Milton Siepman when appointed as the Chief Executive of General Health System, associating with Adventist Health Systems, is confronted with numerous challenges. The major ones that demand urgent attention from Mr Milton are as follows.
Problem 1: The major problem that worries the CEO would the rising cost of health care operations that would cause severe constrains on the initiatives of General Health's various community based programmes. As the objective of the system is to ensure the health facilities to the needy and the poorest of the society it is necessary that new approaches need to be devised to ensure the successful implementation of sustainable health care schemes.
Options available: The options are also available with Milton Siepman to prepare General health system to tide over such a difficult phase. One of the methods that are envisaged is to have corporate partnership with the various leading drug agencies to support the health cover programmes as part of their corporate responsibility. These medicines would be exclusive to General Health programme and would be explicitly mentioned on the package as an acknowledgement for this noble initiative. This would also be supported by incorporating a preferential sale policy for the products of the above said companies in the pharmacies attached to these hospitals. This would help the corporate houses to boost their medicinal sales volume by creating exclusive sales of their medicines but at the same time using these locations to support the needy and poor by providing the low priced medicines. Appropriate quality control systems would also be enforced to ensure that reduction in cost don't lead to the loss in standards and quality. In addition to this, the hospital services would be projected as a major place for other corporate houses that are not related to medical and health care but could be convinced to take up the role of a partner for their community support services.
Problem 2: Employing specialist doctors in most of the needed domains of health care is another issue that demand immediate intervention. With the higher salary and other remuneration required for such type of specialists, to employ them regularly is not a feasible solution considering the General Health's financial performance. But most of the poor patients are undergoing very agonizing moments due to their inability to avail their services due to the very poor economic status. Even the existing government support may not be adequate to give them a reasonable level of comfort to approach a very specialized health care provider.
Options available: A massive campaign has been planned among various specialists working across different regions to cooperate with General Health Systems in this connection. It is indented to associate them for the out door health support services of General Health units. These doctors would be contacted and the nearest outdoor unit to their location would be equipped to avail their facility. The patients would be contacted earlier and the profile and the status would be sent to the doctor for an assessment. Based on the reports attached doctors could make a judgment on the list of patients they would prefer to give their service at lesser cost.
Problem 3: Improving pain and palliative