WHEN THE SUN RISES WE WORK HARD TO DELIVER 1 DEPARTMENT OF HEALTH Key Challenges in the Department...
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Transcript of WHEN THE SUN RISES WE WORK HARD TO DELIVER 1 DEPARTMENT OF HEALTH Key Challenges in the Department...
WHEN THE SUN RISES
WE WORK HARD TO DELIVER
1
DEPARTMENT OF HEALTH
Key Challenges in the Department
Select Committee on Social ServicesParliament, Cape Town
M514, Marks Building, 5th Floor
02 June 2015
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1. Outcome and Sub-outcomes
2. Challenges
3. Impact per Challenge
4. Remedial Measure Taken
5. Turnaround Strategic Plan
6. Balance Score Card
7. Weekly Monitoring Tool
8. Decision expected from Select Committee on Social Services
PRESENTATION OUTLINE
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SUB-OUTCOMES
1.Universal Health coverage progressively achieved through implementation of National Health Insurance (NDoH)
2.Improved quality of health care
3.Implement the re-engineering of Primary Health Care
4.Reduced health care costs (NDoH)
5.Improved human resources for health
6.Improved health management and leadership
7.Improved health facility planning and infrastructure delivery
8.HIV & AIDS and Tuberculosis prevented and successfully managed
9.Maternal, infant and child mortality reduced
10. Efficient Health Management Information System developed and implemented for improved decision making
OUTCOME 2: A LONG AND HEALTHY FOR ALL SOUTH AFRICANS
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KEY CHALLENGES
The following are Departmental Key Challenges:
Strategic Leadership
Hospital Management
Medico-Legal Services and Litigations
Health Information Management and Health Information Systems
Corporate Services – Document Management
Communication and Social Mobilisation
Human Resource Management and Development
Financial Management
Health Infrastructure Management and Development
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KEY CHALLENGES
Strategic Leadership
• Poor management of policies and guidelines
• Ineffective governance structures
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KEY CHALLENGES
Hospital Management
• Poor leadership and organisational culture (transversal across all areas of concern)
• Non-compliance to core norms and standards
• Non compliance to NHI readiness status
• Inappropriate provisioning of Non-negotiables
• Inadequate management of emerging risks (disease, outbreaks emergencies etc)
• Pharmaceutical depot challenges
• The warehouse non-compliant with Medicine and Related Substances Control Act, 101
of 1965
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KEY CHALLENGES
Medico-Legal Services and Litigation
• High outstanding litigations due to inadequate management of litigation risks
Corporate Services
• Inadequate record management system
Health Information Management and Health Information Systems
• Lack of integrated health information system
• Lack of cohesive and integrated IT system (transversal to include relevant
departments)
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KEY CHALLENGES
Communication and Social Mobilization
• Uncoordinated Advocacy and Communications Strategy
• Weak social compact with the Public
• Inadequate telecommunication infrastructure in health facilities
Human Resources Management and Development
• Poor HR Management/inconsistent leadership challenge
• Inadequate HR Plan
• Out of adjustment appointment-Organogram
• Challenge on the right staff mix
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KEY CHALLENGES Financial Management
• Senior financial positions inconsistently filled resulting in:
Non-Compliance with PFMA, Treasury regulations and SCM Processes
Ineffective Risk Management
Asset Management, Contract Management, Liability Management
Extended turn-around-time to meet service provider commitments.
Inadequate contract management of general conditions of contract as per Tender Act
Accruals
Inadequate Fleet Management System
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KEY CHALLENGES
Health Infrastructure Management and Development
• Key senior positions vacant for a long period
• Historic dependency on DPWRT, both of which contributed to:
Poor state of Infrastructure
Inadequate capacity for planning and delivery
Funding backlogs for refurbishment and renovations
Poor spending capacity due to inability to attract skilled built environment
personnel
Poor Management of Contractors
Lack of capacity for effective Project Management
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REMEDIAL MEASURES TAKEN
TURNAROUND STRATEGIC PLAN
BALANCE SCORE CARD (MONITORING TOOL FOR IMPLEMENTATION OF TAS)
WEEKLY MONITORING TOOL (WEEKLY EVALUATION OF OPERATIONAL ACTIVITIES)
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TURNAROUND STRATEGIC PLAN
TURNAROUND STRATEGIC PLAN(Please see attached Turnaround Strategic Plan)
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BALANCE SCORE CARD
BALANCE SCORE CARD (MONITORING TOOL FOR IMPLEMENTATION OF TAS)(Please see attached Balance Score Card)
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WEEKLY MONITORING TOOL
WEEKLY MONITORING TOOL (WEEKLY EVALUATION OF OPERATIONAL ACTIVITIES)(Please see attached Weekly Monitoring Tool)
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DECISION EXPECTED FROM SELECT COMMITTEE ON SOCIAL SERVICES
To note: 1.Key Challenges experienced by the Department, 2.The Turnaround Strategic Plan and 3.Endorse the Turnaround Strategic Plan
DEPARTMENT OF HEALTHMPUMALANGA PROVINCEREPUBLIC OF SOUTH AFRICA
Thank You