Responsibilities of the State

1. Health Sector GovernanceBetter Governance for Better HealthPublic Asset Management in HospitalsOwnership and CorporatizationMostafa Hunter

2. Responsibilities of the State

3. What is an Asset? • “a useful or valuable thing or person”. • An “asset” is a resource with economic value that an individual, corporation or country owns or controls with the expectation that it will provide future benefit.

4. Four types of capital

5. What are physical assets? • For most businesses, physical assets usually refer to cash, equipment, inventory and properties owned by the business. Physical assets are the opposite of intangible assets, which are non-physical assets such as leases, computer programs or agreements.

6. Hospital Ownership and Assets Governmental Private NGO Ownership Hospital Service Beneficiary

7. Ownership of Public Hospitals The governmental ownership of public hospitals can be through various entities of the state, such as: • Municipalities • Ministries of Health • Ministries of Higher Education • Local Governments The ownership could be in different forms such as: • Trusts • Governmental authorities / departments or • State Owned Enterprises (SOEs)

8. Corporate Governance Framework Chairman Board of Directors Owners/ Shareholders/ Stakeholders CEO Company Management

9. Pure Commercial Purpose • In pure commercial enterprises, the owner agrees with the board on an ROI defined in financial terms • They agree on rate of return and dividend distribution policy, (amount of dividend, who receives it etc.), and capital structure • However, given the nature of hospitals, the organizations has to abide by high ethical standards and inclusive policies

10. Non Commercial Public Hospitals – University and Educational Hospitals treatment Patients Money Undergraduates education Buildings Faculty Members (Physicians and Academics) Postgraduates Equipment training Physicians Employees research Publications + Impact Optimum Outputs Optimum Impact Optimum Utilization

11. THANK YOU!