Conclusion

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

GOOD BYE!!!

Regards

Hospital Administration Made Easy

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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.



Regards

Hospital Administration Made Easy

Subscribe to this blog via e-mail from the right panel, or click here to subscribe to free RSS updates so that you do not miss out anything that can be valuable to you and your hospital!

Also, we would love it if you would provide us some feedback and leave a comment below.

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


Regards

Hospital Administration Made Easy

Subscribe to this blog via e-mail from the right panel, or click here to subscribe to free RSS updates so that you do not miss out anything that can be valuable to you and your hospital!

Also, we would love it if you would provide us some feedback and leave a comment below.

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.

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.

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.

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

Regards

Hospital Administration Made Easy

Subscribe to this blog via e-mail from the right panel, or click here to subscribe to free RSS updates so that you do not miss out anything that can be valuable to you and your hospital!

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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.

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.

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

Operation Theatre (OT) Services :: HospiAd

Art of surgery is created by the hands of a surgeon. These hands are of no use, if there is inadequate operation facilities. All surgical departments need a well equipped Operation Theater (OT) to work with.The surgical departments save the precious life through operation. About fifty percent of hospital beds are allocated to surgical departments signifying its importance.

With the introduction of super specialty services and gradual development in operation technologies , the designing of operation theatre is becoming more sophisticated and complex in nature.

This has warranted an intelligent planning and skillful organizing of a modern OT so as to meet the modern demand for surgery as well as, matching the expectations of the surgeons.

Therefore planning an OT has become more crucial. Certain aspects like clean environment, adequate safety of staff and patients, controlling of infection, are issues to be considered at the stage of planning itself.The above factors reflects the importance of organizing an operation theatre, depicting the technical and conceptual skills of a hospital Administrator.

The presentation on 'Planning and Organization of Operation Department' below discusses certain important issues which should be considered while planning and management of Operation Theater.

Ward planning and management:: Hospiad

• The primary role of the hospital is to provide curative care to the sick through provision of a shelter in the hospital, under direct supervision. 
• It requires a systematically organized ‘In patient care’ facility. The organization of in patient service is very important because while providing curative care, there should be provision to look into the patients physical, emotional and psychological needs. 
• The patient must feel at home having a clean, peaceful atmosphere, and adequate provision for self-entertainment.
• The attendants visiting the patients must also be provided facilities to wait for some times, and must be satisfied with the hospital sanitation and type of care to their patient. 
• There has to be adequate safety and security and privacy for the patients and nutritious diet during the stay.
• All these issues must be given consideration while planning for inpatient housing by the hospital administrator.

The presentation on 'Organization and Management of In- Patient Services' looks in to all these angles for planning and organizing the hospital in-patient services.