Question Tag: Hospital Management

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  • 10 Marks

BMIS-Nov 2024-L1-Q1C- Decision-Making in Hospital Management

Centralised vs Decentralised decision-making in hospital management.

For each of the decisions below, identify whom you would expect to make the decision and briefly explain why.

  1. Decisions about the medical treatment or surgical treatment for individual patients.
  2. Establishing policy on hygiene standards in the hospitals.
  3. Scheduling operations in the operating theatres of each hospital.
  4. Discharging patients from hospital.
  5. Deciding the visiting times for patients in each hospital.
  6. Prescribing drugs for the treatment of patients.
  7. Hiring new staff, such as hospital porters and nurses.
  8. Dealing with payments from insurance companies for the treatment of insured patients.

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  • 10 Marks

BMIS – Nov 2024 – L1 – Q1c- Types of Organisations

Identify who should make various decisions in a hospital management context, explaining why.

Within the same business organisation, some decision-making might be centralised, with decisions made by senior management. Other decisions might be decentralised, and taken by managers or employees involved in operations.

Okpoti LTD owns and operates five private hospitals. It has a head office and each hospital has its own management team and staff (including medical staff such as doctors and nurses).

Decisions are expected to be made on the following:

  1. Decisions about the medical treatment or surgical treatment for individual patients.
  2. Establishing policy on hygiene standards in the hospitals.
  3. Scheduling operations in the operating theatres of each hospital.
  4. Discharging patients from hospital.
  5. Deciding the visiting times for patients in each hospital.
  6. Prescribing drugs for the treatment of patients.
  7. Hiring new staff, such as hospital porters and nurses.
  8. Dealing with payments from insurance companies for the treatment of insured patients.

Required:
For each of the decisions above identify from the list below whom you would expect to make the decision and briefly explain why.
i) Head office management
ii) The management of each hospital
iii) Staff in each hospital

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  • 12 Marks

MA – April 2022 – L2 – Q2a – Activity-based costing

Evaluate the bottleneck resource at Pikambi Hospital and suggest ways to reduce turnaround time.

The Pikambi Hospital serves a community with a population of about 20,000. For Out Patients Department (OPD) services, there are three basic stages to seeing the doctor which have been described below:

Stage 1
Records: This is where files of patients are kept. On arrival, a patient presents the identity card together with the National Health Insurance Scheme (NHIS) card. There are two biometric verification machines to confirm the validity of the card and recording of basic personal data on the claim forms. The process takes approximately 10 minutes per machine. Workers here work from 6:00 am to 4:00 pm.

Stage 2
Vitals: Here vital personal information about the patient’s current health status is checked; i.e. temperature, pulse, blood pressure, weight, and sugar levels. There is one machine with 5 nurses. It takes some 6 minutes for one patient to go through the process. The unit also works from 6:00 am to 4:00 pm.

Stage 3
Consultation: There are six doctors who run six-hour shifts a day. Each doctor spends an average of 15 minutes seeing a patient. The community has been complaining about the turnaround period and blames it on the incompetence of the nurses to the extent that sometimes patients stay in queues for long hours and return home unattended.

Required:

i) With appropriate computations, evaluate and assess the bottleneck resource(s) at Pikambi Hospital. (6 marks)

ii) Suggest THREE (3) ways by which the turnaround time can be reduced at the hospital. (6 marks)

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  • 10 Marks

BMIS-Nov 2024-L1-Q1C- Decision-Making in Hospital Management

Centralised vs Decentralised decision-making in hospital management.

For each of the decisions below, identify whom you would expect to make the decision and briefly explain why.

  1. Decisions about the medical treatment or surgical treatment for individual patients.
  2. Establishing policy on hygiene standards in the hospitals.
  3. Scheduling operations in the operating theatres of each hospital.
  4. Discharging patients from hospital.
  5. Deciding the visiting times for patients in each hospital.
  6. Prescribing drugs for the treatment of patients.
  7. Hiring new staff, such as hospital porters and nurses.
  8. Dealing with payments from insurance companies for the treatment of insured patients.

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  • 10 Marks

BMIS – Nov 2024 – L1 – Q1c- Types of Organisations

Identify who should make various decisions in a hospital management context, explaining why.

Within the same business organisation, some decision-making might be centralised, with decisions made by senior management. Other decisions might be decentralised, and taken by managers or employees involved in operations.

Okpoti LTD owns and operates five private hospitals. It has a head office and each hospital has its own management team and staff (including medical staff such as doctors and nurses).

Decisions are expected to be made on the following:

  1. Decisions about the medical treatment or surgical treatment for individual patients.
  2. Establishing policy on hygiene standards in the hospitals.
  3. Scheduling operations in the operating theatres of each hospital.
  4. Discharging patients from hospital.
  5. Deciding the visiting times for patients in each hospital.
  6. Prescribing drugs for the treatment of patients.
  7. Hiring new staff, such as hospital porters and nurses.
  8. Dealing with payments from insurance companies for the treatment of insured patients.

Required:
For each of the decisions above identify from the list below whom you would expect to make the decision and briefly explain why.
i) Head office management
ii) The management of each hospital
iii) Staff in each hospital

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  • 12 Marks

MA – April 2022 – L2 – Q2a – Activity-based costing

Evaluate the bottleneck resource at Pikambi Hospital and suggest ways to reduce turnaround time.

The Pikambi Hospital serves a community with a population of about 20,000. For Out Patients Department (OPD) services, there are three basic stages to seeing the doctor which have been described below:

Stage 1
Records: This is where files of patients are kept. On arrival, a patient presents the identity card together with the National Health Insurance Scheme (NHIS) card. There are two biometric verification machines to confirm the validity of the card and recording of basic personal data on the claim forms. The process takes approximately 10 minutes per machine. Workers here work from 6:00 am to 4:00 pm.

Stage 2
Vitals: Here vital personal information about the patient’s current health status is checked; i.e. temperature, pulse, blood pressure, weight, and sugar levels. There is one machine with 5 nurses. It takes some 6 minutes for one patient to go through the process. The unit also works from 6:00 am to 4:00 pm.

Stage 3
Consultation: There are six doctors who run six-hour shifts a day. Each doctor spends an average of 15 minutes seeing a patient. The community has been complaining about the turnaround period and blames it on the incompetence of the nurses to the extent that sometimes patients stay in queues for long hours and return home unattended.

Required:

i) With appropriate computations, evaluate and assess the bottleneck resource(s) at Pikambi Hospital. (6 marks)

ii) Suggest THREE (3) ways by which the turnaround time can be reduced at the hospital. (6 marks)

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