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Hospital Administration and Management—A Comprehensive Guide
Joydeep Das Gupta
PART 1: HOSPITAL ADMINISTRATION AND MANAGEMENT
CHAPTER 1:
HOSPITAL ADMINISTRATION
BRIEF CONCEPT
CHAPTER 2:
MANAGEMENT PRINCIPLES
BRIEF OUTLINE
CHAPTER 3:
FUNCTIONS OF MANAGEMENT
A BRIEF OUTLINE
Planning
Benefits of Planning
Steps in Planning
Limitation of Planning
DECISION MAKING
Steps in Decision Making
ORAGANIZATION
ORGANIZATIONAL STRUCTURE
For example
STAFFING
Manpower Planning
Recruitment and Selection
Sources of Recruitment
Selection Process
Selection Test
Training and Development
Role of Training
Performance Appraisal
Eleven Performances Measures
Performance Appraisal Methods
Direction
Motivation
Moral
Communication
Leadership
Quality of Good Leadership
Control
CHAPTER 4:
THE ROLE OF HOSPITAL ADMINISTRATOR
CHAPTER 5:
ROLE AND RESPONSIBILITIES OF OTHER TOP EXECUTIVES AND SUPPORT SERVICE HOD
RESPONSIBILITIES OF HOD (HEAD OF DEPARTMENT) CLINICAL FACULTY
Patient Care System
Patient Facilitation
Employee Orientation Training Program
Further Career Achievements
Professional Skill and its Advancement
Sectional Coordination and Management
Departmental Admin Audits
Resource Utilization and Development
Additional Responsibilities
Departments Covered Fully by Responsibilities of Head of Department as detailed in this chapter.
HOD HR (HR MANAGER)
Recruitments, Selection and Upgradation
Staff Data Bank
Soft Skills
Leave
Report
HOD FINANCE (FINANCE MANAGER)
HOD EMERGENCY MEDICAL SERVICES
HOD NURSING (MATRON) (Nursing Superintendent)
HOD STORES (Chief Store Officer)/MANAGER (Material Management)
HOD DIETETICS (Chief Dietician)
HOD PUBLIC RELATIONS (Chief Public Relation Officer)
HOD IT (Chief Information Officer )
CHAPTER 6:
HOSPITAL QUALITY MANAGEMENT SYSTEM
QUALITY—BRIEF CONCEPT
Total Quality Management (TQM ) Means
Four Levels of Evaluation of Quality Management
Steps of Quality Management System
Principles of Quality Management
Benefit of Certification to ISO-9001
The Implementation of an ISO-9000 Quality System has Potential Advantages
Various sources confirm that the actual benefits to be accrued from certification relate to the. Perceived advantages;
Quality Issues for Educational Institution
PART 2: HOSPITAL ORGANIZATION AND SERVICES
CHAPTER 7:
PLANNING OF HOSPITAL SERVICES
PLANNING OF DEPARTMENTS
The Outpatient Department (OPD)
Location of OPD
Some Aspects of the Design of the OPD
Casualty and Emergency Services
Administrative Facilities
Clinical Facilities
Users of Hospital Services
Hospital Services
INPATIENT DEPARTMENT AND ICU
Intensive Care Unit
RADIOLOGIC SERVICES
Diagnostic Radiology
SURGICAL DEPARTMENT
LABOR AND DELIVERY SUITES
Location
Preparation Room
Labor Room(s)
Delivery Room(s)
CHAPTER 8:
HOSPITAL COMMITTEES
COMMITTEES
Medical Board
Composition of the Medical Board.
Frequency of the meetings: Once a month.
Functions
Purchase and Procurement Committee
Write off Committee
Budget Committee
Professional Enhancement Committee
Professional Ethics and Legality Committee
Medical Audit Committee
Composition
Frequency of the meeting: Once a month.
Functions
Infection Control Committee
Composition of Infection Control Committee
Function
General Hospital Advisory Committee
Functions
Hospital Advisory Board
CHAPTER 9:
PROBLEM OF HOSPITAL SERVICES
PROBLEMS IN FUNCTIONING OF OUTPATIENT DEPARTMENT (OPD)
Solutions for Effective Functioning
PART 3: HOSPITAL SUPPORT SERVICES
CHAPTER 10:
HOSPITAL MEDICAL RECORDS MANAGEMENT
HISTORY OF MEDICAL RECORDS
Introduction
Medical Records in Western Countries
Objectives (Functions) of Medical Record Department
Organization and Functions of Medical Record Services
Outpatient Service
Inpatient Service
Medical Record Library
Processing of Outpatient Records
Processing of Inpatient Records
Collection and Analysis of Hospital Statistic
Straight Numeric Filing Method
Medical Record Policies
Absconded Patients
Against Medical Advice
Referral of Patient
Patient Having Multiple Records
Missing Records
Registration System
Numbering System
Patient Master Index
Patient ID and Appointment Card
Appointment System
Investigation Reports
Health Centre
Outpatient Clinics
Outpatient Clinic Schedule
Accident and Emergency Services
Admission Office
Direct Admission
Declaration by the Patient
Assembling of Forms in the Medical Record Folder
Completion of Records
Coding of Medical Records
Filing System
Supply of Records
Legal Aspects of Medical Records
Medicolegal Cases (MLC) Registration
Medicolegal Register
Temporary Permission to Leave the Hospital
Consent
General Consent
Special Consent
Emergency Operation
Patient Leaving the Hospital Against Medical Advice
Release of Information
Confidentiality
Authorized Staff
Model Policy for Redisclosure of Primary and Secondary Health Records
Medical Record Forms Design
Introduction
General Considerations
Forms
Micro Filming
Preservation of Records
Work Procedure of Medical Record Department
Introduction
Rights and Responsibilities of a Patient
The patient has the following rights:
Responsibilities of a Patient
Basic Medical Record Forms
Legal Aspect of Medical Records
Confidential Communication
Personal Document
Impersonal Document
Insurance Cases
Workmen's Compensation Cases
Personal Injury Skills
Malpractice Suits
Will Cases
The Income Tax Act
Certificate of Birth and Death
Criminal Cases
Liability of Omission
The Judiciary Has the Extensive Authority
Powers of Consumer Agencies
Place and Time Limit for Filling a Complaint
Duty Under Consumer Law
Documentation of the Medical Records
Delegation of Duty
The Indian Penal Code, 1860
Conclusion
Medicolegal Records
Incomplete Records
Medical Records Committee
Retention of Records
MEDICAL AUDIT
History of Medical Audit
Material for Medical Audit
Proper Administration of the Hospital
Methods of Medical Auditing
Internal Audit
External Audit
Medical Audit Sheet
Benefits of Medical Audits
Conclusion
Guidelines for Completion of Medical Records
CHAPTER 11:
NURSING SERVICES
NURSING SERVICE ADMINISTRATION UNIT
Maintenance of Records in the Wards
Intensive Care
Intermediate Care
Self Care
Long-term Care
PLANNING OF NURSING SERVICES
General Nursing Unit
The Design of the Nursing Unit Should Result in:
Pediatric Nursing Unit
Obstetrical Nursing Unit
Newborn Nurseries
Psychiatric Nursing Unit
Isolation Rooms
Intensive Care Units (ICUs)
CHAPTER 12:
BIOMEDICAL ENGINEERING SERVICES
CHAPTER 13:
BIOMEDICAL WASTE MANAGEMENT
BIOMEDICAL WASTE MANAGEMENT
Introduction
Historical Background
Present Scenario
Legislation for Biomedical Waste Management and Handling
SCHEDULE - I
SCHEDULE - II: Color coding and typing of container for disposal of biomédical wastes
SCHEDULE - III: Label for biomedical waste containers/bags
SCHEDULE - IV: Label for transport of biomedical waste containers/bags
SCHEDULE-V: Standards for treatment and disposal of biomedical wastes standards for incinerators:
Standards for Waste Autoclaving
Standards for Liquid Waste
SCHEDULE-VI: Schedule for waste treatment facilities like incinerator/autoclave/micro wave system
CHAPTER 14:
HUMAN RESOURCE DEPARTMENT
ACADEMIC THEORY
Business Practice
Labor Management
Training and Development
Updating Medical Knowledge
CHAPTER 15:
MATERIAL MANAGEMENT WING
ABC AND VED CLASSIFICATION MATRIX
Economic Order Quantity
Ordering Cost
Inventory Carrying Cost
The EOQ Formula
CHAPTER 16:
PHARMACY SERVICES
PHARMACY
The Objectives of a Hospital Pharmacy
The Pharmacy Department Needs Special Attention Because:
Functions of the Pharmacy
Requirement of Machineries
Personnel Requirements
CHAPTER 17:
FINANCE DEPARTMENT
FINANCIAL MANAGEMENT
CHAPTER 18:
PUBLIC RELATION DEPARTMENT
PUBLIC RELATIONS
The Public of the Hospital
Internal Public Relations
External Relations
Patients
Community/Public Relations
Relationship with Authorities
Public Relations and Marketing
Public Relations Personnel
CHAPTER 19:
SECURITY WING
CHAPTER 20:
TRANSPORTATION DEPARTMENT
CHAPTER 21:
PATIENT WELFARE DEPARTMENT
CHAPTER 22:
HOUSE-KEEPING DEPARTMENT
CHAPTER 23:
MAINTENANCE AND ENGINEERING WING
CHAPTER 24:
CSSD
PART 4: HOSPITAL POLICIES AND LEGAL ASPECT OF HOSPITAL ADMINISTRATION
CHAPTER 25:
HOSPITAL POLICIES AND LEGAL ASPECT OF HOSPITAL ADMINISTRATION
CHAPTER 26:
THE HUMAN ELEMENT IN HEALTH CARE
CHAPTER 27:
CAREER AS HOSPITAL ADMINISTRATOR
BIBLIOGRAPHY
INDEX
TOC
Index
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