The Indus Hospital: Delivering Free Health Care in Pakistan
Position Statement: The efforts by The Indus Hospital to deliver free health care in Pakistan threaten the effectives of service delivery in health care centers and the general health of the society.
Problem Definition
The greater interest by the management and the stakeholders of The Indus Hospital to improve health care of Pakistan’s poorest patients through availing exceptional care without exception can’t be ignored. However the hospital is experiencing immense increase in the number of the patients seeking the health services within the facility. The outcomes are availing services that fails to meet the organizational goal of improved health care services. Lack of resources and increased number of patients seeking the vital service pose a threat to the facility and the society served by the hospital.
Diagnosis
There are various entities that largely define the effectiveness and the efficiency of the services delivered by an organization or a health institution such as The Indus Hospital. Such factors largely define the ability of the organization to meet the set goals or objectives. The health system in Pakistan witnesses high birth rates with the infant and the maternal mortality rates. The large numbers of people who are not able to access the private health care service are posed by the threat of increasing effectiveness in the service delivery. The increase in number of patients in four years up to around 1,000 having visited the hospital daily indicates the need for resources to offer improved health care. The annual budget of the institution increased by five times greater with the waiting lists for some procedures extended longer than one year. Such a delays on essential medical or surgical procedures; largely undermines the prior objectives of improved healthcare. There is need to develop strategic approaches, financial models and more dynamic policies to align the increasing number of patients with the organizational objectives.
Proof of Causes
The Indus Hospital management and Bari vision, mission and goals are availed with numerous challenges attached to the increasing volume of patients and the increasing need to improve the quality of the services. There is need for these leaders to have more dynamic policies and strategies to facilitate improved service delivery to the patients who largely need the essential services. Bari vision is essential though requires support by the management through developing various stages that can aid the institution to offer improved services to the patients. The prolonged or delayed services on the patients that lasted for over one year calls for the needs to minimize such delays to improve health care services. The company should develop stages where some of such procedures to be taken for referrals in other hospitals that The Indus Hospital could have partnered with before the hospital expands and acquires more facilities.
Action Plan
Based on the proffered analysis, it is essential that the hospital enacts strategies and policies to address the short and long term implications in relation to improving the health care services availed within the company. This can be achieved through the development of the preceding actions in relation to achieving the larger organizational goals.
MediSys Corp.: The IntensCare Product Development Team
Position Statement: Poor communication and alternations on the production process with tight deadline that caused pressure on the company deterred the ability to launch the product.
Definition problem
Leadership is an essential aspect within the organization hence largely defining the success of the organization to meet both short and long term objectives. MediSys Inc., new president Art Beaumont who was an aggressive and autocratic leader developed an idea that was aimed at changing the hierarchical form of production used on the previous successful products. Previously the product development approach of MediSys Inc., had four consequential essential stages. That is; Research & Development (R&D) where staffs proposed the new product, agreement on a new idea by leadership was supplemented through marketing development of the products through customer descriptions based on their needs, engineering and software design developed the new ideas into product specifications, production group was availed with the specialized entities for fabrications and assembly of the product. However the new idea by the manager seems to introduce numerous conflicts emanating from both the internal and external factors. The external factors are attached to the two competitors who are planning to launch similar monitoring system with the year while the internal problems are attached to the software development as they try to finish the product in time and avoid the deadline plus lack of motivating aspects within the team players.
Proof of Causes
There are various proofs on the causes of the above availed problem
Cause 1: Lack of cooperation and idea sharing platform on decision making
This is evident when Valerie Merz the marketing manager for IntensCare enquired “Why isn’t Jack stepping up on this issue and getting it resolved”. This is based on the notion by Merz that the Jack who was the senior production manager was too focused on the related details of the product side and little concern on the business issues and the approaching deadline.
Action Plan Ideas: The Company should have developed strategies platform where the respective concerns by the team members are aired. This could enable the members share ideas and opinions in respective to the product development towards meeting the set deadline. Marz could have shared such opinions with Jack with Jack able to identify such mistakes and rectify.
Cause 2: Lack of good leadership skills and respect among the workers due to increased pressure
The increased pressure made the team members fill like some of their colleagues were up to deter the success of producing modular design. Merz believed that the customers demanded and required a modular design with the hospital equipment distributors indicating that the modular would allow them sell to wider segments from the hospitals to the military organizations. The conflicts occurred when Art Beaumont couldn’t confront the team on with the suggestion that those modular could be produced in the second stage. Instead he complained to Jack on the need to warn Merz when she overhead the conversation when headed for lunch before the Friday meeting.
Action Plan Ideas: The Company and the managers, that is Art Beaumont should have been bold enough and embrace the various leadership skills that are essential on teamwork performances. He should have supported his ideas through applicable facts and convince the members on the need to work together to achieve the short and long term goals. The idea to criticize Merz by saying to Jack “if you don’t get that woman off may back about this modular issue, I am going to demand to be off this team” depicts poor leadership skills and inability to deal with pressure and conflicts.
Goals
- Developing dynamic policies and strategies towards increasing effectiveness of the team on decision making and contributions
- Creating a platform where the Manager and Chief Executive Officer could indulge the employees to encourage idea sharing and cooperation
Telemonitoring at Visiting Nurse Health System
Position Statement: Providing Telemonitoring services to at-risk patients discharged from the hospitals and needs home care services is challenge to a health care organization
Problems:
Patients discharged from hospitals and at-risk requires home care service by a Visiting Nurse Health System (VNHS) by a home healthcare organization faces challenges towards quantifying the respective benefits of their telemonitoring systems. The Company president has a vision on the essential part of the system to the patient’s care he fails to purchase more units based on the limited external support from the insurance companies plus the ineffective healthcare reimbursement environment.
Cause 1: Implementing Telemonitoring system based on the fact that it was not originally reimburse by Medicare or commercial insurances
This based on the fact that the president believes that failure of telemonitoring is due to the lack of insurance support and the Medicare initiatives though on the initial stages of inventory such notions were not part of the need to implement the program.
Action Plan Ideas: There is need for the company to develop marketing strategies which are aimed at targeting the hospitals plus those insurance companies that which don’t have partners. This will enable the Company increase sales and avail more of their products to the targeted hospitals.
Cause 2: The essence of telemonitoring system’s earlier notion conflicted with the employee’s interests as they perceived it could replace them.
This is evident based on the notion by Stevenson, that the biggest concern and the success of the system were based on the clinical practice. This is based on the fact that the nurses initially perceived the system as a means to replace them from visiting the homes hence they couldn’t see the benefits attached to the system initially.
Action Plan Idea: In-service training should be conducted on the prior introduction of the system on the essence of the telemonitoring system hence enhancing, complement and eliminating the perception that it will replace their work.
Goals
Increase the production to satisfy the growing demand of the product
Develop strategies for easier accessibility of the telemonitoring services by targeted patients
Action steps
Short term
Making telemonitoring services inexpensive
Utilizing technology and internet dynamism
Long term
Finding alternatives
Adopting telemonitoring services via internet
