for getting the job done.
 The best way for a manager to effectively concentrate on their responsibilities is by
     unloading as much of their work as possible.
 Delegation can take place at the individual or organizational level.
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1. Organizational level.
 The structure of the organization as depicted in the organization chart is itself a
  reserve of delegation.
 It relates to the position of decision making in the organization.
It involves passing down of authority and responsibility to various levels through out
the organization with consideration of centralization, decentralization, provincial
levels, district levels etc to be established on the basis of tasks or elements of
function.
2. Individual level
 It will involve the various activities that have to be undertaken.
 Must be distributed among individual members of the workforce by entrusting
  authority and responsibility to others.
 Delegation is founded on the concept of:
      . Authority.
      . Responsibility.
      . Accountability.
Authority.
 The right to take action or make decisions that the manager would otherwise have
  done.
 Legitimizes the exercise of power within the structures and rules of the
  organization.
 Enables the subordinate to issue valued instructions for others to follow.
Responsibility.
 Any means of ensuring that the person who is supposed to do a task actually
  performs it and does so correctly.
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 It requires certain conditions to be established. i.e.
- must be thoroughly and clearly understood.
 Moral and material support should be available i.e., adequate resources (staff,
  equipment ,expenses, time).
 Advice and encouragement.
8. Develop effective communication system
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1. Recognize assignment and opportunities.
2. Be realistic about what you are able to do.
3. Ask for clarification.
4. Determine the resources available before accepting the assignment.
5. Report progress periodically.
6. Request support or advice if needed.
7. Be creative in solving problems.
8. Use feedback.
Advantages of delegation.
a) Lack of trust.
b) Loss of control.
c) Shared recognition i.e. “someone else may get the credit I deserve”.
d) Fear for his or her position.
e) Lack of time.
f) Lack of incentives.
JOB DESCRIPTION
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    It lists the tasks and responsibilities of a job, its title, job specifications,
     qualifications needed to perform the job, and the compensation level.
    It is an attempt to get a full picture of a job as it is performed and the sort of
     motivation needed to carry it out.
Purposes.
The name of the position should define it and make it easier for an employee to find it
in an organization chart and other assignment lists.
COMMUNICATION.
DEF.
It is the process of creating, transmitting and interpreting ideas, facts, opinions, and
feelings.
« Written reports
« Memos, manuals
« Interviews
    The source of the message should send it in a way that is understandable and
     through an appropriate channel.
    The source should get a feedback from the receiver to evaluate if the message
     has been interpreted correctly.
Purposes.
∆ obtain information.
Types of communication.
II. A) one way - has no provision for feedback from the receiver.
     a) Two way - a response is provided for and encouraged.
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This is the commonest. The management communicates policies, plans, information,
and instructions downwards.
   Lateral.
It is minimal. The flow of information is between peers.
Barriers to communication.
i} Age difference.
ii} Poor timing
iii} Inappropriate channels-- lack of fluency in the sender, use of jargon, long
    windedness.
iv} Differences in perception
v} cultural and language differences
vi} Information overload.
vii}    Fear and other emotional overtones e.g. jealousy, anger, love.
viii}   Poor listening skills e.g. busy, preoccupied
ix} Lack of trust.
Overcoming barriers.
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   Telling
   Asking.
   Listening.
   Observing.
   Understanding.
   Convincing.
MOTIVATION
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    Human behavior is goal seeking. People try to achieve objectives or goals which
     when reached will satisfy their needs.
    A person’s desire is determined by:
            o   Attitude
            o   Satisfaction
            o   Morale
            o   Systems of communication
            o   Incentives
            o   Fair treatment by management
 Schein classified people as follows:
i.      Rational- economic man.
     In this, one self-interest and maximization of personal gains are the prime
     motivators.
THEORIES OF MOTIVATION
     1. Early theories
           Hawthorne studies – by Elton Mayo
           Maslow’s Hierarchy of needs
           Theory X and theory Y – D. McGregor
           Motivation – Hygiene Theory – by Herzberg
           Achievement Motivation – by D. C. McClelland
           Others – Chris Argyris, Rensis Likert
     2. Later theories
           Expectancy theory – V. H. Vroom
           Equity theory
           Goal theory
           Attribution theory
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           Reinforcement theory
           Theory Z – The Japanese approach
HAWTHORNE STUDIES
    These were studies carried out in five stages from 1924-1936 in the Hawthorne
     plant owned by western electric in the USA.
    The studies concluded that:
a)      Individual workers cannot be treated in isolation. They must be seen as
members of a group.
b)      The need to belong to a group and have status within it is more important than
monetary incentives or good physical conditions. Informal groups at work exercise a
strong influence over behavior of workers. Supervisors and managers need to be
aware of social needs and cater for them.
    Hence social relationships and values of workers significantly affected
     productivity.
Participative management motivates workers.
                                              3
                                              2
                                              1
KEY:
1. Physiological needs
     These are basic needs e.g. food, water, sleep, sex, heat, air
2. Safety needs
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    The need for self-protection e.g. shelter, self-defense, freedom from war, poison,
    violence
3. Love needs
    Affection, belongingness - family, friends, teams, depts., coworkers, clients,
    supervisors, subordinates. To give and receive friendship.
5. Self-actualization
    Education, religion, hobbies, personal growth or development, training,
    advancement, growth, creativity, self-fulfillment.
   According to Maslow, lower needs take priority. They must be fulfilled before
    the others are activated. It makes some basic common sense -- it is pointless
    to worry about whether a color looks good on you when you are dying of
    starvation, or being threatened with your life.
   There are some basic things that take precedence over all else. (Or at least
    logically should, if people were rational. However, is that a safe assumption?)
   According to the theory, if you are hungry and have inadequate shelter, you
    will not go to church.
   Cannot do the higher things until you have the lower things.
   However, the poor tend to be more religious than the rich, Both within a
    given culture, and across nations.
   Therefore, the theory makes the wrong prediction here.
   Alternatively, take education: how often do you hear; I cannot go to class
    today, because I have not had sex in three days.
   Do all physiological needs including sex have to be satisfied before other
    needs?
   (Besides, wouldn’t the authors of the Kama Sutra argue that sex was a kind
    of self-expression more like art than a physiological need? that would put it in
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     the self-actualization category); Again, the theory does not seem to predict
     correctly.
    Cultural critique: Does Maslow's classification really reflect the order in which
     needs are satisfied, or is it more about classifying needs from a kind of
     perspective, with lofty goals like personal growth and creativity at the top,
     and instincts like sex and hunger at the bottom?
    Is self-actualization actually a fundamental or just something that
     can be done if you have the leisure time?
▫ Need for power, control others. as kids, able to get what they want
    through controlling others.
EQUITY THEORY
▫ Suppose employee A gets a 20% raise and employee B gets a 10% raise. Will both
                                            55
be motivated as a result? Will A be twice as motivated? Will be B be negatively
motivated?
▫ Equity theory says that it is not the actual reward that motivates, but the
perception, and the perception is based not on the reward in isolation, but in
comparison with the efforts that went into getting it, and the rewards and
efforts of others.
▫ However, if A got an even higher raise, B perceives that she worked just as hard
   as A, she will be unhappy.
▫ In other words, people's motivation results from a ratio; a person compares the
   ratio of reward to effort with the comparable ratio of reward to effort that they
   think others are getting.
▫ Predicting how a person will react to a given motivator, is complicated. People do
   not have complete information about how others are rewarded, so they rely on
   perceptions, rumors, and inferences.
▫ Some people are more sensitive to equity issues than others. Some people are
   willing to ignore short-term inequities as long as they expect things to work out in
   the long-term.
REINFORCEMENT THEORY by B.F. Skinner
2. Negative Reinforcement:
   Strengthening a behavior. This is the process of having a stressor taken away as a
   consequence of a behavior. Long-term sanctions are removed from countries
   when their human rights records improve.
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3. Punishment:
      Weakening a behavior. This is the process of getting a punishment as a
      consequence of a behavior. Example: having your pay deducted for lateness.
4. Extinction:
      Weakening a behavior. This is the process of getting no rewards when do a
      behavior. Therefore, if person does extra effort, but gets no thanks for it, they stop
      doing it.
In other words, the person's assessment of the degree to which effort actually
Instrumentality;
I.e., the person's assessment of how well the amount of reward correlates with
                                           57
the quality of performance. Perception that effective performance will lead to desired
rewards.
Valence;
result from the performance. If the reward is small, the motivation will be
These are sets of assumptions about behavior made by managers about their
employees.
I. Theory X.
   It assumes that the employee dislikes work and is inherently lazy.
   It resembles scientific management and is similar to Schein’s rational economic
    man.
   Managers assume that:
       • People dislike work and avoid it.
II. Theory Y.
   Assumes that people like work.
   It is similar to Maslow’s higher level needs and Schein’s self actualizing man.
   Assumptions:
       • Employees like work as naturally as rest or play.
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        • They seek responsibility
Motivators:
i.   Achievement
ii. Recognition
iii. Work itself
iv. Responsibility
v. Advancement
vi. Growth
vii. Good salary
viii.   Good relationships
Hygiene factors.
It consists of:
Need for achievement.
A person tends to have these characteristics:
• The need for achievement is consistent.
• Seek tasks in which they can exercise personal responsibility.
• Prefer challenges within their own mastery.
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• Want feedback.
• Less concerned with social or affiliation needs.
Need for power.
• Concerned with acquiring, exercising, or retaining power or influence over others
• Likes to compete with others in a situation that allows him to dominate
• Enjoys confrontation with others
Need for affiliation.
This is a desire for affection and friendship. Its characteristics are:
• It seeks friendship and close emotional relationships with others.
• Wants to be liked
• Enjoys parties and social activities
• Seeks a sense of belonging by forming groups or organizations
Motivators
1. Challenging work
2. Participation in planning
3. Recognition and status
4. More responsibility and power
5. Security
6. Opportunity for personal growth
7. Opportunity for personal advancement
8. Good working conditions
9. Independence of action
Factors that hinder motivation
A team is a group of people who are interdependent and who recognize that success
of each one of them depends on the success of the group.
It is a group in which contributions of individuals are seen as complimentary.
There should be cohesion, much interaction, mutual support and shared perception
on issues within a team.
Before forming a team the following issues should be addressed-
       - Size of team
       - Nature of project
       - Requirements of group
       -Roles of members of the team
       - Abilities of group members
       -Norms of the group .
- A strong team has a sense has a sense of purpose, clear objectives and goals within
the group there should be norms, attitudes, behavior and discipline.
TEAM ROLES
1. Chairman / Leader
       - Individual who can control and coordinate
       - Recognizes talent - not threatened by them.
       - Concerned with the feasible rather than the exciting and imaginative
2. Shaper / Thinker / coach
       - Shapes decisions and thinking of the team
3. Supporter / Coordinator
       - Communicates issues, Plans and obtains adequate resources for the team.
       - Reviews teams goals and performance, to make sure that they realistic and
challenging.
4. Worker / Doer
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      -Is more practical - gets things done and wants to get on with the job once
decisions have been taken.
5. Competer
      - Energy directed to completion of task on time and to a high standard.
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-Saves time.
-More work is done
-Facilitates sharing of ideas
-Facilitates equitable distribution of resources.
-Enhances unity.
-Encourages transparency, accountability, and responsibility.
-Reduces interdepartmental conflict
-hastens decision making
-leads to sustainability
Disadvantages
-Laxity
-Conflicts
-Time wasting
-Group pressure - some dominate
-Delays due to long discussions
-Talking much and doing little work
Barriers hindering teamwork.
Purposes
Def:
It is the sum total of the ways in which it divides its labor into distinct tasks in order to
achieve coordination between them.
1. Functional structure.
Its based on groupings of all major business functions e.g. production, marketing,
finance, personnel etc
                                          64
     Example:
Managing director
                                               Chief
 Production             Marketing                                    Personnel
                                            Accountant
  Manager                Manager                                     Manager
Accounting Relations
Advantages
                                                   65
   Limited management training.
   Less innovative.
2. Product based structure.
It is based on product ranges or services e.g. in health, we can have medical, nursing,
surgical services etc
3. Geographical structure.
It is based on geographical features e.g. provinces, nations, subcontinents.
4. Defictionalized structure.
Based on products, geography or both, with key functions such as planning and
finance at the HQ.
5. Matrix structures.
Is a combination of functional and product based
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