Project Implementation Strategy on Health Care

7/27/2019 Project Implementation Strategy on Health Care

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EXPANSION PLAN OF PATIENT CARE

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Estimated Plan of Patient Care Expansion

CEOGulzar HussainPatient CareDate:-Patient Care is one of the successfully managed health care organization,

which receives great name and fame for its recent implementation of 50 low

cost hospitals across slum in Patna, Bihar.

Various model can be peep out for setting up of Hospitals in 5 (Five) morestates. Like,

1)Federal Model:

Where Central & State teams were equally responsible for execution &

maintenance of Hospitals. All Department Heads represents from Central

Teams & the state teams will co-ordinate & maintain all affairs of execution,

administration of distinguish locations. The state teams will also exercisesome autonomy regarding administration.

Pro & cons:

It is one of the systematic & methodical forms

It has two ways filter process

Challenges can be deal with both levels

It takes time to final execution

Involvement of more resources


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2)Unitary Model:Where the one (central) team will exercise all administrative & maintenance

affairs, where all distinguished Hospitals were directly connected to centralTeam.

Pro & cons:

Quick decision can be possible

Uses of fewer resources

Less chance to deal all challenges smoothly

Lassen innovation because of less manpower

3)Local Self Model:Where a central team is like a name, which is like a reporting desk managing

by CEOs. But all administrative & Maintenance affairs are managed by District

Level management.

Pro & cons:

Grassroots problems can be accessible

Ground reality requirements can be meet out

Lack of expertise in lower level

Lack of impact in lower level

System can detect lack of co-ordination

4)Guidance Model:


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Where a board will be established, the board will represent other Successful

Health Care chains Manager as Advisor. As per their advices a three tire model

will develop, where Board is one tire, then Patient Care central Management is

2nd tire & District level management is 3rd tire.

Pro & Cons:

Well expertise ideas are available

Its too much process oriented

It is very difficult to maintain all three tires

MODEL CHOOSES UP:-

So, I am focusing on Federal Model which is more filtering based & suitable

model for our systems.

To achieve this goal Recruitment cum Management Committee from Patient

care consisting Five Senior Doctors and Six Departmental Heads will be

formed under the chairmanship of the CEO to plan and execute the

recruitment process of the Central and State Teams and to further oversee the

execution process and functioning of the entire hospital chain.

Process Overview up to Rollout:

Work Plan Deadline

Setting up of a Recruitment cum Working Committee 18th June

Recruitment of Central and State Team 6th JulyRecruitment of State Operations Team by State Headquarters 5th August

Obtaining Government Approvals 16th August

Selection and Rent agreement of Hospital Premises 25th August

Purchase of Medical Equipments/materials 5th

September


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Recruitment of Doctors, Paramedical and remaining

Administrative Staffs

6th October

Renovation of the Hospital premises and Installation of Medical

Equipments

26th

October

Orientation of Medical and Admin staff 14th

November

Centrally Rollout 15th

November

The whole programme will be roll out in each five State Headquarters on

same date & time through different personnel.

THE ROLES & RESPONSIBILITIES OF VARIOUS DEPARTMENTS

AND PERSONNEL

Recruitment cum Management Committee: - The main task of recruiting

highly skilled Central and State team could be done preferably through

internal recruitment process or the external recruitment process if required

so. For saving time and energy the Recruitment cum Management committee

can look within the organization or approach different organizations working

in the same field in any case Selection of central team and state team has to be

completed by 6th July.

State HR Team: - Once the state team is selected its HR team will be

entrusted with the task of recruiting one Admin In charge, and one Peon for

each Hospital in their respective states within one month i.e. latest by 6 thAugust. After appointing Admin Head and Peon the HR team will gear up for

the recruitment of Doctors and paramedical staff and strive to finish it latest

by September 2013. The state head will form a Spot Selection Committee

consisting one senior Officer from Finance department as head and 4

Assistants as member, 2 assistant from finance department and 2 assistant


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from IT department to finalize the hospital premises within their assigned

Districts. HR team will insure that all the medical and admin staff is given

proper orientation before 14th November.

Legal Team: - The legal Team will obtain all the required governmentpermission and fulfill all the legal requirements for smooth launch of the

project till 16th August.

IT Department: -The IT Department will work on creating a Management

Information System for centralized data collection along with the feed up of

SAP. The central IT department will use its state units and delegate the task of

MIS creation. It will design a training module and training schedule, and hold

different workshop at the state level to educate its targeted MIS users.

Administration Head of Hospitals: - The Admin Head will be made

responsible for researching, selecting Hospital venues in his respective block

and will finalize rent agreement formalities in consultation with the Spot

Selection Committee within 20 days and ensure all the renovation work is

done latest by 26th October 2013 so as medical equipment are installed.

Material Department: - Material Department will make a list of requiredmedical equipments to be installed in the hospitals and contact different

companies for centralized purchase of products so that cost is minimized to

the extent possible. To avoid the burden of storage, equipment will be

delivered directly on the installation site before five days.

Monitoring and Evaluation Department: - The Central Monitoring and

Evaluation Department will track the progress made by states and it will hold

a meeting with State units in every 15days. It will regularly visit at the

hospital venues and ensure that work is meeting its deadline.

HOSPITAL ALLOTMENT IN EACH STATE


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The basis of allotment of Hospitals in each state will be made proportionately

as per the Population & Area. The district has been randomly picked such that

it covers maximum neighboring districts and states population. Selection of

only 50 districts was done keeping mind logistical arrangements in each State.

Few states have District headquarter centric plan due to the volatile situation

of respective state. Majority of districts covered in this program also figure in

the 100 most Backward District of India list and in these districts the access of

basic health facility is very poor.

State District (code) No. of Hospitals Total

Bihar XxxxYyyy

Mnmo

Nnnn

Llpp

Gghh

Rrdd

Tggh

2+5=72+4= 6

2+5=7

2+4=6

2+4=6

2+4=6

2+4=6

2+4=6

(District

Headquarters +

Block towns)

50

Uttar Pradesh Kkkl

Bbbc

Mmd

Vvvs

4+6=10

5+5=10

2+8=10

3+7=10


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Ppoo

Kkkl

Ccco

Pplo

Nkee

Guld

Ddsr

Bbcy

Rees

Assa

4+6=10

5+7=12

5+5=10

3+7=10

2+6=08

5+5=10

3+7=10

2+8=10

3+7=10

5+5=10(District

Headquarters +

Block towns)

140

Madhya Pradesh Rrrt

Hhdl

Llkp

Vdcs

Ccee

Nnno

Lppo

Bbeo

Iiop

Ffero

5+10=15

3+11=14

8+5=13

7+8=14

6+8=14

7+9=16

6+7=13

5+8=13

4+10=14

4+10=14

(District

Headquarters +

Block towns)

140


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Chattisgarh Hhfk

Llop

Bbgr

Pplo

Noop

Bbfr

Mmnr

Kotp

Llop

Ffgr

3+6=9

2+6=8

4+4=8

2+5=7

4+5=9

3+6=9

2+6=8

3+4=7

2+5=7

2+6=8(District

Headquarters +

Block towns)

80

Jharkhand Hhlr

Bhde

Bjnr

Loop

Pilo

Nolp

Lopd

Kngl

Ecdu

Bgvd

3+6=9

2+7=9

3+8=11

2+5=7

3+6=9

4+5=9

2+7=9

3+6=9

3+6=9

2+7=9

90

Grand Total 500


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TEAM STRUCTURE AT CENTRAL AND STATE LEVEL

CEO

Central

Team

Finance Department

Monitoring and EvaluationDepartment

Material Department

Legal Department

IT Department

State

Head

District

Coordinator

NodalIncharge

Hospital

Incharge

Finance Department

Personnel Department

IT Department


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CENTRAL TEAM

Central Team

Department Head Senior

officer

Assistant/others Total

CEO 1

FinanceDepartment

1 2 5 8

Legal

Department

1 2 5 8

HR

Department

1 2 5 8

Material

Department

1 2 9 12

Monitoring

and

Evaluation

Department

1 2 5 8

IT

Department

1 2 5 8

Total 6 14 34 53

Role of Central Team:-


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The central team will draft the policies and programs to beimplemented in the hospitals.

It will coordinate with the state team on the development of the projectand assist as per requirements.

It will make a central budget and prepare a financial statement of eachmonth, will submit a monthly report to the donor.

It will work to get all the required government permission to launch thisproject in close coordination with the state team.

It will design the troubleshooting mechanism to tackle any arearequired.

It will monitor and evaluate the project progress at regular intervals.

STATE TEAMS

Bihar State Team


Staff


State Head 1

HR

Department

1 2 5 8

Finance

Department

1 2 5 8

IT

department

1 2 5 8

Total 3 6 15 25

Utter Pradesh State Team

Department Head Senior Assistant/others Total


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Staff

State Head 1

HR

Department

1 3 7 11

Finance

Department

1 3 7 11

IT

Department

1 2 8 11

Total 3 8 22 34

Madhya Pradesh State Team


Staff


State Head 1

HR

Department

1 3 7 11

Finance

Department

1 3 7 11

IT

Department

1 2 8 11

Total 3 8 22 34

Chhattisgarh State Team


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Staff


State Head 1

HR

Department

1 1 3 5

Finance

Department

1 1 2 4

IT

Department

1 1 2 4

Total 3 3 9 14

Jharkhand State Team


Staff


State Head 1

HR

Department

1 1 4 6

Finance

Department

1 1 3 5

IT

Department

1 1 4 6

Total 3 3 9 18

Role of State Team:

The State team will implement the policies and programs in theirrespective state.


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It will make a state budget and prepare a financial statement of eachmonth.

It will appoint an Admin In charge as a District coordinator in eachDistrict among its District Headquarter Hospital. The Admin In charge

will be given additional responsibility to coordinate with State Team

and District Hospitals.

It will coordinate with the District Coordinator on the development ofthe project and assist in area of need.

It will disseminate all the information to its respective Districtcoordinators.

It will monitor and evaluate the project progress etc with the help ofDistrict coordinators.

ESTIMATED STAFF IN EACH HOSPITAL

Unit Doctors Nurses Lab

Technician

Admin Cleaner

Etc

Total

Medicine 1 1 1 (path) 3 5 11

Maternity 1 3 -------- 4

Paediatrics 1 1 -------- 2

general

surgery

1 2 1 X-ray 4

Emergency

Services

3 6 -------- 9

Total 7 13 2 3 5 30


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Total No. of Estimated Human Resource required for the

projectTeams and Hospitals Estimated

Human Resource

Central Team 53

Bihar State Team 25

Uttarpradesh State Team 34

Jharkhand State Team 34

Madhya Pradesh State Team 14

Chattisgarh State Team 18

Hospital Staff in all 5 States

500 30

15000

Grand Total 15178

MONITORING AND REPORTING:

Monitoring: - It is also planned that MIS will be developed by the IT

department for the convenience of collecting hospital wise data. The central

and State team will have access to all the activities done by the different

hospitals through MIS. In addition to MIS monitoring each Nodal In charge will

monitor the progress of hospitals in her respective nodal area and report to

the District coordinator. The District coordinator will monitor its two all the

nodal area and report to the state unit and in turn it will report to the CentralTeam. The central Monitoring and Evaluation Team will regularly watch the

progress made by States and conduct regular checks in Hospitals with State

unit to ensure the quality standard given to the patients in every hospital

across the states.


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Reporting: - The Central Teams Finance Department will prepare a detailed

report each month describing the number of beneficiaries in each State, No. of

surgeries, No. of institutionalized birth, No. of OPD patient, No. of Doctors in

and paramedical staff in each state, No. of required Doctors and Paramedical

staff in each state, Balance sheet of the hospitals.

DONOR REPORTING MATRIX

State wise Report

Patient Care Hospital Monthly Report for the .. month

State No ofPatient

OPD Surgeries InstitutionalDeliveries

Vaccination No ofpatients

Admitted

District wise Report

Patient Care Hospital Monthly Report for the .. month


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District No of

Patient

OPD Surgeries Institutional

Deliveries

Vaccination No of

patients

Admitted

EXPECTED CHALLENGES AND REMEDIES

Getting required Government approvals can be major hurdle in theexecution phase. To avoid any delay in execution the concerned

Ministries should be approached and educated about the importance of

the project to the respective states and districts. To increase the

government ownership a memorandum of understanding could be

signed between different Ministries. At that time previous Bihars

successful report will be shared with the Govt. authority.

Meeting the deadline this biggest challenge I see during theimplementation phase as there is only 5 months to roll out the project. It

is most desirable that the entire team is encouraged to put maximum

effort possible and appreciated at each level.

Availability of quality Medical professionals is major challenge that ourcountry is facing today and this project might face quality Medical

Professional crunch. It would be appropriate if local quality Medical

professionals are attracted to join the Patient Care this will certainly

help to overcome human resource crunch and it will be good for the

sustainability of project as well.


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Managing a big team of more than 15000 people is a difficult task but aproper setup of state and central team would be able to manage this

difficult task efficiently.

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Project Implementation Strategy on Health Care

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