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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
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
The gradual growth of foreign healthcare providers in Nigeria threat and opportunities
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
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)
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)
Secretary to Board
D.E. Eboh
Mentoring
Project management Consultancy
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
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
General Hospitals
Teaching Hospitals
Mental Health Hospital
CEO of Fed Health Service Authority (FHSA) National Dir of Healthcare Procurement
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