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  • Nagar Panchayat Hospital

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    Debapriya Waddadar
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    The Nagar Panchayat Hospital was originally viewed as a cost center by the local Panchayat. However, it was able to become a profit center through increased donations, revenues, patients, and recognition. Issues arose because the hospital revenues were not being reinvested into improvements and the Chief Medical Officer had difficulty getting approval for activities. MBA students recommended measures like expanding the pharmacy and maternity units to make the hospital more self-sustaining. Solutions proposed granting more autonomy through a separate trust or transferring management under the 74th Constitutional Amendment.

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    The Nagar Panchayat Hospital was originally viewed as a cost center by the local Panchayat. However, it was able to become a profit center through increased donations, revenues, patients, and recognition. Issues arose because the hospital revenues were not being reinvested into improvements and the Chief Medical Officer had difficulty getting approval for activities. MBA students recommended measures like expanding the pharmacy and maternity units to make the hospital more self-sustaining. Solutions proposed granting more autonomy through a separate trust or transferring management under the 74th Constitutional Amendment.

    Copyright:

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    Download as PPTX, PDF, TXT or read online from Scribd
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    43 views10 pages

    Nagar Panchayat Hospital

    Uploaded by

    Debapriya Waddadar
    The Nagar Panchayat Hospital was originally viewed as a cost center by the local Panchayat. However, it was able to become a profit center through increased donations, revenues, patients, and recognition. Issues arose because the hospital revenues were not being reinvested into improvements and the Chief Medical Officer had difficulty getting approval for activities. MBA students recommended measures like expanding the pharmacy and maternity units to make the hospital more self-sustaining. Solutions proposed granting more autonomy through a separate trust or transferring management under the 74th Constitutional Amendment.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 10

    NAGAR PANCHAYAT HOSPITAL

    Submitted by: Debapriya Waddadar Roll no-27

    CASE OVERVIEW
    Panchayat owned Hospital Viewed to be as a cost centre Panchayat takes care of various facilities and civic adminstrations Apart from budgetary support, expenses were met by revenues from cost centres.

    THE HOSPITAL
    OBJECTIVES
    To provide domiciliary medical support to the residents of the township To provide immunization services under the maternal and child health programme To undertake preventive programmes for checking outbursts of epidemics

    Though being a cost centre, soon converted into profit centre. Sources of income:
    Donations Increase in revenue collections Increased intake Recognition

    ISSUES
    Hospital used as a profit centre. All the inflows and cash generated went directly into the pool No additional staff to meet up the hospital requirements. Revenues not used for hospital improvements. CMO found difficult to negotiate for each activity.

    Accounts managed by Panchayat; no separate division. Even though separate bank account was prepared, it was tough to identify the contribution made towards hospital. Panchayat did not want to handover the hospital to Zila Panchayat.

    HOSPITAL- A SELF SUSTAINING UNIT


    MBA students suggested a few measures:
    Pharmacy division
    Inventories for medicines Lower prices Sufficient margins

    Maternity Unit
    Concept of small family with tubectomy

    Equipment Purchase
    Grant from panchayat or state government Private donor

    SOLUTIONS
    CMO discouraged cash donations. Donation of medicines and medical equipments. Danger of diversions of donation received. Donations in form of paying additional staff or visiting doctors. Would appoint specialists using goodwill.

    CHALLENGES
    To channelize the surpluses into health related activities. To provide autonomy. Provide next level of services, more staff, infrastructure, and resources.

    ALTERNATE MODELS OF AUTONOMY


    To get some form of autonomy:
    Some decisions to be decentralised and financial transactions seperated from Panchayat. Handing over the management of hospital to a separate trust where panchayat members could be trustees. 74th Constitutional Amendment could allow transfer of some of its assets and resources to a private body to operate autonomously.

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