Thursday, June 7


With this we come to the end of the first part of the course on Health Administration.
The second and third part of Health management and health system management will follow. Keep watching!!!
Read------- Learn   and Enjoy ------ the First Part


Hospital Administration Made Easy
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Engineering Hazards

This presentation details the Engineering hazards possible in Hospital and it management scenarios.

Hospital Equipment Maintenance :: Hospiad

Repair and maintenance of existing facilities to ensure  optimum operational reliability, risk reduction and their safety for the patient, staff and public is the objective of maintenance. The quality of engineering services in terms of their outcome and ability to satisfy the expectations of clientele, both internal (doctors / nurses / technicians / management) and external (the patients / their relatives as well as the regulatory authorities) depends on effective maintenance.

Expectations of the Patients
  1. There is a regular and uninterrupted power / water supply, the communication system and a comfortable environment (lighting, ventilation, humidity, noise / odor level).
  2. Failure of these services is not the cause of any untoward effect, on their treatment / chances of recovery.
  3. The service should be able to provide to them an atmosphere like their home atmosphere.
Expectations of the Doctors / Nurses / Technicians
  1. The services optimize the comfort level of the patient.
  2. That the services are adequate enough to support the timely performance of the diagnostic / therapeutic procedures
  3. The communication system is efficient and fully reliable
  4. The services do not, in any way, adversely affect the treatment of their patients.

Expectations of the Management
  1. No complaints from the patients, staff or the regulatory authorities.
  2. Safety of patients, public and staff from all possible hazards related to the facility management.
  3. Minimum possible cost of maintaining / operating the facilities / equipment under the charge of the department.

Expectations of the Regulatory Authorities
  1. Absolute compliance of all legal provisions and no incidence of violations of the laws.
  2. Complete safety of the patients, relatives, public and the staff.
  3. No complaints from the public about environmental nuisance.

In view of this Equipment maintenance is one of the vital components of any hospital service and attention to be paid on above factors.

This presentation is made with the extracts taken from a WHO presentation indicated on it. Hope it will be of help  and a guide for hospital equipment maintenance.

Tuesday, April 17

Hospital engineering services :: Hospiad

One must be surprised, being a hospital administrator, what is the need of knowing engineering service. But one must not forget that:
  • Huge hospital buildings require maintenance and repair.
  • Hospital requires Electricity, water supply, air-conditioning, and sewerage disposal for 24x7 days of the year.
  • Hospital uses highly sophisticated, heavy equipments and machines for patient care.
Knowing engineering services helps the administrator to plan and take decision in time for smooth running of the hospital. Therefore Engineering Services are perhaps the most vital of the utility services in the hospital. The efficiency of entire patient care delivery system of the hospital depends on their efficiency. Even the slightest breakdown of power supply system, information system communication system or malfunctioning of vital equipment can have catastrophic effects.

The scope of engineering services in a hospital comprises of civil assets, electricity supply, water supply including plumbing and fittings, steam supply, central medical gases, air and clinical vacuum delivery system, air conditioning and refrigeration, lifts, public health services, lightening protection, structured cabling, communication system (public address system, telephones, paging system), TV and piped music system, non-conventional energy devices, horticulture, landscaping, fire fighting.

Last, but not the least, workshop facilities for repairs and maintenance of equipment. The scope of engineering services generally includes repair and maintenance of existing facilities to ensure optimum operational reliability, risk reduction and their safety for the patient, staff and public.

Initial planning and building the civil assets is to included in the scope of services. That’s why it is mandatory for a hospital administrator to know about engineering services.

The presentation describes in short the various type of emergency services required in a hospital setup and taking various preventing measures for safety of all and longevity of the buildings, systems and machines.

Wednesday, March 28

Quiz 7, Intensive Care Unit:: Hospiad

This quiz has few important question regarding ICU in the hospital environment. Please take a look at the earlier presentation regarding ICU in the blog.


Hospital Administration Made Easy

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Saturday, March 24

News Track, March-End :: Hospiad

  1. Dr. Kim and the Future of the World Bank: Kim, a Korean-born physician and anthropologist who taught at Harvard Medical School, is a pioneering figure in building public-health delivery systems for developing countries. He was a co-founder of Partners in Health, a Boston-based non-profit organization that provides free health care to people in countries such as Haiti and Rwanda. Later, he held a senior post at the World Health Organization, helping scale up its efforts to deal with the H.I.V./AIDS crisis in Africa. (For more on Kim’s record, see this post by Fred Hiatt, the editorial-page editor of the Washington Post, who is an old friend of Kim.) Read more .
  2. Govt must act as the guarantor of universal health coverage: Srinath Reddy: The Union Budget has given no indication of the central government’s plans to double India’s public health spend from 1.2 per cent of GDP to 2.5 per cent in the next five years. At Rs 30,702 crore, the health allocation in the Budget is approximately 15 per cent higher than the previous year’s Rs 26,897 crore, but as a proportion of the country’s GDP, it remains stagnant at 0.3 per cent over the past several years. In an interview, Srinath Reddy — president of Public Health Foundation of India – who headed a panel that suggested the increase in health spend and a government-funded framework for providing accessible and affordable healthcare tells Joe C Mathew that it is too early to doubt the Center's intentions. Read More. 
  3. Regulation is vital to curbing TB in India: For Amit Kumar, the decision was easy. Quit his job to stand in line for a half a day to receive free medication for tuberculosis and HIV or pay for private but expensive yet convenient treatment.Mr Kumar, 38, was lucky to have a choice. He kept his job. "The poor do not have a choice. I did, so I took it but there was no proper guidance," he said. Today is World Tuberculosis Day - a stark reminder of India's struggle to curb the spread of the disease. India is the most infected country in the world with 20 per cent of the known 8.5 million cases. Read More .
  4. Cancer Drugs Get Cheaper, in India: Roche Holding AG is cutting the price of two expensive cancer drugs in India—and giving them new names—in an effort to gain market share and avoid competition from generic drugs in the fast-growing economy. The move marks a shift for the Swiss drug maker, which long has argued that consumers everywhere should pay the same price for its medications. By giving the drugs new names in India, Roche hopes to avoid losing pricing power elsewhere, though it isn't clear the company will succeed on that score. Read More 
  5. National museum soon to showcase Indian medical heritage: A permanent national museum to showcase India's rich medical heritage is on the cards. The Planning Commission's steering committee on Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy (AYUSH) for the 12th five-year Plan has recommended creation of an international standard medical museum, besides travelling exhibitions to showcase the indigenous rich heritage of traditional medicine. Read More .
  6. Hold Ayush expo in all districts: official :Director of Industries and commerce and Industries Commissioner Harmander Singh on Friday called for holding expos promoting Indian medicine in all districts of the State. Addressing the valedictory of ‘Ayush 2012,' a five-day exposition on traditional Indian medicine being organised by Madurai District Tiny and Small Scale Industries Association (MADITSSIA), he said that such expos could led to a healthy lifestyle among people. Assuring the trade body of the government's support in such ventures, he said that Indian medicine was as old as civilisation itself and yet several misconceptions about it prevailed among the people. Such expo offered an opportunity to dispel those notions. Read More.
  7. Ayush Dept to set up Homoeopathic Medicines Pharmaceutical Corpn as PSU: The Department of Ayush is planning to set up Homeopathic Medicines Pharmaceutical Corporation Ltd (HPCL) to manufacture homoeopathic medicines in the public sector, on the lines of the Indian Medicine Pharmaceutical Corporation Ltd (IMPCL) which is into the production of ayurvedic drugs. The Department has already started initial discussions on the matter and prepared feasibility report for the public sector company that would require Rs.75 crore for land, equipment, recurring costs and manpower, sources said. Read More
  8. Karnataka allocates Rs.4,260 cr for health & medical education sector in Budget 2012-13: The Karnataka government has allocated Rs.4,260 crore for health and medical education sector in the state budget for 2012-13. Specifically for the health sector, the outlay was raised to Rs.3391 crore. The highlights of the Budget 2012-13 are programme to reduce infant mortality, extension of Vajpayee Arogyashree Scheme, A Health Information Help Line, compulsory rural service for MBBS candidates and setting up a SJIC at Mysore. Provision of comprehensive preventive, promotive, curative and rehabilitative health care to the people of the State is one of the priority areas of the Government, said Karnataka chief minister DV Sadananda Gowda in his Budget 2012-13 presentation. The implementation of innovative programmes like ‘Madilu’, ‘Prasoothi Araike’, ‘Thayi Bhagya’ has helped in reducing Infant Mortality Rate to 38 per thousand live births and Maternal Mortality Ratio to 178 per one lakh live births. The national averages for these parameters are 47 and 212 respectively. Read More .
  9. TB causing half million annual deaths in SE Asia: WHO: New Delhi: Tuberculosis accounts for nearly half million deaths every year in the South-East Asian region even as the number of people suffering from the it has come down by 40 percent, the World Health Organisation (WHO) noted Thursday. The WHO called for greater partnerships with all sections of society to eliminate this disease in the region, which has five of the world`s 22 TB high-burden countries. The region includes nations like Bangladesh, Bhutan, India, Nepal, Sri Lanka, and Indonesia among others. Read More .

Friday, March 23

Right To Information Act in Hospitals :: Hospiad

Every citizen under the constitution has a right to know the functional status of Government or Public offices. RTI secure access to information that is under control of Public Authorities.
The basic objective is, :
  • To provide a legal framework of citizens’ democratic right to access to information under the control of public authorities.
  • To promote transparency.
  • To promote accountability.
  • Better record keeping and decision making.

Ideals of any law which should provide transparency to its citizens must provide:
  • Maximum Voluntary Disclosures by public authorities.
  • Easily accessible – cost effective,
  • Provided in local language, and effective method of communication locally.
  • Independent and Non-judicial appellate mechanism.
  • Stringent Penalty for defiance of the act.
  • Empowerment of citizens as per the rights under constitution.
The presentation describes the salient features under this act, which was introduced in 2005 after repealing ‘The Freedom of Information Act, 2002’. Its policy , procedures , and penalty for noncompliance and how to generate awareness about the act among Indian citizen.

Thursday, March 22

Quiz 6: Operation Theater (OT) :: Hospiad

Here is a simple quiz on the Operation Theater environment, feel free to attempt it and leave suitable feedback. Here the Operation Theater Services Presentation


Hospital Administration Made Easy

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Wednesday, March 21

Nursing Audit :: Hospiad

It has already been discussed, that nursing audit is a part of clinical audit. But because of the following nursing audit has been given special importance. With the implementation of CPA professional accountability to an enlightened public can no longer be ignored by nursing staff.

Quality nursing care” has become essential on day to day functioning. Nursing audit is a way of ensuring quality nursing care. It is a process of examination scrutiny by qualified nursing personnel to identify, examine, or verify the performance of certain specified aspects of nursing care by using established criteria.

Nursing audit assists in:
  1. Evaluating Nursing care given, 
  2. Achieving deserved and feasible quality of nursing care,
  3. Stimulating better nursing records maintenance,
  4. Focuses on patient care provided and not on care provider,
  5. Contributes to research in nursing.
Over all it helps to assess the extent of nursing care provided to patient in the world. Though the steps of audit are similar to clinical audit, the mode approach is slightly different as described in this presentation.

Monday, March 19

Quiz 5, Out Patient Department (OPD):: Hospiad

You can find the related power point presentation here - Out Patient Department.


Hospital Administration Made Easy

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Healthcare World Asia, 2012 :: Hospiad

This is an informative post for interested professionals in Healthcare Industry of Asia

Healthcare World Asia 2012 will bring together C-level executives from Asia’s top 50 healthcare operators to discuss strategies for financing, increasing patient care, investing in IT, reducing healthcare operational costs and transforming healthcare delivery in Asia.

It is Asia’s most strategic healthcare event that will connect you with Asia’s key decision makers and give you insights to their plans in the region. Under this event, we have prepared three very high level forums namely:
  • Chief Executive Officer Forum
  • Chief Finance Officer Forum
  • Chief Technology Officer Forum

As Asia’s FIRST and ONLY event to have the most comprehensive program, Healthcare World Asia will feature multiple conferences, forums , summits and workshops that will cover across the pivotal aspects of healthcare industry.Healthcare World Asia 2012 will show you why and how you can access the important markets in Asia that matters most to your business. Over two days, more than 400 decision makers from Healthcare industry from Asia and globally will gather at this event.

Disability and Rehabilitation Approach :: Hospiad

While discussing about 4th stage of disease prevention, we have discussed about disability limitation and rehabilitation. Disability is the dysfunction of any part of the body or mind leading to difficulty in performing one or more activities. This may involve various body systems or parts and may be of various degrees.

Disability may be caused by various pre disposing factors and diseases. To prevent disability one must be aware of these factors and if disability occurs how to rehabilitate such persons. It is therefore essential for all hospital administrators to know about the causes. Also how to prevent them so as to ensure creating such facilities for rehabilitation, and disable compliance facilities, in the hospital structure planning.

All hospitals should be disability friendly, to ensure easy movement of disable patients. The presentation arrives at a solution to the all above disability issues to serve as a guide line.

Sunday, March 18

Fire Safety Management :: Hospiad

A complete disaster plan needs to be prepared for fire management. It is activated when the hospital buildings are affected in fire disaster. Action plan should clearly mention:
  1. Alternate site (Dharmashala, Temple, Schools, Playground nearby) .
  2. Folding tents, cots, trolleys for temporary shelters.
  3. Identify a nearby tent house to provide beds,blankets.
  4. TPT for transportation of cases to alternate sites or hospital.
  5. First aid and drug kits, potable lights.
  6. Portable communication system.
  7. Identify local voluntary organization, who can provide services of care, food and water.

There are basically two types of fire management systems.
  • Central. 
  • Local.
Central system, comprises of Water tank, water hydrants, connecting pipes water sprinklers, smoke detectors and fire alarms.

The Local system, comprises of fire extinguishers, and fire fighting equipment.

The staff is regularly trained to use these equipment. Fire protection should be incorporated in the building plan itself. The “National Building Code of India”, 1980, issued by the Indian Standards Institution, serves as excellent references to safety management for infrastructures. There should be standard procedure for detection, communication and evacuation in case of fire.

The presentation provides an outline about the fire control system and how to act in case of a fire disaster.

Saturday, March 17

Doctor's Perspective, Medico Leagal Case

Apart from his routine and usual “clinical” cases, a doctor will come across certain ‘Medico-legal’ problems at one time or the other during the practice of his profession. The general myth that only the doctors working in the government hospitals would be involved with such cases has now been dispelled by the recent decisions of the Hon’ble courts, particularly the Supreme Court. A good working knowledge of the law in this regard, coupled with a thorough understanding of the correct method of dealing with such cases is the need of the hour. This article discusses some of the common practical issues involved in these cases. Read More

The article presented here is written by Dr. Dasari Harish, Reader and Dr. K. H. Chavali, Sr. Lecturer.

Other important things discussed in the article are:
The cases which should be considered as medico-legal are as follows :
  1. All cases of injuries and burns –the circumstances of which suggest commission of an offence by somebody. (irrespective of suspicion of foul play) 
  2. All vehicular, factory or other unnatural accident cases specially when there is a likelihood of patient’s death or grievous hurt.
  3. Cases of suspected or evident sexual assault.
  4. Cases of suspected or evident criminal abortion.
  5. Cases of unconsciousness where its cause is not natural or not clear.
  6. All cases of suspected or evident poisoning or intoxication.
  7. Cases referred from court or otherwise for age estimation.
  8. Cases brought dead with improper history creating suspicion of an offence.
  9. Cases of suspected self-infliction of injuries or attempted suicide.
  10. Any other case not falling under the above categories but has legal implications. 
  • Introduction.
  • How to receive a MLC ?
  • Procedure for registration of Medico Legal Case.
  • Type of Cases.
  • Time limit for registration.
  • Precaution to be taken in MLC.
    • Consent.
    • Confidentiality.
    • Collection and Preservation of Samples.
  • Medico-Legal Reporting.
  • Custody of Report.
  • Admission and Discharge.
  • In case of Death in MLC case.
  • Situation in other countries.

For visitors who want further details regarding the Medical Legal Cases and its Management refer to our earlier post with the MLC management presentations. and Legal Aspect of Medical Cases.

Friday, March 16

Indian Budget and Health Care :: Hospiad

Experts from Presidents Speech:

  • Work towards providing free generic essential drugs/medicine in public health institution to the public.
  • Aiming to hike the expenditure on health to 2.5% of GDP by the end of 12th year plan (2012-17).
  • Difference made by National Rural Health Mission (NRHM) has started reflecting in the health indicators.
  • The Infant Mortality Rate has declined from 58 per thousand live births in 2005 to 47 in 2010
  • Maternal Mortality Ratio has declined from 254 per one lakh deliveries in 2004-2006 to 212 in 2007-2009.
  • The Janani Suraksha Yojana registered impressive gains with 1.13 crore women benefitting during 2010-11.
  • The World Health Organisation has decided to take India off the list of countries with active endemic wild poliovirus transmission
  • National Programme for Prevention & Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke and The National Programme for Health Care of the Elderly. 
  • There has been 26 per cent increase in MBBS seats and 62 per cent increase in post graduate seats.
  • Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy (AYUSH) are being integrated with allopathic health care services. The States are given financial support for providing AYUSH facilities at Primary Health Centres, Community Health Centres and District Hospitals

Patient Safety :: Hospiad

  • While Hippocrates, the “father of medicine”, lived in the early 5th century B.C., the famous oath that bears his name emerged a century later. No one knows who first penned it. This oath ethically binds all the practitioners of modern medicine.
  • One component of this oath is “I will apply dietetic measures for the benefit of the sick according to my ability and judgment; I will keep them from harm and injustice
  • The discipline of patient safety is the coordinated efforts to prevent harm to patients, during the process of health care itself.
  • It is generally agreed upon that the meaning of patient safety is…“Please do no harm
  • Improving Patient Safety means, reducing patient harm.
  • Though the concept of doing no harm to the patient was embedded in the Hippocratic Oath
  • it self , no much concern was shown by the hospitals, though Hospitals were founded to give care to those who need it and to keep patients safe is their moral duty .
  • The first effective initiative in this regard was started by World Health Alliance (WHA) in Jan 2002
  • In May 2002 – resolution adopted by 55th World Health Assembly
  • In May 2004 – WHA support establishing World Alliance for Patient Safety
  • The principles of patient safety were adopted from the air safety of Aviation industries.
  • Further with the leadership of WHO, the Patient safety concern became a major issue by all nations
  • And various safety measures are initiated by hospitals to reduce harm to the patient by implementing the WHO guidelines.
In the presentation, a summary of initiatives to be taken by hospitals in different areas for patient safety have been described for the knowledge, practices and implementation of patient safety initiative by hospital managers/Administrators.

Thursday, March 15

News Track, March 2012 :: Hospiad

  1. Curing Our Hospitals: India's healthcare system faces the important and often competing challenges of expanding access, ensuring affordability and guaranteeing quality. As matters stand, small private hospitals, clinics, pharmacists and quacks are the mainstays of healthcare provision in both urban and rural centers. The renewed focus and increased spending by the government to revamp the public sector health delivery system may tilt the balance back towards public sector healthcare, but a large structural shift in healthcare-seeking behavior is usually very slow and cumbersome. Read More.
  2. Health Sector Reform in India: IT would require a very brave person to argue that India has a functioning health care system. The country’s health sector has been the topic of several screaming headlines in the media in recent months. As horror stories of scandals, scams and denial of health care continue to make headlines, it is clear that a deep malaise affects the system. Read More 
  3. Visa Norms a bitter pill for Medical Tourism: Some 40 policemen landed up at the Apollo Hospitals on Greams Road recently to check whether their 100-odd foreign patients undergoing treatment at the hospital had valid visas. While some patients were uncomfortable and embarrassed, the hospital management was upset. Read More
  4. NRHM to become National Health Mission:To ensure universal access to free generic essential medicines in public health institutions in time-bound manner. The government proposes to convert the National Rural Health Mission (NRHM) into a National Health Mission to provide health care to the urban poor also, in the course of the 12th Plan. Read More
  5. Higher health spend should reach rural centers: CHENNAI: Ever since the Prime Minister announced that plans were afoot to increase India's health care spend from less than one per cent of the GDP to a sizable 2.5 per cent, stakeholders in the public health setup have been cheerful. Not only will this increased spend reflect in better infrastructure in public health services, but it will also ensure more jobs, focus on medical research and hopefully, better salaries. "It is good that India has finally woken up to the challenge of having a strong public health sector. The UK, USA and even smaller European nations have built a very strong public health system. The only way this kind of a disease burden can be tackled is by getting people to come for subsidised health care," said the retired Dean of a premier medical college here. Read More
  6. India plans big jump in health-care spending, wants free medical services for all: New Delhi - With its health-care system increasingly eclipsed by rivals, India has a plan to nearly double public spending on health over the next five years, with the goal of eventually making medical care free for all Indians. It is an ambitious goal, and the kind of investment many experts have been advocating for decades. But already critics are wondering if the government will live up to its promise, or if throwing money at the problem without reforming the health-care delivery system from top to bottom will make much of a difference. Read More
  7. ‘In India We See a Huge Opportunity and This Tie-up with India is an Important One’: Recently, Dr Yves Bolduc, Quebec’s Minister of Health and Social Services, visited India with his team comprising some 40 representatives from Quebec’s business, research and health sectors to stimulate the forging of business partnerships with India. The visit also aimed at establishing an ongoing collaboration with India in the area of public health. As a step towards that the Government of Maharashtra and Government of Quebec signed a joint declaration for cooperation, in health and social services in telemedicine. Raelene Kambli in a tete-a-tete with Dr Bolduc finds out more about Quebec’s plans with India. Read More
  8. Economic Survey: Spurt in public spending on healthcare reaping dividends: NEW DELHI: Increased public spending on health seems to be finally reaping results with accessible, affordable and equitable healthcare gradually becoming a reality for the country's most backward and rural population. According to the economic survey presented by finance minister Pranab Mukherjee on Thursday, the combined revenue and capital expenditure on medical and public health, sanitation and family welfare has increased from Rs 53,057.80 crore in 2006-07 to Rs 96,672.79 crore in 2010-11. Read More


Hospital Administration Made Easy

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Sunday, March 11

Disaster Management :: Hospiad

W.Nick Carter defined disaster as:
An Event, Natural / Manmade, Sudden/ Progressive, which impacts with such a severity, that the community has to respond taking exceptional measures.”
It can also be called as a phenomenon involving extensive ecological disruption leading risk to life, property and health to an extent warranting extra ordinary response from outside the affected area.

When a Disaster takes place it is the expectation of the public that the public authority should immediately respond with adequate support and rescue measures. This required disaster preparedness based on a scientific, feasible and effective disaster action plan and regular practices. To make it more effective it requires capacity building of local people to face such a situation boldly with locally available resources till the outside help reaches them. Tackling a disaster is not only the responsibility of the Public authority, the local people equally join hands to meet the challenge with a team effort.

The presentation describes the type of disasters, how to get prepare and manage the effects of disaster, at the site and at the hospital. It also describes the actions to be taken post disaster.

Saturday, March 10

Healthcare Administration Course :: Hospiad

Recently I found this YouTube video explaining the role and function of a healthcare professional, and why its demand going to increase in near future. This clearly adds to our belief of learning a great extent how to provide high degree of service in the area of Health and Hospital Administration. With this blog we have regularly tried to present the discussion material on various aspects of Hospital Management, in an easy form of original power-point presentation.

From now on we would try to aggregate the available study material which could be found on the web, for your easy referral.  You can check out this great article discussing the differences between the MHA vs MBA vs MS. It is a good read and will help you making an informed decision.

There are various institutes that provide the necessary education and diploma in the field of Public Health and Hospital Administration, you can refer to the short list of the institutes cataloged in the blog.


Hospital Administration Made Easy

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Thursday, March 8

Holi Hai

May you have the most blessed Holi festival than you ever had.
May it be full of fun,joy and love.
May you be as colorful as the festival itself or even more.
Lets all have lots of fun.

Sunday, March 4

Hospital Housekeeping Services :: Hospiad

We know from the epidemiological triad that disease process starts when there is an interaction between the Agent and Host in a suitable Environment. It is crystal clear the importance of Environment in epidemiology.

Likewise a clean and appealing environment in the hospital is the core of preventing infection and high level of patient satisfaction. Though there are various components of housekeeping services the objective is to provide a clean and sanitary environment to the hospital. The hospital sanitation service plays the major role in maintaining hospital environment clean.

What are the components of housekeeping services, their importance? Nature and quality of services are discussed in this presentation.

Tuesday, February 28

Medico Leagal Case Management :: Hospiad

Forensic Medicine deals with medical aspects of law and medico legal case management. 

Laws regarding MLCs have been described under different part of IPC. In simple language it is a medical case with legal implications for the attending doctor where the attending doctor, after eliciting history and examining the patient, thinks that some investigation by law enforcement agencies is essential.

Every doctor under law bound by a contract to serve its patient and cannot refuse treatment. Every doctor has to fulfill certain legal requirements in service by compulsion or voluntarily as defined under law.

Medico legal case (MLC) examination and reporting is one of the legal responsibilities of all doctors working in a hospital.

Apart from his routine and usual “clinical” cases, a doctor will come across certain ‘Medico-legal’ problems at one time or the other during the practice of his profession. Many a practitioners are usually apprehensive in dealing with these cases as they feel, an MLC (Medico-legal Case)means involving one in police case. Because of this “fear-factor”, they either try to avoid the cases or try to manipulate them as non MLC.

A good working knowledge of the law in this regard, coupled with a thorough understanding of the correct method of dealing with such cases helps one to build confidence over riding the fear of MLC.

In the presentation efforts have been made to guide the medical professionals how to deal with a MLC case in a step by step manner and certain issues relating to medical case records.
Hope this will help you in your daily practice.

Patient Satisfaction :: Hospiad

Patient satisfaction is the core objective of any kind of Medical practice. Patient satisfaction needs total quality management. Both the staff as well as patient are satisfied when the patient’s expectation and perceptions are fulfilled by the organisation.

It is therefore a team effort of various categories of staff in the organisation as well as an effective leadership.

Here are many factors within the hospital which influence Patient satisfaction and these results in:
  1. Greater profitability.
  2. Improved patient retention and patient loyalty.
  3. Increased patient referrals.
  4. Improved compliance.
  5. Improved productivity.
  6. Better staff morale.
  7. Reduced staff turnover.
  8. Improved collections.
  9. Greater efficiency.
  10. Reduced risk of malpractice suit.
  11. Personal and professional fulfillment.
  12. Name and fame to the organisation
The objective is to develop a quality assurance system in the Hospital.

The presentation describes in brief the patients need, expectations and how to develop the patient care and feedback system to obtain maximum patient satisfaction.

Thursday, February 23

Consent :: Hospiad

Gone are those days when people use to worship ‘Doctor as God’. There believes that whatever a doctor is doing is in their best interest is being eroded due to:-
  1. Emerging new technologies for diagnosis and treatment  
  2. More complicated diagnostic procedures
  3. Increasing awareness of people about their health
  4. Introduction of CPA
Now patient has discretion to decide what is good or bad for him. Under the circumstances, consent has become the critical issues in all areas of medical treatment.

Consent is perhaps the only principle that runs through all aspects of health care provisions today. It also represents the legal and ethical expression of the basic right to have one's autonomy and self-determination for maintaining a healthy life style.

Patient need to give valid consent to medical treatment; and it is his prerogative to refuse treatment even if the said treatment will save his or her life. For this reason Informed consent has become so important, for the defense of both the doctor as well as his patient, even from the legal point of view.

Therefore, it is essential on part of all treating physicians to know about the consent on their daily practice.

In this presentation it has been tried to give a glimpse of different type of consent, how it should be taken, how the patient to be explained, when consent is must and conditions where consent is not required, so as to guide you in your every day practice.

Hospital Quality Assurance System :: Hospiad

Quality assurance is any systematic process of checking to see whether a product or service being developed is meeting specified requirements. Many hospitals have a separate quality assurance committee devoted to quality assurance.

A quality assurance system is said to increase patient’s confidence and a hospital's  credibility, to improve work processes and efficiency, and to enable a hospital to better compete with others.

Quality assurance was initially introduced in World War II when ammunitions were inspected and tested for defects after they were made. Today's quality assurance systems emphasize catching defects during the process, before they get into the final output of the product.

All dimensions like accessibility, appropriateness, continuity, effectiveness & efficiency must be given equal importance in quality assurance.

Quality assurance is gaining importance because of increase consumer’s awareness about health, stiff market competition , growing Medical tourism and finally the growing concern for Patient safety.

The presentation describes in a comprehensive manner the various aspects of quality and how to develop a quality assurance system in the hospital.

Sunday, February 19

Medical Audit : Hospiad

Audit is a systematic and critical appraisal of the planning, delivery and evaluation of service/s in terms of efficiency, effectiveness and quality, within given resources.

It is an important component of Quality Assurance system of any organisation or service.
Clinical Audit is a quality improvement process that seeks to improve patient care and outcomes through systematic review of care of health care team against explicit criteria and the implementation of change.

"Medical Audit" is a component of clinical audit and a planned review programme which objectively monitors and evaluates the clinical performance of all practitioners, by review and evaluation of selected clinical records by qualified professional personnel to identify, examine, or verify the performance using established criteria.

There by identifies opportunities for improvement, and suggests mechanism through which action is taken to make and sustain those improvements.

The systematic critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources and the resulting outcome and quality of life for the patient

The presentation gives an idea of different types of clinical audit and hoe to perform such type of audits to sustain the quality of performance

Saturday, February 18

Legal Aspect of Medical Care :: Hospiad

Apart from his routine and usual “clinical” cases, a doctor will come across certain ‘Medico-legal’ problems at one time or the other during the practice of his profession. Every doctor under law bound by a contract to serve its patient and cannot refuse treatment. Every doctor has to fulfill certain legal requirements in service by compulsion or voluntarily as defined under law.

A good working knowledge of the law in this regard, coupled with a thorough understanding of the correct method of dealing with legal aspects helps one to build confidence over riding the fear of LAW

The Legal aspects of medical practice broadly covers two areas of medical laws:
  1. Medical Jurisprudence : It deals with legal aspects of medical practice.
  2. Forensic Medicine : It deals with medical aspects of law.

    • Laws passed by the Parliament or the State Legislative
    • Ordinances passed by the President and the Governor
    • Subordinate legislation: Rules and regulations made by the executive through the power delegated to them by the Acts.
    • Judgments of the Supreme Court, High Court and Tribunals (The ratio decedendi is a binding precedent)
    • Judicial legislation
    • Judgment of Foreign Courts
    • International Treaty
The objective of this presentation is to make you aware of issues which are generally confronted during medical practice.

Hope this learning will help you in day to day practice as a hospital administrator

Thursday, February 16

Welcome to New Year 2012


Coming back after two months, in New Year. New Year greeting to you all.

This time I am going to complete all the presentations of hospital Administration which constitute the hospital management of ‘Total health care management’.

The other parts of Health care management will follow. So keep visiting the site regularly to broaden your knowledge bank.

Anybody want to have a soft copy of the entire package of these presentations can write to me at However you may have to empty your pocket to some extent to have a soft copy.

The details you will know when you ask for the full package.
With Best Regards,

Dr. N. C. DAS

Hospital Administration Made Easy
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