Summer Internship Report PGDHM

Summer Training

[April 11th ndash April 30th 2011]

Shija Hospitals and Research Institute

[May 4th ndashJune 4th 2011]

A Report

Anisha Khundongbam

Post-graduate Diploma in Hospital and Health Management

(2010-12)

Institute of Health Management Research Jaipur

PREFACE

Summer training is an integral part of the course curriculum of PGDHM As part of the

course students of first year are required to undergo summer placement at any reputed

organization to get in depth exposure of various departments in the organization

During the period of summer training I completed three projects which were carried out

at two different Healthcare setups

The first study titled ldquoA Study on Discharge Procedure with Special Emphasis on In-

Patient Feedback was carried out at Shija Hospitals and Research Institute Manipur

The aim of the study was to understand the existing discharge procedure at the hospital

and to analyze the probable reasons for low in-patient feedback ( which was a part of

discharge procedure)

The second study titled ldquoMedical Records Management and Protocol

Implementationrdquo was undertaken at Fortis Malar Hospital Chennai to understand the

structure process outcome of the Medical Records Department at the Hospital

The third study titled ldquoEmployee Joining Kitrdquo was also pursued at the Fortis Malar

Hospital Chennai This was a special project assigned by the HR department of the

Hospital The designing and preparation of the employee joining kit took many HR

aspects into consideration as it had to be a comprehensive manual to be presented to the

new employees at the time of joining

The Objectives of summer training were

To learn the daily operational management of the Organization and its various

departments areas

To study the salient and critical features about the functioning of these

departments areas

To identify issues problems associated with some specific departments areas

To undertake the projects special tasks assigned to us

TABLE OF CONTENTS

A Profile of Shija Hospitals And Research Institute(Shri) Manipurhelliphellip 1

a) Introductionhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip3b) Services available(Departments)helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip3c) Organization charthelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip5d) Front officehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip6e) IPD departmenthelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip8f) Operation Theatre and ICUhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip10g) Human Resource Departmenthelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip14h) Stores helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip15i) Hospital management information systemhelliphelliphelliphelliphelliphelliphelliphelliphellip16j) Medical records departmenthelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip17k) Clinical nutrition and dietetics departmenthelliphelliphelliphelliphelliphelliphelliphelliphellip18l) Security and Safetyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip19m) Housekeepinghelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip19n) Laundry helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip20

B PROJECT 1- A Study on Discharge Procedure with Special Emphasis on In-Patient

Feedbackhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip22

C Profile of Fortis Malar Hospital Chennaihelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip32

D PROJECT STUDY 2- Medical Records Management and Protocol

Implementationhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip36

E PROJECT STUDY 3- Employee Joining Kithelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip46

C ANNEXURES

a) Discharge checklistb) Feedback formc) Final Summary sheetd) Forms verification checkliste) Hospital statistics Recordf) Employee joining kit

ABBREVIATIONS

ALOS - Average Length of Stay

BOR ndash Bed Occupancy Ratio

CCTV - Closed Circuit Television

CSSD - Central Sterile and Supply Department

DOR - Discharge on Request

ECG - Electro Cardiogram

ENT - Ear Nose Throat

HIS - Hospital Information System

HRD - Human Resource Development

ICD - International Classification of Diseases

ICU - Intensive care Unit

IPD - In Patient department

IT - Information Technology

MLC - Medico Legal case

MRD - Medical Records department

OPD - Out patient Department

OT - Operation Theatre

RMO - Resident medical Officer

ACKNOWLEDGEMENT

I am extremely indebted to all the professionals at Shija Hospitals and Research

Institute(SHRI) Manipur for sharing generously their knowledge and precious time

which inspired me to do best during summer training

I owe a great debt to DrKHPalin Managing Director and Chairman Shija Hospitals

and Research Institute Manipur for allowing me to do my summer training at the

hospital

I would also like to thank Dr Jugindra S Medical Superintendant and Ms Gayatri S

Head - Human Resource for their valuable guidance and at whose behest I received

tremendous assistance from other departments and their respective heads without which

the project would not have been completed

I would like to extend my special thanks to Ms Leema and Ms Arti Operations

Executives for sparing their valuable time and sharing with me the nuances of Hospital

operations and to all Executives of HR and Operations department for their support

and guidance throughout the summer training

Most importantly I would like to thank my mentor DrNeetu Purohit for her

unconditional support and motivation throughout the study period and

DrTanjul Saxena for her guidance on the report preparation and compilation of the

INTRODUCTION

Shija Hospitals is a pioneer ISO 90012008 certified private health institute in Manipur providing advanced healthcare technology with humane touch With the recognition by its customer for their holistic approach personal touch and technological advancement Shija Hospitals has been successful to a great extent in bringing highly needed medical technology in the region

Shija Hospitals located at environment friendly Langol Manipur is 200 bedded fully computerized institute having five modern operation theatres and 18 bedded fully functional ICU with all the latest life supporting equipments The hospital currently has 500 trained and dedicated staff

Shija Hospitals has becomes the only centre in Eastern India having under one-roof the total lsquostate of the artrsquo solution for treatment of stones at different locations of the body viz Lap-Chole Lap-CBD Exploration ERCP ESWL PCNL URS CLT and Lap-Urosurgery In Manipur it is the only private hospital having a consolidated Neuroscience centre under one roof has all the requisite resource in its Neurosurgery and Neurology unit Also SHRI is today a premier institute in India for minimally invasive surgery (MIS) viz Laparoscopic Surgery Arthroscopy Thoracoscopy Functional Endoscopic Sinus Surgery (FESS) and Upper and Lower GI Endoscopic procedures

To mention the recognition the hospital has been awarded Guinness World record for removing the largest neck tumor in the world from a 12 days old baby the tumor weighed 40 of the body weight

Facilities

Shija Hospitals Langol has the following departments ndash

Emergency and Trauma Care Pathology Radiology and imaging General Surgery Paediatric Dental ENT Obstetrics amp Gynaecology Ophthalmology Orthopaedics

Cardiology Anaesthesiology Medicine and Psychiatry Physiotherapy Surgical Gastroenterology Plastic Surgery Neurosurgery Neurology Urology

Vision 2015

To be a premium amp leading brand in healthcare services in the South East Asia recognized by our customers for our holistic approach personal touch and technological advancement

Mission

1048766 Customer needs 1048766 Research and development1048766 Quality system 1048766 Networking1048766 People development

Core Values -

Integrity Agility Passion for Excellence

FRONT OFFICE

In Patient Out PatientI) MAIN RECEPTION

Patient entry

Main reception area

Registered If Not Registered Registration done (At Main Reception)

OPD Billing

OPD Nursing Station

Consultation with Doctor

Advised Medication Advised Investigation Advised Admission

CMDMSConsultantsDuty DoctorsNursingMRDPharmacyOP PharmacyIP PharmacyCEOMaterials amp CRSFinanceAccountsCredit CellHRHR AdminRecruitment amp TrainingIR Appraisals Quality AssuranceEducationOperationsEngineering Maintenance amp ProjectsSecurity amp TransportITDHouse KeepingOut Patient ServicesIn Patient ServicesMarketingGR amp PRLiaison Advertising amp MediaSales Promotion amp CampsOrganization Chart

OPD Pharmacy Counter Sample collection Diagnostics Admission amp

Billing Counter

EXIT Report Collection

Registration Procedure

OPD requisition form to be filled

Submitted at the front office

A unique hospital ID is assigned

Cash Memo is issued

Mode of paymentCash payment was accepted Debit Credit card payment were under process

Waiting areaThere were three different OPD complexes

General OPD Eye OPD Obstetrics amp Gynecology

The General OPD waiting area would accommodate 150-200 people whereas the other OPDs had a capacity of 100 with no sub waiting area

In case of empanelled organizations

o The client has to produce an authorisation lettero Compendium of orders by Central Government Health Scheme is strictly

followedo Same charges and rates according to states are followedo In Manipur Delhi rates followed for all examinations and procedures

Payment method for clients from empanelled organizations

o IP payments are always due and payments have to be drawn from the empanelled organization

o OP payments have to be collected in cash from the patients which they can refund it on their own

o IP patients can give cheques

SHIJA MASTER HEALTH CHECK

Patient enters hospital

Registration done at Main reception

Billing done at IPD Counter

Sample collection done in Master Health Check Sample Collection Room

Sample sent to Lab

IN PATIENT DEPARTMENT

Categories of wards o Male General Ward

o Female General Ward

o Intensive Care Unit

o Neuro ICU

o Special rooms

o Cabins Twin sharing

o Deluxe Suites

In Patient Flow

Patient can come from

OPD ICU EMERGENCY POST -OPERATIVE

Admission counter - Nursing staff of ward changes the patient status in HIS by

Assistant gives a call doing ldquoCHECK-INrdquo of the patient received

to nursing station to - ICU EMERGENCY POST-OPERATIVE WARDS (from where

confirm for bed the patient is coming) changes the patient status in their

availability HIS by doing ldquoCHECK-OUTrdquo of the patient

Nursing staff prepares the roombed

Entry done in HIS Register White Board

Nurse informs the concerned Doctor

Doctor comes amp prescribes medication and investigation (if any)

Nurse writes the prescribed drugs on Indoor Drug Requisition Form

Ward boy goes and collects the drugs from Pharmacy

Nurse starts medication + prepares the patient for investigation (if any)

OPERATION THEATRE

Doctor sends request for OT Availability

OT Incharge confirms OT availability

Entry into OT Booking Register regarding

Scheduled surgeryrsquos Date Time Doctor Patient

A day before surgery verification of

Surgery Set Drugs

Instrument Verification

Verification of CSSD amp other consumables

In Non Usable condition

Discarded

Entry into Instrument

Replacement Register

Respective HOD informed

Request send to stores

Request sent

In usable condition

Suitable for use in surgery

Expiry check

Unused amp not

expired

Suitable for use

in surgery

Depleted stock for surgery use

Requisition sent to Pharmacy through Drug Requisition Form

Pharmacy replenishes request

Sufficient stock Inventory

Linen amp Instrument

Dirty Linen list formed amp

sent to Laundry amp received

Entry made

Surgical set amp consumables prepared

Before start of surgery Inspection of

Patientrsquos Records

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Mopping of OT floor with

Bacillocid

Disinfection of OT items

listed on form with 2 Trigene

Instrument checklist

Completion of ldquoopened

byrdquo amp ldquocross checkedrdquo columns

Electrical points in

Equipments

Transfer of equipment specific for

surgery into OT

OT Preparation done

Reception of Patient in Pre Operation area 20 minutes before surgery

Patient shifted to OT

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Suitable for surgery

Patientrsquos Identification done amp verified

Surgery performed

Recording of all consumable used is recorded

Surgery completed

Collection of OT Waste

Disposal by housekeeping

staff as per rules

Count of instruments

ldquoPostrdquo Column of Instrument

check list form completed

Transfer of patient to Recovery

Patient shifted to Ward SICU

Updation of records

Operation notes amp patientrsquos

record completed

Operation Daily charge bill formed

OT Drug inventory checked

Requisition send to

Pharmacy

OT Inventory replenished

OT Prepared for next surgery

Operation Theatre

Layout 1st flooor No of OTrsquos 6

General OTrsquos ndash 3 Eye OT- 1 Minor OT - 2

No of beds in Pre operative ward 7 No of beds in post operative wards 8 Utility room 1 Doctorrsquos Lounge 1 Nurse and Technician Lounge 1 Pantry 1 Sterile room 1 Changing rooms 4

Doctor (male) changing room 1 Doctor (female) changing room 1 Nurse (female) changing room 1 Technician + Nurse (male) changing room 1

Patient admission procedure in ICU

Physician

(Desiring admission of a patient in ICU)

contacts

Admission Office

Contacts for Bed Availability with

(Nurse ndash Ward Supervisor)

Beds Available No ICU Bed available

Admission done Admission office contacts

Nursing Administrator

Nursing Administrator starts

ICU patients ldquostatus evaluationrdquo

Any patient can be shifted None can be shifted

to Wards

Patient shifted to ICU after one patient Patient is stabilizedis shifted to Wards

Nursing Supervisor contacts

Administrator on-call

He authorize transfer of

patient to other hospital

HUMAN RESOURCE DEPARTMENT

Layout -Administrative Block Ground Floor

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Jobs amp Responsibilities

Manpower Planning

Internal Job Posting Process

CV Selection

Confirmation and Appraisal

Staff Queries

Follow up with selected candidates

Issuing of appointment letters

Disciplinary Policy

Leaves sanctioning

Finger print report checking

Manpower planning

Dispatch of salaries

Pre recruitment calls

Organizing interviews

Preliminary interviews

Joining formalities

Leave record maintenance

Issuing of I-Cards

Salary statement

Full and final settlement

Induction and orientation

Investigation of staff grievances

Payroll

Budgeting for departments

Doctors payout

Duty roster

Issuing of Experience letters

STORES

Layout -New Stores Block

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Bio medical Engineer GDA

Records Maintained

Goods Receipt Note Quotations Purchase Requests Capital Sanctioned Record

WORK FLOW

Department in need of material

Through HIS Indentation

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Issue Note Return File Purchase Receipt Purchase Orders

Store checks for the required material and the quantity

YES NO

Material issued and recorded in Issue Register Entry into Shortage Register

Record of the material entered HIS ldquoPurchase Requestrdquo is filled in HIS

Duties of Store In charge

Forecasting requirement Budgetary requirement Inventory control Stock verification Communicate the purchase

department about requirement Minimize pilferage

INFORMATION TECHNOLOGY (IT) DEPARTMENT

Layout -Ground Floor Main Building

Staff 3

Functions and responsibilities

To keep the servers alive

To keep the network alive

To keep internet connection alive

To take care of all the desktops amp laptops in the organization

To track the records of all the desktops

To keep an eye on the employees desktops

To resolve the complaints of the employees

Training of the other staff for the HIS

Major Work Areas General Administration amp HIS

Bin card maintained At a time 2800 items maintained in

the stores Random sample check to ensure the

genuinity and authenticity of product Disposal of surplus obsolete

Material Distribution

I) General Administration

Servers

Anti virus server Database server Application server Archive server

II) HIS (Hospital Information System)

Application by Avanttec

Billing Ward management Laboratory services Discharges + Medical Records Housekeeping Pharmacy Payroll Medical equipment

Access to Information

o User specific access according to their roles

HIS Backup

Done once a day Centralized database Internal backups

MEDICAL RECORD DEPARTMENT

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Organogram Medical Records Officer Statistician

Medical Records Technician

Functions of MRD

To ensure that the Shija Hospital has complete amp accurate medical record for every

patient

Public dealings with respect to Bill verification MLC cases and dealing with

Summons to the doctors hospital

To maintain high level of confidentiality as far as patientrsquos records are concerned

To ensure that the records are Identified and stored safely to prevent unauthorized

changes and easily retrieved whenever required

Issuing Emergency Medical Birth amp Death certificates

To generate Bed Occupancy reports ALOS and other hospital statistics (daily amp

monthly)

Record Retention Periods

IP Record 05 years

Emergency Register 02 years

MLC Records Not to be destroyed

BirthDeath Register Not to be destroyed

OPD documents Handed over to the patient

CLINICAL NUTRITION amp DIETICS DEPARTMENT

Layout -Ground floor OPD Block

Head Dietician Ms Bimota

Functions

Catering to Inpatients Diet counseling Education Smooth provision of laid out diets to the patients To check the patient food for quality preparation presentation and packing Coordinating closely with the Nursing shift in charges for changes in the patientrsquos

diet or new admissions etc

Records Maintained

Diet order sheet Meal count register Store register Diet Sheets

Counseling Register

Type of Diet Diet Card Color

Normal White

Diabetes Mellitus Yellow

Chronic Renal Failure Blue

Liquid Diet Pink

Flowchart of Dietician and Inpatient Interaction

The Dietician takes details of new patients such as name UHID doctorrsquos name diagnosis and diet prescribed Then Dietician takes a detailed round wherein she meets every patient and determines patientsrsquo actual intake Dietician then provides nutritional counseling and education ensures patientsrsquo compliance to recommended diet She also recognizes personal eating and food preferences

Afterwards the dietician does nutritional screening in order to know about patientsrsquo clinical condition appetite and tolerance to food and acceptance to hospital diet personal preferences disliking and food allergies if any

After the rounds detailed food summary sheets are planned and prepared for every patient keeping in mind medical history and preferences of patient as well

SECURITY

Own security force not outsourced since 2009

Area of Operation (Present)

To deal with 3 ldquoMrdquo- Man Material amp Machinery

Visitorrsquos check Entry restriction at ICU gate Security for doctors and nurse quarter Surveillance of hospital through CCTVrsquos Theft Burglary Violence Material movements in amp out of the hospital Handling visitorrsquos pass In case of patientrsquos death handling emotional chaos of attendants Parking management and traffic control

HOUSEKEEPING

Status Own

Department Manager Mr Arju

FUNCTIONS

bull Clean Floor Wall Ceiling

bull Discharge Cleaning

bull Remove Garbage

bull Replace Supplies In Utility Rooms

bull Clean Housekeeping Equipments

bull Clean Room Wards Reception OT ICU Etc

bull Infection Control

bull Pest amp Rodent Control

bull Odour Control

LAUNDRY- Own

Department in charge- MsUmajini

Functions

Segregation of soiled and clean linen Traffic flow of linen before 8am Carrying the linen around the hospital Registered linen and purpose System of collection

o Colored bins

Infected linen handled separately- soaked in sodium hyperchloride Register maintained ndash separate for infected and un-infected linen Floor wise collection Different registers for each type of linen Separate people for ironing and drying from those who collect and wash

bull Environment Hygiene

bull Sanitation Hygiene

bull Checking Cleanliness Of All Areas

bull Control amp Reporting Of All

Maintenance Works

bull Hospital Waste Disposal

bull In-Service Training

bull Cooperation with Other Depts

Shared responsibility with nurses in charge Report- washing record submitted to HR dept Due list of linen- expected on Monday

GAPS IDENTIFIED IN STORES MANAGEMENT

No forecasting of requirement done ie Reorder Levels not defined

No analysis like ABC VED done for inventory control

Codification of items still in progress

HIS for Stores still not completely streamlined

AMC amp CMC not maintained for all

Some departments go beyond the indent allowance

Repair and Maintenance of equipments There are instruments which are not used at all

o Non-functionalo Repair requiredo Condemned

For Quality assurance o Quality calibration o Annual Maintenance Contracto Complete Maintenance Contract

Instruments go for regular servicing or they are serviced and examined regularly- Some machines are serviced in the hospital- eg computers printers patient

monitor BP instrument Alternative arrangements are available during that period of time- Patient

monitors from other wards are managedo No back up stock available

Shortage during repair period Patient monitor ndash completely mobile thus record maintenance difficult-

communication gap between the material managers 3 total staff

GAPS IDENTIFIED IN HMIS

Avanttec is a Chennai Based HIS system hence immediate access to providers not available

Strong foundation but HIS is still not fully streamlined Personnel shortage in the department No staff at night

GAPS IDENTIFIED IN LAUNDRY DEPARTMENT

6 Set rule per patient not followed Presently only 2 sets per patient No weighing scale No sewing machine for repair No supervision over measured use of detergent and other chemicals

PROJECT ndash 1

A Study on Discharge Procedure with Special Emphasis

on In-Patient Feedback

INTRODUCTION

The study was carried out in Shija Hospitals and Research Institute which is a 180 bedded hospital located in Manipur The Hospital is well known for its high end technology and services in the region The Hospital looks forward to continually develop its services and improve the facilities available in order to become a well known health service provider in the South East Asian region in the future The operations management had identified the discharge procedure as an area where there was a scope for improvement Hence the hospital had assigned the project to study the discharge procedure

Discharging a patient is an activity common to every hospital - small large community inner-city teaching or non-teaching The discharge process can have an impact on numerous factors such as patient satisfaction bed availability timely tests and procedures needed for discharge transportation and nursing home arrangements No matter what type of patient is being discharged (maternity medicine orthopedic neurologic) numerous activities must be completed for each before the patient can be released This work toward discharge day should begin upon admission

As part of a progress towards NABH accreditation at Shija Hospital the discharge process is one of the many process improvement projects The discharge process at this hospital also incorporates obtaining feedback from the in-patient regarding the services at the time of discharge Due to inappropriate management the hospital was facing an acute shortage in the feedback response from the patients

The management at the hospital realizes the need and importance of patient satisfaction and a need of a measurable index through feedback analysis In all service industries customer retention is a vital issue Hence the management wanted to do all that they could to obtain feedback from the patients at the time of discharge and make the discharge procedure as smooth as it can get

The objective of this study was to study the process of discharge and find out the probable reasons for the failure to attain feedback from the patients at the time of discharge

STUDY METHODOLOGY

To study the discharge procedure practiced at Shija Hospitals with special emphasis on

analyzing the reasons for the short-fall of In-Patient Feedback

OBJECTIVE

1 To find the steps followed during discharge of an in-patient2 To find the total time taken for a discharge of a single patient3 To find the contributing reasons for the short fall of in-patient feedback

received in the wards

RATIONALE

The discharge of a patient is a very important component of in-patient service and needs to be smooth and efficient On the other hand in-patient feedback is equally important as it provides the performance standards of the hospital which needs to be continually enhanced

METHODOLOGY

Study design-

Area- Shija Hospitals and Research Institute Manipur

Duration- From 11-04-2011 to 30-04-2011

Type of study- Observational and Survey study

Sample size-120 in-patients and the following hospital staff

Nurse Superintendant

RMOs on duty

Staff nurse

Front office executives

Service entry staff

Sampling Method-Convenience sampling

Study tool Questionnaire and personal interviews

Type of Data collected -

Interviewer guided questionnaires collected from patients by visiting the different wards

Personal interview of various hospital staff and officials involved in discharge procedure

DISCHARGE PROCESS

Doctor prescribes the discharge

Nurse informs the patient about the time of discharge

Staff nurse starts discharge formalities by

Asking the Resident Medical Officer Concerned Physician to

make discharge summary

Informing Dietician to make discharge diet report for patient

Counseling of the patient by the dietician and physiotherapist (if

physiotherapy is going on for patient)

Asking the service entry assistants to enter all the details regarding the

patients starting from the no of consultant visits to medicines

consumed

Sending to Pharmacy Daily Billing Activity Sheet

Daily Pharmacy BillsDischarge medication detailsMedicines left unconsumed

In Pharmacy Summary of Pharmacy Bill is prepared

Daily Billing Activity Sheet

Summarized Pharmacy Bill

Giving the feedback form to the patient attendants

Fig1 Communication channels during the discharge procedure

Billing department finalizes the bill

Payment taken by billing department from attendants

IPD Billing informs at the nursing station about the clearance of bill

Discharge Summary completion by Medical Transcriptionist

Nurse informs the patient amp patient changes clothes

Nurse checks the checklist given for discharge of patient

All medications + Investigations reports + Patientrsquos file given to the patient

Patient given amp explained about how to take the medications + any special instruction + follow up schedule

Patient Discharged

Collects the filled up feedback form from the patient attendants

There is a lot of inter-department as well as intra-department communication that takes place during discharge of a patient This communication needs to be fully synchronized and coordinated to avoid errors and unnecessary delays

Fig 2 A chart showing the compliance of the staff to some of the steps of the discharge procedure of the hospital

020406080

100120

Compliance to discharge procedure

Table1 Duration of various parameters related to discharge

DoctorNurseService ward boysBillingofficePatient

Various other departments of the hospital

Parameters Duration

Average Length of Stay 4-5 days

Average time taken for discharge 3 hours 42 min

Average time of the day when patients are discharged

1438 hrs

Average time of the day when the doctor confirms discharge

1030 hrs

Table2 Level of discharge related activities completed

Parameters Actual Percentage

No of feedback collected 82120 6833

Discharge confirmed before 24 hrs 28120 2333

Patients counseled regarding discharge 39120 3250

Information given to patients for care and medication

102120 85

Areas of Major delays

bull Preparation of the discharge summary by RMO

bull 1 Service entry in charge on each floor hence shortage during peak hours

bull Negotiation of the final bill at the Billing office by the attendants

bull Since all the outstanding bill payments are done in cash there is a delay as the money needs to be brought from homes banks or ATMs(which are not available at the hospital)

bull Unexpected System failures 3

In Patient Feedback

Fig3 Process of collection of IP feedback

Reasons for low feedback

bull 27 case files arrived at wards without feedback forms inserted in them by the front office personnel

bull Pressure on nurses during peak hours as the entire responsibility is upon them of both the admitted patients as well as the ones to be discharged

bull Negligence on the part of attendants on submitting the forms duly filled amounted to about 36

bull Feedback forms not a part of discharge checklistbull 9 of the patients and their attendants are worried about the way feedback is

going to be received by the hospital staff They think that the treatment of their next visit will be influenced by the feedback they give

bull 27 of them do not really believe that anything is going to be done about the feedback forms

General practices that can be implemented to make discharges effective The discharge planning process should begin as soon as is practical after the

patient is admitted to hospital No discharge should be considered lsquoroutinersquo All discharges have the potential to become complicated Time spent talking to patients and assessing their needs at the start of the process can uncover potential problems and help to facilitate a smooth planned discharge

A discharge date should be set as early as possible although it is recognised that ultimately any discharge is dependent on the clinical progress of the patient and may be subject to change Discharge plans should be clearly documented in the patientrsquos medical and nursing records

Discharge documentation should be concise easy to use and most importantly relevant Staffs should familiarize themselves with documentation used in the

Feedback form inserted in the

case file from the front office

Distribution of the forms to the

patients to be discharged

Collected by the nurses or

submitted at the front office

discharge process and ensure they are competent in its completion Adequate on the job training can be provide for the same

Clearance of bill must be done in installments instead of paying a large sum at the end of the stay at the hospital Most of the large hospitals such as Fortis follow the same

Use of software such as lsquopatient trackerrsquo which captures and sorts patient information easily and efficiently using palm top or computer during rounds or online is recommended for use Features include the ability to track patient data view patient lists and generate reports This software is being used by Johns Hopkins

Compliance to the discharge procedure by all medical staff and regular and timely rounds by the Doctors

Complete System back up Complete and comprehensive counseling to the attendants Implementation of lean six sigma to reduce the time taken for discharge and to

reduce chances of error in the process

If a system is not strictly adopted for the purpose of making discharge procedure efficient then there could be some serious implications

Table3 Analysis of threats and opportunities of streamlining discharge procedure

Threat(If we do not follow a standard process)

Opportunity(If we follow a standard process)

SHORT TERM

Continue to encounter difficulties admitting and discharging patients

Non compliance with medical care Inaccurate census staffing billing

room occupancy Dissatisfied customers

Turn around time of bed availability will improve

Decreased admission time Increase revenue Improved communication

among departments Increased patient satisfaction

LONG TERM

Less revenue per bed Potential for serious violations of

norms Billing issues

More revenue per bed More efficient operation Increased patient satisfaction

Ways to obtain more feedback

Short and brief feedback forms which are in a form of a checklist Feedback part of discharge checklist Relevance of feedback explained to the nurses who will in turn explain to the

patients and their attendants Introducing a new system such as Patient Welfare Department which will be a

dedicated team to collect feedback as well as address grievances of the patients and ensure quality service thus facilitating an efficient discharge

All patients should receive a comprehensive assessment of their actual and potential discharge needs by relevant members

Feedback based action The recommendations and suggestions must be seriously

looked upon and evaluate the feasibility to implement them Appreciations of nurses doctors or other service staff given by the patients and

attendants must be conveyed to them to encourage them in providing better service every time

Fortis Malar Hospital Chennai

(May 4- June 4 2011)

ACKNOWLEDGEMENT

I am extremely indebted to all the professionals at Fortis Malar Hospital Chennai for

sharing generously their knowledge and precious time which inspired me to do best

during summer training I owe a great debt to Mr Venkat SR (Head Human Resource)

Dr Sajan Nair (Medical Superintendant) of Fortis Malar Hospital for showing their

interest and sharing their valuable views in spite of their busy schedule It has been my

privilege to work under their dynamic supervision in the hospitals

The data collection and my learning would have not been possible without in depth

discussions with Ms Sheetal (Assistant Manager HR) Ms Ammu Ms Sravya

(Executives HR) Ms Hazel (Assistant Medical Administrator) Mr Egambaram

(Medical Records Officer) of Fortis Malar Hospital I thank them for providing timely

guidance assistance amp kind support during my study

Most importantly I would like to thank my mentor Dr Neetu Purohit for her

unconditional support guidance and motivation throughout the study period

Hospital Profile 34

Fortis Malar Hospital is established as one of the largest corporate hospitals in Chennai providing quality super specialty and multi specialty healthcare services Fortis Malar Hospital earlier known as Malar hospital was founded in 1992 under the leadership of DrRamamurthy The Fortis Healthcare Limited had acquired the Malar hospital in the year 2007 and since then the performance and the share market of this hospital has sky-rocketed With 180 beds the Fortis Malar Hospital focuses on providing comprehensive medical care in the areas Cardiology Cardiac surgery Neurology Neuro surgery Orthopedics Nephrology Gynecology Gastroenterology Pediatrics Diabetics and others

Today it is one of the preferred hospitals in Chennai for patients in several parts of Tamil Nadu and other parts of the World The hospital provides medical expertise with the finest talents amongst doctors nurses technicians and management professionals in an environment that enables them to deliver the highest quality of healthcare through state-of-the art facilities that aims to leave no stone unturned in perfecting ever enhancing patient centric care Enhanced by the warmth amp care of the professionally trained nurses and housekeeping staff Fortis Malar Hospital at Chennai recreates the comfortable ambience of home within its four walls

Specialities Anaesthesia Blood Bank Cardiac Surgery Cardiology Critical care Dental

Dermatology Diabetes

ampEndocrinology Emergency Medicine ENT Gastroenterology General Medicine

General Surgery GI Surgery Internal medicine Intervention

radiology Laboratory

Services Neonatology

PROJECT ndash 2

Medical Records Management and Protocol

Implementation

INTRODUCTION

The study was carried out in Fortis Malar Hospital which is a 180 bedded hospital located

in Chennai The Hospital is well known for its brand and the quality service that it

provides to its patients The business tag line of the hospital lsquoPatient Firstrsquo says it all

about their commitment to patient care service Maintaining and keeping records of the

patients is also a very important component of patient care The reason of its importance

is well elucidated in the study

The Medical Records Department is primarily concerned with documentation of patient

care It does not deal directly with reviews of actual treatment given or set standards of

care By ensuring that all personnel comply with regulations regarding documentation of

patient care the Medical Records department supports various medical staff committees

by providing data from medical records

Medical records play an important role in the functioning of any hospital in terms of

giving vital information for conducting research statistical data on utilization of hospital

services mortality and morbidity profiles and to evaluate performance of clinical

facilities It is beyond doubt that a well-organized and managed Medical Records

Department will go a long way in providing quality services to the patient

The objective of study was to study the medical records management and protocol

implementation practiced at Fortis Malar Hospital Chennai The study is a thorough

analysis of the structure process and outcome of the Medical records department

METHODOLOGY

Study design-

Area- Fortis Malar Hospital Chennai

Duration- From 04-05-2011 to 04-06-2011

Type of study- Observational study

Study tool Personal interviews

o Personal interview of various hospital staff and officials involved in medical records

management

o Secondary data collected from the department

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Wipro HIS used to maintain and share hospital data

Organogram

1 MRD officer

2 Medical Records Technicians 1 Office Assistant

3 offices in total

1 at Fortis Malar- Main collection and work office 1 at Padmanaban- Storage 1 at Velachery- Storage

Job responsibilities

Technicians -2o Receiving files from various wards after a patient is dischargedo Assembling the fileso Deficiency check of the fileso Coding of the files according to ICD-10o Updating the Pending list for those patients who have been discharged

but the file has not arrived at the MRD officeo Birth Death nominal registerso Insurance related enquirieso Issuing wound certificate for MLC caseso Any information required by the MRO has to be assisted by the

technicians Office Assistant

o Daily update of statistics40

o Overall in charge for filing sending refilling files and cupboardso Department file clearance work

MROo Overall department functionso Death Birth Insuranceo Mediator between the department and higher authoritieso Statisticso Death audito Filing supervisoro Department manual maintenance o Dealing with police personnel related to death certificateo Assignment of duties and responsibilities o Representative for summons to court

Type of Discharge Files maintained

Death Files

Birth files

MLC cases

Recovered cases

Process

Admission amp Discharge Report generation

of previous day by MRD Officer

MRD Peon collects from each ward

Daily Floor Census

Discharge File of discharged patients

Assembling amp Deficiency check

Completion of Incomplete documents by the MRD Officer or concerned DoctorNurse

Daily Admission amp Discharge analysis

Coding (acc To ICD-10) amp Indexing

Filing

Sub process

Maintenance of files numbering and colour coding appropriately

Facilitation in claiming of insurance

Documents required for Reimbursement

Issue of Wound certificate to MLC related cases

Preparation of discharge pending list

Data entry for Out Patient In Patient total surgery admissions doctor-wise

account of all procedures such as- CT scan Ultra sonography TMT etc

Assembling coding and deficiency check of discharge files and filing

Census data collected from the nurses on duty on daily basis

o Manually

o Consult the concerned night duty nurses

Assembling

o Daily files submitted by the ward secretary to the MRD office

o Format of assembling order checklist is maintained

Assembling Order

1 Face sheet2 Patientrsquos Discharge Records3 Discharge sheet (Discharge DOR LAMA Death)4 Emergency amp OPD card5 History sheet6 Investigation flow chart7 Consultation form8 Informed consent9 Valuable handover form10 Undertaking for payment Primary ADHOC PTCA11 Angiography- Angioplasty Checklist12 Cardiac Anaesthetic Record13 Consultation for surgical amp medical treatment14 Pre-operative instruction checklist

15 Anaesthesia record16 Surgical safety checklist17 Operation note Delivery note18 Post operative evaluation form19 Labor chart20 Progress note21 Temperature chart22 Intake output chart23 Blood sugar24 Diabetic Monitoring chart25 Drug prescription amp Administration Record26 NICU Observation Chart27 Nurses Record28 ICU amp CCU Observation chart29 Medical Certificate cause of death30 Release of dead body certificate31 Final Bills (MLC case)32 Any other relevant document concerning to patient

Deficiency check

o Checklist maintained

o All files checked against the checklist to confirm the presence of all

required reports and forms

o Final Summary sheet prepared by the MRD comprising of all important

details- final diagnosis procedure etc

Coding

o Not done through the medical information system

o Has to be done manually with reference to WHO ICD-10 code book

Filing

o Filing is done manually and separate colour coding is done for MLC cases

Death and General categories

Census assembling and deficiency check done in the main office coding and filing

done in the separate office where all files are kept and maintained

Process of issuing Birth certificate

o A child is born in the hospital

o Birth report filled by patient or patient attendant

o Collection of birth report from Neonatal Intensive Care Unit by the MRD

o Details of the child entered in the birth register

o Government issued form filled by MRD signed and approved by doctor

concerned

o Government issued form submitted to the municipality by the MRD staff

o Patient attendant go to the Municipal Corporation and collect the

certificate( Corporation of Chennai Zone-10 Adyar Office)

Claiming of insurance

Different insurance companies follow different policies and procedures There are three

categories of insurance as follows

o Group

o Medical Assistance also known as Medicaid

However there are no insurance provisions for genetic related diseases or illnesses Once

admitted in the hospital pre-authorization form is submitted to billing office by the

patient Doctor billing persons fills the required forms The forms are then sent to the

company for approval Surgical procedure or treatment is carried out in the hospital

Investigator or claim analyst then comes to the MRD office to cross check all the details

of the procedure and asks for all procedures and file handed over to the investigator They

can see and verify and sign saying that they have verified They ask for some papers or

reports which are allowed to be given For the patients on a payment of Rs500 and

approved by the deputy Medical Superintendant papers can be obtained from the MRD

office

MLC related Casualty

These files are maintained separately for In Patients and Out Patients Casualty wards

maintain separate register for MLC cases These files are presented in case of request for

details from police stations Wound certificates are issued on approval by Casualty

Medical Officer in case of out patients and for admitted patients opinion is sought from

doctor concerned with the final diagnosis based on the surgery related to department The

details of the wound certificate are filled by MRD staff and three copies are made of the

MR requisition

Medical records can be obtained from the Medical records department by filling a

medical records requisition form The requisition form is available only to the internal

staff Detailed requisition form is to be filled by the person who is in need of the

concerned files For requirement of more than 5 files intimation has to be given before

two days

Statistical data of the following are received by the MRD from the respective

departments

o CATH Lab procedures

o Cardiac surgery

o General surgery

o Daily operation schedule

With reference to these mails data is entered in the existing format for MRD

Month end copy of the following statistical data submitted to higher authority

o Deputy Medical Superintendant

o Medical superintendant

o Zonal director

o Financial manager

o Delhi head office

Outcome

Generation of hospital related statistics such as Bed Occupancy Rate Average

Length Of Stay etc

IP Record 05 years

OPD documents Handed over to the patients

Generation of Death Birth Certificates

Systemized and coded files for future reference

Gap analysis

Discharge files

o Incomplete nursersquos notes

o Patient details are missing

o Day to day notes with date and time is missing

o Sex details missing

o Admission slip is missing

o Discharge summary is missing in about 20 files

o Only 40 files are completely filled and gets through the checklist

o Consent form for procedure- left blank

o Patient Registration form missing

o No uniformity in admission forms various formats of admission forms

Birth certificates

Birth and death report filled incorrectly or later changes requested by the family In spite

of a 6 month long period of time given to decide the name there are still a high number of

cases where the parents come to change the names

Birth and death form to be actually filled by doctors but not followed

Insurance

o Investigator comes as a representation of the company but often fails to

bring a letter authorized by the patientrelatives

Coding ICD- 10 book not available at the MRD office

Insufficient space provided for MRD department according to 180 bedded

hospital

PROJECT ndash 3

Employee Joining Kit

INTRODUCTION

The assignment was carried out in Fortis Malar Hospital which is a 180 bedded hospital

located in Chennai The management team at the hospital is a strongly dedicated team I

had an opportunity to work with the Human Resource management team of the hospital

During my training I have seen that they are continuously bringing out new ways and

means to delight their employees encourage them and aid them in performing their best

The Fortis Healthcare industry is known for its high retention rates of up to 95 It can be

said without doubt that the HR team has a role to play In the same spirit of delighting

their employees the HR team assigned me to design and prepare a comprehensive

employee joining kit to be given to the new employees

Joining a new organization is a moment filled with exhilaration excitement and curiosity

for the new employee At the same time the organization is eager to find out all about the

new employee their personal data health condition work experience etc The

organization also wants to acquaint the new employee with all the norms and customs of

the organization It is during the period of joining that the fresher is all eager to find out

all about the organization as well Hence it is the responsibility of the organization to

bridge the gap between the new employee and the organization by providing a

comprehensive and concise employee Joining kit which will contain the vision and values

of the organization guidelines for the layout use of canteen and other activities in the

organization

The objective ofthe assignment was to prepare a joining kit which will be a guide to the

new employee as well as a means of conveying the entire relevant and required message

to the fresher This would also serve as a booklet attached with all the mandatory as well

as non mandatory forms to be filled and submitted by the employee after they tear the

sheets attached with perforations

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

o Detailed personal interview of various hospital staff and officials

o Relevant and statutory forms collected from various departments

o Secondary data collected from the department of Human Resource Administration Food amp

Beverages Nursing etc

The Employee joining kit was successfully completed and approved by the management of the

staff The complete joining kit is attached as an annexure to give a more detailed comprehension

of the requirements of preparing an employee joining kit

Annexure 1FORTIS MALAR HOSPITAL

ADYAR CHENNAI -20HOSPITAL STATISTICS FOR JAN TO DEC- 2011

SNO PARTICULARS JAN11 FEB11 MAR11 APR11 Total1 TOTAL OUTPATIENTS 8790 8533 9058 7749 3413000

CARDIOLOGY 789 812 861 756 3218002 DAILY AVERAGE OF OPD 284 305 292 258 1139243 TOTAL INPATIENTS ADMISSIONS 826 784 886 851 334700

CARDIOLOGY 253 807 871 760 2691004 DAILY AVERAGE OF ADMISSIONS 27 28 29 28 111955 TOTAL INPATIENTS DISCHARGES 795 794 905 824 3318006 DAILY AVERAGE OF DISCHARGES 26 28 29 27 111027 TOTAL INPATIENTS TREATED 3712 3399 3555 3184 1385000

CARDIAC CASES 1138 1218 1363 1094 4813008 DAILY AVERAGE OF INPATIENTS 120 121 115 106 462209 BED OCCUPANCY RATE 7044 6340 5975 5454 062

10 TOTAL SURGERIES 289 264 374 322 124900 MSOT 230 216 290 261 99700 CTOT 59 50 84 61 25400

11 TOTAL EMERGENCY CASES 1337 1181 1376 1145 503900 OP TREATED 1030 921 1071 850 387200

CASUALTY ADMISSIONS 307 269 310 285 117100

MLC CASES 97 81 117 95 39000

12 TOTAL DELIVERIES 38 35 39 36 14800

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

VACCUM EXTRACTOR 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

16 TOTAL TREADMILL 150 187 175 129 6410017 TOTAL DIALYSIS 290 273 356 366 128500

18 TOTAL PHYSIOTHERAPHY 2027 1821 2153 1718 771900

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

21AVERAGE LENGTH OF PATIENTS STAY ( DAYS ) 466 380 347 337 1530

22 TOTAL DEATHS 22 29 23 8 8200 gt 24 HOURS 20 23 19 4 6600 lt 24 HOURS 2 6 4 4 1600 GROSS DEATH RATE ( ) 276 365 254 097 248 NET DEATH RATE ( ) 252 290 210 049 200

Summer Training

A Report

Anisha Khundongbam

PREFACE

B PROJECT 1- A Study on Discharge Procedure with Special Emphasis on In-Patient Feedbackhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip22

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

A Study on Discharge Procedure with Special Emphasis on In-Patient Feedback

To study the discharge procedure practiced at Shija Hospitals with special emphasis on analyzing the reasons for the short-fall of In-Patient Feedback

PROJECT ndash 2

Medical Records Management and Protocol Implementation

PROJECT ndash 3

PREFACE

Summer training is an integral part of the course curriculum of PGDHM As part of the

course students of first year are required to undergo summer placement at any reputed

organization to get in depth exposure of various departments in the organization

During the period of summer training I completed three projects which were carried out

at two different Healthcare setups

The first study titled ldquoA Study on Discharge Procedure with Special Emphasis on In-

Patient Feedback was carried out at Shija Hospitals and Research Institute Manipur

The aim of the study was to understand the existing discharge procedure at the hospital

and to analyze the probable reasons for low in-patient feedback ( which was a part of

discharge procedure)

The second study titled ldquoMedical Records Management and Protocol

Implementationrdquo was undertaken at Fortis Malar Hospital Chennai to understand the

structure process outcome of the Medical Records Department at the Hospital

The third study titled ldquoEmployee Joining Kitrdquo was also pursued at the Fortis Malar

Hospital Chennai This was a special project assigned by the HR department of the

Hospital The designing and preparation of the employee joining kit took many HR

aspects into consideration as it had to be a comprehensive manual to be presented to the

new employees at the time of joining

The Objectives of summer training were

To learn the daily operational management of the Organization and its various

departments areas

To study the salient and critical features about the functioning of these

departments areas

To identify issues problems associated with some specific departments areas

To undertake the projects special tasks assigned to us

TABLE OF CONTENTS

C ANNEXURES

ABBREVIATIONS

ACKNOWLEDGEMENT

hospital

INTRODUCTION

Facilities

Vision 2015

Mission

Core Values -

FRONT OFFICE

Patient entry

Main reception area

OPD Billing

OPD Nursing Station

Billing Counter

Cash Memo is issued

Sample sent to Lab

o Neuro ICU

o Special rooms

o Deluxe Suites

In Patient Flow

OPERATION THEATRE

Surgery Set Drugs

Discarded

Request sent

In usable condition

Expiry check

Unused amp not

expired

Suitable for use

in surgery

Entry made

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Bacillocid

Equipments

surgery into OT

OT Preparation done

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

TABLE OF CONTENTS

C ANNEXURES

ABBREVIATIONS

ACKNOWLEDGEMENT

hospital

INTRODUCTION

Facilities

Vision 2015

Mission

Core Values -

FRONT OFFICE

Patient entry

Main reception area

OPD Billing

OPD Nursing Station

Billing Counter

Cash Memo is issued

Sample sent to Lab

o Neuro ICU

o Special rooms

o Deluxe Suites

In Patient Flow

OPERATION THEATRE

Surgery Set Drugs

Discarded

Request sent

In usable condition

Expiry check

Unused amp not

expired

Suitable for use

in surgery

Entry made

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Bacillocid

Equipments

surgery into OT

OT Preparation done

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

ABBREVIATIONS

ACKNOWLEDGEMENT

hospital

INTRODUCTION

Facilities

Vision 2015

Mission

Core Values -

FRONT OFFICE

Patient entry

Main reception area

OPD Billing

OPD Nursing Station

Billing Counter

Cash Memo is issued

Sample sent to Lab

o Neuro ICU

o Special rooms

o Deluxe Suites

In Patient Flow

OPERATION THEATRE

Surgery Set Drugs

Discarded

Request sent

In usable condition

Expiry check

Unused amp not

expired

Suitable for use

in surgery

Entry made

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Bacillocid

Equipments

surgery into OT

OT Preparation done

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

ACKNOWLEDGEMENT

hospital

INTRODUCTION

Facilities

Vision 2015

Mission

Core Values -

FRONT OFFICE

Patient entry

Main reception area

OPD Billing

OPD Nursing Station

Billing Counter

Cash Memo is issued

Sample sent to Lab

o Neuro ICU

o Special rooms

o Deluxe Suites

In Patient Flow

OPERATION THEATRE

Surgery Set Drugs

Discarded

Request sent

In usable condition

Expiry check

Unused amp not

expired

Suitable for use

in surgery

Entry made

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Bacillocid

Equipments

surgery into OT

OT Preparation done

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

ACKNOWLEDGEMENT

hospital

INTRODUCTION

Facilities

Vision 2015

Mission

Core Values -

FRONT OFFICE

Patient entry

Main reception area

OPD Billing

OPD Nursing Station

Billing Counter

Cash Memo is issued

Sample sent to Lab

o Neuro ICU

o Special rooms

o Deluxe Suites

In Patient Flow

OPERATION THEATRE

Surgery Set Drugs

Discarded

Request sent

In usable condition

Expiry check

Unused amp not

expired

Suitable for use

in surgery

Entry made

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Bacillocid

Equipments

surgery into OT

OT Preparation done

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

INTRODUCTION

Facilities

Vision 2015

Mission

Core Values -

FRONT OFFICE

Patient entry

Main reception area

OPD Billing

OPD Nursing Station

Billing Counter

Cash Memo is issued

Sample sent to Lab

o Neuro ICU

o Special rooms

o Deluxe Suites

In Patient Flow

OPERATION THEATRE

Surgery Set Drugs

Discarded

Request sent

In usable condition

Expiry check

Unused amp not

expired

Suitable for use

in surgery

Entry made

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Bacillocid

Equipments

surgery into OT

OT Preparation done

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

INTRODUCTION

Facilities

Vision 2015

Mission

Core Values -

FRONT OFFICE

Patient entry

Main reception area

OPD Billing

OPD Nursing Station

Billing Counter

Cash Memo is issued

Sample sent to Lab

o Neuro ICU

o Special rooms

o Deluxe Suites

In Patient Flow

OPERATION THEATRE

Surgery Set Drugs

Discarded

Request sent

In usable condition

Expiry check

Unused amp not

expired

Suitable for use

in surgery

Entry made

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Bacillocid

Equipments

surgery into OT

OT Preparation done

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Vision 2015

Mission

Core Values -

FRONT OFFICE

Patient entry

Main reception area

OPD Billing

OPD Nursing Station

Billing Counter

Cash Memo is issued

Sample sent to Lab

o Neuro ICU

o Special rooms

o Deluxe Suites

In Patient Flow

OPERATION THEATRE

Surgery Set Drugs

Discarded

Request sent

In usable condition

Expiry check

Unused amp not

expired

Suitable for use

in surgery

Entry made

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Bacillocid

Equipments

surgery into OT

OT Preparation done

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

FRONT OFFICE

Patient entry

Main reception area

OPD Billing

OPD Nursing Station

Billing Counter

Cash Memo is issued

Sample sent to Lab

o Neuro ICU

o Special rooms

o Deluxe Suites

In Patient Flow

OPERATION THEATRE

Surgery Set Drugs

Discarded

Request sent

In usable condition

Expiry check

Unused amp not

expired

Suitable for use

in surgery

Entry made

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Bacillocid

Equipments

surgery into OT

OT Preparation done

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Billing Counter

Cash Memo is issued

Sample sent to Lab

o Neuro ICU

o Special rooms

o Deluxe Suites

In Patient Flow

OPERATION THEATRE

Surgery Set Drugs

Discarded

Request sent

In usable condition

Expiry check

Unused amp not

expired

Suitable for use

in surgery

Entry made

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Bacillocid

Equipments

surgery into OT

OT Preparation done

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Sample sent to Lab

o Neuro ICU

o Special rooms

o Deluxe Suites

In Patient Flow

OPERATION THEATRE

Surgery Set Drugs

Discarded

Request sent

In usable condition

Expiry check

Unused amp not

expired

Suitable for use

in surgery

Entry made

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Bacillocid

Equipments

surgery into OT

OT Preparation done

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

In Patient Flow

OPERATION THEATRE

Surgery Set Drugs

Discarded

Request sent

In usable condition

Expiry check

Unused amp not

expired

Suitable for use

in surgery

Entry made

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Bacillocid

Equipments

surgery into OT

OT Preparation done

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

OPERATION THEATRE

Surgery Set Drugs

Discarded

Request sent

In usable condition

Expiry check

Unused amp not

expired

Suitable for use

in surgery

Entry made

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Bacillocid

Equipments

surgery into OT

OT Preparation done

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Medical Gas

Pressure Leakage

Sterilization

Daily OT cleaning

records duly filled

Bacillocid

Equipments

surgery into OT

OT Preparation done

Discarded

Request sent

Entry made

Expired

Separated

Entry made into RE-

AUTOCLAVE register

Send to CSSD

Not expired

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Surgery performed

Surgery completed

staff as per rules

Updation of records

record completed

Requisition send to

Pharmacy

Operation Theatre

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Physician

contacts

Admission Office

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

to Wards

Total Staff 4

Organogram

Head Manager

HR Executives (3)

Trainee

Manpower Planning

CV Selection

Staff Queries

Disciplinary Policy

Leaves sanctioning

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Payroll

Doctors payout

Duty roster

STORES

Staff 4

Hierarchy

Stores Manager

Store Supervisor

Records Maintained

WORK FLOW

or Requisition slip

Store15

Manpower planning

Joining formalities

Issuing of I-Cards

Salary statement

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

YES NO

Staff 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Servers

HIS Backup

Layout -MRD Block

Staff 3

Infrastructure

Desktop 1

Printer 1

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Functions of MRD

patient

monthly)

IP Record 05 years

Functions

Records Maintained

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Counseling Register

Normal White

Liquid Diet Pink

SECURITY

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

HOUSEKEEPING

Status Own

FUNCTIONS

bull Remove Garbage

bull Odour Control

LAUNDRY- Own

Functions

o Colored bins

Maintenance Works

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

PROJECT ndash 1

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

INTRODUCTION

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

STUDY METHODOLOGY

OBJECTIVE

RATIONALE

METHODOLOGY

Study design-

Duration- From 11-04-2011 to 30-04-2011

RMOs on duty

Staff nurse

Service entry staff

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

DISCHARGE PROCESS

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

consumed

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Patient Discharged

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

020406080

100120

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Parameters Duration

1438 hrs

1030 hrs

102120 85

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

In Patient Feedback

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

SHORT TERM

LONG TERM

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

(May 4- June 4 2011)

ACKNOWLEDGEMENT

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Hospital Profile 34

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

PROJECT ndash 2

Implementation

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

INTRODUCTION

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

METHODOLOGY

Study design-

Duration- From 04-05-2011 to 04-06-2011

management

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Structure

Layout -6th floor

Staff 4

Infrastructure

Desktop 1

Printer 1

Organogram

1 MRD officer

3 offices in total

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Death Files

Birth files

MLC cases

Recovered cases

Process

Daily Floor Census

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Filing

Sub process

o Manually

Assembling

Assembling Order

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Deficiency check

Coding

Filing

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

concerned

o Group

office

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

MR requisition

two days

departments

o Cardiac surgery

o General surgery

o Zonal director

o Financial manager

o Delhi head office

Outcome

Length Of Stay etc

IP Record 05 years

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

Gap analysis

Discharge files

Birth certificates

Insurance

hospital

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

INTRODUCTION

organization

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

METHODOLOGY

Duration- From 04-05-2011 to 04-06-2011

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3

MLC CASES 97 81 117 95 39000

NORMAL 12 10 14 12 4800

LSCS 26 25 25 24 10000

FORCEPS 0 0 0 0 000

13 TOTAL CATH-LAB 157 162 175 170 66400

ANGIOGRAM 110 116 135 124 48500

PTCAOTHERS 47 23 40 46 15600

14 TOTAL ECG 649 637 952 608 284600

15 TOTAL ECHO 486 472 517 477 195200

OUT-PATIENTS 857 830 995 720 340200

IN-PATIENTS 1167 991 1158 985 430100

19 TOTAL NCV 43 37 46 36 16200

20 TOTAL EEG 26 33 38 37 13400

Summer Training

A Report

Anisha Khundongbam

PREFACE

ABBREVIATIONS

ACKNOWLEDGEMENT

PROJECT ndash 1

PROJECT ndash 2

PROJECT ndash 3