1. What risks are present with the Ohio policy that allows local health departme
ID: 459942 • Letter: 1
Question
1. What risks are present with the Ohio policy that allows local health departments to establish their own bookkeeping systems?2. Why might some regulated clients, such as home builders and restaurant chains, prefer to have local health department policies and fees determined centrally for the entire state?
3. Why might a decentralized local health department prefer to negotiate its own employees’ health insurance package even if it represents a group of smaller size that cannot get as low a premium?
4. Based on considerations of centralization and decentralization, would you prefer to be the state health department director in Kentucky, Ohio, or Virginia? Why? 1. What risks are present with the Ohio policy that allows local health departments to establish their own bookkeeping systems?
2. Why might some regulated clients, such as home builders and restaurant chains, prefer to have local health department policies and fees determined centrally for the entire state?
3. Why might a decentralized local health department prefer to negotiate its own employees’ health insurance package even if it represents a group of smaller size that cannot get as low a premium?
4. Based on considerations of centralization and decentralization, would you prefer to be the state health department director in Kentucky, Ohio, or Virginia? Why? The 50 states vary in how much control of operations and funding is delegated to city and county health departments. In Ohio, for instance, the state health department provides little funding for local health departments and provides little direction as to how they manage public health programs for the state. hio, for instance, the state health department provides very ding for local health departments and provides litle direction as to how they manage In Kentucky, each local health department is generously supported by the state health department and is expected to be its agent in managing programs such as family planning health education, and well-baby clinics. However, numerous "strings" come with the money in Kentucky. Unlike in Ohio, the Kentucky state health department dictates the local health department's accounting systems, restaurant inspection fee structure, septic tank exception employee health insurance benefits, and many other decisions that would be left to the local health departments in Ohio. Sill another type of state-local arrangement is that in Virginia. Local health departments in Virginia are staffed solely with state employees and are operated exclusively by policies set in the state capital. These varied relationships raise a classic management question: centralization or decen tralization of operational authority. Each approach has significant advantages and disadvan- tages. For example, some managers prefer the clarity and fairness of centralized systems. Of tages ers want policy setting to be more flexible and responsive-keeping it as close to the delivery site and its clients as possible. ms. Oth-
Explanation / Answer
If the local health departments are establishing their own book keeping systems, it is very difficult to implement any standardised system from the state or federals. The transparency of system will be diminishing if there is too much interdependency on local healthcare departments. Book keeping in health sector is very essential to get a track on the type of issues , diagnosis and medicines list and details.
2.Why might some regulated clients, such as home builders and restaurant chains, prefer to have local health department policies and fees determined centrally for the entire state?
They prefer such policies to get close to the customers and their requirement. In case of restaurants their whole business model works on customer satisfaction and unique experience. Thus link local health department restaurants would like to work closely in de centralised mode with customers to get in touch with them and serve them at their best requirement to create a customer base.
Decentralised department has their own rights and duties to perform .Health insurance package irrespective of group size has their own significance. They work very hard for the welfare of weaker class of societies health and they have chances of getting epidemic fever as well. Thus health care insurance package has to be added to their benefits to motivate their employees and to enhance their existing dedication and commitment level.
Knetucky can have a state health director with a decentralised team from local health department to enhance the interaction with local people and to make them actively involved in the health related campaigns.
Kentucky, Ohio and Virginia must work more on their commitment level as they lack local touch to their service model. To monitor and give all sort of guidance a health department state director is also required.
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