Consumer Protection Act :: HospiAd

CONSUMER PROTECTION ACT

We have already discussed the various challenges facing a Hospital. To again summarize:-

• Rapid development in Med. Tech.
• Increase Health awareness of people
• Rapid Urbanization
• Increase demand for better facilities
• Active participation of Media
• Legal involvements in hospital affair
• Maintaining peaceful internal environment
• Increased Political interference
• Better and quick communication facilities
• Competitive private health care facilities
• Increase in Senior Citizens
• Higher level of consumers expectations
• Marketing of hospital services
• The biggest nature of challenge is from the Wish list of health care institution, expanded need list of professionals and demand list of users (patient), people and community

All these challenges may lead the hospital vulnerable under ‘Consumer Protection Act’ The consumer Protection Act (1986) came into force on 15th April 1987. The Act was amended by the CPA amended act 2003and in force from 15.3.2003. It has a three tier quashi judicial machinery of administration and re-dressal system.

The provisions of this act are in addition to and not in degradation of any other law for the time being in force. The sole aim of this act is “To protect the interests of the Consumer.” In view of the risks under CPA all medical professionals must know:

1. What is the content of this Act.
2. What are various implications
3. How to protect you and your hospital from the clutches of this Act.

All these are discussed in detail in the following presentation.

Hospital Public Relation :: Hospiad

We have discussed earlier in the hospital system that there is a patient system.
Each and every hospital staff comes in contact with hospital patients at some or other form and one or other times. We have also discussed that hospital system is an open system because of its dependency on the external environment

A hospital cannot exist without dependency or good relation with patients and other public institutions as its basic motto is ‘good patient care’ This type of relation is called ‘Hospital Public Relation’

If a hospital has to achieve name, fame, morale and prestige for the institution in the eyes of the public, then it has to create and strengthen contacts that can contribute to the development of mutual understanding, respect and reciprocation between the hospital and its public. Therefore, public relation is one of the important component of the hospital and it is a challenge to the survival of the hospital in the community.


Along with keeping a good relation to provide the level of patient and public satisfaction, the hospital needs cooperation goodwill of other public institutions on which it it depends to perform its task satisfactorily.

The present presentation highlights the various factors and issueses which needs consideration to develop a good hospital publid relation support.

Hospital Services & Research :: Hospiad

Research is the application of systematic, innovative technologies in the field of health and nursing to increase quality, efficiency, effectiveness and cost control in health care activities.

OBJECTIVE OF RESEARCH

• Promoting health and preventing disease.
• Improving quality of life through self-management, symptom management, and care giving.
• Eliminating health disparities.

The research in a hospital assists in:-

• To validate improvements in health care practices.
• To make healthcare efficient and cost effective.
• To improve quality of patient care.
• To improve level of patient satisfaction.

The various attributes of Hospital research are:-

1. Research is always directed towards the solution of a problem.
2. Research is always based on empirical and observational evidence.
3. Research involves precise observation and accurate description.
4. Research emphasize to the development of theories, principles, and generalizations.
5. Research is characterized by systematic, objective and logical procedures.
6. Research is marked by patience, courage and measured activities.
7. Research requires that the researcher has full experience of the problem being studied.
8. Research is replicable.

Research uses systematic method of problem-solving. In research the factors which are not under study are used as controlled. Research requires full skill of writing report and presentation.

The presentation discusses the various types of research which can be undertaken in a hospital, how to conduct a research and how to present or write a research proposal.

News Fast-Track, Sep 2011:: Hospiad

1. For New and Improved NRHM:
• The National Rural Health Mission (NRHM) has been described as one of the largest and most ambitious programmes to revive health care in the world and has many achievements to its credit. It seeks to provide universal access to health care, which is affordable, equitable, and of good quality. It has increased health finance, improved infrastructure for health delivery, established institutional standards, trained health care staff and has provided technical support. It has facilitated financial management, assisted in computerisation of health data, suggested centralised procurement of drugs, equipment and supplies, mandated the formation of village health and hospital committees and community monitoring of services. It has revived and revitalised a neglected public health care delivery system. MORE
2. IBM India Announces Shared University Research (SUR) Awards:
• New Delhi: IBM (NYSE:IBM) today announced prestigious Shared University Research (SUR) awards for different Smarter Planet projects in collaboration with five leading educational institutes of India - IIT Bombay, IIT Delhi, College of Engineering Pune (CoEP), Yashwantrao Chavan Maharashtra Open University (YCMOU) and PSG Tech, Coimbatore. The award, totaling U.S.$250,000, will include technical collaboration with IBM experts, access to IBM software and high performance computing required for the successful completion of projects related to healthcare and education. MORE
3. "Binary Spectrum" to present - Technology and Innovation in Public Health- at Next Generation Healthcare Informatics Conference 2011 :
• (openPR) - Binary Spectrum proudly announces its participation in the Next Generation Healthcare Informatics Conference 2011 wherein the CEO would address the audience on “Technology Innovations in Public Health”. The Conference is being organized by IQPC and is being held in New Delhi, on the 18 and 19th of October, 2011. The event is being endorsed by the Technology Development Board, Department of Science and Technology, Ministry of Science and Technology, Govt. of India. MORE
4. Tele-medicine gives medical aide over phone at all corner of the world:
• Can the best medical practitioners be available at every corner of the country? Certainly not. But thanks to telemedicine, their consultations can now be availed oversees and in the rural nooks too. To this end, IT should be integrated in every aspect of healthcare. MORE
5. Bring Trauma Center into operation soon:
• KATHMANDU: The Ministry of Health and Population urged the Bir Hospital to bring Trauma Center into operation to the earliest. 
  The ministry has urged the hospital management to run the service saying the infrastructure development of the Trauma Center was already constructed in the hospital premises. The Government of India provided the financial support for the construction of the center. MORE 
6. Now Available, India's first safety IV cannule to end needle stick injuries:
• 
  Forty-year-old M.K. Maan of Mecmaan Healthcare has come up with a safety intravenous cannule, a device that prevents needle stick injuries among healthcare workers. 
  It eliminates the chances of needle stick injuries and blood borne infections among the healthcare providers during the needle withdrawal and disposal. MORE

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Hospital Administration Made Easy

News Fast-Track :: Hospiad

1. Medical care gets Infotech boost:
• BANGALORE: The health care industry is facing many challenges in the absence of adequate resources. However, technology to a major extent can help the industry to bridge the gaps in health care delivery.Experts present at the AIMA conference on 'Inclusive Health Care Management for Sustainable Development', here on Saturday, observed that information technology gives more access to healthcare in both rural and urban areas.One such example of usage of technology is in the field of telemedicine services, which has proved to be a boon to the rural population. It has helped to extend the benefits of advanced medical sciences to remote and inaccessible areas. MORE
2. Diagnostic System for the Heart Patients:

• "Heart patients in rural areas can now walk in for tests at their local clinics, which will be connected to a central hospital in a big city via an information technology component, making it possible for immediate analysis by leading experts." In order to provide rural India with basic cardiac health care services, Roche Diagnostics India, the Indian arm of the Fortune 500 healthcare multinational Roche Diagnostics, has come up with an Integrated Cardiovascular Clinical Network (iCCnet) solution, eliminating the need for travelling to metros for treatment. MORE
3. Bangalore opens the doors to Healthex 201:
• Healthex 2011 will enable major hospitals and healthcare organizations to meet the potential business visitors who are looking for medical and surgical services in India MORE
4. Karnataka Govt. Hospital to get better equipment:
• Only three government hospitals in the country have the accreditation of the National Accreditation Board for Hospitals and Healthcare Providers (NABH), a mark of the standard healthcare. The good news, however, is that 10 government hospitals in the state could soon get NABH accreditation. MORE
5. No of foreign patients to India will cross 32 Lakhs by 2015:  

• People visit India from across the world for face-lifts, dental treatment, botox treatment, tummy tucks, eye care and other such medical services at hospitals, treatment centers offering modern medical facilities. MORE
6. Health expo to unveil low-cost medical equipment:
• The Indian healthcare sector has emerged as one of the most progressive and largest service sectors in India. The public sector however is likely to contribute only around 15% to 20% of the required $ 86 billion investment." The corporate India is, therefore, leveraging on this business potential and various health care brands have started aggressive expansion in the country," said Dr EV Ramana Reddy, secretary to the department of Health and Family Welfare, at the inauguration of a three-day long exhibition, Healthex, on Friday. MORE

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Hospital Administration Made Easy

News Fast-Track :: Hospiad

Some Snippets from the last months of July' 2011.

1. Jodhpur Hospitals Seeps to improve Image

• JODHPUR: Nearly four months after the "serial" deaths of 16 women in Jodhpur hospitals due to administration of contaminated IV fluid, much seems to have changed at the Umaid Hospital. Contamination apart, which the doctors claim to be beyond their control, the medical college administration has tried to improve the infrastructure right from the operation theatre (OT) to hygiene. READ MORE
2. US Pharmaceutical Company Testing Drugs on India's Poor
• U.S. pharmaceutical companies have moved their operations overseas in the past decade, testing their drugs on poor people in such lands as Russia, China, Brazil and Romania. It is a $30 billion business, and today around 105 countries are allowing such large corporations as Merck and AstraZeneca to conduct clinical trials on their soil. One country that has experienced a boom like no other in this industry is India, with its widely spoken English, an established medical infrastructure and welcoming attitudes towards foreign industry. Most importantly, these pharmaceutical companies are exploiting the country’s vast number of illiterate and poor people who are willing to become guinea pigs. READ MORE
3. From Stretcher to Where ??
• An emergency response today cannot be crafted in silos. Being prepared equally includes medical preparedness as large-scale attacks on urban, civilian populations have become all too frequent over the past decade. These incidents often result in what experts call “Hospital Multiple Casualty Incidents” (HMCI) which are very challenging to hospital teams.
  Faced with a catastrophe, our doctors and nurses are doing their best and saving many lives. But it should not be left to individual capability and commitment. The critical question: How geared is the “system” on the whole to deal with mass casualties? Last Wednesday’s blasts in Mumbai offered a stark example of the gaping hole between what ought to be and what is on this score: we saw many injured victims being bundled into trucks and taken to hospitals. The ambulances came later. READ MORE
4. Consultants Blamed for poor training of Doctors !!
• HOSPITAL CONSULTANTS have been blamed for the poor training of junior doctors by Wexford Fine Gael TD Liam Twomey. He said it would be generous of him to say his own training was only haphazard. “I can honestly say disaster was averted not because of excellent training or my expertise but because I was lucky and I had a good nurse beside me. That is not the way to train junior doctors.’’ READ MORE
5. Africa : How Safe are the Herbal Medicine ??

• From the beginning of time, traditional medicines have been used for both the prevention and cure of ailments that affect human health. They are sourced from leaves, the bark, seeds, sap and other parts of trees and weeds. Traditional medicines have been used to cure deadly ailments such as diabetes, cancer and ulcer. Most traditional medicines are consumed in their raw and semi-processed forms by Asians, Africans and Latin Americans. But over the years, countries like China and India have been able to refine and develop traditional drugs and are exporting them to Europe, America, Asia and Africa. Some of them make claims of being able to cure infertility, menstrual cramps, irregular cycles, ovarian cysts, uterine fibroids, hot flashes, arthritis, weak digestion and endometriosis. READ MORE
6. Obesity Campaign a "Waste of Cash"
• AN OBESE person's body is programmed to regain any weight that is lost and authorities are wasting money on campaigns urging people to exercise and eat healthy food, an obesity expert says. Joseph Proietto said the high failure rate of weight-loss programs could be explained by growing evidence that obesity was ''physiologically defended''. Read More
7. Batlling Malaria in Africa.

• When general practitioner John Lusingu returned to his native Tanzania to do research on malaria, he was met with a total lack of science infrastructure. Undeterred, he helped convert a former kitchen in the Korogwe District Hospital into a small malaria research laboratory in 2004, and launched a study of the infection in children. His efforts eventually led to a successful vaccine clinical trial as well as the erection of state-of-the-art malaria research centers. READ MORE

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Hospital Administration Made Easy

News Fast-Track :: Hospiad

This initiative is to archive the great news snippets from the web which are related to the Hospital Administration. There are many achievements happening in many corners of the world as well there are many issues deserving a good discussion.

This would be an simple effort to archive all the relevant information in one place, All the post will be labeled News-Track for easy tracking.

Dated: 30th July 2011, Saturday:

1. India's Public Heath Crisis: Government Responds:

• Governments acknowledgement in this regard is the first step in bridging the gap. Only 1% of the GDP is spent on the public health, and plans to double it to 2% in the Five year plan starting from 2012.
• Poor State of Public Health  out lined in 2005 gave birth to National Rural Health Mission (NHRM). As most of the Indian population still resides in the rural areas.
• Developing world problems such as infant mortality, malaria & tuberculosis is now accompanied with rich-man's disease such as diabetes and heart disease.
• Public Health as it falls under the State, situations varies from state to state from good (in Gujrat) to Bad (in UP), main reasons being corruption, misuse of funds, and many other irregularity. 
• Will monetizing the Child birth in the Hospital work in long run, when the infrastructure to handle patients is not in place.
2.  Ailing Health of Growing Nation

India supplies doctors to hospitals the world over. Within India itself, a thriving private health-care industry; serving a growing middle class and the wealthy; is a byproduct of the nation's economic ascendancy.


"Click on the Title to Go to Original News-Article"


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Hospital Administration Made Easy

Hospital Paradigms :: Hospiad

Health : Have Effective Alternative Leading to Happiness




In this we will take a look on the pattern and model on which the Hospital and the Health systems should be working.



Hospital Administration Made Easy

HAME-Hospiad-Conents-As-Presentation :: Hospiad

This is a MS-Presentation giving the overview of the Hospiad Contents, and the works for the future.

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Hospital Administration Made Easy

DNB (Hospital Administration) @ Dr. RML Hospital

 A career as a Hospital Administrator is exciting, fulfilling and demanding. Many young and energetic doctors and nurses are joining various courses relating to hospital and health administration, like PGDHHM, DNB (Hospital Administration), MBA. CHA and MHA to join the stream of trained hospital administrators.

I have been busy taking classes (Diplomate of the National Board of Medical Examiners-Hospital Administration) this week at Dr. RML Hospital.

Hospital Transport Services :: Hospiad

Like any other offices the "Hospital" also has its Transport service. Among them the Hospital Ambulances occupy the central place called ‘Patient transport system’. It assist in Transport of sick/injured from periphery to the health center .

The most vital part of health Care delivery system and a vital link of the health care system. Effective medical care delivery by qualified and competent medical, nursing and para-medical staff at the site and during transport.

An efficient ambulance service is considered to be an essential of well organized segment of emergency and critical care service .

The ever changing concept of Emergency care

• on the spot
• during tpt.
• ICU protocols

has brought a revolution in Ambulance Services.


The presentation deals with the type of ambulances, how these should be used how the services are organised and controlled at various levels.

Organisation of Medical Records :: Hospiad

RECORD is a in scripted information (regardless of physical format) that can be retrieved at any time. It includes all original documents, letters, photographs, books, blueprints, sound & video recordings and electronic data.


MEDICAL RECORD: The medical record is a clinical, scientific, administrative, & legal document relating to patient care. Here data written in the sequence of events to identify and locate the patient and justify the diagnosis, the treatment given and the final outcome.


The record contains observations regarding the patient history, physical condition, investigations, line of treatment, daily progress diagnosis and discharge/death summary, and cause of death.

"In view of this record carries importance not only to patient but also to the hospital, doctor and court of law as a legal document. It is also used for teaching, training, and medical research.

Looking in to the importance of medical records, its documentation, preservation and safety is very essential.This needs a group of specially trained and dedicated team of workers for its maintenance."

The presentation discusses how the records are created, how it moves and finally where it is stored and the various aspects of good record keeping.

Blog Re-Indexing :: Hospiad

Dear Friends,


This is an attempt to re-index the blog and streamline all the posting in the relevant main topics. The blog posting are mainly divided into three main topics

1. Hospital Management (Here)
2. Health Management (Here)
3. Health System Management (India) (Here)

All the earlier post will the moved and sorted into appropriate categories, this will help in cataloging the future posts also.


As myself and my team is new to this blogging, we are always trying to find out how to improve on the structure to present all the topics. So that they are easier to read, comprehend and referred back suitably

"Your Feed back will help us in motivating and continue in this endeavor. Please leave some constructive comments so that we could arrange to change the format of the blog accordingly"

Regards

Hospital Administration Made Easy

Planning & Management of Hospital Mortuary :: HOSPIAD

Mortuary or Morgue is the place where dead bodies are preserved for a period before cremation. There is a slight difference between mortuary and morgue.

"All hospital death cases both MLC and Non-MLC , and all brought dead cases brought to Hospital are kept in hospital mortuary.While natural death occurring at home are kept in morgue which are usually operated by cremation ground authorities."

Hospital mortuary is a very important component of hospital as death of a patient occurring at odd hours cannot be taken home as they come far from areas. Further:-

1. It is the moral duty of authority or relative to ensure proper respect and proper handling of the dead body after the soul leaves.
2. Mortuary/ Morgue is the place where bodies are temporarily preserved before the cremation.
3. Mortuary services are provided by the hospitals only to preserve the dead bodies in case of hospital death.
4. It also keeps all Medico legal death cases on request of investing officer before a post mortem / autopsy is carried out.
5. The mortuary comes under Control of Deptt. of Forensic Medicine where post mortem service is available.
6. Where an autopsy is advised to ascertain cause of death it is under control of pathology department.

There is also a difference between Postmortem and Autopsy.

"Postmortem is carried out on the request of investigating officer/ police/SDM for investigating the cause of death.Autopsy is done by hospital to find out clinical cause of death."

For autopsy consent of relatives are required where as for postmortem no consent of relative is required being medico legal case.


The presentation describes the organisation and management of mortuary in a Hospital.

Hospital Security System :: HOSPIAD

Security is one of the main issues in any big organisation including Hospital.

Security in a hospital is most important because of:-

1. Hospital is a people intensive place.
2. Provide services to stick people round the clock.
3. Any  body has an access to any part of the hospital any time for advise and treatment.
4. The hospital atmosphere is always filled with emotions, excitements care and happiness, death and sorrow.
5. The hospital staff operates in a tense atmosphere resulting in irritation, conformation, conflicts and aggression, threatening life of hospital staff.
6. Hospital uses very costly equipments, fixtures and machines whose safety is essential. 
7. Not only hospital but also safety of patients, attendants and their property is the moral duty of the hospital.

The organisation may have its own security personnel or can be hired from a recognized security agency.The number of security personnel to be deployed depend  on the size of the hospital and its lay out plan.

Deployment of security personnel only does not complete the security system unless they are provided with security gazettes like metal detectors, torch and baton and uniform.

With the advance of technology the organizations are moving towards close circuit TV and cameras in which security can be monitored and recorded 24x7 which can be reviewed latter if be needed.

The present presentation deals with the planning and organisation of security system in a hospital.

Quiz Review :: Hospiad :: 3rd July 2011

Dear Readers,

We have been discussing many topics on Hospital Administration,Hospital Management, Career in Hospital Administration, Planning, Epidemiology, Epidemics, Health and Disease so far.

These are the series of quizzes to check your understanding from our previous blog post.

Before taking the Quiz on each subject, please go through the original posting we have made on the given topic, they are hyper-linked just before the quiz applet.

We are looking forward towards a constructive mode of communication with our new and regular followers.

Warm Regards

Admin

Hospiad - Hospital Administration Made Easy. 

Planning and Organization of CSSD :: Hospiad

Central Sterile Supply Department (CSSD) is one of the important supportive services. In this modern age of concern for quality and reducing the hospital infection rate the CSSD plays an important role.

The major functions of a CSSD are:-

1. It is a service responsible for processing, issue and control of sterile supply for use to various hospitals.
2. The Central Sterile Supply Department is one of the important supportive services without which no hospital can provide infection free atmosphere.
3. It helps to promote and provide an efficient, economic, and   uniform source of sterile supply and other equipment.
4. Institute quality control measures and research.
5. Provide trainings to medical and nursing students.
6. It is responsible for providing same standard of cleaning and sterilized supply to all areas of the hospital there by controlling hospital infection.
7. It cuts down much of the time of Nursing Staff used in sterilization, thereby making available more nursing time for patients.
8. By reducing hospital infection it cuts down the average length stay of patient.
9. Provides a safe environment for the patients and staff.
10. There by provide a better doctor- patient relation. 

Looking to the above aspects it clearly reflects the important role of CSSD.This needs meticulous planning and organisation of this service in the Hospital

The present presentation discusses about these issues.

Management Information System for Hospitals :: HospiAd

IT is the system in which the various information is used for management of Hospital functions as under:-

• 

  Collection, compilation, analysis and interpretation of data for effective use as information.
• Helps in better planning, monitoring and control of medical and health services.
• Monitoring of identified indicators helps in improving of the efficiency and
• Performance of health delivery system.
• - Hospital safety
• - Analysis of information helps in better decision making.

The various information collected for information management of hospital are:-

• Morbidity Rates
• Mortality Rates
• Level of staff training and efficiency
• Level of functioning of various areas of hospital like Labs, Xray, Blood Bank, CSSD, Sanitation etc.
• Admission, Discharge and Death.
• ALS, Bed occupancy, Bed turn over rates

With the modern technological development the whole system is being computerised with LAN (In-House Networking). Designing of the MIS should be relevant to the objective function of the hospital. 


The present presentation discusses about all these.

Experimenting with new Looks and Style

Lets Experiment with Some New Looks :

FLIP VIEW ::

MOSAIC VIEW :

SIDEBAR VIEW

SNAPSHOT VIEW ::

TIMELINE

Check out the New Views !!!

"Some Changes are always Nice"

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Hospital Administration Made Easy

Hospital Laundry - Planning & Management : Hospiad

The main functions of a Hospital Laundry are:-

1. To supply clean and adequate quantity of washed linen.
2. Supply to be made on regular basis.
3. In a acceptable quality and within a reasonable cost to the hospital.
4. Steps to be taken to prevent cross infection.
5. Supply of good, clean and fresh linen to patients, is a method of great satisfaction for patient and increases the public image of the hospital

Laundry service being a supportive service can also be out sourced. There are three types of provisioning Linen in the Hospital :-

1. Mechanized Laundry in the hospital.
2. Out sourcing of Linen supply.
3. Co-operative hospital Laundry.

Mechanized laundry is the best service method of linen supply for a large hospital because:-

• Loss and damage to linen reduced.
• Regular, quality linen supply ensured.
• Safe handing of soiled and infected linen.
• Complete control on washing formula for different types of linen.

The following presentation discusses the planning and management of a Mechanised Laundry in a large Hospital .

Hospital Dietary Services : Hospiad

There are certain group of services without support of which a Hospital cannot run smoothly. These services are called support services. We will take these up in the some of the following posts. 

They include:-

a) CSSD

b) Linen and laundry services

c) Dietary services

d) Housekeeping services

e) Hospital transport

f) Hospital mortuary

These services are called ‘support services’ because these are essential to run the hospital, but these may become part of Hospital services or these can be out sourced or shared with other Hospitals.‘Hospital Dietary Services’ is one of such support services.

If it is out sourced then it supplies patient diets only, but if it is a part of hospital then it provides other facilities also like:-

• Provisioning of hospital diet.
• Diet counseling
• Dietary education

The objective of a Hospital dietary service is to make provision for clean, hygienic and nutritious diet for the indoor patient as per their caloric requirement.

The Present presentation explains the various components and there planning. organisation and functions.

Nursing Services in (Hospital) :: Hospiad

Nurse is the hub of all activities in the hospital specially management of indoor services. She serves as a fulcrum, balancing on one side management of the word and patient care on the other side.

Nurse is responsible for provisioning services, ward sanitation and physical, emotional and psychological need of the patient. Because of her close proximity to the patient and relatives, her role is very important in qualitative care in the hospital.

Nurse is the in charge of the ward and successful ward management solely depends on her administrative, management and technical skills. Her very presence in the ward , smooth-ens the entire word environment.

This shows the importance of a nurse in patient care services in the hospital. In addition to nursing care nurses are also engaged in teaching, audit and research activities in the hospital.

In nutshell the nurse is the centre of all activities in the hospital. Hardly any service is there which can function without the support of nursing staff. Knowing the importance of a nurse in patient care, in this presentation we will discuss in short the planning, organization and management of nursing care services.