joint-aus-us-gov-review-hamlin-fistula-ethiopia-final-report.doc

19 a planned process of strategic investment in

Info icon This preview shows pages 57–58. Sign up to view the full content.

View Full Document Right Arrow Icon
19. A planned process of strategic investment in appropriate management structures and systems. 20. The introduction of new management processes to support a reinvigorated organisational culture and a renewed focus on supporting quality patient care. 21. A review of HFE’s overall cost-profile and, where appropriate, making cost-savings or re-allocating costs/resources to strategically important activities Strategy, structures, staffing and systems In light of HFE’s rapid expansion and the strategy of decentralising its operations, consideration should be given to the renewal and development of a range of organisational and management structures, systems and processes. These include: 22. Investment in an organisation development (OD) process to promote HFE’s organisation culture. This would emphasise such issues as shared values, alignment to common vision, transparency and mutual trust, and an emphasis on quality, resilience & sustainability. This process would also work to enhance positive relations and lines of communication between management, medical and support staff, promote internal leadership and facilitate the delegation of responsibility and decision making. 23. Undertaking a competency and staffing audit, which may help HFE assess the appropriate balance between professional and support staff, and identify whether staffing levels are appropriate and cost-effective. 24. Introduction of a Systems Development Strategy that is both strategic, prioritises quality and resilience, and is supported by a culture change process that emphasises service provision and an internal market (see above). 25. Continued investment in management processes to support quality assurance procedures particularly in respect of data, reports, proposals used externally. Linked to this HFE should ensure that all relevant reports are available through its website, and that access to these reports is monitored. 26. Revising the way that costs and overheads are allocated – currently 23 per cent of expenditure for all of HFE is on administration – a realistic ratio for a complex decentralised medical organisation of this nature. However, such costs need to be distributed more evenly across different cost-centres and not all carried by AAFH. 27. Appointment of a Program Director to have an overarching view of HFE’s programs and activities, with the role of coordinating activities and acting as a focal point for issues concerning the Outreach Centres. The Program Director would also facilitate liaison with the Ministry of Health and ensure alignment of HFE’s work with government policies. 28. Appointment of an International Relations Director to promote HFE’s international profile, liaise with HFE partners, and develop relations with international contacts, networks, exchanges, etc.
Image of page 57

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Image of page 58
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern