Implementing a Formal Cancer Program

Implementing a cancer program in a hospital environment is just like implementing any other project. Therefore all the formal procedures will apply but with special considerations. It’s a common scenario in each working environment that there must be a structure that defines the whole process. The purpose of the structure is to help coordinate the activities of the individuals so that there can be controlled. The existence of a good structure will also provide a sense of direction and reporting procedures. Most hospitals are characterized by rigid and tight structures; this is to ensure that there is the ease of control. Hospitals are very sensitive institutions charged with the responsibility of offering health care services to human beings and therefore it would be a big risk if confusion may reign in the air.

This can be so dangerous if it happens. Although rigid structures provide maximum efficiency, most organizations are now shying away from it. This is because it does not provide room for flexibility, especially in a dynamic environment. Modern customers have become so sensitive and tend to be more service-oriented than anything. This is a big organization with about 300-bed capacity. Therefore there should be a good structure that will support the staff as well as patients.

Properly define the tasks, and limit the gap between the employees and their reporting authorities. This will ensure maximum participation to achieve the desired organizational objectives. Again if I were the manager of the Hospital I would introduce a system called management by objectives. This refers to where the corporate objectives are broken down into specific tasks and each task is assigned to an individual. This would increase some level of employees’ participation as they tend to understand their jobs better.

Staffing. Refers to managing an employee’s work schedule. Staffing is an important function of the human resources management department. It may help to identify the cost and revenue centers in an organization. In this hospital I propose have six departments i.e. the Information Technology, Casualty, Diagnosis/clinic, Laboratory, Wards, and Finance. All being headed by the Administration manager. There will be sub units like in the finance we will be the billing and the procurement office.

There will also be an independent Audit Committee within the organization. The purpose of this audit committee will be to provide an assurance to the organization that there are adequate accounting systems and control procedures that are not only credible but are also reliable. This committee may be constituted by professionals who are not directly involved with any activity in the organization. The administration manager will be directly reporting to the Chief Executive Officer who will be the final authority. The administration will also incorporate the human resources manager. All the departments will be answerable to the administration.

Employees of this organization will be strictly recruited on the basis of technical and professional qualifications. Those who are experienced enough and performing will be promoted to higher grades. I will have only two types of employees; fulltime day employees and fulltime night employees. These employees will be paid according to their job responsibilities; there will be an annual leave as the requirement of state labor laws. Offs will be as prescribed. The welfare of the employees will be a big priority to the organization. The administration manager will ensure the organization of core activities and only delegate relevant authority to the departmental managers who will assume the daily operations as per their portfolios.

The billing office

This office will be occupied by professionals who are qualified to handle cash transactions. These employees will have accounting or relevant credentials to hold these positions. Their work will be to receive cash and small payments from clients/patients on behalf of the organization and account for them under the direction of finance manager.

Procurement office

This office will be charged with responsibility of purchasing all the items used by the organization. The person holding this office will have undergone a relevant training. The office will be liaising with all the suppliers of the organization in accordance with the prescribed rules and regulations under the direction of the finance. It will perform all the suppliers’ budgets and estimates and the result communicated to the finance manager.

Finance office

This office will be the nerve centre of the organization. It will determine whether the organization is meeting its financial objectives or not. The responsibility of this department will be to provide the annual departmental budgets, identify the cost and revenue centers and provide the reports to the administration manager for recommendation or approval. This will be made possible by the organization chief accountant. It will prepare budgets including staff remunerations and etc.

Advantages for implementing a cancer program

  1. Cancer is a technical disease requiring technical attention. Most hospitals do not have it and therefore it can offer a strategic advantage to a firm.
  2. Specialization. Since the organization will be offering only one service, they can be able to attend to many patients and thus increase their profits.


It requires heavy capital investment both in human and facility. This discourages small and young investors.

Since there is specialization, the investor may lose patients suffering from other ailments other than cancer. This may deny him opportunities.


This is a good business idea; however care should be taken to ensure that the investor does not lose from other clients as well. When implementing this program the investor should take in to consideration of the structure he/she wants to adopt, because a bad structure may not achieve effective coordination.