Assessment Report of Public Hospitals: For the Development of Public Private Partnership in Tertiary healthcare and High-End Diagnostic Services

The report provides evidence to assist public health policy makers and decision makers to attract and initiate discussions with potential private investors interested in engaging in PPPH. The assessment focuses on the institutional capacity of the hospitals, including governance, healthcare financing, and human resources management. The 11 public hospitals have introduced governance structures and strategic plans in line with the Health Sector Transformation Plan (HSTP). However, there appears to be noticeable variation in the functionality of the governance structure and adoption of strategic plans across the hospitals, limiting the effectiveness of strategic leadership and hospital management. The hospitals generally pursue staff development plans through resident specialty and fellowship sub-specialty programs, operate revenue retention and private wing, outsourcing non-clinical services, clean yards exhibits, renovation, and construction of new buildings. However, the absence of ICT and electronic medical records (EMR), advanced financial management practices, inconsistency of the private wing scheme, incomprehensiveness of outsourced non-clinical services, and marginalization of management staff from major system modernization programs narrow the breadth and scale of the institutional capacity. The report highlights the growing demand for tertiary healthcare services, with specialty services such as dermatology, pediatrics, neonatal, ENT, neurology, psychiatry, orthopedic, dentistry, and physiotherapy being the most commonly demanded. Subspecialty health services, including surgical subspecialties, medical and pediatric subspecialty healthcare services, and OB/GYN subspecialty services, are also in high demand. The report emphasizes the need for significant efforts of resource mobilization to revamp the institutional capacity of the hospitals and address the growing demand for tertiary healthcare services. The assessment report identifies several areas for improvement, including the development of ICT and EMR systems, implementation of advanced financial management practices, and standardization of the private wing scheme. The report also highlights the need for management staff to be involved in major system modernization programs to ensure effective institutional capacity development. The report provides a comprehensive overview of the institutional capacity of the 11 public hospitals and highlights the need for PPPH to improve and integrate tertiary healthcare services. The report concludes that the 11 public hospitals have made significant progress in introducing governance structures and strategic plans in line with the HSTP. However, the variation in the functionality of the governance structure and adoption of strategic plans across the hospitals limits the effectiveness of strategic leadership and hospital management. The report emphasizes the need for significant efforts of resource mobilization to revamp the institutional capacity of the hospitals and address the growing demand for tertiary healthcare services.