Analysis of a Health Organization

This report analyzes a health organization based on criteria such as policy and political environment, organizational design and coordination, leadership and teamwork, financial resource utilization, and utilization of technology. The chosen organization is St. John God health care situated in Australia. The report discusses the organization's performance in these areas and provides recommendations for improvement.

Report on Analysis of a Health Organization
Case Study
by Nikulkumar Vishnubhai Patel
Report on Analysis of a Health Organization
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1Report on Analysis of a Health Organization
Executive Summary:
The report focuses on testing the skills of a health manager’s ability to analysis a health service
of an organization. The report talks about how well the stated organization is doing in terms of
performing it’s services. The chosen organization is St. John God health care situated in
Australia. The manager will be analysis the ability and performance of the organization. These
criteria are policy and Political environment, coordination and Organizational design ,
Leadership and teamwork financial resource utilization and method to and utilization of
technology. After analyzing the health manager has to recommend the changes that can be made
in any area. Based on the research the change has to be highlighted to the management.
Ultimately the project ends on comparison of the peers same industry.

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Table of Contents
Table of Contents........................................................................................................................................2
Introduction.................................................................................................................................................3
Discussion....................................................................................................................................................4
About The Organization...............................................................................................................................4
Analyzes-.....................................................................................................................................................6
Policy and Political environment.............................................................................................................6
Organizational design and coordination..................................................................................................7
Leadership and teamwork.......................................................................................................................7
Financial resource utilization...................................................................................................................8
Utilization of technology.........................................................................................................................9
The NEWS:.................................................................................................................................................10
Comparison with the peers.......................................................................................................................11
Analysis and recommendation to management:.......................................................................................11
Conclusion.................................................................................................................................................11
References.................................................................................................................................................13

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Introduction
The field of healthcare management is expanding and so does the requirement for skilled
health manager. More and more people are entering in to the health care centre and making
career. Thus the qualities and skills that is required has needs to be of high quality (Danaher and
Tallan, 2016). It is also important for the manager to know how to an analysis the present health
organization. The ability to investigate according to the criteria is very effective in detecting the
affected areas of work (Delias, 2015). The 7 most critical skills that a health manager must have
to be a successful manager are -
 Industry knowledge:- The health care industry can be very demanding it adds up new
skills daily .The manager needs to be upto date for any new technology added in the
health care industry. The knowledge is also very important as it helps the manager to
perform its duty perfectly.
 Analytical skills: Able to understand the current rule and regulation and also able to train
the new joinees.
 Communication skill: effectively able to communicate the rules and policies to other
health professional and also able to do the communicate the compliance to other.
 Interpersonal skills: They should be good at interpersonal skills. They have to deal with
not only professional but also local crowd as patients. They should be able to
communicate properly to physician and patients.
 Leadership skills: Should have the knowledge of hiring, motivating the staff and ability
to solve critical problems related to guidance.

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These are the most important skills that health manager should have to get the work done in their
health care units.
Discussion
The report talks about the analyzing skills of a manager based on these 5 criteria for
health care unit of St. John of God health organization.
1. Political and policy environment- The section examines the rules and regulations followed
by the Care unit. What are the policies they are following.
2. Organizational design and coordination- how far the organizational design is successful.
What is the strategy to convey message to other departments (Duckett & Willcox, 2015).
3. Leadership and teamwork- does the organization able to fulfill the leadership and the team
work task properly.
4. Financial resource utilization- many a times the organization mis-uses the financial
resources. The importance of proper use of the resources specially when there is an urgent
requirement of the equipments (Fortenberry and McGoldrick, 2016).
5. Attitude to and utilization of technology- The development in the care unit on the purchase
and use of new technology. It also includes the training given to the staff to use the new machine
or operate the new technology (Karim and Gide 2018).
About The Organization
St. John of God health organization it is one the most successful heath unit in Australia. It
has 3rd largest private hospital with twenty four hospital and facilities. The group also operates

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in New Zealand, New South Wales, New Zealand and Victoria. It is also one of the largest non -
profit catholic hospital group. The health care was formed in 1871 and the present CEO is Shane
Kelly. At present it has 13959 employees working as doctors, nurse, care giver and staff. The
centre welcomes two new trustee and farewell to the old trustee after a service of 14 years.
There is a group of community hospital supported by St. John of GOD health organization:
St John of God Accord- it is a disability support service ranging from day housing to support in
employment.
St John of God Horizon Houses- Young people aging from 16-22 who does not have stable
leaving home is provided by this community.
Waipuna- service of rehabilitation and education provided to youth.
Nursing and pathology development in East Timor- The improvement in local nursing and
pathology (Sjog annual report, 2018).
The Vision:
“Our Vision for St John of God Health Care is that we live and proclaim the healing touch of
God’s love. We invite people to discover the richness and fullness of their lives, give them a
reason to hope, and a greater sense of their own dignity”.
The mission:
“Our Mission is to continue the healing mission of Jesus Christ through the provision of services
that promote life to the full by enhancing the physical, emotional, intellectual, social and spiritual
dimensions of being human”.

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The values that guide them are:
 Hospitality- Welcoming nature that God has gifted us with.
 Compassion: To health and understand the pain others.
 Respect, justice and excellence- Balanced and fair to all, humble attitude and providing
optimum amount of care to all.
Analyzes-
Policy and Political environment
The hospital strictly follows the rules and regulation made by the Australian Charter of
Healthcare Rights. The policies are inclined towards the service of the patient and gives freedom
to them to receive competent, timely professional care and consistent from the heath care unit.
They take care as per the culture, beliefs, values, disabilities, personal needs and any special
treatment of the patient (sjog annual report 2018). The hospital follows the privacy policy of
personal privacy to be maintained and correct handling of personal health information. Last year
it was recommended by the Mission Management Model to fill a new position for the mission
leader head. In 2017-18 it completed many capital oriented project specially St John of God
Berwick Hospital (Webb and Litton 2017). According to the new policy they have reduced the
average length of stay by 11%. They are also planning to change their partnership strategy by
moving towards a community based partnership model. The new policy for the clinical risk and
incident management policy was reframed to include various jurisdictional requirements to teach
staffs the use of new electronic method & new feedback management system. The hospital has a
whole set of independent rules and policies to follow for environmental sustainable strategy.
They have a set of documents made for the supplier to read before dumping the product. The

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policies are to maintain a sustain environment in and around the hospital (Sjog annual report,
2018).
Organizational design and coordination
St John is a wholly owned and controlled entity of St. john of God Australia Ltd. St. john
of God Australia ltd is a civil and canon law entity that was established in 2004 by the ministries
this was earlier named as Sister of St. John of God. The sisters and the majority of the dioceses
are the member of the of St. John god health. The structure supports the sound and good
governance. The board members are appointed by the non-executive trustee of the St. John
health care The key result and performance in the 5 years as seen by the Group Chief executive
o0fficer and the group management committee. They follow lean support organizational
structure (Sjog annual report 2018). They are appointing visiting medical officer for hospital
governance. St John of God Health Care has a two-tiered governance structure including
Trustees and a Board. The trustee is empowered to exercise a range of authority which includes
the appointment & evaluation of the governing board members. They also have the role to keep
the ministry faithful to the Catholic Church. Governance is a system which influences the
objectives are achieved and risk mitigated by optimizing the performance (McLinton, 2018).
Leadership and teamwork
The leadership is an ability of the individual or a group of individual who can influence
and guide the direction to the other member of the team or organization. Leadership involves
taking decision on the behave of the group. Team work is the process of working on the together
in group in order to achieve the goal. For any successful business, team work is very essential. It
means that people are try to corporate to achieve task together. The company works under the
leadership quality of CEO Shane Kelly. He has 30 years of golden experience. The board

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members are comprised of leader of the society. Like KERRY SANDERSON who was the
former governor of western Australia. MR ADRIAN ARUNDELL the managing partner of the
Azure Capital. MR JACK DE GROOT he is the CEO of Vincent de Paul Society NSW one of
the biggest Social Service Agencies in NSW and MR PETER PRENDIVILLE the Chairman
Prendiville Group, he operated group of hotels which includes several-award winning Sandalford
Wines (Sjog annual report 2018). To make the team sprit high and keep it going the hospital do a
lot of live event one such events was to R U OK? The work place wellness team worked with
hospital to promote the healthy eating habit program in partnership with Converge International.
In 2017-18, St John of God Health Care inaugurated and started the Tony Howarth Awards of
Leadership in the field of Health and Safety, which was named after outgoing St John of God
Health Care Chairman (Roberts et al, 2016).
Financial resource utilization
The profitability of the hospital and utilization of the fund can be analyzed from the
annual report . As it’s a not-for-profit organization. The profit registered for the year was
33.1million dollar. The asset accumulation for the year 2018 comes to 745.2 million dollar. The
analysis remain incomplete the expenditure are not recorded. To make improve the lives of the
people the hospital has spent huge amount on capital project. The recently inaugurated hospital
St John of God Berwick Hospital located in east Berwick. They completed a substantial part in
the St John of God Frankston Rehabilitation Hospital. They increased funding of the Waminda
Aboriginal cross-culture development program from $10,000 to $14,000 (Sjog annual report
2018). “Provided $10,000 for the Australian Catholic University and St John of God Health Care
nursing scholarship for Aboriginal and Torres Strait Islander peoples. Provided $15,000 for
clinical nurse consultant support to public and private obstetric services that assist in achieving

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the early identification of expectant mothers with psychological vulnerabilities” (sjog annual
report 2018). The hospital also spent $764,505 to support a board range of initiative and
organization through out the sectors. Last financial year, St John of God Foundation received
$1.86 million in the form of donations and an more $1.4 million in pledges (a total of$3.26
million). “St John of God Foundation received and allocated more than $600,000 toward health
and medical research, supporting 13 research projects across six key areas – neurosurgery, breast
cancer, colorectal cancer, gynae-oncology, lung and respiratory, and clinical trials” (annual
report, 2018). There is many transaction that can be analysis in the annual report (Stefko,
Gavurova and Korony, 2016).
Utilization of technology
As the world is moving towards development and no development is possible without
technology. St. John of God health organization has enhanced the technology. It has invested
huge amount in upgrading the system and bringing technology in the daily life. Technology is
the key enable in the health service sector. The heath care unit made three major progress by
making strong operating model, enterprise architecture and developing a digital strategy (Vashist
and Luong, 2019). They have also developed mobile app for doctor who provide real time
assistance to the patient named as “Doctor connect”. St John of God Subiaco Hospital partnered
with local start-up firm MedVR to pilot world-1st technology in diagnostic imaging. It also has
incorporated a electronic medical report (EMR) platform for an investment of 306$ million.
Improving the technological capability has increased performance, speed and flexibility, but also
communication (Minniti et al, 2016).

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The NEWS:
In the recent news the working staff of St John of God’s Liffey Services a subsidiary
alleged serious malpractice. He was working as residential care staff for intellectual disability
patient. The complaint was in the non-disclosed format submitted to jurisdiction. The hospital
received millions dollar as fund from the tax payers (Thejournal, 2018). The malpractice has not
been disclosed but it is done with the mentally disable patient who is taking the home care
service.
In the recent news it was stated that funding for new project in Malawi has been
suspended after identifying serious child protection policies failing. Specially disabled children
were facing abuse in hands of some few doctors and two psychiatrics (irishtimes 2019).
In the news in year 2018 it was held for mis-using its powers. The organization was not
following the procurement rules. The audit firm Deloitte found that it was not following any
procurement procedures. On these allegation for fund misuse and unjustified salary to its staff
the spoke person has said that the organization has submitted the interim report in may and now
those missing gaps has been filled by the jurisdiction and auditor (irishtimes 2019).
St. John god health care has been rated as the most desirable place to work. It has 20000
employees working for different subsidiaries. The work culture of St. John is good but the
management is said to be ruthless. They do not follow the morale and policy of the hospitals.
They pay a decent salary to staff but some how some of the employees are not happy with the
management.

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Comparison with the peers
Being one of the largest health care centre is occupies a huge market share. It’s peer
competitors are Adventist health care centre with an annual revenue of $4.1 million. It has a
good reputation in the market and as of now no such big news has been heard about it. It has
more than 78000 employees working for it.
Ramsay health care centre head quarter in Sydney, it is a best private health care centre.
Recently it partner with US firm for global supply chain venture. It has its centre outside
Australia and spread across the ocean,. It has more than 30000 employees working for it in 221
location. Ramsay has a good history and does not appear in news for bad doings.
Analysis and recommendation to management:
Studying the progress and achievement report from above it can concluded that
organization is very big and there is n number of employees looking after the management and
operation dept. the only recommendation that can be made is to improve the administration in
subsidiary unit. The importance to keep administration tight in all hospitals is to maintain a high
level of service to the customer. It has been seen that fund given for project expansion has been
wrongly used and there are charges against the management for not taking proper care of the
situation special they are failing in following the rules (MacNamee, 2019).
Conclusion
The analysis puts light on the operation, working, condition, financial management, and
employee employer relations. The data for St. John God health care center represents the strength

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of the organization. How far can it impact the economy. The organization is giving employment
to more than 20000 people and is home to many sick people. Being not for profit organization
the cost for many treatment is low in comparison to any other health care centre. This
organization is accepting the demand of technology enhancement and working on it. There is an
expectation that a good change can be expected due to the joining of new CEO. In the light of the
new trustee and new CEO the organization can do better and manage their ethics and policies.

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References
Danaher, T.S. and Gallan, A.S., 2016. Service research in health care: positively impacting lives.
Delias, P., Doumpos, M., Grigoroudis, E., Manolitzas, P. and Matsatsinis, N., 2015. Supporting
healthcare management decisions via robust clustering of event logs. Knowledge-Based
Systems, 84, pp.203-213.
Duckett, S. and Willcox, S., 2015. The Australian health care system (No. Ed. 5). Oxford
University Press.
Fortenberry Jr, J.L. and McGoldrick, P.J., 2016. Internal marketing: A pathway for healthcare
facilities to improve the patient experience. International Journal of Healthcare
Management, 9(1), pp.28-33.
Karim, S. and Gide, E., 2018. The Use of Interactive Mobile Technology to Improve the Quality
of Health Care Services in Private and Public Hospitals in Australia. International Journal of
Interactive Mobile Technologies (iJIM), 12(6), pp.4-18.
MacNamee (2019). Whistleblower alleges serious wrongdoing in St John of God's disability care
centre. [online] TheJournal.ie. Available at: https://www.thejournal.ie/disability-care-kildare-
whistleblower-4171847-Aug2018/ [Accessed 10 May 2019].
McLinton, S.S., Loh, M.Y., Dollard, M.F., Tuckey, M.M., Idris, M.A. and Morton, S., 2018.
Benchmarking working conditions for health and safety in the frontline healthcare industry:
Perspectives from Australia and Malaysia. Journal of advanced nursing, 74(8), pp.1851-1862.

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Minniti, M.J., Blue, T.R., Freed, D. and Ballen, S., 2016. Patient-interactive healthcare
management, a model for achieving patient experience excellence. In Healthcare Information
Management Systems (pp. 257-281). Springer, Cham.
Roberts, J.P., Fisher, T.R., Trowbridge, M.J. and Bent, C., 2016, March. A design thinking
framework for healthcare management and innovation. In Healthcare (Vol. 4, No. 1, pp. 11-14).
Elsevier.
Stefko, R., Gavurova, B. and Korony, S., 2016. Efficiency measurement in healthcare work
management using Malmquist indices. Polish Journal of Management Studies, 13.
The Irish Times. (2019). HSE report finds pay and procurement issues at St John of God.
[online] Available at: https://www.irishtimes.com/news/ireland/irish-news/hse-report-finds-pay-
and-procurement-issues-at-st-john-of-god-1.3550418 [Accessed 10 May 2019].
The Irish Times. (2019). St John of God project funding terminated over child protection
failings. [online] Available at: https://www.irishtimes.com/news/social-affairs/st-john-of-god-
project-funding-terminated-over-child-protection-failings-1.3837140 [Accessed 10 May 2019].
Vashist, S.K. and Luong, J.H., 2019. An Overview of Point-of-Care Technologies Enabling
Next-Generation Healthcare Monitoring and Management. In Point-of-Care Technologies
Enabling Next-Generation Healthcare Monitoring and Management (pp. 1-25). Springer, Cham.
Webb, S.A. and Litton, E., 2017. Prevention is better than cure, but both require high quality
evidence. The Lancet, 389(10068), p.572.