Ghana Health Service Act 525 Overview
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Questions and Answers

Which of the following committees MUST the Council appoint according to the text?

  • Finance Committee
  • Supplies, Stores and Drug Management Committee
  • Appointments and Promotion Committee (correct)
  • Public Health Committee
  • The Council can appoint committees made up of only non-members of the council.

    True (A)

    Who appoints the Director-General of the Service?

    The President

    Which of the following is NOT a function of a Regional Health Committee?

    <p>To appoint the Regional Director of Health Service. (D)</p> Signup and view all the answers

    The Director-General is the chief ______ of the Service.

    <p>executive</p> Signup and view all the answers

    The quorum at a meeting of a Regional Health Committee must be at least two-thirds of the total membership.

    <p>False (B)</p> Signup and view all the answers

    Who appoints the Regional Director of Health Service?

    <p>The President</p> Signup and view all the answers

    Which of these divisions is NOT specifically mentioned as one that the council shall establish?

    <p>Research and Development Division (C)</p> Signup and view all the answers

    A Regional Director is answerable to the Director-General on matters of ______.

    <p>health</p> Signup and view all the answers

    The Director-General is responsible for providing technical advice solely to the Council.

    <p>False (B)</p> Signup and view all the answers

    Who determines the functions of the Divisions?

    <p>The Council</p> Signup and view all the answers

    Match the following divisions with their area of focus within the Service:

    <p>Clinical Division = Direct patient care Public Health Division = Community health and disease prevention Administration Division = Management and organizational support</p> Signup and view all the answers

    To whom is the Regional Director answerable on matters relating to administration?

    <p>The Regional Minister (D)</p> Signup and view all the answers

    Match the following committees with their characteristics according to the text:

    <p>Appointments and Promotion Committee = Chairmen are members of the Council Disciplinary Committee = Chairmen are members of the Council Other Committees = May comprise both members and non-members of the Council All Committees = Functions assigned by the Council</p> Signup and view all the answers

    The Regional Director designates the secretary to the Regional Health Committee

    <p>True (A)</p> Signup and view all the answers

    How many representatives from the District Assembly are on the District Health Committee?

    <p>Two (C)</p> Signup and view all the answers

    How is a Regional Director of Health Service appointed?

    <p>By the President, based on the advice of the council, in consultation with the Public Services Commission.</p> Signup and view all the answers

    The District Director of Health Service is appointed by the District Assembly.

    <p>False (B)</p> Signup and view all the answers

    To whom is the District Director answerable on matters relating to administration?

    <p>The District Chief Executive</p> Signup and view all the answers

    The quorum at a meeting of a District Health Committee shall be the ______ of the total membership.

    <p>majority</p> Signup and view all the answers

    Match the following roles with their appropriate description:

    <p>District Director of Health Service = Responsible for implementing the Council's policies in the district District Health Committee = Advises the District Director of Health Service Council = Establishes divisions of the services within the district</p> Signup and view all the answers

    Which of these is NOT a division of the Service established by the Council in each district?

    <p>Administrative division (D)</p> Signup and view all the answers

    Members of the Health Committee, except ex-officio members, hold office for four years.

    <p>False (B)</p> Signup and view all the answers

    Who appoints members of the District Health Committee that are religious representatives and others?

    <p>The Council (B)</p> Signup and view all the answers

    Who is responsible for ensuring the execution and implementation of the Council's decisions in a hospital?

    <p>The Medical Superintendent (A)</p> Signup and view all the answers

    The Hospital Administrator is responsible for the clinical decisions within the hospital.

    <p>False (B)</p> Signup and view all the answers

    Who can authorize a senior health personnel to perform the duties of the Medical Superintendent in their temporary absence?

    <p>The Regional Director</p> Signup and view all the answers

    The functions of the divisions are determined by the ___________.

    <p>Council</p> Signup and view all the answers

    What is the primary role of the Hospital Management Committee?

    <p>To explain Council policies and promote coordination within the hospital (A)</p> Signup and view all the answers

    Match the following roles with their primary responsibilities:

    <p>Medical Superintendent = Ensuring execution of Council decisions Hospital Administrator = Day-to-day administration of the hospital Hospital Management Committee = Explaining policies and directives to staff</p> Signup and view all the answers

    The Health Workers Union representatives on the Hospital Management Committee hold office for a period of five years.

    <p>False (B)</p> Signup and view all the answers

    The hospital administrator is answerable to the ___________ in the performance of their functions.

    <p>Medical Superintendent</p> Signup and view all the answers

    Who can remove a member of the Teaching Hospital Board from office?

    <p>The President (C)</p> Signup and view all the answers

    A member of the Teaching Hospital Board must resign their position verbally.

    <p>False (B)</p> Signup and view all the answers

    What is the minimum number of members required to be present for a Teaching Hospital Board meeting to have a quorum?

    <p>6</p> Signup and view all the answers

    A Teaching Hospital Board must meet at least once every _______.

    <p>month</p> Signup and view all the answers

    What happens if a member fails to disclose their financial interest in a matter?

    <p>They may be removed from the Board. (A)</p> Signup and view all the answers

    Match the following actions with their consequences regarding the Teaching Hospital Board:

    <p>Resigning = Written notice required Not disclosing interest = Liable for removal Co-opting advisor = No voting rights Chairman absence = Another member presides</p> Signup and view all the answers

    What is the role of the chairman at a Teaching Hospital Board meeting?

    <p>To preside over the meetings</p> Signup and view all the answers

    Co-opted persons can vote at meetings of the Teaching Hospital Board.

    <p>False (B)</p> Signup and view all the answers

    Which of the following is NOT a function of the Teaching Hospital Board?

    <p>Hire all teaching staff members directly (A)</p> Signup and view all the answers

    The Chairman of the Teaching Hospital Board can be an employee of the hospital.

    <p>False (B)</p> Signup and view all the answers

    How long do members of the Teaching Hospital Board serve?

    <p>Four years</p> Signup and view all the answers

    The Teaching Hospital Board must ensure sound financial management of the hospital's _____ .

    <p>funds</p> Signup and view all the answers

    Match the following members of the Teaching Hospital Board with their roles:

    <p>Chairman = Not an employee of the hospital Chief Administrator = Oversees hospital operations Dean of Medical School = Educational leadership Medical Director = Clinical oversight</p> Signup and view all the answers

    Which member of the Teaching Hospital Board is responsible for finances?

    <p>Director of Finance (B)</p> Signup and view all the answers

    The Teaching Hospital Board can independently decide the scale of fees for patients without Ministerial approval.

    <p>False (B)</p> Signup and view all the answers

    What is required of at least one of the three additional members appointed to the Teaching Hospital Board?

    <p>Must be a woman</p> Signup and view all the answers

    Flashcards

    Council Committees

    The Council can create committees made up of members of the Council, non-members, or both, and assign them specific tasks.

    Mandatory Committees

    Two mandatory committees are the Appointments and Promotion Committee and the Disciplinary Committee.

    Determining Committee Functions

    The Council has the power to decide who's on each committee and what their job is.

    Council's Power to Restructure

    The Council can create, abolish, or reorganize units or divisions within the Service with the Minister's approval.

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    Mandatory Divisions within the Service

    The Council must establish specific divisions, including Public Health, Institutional Care, Policy, Planning, Monitoring, and Evaluation, Health Administration and Support Services, Supplies, Stores and Drug Management, Human Resource Development, and Finance.

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    Appointment of Director-General

    The President appoints the Director-General of the Service, who is the chief executive, based on the Council's recommendation.

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    Director-General's Responsibilities

    The Director-General reports to the Council and follows their instructions, but they can provide technical advice to the Minister.

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    Qualifications for the Director-General

    The Director-General must be a health professional with a lot of experience in planning, managing, and organizing health services.

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    Who is the Medical Superintendent?

    The Medical Superintendent is the top administrator of a hospital, accountable for carrying out the decisions of the Health Council and responsible for the overall management of the hospital.

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    What is a health area?

    A health area is a designated geographical region within a district where healthcare services are provided, determined by the Health Council based on local needs and advice from Regional and District health leaders.

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    What does the Hospital Administrator do?

    The Hospital Administrator is responsible for the daily administrative operations of the hospital and reports directly to the Medical Superintendent.

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    Who is on the Hospital Management Committee?

    The Hospital Management Committee is a group of key hospital personnel responsible for communicating policies, coordinating activities within the hospital, and assisting with administration.

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    What role do Health Workers Union representatives have?

    Representatives of the Health Workers Union have a voice on the Hospital Management Committee, providing a platform for workers' concerns and opinions.

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    Who chairs the Hospital Management Committee?

    The Medical Superintendent is the chair of the Hospital Management Committee.

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    Who decides what divisions do?

    The Council makes decisions about the functions of the different divisions within the healthcare service.

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    What does the Hospital Management Committee communicate?

    The Hospital Management Committee communicates the policies and directives of the Health Council to hospital employees.

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    Teaching Hospital Board's primary function

    A Teaching Hospital Board's key role is to establish and manage the policies and procedures of the Teaching Hospital, aligning them with the broader health policies of the government.

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    Financial management responsibility

    To ensure the Teaching Hospital effectively uses its financial resources, the Board adopts sound financial management practices.

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    Quality of care monitoring

    Constant monitoring and improvement efforts are deployed by the Board to enhance the quality of patient care delivered at the Teaching Hospital.

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    Resource assessment

    The Board periodically assesses the Teaching Hospital's resources, including staffing, physical facilities, and finances, to determine if they are sufficient to meet the needs of the hospital.

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    Implementation of policies and plans

    The Board ensures that the policies, plans, and programs adopted are successfully implemented by the different units within the Teaching Hospital.

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    Collaboration with other hospitals

    A Teaching Hospital Board is required to collaborate with other hospitals within the healthcare service to foster efficient functioning and resource sharing.

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    Setting patient fees

    Subject to approval from the Minister, the Teaching Hospital Board sets the fees that patients must pay for their services.

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    Staff appointments and remuneration

    The Board holds the authority to appoint staff members and determine their salaries and benefits, always following the existing laws and regulations.

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    What is the purpose of a District Health Committee?

    A committee responsible for advising the District Director of Health Service on health matters in a district.

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    Who are the members of a District Health Committee?

    A body composed of various representatives, including district officials, religious leaders, health professionals, and traditional council members.

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    Who appoints the members of the District Health Committee?

    The District Chief Executive is responsible for appointing the chairman, health personnel, and two other individuals, including at least one woman.

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    What is the term limit for members of a District Health Committee?

    Members, excluding ex-officio members, serve for a three-year term and are eligible for re-appointment.

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    What are the functions of a District Health Committee?

    The District Health Committee acts as an advisor to the District Director of Health Service and carries out delegated tasks from the Council.

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    What are the qualifications and appointment process for a District Director?

    They possess a public health qualification and are appointed by the President, with the possibility of delegation.

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    Who is the District Director of Health Service?

    The District Director of Health Service, responsible for implementing the Council's policies in the district.

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    To whom is a District Director accountable?

    A District Director is accountable to the Director-General, Regional Director, and District Chief Executive for different aspects of their work.

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    How is a Teaching Hospital Board dissolved?

    A Teaching Hospital Board can be dissolved by the President of Ghana, in consultation with the Council of State.

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    How can a member of a Teaching Hospital Board resign?

    A member of a Teaching Hospital Board can resign by informing the President in writing.

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    How are vacancies filled on the Teaching Hospital Board?

    The Minister of Health recommends a replacement for the President to appoint when a vacant post exists on the Teaching Hospital Board. This, however, doesn't apply to ex-officio members.

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    Who determines the terms and conditions for a Teaching Hospital Board member?

    The Minister of Health determines the terms and conditions of a Teaching Hospital Board member, including allowances, on the recommendation of the Minister of Finance.

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    How often must a Teaching Hospital Board meet?

    A Teaching Hospital Board must meet at least once a month, with the chairman setting the time and location.

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    How is a vote decided in a Teaching Hospital Board meeting?

    A Teaching Hospital Board requires at least 6 members present to proceed with voting, a simple majority wins.

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    Can an advisor to the Teaching Hospital Board vote?

    A Teaching Hospital Board can invite a person with expertise to attend meetings as an advisor, but they don't vote.

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    What obligation does a Teaching Hospital Board member have regarding a conflict of interest?

    Teaching Hospital Board members with a financial conflict of interest in a matter being discussed must disclose it in writing and refrain from participation.

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    What is the role of a Regional Health Committee?

    A Regional Health Committee advises the Regional Director of Health Service on their duties and carries out tasks assigned by the Council.

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    How does a Regional Health Committee manage its meetings?

    The Regional Health Committee sets its own rules for meetings, ensuring smooth operation.

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    What is the quorum requirement for a Regional Health Committee meeting?

    A Regional Health Committee needs a majority of its members present to make decisions. This ensures a representative voice and prevents decisions being made by a small group.

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    Who is the secretary of a Regional Health Committee?

    The Regional Director appoints a secretary to support the Regional Health Committee. This officer helps the committee function smoothly and keeps organized records.

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    What are the secretary's responsibilities?

    The Regional Director determines the secretary's tasks. This ensures the secretary's work aligns with the committee's needs.

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    Who is a Regional Director of Health Service?

    A Regional Director oversees health services in a specific region. This includes planning, organizing, and managing healthcare delivery.

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    How are Regional Directors appointed?

    The President appoints Regional Directors based on the Council's recommendation. This ensures qualified individuals lead healthcare in the region.

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    What are the Regional Director's responsibilities in implementing health policy?

    A Regional Director implements the Council's decisions, taking advice from the Regional Health Committee. This ensures regional health strategies align with national goals.

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    Study Notes

    Ghana Health Service and Teaching Hospitals Act, 1996

    • Act 525 establishes the Ghana Health Service (GHS)
    • The GHS is responsible for health delivery in Ghana
    • The Act outlines the structure, functions, and organization of the GHS at national, regional, and district levels.
    • It also covers the establishment of teaching hospitals
    • Sub-Part I of Part I details the GHS at the national level, including the establishment, membership, objects, functions, governing body (the Council), tenure of Council members, meetings of the Council, and committee structures.
    • Sub-Part II discusses the GHS at the regional level, including regional health committees, regional director functions, and divisions
    • Sub-Part III covers the GHS at the district level, including district health committees, district director functions, and divisions
    • Sub-Part IV addresses internal hospital management, including medical superintendents, hospital administrators, hospital house management committees, and health station management committees
    • Part II focuses on teaching hospitals, specifying board composition, functions, and committees
    • Part III covers financial and miscellaneous provisions, including funding, annual estimates, accounts, audits, regulations, and transfer of assets/liabilities
    • The Act sets out the objects, functions, governance structure, and staffing arrangements
    • The Act outlines reporting structures to the Minister of Health.
    • The Act provides for the appointment of key personnel and committees.
    • Appointments are often subject to consultation with the Public Service Commission by the President or other stakeholders.
    • The act also has rules about tenure of office, removal, vacation, and resignation.
    • It establishes procedures for committees, meetings, and related governance activities.
    • There are provisions around committees, membership, and functions
    • The Act includes provisions on transfer and delegation of appointment power

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    Description

    Explore the Ghana Health Service and Teaching Hospitals Act of 1996, known as Act 525. This quiz covers the structure, functions, and organization of the GHS at national, regional, and district levels, as well as the establishment and management of teaching hospitals. Understand the roles of various committees and governing bodies involved in health delivery in Ghana.

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