Course Work



Issue1: Governance Models in Government-Operated Hospitals

Thegovernor in California advocated the review of hospitals that wereoperated by the government. In his recommendation, he pointed outthat the governance models were to be based on the experience of thepublic and government-operated hospitals which have succeeded inimplementing such conversions. Also, the governor expressed the needto review and determine the most appropriate governance models to beused in such conversions[ CITATION Sal11 l 1033 ].

Accordingto him, the models should be in such a way that they promoteoptimization of the taxpayers` return based on the value of assets,and the conversion was to be transparent to the public[ CITATION Ric11 l 1033 ].I concur to this perspective though I strongly feel that changing thegovernance model may not solely improve the nimbleness in both publicand government operated hospitals. Rather, this should comprise ofhospital bylaws, board composition, management oversight and aconsiderable level of public involvement. This should be customizedin a way that it can respond to the changing markets.

IssueTwo: Patient Taxation Models

Inthis case, a fellow student felt that the issue of taxation modelsexisting in Florida, as recommended by the governor, was critical asfar as taxation and accessibility of funding for the poor areinvolved. The programs created by the taxation authorities must beinnovative and should ensure that the patient can access the funds tothe hospital, or even get outpatient services that are closest totheir community[ CITATION Ric11 l 1033 ].I tend to concur with this as the health reforms have projected anincrease in the covered population by the end of 2015 and beyond. Asa result, many people without insurance are to be covered byMedicaid. This shows that the number of Medicaid-covered patientswould increase for many private systems. Therefore, the publichospitals must be prepared for such a surge given the experience thatthey have in treating the Medicaid-based patients whose increase hasbeen significant since recession in 2008. Therefore, the privatehospitals need to partner with the providers who have the experienceof treating over 30million uncovered patients.


Rick, S. (2011). Report on Commision of Review of Taxpayer-Funded Hospital District. State of Florida: Office of Governor, 1-42.

Saltman, B. R. (2011). Governing Public Hospitals Reform Strategies and the Movement Towards Institutional Autonomy. Geneva: World Health Organization.