Hospital Administration and Management: A Comprehensive Guide Joydeep Das Gupta
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FM1HOSPITAL ADMINISTRATION AND MANAGEMENT
FM3A Comprehensive Guide
Second Edition
Joydeep Das Gupta PGPM PGHRM DRTM DHA (Six Sigma Green Belt) Trained in Hospital Administration and TQM Member Tech Committee AHPI Forewords Management4health GmBH Frankfurt, Germany Ex-Chief Director (Hospital Management Program and Hospital Project Planning) Allen Medical International, Los Angeles, California, USA Ex-CAO KPC Medical College and Hospital, Kolkata, West Bengal, India Ex-HR and AO Universal College of Medical Sciences (UCMS), Nepal Ex-Chief Hospital Operation and Head (HR) Yashoda Group of Hospitals New Delhi, India Forewords Sudhir Gupta
FM4
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Hospital Administration and Management: A Comprehensive Guide
First Edition: 2009
Second Edition: Digital Version 2017
9789352501328
FM5A Tribute
The fruit of silence is prayer, the fruit of prayer is faith, the fruit of faith is love, the fruit of love is service, the fruit of service is peace
—Nobel Laureate Mother Teresa
The fruit of silence is prayer, the fruit of prayer is faith, the fruit of faith is love, the fruit of love is service, the fruit of service is peace
—Nobel Laureate Kabi Guru Rabindranath Tagore
FM7Foreword
I am happy to know that the second edition of Hospital Administration and Management: A Comprehensive Guide authored by Dr Joydeep Das Gupta is being published.
Hospital Administration and Management is a complex and challenging task. Hospital administrators and managers at all levels have to spend significant amounts of time on communication, problem solving, decision making, capacity building and cost containment.
This book may be helpful to readers for increasing efficiency and effectiveness in day-to-day running of their organizations.
Sudhir Gupta
Additional Deputy Director General
Directorate General of Health Services
Ministry of Health and Family Welfare
Government of India
New Delhi, India
FM9Preface to the Second Edition
An attempt has been made to update Hospital Administration and Management: A Comprehensive Guide. Hospital administration is a very essential subject to learn to run a hospital efficiently.
The second edition of this book has been elaborated with reference to current techniques and practice of hospital administration and management so as to make the text more easily comprehensible to all clinicians/nursing team members/hospital administrators and students concerned.
In the preparation of this edition, I have consulted many publications of different authors. A select bibliography is given at the end of the book for this purpose.
Acknowledging my indebtedness to all such authors and their publishers as well as of providing guidance to those readers who may pursue further studies.
I am also indebted to my family members, friends, colleagues and publishers, who have helped much in the publication of the second edition of the book.
Joydeep Das Gupta
FM11Preface to the First Edition
An attempt has been made to present the basic thought on Hospital Administration and Management: A Comprehensive Guide in this short treatise. Hospital administration is very important to run a hospital efficiently.
This book has been elaborated with reference to current techniques and practice of hospital administration and management so as to make the text more easily comprehensible to all Hospital Managers, Administrators and students concerned.
In the preparation of this volume, I have consulted many publications of different authors. A select bibliography is given at the end of the book for this purpose. This book is a ready reference for doctors, administrators and students.
Acknowledging my indebtedness to all such authors and their publishers as well as of providing guidance to those readers who may pursue further studies.
I am also indebted to my beloved wife, friends, colleagues and publishers who have helped much in the publication of the book.
Joydeep Das Gupta
FM13Acknowledgments
I would like to express my sincere gratitude to all those who have helped me in the writing of this book.
My sincere thanks to my beloved wife and my son Saumyadeep Das Gupta for their constantly motivating and supporting me by giving writing space for updating the said academic venture. Above all my parental figure, my philosopher and guide Sri Kajal Dasgupta (Father-in-law), Retd (Govt of India), who always supported me during my career vacant period. Without his active supported, it is impossible to control my mental status during my distress period resulting in the release of such a small book with updated edition. My hearty thanks to my aunty Mrs Manjushree Roy Choudhury wife of late Dr Nalini Ranjan Roy Choudhury, famous historian of India (my uncle), who always motivated me in my healthcare journey.
In addition, my best team members such as Saumya, Priyanka, Amit, Sudip, and many more who always appreciate my each healthcare concept and stand with me till date which also motivated me to update this academic venture.
I express my heartfelt thanks to Dr Girdhar J Gyani, Ex-Secretary General, Quality Council of India, Founder of National Accreditation Board for Hospitals and Healthcare Providers (NABH) and Present CEO, Association of Healthcare Providers of India (AHPI, New Delhi); Col CS Bharadwaj (Ex-CEO), Universal College of Medical Sciences (UCMS) Teaching Hospital, Nepal; Mr Rupak Barua (Ex-COO), Calcutta Medical Research Institute (CMRI), Kolkata, and Now Group CEO, AMRI Group of Hospitals, Kolkata; Professor Chandra Sekhar (CEO), Management System Institute, Greater Noida, Uttar Pradesh, for their guidance and support. While preparing my second edition, I have discussed with important dignitaries from healthcare which includes Professor FM Tripathi (Plastic Surgery), Ex-Director, Smile Train Program, in UCMS, Nepal, and Ex-Head, Banaras Hindu University, who always guided me to learn remote level of healthcare delivery system.
My sincere gratitude to Dr Sudhir Gupta, Additional Deputy Director General, Directorate General of Health Services, Ministry of Health and FM14Family Welfare, New Delhi, India, for his professional space to me while preparing this edition. I express my thanks to Professor Michael Niechzial of Accadis University, Hamburg, Germany and Chairman and Founder Partner of Management4health, Frankfurt, Germany, for his kind guidance to learn global perspective of healthcare management. Other important healthcare entrepreneurs whose association enriched my knowledge are Dr Dinesh Arora, Chairman, Yashoda Group of Superspecialty Hospitals, Delhi, NCR, and Dr Kali Pradeep Choudhuri, Chairman, KPC Group of Hospitals and Medical Colleges, US and India. My sincere gratitude to both.
Above all, I wish to thank my parents Mr Sachindra Das Gupta, Retd (Govt of India) and Mrs Kalyani Das Gupta, Ex-Govt Teacher, who always blessed me for such academic venture, not to forget cooperation of my two younger sisters freelance journalist and owner MMC (Media house), my brother-in-law Anirban Choudhury, leading journalist, and Joysree, Consultant (Advertising), and blessings of my God.
FM19Introduction
Except for the birth of a child, hospital visits are more often than not unpleasant. If we have been lucky (with the patient's recovery, accurate diagnosis and timely treatment and service), we look back with a sense of relief. But if it has been a disastrous experience, we would rather take pleasure in spreading the good word about.
That is how critical an administrator's role is in an infirmary. Much has changed in how a hospital is projected today. They are more like profit centers and require business managers to project the right image. Hospital management has indeed come of age.
A hospital now hires health care managers solely for the purpose of keeping the hospital well oiled and running smoothly providing the maximum benefit to both patients and the staff.
The work of a health care management professional is to devote himself completely to the efficient running of the hospital or health center. This effectively leaves the doctors and associated staff to accomplish their work uninterrupted.
The responsibilities of a health care management professional are wide ranging, necessitating multitasking. As a Hospital Manager, administrative, human resources, infrastructure and equipment management come under his purview. This includes a host of other responsibilities such as employing contractual services, hospital help, etc.
The management of medical supplies and equipment is an important aspect of the job. As an administrator, he also has a say in the policy matters of the hospital, and in collaborations and partnerships with other health service providers.
Man management, however, is the most important aspect of the job, since a Hospital Manager has to deal with in-house staff and others at various levels, right from the medical staff to the governing board, including visiting dignitaries. However, this does not lessen the importance of gaining an understanding of finance. The Hospital Administrator or Manager also has to be figures savvy with the accounting processes and procedure to curtail any misappropriation of funds.
FM20The Hospital Managers” role, however, differs according to the size of the organization. Smaller medical or health center may employ a manager to handle day-to-day administrative work, which involves billing, maintenance, equipment supply, etc. He may work closely with doctors, if it is a group practice and have a say in decision making. A bigger place may require the services of a manager in key aspects as well like business strategy, administration, work-flow plans and managing outreach programs, seminars, etc.
Every role that a health care management professional plays in the hospital is integral to his ability as a communicator and administrator. Skills which need to be honed well are self-discipline, a passion for qualitative service, and an ability to negotiate, would help the manager stay admirably afloat.