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MURCHISON DISTRICT HOSPITAL. KHAEDU PROJECT 29 May 2006. AGENDA. Executive summary Current situation Best practices identified Challenges ( remaining) Clinics Way Forward. Executive summary and key messages.

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murchison district hospital

MURCHISON DISTRICT HOSPITAL

KHAEDU PROJECT

29 May 2006

agenda
AGENDA
  • Executive summary
  • Current situation
  • Best practices identified
  • Challenges ( remaining)
  • Clinics
  • Way Forward
executive summary and key messages
Executive summary and key messages
  • Murchison is an award winning, well run and managed hospital and the Batho Pele principles are embodied in all aspects of the business
  • Faces some challenges at clinics, HR, maintenance
some best practices
Some best practices
  • The OPD section is working effectively
  • The facility is clean and well maintained with sufficient signage
  • It has sufficient human resources and finance
some best practices8
Some best practices
  • Serves about 200 patients per day
  • Good food / nutrition for patients
  • Good support centre for HIV/AIDS
  • Batho Pele principles in practice
  • Motivation strategies applied
  • Effective referral
slide12

Challenges and recommendations

Process and

Physical

Solutions

Organisation

design

Solutions

  • Under utilization of the maternity ward
  • Shortage of space
  • Overcrowding of mortuary facility
  • Employment Equity needs to be addressed seriously
  • Communication system needs improvement
  • Staff planning (organogram) needs to be reviewed
  • Extra space at maternity ward could be used for psychiatric / female patients
  • New building already approved
  • Expansion of mortuary facility
  • Develop Employment Equity Plan
  • Draw up Communication Plan and information flow chart (missing body & death in ambulance)
  • Review proposed
slide13

Challenges and recommendations

Finance/

Procurement/

Systems

Solutions

People

management

Solutions

  • Staff shortages in area of Pharmacy and doctors (25% vacancies)
  • Projected over-expenditure on personnel – currently being investigated
  • Poor quality of surgical sundries
  • Lack of sufficient training of staff
  • Difficulty in attracting qualified staff
  • Absenteeism and sick leave
  • Issues of Performance Management System needs to be addressed
  • Career progression
  • Improve incentives to attract scarce skills
  • Ensure controls for transversal systems
  • Buy SABS quality approved material
  • Develop HRD Strategies
  • Improve incentives to attract scarce skills
  • Workshop staff on sick leave and disability leave
  • Workshop staff on PMDS
slide14

Challenges and recommendations

Clinics

Solutions

  • Inability to attract and retain skilled professionals
  • Centralized management of vehicles
  • Rural allowance paid only to selected categories
  • Career progression for clinic staff
  • Inadequate supervision of security function
  • Response times of ambulance services in rural clinics (service provider)
  • Poor infrastructure at clinics
  • Incentives – free accomodation, entertainment facilities / multi-skill
  • Decentralize vehicle management
  • Extend payment of rural allowance to other categories
  • Develop a Career Progression Plan
  • Appointment qualified security manager
  • Proper SLA management for outsourced security function
  • Proper SLA management for ambulance services
  • Prioritize infrastructure improvement