Discuss about the Public Hospital System.
The main stakeholders of the system can be categories in two segments – the internal stakeholders and the external stakeholders. The main internal stakeholders of the system are:
- Doctors
- Nursing Staffs
- In-house Staffs
- Administrative board
In addition to this, the major external stakeholders of the organization are:
- The government
- The customers
The table constructed below provides the information about the different stakeholders of the organization:
|
Stakeholders |
Requirements |
|
Internal Stakeholders |
|
|
Doctors |
· Good interface for the doctors to work in. · Good payment system so that the doctors get paid on time. · Good working environment · Good equipment so that they can properly diagnose their patients |
|
Nursing Staffs |
· Good Salary for the staffs would satisfy the staffs and help to work better. · Good support from their subordinates so that they would be assisted in working better. |
|
In-house Staffs |
· Good Salary for the staffs would satisfy the staffs and help to work better. · Good support from their subordinates so that they would be assisted in working better. |
|
Administrative board |
· Good facilities for the administrative board so that they can take useful decisions · Good information system that would help the administrators in obtaining useful knowledge about the organization |
|
External Stakeholders |
|
|
The government |
· Good revenue generation from the hospital would allow the government to further improve the system and provide more funds for the hospital to improve. · Good improvement in the overall health of the people of the country |
|
The customers |
· Good facilities provided for the clients with a very minimal cost. |
The Public Hospital system would consists of the following sub systems:
- The ambulance services
- The diagnostic and surgical services
- The outpatient services
- The emergency services
The hierarchy diagram with the following subsystems are provided below:
Among the identified sub systems of the hospital the most important is the diagnostic and surgical services are considered for discussions in this question. The table given below provides the information about the contributions:
|
Contribution |
Description |
|
Bed allotment for the patients |
This system would also include the bed allotment and health report facility services for the patients. |
|
Providing the doctors with surgical equipment |
This services enable the hospital to provide the doctors with the facilities required for the surgeries. |
|
Providing the doctors with the facilities to diagnose and support the patients. |
The services also enable the doctors to provide the patient with useful support system such the oxygen support and the ventilation services |
|
Providing the doctors with the results of the diagnosis |
The services would provide the patients with all the surgical procedures and the diagnosis of patients required for the treatment of the patients. |
The main contribution identified for the system is providing the doctors with the facilities to diagnose the patients. The input – transformation – output for the system is provided below:
|
Input |
Transformation |
Output |
|
Medical reports of the Patients: The medical reports of the patients are provided to them by the doctors. Symptoms: the main symptoms of the patient is taken as input by the doctors. |
Analysis of the medical reports and the symptoms of the patients. The doctors study the previous medial reports of the patients so that they can understand the medical history of the patients. The doctors can also check the symptoms of the patients and decide on type of disease that the patient is suffering from. |
The analysis of the symptoms would provide the information about the disease of the patients and provide the possible cure for the patients. |
The hospital system is privatized and is now owned by a private company that operates for profit.
Re-do of the stakeholders analysis would provide a conflict in the interest of the stakeholders. The stakeholder analysis table constructed before would have to be redesigned and the table provided below would be produced:
|
Stakeholders |
Requirements |
|
Internal Stakeholders |
|
|
Doctors |
The doctors should be registered on the system. They are directly connected with the main processes of the organization that is treating the patients. |
|
Nursing Staffs |
The nursing staffs are also the internal stakeholders of the system since they are directly related in assisting the doctors and helping the patients with their treatment procedures. |
|
In-house Staffs |
The in-house staffs are generally the staffs that perform the other internal operation in the hospital. |
|
Medical board |
The board would be directly concerned with the treatment of the patients. The medical board would be decide upon the new medicines that are to be procured by the hospital system. |
|
The Drivers |
The drivers of the ambulance would be concerned with the delivery and pick up of the patients from the locations to the hospital and vice versa. |
|
External Stakeholders |
|
|
The owner |
The government is directly related with the hospital as they are ones that would do the funding for the organization, however they are only related to the external activities of the hospital and not with the internal procedures within the organization. |
|
The customers |
The customers are basically the patients that are related with the hospital who come to the hospital to do medical check-ups and receive treatment. However their purpose with the hospital is over, once they are done with the treatment and hence, they are the external stakeholders for the system. |
|
The board of directors |
The board of directors would be responsible for looking in to the business matters for the organization. They would be looking to improve the benefits of the hospital financially and also look to increase the efficiency of the business procedures of the organization. |
The main change in the stakeholders are the sponsors as the previous system was sponsored under government hospital and the new sponsor would be the company that is likely to own the new system. The main conflict would arise in the human resource department and the customer satisfaction department. The department would be cutting the numbers of staffs in the organization to reduce the cost for the organization. The organization would also look towards the business perspective that was earlier neglected to a certain extent. This would decrease the customer satisfaction as well as the employee satisfaction for the organization.
Identify alternatives
There are two alternatives for the resolution of the system:
Firstly, maintaining a HR system that would help the organization is maintaining the current staffs of the system and hiring new staffs
Secondly, the organization would require to maintain a evaluation system that would evaluate the employees on their performance and the employees would be provided extra incentive on working more. This help the organization is reducing the number if staffs.
Selection criterion
The following selection criterion are used for the evaluation of the alternatives:
- Cost effectiveness
- Employee satisfaction
- Production rate
Rate performance
The performance rating of both the systems are provided below:
|
Alternative 1 |
Alternative 2 |
|||
|
Criteria |
Rating |
Weight |
Rating |
Weight |
|
Cost effectiveness (2) |
4 |
8 |
5 |
10 |
|
Employee satisfaction (4) |
3 |
12 |
5 |
15 |
|
Production rate (4) |
4 |
16 |
4 |
16 |
|
Total (10) |
36 |
41 |
||
Calculate results
Hence, according to the results it can suggested that the second alternative is selected. As the total weight of the first alternative is higher than the second alternative.
|
Business Decision |
Likely to be supported by |
Likely to be Opposed by |
|
The system was operated previously by the government there were various facilities that were provided to the patients for free. However, as the new sponsors acquired the system these facilities would be curbed off the patients. |
The board of directors |
Customers |
|
The private owners would also like to cut off the jobs of various staffs of the organization and look to reduce the cost to the company |
The board of directors |
Nursing Staffs, In-house Staffs |
- During the course of this assignment we have come across various type of constrains that the organization might face due to change in stakeholders and the solutions to this type of systemic issues been identified in the solution.
- The main difficulty are faced in the department of human resources. Hence, the resolution of this type of issues is very important for any kind of organization.
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