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Major stakeholders of health care system pwrpnt


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major stakeholders in health care system

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Major stakeholders of health care system pwrpnt

  3. 3. DEFINITIONS  “Stakeholders are those entities in the organization’s environment that play a role in an organization’s health and performance or that are affected by an organizational action.”  “ Persons or groups who have vested interest in the clinical decision and the evidence that supports that decision, referred to as stakeholders” [ AHRQ ]
  4. 4. TYPES OF STAKEHOLDERS * EXTERNAL STAKEHOLDERS • provides inputs to organization.
  5. 5. EXTERNAL STAKEHOLDERS  Suppliers, patients, and financial community.  The competitor.  Special interest group
  6. 6. INTERFACE STAKEHOLDERS:  Interface between organization and its environment.
  7. 7. INTERNAL STAKEHOLDERS  almost entirely within the organization and its environment.
  8. 8. PRIMARY STAKEHOLDERS:  They are the beneficiaries or the targets of the effort SECONDARY STAKEHOLDERS:  those directly involved with or responsible for beneficiaries or targets of the effort. KEY STAKEHOLDERS:  people who can devise, pass and enforce laws and regulations
  9. 9. EXAMPLE: NRHM state health mission. district health mission. chief block health officer. Doctors,nurses,health workers etc at PHC and sub-centre level. ASHA, Anganwadi workers MCH services Mother and children
  10. 10. MAJOR STAKEHOLERS IN THE HEALTH CARE SYSTEM Government Health care providers Public STAKEHOLDERS Hospital administrators & governing bodies NGO Health insurance
  11. 11. 1.  GOVERNMENT Vision: Availability of quality health care on equitable, accessible, and affordable basis across regions and communities with special focus on under reached population and marginalized groups.
  12. 12. GOVERNMENT Mission: primary, secondary and tertiary health care delivery system.  maternal and child health.  decrease the incidence of communicable diseases.  population stabilization.  training.  promote rational use of pharmaceuticals in the country. 
  13. 13. GOVERNMENT  At central level  Ensuring high levels of executive management performance.  Ensuring quality of patient care.  Ensuring financial health of the organization.  Formulating policies to guide decision making and action.  Making decisions regarding health.
  14. 14. GOVERNMENT  At state level :   Integrating health services. Emphasis on institutional autonomy and dependency. Plan health care programmes and drawing policies. Provision of medicines.  At district level:  managed by deputy commissioners, civil surgeons, senior medical officers, and district public health nurse.  
  15. 15. THE PUBLIC 2.PUBLIC Health as the right………
  16. 16. 3. HEALTH CARE PROVIDERS:   Community health care professionals. Doctors of community health centre:
  17. 17. HEALTH CARE PROVIDERS  Public health nurses:
  18. 18. HEALTH CARE PROVIDERS Health workers  village health guides  local dais  Anganwadi workers: 
  19. 19. HEALTH CARE PROVIDERS  Hospital health care professionals: 1. Physician
  20. 20. 2. Nurses: 3. Pharmacists:
  21. 21. 3. Paramedical personnel: 4. Respiratory technologists. 5. Social workers. 6. Physiotherapists.
  23. 23. HOSPITAL ADMINISTRATORS AND GOVERNING BODIES  BOARD OF TRUSTEES: • • • • • Mission development . Ensuring high quality care. Oversight of finance & staff. Selection & evaluation of CEO. Board self -evaluation and education.
  24. 24. HOSPITAL ADMINISTRATORS AND GOVERNING BODIES: CONTD  The chief executive officer. Runs institution efficiently, carrying out policies , addressing health care issues in the community.  The chief finance officer. Manages the finance,allocates adequate funds according to the needs.  The chief nurse executive. Serve as clinical leaders and administrators.
  25. 25. NON-GOVERNMENTAL AGENCIES  FUNCTIONS: Supplementing the work of governmental agencies.   Pioneering.  Education.  Demonstration.
  26. 26. NON-GOVERNMENTAL AGENCIES:  Indian red cross society,1920.  Indian council of child welfare,1952.  All India blind relief society,1946.  Tuberculosis association of india,1939.  Hindu kusht nivaran sangh,1950.  The Kasturba memorial fund,1994.  Professional bodies.
  27. 27. HEALTH INSURANCE  Central government health scheme. Out-patient care.  Hospitalization facilities.  Supply of drugs.  Lab and x-ray facilities.  Emergency department.  Family welfare services.  Antenatal, natal and postnatal services.   ESI SCHEME:
  29. 29. STEPS IN THE MANAGEMENT OF STAKEHOLDERS diagnose each stakeholder identify type of stakeholder implement strategies and evaluate classify each stakeholder relationship formulate generic strategies
  30. 30. STEPS IN THE MANAGEMENT OF STAKEHOLDERS Identify type of stakeholder: identify the major stakeholder and recognizes the function depicted to them .  Diagnose each stakeholder relationship: 1. Stakeholder potential for threat: 2. Stakeholder potential for co-operation:  Classify each stakeholder relationship:  Mixed blessing stakeholder relationship.  Supportive stakeholder relationship.  Non-supportive stakeholder relationship.  Marginal stakeholder relationship. 
  31. 31. STEPS IN THE MANAGEMENT OF STAKEHOLDERS Formulate strategies to reduce stakeholder’s potential to threat:  Collaborate cautiously in the mixed blessing relationship.  Involve trustingly in the supportive relationship.  Defend pro-actively in the non-supportive relationship.  Monitor efficiently in marginal relationships.  Implementation of strategies and evaluation 
  32. 32. STAKEHOLDER ANALYSIS Stakeholder analysis/ stakeholder mapping is a way of determining who among stakeholders can have the most positive or negative influence on an effort, who is likely to be most affect by the effort, and how you should work with stakeholders with different levels of interest and influence.
  33. 33. STAKEHOLDER ANALYSIS Need to identify and analysis stakeholders It puts more ideas on the table.  It includes varied perspectives from all sectors and the elements of community affected.  It gains support for the effort from all stakeholders by making them as integral part of development, planning, implementation and evaluation.  It saves you from being blindsided by concerns you didn’t know about.  It increases credibility of your organization. 