Na­tional Re­fer­ral Hos­pi­tal au­ton­omy

Bhutan Times - - Editorial -

J igme Dorji Wangchuk Na­tional Re­fer­ral Hos­pi­tal (JDWNR) has been granted the au­ton­omy by the gov­ern­ment and would be gov­erned by the Man­age­ment Board chaired by the Heath Min­ster. The Board will com­prise cross sec­toral rep­re­sen­ta­tives which will also in­clude mem­bers from the Business com­mu­nity.

With the grant­ing of au­ton­omy, the hos­pi­tal will reap the ben­e­fits of not hav­ing the cen­tral­ized sys­tem of plan­ning, bud­get­ing and man­age­ment of fi­nance and ad­min­is­tra­tion hin­ders in­no­va­tion and ef­fi­ciency which is re­quired for large or­ga­ni­za­tion. With au­ton­omy it would al­low JDWNRH to bet­ter man­age their re­sources and en­hance mo­ti­va­tion of ser­vice providers thereby re­sult­ing in im­prove­ment of ser­vice de­liv­ery.

The hos­pi­tal will have the au­thor­ity to re­tain all the rev­enues gen­er­ated by it and uti­lize them as per their re­quire­ment by fol­low­ing the guide­lines is­sued by the Min­istry of Fi­nance. The cur­rent an­nual rev­enue gen­er­a­tion is about 17 mil­lion. How­ever, this does not mean that there will be a re­duc­tion of bud­get from the Min­istry of Fi­nance.

Now the gen­eral pub­lic will ex­pect from the hos­pi­tal au­thor­i­ties is the fast and ef­fi­cient ser­vice de­liv­ery. This may in­clude the name pa­tient’s drugs to the pa­tients un­dergo- ing chemo­ther­apy or the chem­i­cals re­quired for the di­ag­nos­tic tests.

But now the greater chal­lenges for the hos­pi­tal au­thor­i­ties would be to bring about cor­dial re­la­tion­ship be­tween the health pro­fes­sional and the ad­min­is­tra­tive man­agers in or­der to run the hos­pi­tal smoothly. If there is any dishar­mony be­tween the two arms then it will se­ri­ously un­der­mine the smooth func­tion­ing of the hos­pi­tal, de­feat­ing the whole pur­pose of au­ton­omy.

Fur­ther the hos­pi­tal au­thor­i­ties should make some se­ri­ous cost cut­ting mea­sures like the strict mon­i­tor­ing of pool ve­hi­cles, pro­cure­ment of drugs hav­ing more shell life and pro­vide proper train­ing for the ap­pro­pri­ate med­i­cal staff us­ing the scare gov­ern­ment for the ben­e­fit of the pa­tient.

Hu­man re­sources can be a crit­i­cal fac­tor in achiev­ing the suc­cess in terms of de­liv­ery of timely and ap­pro­pri­ate ser­vices. The hos­pi­tal au­thor­i­ties must see that there is a up gra­da­tion of skills re­quired for the par­tic­u­lar job. As in the pas the au­thor­i­ties must be mind­ful in se­lect­ing the right per­son for the right train­ing drain­ing out its scare re­sources and mak­ing the right can­di­date frus­trated.

If the hos­pi­tal au­thor­i­ties can eve re­duce the wait­ing time by 50% it will be great achieve­ment and hope they are striv­ing for that.

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