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Outline of the patchwork assessment

Discuss about A Critical Strategic Analysis Of Government Health Service (MOH) Of Saudi Arabia?

  • Identify one key organisational objective.

  • Critically analyse the organisation’s rationale for pursuing the objective.

  • Complete a Strengths, Weaknesses, Opportunities and Threats (SWOT) Analysis in relation to how your organisation is positioned to respond to this objective. This should be attached as an appendix to your assignment (You are required to present the SWOT to your peer group and group facilitator in week 9 of the module).

  • Critically evaluate the organisation’s approach to achieving the objective

The Ministry of Health (MOH) is a government organisation, which uses a traditional mode of developing a health platform, in different countries, and is supported by governments. This is true for Saudi Arabia as well, but they have strict rules that are imposed on employees which causes them not to retain qualified doctors (Almalki, Fitzgerald, & Clark, 2011). The assigned Gross Domestic Product (GDP) by Saudi Arabia for MOH is quite low and this does not help in trying to retain employees (Ramady, 2010).

This assessment will provide an overview, and observation of Ministry of Health (MOH) in Saudi Arabia. My role would be as the manager of the organisation’s business development team. The aim I would be having is to give better results in the health care sector. Secondly, it must be noted that healthcare delivery is successful when the service providers are sure of the responsibilities they have and are accountable for the work they do. As competition intensifies within the health care industry, patient satisfaction and service quality are providing the evidentiary basis for patient outcomes and reputation of the healthcare sector. Advanced health systems are considered part of the solution to the challenge of sustaining every country’s healthcare system (Ferlie et al. 2016).  As far as information on available sources are concerned, this is being done by MOH, and they have set a plan with IBM which works on ‘E-health’ but with this report, we will develop new forms of quality standards, which must be focused by the company, and should be based on the vision set by the company (MOH, 2015). With e-health services, quality will be developed based on new defined standards. The new standards of healthcare are defined according to the increased health burden and undesirable patient outcomes. Person-centered care are delivered that is tailored to meet the needs and preferences of the patients. The patients are treated with privacy and equality. The healthcare professionals are provided with support to be independent and get involved with the whole community. Patient safety is the main focus of the best possible care provided by the health care settings. Negligence, degrading treatment and misappropriate and unnecessary restraints are not tolerated in the new standards of healthcare. Good governance implies that care is o be given by the provider in accordance to a care plan that is built up on based on the needs of the patients. The safety and quality care are to be maintained by having effective systems, that aim at service improvement, and all risks for health, welfare and safety are reduced (Hall, 2013).

Patch 1

The present assignment is a patchwork assessment where in Patch 1, the organizational objective is selected followed by a critical analysis and evaluation of how the organization will achieve the objective. The aim of the organization is to deliver e-health for achieving better outcome of patients. A SWOT analysis is carried out for understanding how the organization is positioned to respond to the objective. In Patch 2, a critical evaluation of how my contributions can make the organization successful in achieving the objective is discussed.

The health care system in Saudi Arabia can be classified as a national health care system in which the government provides health care services through a number of government agencies. In the meantime, there is a growing role and increased participation from the private sector in the provision of health care services. Ministry of health (MOH) is the body governing the health care system of the countries where this body is present. The ministry is charged with health policies for achieving better health outcomes (Alijohani et al., 2015). It is also responsible for government programs related to family planning in the countries. The ministry of the government has the focus on issues associated with general health of the citizens of the country. Health departments have the responsibility to performs assessments and inspections for ensuring that the best quality care is delivered to the patients who are in need of best approaches for their health complications. Health ministry must also compile the statistical data statistical data about the health issues of the faced by the people of the country. The health departments establish guidelines for health care settings that are to be followed for operating in a suitable manner. Ministry of health (MOH) Saudi Arabia is the ministry responsible for the healthcare of the citizens of Saudi Arabia. The MOH was established in 1950 and the headquarters is in Riyadh. The department is responsible for setting up new hospitals and healthcare settings. It is accountable for issuing and enforcing rules and regulations for providing necessary practice standards in medicine, pharmacology and healthcare. The health council addresses the needs of healthcare services and this is the highest level of supervisory board. It oversees all aspects of healthcare services of the country. Health-care services in Saudi Arabia are provided by several public and private agencies. However, the ministry is the major planner and provider of these services (Alijohani et al., 2015).

MOH in Saudi Arabia, needed to define the quality elements, such as hygiene factors, and also provide the assessment of the information that they get from various sources. The reason for this is that Saudi Arabia has people from different communities and a major section of it is unemployed. Therefore, the country must design its healthcare services to match to the standards of international health care. Development of e-health platform would consider the needs and perspectives of the defined health care sector and the rules of regulations of the healthcare would be redefined. People coming from varied backgrounds have different beliefs in the healthcare system and therefore the management system of healthcare must address to this needs.  e-health will be a step made in this direction (El Bcheraoui et al., 2015). 

Mission of E-health implementation in the healthcare setting and rationale

It should be noted that management has to look into various different factors, in which external and internal environment of the whole health services and management has to be understood and taken into consideration. The rationale for the study will hence be to define the predicted efficiency, which the 5 year old plan, and launch of e-health services by MOH across the country can bring (Karlsson et al., 2015). E-health services are being used by many healthcares settings across the globe by the aim of the present research is to analyze and assess the e-health services. This evaluation would be beneficial for the Enterprise Resource Planning System for developing a decision making tool (Sundbo, 1998). A new health care related networks is thus to be established by the management that will help by integrating different services of health care unit . The main advantage of this step will be, new techniques will assist the operational work of the hospitals and may fasten the process of management work, which can ensure the advancement of e-health services. MOH of the country develops new awareness programs, which are going to be assessed in first part of report and can help by spreading the ace of service and can connect more patient and understand their problem.

The organizational objective chosen, introducing e-health services by MOH, is based on expanding services to other direction, towards quick response generation for patients and also making all records to be saved on cloud. An  e-health cloud is the flexible and highly configuration platform that goes beyond the scope of traditional approaches in technology (Alijohani et al., 2015). The e-health cloud provides unlimited accessibility and a varied delivery options for meeting the future as well as the present needs of healthcare system. With various options, cloud offers the appropriate hosting model for meeting the particular needs of the clinical settings. Since the costs of healthcare services are rising at a considerable level, it is imminent that healthcare organizations consider adopting health information technology (HIT) systems. HIT allows health organizations to streamline many of their processes and provide services in a more efficient and cost-effective manner. The latest technological trends such as Cloud Computing (CC) provide a strong infrastructure and offer a true enabler for HIT services over the Internet. Cloud helps the healthcare industry cope with current and future demands yet keeping their costs to a minimum. E-health cloud highlights many of the constituents of healthcare and builds the environment for effective health care service delivery. The application of e-health services will help MOH is having a more systematic and developed health care service quality and diagnostic would be the main objective to be achieved (Almalki et al. 2011). The step-wise procedure for execution of the plan would be described by the PESTEL analysis and would elaborate on the need of steps. SWOT analysis would determine how the organization can achieve the purpose it has as the analysis will help the organization to imprve their strength and work on their weaknesses and threat to increase the oppotunity. Based on the SWOT analysis, strategies and other establishment will be analyzed in the third part of this report (Hemann & Burbary, 2013). This objective will not only act as a customer care program, but will help MOH in Saudi Arabia to market their services through new perspectives as well.

The PESTLE analysis will be done to evaluate the need of organizational objective, which is being covered here, and with this analysis, it will be easier to understand the SWOT of this new objective.

Health care services in Suadi Arabia has seen advancement in the last two decades and much of this is attributed to the government help and response that is a significant aspect on the political background. A series of development plans in Saudi Arabia have established the infra-structure for the expansion of curative services all over the country.

Health services in Saudi Arabia is to be beneficial for the political set up it has. Establishment of e-health services will have a strong influence on the government and changes are likely to occur in the political context. The Saudi Ministry of Health (MOH) provides over 60% of these services while the rest are shared among other government agencies and the private sector. Therefore, the political support is always behind the development of healthcare services in the country (Balkhair, 2015). The application of e-health will enhance the quality of care given by the healthcare services and therefore form a reason to encompass all possible help and facilitation from the political settings. The government will be bound to have a series of development plans in Saudi Arabia to enhance the infra-structure and to have the expansion of curative services all over the country (Fitzpatrick & Montgomery, 2004).

The economic analysis of health services, and government, does need cost saving agendas, and adaptation of e-health services, and improvement of quality, can make this objective be a reason for the project to shine (Altuwaijri, 2012). If the objective is met effectively, the overall efficiency of the work done by the organization will be enhanced and this will mean the development of more funds as well, and the budget, which is required for this development, can be overcome easily.

The society has the requirement of bringing all potential advancements in the healthcare system they access and this mainly refers to the easy and quick access to the health care services.  Use of the internet access is such an effective means of having easy availability to services and healthcare professionals as well as the patients would be benefitted by the use of online platform (Anagnostelis et al., 2004). The use of e-health would be the solution to this requirement as the time allotted for treatment may be reduced and the whole process of accessing services would be convenient (Alsulame et al., 2016). The workforce is more filled with expatriates, and if this e-system is used, people will not have many difficulties in language differentiation, as language converters can also be used (Al-Mutairi, 2014).

Technology, and particularly, services provided by information technology, is being adapted in Saudi Arabia from years Alijohani et al., (2015). People have been promoting technology and many of them use technology in their businesses Khalifa (2014). This means, government sectors, for updating their services, do need to develop an infrastructure that supports up heave of technology (Al-Mutairi, 2014). E-health network program, can in this way, develop the services which can make it easy for people living in remote areas as well, to get urgent and good services Househ et al., (2014). Technology, and in particularly big data analysis, is being used globally, and hence should not be ignored in this case as well (Glass & Callahan, 2014).

With the increased incidence of disease, and people, especially pilgrims, who enter Saudi Arabia, being exposed to these diseases, it becomes quite difficult for the organisation to maintain diagnostic speed Khalifa (2013). This means the organisation needs a system that helps the patients with the best customer care and service development and that helps internal management, i.e. staff, to easily obtain the reports linked to a particular person (Fitzpatrick & Montgomery, 2004). This makes sure that, MOH has to detect nearest hospitals for the patients which can be done with this software.

Legal issues, such as patient protocols keep on changing, and do not reach doctors on daily basis Alkabba et al., (2012). However, with this e-health development the objective of keeping the hospitals which are linked with MOH, updated, and also their staff to be aware of the changes in rules, can now be fulfilled (Barello et al., 2015).

Legal analysis has a major role in this objective development, as many pilgrims also enter this country, and should be assessed for fulfillment of this objective (Balkhair, 2015). As mentioned earlier, big data can be used, but it also has some legal concerns that need to be developed in the process (Kalyvas & Overly, 2014). By analyzing this list of risks, the organisation will be able to more effectively work on the purpose of this objective, which is increasing the quality of patient-centred health services (see Appendix 6).

For achievement of this objective, a proper committee should be hired, and developed, which can evaluate the risks, and develop policies that are important for the company’s development (Porter, 2008). The PESTAL analysis indicates that MOH must respond to the radically transforming healthcare that would transform the way the department carries out the functioning and delivers best possible health care. The utilization of e-health would support a seamless flow of information within the health care infrastructure and would encompass the leverage the digital progress in the setting. This would transform the way care is delivered by MOH. Considering all the advantages of electronic health records, and the rapidly growing electronic interconnectedness of the health care world, the development and eventual ubiquity in MOH is inevitable.

A SWOT analysis has been performed to identify the issues faced by the MOH in operational activities.

The strength of this organisation is that it has access to all hospitals and can create a change in quality services for customers, for instance clients associated with a hospital. This strength of MOH is because government’s financial support is with the team of MOH, and if they can work effectively on e-health services to enhance their performance  (Al-Ahmadi, 2009). This will make it a paperless system, and with the government’s support, the budget can also be justified  (Almalki, Fitzgerald, & Clark, 2011). The MOH currently provides 59.5% of services, and if these are converted to e-health, the strength of the Saudi healthcare for the public will be further enhanced (Almalki, Fitzgerald, & Clark, 2011, p. 786) (see Appendix 1). As far as the private sector is concerned in this area of service, it constitutes only 20% approximately, and thus, for implementing such a strategy, this organisation can settle and increase efficiency in the diagnostic process of increased quality for customer care (see Appendix 6).

The weakness of the organization is that the employee participation rate in adapting to new technologies is less and not up to the mark of high standards (Azeem & Altalhi 2015). All members of healthcare organization must embrace the latest technologies and implement them in their daily lives to the best of their ability. They must be aware of the fact that the tools used for betterment of patient care are to be integrated to the daily care services. This activity will not only increase the overall management procedure of the organization but will also be beneficial for the employees. The employees must therefore take up the workplace as a learning institution and bring about some positive organizational changes  (Balkhair, 2015). Implementation of e-health would require the participation from the employees of the organization to implement it in their daily practice. They must be addressing the issues they face in adapting to the changes for encouraging greater participation. They must be taking up approaches for having adequate knowledge on the ways to implement the e–health services and must be aware of the advantages of doing so. If these problems in customer care can be overcome and e-health services are successful, quality of these services can be improved (Al-Turki, 2000). Lack of a skilled workforce is also a drawback for this country, and most of the work is outsourced (Abdallah 2001) (see Appendix 3), which tells us that explanation of e-health services to locals would be quite difficult.

The MOH has been the most active organisation in Saudi Arabia, as seen in Appendix 1, and has been providing its services for a long period of time (Almalki, Fitzgerald, & Clark, 2011). As a result, they have opportunities to expand in the virtual world as well, as they have expanded in physical areas. Globally, different countries’ ministries of health have successfully developed their services for improved quality, by using big data, and for Saudi Arabia, being one of the busiest countries, it is a great opportunity to give this online facility, to improve quality, and save time for their patients as well (Makdad, 2014). In Mexico and other countries, this facility has been enhanced the human life, and people are being made aware of better health services (Makdad, 2014) (see Appendix 2). This also creates an opportunity for the MOH of Saudi Arabia and with the advent and progress of information technology, quality prospects and expectations in this sector have also been increased (Al-Ahmadi, 2009).

E-health care systems are better adapted in private sectors as most of the people who use them have knowledge about such services (Qureshi et al., 2015). As far as people using the MOH of Saudi Arabia are concerned, they do not know about using online services, especially for health purposes (AlGhamdi & Moussa, 2012). For this part, awareness should be generated, which will be explained in the strategy section. In addition, the MOH is government funded, and if this step or objective is not achieved successfully, the company has to bear many negative comments, as the competitors may have more accurate services. Moreover, internet speed is an issue in Saudi Arabia, which will be a further threat for development of online services (Anagnostelis, Cooke, & Welsh, 2004; Fitzpatrick & Montgomery, 2004).

The approach of the organization to achieve the objective of implementation of e-health can be explained by the help of McKinsey’s 7S Model. This model is the tool to analyze how well the organization is positioned to achieve the intended objective. McKinsey 7-S framework was developed in the early 1980s by Tom Peters and Robert Waterman (Altuwaijri, 2012). The model is used for improving the performance of the organization, examining the possible effects of future changes within a company, supporting departments and processes during a merger and determining how best to implement a proposed strategy. The 7 elements of the 7s model are strategy, structure, systems, shared values, skills, style and staff. Strategy is the plan made to maintain and build competitive advantage over the competition. Structure refers to the way the company is sorted out in the structure. Systems are the daily activities and procedures that staff members engage in. shared valued refer to the core values of the company. The style of leadership adopted is the next aspect and staff capabilities come in next. The last element is skills that are the competencies of the employees.

Strategy- The MOH is applying a strong strategy for having a national approach for fulfilling the objective of implementing e-health across the country. The strategic context of e-health is that it must encompass the health of the total population and have development priorities. The MOH has the resulting implications for health and this must be carried on in future (Qureshi et al., 2015). The e-health is the high-level message from the MOH for the policy-makers that answers the question of how e-health helps the country in understanding what it wishes to achieve in health care sector. The existing capacity of MOH must be used at its best for providing a strong basis for innovation and investment. But currently the innovation and the investment procedure are in progress Planning of the detailed steps is necessary for fulfilling long-term goals and having fundamental transformation Howver, the plannings are also active in some context (Altuwaijri, 2012). 

Structure- MOH encompasses the whole country and therefore there is an influence of extrinsic forces, including the government  (Al-Mutairi, 2014). Along with that, government hospitals are the other users about which records and data has to be maintained. This will be summarised with the development of the e-health system, where the priorities of each systematic head will be set. The data and information will be retrievable in less time (Mair et al., 2012). This retrieval will be effective as the MOH has a bigger framework, as far as the structure of the organisation is concerned, as it has to deal with many urban and rural agents, which are present all around KSA (Almalki, Fitzgerald, & Clark, 2011). As mentioned in the previous paragraph, by this online development, the scale of the MOH structure will not only decrease over time, but will also become more effective.

Staff- The number of staff required and to be managed needs to be higher, and as mentioned in the weaknesses section, non-Saudi staff make up a considerable proportion of the total, and can leave the country easily. Currently, every workforce of the Ministry in all regions of the Kingdom is being reviewed to determine accurate staffing needs to create the optimum utilization of personnel. Providing qualified manpower is perhaps the biggest challenge that Saudi Arabia faces as it expands its healthcare capacity. Despite investment in education and training, demand for foreign healthcare workers is likely to remain strong in the coming years (Chhokar et al., 2013). The Saudi health care system is challenged by the shortage of local health care professionals, such as physicians, nurses and pharmacists. The majority of health personnel are expatriates and this leads to a high rate of turnover and instability in the workforce. According to Qureshi et al. (2015), the total health workforce in Saudi Arabia, including all other sectors, is about 248 000; more than half of them (125 000) work in the MOH. Saudis constitute 38% of this total workforce. Of these, 23.1% are physicians, while 32.3% are nurses. In the MOH, Saudis constitute about 54% of the health workforce, (physicians 22.6% and nurses 50.3%). Should the system be developed, some administration costs would be saved by providing e-health services, and staff can be retained by providing more incentives to them, which shows that this objective is quite effective if observed properly (Chhokar et al., 2013).

Another factor which has to be considered is that the MOH is a centralised power and low employee engagement and low motivation of employees exists (MOH, 2015). The Saudi government have strict rules for employees’ holidays and it is really difficult for immigrants to bring their families to Saudi Arabia. The country has a population of 30 million, of whom 10 million are immigrants, and almost all of them are employed. It is difficult to remain in the kingdom without a job and few immigrants are accompanied by their families. The reason for this is that the country wants to stop illegal workers in the country. This has a negative impact on attracting and retaining the required skills in the organisation (O'Kane, 2013). By development of this system, these rules can be revised, and employees such as those needed in hospitals need to work on their negative attributes and they have to find out the way to improve their approach.

System- The system, as mentioned in the structure and weaknesses sections, needs to be given priority and easy access, and will hence be developed (Anagnostelis, Cooke, & Welsh, 2004). The threat of patients receiving unequal services by the hospitals will also be eradicated, once the complete record reaches the HR of the MOH in Saudi Arabia. In this way, the system will be able to record all activities as well.

Skills- The MOH sends doctors abroad for higher studies, but the education and learning that those doctors have attained are not being used by the organisation (MOH, 2015). With this e-platform, a portal and community should be established, where online consultancy services could be provided to the patients, as they are a registered part of the MOH on the e-health platform. This will allow the organisation to retain its resources. employees and doctors are needed, but the KSA lacks such a pool of workers (Al-Mutairi, 2014). This can be considered as a result of many employees leaving this country and moving to new countries for development

Style- The MOH in KSA have long term goals, which will not be changed easily by a little implement such as e-health service. However, the management of the organisation will be considered along with the development of new skills, which will make the MOH’s operations efficient (Lord & Velez, 2013). With this internet-based system, the style of the staff will be changed and they should all be given proper training to adapt to the purpose to be served by the company. This will decrease risks, and will make the organization to be more stable (Fitzpatrick & Montgomery, 2004). The style of staff will be changed with the increased concerns of the organisation in the performance of the company, with better performance of employees (Bliese, Halverson, & Schriesheim, 2002). This will increase efficiency of the organisation, with increased system activities, which will ultimately all be maintained on databases.

Shared values- All health care professionals will not  understand the purpose of this e-system, until they are given an overview, and hence, with the development of the system, the purpose of the skills and value that is added up will be shared with staff (Anagnostelis, Cooke, & Welsh, 2004). In this way, it will be possible for this service to be well integrated, once it is conveyed properly in every hospital. This means the hospitals that are working under the name of the MOH will be made to follow the steps which are now implemented by the MOH, and this will be regarded as shared value by the company. It is quite hard to maintain the external value impact on the MOH, as the Saudi Arabian government supports traditional methods, but in order to attract new international students to practice their skills in KSA, these traditional and long methods have to be amended, as do the shared values (Lord & Velez, 2013).

Conclusion:

The above discussion on the health developing mode of the Ministry of Health in Saudi Arabia has highlighted the effect of strict rules on the employees that retain them from proper qualification. E-health service enable some improved quality by focussing on the organizational vision standards with person centered care, protecting the privacy of the patient. The health ministry of Saudi Arabia compiles the statistical data of the issues the health care are facing and the government is working on the issues to find a proper way to deal with it. The strength, weakness, opportunities and threat analysis of the Ministry of Health highlights the strength to change the quality of the services of the hospitals, identify the weaknesses on the employee engagement. The SWOT analysis provide the organization to implement some new strategies for the improvement of the situation. The MOH of Saudi Arabia is developing strong strategies and new stractures to keep the data and informations updated. The health ministry also working on the staffs to improve their commitment to the work and developing new skills and adopting new styles to make the operational skills more efficient.

As the manager of the organisation’s business development team, I can make significant contribution to the organization for successfully achieving the objective of e-health by executing effective leadership qualties. The leadership style that I possess can be directing and coordinating the fulfillment of the objective by MOH. The provided leadership would shape up the health service’s improvement agenda, set the standards and norms, articulate the policy options and provide support to the system as a whole. Leadership can bring progressive changes in the work of the MOH and such impact by leadership is perceived in a global context. Leaders need to respond to new technology, new challenges and upcoming goals. A response to the dynamisms of healthcare can be made by altering the leading skill set (Daft, 2014).

The leadership style that I would be having is transformational leadership. This leadership style is far more advanced than traditional style of transactional leadership. On the contrary to such traditional leadership that focuses on organization, supervision and group performance, transformational leadership has the focus that people work more effectively if there is a sense of mission (Avolio & Yammarino, 2013). The transformational theory requires leaders to communicate their vision in a manner that is meaningful, exciting, and creates unity and collective purpose; the manager who is committed, has vision, and is able to empower others can be described as a transformational leader. Transformational leaders are able to motivate performance beyond expectations through their ability to influence attitudes (Chhokar et al., 2013).

I have the aim of being such a manager with committed mission of bringing changes in the MOH by implementing e-health. As a manager in the organization, my leadership style can help in easy transformation to a more advanced health care service delivery. Tasks would be performed effectively and goals would be achieved by working in diverse and large groups. Transformational leadership would have the capacity to help the organization consider changes as the opportunities for new options in health care. In this case, this refers to the e-health access. The leadership would craft a collective vision for the future and utilize the interrelationships between the aspects of healthcare in a setting for solving complex problems. Continuous quality improvement is the key element in MOH and transformational leadership would help in this context by sorting the process of implementing e-health. My leadership style would be supporting the on-going process of improving service outcome (Bliese et al., 2002).

As a leader, I would emphasize continually that safe, high quality, compassionate care is the top priority and offer fair, available, respectful, supportive, compassionate, empathic, and empowering leadership. I would promote participation and involvement as the core leadership strategy. There would be a promotion of continuous development of the knowledge, skills and abilities of staff in order to improve quality of patient care, safety, compassion and the patient experience in relation to e-health. It would consistently encourage, motivate and reward innovation and introduce new and improved ways of working and adapting e-health (Bliese et al., 2002). The leadership would be visible to all the members of the organization as the work would be carried out by moving the staff forward with inspirational actions. The long lasting effect of this  management style is that a strong sense of confidence would be developed in the organization. As a manager, I would have the role of the representative of the organization and the employees would be motivated to embrace the new changes in the settings (Khalifa, 2012). If the leadership is successful in the organization, the members would want the organization to succeed and there would be a sense of commitment from the member (Spillane, 2012). As a visionary leader, the transformational manager helps employees to envision career success through further education and training. When employees see positive results from training and education, they will become even more dedicated to developing their own careers as outlined by the transformational leader. Therefore, an education plan on e-health would be effective in bringing about the desirable changes.

Conclusion

In this way, the main objective of implementing the new scheme, i.e. development of an e-platform for the MOH in Saudi Arabia, and making it follow the paths that are followed internationally, is explained clearly. And with this, the main objectiveshave been to eradicate the harsh rules imposed by the government of Saudi Arabia and thus foster a new environment where learning prospers. If on the other hand, the 7S model is followed in the same way, the organisation will be able not only to maintain their employee structure, but also to develop a civilised formation of employees. Due to the implications by the government, and un-friendly tone of staff (local employees), most patients prefer international doctors, and this means, either these employees have to be trained, or new international students and doctors should be attracted  to generate competition (Becker, 2009).

Economic and development competitors challenge the situations, and are reasons why these active organizations are not allowed to develop. However, the MOH should consider the number of pilgrims that arrive in KSA each year, and also the effect this congregation has in certain cities. This can be managed with the new network development that has been suggested, and, for instance, development of an e-platform. This will hence improve the quality of health services, as diagnosis may be done on the network, and also, the development of centres and chat rooms for each department, will allow better suggestions to be developed, and suggested to valued patients.

My leadership style attributing to transformational leadership would bring the necessary changes in the organization in relation to the aim of e-health services. The principles of transformation leadership will help in succeeding the execution of the changes in the organization. Better results would be achieved in a positive workplace. The ultimate aim of the leadership I possess would be to drive engagement of the members of the organization and to develop a self-interest in the organization changes in context to e-health.

KSA in its health care department has manpower. It has leadership support. Saudi Arabia could establish critical care organisation. Hence, it can meet its critical care standards. The 59.5% of services that MOH provides are not converted to e-health. Else there would have been enhancement in Saudi health cae for public. The participation of employees is below par in terms of adapting to new technologies. The latest technologies must be implemented in their daily lives to the best of their ability. It will increase the overall management procedure of the organization. Therfore new policies should be formulated in this respect.There are no approaches taken to have adequate knowledge on the ways to implement the e–health services. Lack of a skilled workforce is a major drawback for this country. Also most of the work is outsourced. It indicates that e-health services to locals would be quite difficult. There is limited growth of Medical Tourism in this country. This is due to lack of promotion of the services by government. It has great opportunity to attract foreign investment. The major threat however is insufficient efforts in biomedical research. Due to insufficient learning programmes there are less qualified workers in medical field.

References

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