Textbook of Medical Administration and Leadership

299 Pages·2019·6.53 MB·English

by  Erwin Loh

Matthew P. Lungren
Michael R.B. Evans
Editors
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Textbook of Medical Administration
and Leadership
Erwin Loh • Paul W. Long
Peter Spurgeon
Editors
Textbook of Medical
Administration and
Leadership
Editors
Erwin Loh Paul W. Long
Group Chief Medical Officer, St Vincent’s Founding Director
Health Australia Centre for Health Leadership
Clinical Professor, Monash University Sydney, New South Wales
East Melbourne, Victoria Australia
Australia
Peter Spurgeon
Emeritus Professor
Warwick Medical School
Warwick University
Coventry, England
United Kingdom
ISBN 978-981-10-5453-2 ISBN 978-981-10-5454-9 (eBook)
https://doi.org/10.1007/978-981-10-5454-9
Library of Congress Control Number: 2018958541
© Springer Nature Singapore Pte Ltd. 2019
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or
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The use of general descriptive names, registered names, trademarks, service marks, etc. in this
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The publisher, the authors, and the editors are safe to assume that the advice and information in
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The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore
189721, Singapore
I’d like to thank all the contributing authors for their chapters.
This book would not have been possible without you.
I’d also like to thank Paul W. Long for his hard work in
managing the editing and production process. A very time
consuming and laborious task for which I am very grateful.
Erwin Loh
I’d like to thank Erwin for the invitation to co-edit this book
and the many doctors who helped me in my research and gave
me so much of their valuable time. I’d also like to thank my
colleagues at the Centre for Health Leadership for their
support and the rich and stimulating conversations, which
made our work so interesting and rewarding for me.
Paul W. Long
I would like to thank my friends, colleagues, and contacts who
have contributed to making my visits to Australia over the last
twenty years so enjoyable and productive.
Peter Spurgeon
Foreword
On my first day as a very new medical director of a very large UK teaching
hospital, I reached for the book on “how to do it” as I had reliably done step-
ping into a new job in all of my clinical years. To my dismay it did not exist—
this is the book I was looking for.
Textbook of Medical Administration and Leadership is surely a must for
any senior or aspirant medical leader in Australia. It is an absolute must for
anyone venturing from abroad to work in Australia at any level but especially
the more senior. Skillfully, the editors have amassed an impressive array of
authors who have covered many of the generic essentials—the opportunity to
compare systems is interesting and the book’s coverage of core knowledge
invaluable whichever country you work in. For example, chapters on health
economics, service and strategic planning, and medical workforce manage-
ment (and many more) are relevant to any system—and all prefaced by a
seminal chapter on management and leadership (more generally) and clinical
management and clinical leadership (more specifically).
All systems grapple with the wicked problems of demographic change,
accelerating technological opportunity, the relentless drive for improvement
in quality and safety, and all in the face of finite resources. Few systems can
boast the optimal model of medical engagement and yet research (and com-
mon sense) shows it to be essential to meet the demands of modern healthcare
systems, neatly characterized as volatile, uncertain, complex, and ambiguous
(VUCA). Thus, in addition to assisting the medical leader, there is much here
to help the nonmedical leader to understand a crucial element of their work-
force and how to secure their intellect, knowledge, and energies for the ben-
efit of patients.
In commending this most comprehensive and relevant book to you, I con-
gratulate the authors on their efforts in providing an excellent text that offers
so much to so many groups both within Australia and beyond.
Peter Lees
Faculty of Medical Leadership and Management
London, UK
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Acknowledgments
The editors would like to acknowledge and thank the authors for their contri-
bution and efforts in writing their chapters, without whom this book would
not have been possible.
Erwin, Paul, and Peter
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Contents
1 Navigating the Zone of Complexity ....................... 1
Paul W. Long, Peter Spurgeon, and Erwin Loh
2 Medical Leaders and Management . . . . . . . . . . . . . . . . . . . . . . . 15
Johannes Stoelwinder
3 Strategic Planning in Healthcare . . . . . . . . . . . . . . . . . . . . . . . . . 31
Caroline Clarke
4 Clinical Service Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Susannah Ahern
5 Health Systems and Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Jason Goh and Erwin Loh
6 Legal Medicine in the Administration of Health Care . . . . . . . 71
Heather Wellington
7 Clinical Governance and Risk Management for Medical
Administrators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Alison Dwyer
8 Private Health and Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
David Rankin
9 Health Disaster Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Andrew Robertson
10 Population and Public Health . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Alastair P. Mah
11 Politics, Policies and Media . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Bennie Ng
12 Medical Workforce Management . . . . . . . . . . . . . . . . . . . . . . . . 205
Anjali Dhulia
13 Health Economics and Financial Management: What a Medical
Manager Needs to Know . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233
John Ramsay Ferguson
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xii Contents
14 Research Governance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249
Peter Lowthian
15 Health Information Technology and Its Evolution
in Australian Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255
Nic Woods and Monica Trujillo
16 Medical Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281
Eleanor Flynn
Editors and Contributors
About the Editors
Erwin Loh is the national Chief Medical

Officer and Group General Manager of
Clinical Governance for St Vincent’s Health
Australia. Prior to this he was the Chief
Medical Officer at Monash Health and the
Deputy Chief Medical Officer at the Peter
MacCallum Cancer Centre. He is a Barrister
and Solicitor of the Supreme Court of Victoria
and the High Court of Australia. He has a
medical degree from the University of
Melbourne and a law degree with honors
from Monash University. He also has an
MBA, a Master of Health Service Management, and a PhD with his thesis
examining doctors in senior hospital management. He is fellow of the Royal
Australasian College of Medical Administrators, Australasian College of
Health Service Management, Australian Institute of Company Directors,
Australian Institute of Management, Chartered Management Institute, and
Australasian College of Legal Medicine. He is currently board director of the
Monash Health Research Precinct and Australasian College of Legal
Medicine (where he is also Vice President). He is an adjunct Clinical Professor
at Monash University where he teaches health law and health services man-
agement. He is the course coordinator for the clinical leadership and manage-
ment master’s subject for Monash University. He is a member of the
consultative council for Clinical Trials Research and is also jurisdictional
coordinator of training for the Royal Australasian College of Administrators
training program in Victoria. He has been an invited speaker of local and
international conferences, published articles and book chapters on health law
and medical management, and supervises doctoral students.
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