2. To highlight the current trend of healthcare.
To discuss about problems and solutions in quality issues.
To discuss the role of VH in changing the healthcare scenario
of Nepal.
To discuss the strategies required.
Tentative presentation time : 35 minutes / 27 slides
3. 1950s
• Best Hospital meant best Infrastructure.
2000
• Best Hospital meant best Technology and Human
Resources.
2000+
• Best Hospital means best Patient Satisfaction.
4. Atmosphere of mistrust and suspicion : Unethical, Over billing, etc.
Demanding and not willing to pay…
(want the best, and do not have to pay too much for it!)
Fast Food culture….cannot tolerate delays
Ready to challenge.(Broad knowledge horizon and information resources)
A patient is also a banking customer, an airline traveler, a Hotel customer and a
media consumer. As a result, consumers are coming to expect the same level of
service they see in other industries from their medical provider.
5. Treatment – Best treatment from best doctor, Best dealing from nurses
Physicians – Access to them, Listening ability, Knowledge, Manner, Communication,
Reputation.
Nursing – Attitude, Attentiveness, Responsiveness, Courtesy, Caring, Communication,
Respect, Care to family/accompany.
Amenities – Food, Private Rooms, Entertainment options like cable and music, Wi-Fi, Easy
Access and Convenient Parking
Atmosphere – Cleanliness, Hospitality, Friendliness, Comfort, Relaxing
Environment(Hospitals = Home, Professionals=Family members)
Safety –Personal Safety, Privacy
Admission and Discharge – Quick, Timely, Follow-up, Discharge Support, Affordability,
Information
Respect to Patient Rights ..
6. To be the Leading Provider of Healthcare Services in Nepal
8. MANAGEMENT
• Visionary
Team
• Committed
leadership
• Quality
Driven
Model
HUMANRESOURCES
• Competent &
Committed
• Continuous
Improvement
• Patient-centric
service Model
PHYSICAL
INFRASTRUCTURE
• Building
Layout
• Service
Planning
• Latest
Technology
9. Latest diagnostic and therapeutic technologies.
Multi-specialty.
Latest Technologies in Information system (paperless Hospital) .
Hospital with Hospitality.
Patient Centric Service Model
Health Tourism & Foreigner’s Ward.
Home care Service.
Mobile Hospital and Hospital in Tent.
Air Ambulance Service.
International Accreditations.
Ultimately all these lead to Patient Satisfaction.
10.
11. “Good quality means providing patients with
appropriate services in a technically competent
manner, with good communication, shared decision
making, with cultural sensitivity and with greatest
efficiency.”
12. Reason 1 : Change in perception and practice
Earlier…
Simple, Ineffective and considered safe
Now…
Integrated, effective and unsafe!
13. Changing Pattern of diseases and Treatment Protocols.
New Technology
Huge increase in Healthcare Expenses
Other new technologies on the horizon. (Disease study and
management at DNA/ Molecular level)
Reason 2: Difficult to keep pace with the changes!
Even if you’re on the right track, you’ll get run over if you just sit
there!
14. Ancient Times
Doctor & Nurses are
“God”
Submissive Patient
Doctor/Provider Centric
Practice
Reason 3:
Changing doctor patient relationship
Modern Time
Doctor & Nurses are
“human beings” so
negligence may occur.
Relation shifting towards
Mutuality
Patient Centric Practice
15. A Hospital information system is a comprehensive, integrated
information system designed to manage all the aspects of a hospital
operation such as medical, administrative, financial, legal and the
corresponding service processing.
Traditional approach : Paper-based model
Existing approach : Dual Model
International/required approach : Paper-less model
16. Dedicated HIS software.
Strategic Information Systems
Administrative Information Systems
Clinical Information Systems/ EMR
Electronic Networking Systems –Mobile Application, Telemedicine, e-
payment, e-Insurance etc.
17. Coordination of Clinical Care Improved Customer Care
Cost Containment, Productivity
Improvement, Monitoring &
Control
Technological Advancements
Push from Accreditation
authorities & Payers
Profit, Growth
&
Competitive
Advantage
18. Access
Storage
Analytical Reporting
Monitoring and
Control
Error Reduction
No Duplication
Data Integration
20. Outsourcing of non-core services that allows the hospital to
focus on the business of serving patients.
Job Handling by “Experts in Related Field”.
Effective Monitoring and Evaluation
Minimum legal obligations to the staff.
21. Primary Assessment
Sample Collection
Active phone follow up + Follow up Visits
Basic surgical procedures (wound dressing)
Physiotherapy
Nursing and hospice Care
Home based dialysis services
Mobile CCU/ICU
Mobile Hospital (For VIPs, expats, family, tourist, disaster)
Hospital at Home
25. Quality-First
Patient-Centric approach
Paperless model
M-Health ( appointment, tips, follow up message, reports,
pregnancy care)
Hospital at Home
Distant care and disaster care
Health Tourism/Air Ambulance
International Relation and accreditation
Outsourcing of selected jobs
Department of Quality Control
Holistic approach
Intermediate Care Center
NM2H
Suggested to visit hospitals in India, Singapore, Thailand,
Malaysia
Suggested to visit Arab Health(UAE), Medica (Germany)
26. Step by step project consulting in associations with international
partners(Apollo, Unihealth, KPJ, Bumrungrad, Mercury Health, Ilan &
friends)
E-Health/M-health/IT system
Telemedicine/Teleradiology/Telepathology
International Relations and accreditation.
Outsourcing of Quality Management Department
Connection to outsourcing of services
