Case Study – General Hospital General Hospital is a public owned and administered hospital that provides hospital services for a population of 300,000 people. The Hospital reports to the Regional Health Authority, The Regional Health Authority reports to the Health Service Chief Executive and the Chief Executive reports to the Government Minister of Health. The general Hospital is managed by an executive board which has roles such as chief executive, finance director; medical director and nursing director, there are also two representatives of the community. The hospital has eight wards each with twenty four beds, it operates an Accident and Emergency unit. It has an intensive care unit which has eight beds. The hospital has three operating theatres. The hospital provides a full range of clinical specialities, out patients department and services such as physiotherapy. There are various groups of staff employed by the hospital, consultants, junior doctors, sisters, nurses, auxiliaries, porters, cleaners, catering. The budget for the hospital is allocated by the Government directly to the hospital. To stand still and to continue providing the existing services the hospital budget needs to increase by 3% per annum, the drivers for this continual increase are the increase in the age of the population and the cost of new drugs. However, the Government has instructed the hospital to reduce its budget by 2% per annum for the next five years. The Government also sets the hospital targets in many areas which are measured and reported upon. Examples of these targets are: admissions to Accident and Emergency should receive treatment within four hours of arrival, Patients referred to the hospital should be seen within four weeks, waiting times for operations should be no longer than eighteen weeks. The Hospital has relationships with a number of suppliers of drugs, medical equipment and staffing agencies who provide doctors/nurses at short notice. The Hospital also has links and relationships with a number of community health agencies. Assignment Questions 1. Identify three possible systems of interest from the General Hospital case study. For each system identified describe the system components – input/output, transformation, feedback, boundary, environment, hierarchy. (24 marks) 2. Identify the strengths and weaknesses of your three system definitions. (9 marks) 3. For each system of interest identified in question 1 produce a CATWOE and a Root Definition. (12 marks) 4. Identify the possible stakeholders and stakeholder groups for the hospital. For each stakeholder/stakeholder group identify state their possible perspective. (15 marks) 5. Discuss the role models play in a systemic analysis. (10 marks) 6. Discuss the potential weaknesses of using models in a systemic analysis. (10 marks) 7. To produce an effective analysis of a situation the use of soft systems approach is more effective than a hard systems approach. Discuss this statement. (20 mark
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