DAVID EBOH

BA (Hons) (Health Service Management) PGDipHE, LLB, MBA

Health Management Consultant

President: Nigerian Association of Health Service Managers and Consultants (NAHSMAC) Author: Two management books on healthcare

School Governor: St Peters R.C. Pri. Sch. London

The market and competition

Globalisation and technology

Corporate failures and successes Data management and information research Understanding yesterday Dealing with today Planning for tomorrow (future) Public interest and National/State Image

Financial strategy Business strategy Human Resource Strategy Clinical leadership and Medical Research Staff education, training and development strategy Branding and Marketing strategy Estate and facility management

Security

Over 10 episodes of doctors strike in 2 years

Over 100,000 deaths following the strikes Each strike last consistently over 2 10 months Diversion of public drugs and equipment to private hospitals Redirection of patients from public to private hospitals Cash deposit overrides Hippocratic oath for saving lives
Uffot, E. (2010) ....Theyre still at best consulting clinics Newswatch 50th Birthday Special Edn. 29 Sept.

Political rhetoric, no genuine commitment Public fund paying for overseas treatment of government officials

Foreign medical treatment cost Nigeria N30 billion annually (Ngozi Okonjo-Iweala)
Failure to manage the synergy across health related agencies food, road/transport, water etc Political indecision on interprofessional rivalry Subjectivity to external influences Nigerians used as guinea pig for clinical trials
(Eboh, D. (2008) The Politics of Healthcare in Nigeria, A Game of Lottery

1 million Nigerian children currently die per year at birth compare to 9 million globally (WHO) 1,100 children die annually out of 100,000 births 53,000 women die annually from pregnancy related conditions (WHO, see Uffot 2010) 1 in 5 children die before their 5th birthday in Nigeria Estimate of 60% of the deaths are preventable Low life expectancy, 48 years men, 49 years women

About 80% of preventable deaths are due to clinical negligence In 2007 N400 million health budget mismanaged by then Minister of Health Prof Adenike Grange In 2003, N17.4 billion health loan from IDA, world Bank not properly accounted for In 2009, N13 billion loan from IDA ,World Bank also unsatisfactorily managed

Present Health Minister, Prof. Chukwu asserts that N 4.47 trillion ($20 billion) is needed to achieve MDG by 2015 (Uffot
2010)

Patient centred care - clinical and administrative staff Equality and diversity

Corporate culture and identity; Collective ownership

Absence of learning and development status barrier Mutuality in dignity and respect across all boundaries Every stakeholder matters in healthcare setting

The gradual growth of foreign healthcare providers in Nigeria threat and opportunities

Under developed accident & emergency services

Poor primary healthcare system - Non-viable community healthcare services

Continuing brain drain of medical, other clinical and healthcare professionals

Dead or isolated prominent Nigerians in healthcare institutions abroad why??? Road accidents and other traumatic incidents

Extensive review of the key influencing factors

Proactive PEST analysis Comprehensive SWOT analysis

Overhaul of institutions and organisational structure

Introduction of corporate leadership Introduction of Socio - entrepraprenural health management model Training, development and mentoring of managers Taking advantage of IT and modern technology

Establishment of dedicated Health Management Institute

Extensive and sustained investment in medical research Clear distinction in roles between clinical and management leadership Managed and viable primary healthcare system Universal registration with Community Health Clinics Functional A&E and Ambulance services Proactive disease prevention and chronic disease management

21st Century Healthcare Corporate Boardroom With Social-Entrepreneural Model for Service Delivery Chairman (Successful Entrepreneur) Dir. of Strategy, Business & Org. Dev. Dir. of Human Resources
Director of Nursing & Quality

Chief Executive Officer (CEO) (Trained and Qualified Strategic Manager)

Director of Finance
Chief Med. Director(CMD) (Experienced Doctor) Director Corporate Affairs, Communication & IT Director of Procurement

Director of Pharmacy Dir. of Public Health (Any Graduate in PH) Secretary (Legal Practitioner)

Dir. of Allied Medical Services

Service Users Representatives: Community and Religious Leaders

This model enhances multi-talents approach to corporate priorities and unifies strategic vision for growth, productivity and profitability. It centres on the public and consumers needs David E. Eboh

Ancient Historical Healthcare Management Boardroom With Medical Model for Service Delivery
Chairman

(Doctor)
Rep. of NMA (Doctor) Rep. of Public Interest (Doctor) Dir. of Public Health (Doctor)

Chief Med. Dir. Prof. (Doctor)

Chairman MAC (Doctor)
Rep. Fed. Min. of Health (Doctor)
Rep. of University (Doctor)

Secretary to Board

Rep. of other professions

Director of Administration Hospital Boardroom

This model obscures fundamental corporate priorities and constricts innovation and creativity in strategic leadership and management

D.E. Eboh

Idea projection for innovation and creativity Training

Mentoring
Project management Consultancy

Championing specific corporate philosophy/ideology

Hands on in clinical practice & corporate strategic leadership

Support clinical and management research

Standard and quality Accountability Respect for human lives Dignity and respect for everyone Value for equality and diversity Profitability for the respective institutions Research and Development Workforce training and development Policy development and active implementation Building organisational culture and identity

Universal access to affordable healthcare services

Positive inter-professional relationship, collaboration and cooperation

Journal development and publication of health specific articles, news and general information
Maximising satisfaction level for patients / services users, and other stakeholders Wake up the law for Patients and public protection Coroners investigation

Financial and clinical accountabilities Customer care services Complaint management and patient / customer satisfaction Rewarding success for clinicians and other staff

Knowledge, skills and experience of IT use

Knowledge, skills and experience of modern equipment National Association of Health Service Managers and Consultants (NAHSMAC)

David Eboh (2011)

Primary Health Care

(Community Health Centres)

Corporate Management / Leadership

(

Universal Access for Locals

General Hospitals

Clinical Management and Leadership

Teaching Hospitals
Mental Health Hospital

Federal Health Service Authority (FHSA)

CEO of Fed Health Service Authority (FHSA) National Dir of Healthcare Procurement

Fed. Chief Medical Officer (FCMO)

Fed. Chief Nursing Officer (FCNO)

Director General, NAFDAC

National Dir., Allied Health Professionals

Political Corporate strategic and managerial Clinical Technical and technological

Federal: Minister of Health for the Government National Health Flag: Chief Executive for Federal Health Service Authority (FHSA) (proposed) State: Commissioner for State Government State Health Flag: Chief Executive for state Health Service Authority (SHSA) (proposed) Health Institutions CEO for Corporate leadership Directors for medical, nursing, pharmacy etc, directorates

Directors for Admin, technical & other directorates Finance, HR, Estate, Engineering etc

NAHSMAC