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.

SOURCES OF LAWS:
  • PRIMARY SOURCES
    • 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.
  • SECONDARY SOURCES:
    • 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


Hi!!,

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 addlmsncd@gmail.com. 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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