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- Mission/Culture:
- Establish a mission that is clear and consistent.
- Create a simple straight forward performance and accountability driven culture with clear guidelines for employees.
- Develop policies that are clear and well known to the employee.
- Create training program for the mission and culture.
- Create an environment that is respectful of employees.
- Take steps to assure hiring into new department reflects the diverse cultural background present in Ohio.
- Responsibility/Accountability:
- Align spending and policy authority with budget responsibility.
- Each organizational department/unit has only one or a very few broadly defined functions to do.
- Eliminate overlap and duplication between departments/organizational units.
- Centralize finance and IT operations to serve all other departments.
- Program decision making should be based on transparent, valid, data driven, objective, and analytical models.
- Structure:
- Minimize the levels in the organization structure.
- Create appropriate spans of control for each director, manager, etc.
- Create a customer friendly environment that is seamless to the customer
- Management Development:
- Conduct thorough management training programs on a continuing basis.
- Implement a management evaluation system using objective/quantitative criteria that rewards good performance and creates risk for poor performance.
- Management positions should only be created when there is a real need for a manager to supervise an operation.
- Explore means other than creating management positions to retain good employees that are knowledgeable of Ohio Medicaid processes and procedures.
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