The Children's Hospital Quetta (CHQ) was designed, tendered and supervised during construction by EPOS. With the emphasis shifting from a Government dominated hospital towards an autonomous status during project implementation, the operational set up of the hospital had to be re-designed. The CHQ is the first hospital providing secondary level care to children within the Province, and aims to be self-financing within the shortest possible period. During the construction period it became obvious that the conceptualising and commissioning of such a hospital is beyond the capacity of the Provincial Health Authorities and the newly formed Board of Directors.
The objective of the operational assistance component added to the major infrastructure investment project, was to create a framework which allowed the hospital to provide high quality care to the children of the Province, to operate according to international standards, to be self-financing, to provide training and enable research activities - to act as a centre of excellence. This was in line with overall Government policies to privatise social services. The services were provided by a hospital management specialist, a nursing advisor, and a pool of short term experts covering a wide range of expertise from clinical services, hospital financing / accounting, to head-hunting for key-personnel. Specific activities included: - Development and implementation of an autonomy concept - Establishment of CHQ as a non-governmental organisation, including design of appropriate standing orders and procedures, and guidance to the supervisory board - Development of a suitable management system, financing structure, accounting system, etc., including fee for services structure, service purchase agreements with government, semi-government and private authorities - Introduction of adapted clinical guidelines, nursing procedures, child centered care - Training of staff, in particular specialised nursing staff - Marketing of services - Assistance to the Board of Directors in commissioning the hospital, including appointment of staff, preparation of budgets, identification of sources for funding, etc.