Project Driven

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Project Driven
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Introduction

Most all funding by outside organizations in Health Care is for "Specified Projects"

Story

A funded project was moved from one part of the building to another. Even though there were air condition units in the new part of the building, all air condition units in the old part of the building were removed and and used to replaced the units in the new part of the building... Because...these particular units had been purchased by the "project."

 

Recommendations: 

Donor contracts should be created to perform a certain service.  "Rooms assigned,"  "employees named," "Equipment IDed" should not be part of the contract. The organization should be allowed to perform the service in any way that it can as long as it is performed. This serves two purposes (1) it allows the organization to operate more efficiently and (2) it lowers the cost to the donor.    

 

Story 2

Although, the hospital was overflowing with cholera patients there were in one room that had 3 physicians and 3 nurses sitting at a table with not one single patient in the room. It seems that these staff members were funded for a special study. Even though that particular day they had no patients that fit the study parameters, they were unable use their room or help other staff members in their jobs...because it was paid for by the "project."

 

Recommendations: 

Donor contracts should be created to perform a certain service.  "Rooms assigned,"  "employees named" should not be part of the contract. The organization should be allowed to perform the service in any way that it can as long as it is performed. This serves two purposes (1) it allows the organization to operate more efficiently and (2) it lowers the cost to the donor.    

 

Story 3

The organization had an employee health care clinic. 

 

Although studies were underway in a health care organization to improve the operations of health care clinics, when a proposal was put forward to improve the operations and efficiency of their own internal "staff clinic" and in turn lowering the expenses and improving the services.  The improvements were turned down because it was not "funded." 

 

Recommendation: 

Include in the funding request sufficient money to do the initial study within the organization. It serves two purposes: (1) it is cheaper for the donor (2) it make the health organization more efficient. 

 

Story 4

In one small project that was donor funded, one of the three staff members that were assigned to the project became sick. A little while later the project manager was called and told that he had to stop his project because there was no money left in the his funds. The reason: All medical expenses of the staff are paid by the Organization and charged directly to the project they are working on. If the project is small and only has a small funding, the project’s total funding is depleted. 

 

Recommendation:

Create a self insured fund or purchase medical insurance. An individual project can still be charged the "premiums" for the staff member but the risk of the total lost of the project funding is prevented. 

 

Story 5

Taking the money for a project and not doing the research.

 

Recommendation:

Create a project "overview" committee. The committee should review commitments, schedules, and budgets. [Most organizations have these in place].

 

Comments

Most of the severe restrictions placed on the organizations was due to the inability of the organization to produce good information. The Donors did not "trust the accounting of the organization."

 

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