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BIZ LETTERS bizletters@thedai lystar. net
What hospital managers do
Every once in a while, at some point-of-patient service in the hospital, someone asks me, “What do the mangers in a hospital do?"
When the question is asked, there is always a subtle suggestion that maybe management is not doing much; that the work done isn't very essential or that it doesn't relate to patient care or that it is a cost drain to the organisation.
Over many years, I've grown quite comfortable with the question, I'm not defensive about it, though often younger and less experienced managers are. When I was a young administrator, a mentor CEO told me. "The better you are doing your job as an administrator, the less people will be aware of your presence or understand the nature of your work." Today, after forty years in various management fields, 1 understand what he meant.
People in hospital management and administration, like people in every other job category, have very important and discrete responsibilities. While it is fair to say that managers are not involved in patient care, it would be incorrect to believe that they are not critical to quality patient care.
Mangers exist to ensure that the organisation's resources, meaning time, material, people and money, are applied in a manner that enables people giving patient care to be effective in their roles. Managers ensure that the right people are in the right place at the right time, doing the right things in the right way, at the right cost.
To do this, managers do not need to know how to check
blood pressure, they do not need to assist a surgeon in the operating theater, they do not even have to know how to clean a patient room. However, they need to appreciate the importance of those things in delivering great patient care and customer service. They must understand how to 'resource' those activities.
Good managers first plan, organise, direct, coordinate and control the application of resources to facilitate others in delivering patient care. Then, they monitor that application to ensure correctness. If adjustments are required, they act accordingly. All of this should happen with the least interference to routine patient care and customer service.
So if a manager isn't standing right beside you as patients and customers are cared for, it doesn't mean they aren't working hard to make it possible for the hospital to provide high quality service.
Each participant is an important cog in a complex machine. If the cogs do not perform their specific tasks and mesh in the process with the other cogs, the machine may not be as efficient as it could be; it might not work at all. All jobs in the hospital are essential to the success of the operation. I'll admit that I might have a bias but I'd argue that the people in administration and management the people working with our overall resources are quite important. I hope you agree too.
Ed L Hansen
CEO, Apollo Hospitals Dhaka
The functions of multipurpose society
Rahim is a 25-year-old businessman and lives in Dolipara, Uttara. Last year he took a Tk 30,000 loan from a multipurpose society in order to start a poultry business. His business was running smoothly and he could repay his loan amount along with high interest on time. For the last couple of months, his business has faltered and he was unable to repay his loan instalment. The people of the multipurpose society not only threatened him, but they also took all his chickens away.
This is just one of the scenarios of the activities that our multipurpose societies do against people who take loans from them and fail to pay them back. Many like Rahim have been victimised like such, falling into arrears with multipurpose societies.
It is no doubt that no one can prosper through interest. People take loans with interest during crisis times but they face severe problems when they fail to pay it back.
The role multipurpose societies play in our society is a debatable issue. They give loans at high interest rates and they surely know cruel ways of getting their money back. We are not sure whether there are any specific laws or any observing bodies in Bangladesh who observe the activities of these multipurpose societies. It has also been seen that different multipurpose societies have self-made rules and regulations.
Different multipurpose societies have different rates of interest in lending money to people. And above all, these institutes do a dangerous act of getting signatures on blank stamp papers from their clients. Most people who do not know the rules of signing on blank stamp paper, they simply go ahead and sign on the papers to get loans. Now, when someone fails to pay the loan on time, these multipurpose societies play around with these stamped papers and threaten them in every way possible.
First of all, I would request our new government to implement stringent actions against those multipurpose societies who snatch away people's money in unethical ways and of course, proper laws should be put into effect for all the multipurpose societies.
Secondly, I would request each and every individual to stay away from loans or businesses that are interest based. Interest can never make anyone prosper. Only those who take interest make money.
It is unjust to compel any person to pay back loan money, when they do not have the source. This is why Islam has totally rejected business on the basis of interest. In the Holy book of Quran, it clearly stated: “Those who eat (usury) will not stand (on the Day of Resurrection) except like the standing of a person beaten by (Satan) leading him to insanity. That is because they say: Trading is only like (usury), whereas GOD has permitted trading and forbidden (usury). So whosoever receives an admonition from his Lord and stops eating (usury) shall not be punished for the past; his case is for God (to judge); but whoever returns (usury), such are the dwellers of the Fire - they will abide therein: Surah Baqarah, Verse 275".
It is time to build an interest free society and only then we will be economically strong.
Minhaj Ahmed
Dhaka
Over-worked workers face havoc in lives
The Japanese word ' Karoshi' means death resulting from over work. Workers are pushed beyond their limits. Hence, thousands of Japanese workers are literally working themselves to death each year. From police sources, more than 2200 Japanese committed suicide due to overwork conditions in 2007. But this figure is a fraction of total problem in Japan. Another source says 10,000 workers in the same year suffered from heart attacks or strokes, which are some times fatal, due to stress.
In May 2007, the head of a construction site in the Tochigi reign north ofTokyo, committed suicide after putting in 65 to 70 hours every week for six months.
The law in Japan sets 40 hours of work in a week. Actually this is not a problem at all. But the bad working environment, abusive bosses, tension with colleagues and a sense of professional defeat amongst workers, lead them to ill health, depression or suicide.
In Bangladesh, state owned factories that have 24 hours of running capacity, allows 48 hours of work in a week. But in the RMG sector, workers are in a vulnerable position as they are forced to hard work. They are worked to an exhausting 75 to 84 hours in a week. Though they contribute hard work, they are always ill paid. They cannot cope with their minimum requirements. They often suffer from a lack of nutrients and fall seriously ill and eventually lose their jobs. Unknowingly, they embrace severe forms of drug addiction or even commit suicide. So, we should think over the matter.
MZ Haider
Narsingdi