...Strategic management 8 Employee welfare 8 Risk management 9 Public Health care sector 9 1.9 Assumptions 9 1.10 Scopes, limitations and delimitations 9 Chapter 2: Literature review 10 2.1 Resource management 10 2.2 Employee management 12 2.3 Risk management 15 References 18 Topic: The performance of doctors and administrators in the management of healthcare facilities Chapter 1: Introduction The management of health care facilities has been a major concern especially within public funded health facilities. Public health facilities have experience various cases of mismanagement and they have been unable to handle the increasing and changing demands towards health care (Dunn et.al, 2007). The private health institutions are considerably managed in an admirable manner because most owners treat them as an investment hence leading to the usage of strategic management in the running of these private health care centers. The public health care centers have less levels of accountability because of laxity by the funding authorities in instituting better management teams. Most public health care centers are managed by trained doctors who do not have any kind of training in the management of institutions (Dunn et.al, 2007). Owing to numerous reports regarding mismanagement of public health care systems, it is significant to explore the possibility of inculcating trained administrators in the management systems of public health care. 1.1 Background of the problem...
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...REPORT ON EUROTOWN DISASTER Introduction On the 14 Oct 11 the Municipalities Emergency Preparedness Group was in meeting. At 1000 hrs it was reported that there was a major electrical failure affected the greater part of Eurotown. No initial assumptions were made but the respective service agencies were contacted. At 1200 hrs the situation deteriorated with a serious fires starting in a factory units in Bromley Hill. A Major Incident was declared at 1205 hrs and the ‘Eurotown Emergency Plan’ was activated in accordance with the Civil Contingencies Act 2004. The following actions were undertaken: * Traffic Management plan implemented. * Emergency media plan implemented (and throughout all stages of the incident). * Multi-agency action plan implemented (mutual aid response). * Communication and co-ordination with ‘Tactical Coordination Group. * Impact of power outages on critical infrastructure. * Vulnerable groups such as schools and care homes were contacted. At 1330 hrs the fire had spread to adjacent properties which housed an LPG storage tank and 10 tonnes of chlorine. The risk of explosion and the release of a toxic plume were considered severe and priority was given to evacuating residential and business properties within 500 metres of the site around the LPG storage facility and evacuation of the personnel calculated to be effected by the plume. It was agreed that evacuation of both these groups should be co-ordinated and given equal priority...
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...defined as an emergency situation where normal day-to-day routine and / or businesses are interrupted. Therefore crisis management constitutes those processes and procedures which aim to reduce the effects or in certain cases, prevent the effects of crises to get uncontrollable and unmanageable. Singapore has a large spectrum of crisis management agencies, which specialise in certain services, available to the public. Each organisation / agency targets and deals with a specific domain. These include the following in no specific order, but are not limited to; the Ministry of Defence (MINDEF), the Ministry of Home Affairs (MHA), the Ministry of Social and Family Development (MSF), the Health Promotion Board (HPB), the Housing and Development Board (HDB), the Singapore Civil Defence Force (SCDF), the Singapore Police Force (SPF), the Singapore Workforce Development Agency (WDA), community centres, hospitals and legal offices. The aforementioned are among the agencies and ministries which proactively take measures to reduce the impact of a crisis on the general public in times of distress. MSF manages and introduces well planned programs and schemes for family development. A crisis can arise when single parents require assistance in infant care and/or child care, while they are either at work or out to seek employment. MSF provides infant care, childcare and education schemes among others, for families who require assistance in monetary terms, or in planning for the future. Their hotline...
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...and nurses to provide services in their home. In the early 19th century, as industrial cities became more populated, the demand for clinical and institutional care grew. Medical technology and scientific innovation made ambulatory healthcare available, yet there was not enough capital to support building large institutions viable to facilitate it. Religious organizations, philanthropists, and local governments built private and public institutions designed to deliver ambulatory, inpatient, and emergency care to local populations. By the beginning of the 20th century, hospitals became capable for research, development, and scientific discovery. Facilities became very large, housing and treating patients as well as facilitating medical research. Modern hospitals now provide clinical care to the most complex and critically ill patients while researching, innovating, and advancing medical technology. With increasing demand for treatment of chronic care, as well as the advancements in acute ambulatory care, modern hospitals have integrated vertically and horizontally to diversify their brand and provide an umbrella of accountability as an Integrated Delivery System. After World War II, managed care entered the marketplace. Insurance companies began to contract with hospital groups and Integrated Delivery Systems to provide comprehensive insurance and healthcare delivery, all centered around a hospital or group of hospitals. Hospitals have become a catalyst to the industry, providing...
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...National Health System, established in 1978, is the primary provider of health insurance to all Italians. It is a decentralized model, most of which is being administered at the regional level. It provides low or no cost health care to all European Union citizens; it provides inpatient treatment which covers primary care visits, diagnostic testing, drugs and medications, surgeries during hospitalizations, out-patient treatments, pediatricians, dental treatments and other specialists. Private insurance is available and sometimes offered by employers, about 35 percent of Italians use private health care. The government covers the cost of all primary care and inpatient treatment, while drugs and advanced tests require co-payments of up to 30 percent. Children and the elderly do make these payments. You must have health insurance if you want to live in Italy. The government gets the resources to pay for this system from taxes collected at a national level combined with taxes collected at the regional sectors, the doctors and other medical care provider’s work for both the private and public sectors, where they received their payments from. If receiving public health insurance you sign up and you choose a doctor. Doctors will not have more than 1,500 patients. If you do not like your Doctor you can always switch to another; but that doctor can only take you if they have open slots available. The United States is based on imperfect market. It is a pluralistic system, which differs...
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...Theory and Practice to Emergency Management John C. Pine is the Director of the Disaster Science and Management, Professor-Research with the Department of Environmental Studies and Interim Chair of the Department of Geography and Anthropology at Louisiana State University in Baton Rouge, LA. (225) 578-1075 Email: jpine@lsu.edu httt://www.risk.lsu.edu Abstract This chapter takes a look at the impact that management theory and how the basic functions and practice of management as well as the role of the manager and approaches to management have contributed to the practice of emergency management. Current views of management theory stress the changing nature of the external environment and the need to understand and address these external forces for change. The contribution and role of systems theory and contingency theory to the emergency management process is stressed. Although some might view that we do not manage disasters, there is an overlap between the contribution of management theory and emergency management. Management theory stresses the need for effective planning to ensure that organizational goals are obtained. Emergency and crisis management emphasize that effective emergency response and recovery is based on good planning. Building sustainable organizations and communities is a common goal of both management and emergency management. Management and disaster-related issues and concerns along with strategies to improve emergency management practice from...
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...health care systems today. The discussion indicates that no current health care system will adequately control costs over time. The basic systems are then compared with the conclusion that there is no good answer to the issue of cost control and equitability in America yet, but a change may be made in spite of the lack of surety. | Introduction One of the biggest issues facing Americans today is health care costs with respect to medical insurance and the increased liability Federal taxpayers are subject to for the funding of current nationalized health care programs such as Medicare, Medicaid, and mandated emergency care. We see models throughout the world, especially in Europe, that look appealing to some Americans, so there have been many champions of reforms that mimic those arrangements. Herein we will define what nationalized and privatized systems consist of, talk about the economics of health care, and discuss some advantages and disadvantages of each arrangement. To quantify the problems that America faces today let us look at a few key statistics. The United States has seen health care costs increase 131% from 1999 to 2007, and there seems to be no respite on the horizon (KaiserEDU, 2010). The United States recently paid 16% of its GDP per capita for health care expenditures, while western European countries spent about 9-11% of their GDP on health care. All countries are facing ballooning medical costs: for example, American and European systems are increasingly...
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... Carteret EMS as an Ideal Learning Organization Service delivery with any public service organization due to today’s economic downturn, current concerns, and budgetary considerations to help improve efficiency, but also can affect its capabilities as a learning organization. This is especially relevant in Carteret County, North Carolina and its office of Emergency Management in the application of pre-hospital emergency medical services or EMS to the citizens and visitors of this Atlantic Coast community. This is mandated by North Carolina General Statute G.S. 143-517, which mandates that “county governments are key players (Moore, p. 3)” and are responsible for local provision of pre-hospital emergency care. This includes personnel, equipment, financing, level of service and delivery, as well as maintaining a progressive learning environment. This reflection will take into consideration the most compelling characteristics; their observable behaviors and results; barriers and how they are overcome; as well as resulting and future strategies to overcome present and future barriers this organization will encounter, which leads me to my succinct thesis. This reflection will show that the Carteret County, North Carolina’s Emergency Medical Services is a progressive, professional, and effective learning organization that will advance well into the future to serve the citizens and visitors of this region....
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...[PROBLEMS IN THE EMERGENCY DEPARTMENTS OF PAKISTAN] ADVISOR: MR OMAR AZIZ BABAR GROUP MEMBERS: ABSHAM MEHBOOB (08-0014) AGHA MUREED AHMAD (08-0636) HAMZA AHMED JALAL (08-0282) NABEEL ATIQ SYED (08-0141) SYED ALI HAIDER SHAH (08-0176) SUBMISSION DATE: 07-05-2012 This project is solely the work of the author and is submitted in partial fulfillment of the requirements of the Degree of Bachelors of Business Administration EXECUTIVE SUMMARY Our FYP project is based on the issues in the emergency department of health sector of Pakistan on which we are conducting a research work. As we hear about the problems that occur in this department of health sector and the difficulties that people face we will be looking into the depth of these issues and try to highlight the key points that create such a situation. Our main objective is to find the gap between the perception and reality. We go about in our project first giving a brief introduction of the emergency department of health sector according to the secondary data that we collected. We also discussed the techniques, strategies and standard operational procedures i.e. SOP’s according to which emergencies should operate. Moreover we also discussed emergency ethics that are the first and foremost base to determine how the doctors are expected to behave with...
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...In the present day, there are rising concerns worldwide as regards the absence of patient-focus in numerous healthcare perspectives like outpatient and inpatient care. A way of dealing with this and concurrently ensuring a better quality of care is by embracing and integrating different lean thinking aspects. The main concept of the Lean strategy is eliminating unnecessary waste and maximising value to the customer. Thus, before any kind of Lean implementation it is essential to understand the current situation and how future improvementscan be made based on patient value. In this thesis, the voice of the patients, voice of staff and voice of the process were collected to illustrate how a patient-centric perspective can be combined with Lean...
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...Health Care in the Early 1960s Rosemary A. Stevens, Ph.D. My topic, health care in the early 1960s, has a double set of meanings for me. I am a historian, and the 1960s are now "history," ripe for new interpretations. Yet I was also an immigrant to the United States in 1961, fresh from working as an administrator in the British National Health Service. The period immediately before the Medicare legislation in 1965 shines in my memory with the vividness of new impressions: those of a young health care student trying to make sense of the U. S. health care system, and indeed, of the United States. The health care system and the United States as a society stand, in many ways, as proxy for each other, now as then: The whole tells you much about the part, and the part about the whole. In the early 1960s, health care was already a massive enterprise. By the late 1950s, hospitals employed far more people than the steel industry, the automobile industry, and interstate railroads. One of every eight Americans was admitted annually as an inpatient (Somers and Somers, 1961). To study health care, with all its contradictions and complexities, in the 1960s as in the present, is to explore the character and ambiguities of the United States itself, that vast, brash, divided yet curiously hopeful Nation. On the face of it, the United States was a country blessed by plenty in the 1960s, with hospitals and professionals that were the envy of the world. Among the marvels of modern hospitals that...
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...incite purposeful acts designed to disrupt social order.” (©2005, Yurica Report) So in order for the United States to maintain civil order control they can use this plan. They also can call out the following people FBI, U.S. Marshals’, DEA, ATF and the Arm Forces along with the National Guardsmen to deal with any civil uprising. Since May 4, 1970 at Kent State until now in 2011 the United States has change the way they handle things related to civil order control. Civil order control means more than just violent crimes it can also mean disasters, national emergencies and it also deals with crowed events like protest like they are having on Wall Street now. They can still call out the National Guards and Arm Forces along with ATF, DEA FBI, and U.S Marshals’ to help handle things. They also have medical professional ready to help out in these emergencies’ if they are needed. They also have the Federal Emergency Management Agency which developed a strategy call Project Impact in which was to be fully implemented in 2010.For project impact to be successful here are a few key elements it needs. The Mitigation Action Plan is as follows: “Federal agencies are expected to apply the best...
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...Theory and Practice to Emergency Management John C. Pine is the Director of the Disaster Science and Management, Professor-Research with the Department of Environmental Studies and Interim Chair of the Department of Geography and Anthropology at Louisiana State University in Baton Rouge, LA. (225) 578-1075 Email: jpine@lsu.edu httt://www.risk.lsu.edu Abstract This chapter takes a look at the impact that management theory and how the basic functions and practice of management as well as the role of the manager and approaches to management have contributed to the practice of emergency management. Current views of management theory stress the changing nature of the external environment and the need to understand and address these external forces for change. The contribution and role of systems theory and contingency theory to the emergency management process is stressed. Although some might view that we do not manage disasters, there is an overlap between the contribution of management theory and emergency management. Management theory stresses the need for effective planning to ensure that organizational goals are obtained. Emergency and crisis management emphasize that effective emergency response and recovery is based on good planning. Building sustainable organizations and communities is a common goal of both management and emergency management. Management and disaster-related issues and concerns along with strategies to improve emergency management practice...
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...SCHOOL OF PUBLIC HEALTH Cover sheet for Assignment 1 Student Surname__Ullman_________ Student First Name___Kiri_______________ Student Number _____16156957__________________________________________ Unit Name _____Healthcare Systems in Australia_______________________________ Assignment ____SWOT Analysis and Report__________________________________ Unit Coordinator__Caroline Yates__________________________________________ Date Due __10/04/2015____________________________________________________ 10/04/2015 10/04/2015 Date Submitted → I, Kiri Ullman, certify that this is all my own work, and that I have maintained academic integrity. I maintain there has been no colluding or plagiarism in this assignment. Signed Kiri Ullman 16156957 Contents 1.0 Introduction____________________________________________________________2 2.0 Strengths 2.0.1 Medicare__________________________________________________________2 2.0.2 Eligibility and Coverage of Medicare___________________________________3 3.0 Weaknesses 3.0.1 Indigenous Health__________________________________________________3 3.0.2 Availability________________________________________________________4 3.0.3 Limitations of Medicare______________________________________________4 4.0 Opportunities 4.0.1 E-health Records and Technology_____________________________________4 4.0.2 Ambulance Fees____________________________________________________5 5.0...
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...Health Care System and Health Care Expenditure In The United States Health care system, compose of people, institutions, private, and public resources that meets the health needs of the targeted populations served. The goal is to serve the populations expectations and provide fair financial contribution. U.S. Healthcare spending’s are financed by a private and public sectors and are supported by Health care funds to use for medical delivery expenses by Medicare and Medicaid programs, which are the main supplier of public financing for the health care expenditures. These financial resources are supported by first, The State County and Municipals General Taxes; Second, Social Health Insurances; third, Private Health Insurances; fourthly from the out of the pocket payments and last but not the least; fifth, from the Donations to the charities. National Health Expenditure Accounts are built on the Historic spending’s, the Projections spending, the Age Estimation spending’s, the health spending’s of providers in 50 States and the locations of District of Columbia, and the numbers of residents between states that consume the health delivery services. Most private health insurances procure through an employer by most Americans with the age of 65 years and under, and others purchase private coverage’s directly from an insurer’s, whereas, government insurances such as Medicaid are offered to individuals that lost their jobs temporarily and Medicare for the elderly. Health...
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