Report on Health Care management system

This report examines the importance of managerial knowledge in the health care industry, focusing on the St. John God Health Care Centre in Australia. It analyzes the political and policy environment, organizational design, leadership and teamwork, financial resource utilization, and utilization of technology. The report also discusses controversies surrounding the organization and provides recommendations and conclusions.

Report on Health Care management system
Report on Health Care management system
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Executive Summary:
The Report studies the importance of managerial knowledge of a health manager. To examine
the ability of a health manager to be able to not only analysis but also recommend proper
solution to any problem. The organization selected for study is St. John God Health Care Centre,
Australia. It is one of the most famous hospitals in the Australia. Duty of the health manager is
to make sure that every activity done in the hospital is ethical and follows the correct protocol.
The report has carefully studied all the five aspect as mentioned above. The recommendation is
based on this analysis by the manager. The analysis is based on the annual report, local news and
comparison with the competitors in the same industry.
Table of Contents

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Table of Contents........................................................................................................................................2
Introduction.................................................................................................................................................3
Understanding the topic..............................................................................................................................4
About The Organization...............................................................................................................................5
The Analysis.............................................................................................................................................6
Political and policy environment of St. John............................................................................................6
Organizational design..............................................................................................................................7
Leadership and teamwork.......................................................................................................................7
Financial resource utilization...................................................................................................................8
Utilization of technology.........................................................................................................................9
Controversies:.............................................................................................................................................9
Peer review................................................................................................................................................10
Recommendation & conclusion:................................................................................................................10
Conclusion.................................................................................................................................................11
References.................................................................................................................................................12

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Introduction
The boom in the health care industry is raising the demand for a good heath care
manager. The career growth has seen a steep rise in recent years. The demand is not only for
qualified nurses or managers but also for high quality and skilled labor force. The mangers need
to be skilled and trained to examine the health department. They should be well equipped with
knowledge of what is correct and what is wrong. The ability and the leadership quality of the
nurses keep the hospital safe and risk free. There are many cases where the failure of the hospital
has been due to the negligence and mis-conduct by the mangers and the staff (Farokhzadian,
Nayeri, and Borhani, 2015).
A health manager should have 5 most critical traits to be called as the successful manager-
 Analytical skills: The ability to analysis the situation and then take action is very
important for a manger. They should be good at judging the situation and acting fast.
They should know whom to approach in case of any problem.
 Communication skill: The better they communicate the better will be the results. Here
the communication does not mean only talking. They should have knowledge of proper
writing, talking in formal language not on to the supervisors but also patients and staffs.
They should be good at soft skills (Arnold. and Boggs, 2019).
 Empathetically skills: This is a skill which is ignored at many places. But a person
working a health care should have empathy in them. They are surrounded by patients and
are always under work pressure. They should be able to know how to be calm and at the
same time handle the situation efficiently.

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 Leadership skills: The last but the most important skill. Here the manager should know
how to take decisions. They should be prompt enough that they can take individual
decision without being dependent on many authorities.
Understanding The Topic.
The manager is the key person in a health care industry. Many responsibilities are on
their shoulders. To analysis the 5 points to better understand the role of the manager. . The 5
criteria for analyzing the health of St. John Health Care unit are :
1. Political and policy environment- The area where the health care unit takes most important
actions. These are the body who takes important decisions. They are the rule forming bodies. The
political and policy environment is to see how nicely the policies of the hospital is supporting the
working in accordance of the political criteria in that origin (Walt and Gilson, 1994).
2. Organizational design and coordination- The organization is formed by the human
resources and customers. How the organization is working can be derived by the organizational
structure. The model of what kind of hierarchy does it forms matter. How much supervisors are
required or does it work on linear model (Bernstrøm and Kjekshus, 2015).
3. Leadership and teamwork- Teamwork essential for success of a task. A team is a group of
people working for motive. The more the coordination the better is the result. The leadership
qualities of the team leader make the work more fruitful.
4. Financial resource utilization- The utilization of the fund in a proper manner for the correct
purpose is every important. An organization can boom is the funds are used correctly (Graban,
2016). At the same time the wrong utilization of the fund can destroy the integrity of the

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organization. Thus its important that the health manager knows what is correct and wrong
information about the fund utilization.
5. Attitude to and utilization of technology- The human race is a developing creature.
Everywhere the technology is spreading its wings. A healthcare industry has developed better
with the new technology in the medical sectors (Lopes, 2019).
About The Organization
Australia is one of the developed countries in the world. They have a huge chain of most
developed health care units. St. John of God health care unit is one the most famous NGO
hospital unit in Australia. The organization is very vast they have chain of hospitals and health
care units in many places of Australia. The group also operates in New Zealand, New South
Wales, New Zealand and Victoria. The hospital started in 1871. Recently the new CEO and the
trustee was appointed. The present CEO is Shane Kelly. At present it has 14000 employees
working as doctors, nurse, care giver and staff.
Group of community hospital supervised 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 are homeless gets help
here.
Waipuna- Service of rehabilitation and education provided to youth.

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Nursing and pathology development in East Timor- Works for improvement in the nursing
and pathology sector.
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”.
The Analysis
Political and policy environment of St. John
The hospital and health care units are governed under the regulation made by the
Australian Charter of Healthcare Rights. They form the rule and laws to protect the people’s
right for true and equal treatment from these hospitals. The hospitals are to adhere the policy of
treating everyone equal. They should not differentiate among the patients on the basis of class,
creed and culture or color. The St. John God Health care unit follows the rules laid by the
governing bodies and make assure that the subsidiary also run in accordance. Recently the
hospital changed some of it polices and diffused new one to make the working system more
robust. 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

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partnership model. They have also made new policies to support sustainable environment in and
around the hospital. They updated the documents for the supplier to stop dumping of the product
(Sjog, 2018).
Organizational design
The mother company of St. john hospital is St. John of God health Australia LTD. It
follows are hierarchical structure model. This structure consists of a manager above every
department, and the reporting manager is one who ultimately reports to the CEO. The board
members are appointed by the non-executive trustee of the St. John health care. The international
management committee and all the CEO drafts a five year plan. Which is evaluated by the same
comminute every year (Devkaran and O’Farrell., 2015). The St John of God Health Care has a
two-tiered governance structure including Trustees and a Board. The trustees are empowered to
exercise their power which includes the appointment & evaluation of the governing board
members. They also have the role to keep the ministry faithful to the Catholic Church (Sjog,
2018).
Leadership and teamwork
A quality that checks the ability of an individual or a group which can influence and take
decision for the team. The team works for the benefits of the hospital to achieve the same goal
together. The company works under the leadership quality of CEO Shane Kelly. He has 30 years
of medical experience. The leadership quality of the hospital can be seen by its board members.
KERRY SANDERSON the former governor of Western Australia is a member of the Board.
The managing partner of the Azure Capital MR ADRIAN ARUNDELL, the CEO of Vincent de
Paul Society NSW one of the largest Social Service Agencies in NSW MR JACK DE GROOT
and MR PETER PRENDIVILLE the Chairman Prendiville Group, he operated group of hotels

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which includes multi-award winning Sandalford Wines (Sjog, 2018) are in the board of the
organization. The organization is also involved in many campaign and activities like R u OK? To
tell the patients about the importance of living a healthy life by elimination fat and bad
cholesterols. In 2017-18, St John of God Health Care inaugurated 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, 2016).
Financial resource utilization
It’s a not-for-profit organization. The profit registered for the year was 33.1million dollar
(Sjog, 2019). The hospital has spent huge amount on capital project. It invested a huge sum for
recently inaugurated hospital St John of God Berwick Hospital located in east Berwick. They
completed a important part in the St John of God Frankston Rehabilitation Hospital. They
increased funding for Waminda Aboriginal cross-culture development program from $10,000 to
$14,000 (Sjog, 2018). They invested $10,000 for the Australian Catholic University and St John
of God Health Care nursing scholarship for Aboriginal and Torres Strait Islander peoples.
$15,000 was spent on nurse consultant support to public and private obstetric services for
achieving the early identification of expectant mothers who are psychological vulnerable” (sjog,
2018). Last financial year, St John of God Foundation received $1.86 million in donations and an
additional $1.4 million in devotion (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” (Sjog, 2018).

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Utilization of technology
Technology has been a boon to medical industry. They not only save the patient’s life
with high quality activity but also time and money. St. John of God Health organization has
improved the technology front. It has invested huge amount in upgrading the system and
bringing technology in the daily life. The organization has three major improvements of making
operating model robust, inserting enterprise architecture and developing a digital strategy. They
have also developed mobile app “Doctor connect” for doctor to assist on real time to the patient.
It also has incorporated a electronic medical report (EMR) platform for an investment of 306$
million. The MEDVR is also an interface for supporting the doctors to examine and understand
the medical history of patients (Karim, 2018).
These are some of the few over all analysis that tells the main picture of the hospital. By
studying the result we come to know that organization is very vast and has subsidiary across the
globe. They are into many social services. They are making a good amount of profit that is
enough to support its operation for next year. The hospital is working towards enhancing their
working conditions by introducing new high quality technologies.
Controversies:
Recently the health care unit was in news for many wrong doing among them are the
complaint by the whistle blower staff of St John of God’s Liffey Services a subsidiary. He was
working as residential care staff for intellectual disability patient. The complaint was in the non-
disclosed format submitted to jurisdiction. The funds for the mentally disable patients were mis-
used by the hospital employees (MacNamee, 2019).

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In the news in year 2018 the organization was not following the procurement rules. The
audit firm Deloitte found that the enterprise was not following procurement procedures as stated
by the jurisdiction. Although the organization has submitted the interim report in may and now
those missing gaps has been filled by the jurisdiction and auditor (The Irish Times, 2019).
In another news it was found that funding for new project in Malawi has been suspended
as they were not following the child protection policies. Specially disabled children were facing
abuse by two psychiatrics (The Irish Times, 2019).
Peer review
The biggest competitors are Adventist health care centre with annual revenue of $4.1
million. It has more than 78000 employees working for it. It’s a market leader as of now. Second
well known hospital is Ramsay health care centre head quarter in Sydney. It is said to be the best
private health care centre. This year it partner with US firm for global supply chain venture to
increase its supply venture. It has more than 30000 employees working for it in 221 locations.
Recommendation & conclusion:
The management of St. John God health care unit is active in the main office. The
subsidiaries are looked after by their respective managers and Board members. This has lead to
many mis-conduct in the recent year. It can be recommended that the hospital makes a group of
internal auditor so that they can investigate any matter and also bring it to the board immediately
(Stanhope, 2015).
The hospital has also achieved some milestone. Like building a new hospital unit at
Berwick, by establishing a nurse training centre and many more. The correct utilization of the

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fund is very essential for positive growth of an organization. Here the responsibility of the health
manager plays a very crucial role (Delias, 2015). They act as guard of the medical health care.
They have to keep an eye on every activity happening in an around the care unit. They should be
highly trained. They should keep evaluating the working conditions; bring important notice to
the board members. And also by performing it’s duty faithfully.
Conclusion
The organization is one of the most reputed institution among many of the hospitals in
Australia. The above analysis of the medical care unit tells a lot of the working environment,
health of the finance and human resource management skills. It has a huge human resource
working for it. They have accumulated a huge amount of asset. The stability of the organization
can be concluded by its profit making ability. As it is a not for profit organization the cost for
treatments are low in comparison to any other health care centre. The technology used by the
hospital is up to date and advanced. This is helping in giving best treatment to the patient. They
are working in harmony except in some area where many rules has been violated. The
organization is successful since its inception and has expanded year on year. This gives a hope
that it will be working evening better in future.

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References
Arnold, E.C. and Boggs, K.U., 2019. Interpersonal Relationships E-Book: Professional
Communication Skills for Nurses. Saunders.
Bernstrøm, V.H. and Kjekshus, L.E., 2015. Effect of organisational change type and frequency
on long‐term sickness absence in hospitals. Journal of nursing management, 23(6), pp.813-822.
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.
Devkaran, S. and O’Farrell, P.N., 2015. The impact of hospital accreditation on quality
measures: an interrupted time series analysis. BMC health services research, 15(1), p.137.
Farokhzadian, J., Nayeri, N.D. and Borhani, F., 2015. Assessment of clinical risk management
system in hospitals: an approach for quality improvement. Global journal of health science, 7(5),
p.294.
Graban, M., 2016. Lean hospitals: improving quality, patient safety, and employee engagement.
Productivity Press.
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.
Lopes, C., Scavarda, A., Vaccaro, G., Pohlmann, C. and Korzenowski, A., 2019. Perspective of
Business Models and Innovation for Sustainability Transition in Hospitals. Sustainability, 11(1),
p.5.

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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].
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.
Stanhope, V., Videka, L., Thorning, H. and McKay, M., 2015. Moving toward integrated health:
An opportunity for social work. Social Work in Health Care, 54(5), pp.383-407.
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].
Walt, G. and Gilson, L., 1994. Reforming the health sector in developing countries: the central
role of policy analysis. Health policy and planning, 9(4), pp.353-370.