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Reality of Hospital Administration
D Rambabu
CHAPTER 1:
Organization of Hospitals/Healthcare Services
INTRODUCTION
DEFINITION OF HOSPITAL
PROVIDERS OF HEALTHCARE SERVICES
FUNCTIONS OF HOSPITAL
CHANGING NEEDS OF HEALTHCARE SERVICES (HOSPITALS)
PHILOSOPHY OF THE HOSPITAL
CLASSIFICATION ACCORDING TO MANAGEMENT
CLASSIFICATION ACCORDING TO SYSTEM
LIST OF VARIOUS SPECIALTIES THAT EXIST IN A MULTISPECIALTY HOSPITAL
CHAPTER 2:
Classification of Healthcare Providers
CLINIC
NURSING HOMES
PRIMARY HEALTHCARE CENTER
VOLUNTARY HEALTHCARE CENTER
PRIVATE HOSPITALS
TRUST HOSPITAL
CORPORATE HOSPITALS
TEACHING HOSPITALS
ISOLATION HOSPITAL
GOVERNMENT HOSPITALS OR ESI HOSPITALS
CHAPTER 3:
Hospital Administration
GENERAL ADMINISTRATION
MEDICAL ADMINISTRATION
FINANCE AND ACCOUNTS
PERSONNEL MANAGEMENT
LEVELS OF MANAGEMENT
TOP MANAGEMENT
MIDDLE MANAGEMENT
LOWER MANAGEMENT
DIFFERENCE BETWEEN ADMINISTRATION AND MANAGEMENT
NATURE OF WORK
TYPE OF FUNCTIONS
SCOPE
LEVEL OF AUTHORITY
NATURE OF STATUS
NATURE OF USAGE
DECISION MAKING
MAIN FUNCTION
ABILITIES
KEY AREAS
SCOPE OF SERVICES
ROUND-THE-CLOCK SERVICES
POINTS FOR EFFECTIVE ADMINISTRATION
DUTIES AND RESPONSIBILITIES OF HOSPITAL ADMINISTRATOR
DUTIES AND RESPONSIBILITIES OF MEDICAL SUPERINTENDENT/CHIEF MEDICAL OFFICER/MEDICAL DIRECTOR
CHAPTER 4:
Important Components of Hospital
DOCTOR
TYPES OF DOCTORS IN HOSPITAL
TYPES OF CONSULTANCY
Factors that Contribute to the Success of a Consultant
DUTIES AND RESPONSIBILITIES OF RESIDENT MEDICAL OFFICER/DUTY MEDICAL OFFICER
NURSE
DUTIES AND RESPONSIBILITIES OF A NURSE
DUTIES AND RESPONSIBILITIES
PERSONAL HYGIENE OF PATIENT: RESPONSIBILITY OF NURSING STAFF
PATIENT OR THE PERSON WITH ILLNESS
TYPES OF PATIENTS
1. Outpatients
2. Inpatients
3. Patients claiming reimbursement of hospitalization charges from insurance companies
4. Patients referred by TPAs for cashless treatment
5. CGHS Patients
6. Arogya Sri or Government Schemes
7. Free Patients
8. Hospital staff and their family members
PATIENTS’ RIGHTS
PATIENT RESPONSIBILITIES
CHAPTER 5:
Procedures in Hospital
ADMISSION OF A PATIENT
UNIQUE PATIENT IDENTIFICATION NUMBERS
ADMISSION THROUGH OUTPATIENT DEPARTMENT
ADMISSION THROUGH REFERENCE
ADMISSION THOUGH REFERENCE LETTERS BY COMPANIES
DIRECT ADMISSION
TRANSFER OF A PATIENT
FROM ONE WARD TO THE OTHER WARD
FROM ONE HOSPITAL TO OTHER HOSPITAL
FROM WARD TO THE DIAGNOSTIC DEPARTMENT
DISCHARGE OF A PATIENT
REGULAR DISCHARGE
DISCHARGE AT REQUEST
DISCHARGE AGAINST MEDICAL ADVICE
ABSCONDED PATIENTS
CHAPTER 6:
Outpatient Department
EFFECTIVE RUNNING OF OUTPATIENT DEPARTMENT
DUTIES AND RESPONSIBILITIES OF OUTPATIENT DEPARTMENT RECEPTIONIST
CHAPTER 7:
Diagnostic Departments: Central Billing
BILLING PROCEDURES
GENERAL
FUNCTIONS OF THE DEPARTMENT
SPECIFIC PROCEDURES
CHAPTER 8:
Pharmacy
EFFECTIVE PHARMACY SERVICES
RIGHT BILLING AND RIGHT ISSUES
RETURN OF MEDICINES
SUBSTORES
DRUG FORMULARY
DRUG RECALL
CHAPTER 9:
Dietetic Services
CANTEEN ADMINISTRATION
EFFECTIVE CANTEEN SERVICES
DUTIES AND RESPONSIBILITIES OF THE DIETICIAN
CHAPTER 10:
Hospital Infection Control
COMPONENTS FOR EFFECTIVE INFECTION CONTROL PROGRAM
PREDICTORS OF INFECTION
GUIDELINES AND RECOMMENDATIONS FOR HIC PROGRAM
HANDWASHING TECHNIQUES
HANDWASHING INDICATIONS
HANDWASHING FACILITIES
STANDARD PRECAUTIONS
HIC COMMITTEE
FUNCTIONS OF THE COMMITTEE
DUTIES AND RESPONSIBILITIES OF INFECTION CONTROL NURSE
CHAPTER 11:
Medical Gases
TYPES OF MEDICAL GASES
COLOR CODES FOR MEDICAL GASES
USES AND PROPERTIES OF MEDICAL GASES
PROCEDURES FOR PURCHASE OF MEDICAL GASES
DUTIES AND RESPONSIBILITY OF MANIFOLD OPERATOR
SAFETY MEASURES TO BE TAKEN
FIRE AND EXPLOSION
STORAGE
HANDLING
LEAKS
IN USE
AFTER USE
PRECAUTIONS FOR USE
CHAPTER 12:
Consent
TYPES OF CONSENT
IMPLIED CONSENT
EXPRESSED CONSENT
DOCTRINE OF INFORMED CONSENT
SITUATIONS WHERE CONSENT IS NOT REQUIRED
CHAPTER 13:
Operation Theaters
POINTS FOR EFFECTIVE FUNCTIONING OF OTs
CRITERIA FOR A GOOD OT AIR CONDITIONING
COMMON EQUIPMENTS AVAILABLE IN OT
CHECKLIST BEFORE STARTING ANY PROCEDURE
DUTIES AND RESPONSIBILITIES OF OT IN-CHARGE
DUTIES AND RESPONSIBILITIES OF OT TECHNICIAN/NURSE
CHAPTER 14:
Blood Bank
DEFINITION OF BLOOD BANK
OBJECTIVE OF THE DEPARTMENT OF BLOOD TRANSFUSION MEDICINE
FUNCTIONS
DUTIES AND RESPONSIBILITIES OF BLOOD BANK MEDICAL OFFICER
BLOOD AND BLOOD DONATION
1. WHAT IS BLOOD?
2. WHAT IS THE ROLE OF RED BLOOD CELLS?
3. WHAT IS THE ROLE OF WHITE BLOOD CELLS?
4. WHAT IS THE FUNCTION OF PLATELETS?
5. WHAT IS THE FUNCTION OF PLASMA?
6. WHO CAN DONATE BLOOD?
7. HOW MUCH BLOOD IS TAKEN FROM THE DONOR?
8. HOW MUCH BLOOD DOES THE BODY HAS?
9. HOW LONG DOES IT TAKE TO CARRY THE BLOOD?
10. HOW LONG DOES IT TAKE THE BODY TO REPLACE THE BLOOD?
11. HOW OFTEN CAN BLOOD BE DONATED?
12. SHOULD ONE EAT BEFORE GIVING BLOOD?
13. WHY SHOULD A DONOR REST AFTER GIVING BLOOD?
14. WHY IS A SMALL SAMPLE OF BLOOD TAKEN BEFORE DONATING?
15. WHY HE SHOULD FILL UP A QUESTIONNAIRE ON AIDS?
16. WHAT TESTS ARE DONE ON THE BLOOD AFTER IT HAS BEEN DONATED?
17. WHAT ARE BLOOD GROUPS?
18. WHAT ARE THE MOST COMMON AND LEAST COMMON BLOOD GROUPS?
19. WHO CAN RECEIVE WHICH GROUP?
20. DO DONORS GET PAID MONEY TO GIVE BLOOD?
21. DO PATIENTS HAVE TO PAY FOR BLOOD?
PRECAUTIONS TO BE TAKEN FOR BLOOD TRANSFUSION AMONG BLOOD RELATIVES
CHAPTER 15:
Medical Record Department
SOME OF THE IMPORTANT FORMS WHICH ARE TO BE FILLED IN PATIENT CASE-SHEET BEFORE SENDING IT TO THE MRD
DUTIES AND RESPONSIBILITIES OF MEDICAL RECORD OFFICER
BED OCCUPANCY RATE
BED TURNOVER RATE (BTR)
BED TURNOVER INTERVAL (BTI)
AVERAGE LENGTH OF STAY
HOSPITAL ADMISSION RATE
PER CAPITA HOSPITALIZATION RATE
DAILY AVERAGE OUTPATIENT ATTENDANCE
AVERAGE OUTPATIENT ATTENDANCE PER PATIENT
GROSS DEATH RATE
NET DEATH RATE
POSTOPERATIVE DEATH RATE
MATERNAL DEATH RATE
INFANT DEATH RATE (VIABLE INFANTS ABOUT 28 WEEKS)
NEONATAL DEATH RATE
AUTOPSY RATE
CONSULTATION RATE
CESAREAN SECTION RATE
CHAPTER 16:
Biomedical Engineering Department
SOME OF THE EQUIPMENTS
AMBU BAG
BOYLE'S ANESTHESIA APPARATUS
BP APPARATUS
BRONCHOFIBERSCOPE
BRONCHOSCOPE
C-ARM
COBALT TREATMENT EQUIPMENT
COLONOSCOPY
COLPOSCOPE
COLOR DOPPLER
CORONARY ANGIOGRAPH
CT SCAN
CYSTOSCOPE
DEFIBRILLATOR
DOPPLER
ECHOCARDIOGRAPH (ECHO)
ELECTROCARDIOGRAM (ECG)
ELECTROENCEPHALOGRAPH (EEG)
ELECTROMYOGRAPH (EMG)
GAMMA KNIFE
GASTROSCOPE
HOLTER MONITOR
CLINICAL EQUIPMENT-LABORATORY
LAPAROSCOPY
LASER EQUIPMENT
MAMMOGRAPHY
MONITOR
MAGNETIC RESONANCE IMAGING (MRI) SCAN
NEUROPHYSIOLOGY LABORATORY
NUCLEAR SCAN
OPHTHALMIC EXCIMER LASER
POSITRON EMISSION TOMOGRAPHY (PET) SCAN
PHYSIOLOGICAL LABORATORY
PULMONARY FUNCTION TEST (PFT)
PULMONARY AID
PULSE OXIMETER
SIGMOIDOSCOPY
TREADMILL
ULTRASOUND
URETERORENOSCOPY
VENTILATOR
X-RAYS
DUTIES AND RESPONSIBILITIES OF BIOMEDICAL ENGINEERS
EQUIPMENTS REQUIRED FOR ICU, OT, TRIAGE, AND CLINICAL LABORATORY
OPERATION THEATER
CLINICAL LABORATORY
BIOCHEMISTRY LABORATORY
EQUIPMENTS REQUIRED FOR PHYSIOTHERAPY DEPARTMENT
CHAPTER 17:
Biomedical Waste Management
SEGREGATION AND COLLECTION
DISPOSAL
COLOR CODIFICATION OF BIOMEDICAL WASTE
CHAPTER 18:
Medical Ethics
BASIC PRINCIPLES OF MEDICAL ETHICS
OTHER MEDICAL ETHICAL GUIDELINES
IMPORTANCE OF COMMUNICATION
CHAPTER 19:
Medicolegal Issues
DEFINITION OF MLCs IN MEDICAL PRACTICE
EXAMPLES OF MLCs
GENERAL GUIDELINES FOR DEALING WITH MEDICOLEGAL CASES
PRECAUTIONS TO BE TAKEN IN MLCs
GUIDELINES FOR PRESERVATION OF MEDICOLEGAL EVIDENCE
GUIDELINES FOR PRESERVATION OF MEDICOLEGAL DOCUMENTS
SPECIAL PRECAUTIONS IN CASES OF DEATH IN THE HOSPITAL
GENERAL GUIDELINES FOR SUDDEN DEATH/FOUND DEAD CASES
MEDICOLEGAL ASPECTS OF SEXUAL OFFENCES
MEDICOLEGAL ASPECTS OF POISONING
GUIDELINES FOR ACTION IN CASE A PATIENT IS FOUND MISSING FROM THE HOSPITAL
CONCLUSION
CHAPTER 20:
Consumer Protection Act, 1986 and Hospitals
EXTENT AND COVERAGE OF THE ACT
COMPLAINANT
CONSUMER
FEES/PAYMENT
DEFICIENCY
PERSON
SERVICE
THE ACT WITH RELATION TO THE HOSPITALS OR MEDICAL PROFESSION
STRUCTURE OF CONSUMER FORUMS/COMMISSIONS AND THEIR JURISDICTIONS
THE LEGAL AVENUES (OTHER THAN CPA) AVAILABLE TO AGGRIEVED PATIENTS TO SUE AGAINST HEALTH PROFESSIONALS
REGULATION OF THE PRACTICE OF MEDICINE
RIGHTS AND PRIVILEGES OF REGISTERED MEDICAL PRACTITIONERS CONFERRED BY THE INDIAN MEDICAL COUNCIL ACT, 1956
INDIAN PENAL CODE AND MEDICAL NEGLIGENCE
DO'S AND DON’TS FOR DOCTORS
DO'S FOR DOCTORS
DON’TS FOR DOCTORS
PREVENTIVE MEASURES (HOW TO AVOID LITIGATION)
GENERAL GUIDELINES FOR LEGAL DEFENSE
TECHNICAL DEFENSES AND FACTUAL DEFENSES
Technical Defenses
Factual Defenses
CHAPTER 21:
Personnel Management
FUNCTIONS
HUMAN RESOURCE MANAGEMENT
DIFFERENCE BETWEEN HUMAN RESOURCE MANAGEMENT AND PERSONNEL MANAGEMENT
INDUCTION PROGRAMS
INDUCTION
NURSES AND DOCTORS TO BED RATIO
WARDS
DOCTORS TO BED RATIO
DUTIES AND RESPONSIBILITIES OF PERSONNEL MANAGER
DUTIES OF HUMAN RESOURCE MANAGER
DISCIPLINE AND DISCIPLINARY ACTION
INTRODUCTION
COMPLAINT PROCEDURE
PRELIMINARY ENQUIRY
DISCIPLINARY ACTION
PROCEDURE FOR DISCIPLINARY ACTION
FORMS OF PUNISHMENT
Some guiding principles in dismissal cases
CONCLUSION
CHAPTER 22:
Finance Management
DIFFERENCES BETWEEN HOSPITAL MANAGEMENT AND THE MANAGEMENT OF OTHER ORGANIZATION
SOURCES OF INCOME IN THE HOSPITALS
UTILIZATION OF FUNDS
STATUTORY PAYMENTS
DUTIES AND RESPONSIBILITIES OF THE CHIEF FINANCE OFFICER OR THE DIRECTOR—FINANCE AND ACCOUNTS
DUTIES AND RESPONSIBILITIES OF MANAGER/ACCOUNTS MANAGER
PROJECT REPORT
PROJECT COST AND MEANS OF FINANCING
Project cost
Means of financing
DETAILS OF PROJECT COST
CALCULATION OF EXPECTED REVENUE
CHAPTER 23:
Facility Management
IMPORTANCE OF FACILITIES MANAGEMENT IN HOSPITALS
PROCUREMENT AND MANAGEMENT OF MATERIALS
BUILDING MAINTENANCE
BIOMEDICAL WASTE MANAGEMENT
MAINTENANCE OF IT EQUIPMENTS
PEST CONTROL
MAINTENANCE OF WASHROOMS AND TOILET HYGIENE
STRATEGIES FOR THE SUCCESS OF FACILITY MANAGEMENT
IMPORTANCE OF AIR CONDITIONERS, AIR PURIFIERS, AND VENTILATION SYSTEMS FOR HOSPITALS
VITAL ASPECTS OF FACILITY MANAGEMENT WHICH LEAD TO PATIENT SAFETY
ROLES OF FACILITY MANAGERS FOR MANAGING ACTIVITIES
CHAPTER 24:
Committees in Hospitals
ADMINISTRATIVE COMMITTEES
COMMITTEES DEALING WITH PATIENT CARE, QUALITY MEDICAL SERVICES, AND BIOMEDICAL WASTAGE
TYPES OF COMMITTEE MEMBERS
TIPS FOR EFFECTIVE FUNCTIONING OF COMMITTEES
CHAPTER 25:
Insurance Help Desk
PROCEDURE
DUTIES AND RESPONSIBILITIES OF A FRONT OFFICER IN TPA HELP DESK
GUIDELINES TO TPA (INSURANCE) PATIENTS
CHAPTER 26:
Communication
NATURE AND SCOPE OF COMMUNICATION
PURPOSE OF COMMUNICATION
IMPORTANCE OF COMMUNICATION IN HOSPITALS
POOR COMMUNICATION BETWEEN HEALTHCARE STAFF AND PATIENTS IN HOSPITAL
BARRIERS TO EFFECTIVE COMMUNICATION
PATIENT CARE COORDINATION
HEALTH INFORMATION TECHNOLOGY
COMMUNICATION MANAGEMENT PROCEDURES
BARRIERS TO EFFECTIVE COMMUNICATION BY NURSES
LANGUAGE BARRIERS
ETHNIC BARRIERS
STAFFING SHORTAGES
ASSUMPTIONS
DISTRACTIONS
MEDICAL JARGON
HEALTH LITERACY BARRIERS
EFFECTIVE COMMUNICATION
CORRECT DIAGNOSIS
HISTORY
TREATMENT
LEGAL PROCESSES
MEDICAL PROGRESS
CHAPTER 27:
Safety and Security
DEFINITION OF PATIENT SAFETY
GOALS
PATIENT SAFETY TIPS FOR HOSPITALS
PROBLEMS OF SECURITY IN HOSPITAL
SECURITY MEASURES
SAFETY MEASURES
DUTIES OF SECURITY GUARDS
GUARDS AT OUT-GATE
DUTIES OF SECURITY OFFICER
DUTIES OF HOSPITAL FIRE OFFICER
CHAPTER 28:
Duties and Responsibilities of Hospital Staff
ACCOUNTS MANAGER
ADMINISTRATOR
BILLING STAFF
BIOMEDICAL ENGINEER
BLOOD BANK MEDICAL OFFICER
CHIEF FINANCE OFFICER
CHIEF MEDICAL OFFICER
CSSD TECHNICIAN
DIETICIAN
AMBULANCE DRIVER
FIRE OFFICER
HUMAN RESOURCE MANAGER
LINEN KEEPER
MAINTENANCE SUPERVISOR/FACILITY MANAGER
MALE NURSING ASSISTANT
MANIFOLD OPERATOR
MEDICAL RECORD OFFICER
NURSE
INFECTION CONTROL NURSE
OUTPATIENT DEPARTMENT RECEPTIONIST
OT IN-CHARGE
OT TECHNICIAN/NURSE
PHYSIOTHERAPIST
PERSONNEL MANAGER
PUBLIC RELATION OFFICERS
RECEPTIONIST
RESIDENT MEDICAL OFFICER
SANITARY TECHNICIAN
SECURITY OFFICER
SECURITY GUARDS
SWEEPERS
TPA HELP DESK FRONT OFFICER
WARD ASSISTANTS AND AYAHS
RECEPTIONIST (ALL SHIFTS)
LINEN KEEPER/HOUSE KEEPING DEPARTMENT IN-CHARGE
BILLING STAFF (IP)
SANITARY TECHNICIAN
SWEEPERS
AMBULANCE DRIVER
AMBULANCE PARAMEDICAL STAFF
CSSD TECHNICIANS
WARD ASSISTANTS AND AYAHS
MALE NURSING ASSISTANT
PUBLIC RELATION OFFICERS
MAINTENANCE SUPERVISOR/FACILITY MANAGER
PHYSIOTHERAPIST
CHAPTER 29:
Sensitive Issues in Hospitals: Role of Administration
BROUGHT IN DEAD CASES
REPLACEMENT OF DRUGS
REFUSAL FOR ADMISSION
TERMINAL PATIENTS
REDO TESTS
OUTPATIENT DEPARTMENT
RECEPTION
SUGGESTIONS/COUNTER MEASURES
BILLING
SUGGESTIONS FOR QUICKENING THE BILLING PROCESS
ESTIMATED COST OF TREATMENT
SUGGESTIONS
EFFECTIVE FUNCTIONING OF BILLING SECTION
PHARMACY
NONAVAILABILITY OF DRUGS
DELAY IN ISSUING MEDICINES
HOSPITAL-ACQUIRED INFECTION
MEDICATION ERRORS
METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS (MRSA)
PNEUMONIA
DEEP VEIN THROMBOSIS (DVT)
BLEEDING AFTER SURGERY
ANESTHESIA COMPLICATIONS
OPERATION THEATERS
REEXPLORATION OF SURGERY
POSTOPERATIVE CARE
PUBLIC RELATION OFFICER
GENERAL ISSUES
LACK OF INFORMATION/COMMUNICATION TO THE PATIENTS
ACTUAL COST OF TREATMENT IS NOT KNOWN
LANGUAGE
FOOD
ATTENDANTS STAY IN THE HOSPITAL
NONAVAILABILITY OF BLOOD FOR TRANSFUSION
ROLE OF ADMINISTRATION
MOTIVATION
EMPLOYEE MOTIVATION TECHNIQUES
Provide Meaningful and Challenging Work
Set Clear Targets and Expectations and Measure Performance
Give Regular, Direct, Supportive Feedback
Design People's Roles So They Can Use Their Strengths
Enable Input and Choice in How Work Gets Done
COMMUNICATION
TRAINING
COUNSELING
CHAPTER 30:
Architectural Overview Towards Healthcare Projects
KEY POINTS
FUNCTION
SERVICES
ENVIRONMENT
METHODOLOGY OF THE PROJECT
STAGE I—DESIGN CONCEPT
STAGE II—DESIGN DEVELOPMENT
STAGE III—DOCUMENTATION
STAGE IV—DESIGN EXECUTION
FUNCTIONAL FACILITIES
ZONING
GENERAL HOSPITAL
SPECIALTY AND MULTISPECIALTY HOSPITAL
HOSPITAL BACKUP SERVICE FACILITIES
COLLEGE BLOCK WITH FACILITIES
RESIDENTIAL FACILITIES
DIVISIONWISE SCOPE OF WORK
ARCHITECTURAL DIVISION
STRUCTURAL AND OTHER ENGINEERING SERVICES
PROJECT MANAGEMENT DIVISION
HINTS FOR ARCHITECTS
CHAPTER 31:
Guidelines for NABH Accreditation for Hospitals
CHAPTER 32:
Licenses and Acts Applicable to Hospitals
ACTS APPLICABLE
LIST OF RENEWAL LICENCES
LIST OF PERMANENT LICENSES
Bibliography
INDEX
TOC
Index
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