National Referral Hospital autonomy
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.