Reps move to include nurses, pharmacists, other health practitioners in headship of teaching hospitals
Members of the House of Representatives on Wednesday expressed overwhelming support for a bill that seeks to reconstitute the Governing Boards of Federal University Teaching Hospitals across the country.
The lawmakers expressed their support after the debate on the private member bill for an Act to amend the University Teaching Hospitals (Reconstitution of Boards etc.) Act, 2004,’ sponsored by Hon. Bamidele Salam.
In his lead debate, Hon. Salam, a member representing Ede North/Ede South/Egbedore/Ejigbo Federal Constituency of Osun State explained that the seeks to restructure the composition of the Governing Boards of tertiary health institutions with a view to making them more vibrant and efficient.
The Bill further aims to: “review the terminology of the heads of the hospitals, redefine the qualification of the Head of hospitals, provide a definite tenure of office of the heads of the hospitals, including students of Health Sciences in the training programmes of the hospitals and include hospitals established post-enactment of the extant legal framework in the schedule and for other related matters.
“It could be recalled that, currently, the terminology used in referring to the Head of tertiary health institutions in Nigeria is called ‘Chief Medical Director’. He is accountable to the Board of the institution. The Chief Medical Director is responsible for the execution of policies and matters affecting the day to day management of the affairs of the Hospital.
“Before one can be qualified to be appointed as CMD, the person must be Medical/Dental Practitioner registered with the Medical and Dental Council of Nigeria of not less than 10 years post qualification.
“In addition, the person must be a fellow (s) of either the National Postgraduate Medical College of Nigeria or the West African Postgraduate Medical College or its equivalent registered by Nigeria’s Medical and Dental Council.
“Furthermore, the person must have been a consultant for a minimum of 5 years. Administrative qualification and experience is only an added advantage, amongst others. The Medical/Dental Practitioners who solely enjoy the privilege of being made the Chief Medical Director constitute not more than 5% of the total number of medical personnel in the Health Industry.
“The current legal regime excludes other health professionals – Pharmacists, Nurses, Social workers, Occupational therapists and physiotherapists, Psychologists, Bereavement Counsellors, Paramedics, Dieticians, Lab Scientists’ and Speech Pathologists, amongst others- from becoming a Chief Medical Director.
“Section 5 of the Principal Act, which provides for the appointment of the CMD, also provided the functions of the Office of the CMD, which includes: the execution of policies and matters affecting the day to day management of the affairs of the Hospital. A cursory study of these responsibilities reveals that the burden is purely administrative; it has nothing to do with a particular professional in the health profession.
“In the United Kingdom, to become a hospital administrator, one doesn’t have to be a medical practitioner. All you need is to be a Graduate from High School (4 years); Obtain a Bachelor’s degree in healthcare administration, business administration, or a clinical discipline (4 years); and a master’s degree in healthcare administration (MHA) or a related graduate degree (2 years).
“In the United States, there isn’t one specific path to follow to get a hospital administrator’s job. You may begin your career in some other role with that goal in mind (some start as Doctors or Nurses) and be promoted to the position. However, it’s common for hospital administrators to earn a relevant degree—and an increasing number of employers now require a master’s as well.
“Generally speaking, there are four basic steps to becoming a hospital administrator: Get a bachelor’s degree in health systems management and health services or related disciplines; Get a master’s degree in n hospital administration or healthcare administration; Gain experience and other certifications such as American College of Healthcare Executives (ACHE) Accreditation or Certified Medical Manager (CMM) Accreditation etc.
“It is clear from the above cross-country discussion that to be appointed as a Chief Executive Officer, one doesn’t have to be a medical doctor. Persons with Bachelor’s in Management or Administration with requisite experience can be appointed to head a hospital. Similarly, in the composition of the Board of the Hospitals, other critical stakeholders were not included. Greater attention was only paid to medical doctors.
“Against this background, this Bill is proposed to address all these challenges and include all other health professionals in the capacity building and administration of the Federal Hospitals in Nigeria and related issues,” he noted.
Hon. Salam who solicited the support of members explained that the objectives of the Bill seek to, “review the terminology of the heads of the hospitals; redefine the qualification of the Head of hospitals; provide a definite tenure of office of the heads of the hospitals; including students of Health Sciences in the training programmes of the hospitals; and have hospitals established post-enactment of the extant legal framework in the schedule.
“Hospital administration is a speciality within healthcare administration; it is one of the most advanced leadership careers in healthcare. It focuses on the overall operation of hospitals and other significant health facilities and requires both healthcare experience and administrative/management acumen.
“The purpose of the bill, therefore, is to strengthen the administration mechanism of University Teaching Hospitals through the broadening of its administrative heads and entrench greater professionalism in the management of our medical tertiary institutions.
“The Bill will also considerably reduce inter-disciplinary rivalry within the teaching hospitals by ensuring that all critical stakeholders are involved in the composition of the Boards of the teaching hospitals.
“This Bill is in tandem with global best practices with special references to the United Kingdom, United States of America and other countries where medical training have been successfully implemented through collaborative efforts of all practitioners,” Hon. Salam explained.