Out patient services

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OPD is the mirror of the hospital, which reflects the functioning of the hospital being the first point of contact between the patient and the hospital staff.

Patients visit the OPD for various purposes, like consultation, day care treatment, investigation, referral, admission and post discharge follow up. Not only for treatment but also for preventing and promotive services like, health check up, Immunisation, Physio-therapy and so on.

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Out patient services

  1. 1. ORGANISATION AND MANAGEMENT OFOUT PATIENT SERVICES <br />By:<br />DR.N.C.DAS<br />
  2. 2. INTRODUCTION<br />Reasons for Shifting of focus from IP to OP:-<br /> -Rising cost of hospital care<br /> -Shortage of hospital beds<br /> -Economic importance<br />Type of OPD Services : – <br /> Ambulatory Care Centre<br />Polyclinic<br /> Health Centre<br /> Walk-in Clinic <br /> Day hospital<br /> Dispensary etc.<br />
  3. 3. OPD<br />OPD is a very important wing of hospital serving as mirror.<br />OPD is visited by large section of community<br />First point of contact between patient and hospital staff<br />The human relation skill/ Public relation functions are of utmost importance<br />OPD staff should be polite, cheerful, cooperative & efficient<br />
  4. 4. FUNCTIONS OF OPD<br />To provide for the community a major source of specialist diagnostic medical opinion by mixing the knowledge, skills and ability of the specialist and supported by the resources of the hospital.<br />These include not only the physical resources but also the materials and machines, which facilitates early diagnosis with support of paramedical staff and other allied health profession.<br />To treat on ambulatory and domiciliary basis all cases which can be treated in the Outpatient Department ( e.g., surgery for hernia and varicose veins).<br />To refer patients for admission to the hospital of those who need it. About 80% of total admissions are through OPD<br />To promote health of the individuals under care in the Outpatient Department by means of health education.<br />
  5. 5. FUNCTIONS OF OPD<br />To carry out after care and medical rehabilitation, when necessary, after discharge from hospital.<br />To train medical students house physicians and other professional staff such as nurse and technicians with valuable and diversified clinical experiences.<br />To compile, collate and analyze records of patients using outpatient services for epidemiological, social clinical research and for periodic assessment of clinical outcomes.<br />To carry out preventive and promotive services through provision of immunization, screening, antenatal, well baby, counseling family welfare clinics etc.<br />
  6. 6. SPECIFIC PREVENTIVE SERVICES<br />Well baby clinic, marriage counseling & planned parenthood<br />Control of communicable diseases by early diagnosis & providing specific protection<br />Early diagnosis and detection of non communicable disease<br />Epidemiological surveillance and reporting<br />Sentinel centre for vaccine preventable diseases<br />Health education & nutrition/ diet advice<br />
  7. 7. OUT PATIENT SERVICES<br />Ambulatory Patient Care Services <br />One of the first point of contact between hospital staff and patient. <br />Reflects the human relation skills and public relation functions of the hospital for the patients, relatives and visitors. <br />OBJECTIVE:<br />To provide adequate quality of care. <br />All modern technique for investigation and treatment. <br />Creating facilities for total patient satisfaction. <br />Good public relation <br />
  8. 8. ROLES AND FUNCTIONS<br />MODERN INVES.<br />FACILITY &<br />TREATMENT<br />REFFERAL FOR<br />ADMISSION <br />SPECIALISTS<br />CONSULTATION <br />FOLLOW UP CARE <br />AND <br />REHABILITATION<br />OPD<br />MEDICAL<br />STATISTICS <br />TRAINING OF <br />MED. STUDENTS<br />PREVENTIVE & <br />PROMOTIVE <br />SERVICES <br />HEALTH <br />EDUCATION<br />
  9. 9. ORGANISATION OF OPD<br />LAY OUT <br />&<br />PHYSICAL FACILITY<br />ADMN. AREA<br />OPD<br />PATIENT <br />COMFORT <br />PUBLIC <br />RELATION<br />
  10. 10. LAY OUT PLAN <br />DECENTRALIZED<br />(AT DIFFERENT <br />DEPARTMENTS)<br />CENTRALIZED<br />(ALL SERVICES UNDER<br /> ONE ROOF)<br />LAY OUT <br />SIZE<br />(ONE Sqft PER PT VISIT/ <br />60 Sqmt/ BED)<br />2 sqmt/ bed Entrance Zone<br />10 sqmt/ bed Ambulatory Zone <br />6 Sqmt/ bed Diagnostic Zone<br />DESIGNING<br />(DOUBLE LOADED <br />SINGLE CORRIDOOR)<br />(SINGLE LOADED<br /> DOUBLE CORRODOOR )<br />LOCATION <br />(NEAR TO MAINGATE <br />IN & OUT GATES)<br />
  11. 11. OPD LAY OUT DESIGN<br />DOUBLE LOADED SINGLE CORRIDOOR<br />SINGLE LOADED DOUBLE CORRIDOOR<br />DOUBLE LOADED TRIPLE CORRIDOOR<br />
  12. 12. PHYSICAL FACILITIES<br />PUBLIC AREA <br />(ENTRANCE ZONE)<br />CLINICAL AREA <br />(AMBULATORY ZONE)<br />PHYSICAL <br />FACILITIES <br />ANCILLARY AREA<br />AUXILLARY AREA<br />CIRCULATION AREA<br />ADMINISTRATIVE <br />AREA <br />
  13. 13. ADMINISTRATION AREA<br />ADMINISTATION <br />DEPT.<br />SECURITY<br />STAFFING <br />ADMINISTATION <br />STORAGE <br />RECORDS &<br />REGISTRATION <br />HOUSE <br />KEEPING<br />
  14. 14. ADMINSTRATION STRUCTURE<br />MEDICAL SUPERINTENDENT<br />ADDL.MEDICAL SUPERINTENDENT<br />CMO I/C OPD<br />REGISTRATION<br />CLINICIANS<br />TECH. STAFF<br />NURSING SUPT.<br />HELPING STAFF<br />PUBLIC<br /> RELATION<br />PHARMACY<br />N/O <br />REG. CLERK/<br />RECORD CLERK<br />RADIOLOGY <br />VARIOUS<br /> CLINICAL <br />SERVICES <br />DNS <br />BEARERS<br />PHARMACIST <br />PATHOLOGY<br />ANS<br />SECURITY <br />STAFF NURSE<br />SANITATION<br />
  15. 15. ENTRANCE <br />WIDE RAMPS &<br />STEPS <br />RECEPTION &<br />INFORMATION<br />REGISTRATION <br />COUNTER <br />100 cm x 60 cm<br />One disk/ 20 pt /hr<br />DRINKING WATER<br />PUBLIC AREA<br />SNACK BAR<br />TOILETS &<br />WASH <br />WAITING AREA <br />(0.1 Sqmt/ patient <br />Visited)<br />PORTER SERVICE<br />
  16. 16. DIFFERENT OPDs<br />SUB WAITING AREA <br />CLINICAL AREA <br />SPECIALIST ROOM<br />SPECIAL EXAM <br />ROOM <br />CONSULTATION <br />ROOM <br />
  17. 17. INJECTION <br />ROOM <br />DRESSING ROOM<br />ANCILLARY AREA <br />FAMILY PLANNING <br />IMMUNIZATION <br />PAC <br />PHARMACY <br />
  18. 18. CENTRAL <br />COLLECTION<br />X-RAY/<br />ULTRASOUND <br />PHYSIOTHERAPY <br />AUXILLARY AREA<br />ECG ROOM <br />MEDICAL <br />SOCIAL WORKER<br />HEALTH EDUCATION <br />& COUNSELLING <br />DIET COUNSELLING <br />NUTRITION<br />
  19. 19. STAIRS, LIFTS,<br />RAMPS <br />CORRIDORS <br />1.8M WIDE <br />CIRCULATION AREA <br />30% OF ALL AREA <br />TELEPHONE <br />SECURITY GUARD<br />
  20. 20. TROLLEYS &<br />WHEEL CHAIRS <br />PA <br />SYSTEM<br />PORTORS<br />EQUIPMENTS <br />EXAMINATION <br />EQUIPMENTS <br />FURNISHED <br />CONSULTATION <br />ROOM <br />WALL CLOCK<br />T.V<br />
  21. 21. MANAGERIAL CONSIDERATIONS <br />POLICY &<br />GUIDELINES <br />OVER <br />CROWDING <br />QUALITY OF <br />CARE <br />PROPER <br />MANAGEMENT<br />STRUCTURE <br />MANAGERIAL <br />CONSIDERATIONS <br />STAFF TRAINING <br />MOTIVATION<br />MONITORING <br />EVALUATION <br />DIRECTION SIGN/ <br />INFORMATION GRAPHIC <br />APPOINTMENT <br />SYSTEM <br />GOOD PUBLIC <br />RELATION<br />
  22. 22. Sustained and continuity of high standard patient care. <br />Modern technology and methods. <br />Obtain total patient satisfaction. <br />Highly motivated and trained, skilled hospital staff. <br />Manual of procedures for hospital staff. <br />Periodic training and review system. <br />Recording and retrieval system. <br />System of appointment <br />Morning and afternoon clinics <br />Proper SinageSystem <br />POLICY AND GUIDELINES <br />
  23. 23. QUALITY OF CARE <br />TECHNICAL <br />SKILLS <br />HUMAN SKILLS<br />QUALITY <br />MANAGEMENT <br />CONCEPTUAL <br />SKILLS <br />
  24. 24. PUBLIC RELATION <br />PATIENCE <br />HEARING <br />RESPECT <br />WARMTH <br />GOOD CLINICAL <br />CARE<br />PATIENT COMFORT<br />MINIMUM <br />WAITING <br />CANTEEN TOILET, <br />VENTILATION <br />WATER SUPPLY<br />GOOD AMBIENCE<br />CLEANLINESS <br />
  25. 25. OVER CROWDING AND LONG WAITING <br />SPLIT OPD<br />CENTRAL <br />REGISTRATION <br />SYSTEM <br />OVER CROWDING<br />SCREENING <br />CENTRES<br />QUEING <br />THEORY <br />MORE CONSULTATION <br />ROOMS <br />MORE REGN. <br />COUNTER <br />APPOINTMENT <br />SYSTEM <br />
  26. 26. hospiad<br />THANK YOU<br />Hospital Administration Made Easy<br /> http//hospiad.blogspot.com<br />An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator.<br />DR. N. C. DAS<br />

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