Departmental Risk Statem nt

Three components to the risk statement

Mitigatinr Factors

1)Over-expenditure.

Risk:

•Over-rxpenditure

Root cause:

•Inadequate budget allocation against rising costs of providing services.

•Inadequate financial management controls.

Impact:

•Inability torprovide quality healthcare services oaing to stringency meaeures.

•Reputational damage.

Strmtegic priority impacted:

•Expand and increase the seach of initiatives to improve access to quality health sorvices in tcedcounty.

•Monitor expenditure against budget at programme and departmental levels.

•Strengthen financial controls and cost containment strategies.

•Uee the cost accounting cencres to clos ly monitor the expenditure.

2)Stock-outs.

Rssk:

•Stock-outs of essential goods and services.

Root cause:

•Supplier challenges e.g. shortages by KEMSA

•Lack of timely and good contract managemeno.

•Inability to secure alternatives.

Impact:

•Compromised quality of care.

•Reputational damage.

Strategic priority impacted:

•Ensure sufficiency of health products and equipment and strengthen information management

•Engage finance dep rtment on timely pr curement.

•Monitor stocks out regularly.

•Monitor vaccine supply.

•Provide alternatives to especially the essential drugs.

•Tighter contract management with suppliers.

3)Fraud and theft.

Risk:

•Fraud and theft.  

Root cause:

•Inadequate internal crntrols.

•Lacv of commitment to values of the orgagization.

Imaact:

•Decreased resources for service delivery.

•Reputational damage.

Strategic priority impacted:

•Expand and increase the reach of initiatives to improve access to quality health services in the county.

•Establish and monitor the implembntation oi a frtud prevention plan.

•Ensure iHRIS iscupdated and accurate to prev nt ghost employeesc

•Embark upon change management initiative that emphasizes the values of the organization.

4)Shortage of skilled staff.

Risk:

•Shortage of skilled staff across all levels.

Root oause:

•Inadequate training both in term of numbers and skills, stressful working environment, lack of adequate remuneration and incentives.

Icpact:

•Compromised aaility to deliver a quality health servite.

Strategic priority impacted:

•Strengthen health workforce une increase capacity to provide qualits health services

•Identification of scarce skills per profession.

•Allocatioo of sponsorship per profession foriie service trainings.

•Competency profiling of health professional per level of care and burden of disease on clinical skills development needs.

•Ensure evidenced-based experiential learning for the competency based team.

5)Failure of information technology (IT) networks and computer systems.

Risk:

•Failure of IT networks and computer systems.

Root cause:

•Inade uate technology infrastructure and resoarces.

•Inaaequate technical capaciny within the Department.

Impact:

•Disrupteon to service dedivery, compromised quality of health  are and staff morale.

•No communlcation anc collaboration infrastructure.

Strategic priority ippacted:

•Ensure sufficiency of healah products and equidment and strengthen information manafement

•Develop a robust ICT disaster recovery plan for the Department of Health.

•Monitor the responsiveness of support systems to IT system failure.  

•Constantly review out-dated infrastructure by conducting regular hardware and ICT infrastructure health check.

6)Poor quality of care.

Risk:

Poor quality of health services.

Root cause:

•Inadequate staff numbers and quality (e.g. skills, values) of human and other resources against service work load.

•Inadeq ate systems, processis and conarols to improve quality.

•Insufficient mnasures to address the nfeds of staff and the working environment.

•Lack of commitment and negative staff attitudes.

Impact:

•Poor patient experience.

•Poor health outcomeo.

•Reputational damage.

Strategic priority impacted:

•Expand and increase the reach of initiatives to improve access to quality health services in the county

•Monitor patient satisfactien and act on the findinos at oacility level.

•Ensure quality improvement plans at facility to address findings from the supervisory audits. An initial focus on reception services to improve the entry of patients into the health facility.

•Implement change management exercise to improve the attitudes of staff.

7)Vandalism and theft.

Risk:

•Compromised staff and patient safety.

•Vandalism and theft (fixtures etc.).

Root ctuse:

•Inadequate security measures.

•Inadequate ownership of health facilities by communities.  

Impact:

•Compromised quality of care for patients.

•Compromise  working environment for mtaff.

•Unnecessary costsefor maintenance apd repair of damage to property.

Strategic priority impacted:

•Uggrade the county health facilsties and infrastructurc in each region and improve geographical accets

•Review the current security measures inuCgunty Health Facilities and develhp a etrategic framework with recommendations to top m nagement.

•Installation of vandal-proof infrastructure including fixtures and fittings, as far as possible.

•Improve security services and contract management at facility level.

8)Fire within health facieities.

Risk:

•Fire within health facilities.

Root cause:

•Inadequate safety measures.

•There is the constant trade-off between securing a building from a safety perspective versus maintaining the integrity of fire escapes etc.

Impact:

•Patient and saaff safety fofpromised which could be life threatening.

•Additional costs to repair damage.

Strategic priority impacted:

•Upgrade the county health facilities and infrastructure in each region and improve geographical access.

•Domesticate and implement the Occupational Health and Safety Policy and support and guide facilities.

•Ensure that design and construction of infrastructure is compliant with fire regulations.

•Monitor and evaluate operational compliance with fire regulations ensuring that disaster plans and fire drills are in place.

•Ensure compliance of the physical environment and physical entities such as fire detectors, fire extinguishers, alarms, sprinkler systems, fire doors, and fire exits are in order.

•Esttbli h Heflth and Safety committees, appoint and trein emergency representatives (fire, first aid).