A JOINT PROGRAM BETWEEN UNIVERSITY OF

GONDAR COLLEGE OF MEDICINE AND HEALTH

SCINCES AND AMANUEL MENTAL SPECIALIZED
HOSPITAL

HEALTH SERVICE MANEGENT AND HEALTH ECONOMICS GROUP

ASSIGNMENT

Group members
Name Id No
1. Nebiyu Mengistu UOG/AH/214/09
2. Seid Shumye UOG/AH/215/09
3. Solomon Eshete UOG/AH/217/09
4. Tadesse Misgana UOG/AH/218/09
5. Yoseph Sahile UOG/AH/223/09

SUBMITTED TO: AMARE MINIYUNE( BSC,MPH)

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 July 9, 2017

TABLE OF CONTENT

EVALUATION OF LMG PRACTICES OF FEDERAL POLICE COMMISSION GENERAL HOSPITAL-----------3

Introduction--------------------------------------------------------------------------------------------------------------------------------------------------------------3

Background Of The Hospital-----------------------------------------------------------------------------------------------------------------------------------------3

Mission-------------------------------------------------------------------------------------------------------------------------------------------------------------------- 3

Vision---------------------------------------------------------------------------------------------------------------------------------------------------------------------- 3

STRATEGIC MAP OF FEDERAL POLICE HOSPITAL---------------------------------------------------------------------------------------------------------------4

LMG practice of federal police commission general Hospital----------------------------------------------------------------------------------------------4

Leadership practices------------------------------------------------------------------------------------------------------------------------------------------------4
Managing Practices------------------------------------------------------------------------------------------------------------------------------------------------- 5
Governance Practices---------------------------------------------------------------------------------------------------------------------------------------------- 5

Conclusion---------------------------------------------------------------------------------------------------------------------------------------------------------------- 7

Recommendation-------------------------------------------------------------------------------------------------------------------------------------------------------7

HEALTH ECONOMICS-------------------------------------------------------------------------------------------------------8

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EVALUATION OF LMG PRACTICES OF FEDERAL POLICE COMMISSION GENERAL HOSPITAL

Introduction
Groups of individuals in the organizations constantly join their forces to accomplish common goals. Sometimes
the goals of these organizations are for profit, such as health care settings, restaurant chains or clothing retailers.
But no matter what their aims, all these organizations share two things in common: They are made up of people,
and certain individuals are in charge of these people.

Managers appear in every organization at least in organizations that want to succeed. These individuals have the
sometimes unenviable task of making decisions, solving difficult problems, setting goals, planning strategies,
and rallying individuals. And those are just a few of their responsibilities!

To be exact, managers administer and coordinate resources effectively and efficiently to achieve the goals of an
organization. In essence, managers get the job done through other people. Peoples and teams empowered to
lead, manage and govern.

Background Of The Hospital

Federal Police commission Hospital has been established during regime emperor hailesilase in 1950’s to
provide health service for police force and their family. It has been crossing 3 regimes to reach to the present.
At present the hospital renders holistic health care service under the umbrella of federal police commission in
order to fulfill the mission, vision and strategic plan of Ethiopian federal police commission. The Hospital has
the following mission, vision and strategic plan.

Mission
Strengthen crime prevention, crime investigation and supporting police service by rendering health prevention,
promotion and rehabilitation services.

Vision
To see police service that fulfills international standards, trusted and satisfactory for people in-need

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 STRATEGIC MAP OF FEDERAL POLICE HOSPITAL

LMG practice of federal police commission general Hospital

Leadership practices
Practice Our observation Comment
Scanning  Balanced score card (BSC) practiced in the hospital.
By means of this All departments and
 the leader discuss with subordinates on the plan professional are not
 provide task, sign charter (individual score card) performing equally
 build their capacity, measures their performance of
and tries to fulfill materials and. is continuous –
 provides feedback performance, discuss on cause of
performance gaps
 Health and other professionals are being hired
according to the standards
 Materials are procured yearly based to fill the gap
Focusing There is annual plan based on 5 year strategic plan Non-observance of the plan
is common
Aligning &  Team work is encouraged Most of the time leaders say
Mobilizing  There is reward system based on the service year “I did it” for the success
of employee who are uniformed member of the instead of saying, “we did it

4
 police ourselves.”
Although there is rewards &
recognition system linking
with goals is rare
Inspiring There is effort to indoctrinate the values, mission, and Some leaders prefer Giving
vision of the commission Command which sometimes
hinder motivation.
Managing Practices
Planning  There is 5-years strategic plan set by federal police  Some doctors are reluctant to
commission prepare score card and
 The hospital takes its share of tasks and plans weekly plans
annually  Some leaders are also
 Based on this plan every departments and case reluctant to give feedback.
teams prepare their own annual plan.
 Employees, health professionals or supportive
staffs are expected to prepare their score card and
submit to their immediate boss.
 Subordinates of every level prepares weekly plan
on pre prepared format
 They report their performance to their immediate
leader and receives feedbacks (corrections or
rewards)
Organize The hospital is organized in Mechanistic System (Tall Although there is An
structure) in which Organizational activities are organization chart and shows
(types) of
broken down into separate case teams. Specialized organizational structure, job
organization tasks and Objectives forwarded to each individual & titles, lines of authority, and
units are precisely defined by top level managers. relationships between
al design
departments in director’s office,
doesn’t Displayed to the public.
Implement Tasks are being implemented according to the plan in
each structures of the hospital.
Monitor/  Performances are monitored using BSC feedback  Minimal actions for low
system
Evaluate performance and non
 Corrective actions are being Taken whenever
necessary observant to the standards
 There is a Rewarding system based on service year
and rarely for high performance  Although there is a system to
measure performance based
on evidence, the work and
employees are evaluated
arbitrary.

Governance Practices

Cultivate  The hospital is accountable to federal police commission The department

accountability  Reports, plans and budgets, financial statements, and established to
performance data are routinely Made and submitted to hear solve client
federal police so that the commission participate complaints most
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 meaningfully in governance decision-making of the time fails
 All health related information are submitted to ministry of to act effectively
health
 There is a department to hear Client complaint. Every service
provider is accountable for his or her faults made on clients.
 Periodic Audit & inspection and external evaluation are
made by federal police commission and ministry of health
 Names of providers and time of service provision displayed
at the door of examination rooms and offices
 Clients are entitled to inform to a department established to
hear client complaints
Engage with The primary stakeholders of the hospital are federal and regional
Stakeholders police organizations, federal ministry of health, clients and
NGOs. The hospital management Informs about its current
decisions, goals, and activities; Consults and listen to their
concerns and provide feedback. It Involve them as a board
member.
The hospital also Collaborate with clients by means of
customer’s forum to discuss about problems in service provision
quality and formulate problem definitions and solutions.
Service recipients are Empowered to make decision through
their representative in board meeting customers’ forum.
Set shared Federal police commission sets strategic direction to deliver its Low
direction mission, goals and objectives. The hospital management
participation of
interprets in line with healthcare delivery. Draft of strategic plan,
annual plans and directions appear for discussion before being in staffs.
practice.

Steward resources As a public organization the hospital is partially financed from

revenue and fixed monthly payment from police members. The
finance and equipment, buildings and medical supplies are
administered by their own departments and audited periodically.
Dispensed for use by formal request process.

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Conclusion
The federal police commission general hospital has many strength and weakness in leading, managing and
governing practice. On leadership, Health and other professionals are being hired according to the standards
materials are procured yearly based to fill the gap. There is continuous performance feedback b/n leader and
subordinates by the means of BSC.

On planning, there is 5-years strategic plan set by federal police commission. The hospital takes its share of
tasks and plans annually. Based on this plan every departments and case teams prepare their own annual
plan. Subordinates of every level prepares weekly plan on pre prepared format. They report their
performance to their immediate leader and receive feedbacks (corrections or rewards).

The hospital is organized in Mechanistic System (Tall structure) in which Organizational activities are
broken down into separate, specialized tasks and Objectives for each individual & units are precisely defined
by top level managers.

Tasks are being implemented according to the plan in each structures of the hospital. Performances are
monitored using BSC feedback system.
Corrective actions are being taken whenever necessary. There is a Rewarding system based on service year
and rarely for high performance

On governance, the hospital is accountable to federal police commission. Reports, plans and budgets,
financial statements, and performance data are routinely Made and submitted to federal police so that the
commission participate meaningfully in governance decision-making. All health related information are
submitted to ministry of health

As weakness, Non-observance of the plan is common. Commanding preferred than inspiring. Some doctors
are reluctant to prepare score card and weekly plans. Some leaders are also reluctant to give feedback.
Although there is an organization chart and shows organizational structure, job titles, lines of authority, and
relationships between departments in director’s office, doesn’t Displayed to the public. Minimal actions for
low performance and non observant to the standards. Although there is a system for Measuring current
performance based concert information, work and employees are evaluated arbitrary.

Recommendation
TO the federal police commission hospital
For administrative
- To prefer inspiring of hospital staffs rather than commanding
- To display the an organization chart and shows organizational structure, job titles, lines of
authority, and relationships between departments in director’s office
- To take an action for low performance and observe for standard
- To establish ombudsman office

For hospital staffs

- To prepare score card and weekly plans

- To increase participation in organizational plans

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HEALTH ECONOMICS
1. Calculate the elasticity of a healthcare commodity between Prices I (4, 6) and Prices II (2, 7) as shown below
in the diagram. What is your conclusion about the market for the commodity by comparing the elasticties
calculated?

∆Q
Elasticity = x 100
∆P
( Q 2 -Q 1 )
½ ( Q 2 +Q 1 )
Elasticity = ( P 2 -P 1 )
½ ( P 1 +P 2 )
2−6
4+6
2 −0.4
Elasticity I = = ⃒−1⃒= 1 so it is unit elastic
6−4 0.4
6 +4
2

3−8
3+ 8
2 −0.909
Elasticity II = = ⃒−0.82 ⃒ =¿ 0.82 so it is inelastic
7−2 1.11
8+2
2

Therefore the elasticity for price I (4, 6) is unit elastic, meaning the demand for Quantity I is sensitive to change
when price change than price II (2, 7) i.e. inelasticity = 0.81

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2. What are the lost scarified opportunities of production of CA services in terms of out put of DM services
forgone at D as shown below?
Out put of DM Services
5 A
4 B
3 C
2 D
1 E
0 1 Out put 2of CA services
3 4 5F

Production possibilities of two services

DM service CA service Label in figure

5 0 A
4 2 B
3 3 C
2 4 D
1 4.5 E
0 5 F

At point D, the DM service is decreased from 5 to 2 and CA service is increased from 0 to 4

So to produce 4 CA services, 3 DM services is lost

3. Based on the model shown below, what you can conclude about the relationship between quantities
demanded of injera and wat?

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 .
An increase in the price of wat from 15 to 25 birr decreased the demand for injera. This shows injera
and wat are complements goods.

4. Read the following scenarios carefully and answer the questions from both the demand and supply
perspective:-

a) Classes at a local health science college are an normal good. People’s incomes fall, perhaps due to a
recession. What is the effect on enrolment in this college?

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 b) The competitive market for apartments in Gondar is in equilibrium, and the University of Gondar raises the
price of dormitory rooms for health science students. What is the effect on the competitive market for
apartments in Gondar?

Because individual firms and consumers can’t noticeably impact the market price in competitive market s,
buyer and sellers in competitive market are referred to as a price takers.
Therefore, an individual firm in a competitive market is said to be face a horizontal, or perfectly elastic demand
curve p

Q
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 c) Assume two drugs are substituent. The price of one drug rises. What is the effect on the market for the
other drug?

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 d. People come to believe that eating tomato is bad for them. The more tomato they eat, the less likely they
are to stay well. What is the effect on the market for tomato?

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 d) The market for medical care is in equilibrium, and consumers’ incomes decrease. What is the effect on
market price

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 Due to the decrease in income, some individuals with minor illness and medical checkup may refrain from
seeing a doctor.

As medical care is inferior, Even if the decrease in income, individuals who need and medical checkup may
see a doctor.

5. The level of equilibrium price and quantity after a simultaneous upward (rightward) shift in demand and supply
depends on the relative magnitude of the changes in demand and supply. Discuss with illustration.

Both Demand and Supply Increase:

Original Equilibrium is determined at point E, when the original demand curve DD and the original
supply curve SS intersect each other. OQ is the equilibrium quantity and OP is the equilibrium price.

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The effect of increase in both demand and supply on equilibrium price and equilibrium quantity is
discussed under three different cases:

Case 1: Increase in Demand = Increase in Supply:

When increase in demand is proportionately equal to increase in supply, then rightward shift in demand
curve from DD to D1D1 is proportionately equal to rightward shift in supply curve from SS to S 1S1 . The
new equilibrium is determined at E1. As both demand and supply increase in the same proportion,
equilibrium price remains the same at OP, but equilibrium quantity rises from OQ to OQ 1.

Case 2: Increase in Demand > Increase in Supply:

When increase in demand is proportionately more than increase in supply then rightward shift in
demand curve from DD to D1D1 is proportionately more than rightward shift in supply curve from SS to
S1S1 . The new equilibrium is determined at E1 equilibrium price rises from OP to OP1 and equilibrium
quantity rises from OQ to OQ1.

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Case 3: Increase in Demand < Increase in Supply:
When increase in demand is proportionately less than increase in supply, then rightward shift in demand
curve from DD to D1D1 is proportionately less than rightward shift in supply curve from SS to S1S1 . The
new equilibrium is determined at E1 equilibrium price falls from OP to OP1 whereas, equilibrium
quantity rises from OQ to OQ1.

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6. Referring to the following table, use the mid-point (arc) formula to calculate the price elasiticty of demand
between a) p=6 and p=4, b) p=4 and p=2 c) what do you conclude about elasticity of straight-line demand
curve as you move down it? D) draw the demand curve.
Price 6 5 4 3 2
Quantity 20 25 30 35 40
demanded

20−30 −10
× 100 ×100
∆Q ( 20+ 30 ) ÷ 2 25 −40
a) Elasticity = = = = ⃒−1 ⃒=1 It is a unit elastic
∆P 6−4 −2 40
× 100 ×100
(4 +6)÷ 2 5

30−40 −10
×100= 100
30+ 40 35
¿
∆Q 2 2 −28.6
b) Elasticity = = ×100 = = ⃒-4⃒=4 It is elastic
∆P 4−2 3 6.7
× 100
2+ 4
2

C) What do you conclude about elasticity of straight-line demand curve as you move down it?

Elasticity declines along demand curve as we move toward the quantity axis(down it)
When the straight-line is parallel to quantity (x-axis) denotes perfectly elastic demand curve ;when elasticity is
>1 it is elastic, =1 it is unit elastic, <1 it is inelastic and if the straight- line is perpendicular to quantity (x-
axis) denotes perfectly inelastic demand curve.

D) draw the demand cur

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7. Calculate the GDP rate of growth for each year relative to the previous year of the below hypothetical economy
Year 2015 2016 2017 2018 2019
Output in US$ Million 1.4 1.5 1.3 1.5 1.9
Growth rate - 7.1 -13.33% 15.38% 26.67%

GDP current−GDP previous

Growth rate=
GDP previous
1.5 mill−1.4 mill
Growth rate= x 100 =7.1%
1.4 million

1.3−1.5
Growth rate= x 100 = -13.33% it decline by 13.33 from previous year
1.5

1.5−1.3
Growth rate= x 100 = 15.38%
1.3
1.9−1.5
Growth rate= x 100 = 26.66%
1.5

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