1. The way for improvement

2. Performance management Direct improvement in performance Communication and understanding Capability in development Organization and staff development Human resource strategy

3. Authoritarian –Leader’s lead the decision –Top to bottom –Individual /self centred decision Consultative –Leaders consult others –Bottom up –Consensus decision

4. Effective writing – aim – Purpose – Why it is important For us For others – How to achieve it? Action (individual/departmental) Focus group

5. Control effectiveness of treatment Core business vs busyness Competent vs incompetent staff How to control? – Staff – Services as a whole – Patient satisfaction When to control? – 24/7 – Accreditation – ISO

6. Documentation - filing system, recording and reporting What is the problem? – Missing data – Incomplete – Incompetent/unclear report How to manage? – Filing system (numbering) – Standardization (recording/reporting) – SOAP notes

7. Fiscal Management- book keeping and budgeting How much is enough? – Plan, plan and plan What if we need more? What to do? – Ask again – paperwork and justification – Approach all necessary officers – Bagging????? When should we ask for it? – Every 2 years….a year before that 2 years – During the strategic planning meeting When should we stop?? – When you feel enough.

8. Inventory Management Tools and equipment recording Cost/maintainance Date of expiry Risk/details discription

9. Continuous Medical Education & continuous professional development Departmental level Hospital level Regional State Conferences Research…

10. Public Relations Networking Contact Make yourself renown….