Stakeholder Analysis: Public and Private Hospital System

This report provides a detailed analysis of public and private hospital systems. It begins by identifying key stakeholders, including patients, government, doctors, suppliers, staff, and administrators, and examines the system from each stakeholder's perspective, outlining their requirements and interests. A context diagram illustrates the hospital's information system, followed by a breakdown into three subsystems, with a specific focus on the Surgical System. The report also details the "Input - Transformation - Output" of the Diagnosis System. Furthermore, it re-evaluates stakeholder roles after privatization, highlighting potential conflicts of interest. A trade study is conducted, evaluating alternative approaches, such as implementing an HR management system, and assessing their effectiveness based on criteria like community satisfaction and cost-effectiveness. The report concludes by considering additional constraints introduced by new stakeholders and reflecting on the system's feasibility and the implications of proposed changes. The analysis uses various sources and provides a comprehensive overview of the complexities of managing public and private healthcare systems.

Running head: PUBLIC AND PRIVATE HOSPITAL SYSTEM
Public and Private Hospital System
Name of Student
Name of the University
Author Note

PUBLIC AND PRIVATE HOSPITAL SYSTEM
Table of Contents
1. key stakeholders...........................................................................................................................3
2. System is for from the perspective of each of the stakeholders..................................................3
3. Context diagram for the hospital.................................................................................................4
4. 3 subsystems of this system.........................................................................................................5
5. ONE of the subsystems................................................................................................................5
6. Input - Transformation - Output” of the Diagnosis System........................................................6
7. Re-Doing Stakeholder Analysis..................................................................................................6
9. Additional constraints that the new stakeholders........................................................................8
10. Reflection...................................................................................................................................9
11. Bibliography............................................................................................................................10

PUBLIC AND PRIVATE HOSPITAL SYSTEM
1. key stakeholders
Following are the key stakeholders involved in the developed system:
Patients: they will be most affecting stakeholder as the system will be developed for the
hospital but it will be processing the data and information related to the patients’ medical
conditions
Government: Government will be supporting the system and financing the needed money
for the development of the project.
Doctors or Physicians: They will be responsible for the management of the medical
condition s of the patients and supporting the best treatment for their recovery.
Suppliers: Suppliers will be responsible for supplying the necessary supplies needed for
the continuous growth and development of the automated system. They will be managing all the
resources needed for the project.
In-house staffs: Other than major operational activities, many additional activities will
needed to be accomplished these in-house staffs will deliver those.
Board of the Administration: they will be responsible for managing all the administrative actions
for the management of the stakeholders within the organization.
Nurses: They will be handling the facilities and caring of the patients in an efficient and
effective manner, they will be responsible for making sure that the best facilities are being
delivered to the patients.
2. System is for from the perspective of each of the stakeholders
Stakeholders Requirements
Patients Better Services
Easily usable and efficient than traditional services
Better and enhanced interaction with the doctors with precise and
accurate medical services
Government Supporting the growth and development of the services
Enhancing the value of the community
Providing better medical services
Covering large target for the operations
Doctors or Physicians Better and effective user interface system
Better and easy communication with the patients
Reliable Document gathering and collection
System allowing doctors to complete their job in an efficient and

PUBLIC AND PRIVATE HOSPITAL SYSTEM
effective manner
Suppliers Getting paid for the resources being made available
Enhance the business
Get feasible order from the hospital with better and effective
user-interface allowing proper communication with other internal
stakeholders of the hospital
In-house staffs Better and efficient work environment
Eliminate extra load and automate the systems
Developed is system is much efficient
Board Monitoring the overall operations within the system in an
effective manner
Handle the operational activities in an efficient and effective
manner
3. Context diagram for the hospital
Figure 1: Hospital Information system context diagram

PUBLIC AND PRIVATE HOSPITAL SYSTEM
(Source: Created by Author)
4. 3 subsystems of this system
Figure 2: Hierarchy of the system of the Hospital
(Source: Created by Author)
5. ONE of the subsystems
Surgical System has been considered as the concerning sub-system for this report and it
should be contributing many more in the development of this system as stated in the following
table:
Contribution Description
Better data collection For any surgery, it is necessary to collect data
and information related to the patient as he or
she might behaving treatment earlier that
could cause serious damage in this surgery
program
Data exchange in an efficient manner between
the surgical doctor and the patient
This report related to the personal information
of the patient and previous medications will
needed to be communicated with the doctor.

PUBLIC AND PRIVATE HOSPITAL SYSTEM
After diagnosing the report the doctor should
be able to present the report of the treatments
Patient receives better treatment Patients should be getting better and enhanced
treatment facilities in any manner. It will
allow the patients to make communication
with the doctor in an efficient and effective
manner
Providing doctors ability to recover the
patient in an easy and automated way
Doctors will be allowed to communicate with
the patient on regular basis and kept the
record of the continuous treatment for long
term or short term
Allows to generate report of before and after
surgery
The doctor would be able to generate report
during the treatment process and after the
complete recover of the patient allowing a set
of data related to the patient for future use.
6. Input - Transformation - Output” of the Diagnosis System
Diagnosis System
Input Transformation Output
The information related to the
previous medications and
current symptoms will be
shared to the system that will
be forwarded to the doctor for
evaluation
The doctor receives the
report, reviews it, and present
the necessary description on
the treatment after
considering the previous
treatments and the current
symptoms of the patient
The doctor could exchange
the information to the patient,
and patient receives proper
medications and treatments as
suggested by the doctor
AFTER THE PRIVATIZATION OF THE HOSPITAL
7. Re-Doing Stakeholder Analysis
Privatization always leads to extra workload and focusing on the business and output
from the business
Stakeholders Role Interest

PUBLIC AND PRIVATE HOSPITAL SYSTEM
Doctors Same as that in the earlier
ownership, the difference will be
that private owners might restrict
and question on the asked resources
as the owner’s concern will always
be to utilize limiting source and
keeping the expenses always low as
much possible
They have very high interest in this
project
Nurses They will be playing the same role
as earlier with additional effort and
might be paid more and overtime
can be added as most of the time the
whole burden of the hospital relies
on nurses
High level interest
Sponsors Sponsors will be helping financially
without any support of the
government in manner to present the
available resources for the hospital
Medium level of interest
Board Same as earlier Very High level of interest
Patient They will be receiving precise
medical treatments however; the
prices might be raised because of the
privatization of the system
High Level of interest
Suppliers Same as earlier Low level of interest
In-house
staffs
They will have to be regular and will
have to do more contribution in the
development of the project
Very high level of interest
Drivers Same as that of earlier ownership
environment
Low level of interest
The conflict of interest might be raised within the employees and staffs such as doctor,
nurse, and others as they will be governed by new ruler and he might be very aggressive towards
making better output rather than emphasizing on the better medical treatment services.
8. Trade study value system
Alternatives: Following alternatives can be opted for the effective delivery of the project:

PUBLIC AND PRIVATE HOSPITAL SYSTEM
Implementation of an effective HR management system emphasizing on the management
of the facilities and activities of the employees associated with the hospital. It will allow the
hospital management to manage the roles and responsibilities of the individual and protect the
rights of every employee in an effective and efficient manner. Other approach can be introduced
as the alternative solution is a system for the evaluation and monitoring over the processes
involved in the system and make sure that the objectives proceed according to the assumption
made in the prior of the project.
Selection Criteria: The alternative choices can be monitored and evaluated as per the
criteria including satisfaction of the local community, cost effectiveness, and production rate.
Rating Performance:
Alternative 1 Alternative 2
Criteria Rating Weight Total
value
Rating Weight
Local
Community
Satisfaction
7 4 28 6 10 60
Cost
effectiveness
5 10 50 6 20 120
Production
rate
4 9 36 5 15 75
Total 114 255
Calculation of results: the above table explains the quantitative value that states that
second alternative is better than first approach.
9. Additional constraints that the new stakeholders
Business Constraints Support from Resisted by
Privatization will definitely lead to the modification
of different operational activities and procedures
being produced earlier. This will not only change the
processes in the system rather also emphasize on the
output and production of the project.
New private board
of the committee
Existing and
senior
employees who
are familiar and
comfortable in
previous
methods of
actions
The suppliers will be asked to deliver the resources
at another budget as per the new consideration of the
budget as there are many other suppliers available
who can deliver the same quality of resources at
Board of the new
committee
Suppliers might
not be
comfortable with
new estimations

PUBLIC AND PRIVATE HOSPITAL SYSTEM
lower price. being presented
for the delivery
of the new
resources
Limiting the jobs and enhancing the shift time is
always the first approach for the private owners, as
they always want to take the 100% of the
employees’ contribution in the development and
growth of the project.
Board of the new
committee
The existing
employees will
never agree on
this topic
10. Reflection
 The aspects related to the development of new system has been accomplished
 The system is developed considering the business and organizational needs and
requirements, taking in account the satisfaction of the employees
 The proposed system is feasible within the existing system however; simple
training will be helpful in gaining the complete efficiency from the proposed
system
 All the considerations of the stakeholders and their requirements and
responsibilities present a drastic change in the existing system with this new
transformation
 The constraints of the project have been consider in an effective way in manner to
make sure that the project will be developed in an effective manner and complete
efficiency can be acquired with this project
 The above data can be used for the developed and consideration of all the aspects
related to the development of an automated system for the hospital
 The above data is feasible

PUBLIC AND PRIVATE HOSPITAL SYSTEM
11. Bibliography
Cheng, T.C., Haisken-DeNew, J.P. and Yong, J., 2015. Cream skimming and hospital transfers
in a mixed public-private system. Social Science & Medicine, 132, pp.156-164.
Cotta, M.O., Robertson, M.S., Marshall, C., Thursky, K.A., Liew, D. and Buising, K.L., 2015.
Implementing antimicrobial stewardship in the Australian private hospital system: a qualitative
study. Australian Health Review, 39(3), pp.315-322.
de Souza, M.B., Warkentin, S., Mais, L.A. and Konstantyner, T., 2017. Risk Factors for
Neonatal Depression in a Regional Public Hospital, Santos, Brazil, 2013. J. Paedi. Care. Inol,
1(2), pp.7-11.
Freire, S.M., Cavalini, L.T., Teodoro, D. and Sundvall, E., 2017. Archetypes for representing
data about the Brazilian public hospital information system and outpatient high complexity
procedures system. arXiv preprint arXiv:1711.09731.
Miranda, J.X.D., Vila Real, C. and Moreira, E.A.M., 2015. Metabolic Disorders/Comorbidities
Profile of Adults Undergoing Roux-En-Y Gastric-Bypass in a Brazilian Public Hospital and Risk
Mortality Assessment using Edmonton Obesity Staging System: A 13-Year Study. J Food Nutr
Disor 4, 6, p.2.
Xing, Z. and Oyama, T., 2016. Measuring the impact of Japanese local public hospital reform on
national medical expenditure via panel data regression. Technological Forecasting and Social
Change, 113, pp.460-467.