Healthcare as a Business Prof. Gilbert Kokwaro, FAAS IHC, Strathmore Business School

Presentation Outline Components of a Health System Something about Eastern Africa Access to quality healthcare:-barriers and opportunities What doctors need to succeed in business What Strathmore offers

HS Governance InformationFinancing Service delivery HR Medicines and Technologies

Opportunities in Eastern Africa There are approximately 200 million people in East Africa 90% of these people don’t have access to basic quality healthcare This is a huge market for healthcare business

Access to quality healthcare: barriers and opportunities Barriers to having access to healthcare Barriers to gaining access to healthcare Who pays for healthcare in Kenya?

“Having” versus “Gaining” Access to health services Having access means the potential to utilise a service if required Gaining access means initiation into the process of utilizing a service

Key barriers to access Lack of “having” access: Tyranny of distance is the key issue Lack of “gaining” access: a)Financial barriers, b) Personal (cultural)-e.g, lack of knowledge, c) System barriers (availability of drugs; health worker attitudes; Quality, overworked health workers; absent health workers)

Map of Mfangano Island

LAMU ARCHIPELAGO

What doctors need to do to succeed in business Set quality benchmarks Align competency to quality Get training in Leadership and Management Plan the business Start the business Refine the business

Quality A quality product or service is one that meets or exceeds clients’ expectations. Expectations can change, so quality must be continuously improved.

Quality Healthcare Quality of care is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.

Business model based on quality of service Establish demand for service Benchmark quality of service Establish cost of provision of quality service Establish sustainable client base to pay “full cost” Expand “base of pyramid” by offering same quality at affordable cost

The Business Management Triangle Quality of the work done Time available Q TV Volume of Work done £ Costs & Benefits You must make the trade-off decision visible to everyone

“Lack of management skills appears to be the single most important barrier to improving health throughout the world” In many counties in Kenya, the skill sets are highly technical as opposed to managerial, financial, strategic or leadership-oriented Management skills

“ Management is the art of getting things done through people” “Leadership creates systems that managers manage, while Management is what makes systems work well on a daily basis” Management skills

Risk - A Working Definition Risk = The possibility of an event occurring that could prevent the business achieving its success criteria Upside Risks Downside Risks

Risk Levels and Accountabilities Leve l 4 Level 3 Level 1 Level 2 Organisation Risks Functional Team Members Project Leader & Project Champion Portfolio Directors Organisation Leaders Portfolio Risks Project Risks Functional Risks

What you can get at Strathmore Leadership and Management training Managing Healthcare Businesses Health Board Training On/off site mentorship Linkage to potential health financing opportunities CPD accreditation

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