( Mintzberg 1973, Stewart !976). Eisenhardt & Zabracki (1992) suggested that the approach to a decision making should be more realistic than rational. A quality decision should be realistic, feasible, made with good data, timely, defensible, acceptable and have a good outcome( Janice Lewis Duncan Boldy)
For a healthcare set up it is very much important to maintain the financial system in balance so that the customers and the stakeholder’s interests are well attended. In a customers point of view one looks for the best service and the results possible from a hospital and on the other hand the stakeholders look for the best possible profit they can gain from the business. This is the point where a competent hospital or a healthcare manager comes into picture. In this case the healthcare set up is going through a rough stage where in an increasing cost of healthcare facilities like the equipments, pharmacies etc is indirectly affecting on the quality of care provided in the hospital which is ultimately bringing down the annual revenue each year. A budget of 70million dollar has to be approved and there are a lot of issues to be considered
For starters
After careful evaluation the whole building has to be renovated at least to make it look a little more aesthetic and acceptable, so that the patient is comfortable with the space and the facility provided. The leaking pipes cramped space and the look of the healthcare set up will have a direct impact on the customers. Since the financial health of the hospital is deteriorating, uplift is necessary. At present the demands from the health workforce regarding the expansion of the neonatal ward,