Vision
Question:
Discuss about the Hospital With All Basic Facilities.
A hospital can best be defined as an institution that provides health care and one that has a well-qualified and organized medical personnel and one that has enough structures and facilities to deliver services such as end of life care, curative, preventive, emergency, convalescent and diagnostic services among others. The basic facilities of a hospital are usually grouped into physical and non-structural elements. A hospital is usually classified according to its features. This paper explores the project of a hospital with all basic facilities.
Vision
The best hospital in Saudi Arabia.
Mission
To provide quality health services to improve the quality of life of the people of Saudi Arabia and to provide a benchmark where all other hospitals can emulate.
Objectives
- To transform the quality of health care services in Saudi Arabia through quality services and efficient leadership.
- To provide a bench mark and a model of health service delivery where other hospitals in Saudi Arabia can use to measure the success of a hospital.
- To revolutionize the academic sector and especially the teaching of health sciences to enable continuous lifelong learning among the students to improve their overall qualities and skills.
- To maintain high standards of efficacy in operations, management and moral ethical principles necessary in the delivery of healthcare.
According to Khoja, and Sheeshah, 2018 basic facilities are the defining features of a hospital and these basic facilities include; an emergency department that caters for emergency issues such as fires and accidents, in-patient services. For a hospital to effectively offer services, in-patient facilities such as beds, wards and life support services are necessary. The hospital will also cater for the out-patient services where the hospital shall offer services around the clock throughout the week.
The hospital will also be fully staffed with both the qualified doctors, nurses, nutritionists, surgeons and other health workers and capable of offering teaching and referral services. Services such as food, clean water, security and other social amenities will also be necessary in the hospital. The hospital will also have a pharmacy with qualified staff to provide good medicines and vaccines to the patients finally, the hospital will have a fully stocked and well equipped laboratory for disease testing and furthering research in medical studies.
The main reasons why starting a fully equipped hospital with all basic facilities is my main consideration is to help transform the nature of teaching medical studies in Saudi Arabia to make it more inclusive and student oriented. To solve errors of congestion in the wards, to solve the arising problems such as insufficient health professionals. Thus address the upcoming challenges such as different emerging patterns of disease. This will be realized by changing the nature of health attention in the hospitals to make it more centered on preventive measures as opposed to curative. The management of the hospital will focus on the attention of health from an individual perspective to a community setup whereby it will be possible to use health promotion theories in disease prevalence control, and resolving the pharmacological burden in the Saudi Arabian populations.
The main problem that led me to choosing a hospital well equipped with basic facilities as my project is to help improve the condition and nature of health services in Saudi Arabia by setting an example in the health sector. The hospitals are faced with numerous challenges some ranging from mismanagement of finances, incompetent staff, poor teaching facilities among other problems. The project is therefore set to address these challenges not necessary charged with the responsibility of solving these challenges but to try and bridge the gap between the services offered by the private sector and those of the government through prices subsidy, quality assurance and competency in management.
Mission
The hospital is set not a complete solution to all the existing problems but some standard measure of which other hospitals are expected to arrive, maintain and operate at.by setting these standards, the hospital will then influence the other hospital managers and policy makers in improving the condition of health services in Saudi Arabia. I arrived at the decision of setting up a hospital with all basic facilities after assessing a series of considerations such as ethical considerations and legal frameworks in the Saudi Arabian health management. Looking at the existing social patterns of community health ways in which all these challenges can be addressed through collaborative efforts between the society and the government.
For instance, explains Berkman, et al 2014 all health services are regulated by the government through the ministry of health. Public hospitals enjoy government funding and are thus able to provide services at relatively cheaper rates. However, these government funded institutions are full of incompetence and fraud which makes the services inefficient. The private sector on the other hand have very competent managers but do not enjoy government funding. This makes it difficult for the private sector to reach out to more people due to the increased costs of treatment. Sighting this as an existing challenge, the project will address this challenge by adopting a non-profit motive to revolutionize the nature of health services in Saudi Arabia.
Apart from solving the existing challenges, the project will be of great value and immeasurable importance to the general population of Saudi Arabia. Some of the other advantages it will provide to the people of Saudi Arabia is jobs and internship opportunities to both health workers and other subordinate workers, it will also provide a good environment for learning and research for students taking medicine related courses. Creation of yet more jobs will also improve the quality of life of the people through treatment and through creation of jobs. Timely discharge of patients admitted in the hospitals, reducing the hospital related infections, rise in the life expectancy rates and decrease of mortality rates.
The project will also be helpful since it will complement the efforts of community health workers and other hospitals in making a better healthier society in the future of health care. Adopting a nonprofit initiative will mean that the project is set to benefit the society and not to generate income as opposed to other private institutions that have commercialized health care often exploiting the society for their ignorance.
Following intensive research, I have identified a gap that needs to be filled in the nature of private health service offered in Saudi Arabia. This is because only 21 percent of people in Saudi Arabia seek medical services in private hospitals due to challenges mostly attributed to cost. The larger percentage that get health services from the public hospitals often complain of problems associated with bureaucracy within the hospital setting, poor quality of services and overcrowding in both the in-patient and out-patient facilities.
Fischer, et al 2016 continues to address the same by arguing that unfortunately, among the 21 percent, few people seek specialized treatment in hospitals. The majority of this 21 percent is formed by people who go to clinics and checkups or laboratories to supplement the health services they receive in the public hospitals. Minimizing the cost in the private sector could therefore mean that more people will access services in the private sector at ease. Similarly, improvement of the services in the public sector will also ensure that the community health services have more advantages to the people and due to the demand supply curve, the private institutions will have no left alternative but to subsidize costs.
Objectives
The project objectives and strategies have been well assessed to meet the criterion of the five qualities of goals and objectives which are specific, measurable, achievable, time bound and realistic. They are objectives that help to improve the quality of services in a hospital and are applicable in almost every hospital setting. They are the missing links between the existing incompetence and the expected outcomes from the implementation of the project. The project’s strategies have also been centered on minimizing cost and maximizing the quality to achieve technical efficiency in the operation of the hospital.
The main objectives will be centered on the improvement of services and the quality of medical services offered in the hospital. For instance, the hospital will formulate policies that are consistent with those from the recommendation of Robert wood Johnson Foundation initiative on the future of nursing in the United States. This will include formulation of policies that will favor the health workers to advance their education status as they continue practicing. Learning while still practicing helps to provide the practitioner with a limitless bag of skills in handling various conditions which ensures continued improvement on the quality of health care.
Wellman, Hagen, and Jeffries, 2016 the policies formulated will also promote diversity, inclusiveness and teamwork in the operations of the hospital. This will best be arrived at through nondiscriminatory tendencies that will help re shape the focus of the community and the government in relation to health. The teamwork and respect to diversity will then ensure that health workers are able to share knowledge and boost each other’s level of experience which helps to boost the overall quality of health.
The non-profit motive is also a strategy that will ensure that the hospital is investing heavily on the society. This goes without a saying that when you give someone a favor, they will want to do something in return. Therefore in the context of this project, the hospital will open up avenues for the society to provide other services in the future in an effort to give back. The hospital will also attract interest of other organizations offering charitable help for the future of medicine and health in the community.
Another strategy will be laying emphasis on the need to involve community health workers in the treatment of diseases affecting the community at large (Carroll, and Booth, 2015). The community health workers in Saudi Arabia provide immediate and emergency medical services for people who can’t access formal medical treatment. This shows that there is a dire need to educate the community health workers on new methods of disease prevention, changing patterns of disease and health associated risk factors in the society. The hospital will therefore provide avenues for teaching community health workers through workshops and seminars to prevent common mistakes such s errors in diagnosis and inappropriate methods of treatment.
The use of health promotion theories such as the social cognitive theory and other behavioral theories is also an important strategy argues Toussaint, and Gerard, 2010 that will help to shift the focus of health care form a curative perspective to that of prevention of diseases. The health promotion theories helps to cure diseases by focusing on a disease as a result of ill health practices in a community setting. The theories do not focus on an individual but on the community at large and thus provide solutions from a societal perspective.
Challenges in Healthcare Sector in Saudi Arabia
The health promotion theories put into practice will focus on eliminating the diseases that can be avoided through good health practices such as hygiene, eating a balanced diet with sufficient water and regular checkups. These may include diseases such as diabetes, dental related diseases, some kinds of cancer and various deficiency diseases. The health promotion theories used should focus on the society to promote good health practices and eliminating bad practices such as drug abuse in order to improve the health of the community.
Finally the hospital will focus on increased care for the elderly and people living with chronic conditions by setting up a palliative care unit. The palliative care unit will ensure that people with terminal illnesses are well taken care of through the palliative and end of life care. The strategy will also help to shift the focus on the elderly as liabilities and start viewing them as important people who need to be celebrated for their lives and crystallized intelligence that comes about with old age. This will help to increase the longevity of life and also increase the life expectancy.
In the hospital, several measures will be put in place to help maintain the quality of health care, patient safety and prevent medical errors. A good and favorite method of assuring quality is through the Donabedial model that groups quality measures into three categories. These measures fall into three major types which include structural, procedural and measures based on outcomes. The structural measures are those that assure the customers that the hospital has the capacity, the required skills and enough resources to ensure quality of health care. These measures may focus on the structures, the qualification of the health workers and the ratio of health professionals to patients.
According to McLaughlin, and Hays, 2008 the procedural measures assures the consumers that the processes of treatment and or prevention of disease help to improve the overall health. These are the measures that assure the patient of recovery. The measures can be best determined by the number and statistics showing the people who have been treated in the hospital and those that have been immunized against various conditions. The procedural measures informs the patient on what to expect in terms of treatment when they visit a certain health facility.
Lastly there are the measures based on outcomes (Gopee, and Galloway, 2017). These measures show the effect of treatment on the patient and the community at large. This may include information on mortality rates, hospital acquired infections and deaths resulting from negligence or malpractices. These informs the consumers on the risks likely to be encountered in the hospital. These measures are therefore referred to as the standards of assessing the quality of healthcare. Following this model I will be able to ensure quality standards of healthcare in my project.
The several activities that am going to observe in order to realize these results include comparisons of various methods of treatment to determine the effectiveness and the most suited, sufficient research and making evidence based conclusions in various health scenarios and ethical dilemmas, early identification of care variations and also formulation of strategies that could help to improve the quality of care. In addition, I’ll see to it that the hospital conducts a SWOT analysis regularly and focuses on interventions to strengthen the weak areas. Involving consumers could be one step towards ensuring that these standards are met.
Addressing the Challenges through the Hospital Project
The quality of leadership always plays a key role in the success of any institution. The management is the most essential part of an organization. The success or failure of any organization is depended on the leadership and the management. Focusing on the tremendous success I expect to realize in my project, I have researched on various leadership styles and management techniques that will help me realize the quality of leadership required in healthcare.
The management will employ several techniques and leadership styles to achieve the required quality of leadership. The POSDCORB technique of management outlined by Luther Gulick and Lyndal Urwick in the classical organizational theory is great tool that I will use in management. I will use the tool because all the elements in the POSDCORB are necessary to achieve the required success. These elements include planning, organizing, staffing, directing, coordinating, reporting and budgeting. These elements describe the various ways that management work can be broken down into to ease the work of the overall head.
The use of the Henry Fayol principles of management is also necessary in breaking down the management work among the managers (Grunden, 2008). To begin with, division of work is necessary since it ensures that individuals do the work that they can do best. This not only makes work easier but it also saves on time since it allows for specialization. In authority and responsibility, it is necessary to put all offices under a superior supervisor in the hierarchy of organization and accord the supervisor’s legislative authority so as to ensure the subordinates develop discipline and hard work in their roles.
Thomas, 2015 explains that the unity of command and direction is another principle that will be intersected at the heart of the organization. This will in turn ensure that workers have one authority and one objective which is to achieve the goals of the hospital. By so doing, all the workers’ efforts will be geared towards realizing the common goals of the hospital. It would insufficient to exit on the principles without discussing remuneration f staff and equity. With regard to remuneration, the staff’s salaries should be good and allowances in order to make them give the best to the success of the hospital. The workers should also be treated equally, justly and fairly but they should also have in mind the principle of subordination of personal interests to those of the hospital. Finally, the esprit de corps principle shall be used to promote oneness and high level of hard work among the workers to ensure that the hospital shall always have a hardworking pool of workers.
Lastly, rewarding of outstanding and hardworking workers will be a management strategy to encourage the workers to work hard and to promote the objectives and interests of the hospital at heart (Kenney, 2011). This will encourage to workers too to employ the tools of transformation in their interaction with patients and other workers and to practice moral courage following the examples of rewarded workers. The rewarding of workers will also help to set the standards at which the health services are expected to be provided by the workers.
Benefits of the Hospital Project
The leadership techniques adopted in the hospital will range from transformational leadership to delegative leadership depending on the situation at hand. Delegative leadership will help the leadership process by making the workers feel that they run the activities of the hospital which will increase a sense of collective responsibility with the workers. The workers will then be keen not to make any mistakes since any failures in the system will also affect them directly. A delegative system of leadership eases the work of the overall leader since the leader adopts a hands off policy and does not have to dominate the whole process (McFadden, Stock, and Gowen 2015).
Some of the advantages of delegative leadership include a sense of belonging with the workers that makes them work harder. Too many people are involved in the making decisions and therefore giving better results. When people make decisions or rules, they are more willing to abide by those rules without supervision therefore easing the work of the overall supervisor. Delegative leadership also promotes autonomy of the workers thus making a suitable and convenience working environment. The transformational leadership theory has four main pillars which include; individual mode of consideration, intellectual stimulation, influence in ideas and motivation from inspiration. This theory still remains to me the most effective theory in leadership.
Transformational leadership advocates for one or more people engaging in a situation in which the leaders and those who are lead can mutually benefit each other through raising one another to higher levels of morality and motivation (Graban, and Swartz, 2012). The best approach for leaders here is believed to motivate the followers by constantly highlighting the needs of the larger organization to make them heartfelt by all individuals in the given organization. Transformational leadership remains best to me since every individual worker is goal oriented and has a futuristic mindset. This will help all to engage the right gears in a bid to move fast towards attaining the goals of the organization in question.
Transformational leadership once heart felt by every individual becomes easier to work since it eliminates the work of leaders to follow other workers since the unity of purpose can be seen in every worker’s work. The work of the leaders is just left to inspire and to motivate in a bid to speed up or improve the progress. The leaders show the workers and convince them that their ability is boundless. In other words leaders become a catalyst for professionalism, success attainment and improvement.
According to Jensen, 2007 a great advantage of the transformational leadership style is that leadership is not one sided. There is the development of a collaborative and conductive network among the leaders and the led whereby it is not wrong to say that leaders follow the subordinates in order to develop ideas and innovate better ways of doing things. Transformational leadership is best described as inspiring, changing others through challenging and stimulating them, valuing and trusting others in order to create a relatively fair and conducive environment.
Nonprofit Initiative
Resources according to Graban, 2009 refers to the desired inputs that are necessary to start and run the hospital. These include land, capital, human resource and all the other necessary inputs that require to be used in the hospital. The amount of land required to set up a hospital is estimated at 100 square meters in order to accommodate all the basic facilities of the hospital. Some of the material needed to set up the hospital include buildings, appropriate planning is needed to set up these structures in correspondence to the topography of land, the relationship between the buildings and the purpose. Ample parking, wheel chair accessible entrances and other aspects of planning need to be considered.
Hospital beds both for the in-patient and the outpatient treatment are necessary to ensure medical services are accorded to the patients. Other structures such as storage facilities, power, security, ambulances for emergencies other supporting facilities. The hospital should also be equipped with the necessary hospital equipment in the respective units such as in the emergency department, laboratories, wards and the pharmacy with drugs.
The cost of setting up a hospital facility in Saudi Arabia is currently estimated at 100 million dollars and the price is set to increase due to the increase in land rates and materials used for construction (Brandeau, 2004). The structural resources only comprise about 20% of this amount and the rest is spent on the labor and stocking of the hospital during and after the construction. The construction can be completed in approximately two years depending on the contract terms and the availability of the raw materials. Raising about $ 100 m is not an easy task. Therefore, I expect to raise the funds from local lending banks and other financial institutions, personal savings, lending from family and friends who support the project and also donations from charitable organizations.
The amount borrowed from the lending institutions should be less considering the fact that the hospital is going to have a nonprofit motive and it should therefore earn just enough to support its operations. In order to make the project a reality, good financial management principles need to be employed. These include continuous assessment and monitoring of the financial data. This may be done through annual or monthly financial reports. The reports should be specific and having detailed information.
Setting goals and objectives is also another financial management strategy. It is the duty of every manager to set financial goals and see to it that they do what it takes to accomplish the goals. Attaining goals can sometimes be difficult in a health setting since it depends on services accorded to patients in form of treatment. However, health care managers can achieve this objective by preventing the costly medical diseases. The hospital should focus on the community’s health status and adopt preventive measures for such complex conditions.
Lastly, funding the hospital units based on performance is another financial management strategy. Bohmer, R., 2009 argues that a good financial manager will focus on the areas that are performing well and invest heavily on such areas. Areas that have little or no returns should be allocate the least resources as the manager is seeking interventions to enable the areas that are bringing little income to improve on the income generation. Motivation to the workers and remuneration should also be based on performance to motivate the workers to work even harder. In a community setting however, the manager should not undermine the major conditions that are prevalent in the area in case they don’t earn enough profits. Instead the manager should focus on ways of balancing the inputs and outputs to enable technical efficiency in the hospital.
Conclusion and recommendations
In conclusion, the project is expected to transform the future of health care in Saudi Arabia by setting good standards of health services. The project will also help to revolutionize the focus of health in the private sector through cost subsidy and quality of care. In a span of ten years the project will compare with the Kaiser Permanente program of Henry Kaiser in the United States around the Second World War period which saw several thousands of subscribers in such a short period of time. This will enable the hospital to open more branches and at the same time induce competition of quality in the program whereby other health providers will be persuaded to provide similar standards of quality.
When the program is highly accepted by the general population, it shall then be able to influence government and other policy shapers in providing quality care. The project will also assist the students pursuing medical studies regarding their life long pursuit of skills and perfection. A great recommendation is that the government and other policy makers shall enact necessary legislation to help advance the future of health care as outlined in the project. I also recommend that the existing hospitals will find the need to transform and focus on the future of health care in order to suit the needs of the patients.
References
Berkman, N.D., Santaguida, P.L., Viswanathan, M. and Morton, S.C., 2014. Study quality assessment.
Bohmer, R., 2009 Designing Care, HBS Press, Boston, MA,.
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Gopee, N. and Galloway, J., 2017. Leadership and management in healthcare. Sage.
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Khoja, M.A. and Sheeshah, H., 2018. The human right to communicate: A survey of available services in Saudi Arabia. International journal of speech-language pathology, 20(1), pp.102-107.
McFadden, K.L., Stock, G.N. and Gowen III, C.R., 2015. Leadership, safety climate, and continuous quality improvement: impact on process quality and patient safety. Health care management review, 40(1), pp.24-34.
McLaughlin, D.B. and Hays, J.M., 2008. Healthcare Operations Management, Health Admin. Press, Chicago, IL,
Thomas, T., 2015. Management and leadership for nurse administrators. Jones & Bartlett Publishers.
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