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HOSPITAL AUTONOMY

Updated: February, 2013

Action Plan                                            Hospital Autonomy Bill 2004                                              Present Status

HNPSP - IHSM

Private Hospitals & Clinics

Private Diagnostic Centre

Private Blood Bank

Medical Board

Cost Centres

CMSD Procurement

Medical Waste Management

Referral System

Hospital Accreditation

Quality Assurance

Risk Management

Total Quality Management

Clinical Protocol

Management Development Program

Emergency Management

Poisoning Management

Hospital Autonomy

Safe Blood Transfusion

Community Participation

APR

Operational Plan

Women Friendly Hospital Initiative

EOC & Gender

Capacity Development

Establishment of Shishu Bikash Kendra at 14MCHs

The dictionary defines “autonomy” as “the quality or state of being self-governing, existing or capable of existing independently.”  The characteristics of autonomy are as follows:

1. Hospital autonomy is a relative not an absolute concept.

2. Even private hospitals are not truly autonomous- they are also subject to government regulation.

3. The issue is one of “degree of autonomy rather than an absolute autonomous state.”

4.  Implicit in the definition of autonomous hospitals is that of being “at least partially, selfgoverning, self-directing, and self-financing.”

5. What is relevant and important is the effect of the degree of autonomy on the performance of the hospital – to the extent that it promotes positive outcomes and reduces negative outcomes.

6. Autonomy does not automatically enhance performance.

7. Autonomy is not synonymous with privatization- an autonomous hospital can exist just as easily under government ownership, as under private ownership.

8. Equity, quality, and patient satisfaction are indicators to measure the outcomes of hospital autonomy.

“A key factor in the design of this concept is that hospitals will be granted a different organizational status (semi-autonomous) rather than just one of the units under a government system. A decentralized autonomous system results in the government delegating operational responsibility to the hospital governing board. The new status is to feature enhanced management authority with respect to personnel administration and budget administration such that there will be incentives for more efficient performance and more discretion by management to achieve it. 

This is a key concept because corporate restructuring will be relying in good part on these

enhanced incentives and authorities to drive improved organizational efficiency and quality of outputs if hospitals are to succeed with substantial cost recovery.” 

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HOSPITAL AUTONOMY

ACTION PLAN

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HOSPITAL AUTONOMY

PRESENT STATUS

Present Status :  New Activity for HPNDSP, Activities will be started from October,11