This page describes roles and responsibilities of the management team of Bayalpata Hospital.

Overall Management of Nyaya Health

Critical decisions pertaining to clinical operations are made by the clinical team based in Achham. The structures that govern these decisions include hospital staff, community advisory board, and a user advisory board. The Nyaya Health board of directors and board of advisors provide support for strategic direction, technical problems, and financing. This structure is diagrammed schematically here. Here, we discuss the overall management of the hospital. Community-based accountability structures are discussed on the CommunityAccountability page. Other key personnel at the hospital are detailed on the Personnel page.

Current Hospital-Based Management Team

The role of the hospital management board is to ensure the smooth operation of the hospital. It is led by the medical director, the program manager, and the logistics director. These members additionally sit on the board of Nyaya Health and provide strategic direction to the Nyaya Board to guide grantwriting and fundraising efforts and sit in via conference calls to Nyaya meetings. The hospital supervisor does not sit on the international board but sits on the hospital management board. They are full-time staff, although depending upon schedules and resources, rotations do occur, and some will be unpaid. The Hospital Management Board meets weekly to discuss and decide on the following (not an exhaustive list):

• Managerial issues and their resolution (including supplies, staff and operations)
• Public health programs
• Issues put forth by the Users Advisory Board (UAB) and the Community Advisory Board (CAB)
• Evaluation of clinical (e.g. number of times a protocol was followed; clinical outcomes in patients) and non-clinical (e.g. waiting time, outreach work, awareness programs) performance of Bayalpata Hospital and creation and implementation of ways to improve it.

The roles and responsibilities of these positions are provided below.

Program Director

Qualifications

Experience in and passion for healthcare delivery in rural Nepal. Fluency in Nepali. A strong personal investment in the project and the belief that Nepal CAN work for Nepalis. This individual is responsible for providing vision and direction to the hospital. This is a volunteer position. This member is on the Board of Directors of Nyaya Health; Board Members rotate through the hospital to provide oversight and inject ideas and resources.

Responsibilities

• Conducts weekly meetings with all health workers and staff.
• Works closely with the Medical Director to resolve managerial issues and improve the hospital's services.
• Is responsible for direct supervision of all hospital workers and will communicate urgent concerns (breach of contract, unacceptable behavior, urgent needs of the hospital etc) with a contact person on the Board of Directors (BOD) of Nyaya Health. Final decisions to hire/fire all SBPHC employees will rest with the BOD. The PM can hire/fire the maintenance workers and night watchman.
• Has oversight of the public health programs and outreach work in the community.
• Acts as a point person with contacts in the target area, Kathmandu and internationally.
• Works with other employees to collaborate with government agencies, distributors and other partners to order supplies for and properly maintain equipments in the hospital.
• Prepares and submits short, two-page biweekly updates via email to the Nyaya BOD and the staff meetings on progress of the hospital, non-urgent needs and finances. Also submits detailed quarterly reports that will also be presented to the staff and the community advisory board.
• Creates an environment conducive to meeting the goals of Bayalpata Hospital.
• Engages the staff and the community to continually improve the performance of the hospital.

Medical Director

Qualifications

MBBS with as much postgraduate clinical experience as we can find. Willing to work in an extremely remote area of Nepal.

Responsibilities

• Provision of clinical care and oversight of all clinical activities and associated staff
• Work closely with the Program Director for effectively running all services of the hospital
• Ensure oversight of all medical and public services of Nyaya Health and recommend improvements and corrective actions to the Hospital Management Team.