CASE ON FIRE IN AMRI HOSPITAL
Introduction to the Present Medical Care Scenario
Medical Care in our country has a few segment doing extremely well while the rest are frayed and falling apart. Because of higher expense, millions of Indians cannot avail basic medical facilities. All Indians having good pay have a right to be Healthy and the rest simply suffer or die. The dreadful state of our government hospital, the enormous fees charged by private doctors and the imbalance in the health care are quite common. Nowadays hospitals are key actors in national health systems, and invariably account for a large share of spending. As a result, the major stakeholders such as governments, health professionals and communities are deeply concerned about the hospitals functioning and its operations. Although the stakeholders may have different priorities such as the quality of service, accountability of responsibility, access to care and service to the public. Thus many challenging agendas arise for the policy makers who are making an effort towards reshaping the health systems and are faced with decision making problems regarding governing the behavior and performance of hospitals. Proper corporate governance practices will lead to better performance if it can be embedded into the organizational structure.
Hospital Governance System:
The predefined functions and the structure of an organization is termed as Governance and it helps an organization in establishing ultimate authority
After reading the case study it seems that one problem between the hospitals and upper management seems to be lack of communication. It seems that Singh and Mrs. Manzoni have not affectively communicated to the hospital administrators what the goals of the company are and what is best for the company. I believe that Mrs. Singh and the hospital administrators value the importance of two different things. Mrs. Singh values the importance of correct data entry into the firm’s management information system. While, the hospital administrators seem to be placing more value on the importance of patient services. In addition, it seems Mrs. Singh does not know what
Shared governance is the structure that allows professionals to move within the administrative areas. Methodist Magnet Hospital of Houston discusses shared
There are many types of organizations that may provide healthcare to a community. Organizations that provide healthcare services may seem similar however there are different ways a healthcare system may be structured. This paper is going to analyze the organizational structure of Hoag Hospital.
Hospitals have organizational structures that allows them to carry out their duties efficiently and successfully. What separates the organizational structure of a healthcare organization from a business, essentially that the hospital 's organization is chiefly founded on the amalgamation of medical and administrative staff (Carayon, et al., 2014). The organizational structure of the twenty-first century solutions in health care hospitals involves, both divisional and hierarchical structure. In the of the chain of command hierarchy, there are various levels of professional’s that fall under other levels within the facility, and each staff member is organized in regards to departments that are related to their (KSA’s) skills, attributes and job duties (Carayon, et al., 2014). Hospital organization philosophies is based on development of values and ethics, with the understanding on moral principles relating to human conduct. These systems are comprised with the processes in decision making and determining the best actions to consider between the difficult alternatives when pertaining to patient care.
“Running a health care organization is a team sport. It is very important that all members of the team-whether on the medical staff, in management or on the board-understand the role of governance and what constitutes effective governance” (Arnwine, 2002). Running a hospital is a difficult task. Several factors need to be seriously thought of and considered in every decision and undertaking. Unfortunately, all the three important factors in governing a hospital is not always in harmony. As likened to a team sport, if the three major components are not working with each other as a team, there will be tension and a great divide will be experienced. And often times, the patients will be in the middle and will be greatly impacted. This writer believes that there are several factors that contribute to the tension that usually exists among the medical staff, the board and administration. One factor is the disconnect, where each entity is not seeing each other eye to eye and their visions may be different from each other. Another factor may be the lack of communication in order to bridge the gap and to build a respectful and a relationship wherein there is trust for each end every member of the group. Often times, the medical staff is concerned with ensuring that patients are cared for in a manner that their practice is protected as well as the patients are getting the appropriate care. On the other hand, the board of trustees may be focused in ensuring that that
From 1991 going forward, the health care environment again experienced fundamental changes as a result of the deregulation of hospitals which according to Ingols and Brem (as cited in Swayne, Duncan, and Ginter, 2006) was occurring for the first time in a decade. According to the authors, the impact of the move was immediate. Following the deregulation, the financial viability of most hospitals was
The healthcare system of USA has continuously evolved and matured over the years. With time, the healthcare system of USA has strengthened. Still, this system has certain weak points that have to be overcome in order to deliver excellent healthcare services. Providing, best of the healthcare services, should be the combined responsibility of public and private players (Robert, 2009). People would also have a role to play in order to ensure that healthcare services and delivered in an excellent way. In the postindustrial period, USA has
1. Governance: The governance of a hospital sets the framework for supporting quality patient care, treatment and services.
The future and direction of health care has been the topic of discussion amongst politician and U.S citizens today. There are several challenges surrounding the future and strategic direction in which health care should be heading. Accreditation, quality of health care and organization’s compliance; access to health care, maintaining a skilled workforce, information technology and pay for performance are some of the challenges that currently presenting itself in healthcare today. If health care is not dealt with appropriately it will have a significant effect an impact on the strategic direction in the future and direction of care.
Improving the quality of health care system is the main goal of this organization. In this case study we will be talking about the strategic plans being made by the organization for the next decade to deal with the problems of resource management, network growth, patient satisfaction as well as nurse staffing. The readiness of the organization towards catering the citizens' needs for health care will also be discussed in this case study (Goetsch and Davis, 2010).
The major problem, they have within the healthcare industry is the lack of government funding and the total expenditure on health per capita is $109, compared to the $7290 per capita in the United States. Healthcare consumes 4.9% of India’s GDP versus the 16% in the United States. The outcomes equal long lines, fewer facilities and inefficient staff. The supply of healthcare in India is on par with that in sub-Saharan African countries. According to the World Bank, 75% of all health expenditures is in the private sector, where 90% of healthcare costs are paid out-of-pocket.
“Hospitals can be non-profit, for-profit, and government-owned and/or operated” (Baker & Baker, 2006). There are different terms for each classification in how to report and handle the finances but the basics are the same for any type of business. Business finances require the following basic fundamentals: creating “budgets, understanding capital expenditure, loan acquisition, and financial fees” (Baker & Baker, 2006). Government owned and operated hospitals offer unprofitable services; which
Apart from having the public sector, we also have a well established private sector The private sector absorbs 32% of the total expenditure on health in the country. . In a year, the private sector has 27, 000 admissions for in-patient treatment, undertakes 13,000 surgical operations and delivers over 2,000 babies. Some people choose private hospitals instead of public hospitals due to better service quality and admission procedures. There are reliable doctors and nursing officers and their attitude are courteous and they are more hospitable and are ready to help.
Hospitals in today’s world require organizations that have a variety of people on their boards. Hospitals are usually run by administrators, board of directors, and other departments. Each of the many tiers of the hospital organizations has varied goals and achievements that they wish to accomplish. This article is designed to discuss some of the strengths; weakness, opportunities and threats (SWOT) of the hospital organization (Roussel, 2013). Internal and external forces will be discussed as factors of influence upon the decision making body of the hospital. An example of a problem found in many hospitals, the threat of patient falls will be analyzed. This article hopes to give a better picture of hospital organizations,
The corruption and fraud are key issues in the health sector and the government should get necessary actions to prevent these incidents. It is needed urgent policy reforms requirement to prevent this kind of situation. Ministry of health should follow the government rules and regulations and should implement the tender procedure of the country. The government should correct the administration weaknesses of the health ministry to provide advanced medical service in the country.