penchunsa'yahoo'com

1
penchun-sa_at_.yahoo.com
H R M- H R D
2
????????????? the 5 Ds

• Death ???
• Disease ???????????
• Disability ?????
• Discomfort?????????
• Dissatisfaction??????????

3
????????? ?????? ??????????
????????? (Structure) ???????????? (Inputs)
??????? (Outcome)
????????????????????? (Process)
4
????????? ?????? ??????????

• ?????...???

???????????????????? (Intended outcome)
????????? (Incompetent)
????????? (Determent)
??????? (Outcome)
????????? (Structure) ???????????? (Inputs)
????????????????????? (Process)
????????/????? (Unavailable)
??????????????????????? (Adverse outcome)
?????????????? (Error)
?????????? (Incompatible)
??????????????? (Communication failure)
5
????????? (Service)
??????? (Care)
???????? (Treatment)
6
?????????????????????????????

• 1) ???????????????????????
• 2) ???????????????????????????????
• 3) ?????????? ??????? (Competency) ???????
• ????????????????????????????? ????
• ????????? ?????????? ???
  ??????????
• ????????????? ?????????? ??????????????
• ??????????

Clark SP 2003 P. 44 - 48
7
???????????????? ???????????????
1. ?????????????????????????????????????????????
????? 2. ???????????????????????????????????????
?? ??????? ?????? ????????????????????
????????????????????? 3. ???????????????????????
?? ???????????????????? ???????????????? 4.
?????????????????????????????? 5.
????????????????????????????????
Pronovost 2004 P. 59 - 68
8
IOM 2001 New Health System for 21st Century

• ??????????????? ??????? ??????????????????
  ??????????????????????????????????????????????????
  ? ??????? ??????????????????????????????????? USA
• (Kohn, Corrigan, Donaldson.2001)

9
??????????????????????????????????????

• Information technology
• Payment
• Clinical Knowledge
• Professional Workforce

10
HRM

• ?????????? - ????????????????????????????
• 1. ????????? - ????????????????????
• - ??????????????????????????????????????????
• - ????????????????????????????????
• 2. ????????? - ?????????????????????
• - ????????????????
• - ??????????????
• 3. ?????? - ?????????? Lire Staff ????????????
• 5 30 65
• - ????????????????????
• - ???????/ ?????
• - ??????????????????????

11
Management of Human Resources

• Providing an adequate number of staff. The
  hospital determines the appropriate level of
  staffing to fulfill its mission and meet of the
  popular served. There is a sufficient number of
  staff based on the hospitals determination of
  the appropriate level of staffing
• Providing competent staff. The hospital provides
  for competent staff either through traditional
  employer-employee arrangements or through
  contractual arrangements with other entities or
  persons. An initial review of credentials and
  qualifications is performed. Experience,
  education, and abilities are confirmed during
  orientation

JCHCO 2006 P311
12
Management of Human Resources

• Orienting, training, and education staff. The
  hospital provides ongoing in-service and other
  education and training to increase staff
  knowledge of specific work-related issues .
• Assessing. Maintaining, and improving staff
  competence. Ongoing periodic competence
  assessment evaluated staff member s continuing
  abilities to perform throughout their association
  with the hospital.

JCHCO 2006 P311
13
Planning
JCAHO 2006 P312
14
Orientation, Training, and Education
JCAHO 2006 P312
15
Competence Assessment
JCAHO 2006 P312
16
Commission Approved Subjects for Screening
Indicators

• Patient/ family complaints/ satisfaction
  (Clinical/Service)
• Adverse drug events (Clinical/Service)
• Injuries to patients (Clinical/Service)
• Skin breakdown (Clinical/Service)
• Pneumonia (Clinical/Service)
• Postoperative infections (Clinical/Service)
• Urinary tract infection (Clinical/Service)
• Upper gastrointestinal bleeding
  (Clinical/Service)
• Shock/ cardiac arrest (Clinical/Service)
• Length of stay (Clinical/Service)
• Death among surgical inpatients with treatable
  serious complications (failure to rescue)
  (Clinical/Service) (National Quality Forum
  measure)

JCAHO 2006 P319-320
17
Commission Approved Subjects for Screening
Indicators

• Pressure ulcer prevalence (Clinical/Service)
  (National Quality Forum measure)
• Falls prevalence (Clinical/Service) (National
  Quality Forum measure)
• Falls with injury (Clinical/Service) (National
  Quality Forum measure)
• Restraint prevalence (vest and limb only)
  (Clinical/Service) (National Quality Forum
  measure)
• Urinary catheter-associated urinary tract
  infection for intensive care unit patients
  (Clinical/Service) (National Quality Forum
  measure)

JCAHO 2006 P319-320
18
Commission Approved Subjects for Screening
Indicators

• Central line catheter-associated blood stream
  infection rate for intensive care unit and
  high-risk nursery patients (Clinical/Service)
  (National Quality Forum measure)
• Ventilator-associated pneumonia for intensive
  care unit and high risk nursery patients
  (Clinical/Service) (National Quality Forum
  measure)
• Smoking cessation counseling for a acute
  myocardial infarction (Clinical/Service)
  (National Quality Forum measure)
• Smoking cessation counseling for heart failure
  (Clinical/Service) (National Quality Forum
  measure)

JCAHO 2006 P319-320
19
Commission Approved Subjects for Screening
Indicators

• Smoking cessation counseling for pneumonia
  (Clinical/Service) (National Quality Forum
  measure)
• Overtime (Human Resource)
• Staff vacancy rate (Human Resource)
• Staff satisfaction (Human Resource)
• Staff turnover rate (Human Resource)
• Understaffing as compared to organizations
  staffing plan (Human Resource)
• Staff injuries on the job (Human Resource)
• On-call or per diem use (Human Resource)
• Sick time (Human Resource)
• Agency staff use (Human Resource)

JCAHO 2006 P319-320
20
Commission Approved Subjects for Screening
Indicators

• Skill milk (registered nurse, licensed vocational
  nurse/licensed practical nurse, unlicensed
  assistive personal, and contract) (Human
  Resource) (National Quality Forum measure)
• Nursing care hours per patient day (registered,
  nurse, licensed practical nurse, and unlicensed
  assistive personal) (Human Resource) (National
  Quality Forum measure)
• Practice Environment Scale-Nursing Work Index
  (PES-NMI) composite and five subscales (Human
  Resource) (National Quality Forum measure)
• Voluntary turnover (Human Resource) (National
  Quality Forum measure)

JCAHO 2006 P319-320
21
????? (Performance)
??????????? (KPI)
?????????? (Competency)
? ?????? (Quantity) ? ?????? (Quality) ? ????
(Time) ? ???????????????? (Cost/Expense) ?
??????????? (Safety)
??????? (Knowledge) ??????????(Experience) ?????
(Skills)

• ??????????????????????????????????????????????????
  ??????????
• Mental Abilities
• Personalities

22
??????????????
????
?????? ????????? ???????????

• ?????
• ?????????????
• PMS

23
THE Star
???????????
High Performance
Working Condition
Growth

• ??????
• ????

Benefit
Relation
Herman, 1991
24
?????? Star

• ??????????????/ ?????????
• ?????????/ ?????????
• ??????????????
• ?????????????????? ???????
• ?????????????????????????
• ????????????????? ?????????????? ????????

25
???????????? Star

• ????????????? Star
• ???????? Performance Evaluation Management
• 2.1 ????? KPI (Key Performance Indicator)
  ????????
• 2.2 ????? Competency Criteria

26
???????????? Star

• 3. ??????? CBLPEM
• 3.1 ?????????????????????? ????????2.1, 2.2
• 3.2 ????????????????? A, B, C
• 3.3 ???????????? A ????????? Star ????????
• 1) KPI ???????? 40
• 2) KPI ??????? 40
• 3) Personal Score 20
• 3.4 ???????? A-
• A
• A

27
???????????? Star

• 4. ???????????????????
  A, A, A-, B, C
• 5. ????????????????????????
• 5.1 ?????????????
• 5.2 ?????????/ ?????????

28
??????????
??????? (Core Value)
???????????? (Core Process)
Training
????????????? (Improve)
29
?????????????????????? (AACN, 2004)

• Clinician (Professional)
• Leader
• Manager
• Communicator
• Outcomes manager (IT)
• Client advocate
• Educator/ Research
• Systems analyst/ Risk anticipator

30
Performance
Role
Help them succeed
Competency Based Management
Ramona Pulee Nurse Leader June 05 P8
31
HRD ???????????

• ????????
• ??????????????
• ????? / ????? ????????
• Career path way
• Port Folio IDP
• Training Need

32
?????????????????

• Formal
• ?????????????????
• ?????????
• ?????????
• ??????????????????? ?????????????

Informal ????????? ??????????? ?????? ????????????
? ??????????????? ?????
33
Journal Club
Reserch Club
Informal
Case Conference
?????
Pre Post Conference
CQI / QA RM
CPG / Care Maps
34
????? ???????????
??????? ???????????? ???????
????????????? ????????????? ????????
Input Operation Feedback
????? ???????????
Needs of the adult learner
???????? ???????????? ???????????
??????????????????????????????
35
Training want
Portfolio ( COMPETENCY KPI)
RM report (risk profile)
Training Need
Career pathway
Customer c/p
Policy (Trend)
36
Annual Training Development Plan
C
B
????????????? / ?????
A
??????????????? / ?????
????????????
37
Annual Training Development Plan
A. ????????????
1) ?????? Vision , Mission , Goal , Strategy 2)
????????? JD / JS / Competency 3) ?????
Competency Gap Assessment (KPI, Training Need ,
Competency Gap)
38
Annual Training Development Plan
B. I ??????????????? / ?????
1. ????????????? (Core Comp) 2. ????????????
(Managerial Comp) 3. ???????????? (Functional
Comp)
??????????? / ?????
1. ??????? 2. ????????? 3. ?????? 4.
????????? 5. ???????????? 6. ????????????
39
Annual Training Development Plan
B. II ????????????????????
A ?????????
1) ???????????????????????? (Competency Gap) -
Competency - Key Performance indicator - Mixed
Factor
40
Annual Training Development Plan
D ????????????????????? ???????? 1.
??????????????????????????????????? 2.
?????????????????????????
41
Annual Training Development Plan
2. ???????????????? Individual Development
Guidances IDGS) - ????? / ??????? -
??????????????? - ??????????????????????????????
42
Annual Training Development Plan
B ??????????????????? - ?????????????????? C
????? Competency Gap Assessment - Expected
Competency - ???????????????????
43
????? Training Development Road Map
???????
?????
1 ?? .. 2 ?? . 3 ?? .
?????? ?????????? / ??????? / ???????? /
???????????? ????????? JD / ??????????????????????
?? ???????????? Career Path (?????????????
????????????????)
44
?????????? ??????
????????????????????
?????????????????
????????????? ???????????

• ?????????
• ?????????????????
• ??????????????

Core Competency
KPI
Job Competency
45
?????????????????????????????????
?????????????
????????????????????
?????? 2006
46
Competency ???????
???????????????????????????????????????
??????????????????????????????????????????????????
?????????? ????????????????????
???????????????????. (David C. McClelland,
1993, p. 9)
47
Definition of "Competency"
The state or quality of being properly or
well qualified. ???????????????????????????????
(The American Heritage dictionary)
48
Competency ???????
?????????????? (Cluster) ??? ???????
(Knowledge), ????? (Skills) ??????????(Attitudes)
???????????????????????????????????????????????
??????????????????????? ? ?????????
??????????????????????????????????????????????????
???????????????????????????? ?????????????????????
????????? (Scott Parry, 1998)
49
??????? ???????

• ??????? (Potential) ???????
• ??????????/ ???????? ????????????????????????????
  ???? ???????????? ????????????????????????????????
  ?????
• ??????? (Competency) ???????
• ??????? ?????????? ??????????????????????????????
  ????????????????????????????

50
??????? Competency
??.????? ???????? 2005
51
Core Personality Most difficult to develop
SKILL
Attitudes
Trait Motive
Values
KNOWLEDGE
Surface Most easily developed
52
??????????(Competency)
53
??????????? COMPETENCY
??????? ??????????????????????????????????????????
?(Knowledge) ????? (Skill) ??????? (Attitude)
????????? (Belief) ??????????? (Trait)
???????/????????/?????
????????? ??????? ??????????????
54
????????? Competency
Core Competency
??????? ??????????????????????????????????????????
??????????????????????????????????????????????????
????????
Functional Competency
??????? ???????????????????????????/???????/??????
??????????????????????????????????????????????????
???????????????????
Job Competency
??????? ??????????????????????????????????????????
??????????????????????????????????????????????
55
?? Competency ???
Organization Vision, Mission, Values
Business Strategy
Core Competency
Job competency
56
Competence Assessment

• Standard HR.3.10
• Competence to perform job responsibilities is
  assessed, demonstrated, and maintained.
• Populations served
• Defined competencies to be required
• Defined competencies to be assessed during
  orientation
• Defined competencies that need to be assessed and
  reassessed on an ongoing basis, based on
  techniques, procedures, technology, equipment, or
  skills needed to provide care, treatment, and
  service

JCAHO 2006 P322-323
57
Competence Assessment

• Standard HR.3.10
• Competence to perform job responsibilities is
  assessed, demonstrated, and maintained.
• A defined time frame for how often competence
  assessments are performed for each person,
  minimally, once in the three-year accreditation
  cycle and in accordance with law and regulation
• Assessment methods (appropriate to determine the
  skill being assessed)
• The use of qualified individuals to assess
  competence.

JCAHO 2006 P322-323
58
Competence Assessment

• Standard HR.3.10
• Competence to perform job responsibilities is
  assessed, demonstrated, and maintained.
• The hospital assesses and documents each persons
  ability to carry out assigned responsibilities
  safely, competently, and in a timely manner upon
  completion of orientation
• The hospital assesses each person according to
  its competence assessment process.
• When improvement activities lead to a
  determination that a person with performance
  problems is unable or unwilling to improve, the
  hospital modifies the persons job assignment or
  takes other appropriate action.

JCAHO 2006 P322-323
59
???????? Competency

• ?????????????????
• ?????????????????????????????
• ???????????????????????????
• ????? Competency

60
???????? Competency

• 5. ?????????
• 5.1 ?????????????????????????????????? ???? CN1
  CN2 CN3 ??????????????????? 3-4-5
• 6. ?????????????????????

61
???????????????? Job
Competency

• 1. ??????????????? (Structure)
• 2. ??????????????????????????????
  (responsibility)
• 3. ??????????????
  (Work Flow Process)

62
????????????????????????????????? ???????????????
??2006
63
???????????? Competency ???????????????????????
64
???????????? Competency ????????????
65
???????????? Competency

• 1. ?????????????????
• 2. ??????????????????
• 3. ???????????????????????????????????????????????
  ??

66
?????????????????????????????????????????????????
?????????????
????????????????????
67
????? Training Development Road Map
???????
?????
1 ?? .. 2 ?? . 3 ?? .
?????? ?????????? / ??????? / ???????? /
???????????? ????????? JD / ??????????????????????
?? ???????????? Career Path (?????????????
????????????????)
68
??????? - ?????????????
69
Career Path
70
????????
????? / ?????????????? ????????????????
71
???????? BSC
????????????????? ? ???????
??????? ?????????????? ? Vision , Mission ,
Valves , Goal ?????????????????????? ? Strategic
Activities or Program
72
???????????????
??????????
Core Competency
???????
Shared Value
???????????????? Long - term Objective
Balanced Scorecard
Key Resul Area
Strategic Goal
?????? Program
Project
73
????????????? ???????????????????
????????????????????????? ???????????????????????
??????????????? (Leading to excellence) ?????????
??????????????????????? (Image)
???????????????? ?????????? (Efficiency) ???????
????? (Productivity) ??????????????????????? (Sys
tematic) ?????????????????????????
(Agility) ????????????????????????? (Good
governance) ????????????????????????? (Learning
organization) ???????????? ?????????????????????
74
????????????? ??????????????????? 47-50
75
???????????????????????
??????? ???????.????????..????? Career
Path ?????????????.
?????????????? ???????.....????????...
???????????.
??????? 1 ??????????????????????????
????????
?????
??????? 2 ???????
...
...
76
???????????????????????
??????? 3 ?. ??????????????????????????????
3.1 ?????????????????????? ???????????
. .
3.2 ???????????
?. ?????????????????????????????????
..
..
77
??????? Competency ???????????????????????????????
???????
?????????????
????????????????????
????? 5 ??????? ????????????????? (Expert) ?????
4 ??????? ????????????? (Proficient) ????? 3
??????? ??????????????? (Competent) ????? 2
??????? ?????????????????????? (Advanced
beginner) ????? 1 ??????? ?????????????????
(Novice)
78
?????????????
????????????????????
??????? Competency ???????????????????????
79
?????????????
????????????????????
??????? Competency ???????????????????
80
?????????????
????????????????????
81
?????????????
????????????????????
82
?????????????
????????????????????
83
?????????????
????????????????????
84
?????????????
????????????????????
85
?????????????
????????????????????
86
?????????????????????? PA 02
?????????????
????????????????????
87
?????????????????????? PA 02
?????????????
????????????????????
88
?????????????????????? PA 02
?????????????
????????????????????
89
?????????????
????????????????????
90
?????????????
????????????????????
91
?????????????
????????????????????
92
?????????????
????????????????????
93
?????????????
????????????????????
94
?????????????
????????????????????
95
?????????????
????????????????????
96
?????????????????? Competency??????????????????
?????????????
????????????????????
97
?????????????????? Competency??????????????????
?????????????
????????????????????
98
??????????????????
?????????????
????????????????????

• ????????????? (Self) 20
• ???????????????????? (Peer 1 )
• ?????????????????????(Peer 2 )
• ?????????????? 40

40
99
(No Transcript)
100
(No Transcript)
101
??????????????????????????? Competency
102
??????????????????????????? Competency
103
Dictionary

• Competency Name ?????????????????
• Competency Category Job Management 1
• Competency Definition ?????????
  ??????????????????????????????????????????????????
  ??? ???? ???????????????? ??????????????????
  ????????????? ??????????????? ?????
  ?????????????????? ???????????????????????????????
  ????????????????????????

104
Dictionary

• Proficiency Level/ Scale
• 4. ??????????????????????????????????????????????
  ?????????????????? ????????? ??????????????????
  ??????????????? ????????????????????
  ????????????????????????????????????????????????
• 5. ????????????????????????????????????
  ?????????????????????????????????
  ???????????????????????????????????????????

105
(No Transcript)
106
?????????? Competency ?????????????
107
?????????? Competency ????????????????????.......
...........................????????..............
.................
108
?????????? Competency ????????????????????.......
...........................????????..............
.................
109
?????????? Competency ????????????????????.......
...........................????????..............
.................
110
?????????? Competency ????????????????????.......
...........................????????..............
.................
111
?????????? Competency ????????????????????.......
...........................????????..............
.................
112
?????????? Competency ????????????????????.......
...........................????????..............
.................
113
?????????????????? Competency??????????????????
?????????????
????????????????????
114
?????????????????? Competency??????????????????
?????????????
????????????????????
115
??????????????????????????????????????
Competency Gap
?????????????
????????????????????
????????????
116
??????????????????????????????????????
Competency Gap
?????????????
????????????????????
????????????
117
Competency Name ????????????????????????????????
?????? ????????????????????????????? Competency
Category job1 Competency Definition
??????????????????????????????????????????????????
???????? ??????????????????
??????????????????????????????? ???
TOP 5 ?????????? ?????????????????????????????????
?? ??????????? Proficiency Level /
Scale 1. ?????????????????????????????
?????????????????? ??????????????????????????????
Top 5 ?????????????????????????????????? 2.
????????????????????????????? ????????????????????
?????????????????????????? ????? Top 5
????????????????????????? ????????? 80 3.
????????? ??????????????????????????????????? 4.
??????????????????????????????????????????????????
????????? 5. ?????????????? ?????????????????????
??????????
118
?????????????????????????? OR
Proticiency Indicator
Projiciency Index
I ??????????????????????????? -
??????????????????????????????????? -
???????????????????????????????????????? -
??????????????????????????????????? -
???????????????????????????????????????? II
??????????????????????????????????????
???????????????????????????????????????
?????????????????????????????????????
????????????????????? ????????? III
???????????????????????????????
??????????????????????????????
???????????????????????????????
?????????????????????????????
??????????????????????????????????????
?????? ?????????????????????????? ?????????????
Top 5 ?????????? ???????????????
119
Competency Name ????????????????????????????? C
ompetency Category job2 Competency Definition
??????????????????????????????????????????????????
??????????? ???????????????????????????
???????? ?????? ???????????
??????????????????????????????????????????????
?????????????? Proficiency Level /
Scale 1. ??????????????????????????????????
????????????????????????? (RM) ?????????
?????? (QA/CQI) ??????????????????????????????????
????????? 2. ????????????????????????????????????
??????????????? RCA/FMEA ???????????????????
?????????? 3. ????????????????????????????????????
?? ?????????????????? 4. ?????????????????????????
???????????? 5. ??????????????
??????????????????????? ????? ??????????????????
?????????? ?????????????????????
120
??????????????????????????
Proticiency Indicator
Projiciency Index
I ????????????????????????????? ?????????????????
? ???????????????????????????????????? ?????????
????????????????????? ???????????????????????????
?????????? II ???????????????????????????? /
??????????? - ??????????????? -
????????????????????????????????????
????????????????????????????????????? -
?????????????????????????? - ????????????????????
????? - ??????????????????????
??????????????????????????????????? ??????????????
????????????????? ???????????????????????????????
????????????????????????? ????????????????????????
???????????
121
??????????????????????????
Proficiency Indicator
Proficiency Index
III ?????????????????????????????????? -
???????????? - ??????????????????????? -
?????????????????????
??????????????????????????????????? ??????????????
????????????????? ???????????????????????????????
????????????????????????? ????????????????????????
???????????
122
????????