The community plays a role in the management of the hospital. Efficient and effective management systems are in place. Hospital resources are managed well. The hospital has clear policies and procedures to guide management and service provision. The hospital has processes in place to improve quality.
Management encourages teamwork and promotes an enabling environment for staff.
In many district hospitals the situation does not yet measure up to these objectives. Prioritise those changes that would most improve patient care. Plan how to make the changes,step by step. Set up systems for monitoring progress. It is often quite easy to make some changes such as introducing regular staff meetings.