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INTERNSHIP REPORT ON
BROOKEFIELD SANJEEVINI HEALTHCARE PVT LTD
Submitting in partial fulfilment of the requirements
for the Award of the Degree of
BACHELOR OF COMMERCE
By
POOJA GUPTA V
21COMF20
Under the Guidance of
DR.KUMARASAMY P
KRISTU JAYANTI COLLEGE (AUTONOMOUS)
K.NARAYANPURA, KOTHANUR POST,
BANGALORE - 560077
2023 – 2024
KRISTU JAYANTI COLLEGE (AUTONOMOUS)
CERTIFICATE FROM GUIDE
This is to certify that this internship work titled Office Intern is based on an original study conducted
by Pooja Gupta.V (21COMF20) of V semester B.Com under my guidance.
This internship work has not formed the basis for the award of any degree/ diploma by Bangalore
North University or any other university.
Place: Bangalore Dr.Kumarasamy.P
Date: 10/09/2023 Name of the Guide
KRISTU JAYANTI COLLEGE (AUTONOMOUS)
CERTIFICATE FROM INSTITUTION
This is to certify that this internship work titled Office Intern is based on an original study conducted
by Pooja Gupta V (21COMF20) of V semester B.Com under the guidance of Dr.Kumarasamy P
This internship work is based on original and has not formed the basis for the award of any
degree/diploma by Bangalore North University or any other University.
Head of the Department
Place: Bangalore
Date: 10/09/2023
DECLARATION FROM CANDIDATE
I Pooja Gupta V (21COMF20) hereby declare that this internship work titled Office Intern is
based on the original study conducted by me under the guidance of Dr.Kumarasamy P
This has not been submitted earlier for the award of any other degree/diploma from Bangalore North
University or any other University.
Place: Bangalore
Date: 10/09/2023 Pooja Gupta V
Reg. No: 21COMF20 Student’s Name
List of content
S. No. Chapter No. Particulars
Page
No.
1 1 Introduction 1-2
2 2 Industry Profile 3-17
3 3 3 C Analysis – Company, Customer, Competitor 18-40
4 4 Organizational Structure/ Departments Profile 41-42
5 5 SWOC Analysis 43-45
6 6 Learning Outcomes 46-47
7 7 Conclusion 48
TOTAL 48
1
CHAPTER 1
Introduction
I Pooja Gupta.V, 21COMF20 a student pursuing B.Com at Kristu Jayanti College started my
internship at Brooke field Sanjeevini Healthcare Pvt Ltd on 15th
June 2023, which is for a tenure of
30 days. It is a multispecialty facility located in Brooke field, Kundalahalli, Bangalore, which is near
my residence.
I worked as an office staff intern at Brooke field Sanjeevini Healthcare Pvt Ltd l with the accounts,
finance, HRM and pharmacy department team. It was an enriching experience where I gained
practical knowledge and hands-on exposure in various aspects of these departments. This report aims
to summarize my learning and experiences during the internship.
There were two accounts staff in the accounts department who carry and look over the accounts of
the hospital. Since it is a hospital many transactions take place, as an intern I helped the team in
arranging the important files and documents according to financial year.
During the internship tenure I got an opportunity to explore in more than one department at Brooke
field Hospital. I managed on stock up keeping, distributed indents to the nursing staff, OPD staff,
radiology staff and housekeeping staff etc. Maintained stock of goods and others. Also under the
superior senior accounts staff I prepared the store stock order book to order the items from suppliers.
Collected orders, received hospital consumables from vendors/suppliers. Medicines which vendors
supply to the pharmacy staff goes through various check points before it reaches the pharmacy, I
worked at one of this check point and checked the medicines. Had to check the details of the
medicine (i.e.) MRP, expiry, quantity etc and entered the database in the computer system to keep
records. Entered the invoice details and data in computer system to generate GRN number and
arranged the invoice according to its GRN number in the file.
2
Entered the Credit Invoice Bills in the CRN register book after getting approval in the given format.
Learnt to make/prepare vouchers. Arranged the credit and payment vouchers in financial year and
had to find the missing vouchers and invoices, also tried to find the reasons behind the missing
vouchers. And recorded the voucher and necessary documents in voucher register book.
Also helped the accounts team to cross verify the bills and its amount to match with the data entered
in Tally and give the ledger number to the invoices.
Brooke field Hospital has insurance coverage, got an opportunity to gain an experience in finance
department. Helped the team in filling various insurance forms, refund form, checked and arranged
the documents in required order to arrange it in the patients file.
Giving the mentioned patient name file to the insurance team to carry forward their procedure from
the MRD. Arranged the patient files in MRD store by writing MR number and IP number on the file ,
then arranged them according to its IP Number to locate the file easily.
Worked with the hospital HRM in documentation of employees and intern documents, then arranged
the employee documents in the employee file. Given declaration form, checklist and other forms to
newly recruited candidates to fill their details in the form, to document them in the hospital employee
and file. Helped in filling patient death forms in online portal and keeping records of it in the hospital
death book.
I had the chance to observe and assist pharmacist in their day-to-day activities, such as dispensing
medications. This experience enhanced my understanding of importance of effective communication
and patient-cantered care in the pharmacy setting. Worked at Brooke field Hospital’s Pharmacy,
helped the pharmacy staff team in giving the prescribed medicines to inside and outside patients.
Learnt to make bill/receipts of patients. Received the medicines from suppliers in hospital pharmacy
after its been checked in all the check points. Then arranged the medicines i.e. tablets, syrups,
syringes etc in its place. Prepared list of medicines required in pharmacy then took approval from the
management to order the stock in Pharmacy order book. Place online order to vendors to supply
medicines to hospital Pharmacy. I completed the internship on 20th
July 2023.
3
CHAPTER 2
Industry Profile
A hospital is a healthcare institution providing patient treatment with specialized health science and
auxiliary healthcare staff and medical equipment.[1] The best-known type of hospital is the general
hospital, which typically has an emergency department to treat urgent health problems ranging from
fire and accident victims to a sudden illness. A district hospital typically is the major health care
facility in its region, with many beds for intensive care and additional beds for patients who need
long-term care. Specialized hospitals include trauma centres, rehabilitation hospitals, children's
hospitals, seniors' (geriatric) hospitals, and hospitals for dealing with specific medical needs such
as psychiatric treatment (see psychiatric hospital) and certain disease categories.
Hospital, an institution that is built, staffed, and equipped for the diagnosis of disease; for
the treatment, both medical and surgical, of the sick and the injured; and for their housing during this
process. The modern hospital also often serves as a centre for investigation and for teaching. To
better serve the wide-ranging needs of the community, the modern hospital has often developed
outpatient facilities, as well as emergency, psychiatric, and rehabilitation services. In addition, “bed
less hospitals” provide strictly ambulatory (outpatient) care and day surgery. Patients arrive at the
facility for short appointments. They may also stay for treatment in surgical or medical units for part
of a day or for a full day, after which they are discharged for follow-up by a primary
care health provider.
Hospitals have long existed in most countries. Developing countries, which contain a large
proportion of the world’s population, generally do not have enough hospitals, equipment, and trained
staff to handle the volume of persons who need care. Thus, people in these countries do not always
receive the benefits of modern medicine, public health measures, or hospital care, and they generally
have lower life expectancies.
In developed countries the hospital as an institution is complex, and it is made more so as
modern technology increases the range of diagnostic capabilities and expands the possibilities for
treatment. As a result of the greater range of services and the more-involved treatments and surgeries
4
available, a more highly trained staff is required. A combination of medical research, engineering,
and biotechnology has produced a vast array of new treatments and instrumentation, much of which
requires specialized training and facilities for its use. Hospitals thus have become more expensive to
operate, and health service managers are increasingly concerned with questions of quality, cost,
effectiveness, and efficiency.
History of hospitals
Ancient Greek ruins
As early as 4000 BCE, religions identified certain of their deities with healing. The temples of
Saturn, and later of Asclepius in Asia Minor, were recognized as healing centres. Brahmanic
hospitals were established in Sri Lanka as early as 431 BCE, and King Ashoka established a chain of
hospitals in Hindustan about 230 BCE. Around 100 BCE the Romans established hospitals
(valetudinarian) for the treatment of their sick and injured soldiers; their care was important because
it was upon the integrity of the legions that the power of ancient Rome was based.
It can be said, however, that the modern concept of a hospital dates from 331 CE when Roman
emperor Constantine I (Constantine the Great), having been converted to Christianity, abolished all
pagan hospitals and thus created the opportunity for a new start. Until that time disease had isolated
the sufferer from the community. The Christian tradition emphasized the close relationship of the
sufferer to the members of the community, upon whom rested the obligation for care. Illness thus
became a matter for the Christian church.
About 370 CE St. Basil the Great established a religious foundation in Cappadocia that included a
hospital, an isolation unit for those suffering from leprosy, and buildings to house the poor, the
elderly, and the sick. Following this example, similar hospitals were later built in the eastern part of
the Roman Empire. Another notable foundation was that of St. Benedict of Nursia at Montecassino,
founded early in the 6th century, where the care of the sick was placed above and before every other
Christian duty. It was from this beginning that one of the first medical schools in Europe ultimately
grew at Salerno and was of high repute by the 11th century. This example led to the establishment of
similar monastic infirmaries in the western part of the empire.
5
Lyon: Hôtel-Dieu
The Hôtel-Dieu of Lyon was opened in 542 and the Hôtel-Dieu of Paris in 660. In these hospitals
more attention was given to the well-being of the patient’s soul than to curing bodily ailments. The
manner in which monks cared for their own sick became a model for the laity. The monasteries had
an infirmitorium, a place to which their sick were taken for treatment. The monasteries had
a pharmacy and frequently a garden with medicinal plants. In addition to caring for sick monks, the
monasteries opened their doors to pilgrims and to other travelers.
Religion continued to be the dominant influence in the establishment of hospitals during the Middle
Ages. The growth of hospitals accelerated during the Crusades, which began at the end of the 11th
century. Pestilence and disease were more potent enemies than the Saracens in defeating the
crusaders. Military hospitals came into being along the travelled routes; the Knights Hospitallers of
the Order of St. John in 1099 established in the Holy Land a hospital that could care for some 2,000
patients. It is said to have been especially concerned with eye disease, and it may have been the first
of the specialized hospitals. This order has survived through the centuries as the St. John Ambulance.
Throughout the Middle Ages, but notably in the 12th century, the number of hospitals grew rapidly in
Europe. Arab hospitals—such as those established at Baghdad and Damascus and in Córdoba in
Spain—were notable for the fact that they admitted patients regardless of religious belief, race, or
social order. The Hospital of the Holy Ghost, founded in 1145 at Montpellier in France, established a
high reputation and later became one of the most important centers in Europe for the training of
doctors. By far the greater number of hospitals established during the Middle Ages, however, were
monastic institutions under the Benedictines, who are credited with having founded more than 2,000.
The Middle Ages also saw the beginnings of support for hospital-like institutions
by secular authorities. Toward the end of the 15th century, many cities and towns supported some
kind of institutional health care: it has been said that in England there were no fewer than 200 such
establishments that met a growing social need. This gradual transfer of responsibility for institutional
health care from the church to civil authorities continued in Europe after the dissolution of the
monasteries in 1540 by Henry VIII, which put an end to hospital building inn England for some 200
years.
6
The loss of monastic hospitals in England caused the secular authorities to provide for the sick, the
injured, and the handicapped, thus laying the foundation for the voluntary hospital movement. The
first voluntary hospital in England was probably established in 1718 by Huguenots from France and
was closely followed by the foundation of such London hospitals as the Westminster Hospital in
1719, Guy’s Hospital in 1724, and the London Hospital in 1740. Between 1736 and 1787, hospitals
were established outside London in at least 18 cities. The initiative spread to Scotland, where the first
voluntary hospital, the Little Hospital, was opened in Edinburgh in 1729.
The first hospital in North America (Hospital de Jesus Nazarene) was built in Mexico City in 1524 by
Spanish conquistador Hernán Cortés; the structure still stands. The French established a hospital
in Canada in 1639 at Quebec city, the Hôtel-Dieu du Précieux Sang, which is still in operation (as the
Hôtel-Dieu de Québec), although not at its original location. In 1644 Jeanne Mance, a French
noblewoman, built a hospital of ax-hewn logs on the island of Montreal; this was the beginning of
the Hôtel-Dieu de St. Joseph, out of which grew the order of the Sisters of St. Joseph, now
considered to be the oldest nursing group organized in North America. The first hospital in the
territory of the present-day United States is said to have been a hospital for soldiers on Manhattan
Island, established in 1663.
The early hospitals were primarily almshouses, one of the first of which was established by English
Quaker leader and colonist William Penn in Philadelphia in 1713. The first incorporated hospital in
America was the Pennsylvania Hospital, in Philadelphia, which obtained a charter from the crown in
1751.
The modern hospital
Hospitals may be compared and classified in various ways: by ownership and control, by type of
service rendered, by length of stay, by size, or by facilities and administration provided. Examples
include the general hospital, the specialized hospital, the short-stay hospital, and the long-term-care
facility.
7
Bed number and length of stay
Hospitals may be compared by the number of beds they contain. Modern hospitals tend to rarely
exceed 800 beds, and though some integrated health facilities may have more beds, they
often comprise multiple geographic locations, each with several hundred beds. In the early 21st
century, it was thought that a facility of 800 beds was the largest unit that could be governed
satisfactorily from a single administrative unit while maintaining a corporate unity.
Another index is the average bed-occupancy rate—that is, the percentage of available beds actually
occupied per day or per month. Bed-occupancy rates may be higher in the cold winter months, which
bring more respiratory disease. In developing countries the bed-occupancy rate is often more than
100 percent—there are more patients in the hospital than there are beds for them. This situation has
also emerged in some developed countries where demand for services has outstripped supply.
The amount of time that a patient spends in a hospital bed, or the average length of stay (ALOS), is
another important index and depends on the nature of the hospital. In an acute-care hospital the
ALOS will be relatively short. In hospitals catering to the chronically ill, the ALOS will, for the most
part, be higher. There may be significant variations between units in the same hospital, depending on
the acuity and co morbidities of the patients (co morbidity is the presence of two or more unrelated
diseases or disease processes in a single patient). In hospitals in developing countries, the ALOS is
much shorter than in developed countries.
Ownership and control
The issues of hospital ownership and control underwent significant analysis and change in the late
20th and early 21st centuries. Such transformation was prevalent in developed countries, particularly
those in which fiscal sustainability was problematic.
National Health Service
In many countries nearly all hospitals are owned and operated by the government. In Great Britain,
except for a small number run by religious orders or serving special groups, most hospitals are within
the National Health Service. The local hospital management committee answers directly to the
regional hospital board and ultimately to the Department of Health and Social Security. In the United
8
States most hospitals are neither owned nor operated by governmental agencies. In some instances
hospitals that are part of a regional health authority are governed by the board of the regional
authority, and hence these hospitals no longer have their own boards.
In Canada some hospitals are owned by religious orders and are contracted to deliver publicly funded
services. Other hospitals may be owned by municipalities or provincial or territorial governments.
Worldwide, many hospitals are associated with universities; others were founded by religious groups
or by public-spirited individuals. Mental health facilities traditionally have been the responsibility of
state or provincial governments, while military and veterans hospitals have been provided by the
federal government. In addition, there are a number of municipal and county general hospitals.
Financing
Because hospitals may serve specific populations and because they may be not-for-profit or for-
profit, there exist a variety of mechanisms for hospital financing. Almost universally, hospital-
construction costs are met at least in some part by governmental contributions. Operating costs,
however, are taken care of in different ways. For example, funds may come from
private endowments or gifts, general funds of some unit of government, funds collected by insurance
carriers from subscribers, or some combination thereof. In some countries, operating costs may be
supplemented in part by public or private sources that pay charges on uninsured or inadequately
insured patients or by out-of-pocket payment by these individuals.
In many countries, and in Europe in particular, the financial support of services in hospitals tends to
be collectivized, with funding provided through public revenues, social insurance, or a combination
of the two. Thus, the costs of hospital operation are covered infrequently by payments made directly
by patients. Details vary somewhat from country to country. In Sweden, for example, most hospital
operating costs are financed by public revenues collected by regional governments. Many other
European countries follow a similar model, with operating costs for hospitals paid out of national
insurance funds; such is the case in the Netherlands, Finland, Norway, and elsewhere. In contrast,
other countries, such as the United States, rely heavily on private insurance funds. Private health
insurance corporations or agencies exist in many countries. These entities may offer different or
9
more services relative to national health insurance, although generally at additional cost as well.
Private insurance funds offer an alternative mechanism of hospital financing.
The general hospital
General hospitals may be academic health facilities or community-based entities. They are general in
the sense that they admit all types of medical and surgical cases, and they concentrate on patients
with acute illnesses needing relatively short-term care. Community general hospitals vary in their bed
numbers. Each general hospital, however, has an organized medical staff, a professional staff of other
health providers (such as nurses, technicians, and physiotherapists), and basic diagnostic equipment.
In addition to the essential services relating to patient care, and depending on size and location, a
community general hospital may also have a pharmacy, a laboratory, sophisticated diagnostic
services (such as radiology and angiography), physical therapy departments, an obstetrical unit (a
nursery and a delivery room), operating rooms, recovery rooms, an outpatient department, and an
emergency department. Smaller hospitals may diagnose and stabilize patients prior to transfer to
facilities with specialty services.
In larger hospitals there may be additional facilities: dental services, a nursery for premature infants,
an organ bank for use in transplantation, a department of renal dialysis (removal of wastes from the
blood by passing it through semi permeable membranes, as in the artificial kidney), equipment for
inhalation therapy, an intensive care unit, a volunteer-services department, and, possibly, a home-care
program or access to home-care placement services.
The complexity of the general hospital is in large part a reflection of advances in diagnostic and
treatment technologies. Such advances range from the 20th-century introduction of antibiotics and
laboratory procedures to the continued emergence of new surgical techniques, new materials and
equipment for complex therapies (e.g., nuclear medicine and radiation therapy), and new approaches
to and equipment for physical therapy and rehabilitation.
The legally constituted governing body of the hospital, with full responsibility for the conduct and
efficient management of the hospital, is usually a hospital board. The board establishes policy and, on
10
the advice of a medical advisory board, appoints a medical staff and an administrator. It exercises
control over expenditures and has the responsibility for maintaining professional standards.
Pharmacist
The administrator is the chief executive officer of the hospital and is responsible to the board. In a
large hospital there are many separate departments, each of which is controlled by a department head.
The largest department in any hospital is nursing, followed by the dietary department and
housekeeping. Examples of other departments that are important to the functioning of the hospital
include laundry, engineering, stores, purchasing, accounting, pharmacy, physical and occupational
therapy, ssocial service, pathology, X-ray, and medical records.
The medical staff is also organized into departments, such as surgery, medicine, obstetrics,
and pediatrics. The degree of departmentalization of the medical staff depends on the specialization
of its members and not primarily on the size of the hospital, although there is usually some
correlation between the two. The chiefs of the medical-staff departments, along with the chiefs of
radiology and pathology, make up the medical advisory board, which usually holds regular meetings
on medical-administrative matters. The professional work of the individual staff members is
reviewed by medical-staff committees. In a large hospital the committees may report to the medical
advisory board; in a smaller hospital, to the medical staff directly, at regular staff meetings.
Cornell University
General hospitals often also have a formal or an informal role as teaching institutions. When formally
designed as such, teaching hospitals are affiliated with undergraduate and postgraduate education of
health professionals at a university, and they provide up-to-date and often specialized therapeutic
measures and facilities unavailable elsewhere in the region. As teaching hospitals have become more
specialized, general hospitals have become more involved in providing general clinical training to
students in a variety of health professions.
Specialized health and medical care facilities
Hospitals that specialize in one type of illness or one type of patient can generally be found in the
developed world. In large university centers where postgraduate teaching is carried out on a large
11
scale, such specialized health services often are a department of the general hospital or a satellite
operation of the hospital. Changing conditions or modes of treatment have lessened the need or
reduced the number of some types of specialized institutions; this may be seen in the cases of
tuberculosis, leprosy, and mental hospitals. On the other hand, specialized surgical centers and cancer
centers have increased in number.
Between 1880 and 1940, tuberculosis hospitals provided rest, relaxation, special diets, and fresh air,
and even if the tuberculosis was in an early stage, a stay of more than two years was thought
necessary to effect a healing of the disease; a permanent cure was not considered entirely feasible.
Today the use of antibiotics, along with advances in chest surgery and routine X-ray programs, has
meant that the treatment of tuberculosis need not be carried out in a specialized facility.
Leprosy has been known for centuries to be contagious. Lazar houses (hospitals for individuals
with infectious disease) were established throughout Europe in the Middle Ages to isolate those with
leprosy, at that time a common disease, from the community. In the 14th century there may have
been some 7,000 leper houses in France alone, and some of the earliest hospitals in England were
established for lepers. Thanks to an intense campaign for leprosy elimination begun in the early
1990s, leprosy is now relatively rare. The purpose of the modern leprosarium is not so much isolation
as it is treatment. The chronic form of the disease is treated by surgical correction of deformities,
occupational therapy, rehabilitation, and sheltered living in associated villages. Acute leprosy is
treated in general hospitals, clinics, and dispensaries.
Mental health facilities
Psychiatric patients traditionally have been cared for in long-stay mental health facilities, formerly
called asylums or mental hospitals. Today the majority of large general hospitals have a psychiatric
unit, and many individuals are able to maintain lives as regular members of the community. There are
still facilities that specialize in the treatment of mental illness.
The hospital stay of many persons with chronic mental illness has been shortened by modern
medication and better understanding on the part of the public. Patients are encouraged to participate
in facility-based activities and programs. They may be encouraged to return to the community,
12
beginning with trial visits at home, or they may be placed in assisted-living or group homes. Every
effort is now made, through the use of appropriate medication and support services, to have the
patient integrated into the community. Even those individuals who require custodial care are no
longer isolated from contact with their relatives, friends, and the community at large.
In addition, the strong correlation between mental illness and addiction has been noted and has given
rise to numerous programs incorporating the simultaneous treatment of both conditions. Such
programs are prevalent in developed countries in particular. In some cases special hospitals
addressing both mental illness and addiction have been established—for instance, the Centre for
Addiction and Mental Health in Toronto.
Long-term-care facilities
Historically, long-term-care facilities were homes for the elderly, the infirm, and those with chronic
irreversible and disabling disorders, especially if the patients were indigent. Medical and nursing care
was minimal. Today, however, long-term-care facilities have a more active role in health care. Some
facilities are transitional from an acute hospital setting to the community. Others have residents who
have a need for professional health care but do not need the intensive care found in an acute-care
facility. As a result, long-term-care facilities often are staffed with health professionals and are
equipped to care for patients with extensive needs for daily living or to help patients prepare to live at
home or with a member of the family. Long-term-care facilities represent a significant extension of
the hospital health care system, helping to conserve expensive facilities for the acutely ill and
improving the prospects of the chronically disabled.
Private hospitals
Many countries have private hospitals that specialize in the treatment of specific diseases. For
example, private facilities may be designed specifically for cataract or joint surgery. In Britain small
private hospitals are often called nursing homes, many of which provide little more than
accommodation and simple nursing, the patient being under the care of a general practitioner or of a
visiting consultant physician. Medical practice in the towns of developing countries is characterized
by a proliferation of many small private hospitals, usually owned by doctors, that have developed to
meet the widespread need for hospital care not otherwise available.
13
Another method of providing health care in a hospital for those able to pay for it, in both developed
and developing countries, is the provision of a limited number of beds for private patients within a
large general hospital otherwise financed to some degree by public funds. In the United Kingdom
and, for example, in West Africa, these beds usually form part of the ward unit, the patient being
required to pay for certain amenities such as a measure of privacy, unrestricted visiting, attractively
served food, and a more liberal routine. Alternatively, many large general hospitals are able to offer
much more costly accommodations in so-called private blocks—that is, in a part of the hospital
specially designed and equipped for private patients. Patients in a private block pay a large portion of
the total cost of their medical care, including that of surgery.
Wholly independent private hospitals sometimes are run by a company or business consortium. Many
of these privately funded hospitals are able to provide most or all of the services of a general hospital,
including constant medical care and nursing services. Such facilities, however, are costly.
The hospice
Historically a hospice was a guesthouse intended for pilgrims and was often closely connected with
a monastery and supervised by monks. From the beginning it had a strong religious connection and
exemplified the Christian insistence on compassion and care for the aged, the infirm, the needy, and
the ill. In modern Britain the hospice movement developed gradually from its beginning in 1905,
when the Sisters of Charity founded the St. James Hospice in London. St. Christopher’s Hospice, also
in London, founded in 1967, soon became known for its peaceful environment and expert medical
and nursing care. In 1974 the first hospice in the United States, the New Haven Hospice (now
Connecticut Hospice), was established in New Haven, Connecticut. The hospice movement later
spread to many countries worldwide.
Mission hospitals
The spread of Western medicine (or conventional medicine) and the founding of hospitals in
developing countries can be attributed in large part to the influence of the medical missionary. The
establishment of mission hospitals gained momentum gradually in the second half of the 19th
century. By the second half of the 20th century, however, this steady growth had already dwindled,
since all but a few of the hospitals and dispensaries founded during that hundred years had been
14
absorbed into the native health care system. The Christian missionaries had a great influence on the
creation of centres of Western medicine in many developing countries and in promulgating the
concept of a hospital in which health care would be centralized and organized for the benefit of the ill
and injured, many of whom would not otherwise have survived. The medical missionaries also
promoted the idea and the ideals of nursing as a profession for native men and women.
Apart from its religious associations, a mission hospital functions as a general hospital in the sense
that it admits all who need hospital care. A number of mission hospitals, however, have been devoted
to specific diseases—for example, leprosy and diseases of the eyes. Perhaps the most important
contribution made by mission hospitals is in the enormous numbers of persons, particularly women
and children, who have been treated as outpatients.
Extended health care
Intensive care unit
With the advance in medical science and the ever-increasing cost of hospital operations,
the progressive-care concept is more attractive, both for outpatient and inpatient care. Progressive
care can be divided into five categories: (1)intensive care, (2) intermediate care, (3)self-care, (4)long-
term care, (5) organized home care.
Self-care facilities are organized into separate units in which ambulatory patients who require only
diagnostic or convalescent care are given accommodations similar to those of a hotel. The patients
are free to wear street clothes and to go to the hospital cafeteria. Such a ward or wing of a general
hospital requires much less costly equipment than the intensive- or intermediate-care units and can be
staffed with far fewer nurses and aides.
Home-care programs are for patients who need some health services but not all of
the treatment facilities of a hospital. The patients are provided with a range of individualized
medical, nursing, social, and rehabilitative services in their own homes, coordinated through one
central agency. Patients can be considered ready for home care when: (1) diagnosis and a plan for
treatment have been established; (2) inpatient hospital facilities are no longer required for proper
care; (3) the nursing service has found that the physical environment of the home is such that the
15
patient receives adequate care; (4) the patient is too ill to visit an outpatient clinic but does not need
hospital care; (5) the family environment would have a therapeutic effect, and family members or
others can be taught to provide the necessary care; and (6) the family and the patient prefer that care
be provided at home. Home care conserves expensive acute-care beds, and most patients on home
care do as well as or better than expected.
Regional planning
There are several useful historical and modern examples of regional planning, in which hospital
networks were integrated into coordinated health services. For example, during the period of
the Soviet Union’s existence in the 20th century, the government was charged with the responsibility
of providing health care to all citizens. In Sweden modern coordinated health services centre
primarily on hospital services, which are the responsibilities of the government.
In the early 2st century, regional planning of hospital services in Sweden was highly organized. The
country was divided into health service regions and had three different levels of health care: primary
(general practitioner), secondary (small hospitals that offered most medical specialties), and tertiary
(university hospitals, one each for the six main health service regions). Several of the country’s
hospital facilities had about 1,000 beds, as well as specialized and outpatient facilities.
Small communities had health centers or ambulatory service centers that were not necessarily
administered as part of the hospital system. During its existence the Soviet Union took a somewhat
different approach. In its thinly populated rural areas, general hospitals, called uchastok hospitals,
served populations as small as 2,000 to 15,000 persons.
The next-larger hospitals, the district hospitals, had 250–500 beds and usually had divisions for
surgical, medical, obstetric, and pediatric services and provided care for infectious diseases. Patients
who could not be treated adequately in the district hospitals were referred to the next-higher level, the
regional hospital, which served a population of 1,000,000–5,000,000 people and contained up to
1,250 beds. The republic hospital, often associated with medical education and with one or more
research institutes, occupied the highest level in the Soviet system. Following the dissolution of the
Soviet Union, each soviet socialist republic adopted its own approach to administering and financing
hospital services and health care.
16
Regional planning in North America historically was less advanced relative to the government-
controlled systems developed elsewhere in the world. One regional pattern that was implemented in
the United States was a satellite system, which centred on a metropolis and applied the principle of
progressive patient care. The system focused on the efficient provision of comprehensive health care
to the residents of the region. Less-serious cases were handled in the outer, more accessible health
facilities of the system; the more serious cases were referred to the inner hospitals of the ring or to the
research and teaching hospital at the core.
The term metropolitan planning council is often used to denote an advisory planning group that
coordinates services between member hospitals in a metropolitan area and decides where specialized
services are to be delivered and what services or number of beds are to be added. However, in the
United States most hospitals are not government-operated, and it is often difficult to achieve close
cooperation between voluntary groups.
In Canada through the late 1990s and early 2000s, most provinces shifted to regional health
authorities, which plan, allocate resources, and apply government health policies. However, several
jurisdictions favored more centralized models, with one or a small number of authorities directing the
delivery of all services.
Hospitals in India
In India, hospitals have existed from ancient times. Even in 6th century BC, during the time of
Buddha, there were a number of the hospitals to look after the handicapped and the poor. The
outstanding hospitals in India at that time were those built by King Ashoka (273–232 BC). Books
written by Arabian and European travellers (around AD 600) reveal that the study of medicine in
India was in its bloom. The zeal of the native vaidyas for the investigation of the Indian flora
slackened for want of encouragement. The invasion of foreigners in the 10th century AD brought
with them their own physicians called Hakims. The use of the allopatic system of medicine
commenced in the 16th century with the arrival of European missionaries. It was during the British
rule that there was progress in the construction of hospitals. Organized medical training was started
in the 19th. century.
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Market Size of Hospitals
• The Indian healthcare sector is expected to record a three-fold rise, growing at a CAGR of 22%
between 2016–22 to reach US$ 372 billion in 2022 from US$ 110 billion in 2016. By FY22,
Indian healthcare infrastructure is expected to reach US$ 349.1 billion.
• India’s public expenditure on healthcare touched 2.1 % of GDP in FY23 and 2.2% in FY22,
against 1.6% in FY21, as per the Economic Survey 2022-23.
• In FY22, premiums underwritten by health insurance companies grew to Rs. 73,582.13crores
(US$ 9.21 billion). The health segment has a 33.33% share in the total gross written premiums
earned in the country.
• The Indian medical tourism market was valued at US$ 2.89 billion in 2020 and is expected to
reach US$ 13.42 billion by 2026. According to India Tourism Statistics at a Glance 2020 report,
close to 697,300 foreign tourists came for medical treatment in India in FY19. India has been
ranked tenth in the Medical Tourism Index (MTI) for 2020-21 out of 46 destinations by the
Medical Tourism Association.
• The e-health market size is estimated to reach US$ 10.6 billion by 2025.
India’s healthcare sector is extremely diversified and is full of opportunities in every segment, which
includes providers, payers, and medical technology. With the increase in the competition, businesses
are looking to explore the latest dynamics and trends which will have a positive impact on their
business. The hospital industry in India is forecast to increase to Rs. 8.6 trillion (US$ 132.84 billion)
by FY22 from Rs. 4 trillion (US$ 61.79 billion) in FY17 at a CAGR of 16–17%. India is a land full
of opportunities for players in the medical devices industry. The country has also become one of the
leading destinations for high-end diagnostic services with tremendous capital investment for
advanced diagnostic facilities, thus catering to a greater proportion of the population. Besides, Indian
medical service consumers have become more conscious towards their healthcare upkeep. Rising
income levels, an ageing population, growing health awareness and a changing attitude towards
preventive healthcare is expected to boost healthcare services demand in the future. Greater
penetration of health insurance aided the rise in healthcare spending, a trend likely to intensify in the
coming decade. The Government aims to develop India as a global healthcare hub and is planning to
increase public health spending to 2.5% of the country's GDP by 2025.
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CHAPTER 3
3C Analysis
❖Company
From MD’S desk,
Dear
Patients, Doctors, Clients,
Brooke field Hospital is committed to do more than just providing medical care. We aim at providing
exceptional & accessible health care at optimal costs to every patient with the same dignity and
respect.
Our specialized doctors always strive to provide guaranteed high level of quality services. Seasoned
staff combined with commitment to look after the well-being of patients has made us a quality health
care provider. We align with the family members of patients to provide the best care to our patients.
We strongly commit to protect every right of patient and we also ensure that the patient’s privacy and
confidentiality is maintained.
We also re-affirm that we make stay of patients as pleasant and comfortable as possible. We work
toward to build the trust among patients, so that we continue to provide our committed services as
long as possible. Brooke field Hospital has state-of-the-art facilities and specialist doctors to treat all
health conditions. Browse our specialities and list of consulting doctors.
Best Regards
- Dr T. J. Pradeep Kumar
CEO
Cardio-Endocrinologist
19
INDUSTRY:
• Healthcare/ Hospital
• Founded Date 2009
• Operating Status - Active
• Last Funding Type Venture - Series Unknown
• Also Known As Apollo Spectra Hospital
• Company Type – Private ,For Profit
• Brooke field Hospital is at your service 24/7. Our ambulance services, emergency care, and
doctors are available round the clock. We also have certain procedures like dialysis available 24/7
History, Location and Overview
Established in the year 2011, Brooke field Hospital in Kundalahalli , Bangalore is a top player in the
category Hospitals in Bangalore. This well-known establishment acts as a one-stop destination
servicing customers both local and from other parts of Bangalore. Over the course of its journey, this
business has established a firm foothold in its industry. The belief that customer satisfaction is as
important as their products and services, have helped this establishment garner a vast base of the
customers, which continues to grow day by day. This business employs individuals that are dedicated
towards their respective roles and put in a lot of effort to achieve the common vision and larger goals
of the company. In the near future, this business aims to expand its line of the products and services
and cater to a larger client base. In Bangalore, this establishment occupies a prominent location in
Kundalahalli. It is an effortless task in commuting to this establishment as there are various modes of
20
transport readily available. It is at ITPL Main road, Whitefield, Opposite to Kalyani Platinum, next to
Cosmos Mall, which makes it easy for the first-time visitors in locating this establishment. It is
known to provide top service in the following categories: Hospitals, Corona virus Vaccination
Centres, Multi-Speciality Hospitals, Private Hospitals, Pm jay Scheme Hospitals.
Products and Services Offered:
Brooke field Hospital in Kundalahalli has a wide range of products and/ or services to cater to the
varied requirements of their customers. The staff at this establishment are courteous and prompt at
providing any assistance. They readily answer any queries or questions that may have. Pay for the
product or service with ease by using any of the available modes of payment, such as Cash, Debit
Cards, Cheques, Credit Card, Amex Card. This establishment is functional from 00:00 – 23:59.
Brooke field Hospital is committed to doing more than just providing medical care. They aim at
providing exceptional & accessible health care at optimal costs to every patient with the same dignity
and respect.
MISSION, VISION AND GOALS
❖Mission
Unwavering and uncompromising commitment to achieving excellence in delivering quality and
compassionate health care. It promise nothing but a memorable medical experience for their valued
customers in all departments of health care.
❖Vision
At Brooke field hospital, their vision is to be recognized as a premiere healthcare organization and to
be a preferred choice for patients, doctors and associated work force at local, regional and ultimately
at the national level.
❖Goals & Objectives
To provide patient centered high quality service in an effective and efficient manner, with passion
and compassion in a friendly, stimulating and professional environment
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✓ Amenities
• Casualty
• Blood Bank
• Stroke Unit
• Waiting Area
• Dialysis Unit
• U.S(Ultrasound)
• Fertility Clinic
• Thyroid Check Up
• 24 Hours Hospital
• In House Pharmacy
• Parking Available
• Coronary Care Unit
• Critical Care Unit
• Anemia In Pregnancy
• Intensive Care Unit
• Online Appointments
• Blood Pressure Clinic
• Clinical Bio-Chemistry
• Computer Vision Clinic
• Assistive Vision Clinic
• Liver Transplant Centre
• Kidney Transplant Centre
• Specialized Dialysis Unit
• Intensive Critical Care Unit
• 24 Hours Blood Testing Center
• NICU Isolation Room Available
• Beds
• ICU
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Services Rendered:
I. Health Checkup
• Advanced Cardiac Health Check up
• Cancer Detection (Female) Health Check-ups
• Cancer Detection (Male) Health Check-ups
• General Health Check up (Mini)
• Pre-Employment Health Check
• Executive Health Check
• IT Health Check
• Cardiac Health Check
• Diabetic Health Check
• Well Women Health Check
• Senior Citizen (Female) Health Check
• Senior Citizen (Male) Health Check
• Paediatric Health Check
• ANC Package
• Master Health Check (Male)
• Master Health Check (Female)
• Comprehensive Health Check Up for Men
• Comprehensive Health Check Up for Female
• Pre Marital Check Up(Male)
• Pre Marital Check Up (Female)
II. Endocrinology And Diabetes Care
Brooke field Hospital Centre for Diabetes Care & Education
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Brookefield Hospital has a dedicated center for Diabetes Care & Education that takes a complete
holistic view in detecting and managing the disease. Our Diabetes Research Centre is one of the
“Centers of Excellence” in the field of Diabetes Research and undertakes basic and clinical research
in this discipline. Our goal is to enable every person with diabetes to lead a normal healthy life. Some
of the facilities include:
• Diabetic Kidney and Eye Care
• Diabetic foot care
• Diabetes neuropathy clinic
• Diabetes heart evaluation
• Dental care for diabetic patients
• Diabetes management and education
• Diabetes neuropathy clinic
• Specialist consultants in OPD
• Diagnostic laboratory
• Nutrition and diet counseling
Brooke field Hospital Endocrine Diseases
The hospital has expertise and specialists to treat all types of endocrine diseases and disorders:
• Adrenal disorders
• Glucose homeostasis such as Diabetes, Hypoglycemia, Glucagonoma
• Sex hormone disorders
• Pituitary gland disorders
• Pediatric endocrinology
III. Cardiology And Cardiothoracic Surgery
We have cardiologists and cardiac surgeons on staff supported by a team of anesthetists and critical
care experts and a highly trained and experienced post operative healthcare professionals including
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nursing staff and other paramedics who work together as a team to make Brookefield Heart Care a
centre of excellence. Our specialists have together published several clinical papers in cardiology and
cardio-thoracic surgery.
Cardiac conditions:
The hospital has technology and capabilities to treat several cardiac conditions including:
• Coronary Artery Disease (CAD)
• Heart failures
• Carotid Artery Disease/ Stroke
• Valve dysfunctions
• Aorta diseases
• Arrhythmias (Abnormal or irregular heart rhythms)
IV. Joint replacement and trauma care
Orthopaedics and Trauma Care
o Bone and Joint Care
Brooke field Hospital is equipped to treat all types of muscular, bone and skeletal problems ranging
from Trauma Surgery to Minimally Invasive Arthroscopy Surgery. The hospital specializes in
surgery for joint replacements, knee surgeries, spine surgeries and physical therapy for rehabilitation.
Technology and equipment available include :
• State-of –the art Operation Theatre
• Diagnostic equipment for scanning and x-ray
• ICU dedicated for Trauma care
o Joint Replacement Surgeries
The hospital specializes in joint replacement surgeries and treating orthopedics conditions such as:
• Hip and Knee replacement procedures
• Hand & Wrist disorders including birth defects, trauma, and deformities
• Trauma / Fractures and joints tendon injuries
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• Sports injuries, ligament tears
• Arthroscopic procedures
• Arthritis, Osteoarthritis
• Physiotherapy and rehabilitation
V. Medical and surgical Gastroenterology
Gastroenterology and Laparoscopic Surgery.
Brooke field Hospital provides a complete range of diagnosis and treatment of gastrointestinal
diseases. Our team of specialist doctors in endoscopy and gastroenterology use advanced diagnostic
and treatment techniques such as video endoscopes – gastro copy and colonoscopy. Some of the
types of conditions we have treated include:
• Stomach conditions such as ulcers, nausea/vomiting and cancer
• Pancreatic conditions such as pancreatitis, cystic fibrosis, cysts etc.
• Diseases of liver and bile ducts like duct stones, hepatitis and liver disease
• Diseases of the Small Intestine like bowel syndrome, ulcers, and celiac disease
• Gastrointestinal disorders like IBS (Irritable Bowel Syndrome)
Laparoscopic Surgery
Laparoscopic surgery, also called minimally invasive surgery (MIS) is a modern surgical technique
in which operations in the abdomen are performed through small incisions (usually 0.5 to 1.5 cm)
where the recovery time is very fast and patients feel less pain, and involves less hospitalization.
Some of the surgeries conducted include
• Diagnostic Laparoscopy
• Partial Mastectomy, Hysterectomy
• Hernia repair
• Liver biopsy and Nephrectomise
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• Laparoscopic assisted vaginal surgeries e.g.- Fibroid, Ovarian cyst
VI. Nephrology and Neurosurgery
Brooke field Hospital has specialist doctors and technology available for diagnosis and treatment of
all categories of disease involving the central, peripheral, and autonomic nervous systems. The
hospital provides a complete range of diagnostic, therapeutics, surgical and rehabilitation services for
treatment and management of neurological disorders including:
• Neuron Vascular disorders such as stroke, brain aneurysms, vacuities, spinal vascular
malformations etc.
• Epilepsy and other movement disorders
• Muscular disorders such as muscular dystrophy, spinal muscular atrophy, peripheral
neuropathy
• Multiple sclerosis
• Headaches and Migraine
• Chronic pain rehab programs
The hospital well equipped with sophisticated and advanced technological aids to assist in diagnosis
and management of neurological disorders:
• MRI & MRA scanning
• EEG (Electro Encephalography)
• Spiral CT / 3D CT
• State of art operation theatres
• 24/7 diagnostics laboratory
VII. Dental surgery and cosmetic dentistry
Dental Care- The health science that deals with prevention and treatment of damage and disease to
the oral cavity and its adjoining structures is known as Dentistry.
Some of the procedures available are:
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• Tooth Whitening including in surgery power whitening
• Dental Crowns
• White Fillings
• Dental Bridges
VIII. Obstetrics, IVF and Paediatric
Obstetrics & Woman Health - In Vitro Fertilization (IVF)
Brooke field Hospital works as your partner throughout your pregnancy offering all the services you
will need through this important and life changing experience. We provide the full range of services
including full antenatal care, your preferred or medically suggested delivery option and postnatal
care. All major surgeries like hysterectomy, Caesarean section, etc. are being done routinely. Some of
the facilities include:
• Diagnosis laboratory with scanning and 4D ultrasound
• Specialist doctors in OPD
• Birthing suites (LDR Rooms)
• State of the art operation theatres
• Dedicated NICU to handle premature babies and other birth conditions
• Laparoscopy, and hysteroscopy
• Lactation consultant services
• 24/7 pharmacy and laboratory
The hospital has expertise and specialists to treat infertility using different methods such as assisted
reproductive technology (ART), Artificial insemination, Intra cytoplasm Sperm Injection (ICSI),
Ovulation induction and IVF. The hospital acts as a one-stop treatment solution for all stages of IVF
including – preparation, fertility evaluation, egg collection, fertilization, embryo development,
embryo transfer and pregnancy. Some of the services available at the hospital include:
• IUI Package (Intrauterine Insemination)
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• IVF Package (In Vitro Fertilization)
• ICSI Package (Intra cytoplasm Sperm Injection)
• Fertility evaluation such as semen analysis, hysteroscopy
• HSG without anesthesia
• Embryo transfer with anesthesia
IX. Physiotheraphy Care
Physiotherapy Care- Brooke field Hospital has a dedicated centre for Physiotherapy Care. Some of
the facilities include:
• Short wave diathermy (SWD)
• Inferential therapy (IFT)
• USG
• Physical Therapy
• Manual Therapy
• Sports Medicine
• Rehabilitation in Bangalore
• Dry needling
• Physiotherapy package
• Back rehab package
• Knee rehab package
• Neck & Shoulder Rehab package
• Sports package
• Diabetic Rehab & Prevention package
• Ligament injury Pre & Post Rehab package
• Fracture Rehab package
• Posture correction package
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• Performance Enhancement (Golf, Running, cricket, football,)
• Taping
X. Cancer care facility
Cancer Surgeries – Brooke field Hospital uses a multidisciplinary approach for the treatment of
patients suffering from cancer. The cancer centre has the expertise to perform full range of cancer
surgeries. It offers complete range of chemotherapies in an inpatient as well as day care setting.
Technology and equipment available include:
• State-of-the-art Operation Theatres
• Diagnostic equipment for CT scan, X-rays, blood tests and endoscopes
• Specialist consultants in OPD
Cancer Checks- The hospital specializes in diagnosis and treatment of different types of cancer
situations:
• Cancer checks and diagnosis
• Preventive care (includes various screening procedures for early detection)
• Breast related cancers and re-construction
• Bone, lung, liver cancers
• Prostate and Rectal cancers
• Surgical oncology procedure
• Paediatric oncology Services
• Pain and palliative care
XI. Dermatology and Maxillofacial surgery
Maxillofacial Services
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At Brooke field, this super-specialty that deals with management of deformity, trauma and pathology
of the skull and facial regions. With many consultant maxilla facial and dental surgeons, our team
offers a range of procedures that include:
• Maxilla facial trauma and surgery
• Craniofacial fractures involving bones of skull and face
• Reconstructive surgery
• Cancer/tumour surgery
• Dental surgery and dental implants
• Congenital anomaly correction
Skin care-The hospital has expertise and specialists to treat all types of skin conditions, diseases as
well as conditions related to hair, scalp etc.:
• Allergy testing
• Skin allergies such as acne
• Laser therapy for birth marks, skin disorders, tattoo removal etc.
• Cryosurgery for removal of warts and other skin conditions
• Cosmetic filler injections
• Chemical Peeling
XII. Beast service
A SINGLE STEP TO SAVE A PRECIOUS LIFE
“Medical professionals, world over, from time immemorial, have been harping on the
importance of TIME in case of medical emergencies. The Medical fraternity, on their part, have
spoken of and publicized, on various platforms, the importance of reaching professional medical
help to the effected in the shortest possible time, especially within the “Golden Hour”. Despite
this, a large number of the effected continue to reach hospitals late either in a state of “brought
31
dead” or “beyond revival”. The cause of delay in reaching the hospital can be attributed to the
initial commotion and turmoil at the individual’s residence in searching for telephone numbers of
hospitals/ambulances & passing on information of address & medical condition of
patient. Activating the ambulance, briefing the staff of the location and condition of patient;
ambulance negotiating through traffic and searching for the address adds tremendously to the
time factor. Shifting of the stretcher borne unstable critical patient through small capacity lifts or
very narrow winding stair cases to the ambulance takes its toll on the patient’s health condition
and contributes to time. The final evacuating process completes with the ambulance reaching the
hospital through traffic hurdles exhausting most or all of the “Golden Hour”.
- Dr. Pradeep T.J
Alive in the above backdrop Brooke field Hospital has enunciated and put in place a scheme to
ensure maximum time of the “Golden Hour” is used optimally. The scheme nick named “BEAST”
has been put together by putting together Man, Machine, Technology, Medical Equipment and
Medicines together to form a composite, comprehensive & cohesive team with the sole
objective of reaching out to patients with expert medical assistance at the earliest possible time by
overcoming all inherent obstacles so as to optimally utilise the Golden hour thereby substantially
increasing the survival chances
❖ Customers
The customers of Brooke field Hospital are its patients or an individuals who seek medical care and
treatment for various health concerns. They are people of different ages, from children to adults, who
require medical attention for illness, injuries, or any other medical conditions. Brooke field Hospital
serves a wide range of patients, providing them with healthcare services and support.
Brooke field Hospital in Kundalahalli has a wide range of products and/ or services to cater to the
varied requirements of their customers. The staff at this establishment are courteous and prompt at
providing any assistance. They readily answer any queries or questions that may have. Pay for the
product or service with ease by using any of the available modes of payment, such as Cash, Debit
Cards, Cheques, Credit Card, and Amex Card. This establishment is functional from 00:00 – 23:59.
32
Brooke field Hospital is committed to doing more than just providing medical care. They aim at
providing exceptional & accessible health care at optimal costs to every patient with the same dignity
and respect. The patients feel comfortable in the pleasant hospital environment. Any concern of
patients and their family members are addressed promptly. All the activities and operations at Brooke
field are fully transparent.
Brooke field is a centre of excellence in cardiology and vascular surgery. The hospital also has a
state-of-the-art operation theatre to perform cancer surgeries. Moreover, a centre of excellence in
diabetes research also operates from the hospital, which performs basic and clinical research in
diabetes.
A wide range of healthcare facilities are offered at Brooke field. The cardiothoracic and vascular
surgery department offers treatment for complex heart problems such as valve dysfunctions, aorta
diseases, coronary artery disease, and arrhythmias. The oncology department at Brooke field offer
surgeries for various cancers such as bone, lung, liver cancers, pediatric oncology services, breast
related cancers and re-construction, and prostate and rectal cancers. The gastroenterology department
performs laparoscopic or minimally invasive surgeries such as liver biopsy and hernia repair,
laparoscopic minilab surgeries, laparoscopic assisted vaginal surgeries for the treatment of fibroid,
and ovarian cyst, , and hysterectomy. The treatment for several diseases of the small intestine like
bowel syndrome, ulcers, and celiac disease, liver and bile ducts like duct stones, hepatitis, liver
disease, pancreatitis, cystic fibrosis, and cysts is also available at Brooke field.
Asthma Symptoms:
Asthma is a chronic respiratory condition that affects millions of people worldwide. It is
characterized by inflammation and narrowing of the airways, leading to breathing difficulties.
Identifying asthma symptoms is crucial for early diagnosis and effective management of the
condition.
• Patients for Health Check up
• Endocrinology & Diabetes Care Patients
• Cardiology & Cardiothoracic Surgery Patients
• Joint Replacement & Trauma Care Patients
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• Medical & Surgical Gastroenterology Patients
• Nephrology & Urology Patients
• Neurology & Neurosurgery Patients
• Patients of Dental Surgery & Cosmetic Dentistry
• Obstetrics, IVF & Paediatric Patients
• Cancer Patients
• Dermatology & Maxillofacial Surgery Patients
• Others
Beast Emergency Service
What Is BEAST ?
Brooke field Hospital has launched a two-wheeler ambulance service called ‘BEAST’ to reach
essential medical care during the ‘golden hour’ post accidents. Negotiating Bangalore traffic can be
traumatic but the Brooke field Hospital has devised a solution, at least for patients needing
emergency care. A Two-wheeler ambulance service has been launched, promising to cut time for
patients needing instant response. Equipped with life-saving drugs, oxygen cylinders and trained
paramedic drivers, the motorbike ambulances are meant to provide emergency medical care to
patients till a fully equipped ambulance arrives. The Hospital Promises 3-5 minutes is all that will be
needed for the two-wheeler ambulances to reach a patient in need. The Two-wheeler ambulance will
be equipped with splints to immobilize broken bones and stabilize cervical spine (the area most
susceptible part to injury in a road accident).
WHY BEAST ? - There are thousands of automobiles blocking the traffic, resulting in time being
lost. The two-wheeler ambulance can attend to the immediate needs, while the four-wheeler
ambulance follows if there is further assistance required. We will be able to reach much faster. The
bike has immediate first aid. A life can be saved even if the four-wheeler ambulance arrives late.
That’s a comforting thought considering that the biggest challenge for health services is to deal with
the city traffic, which can be life-threatening in more ways than one. The two-wheeler ambulance has
a first-aid kit using which the rider of the vehicle would provide needed medical care to the patient
before shifted him/her to a four-wheeler ambulance.
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➢ Competitors
➢ Vydehi Institute of Medical Sciences and Research Centre (VIMS)
Vydehi Institute of Medical Sciences and Research Centre houses one of the best hospitals and
leading medical institutes in Bangalore. VIMS with global standards provides a various range of
medical services with 1600 bedded multi-specialty hospital, 24*7 Emergency unit, Critical Care Unit,
Blood Bank, Lab, and Ambulance Services, Vydehi Ayurveda, etc. Well-trained, highly-qualified
healthcare professionals and consultants are available at VIMS. VIMS aims for world-class, state-of-
the-art healthcare services.
VIMS has carved a niche in the field of healthcare and medical education for itself on par with global
standards. VIMS delivers quality healthcare whilst offering a varied range of medical services,
including alternative healing techniques such as authentic Ayurvedic experience through Vydehi
Ayurveda.
Vydehi is a 1600 bedded multi-specialty hospital, where we are at your constant beck and call, 24*7
with our Emergency, Critical Care Unit, Blood Bank, Lab, and Ambulance Services. VIMS is proud
of its exceptional well-trained, highly-qualified healthcare professionals, who uphold our vision of
providing world-class, state-of-the-art healthcare services through its infrastructure.
Our primary goal is to touch the lives of all by promoting health to not just urban, but also the rural,
underprivileged communities.
Vydehi endeavours to rise above the realm of therapeutic care, focusing on preventive care, to bring
the best health care to the community. Yashaswini Farmer’s Co-operative Health Insurance
Scheme, promoted by Government of Karnataka, is an innovative effort to provide world class
healthcare at the lowest possible cost, Vydehi Hospital is identified as a responsible partner in this
path breaking venture.
Vydehi hospital today is known as an integrated healthcare provider with its exceptional clinical
success rates and superior technology. It is committed to provide superior healthcare services of
international standards in a comprehensive manner to every individual with an emphasis on quality,
35
service excellence, empathy and respect. The hospital aims at providing tomorrow’s treatment today
by deploying State-of-the art facilities and equipments, by providing affordable health care of
unmatched quality and by embracing change and encouraging innovation.
The hospital provides free services to the poor and needy that includes – free treatment, surgeries,
free medicines, diagnostics and follow up care. The Institute provides services similar to Brooke
field Hospital but at cheaper cost than Brooke field Hospital. At this institution it is students
practicing at the hospital an gaining practical experience.
➢ Appolo Maternity Hospital in Brooke field, Bangalore
Maternity Hospital in Brooke field, Bangalore, with 50,000 square ft Apollo Cradle Brookfield is
one of the largest exclusive facilities in the city for Women and Children. Carefully built to suit every
woman, mother-to-be and baby’s physical and emotional needs, this sprawling facility is designed to
ensure patient delight. The 50 bed facility is a hub of advanced equipment and technology to ensure
positive clinical outcomes. With fully automated beds for patient’s comfort, in-house multi cuisine
dining, a gym and a warm ambience we are always on our toes to ensure our mummies feel at home.
The highly sophisticated level III NICU (Neonatal Intensive Care Unit) provides highest level of care
for newborns. Supporting babies weighing as little as 550 grams, babies born with critical illness and
babies requiring ventilator support. We ensure your baby is always in safe hands
Apollo Cradle Brookfield has 3 operations theatres with best in industry equipment’s to support
gynaecological procedures. Apollo Cradle Brookfield also houses Apollo Fertility. With the best
consultants in town our motto is ‘when science meets hope, beautiful things can happen! Boasting of
a consultant panel of over 50 of Bangalore’s best consultants, Apollo Cradle maternity hospital in
Brooke field, Bangalore is a hub of excellence in women and child health care.
The Apollo Cradle Hospital prioritises safety, which is what distinguishes it as a high-end maternity
hospital in Bangalore and other cities. Its medical infrastructure and facilities adhere to international
safety and efficiency protocols. This hospital has a Neonatal Intensive Care Unit for newborn who
require extra attention. Apollo Cradle Hospital has a High Dependency Unit for patients who require
36
close monitoring. If a mother requires temporary intensive care, she is stabilised in HDU so that
doctors can closely monitor her and transfer her to Apollo hospital in the event of an emergency.
Apollo Hospital is located next to Brooke field Hospital but when compared the patient inflow at
Brooke field Hospital is more, as Apollo Cradle Hospital is well known for its maternity service and
infant care.
➢ Aayug Multispeciality Hospital
1. Located at AECS layout, spread over an area of 12000 square ft.
2. The vision of the hospital is to serve the patients with utmost care and concern while
preserving human touch.
3. Aayug Multi Speciality Hospital is a speciality hospital designed and executed by medically
experienced professional.
4. Complete management of the day to day activities is done by dedicated medical experts.
5. Patients are treated with care, Hospital has the facility to take care of the needs of the patients.
6. At Aayug Multi Speciality Hospital each patient receives individual attention resulting in
complete satisfaction, & the treating consultant is aware of their problems which help them to
manage their condition properly; which generally are evaded from the patient in a corporate
hospital. All these are carried out with human touch and at an affordable and reasonable cost.
With the perfect diagnosis and correct treatment, patient recover faster.
7. Providing with the right spirit to one and all under one roof.
8. Easy accessibility to patients; Affordability to all sections is our prime concern
Aayug Hospital is located very near to Brooke field Hospital and renders similar services but is in
different lane/street. Since Brooke field Hospital is located at the main road the patient access is
more here in case of emergency. The cost of service is same.
➢ Yashomati Hospitals Private Ltd
1. Yashomati Hospitals Private Ltd has been operational since October 2010 spread over an area
of 1.7lakh Sq ft land and building owned by the company covering all amenities.
37
2. 217 beds with wards/ rooms ranging from Economy Class, Semi-Private Wards, Private
Wards, Deluxe Rooms and Suites with well furnished top class equipment.
3. 24 hrs facilities like Laboratory, Pharmacy, Blood Bank and Emergency Services are
provided at this hospital
4. ICU with 52 beds covering Cardiac, Medical, Surgical, Pediatric and Neonatal ICU is
rendered.
5. 9 specialized operation theatres covering Cardiac, Neuron, Orthopedic/ Trauma Care &
General Surgery are provided.
6. High-end cardiac CT and 1.5Telsa volume MRI scanning are made available.
7. Prenatal Care, Child Caring & Maternity Care with nursing suites are been provided.
8. In-house cafeteria, well organized and well equipped headed by a Senior Dietician with well-
trained chefs. It is located on an arterial road, with prime frontage, in Marathahalli –
Whitefield area, the most prominent IT suburb in Bangalore connecting all hotspots.
9. Patient’s occupancies reached a level of 40% by the first-year end and subsequently raising
evenly on a monthly level.
Yashomati Hospital is tie-up of Aayug Hospital located in main road at Kundalahalli Gate which
provides similar services and is one of the biggest competitor of Brookefield Hospital.
➢ RXDX
RxDx Healthcare is a Bangalore-based NABH-NABL accredited Multispecialty Healthcare chain.
Founded in 2007, our company practices the core principles of delivering the best health outcomes, at
the optimal cost, with the utmost patient satisfaction. Two main hubs of RxDx are located at
Whitefield and Malleswaram. Our peripheral branches are in Kadugodi, Siddapura, ITPL (within the
tech park), and Brooke field (in partnership with the Say Dhanvantri Trust). In 2023, we have set up
two new centres, one in the bustling Dommasandra circle, and the latest in the Diamond District,
Domlur. Including corporate tie-ups, we have around 30 medical centres all over Bangalore. Doctors
from over 35 disciplines practice at our facilities. We have a global presence through our large pool
of teleconsultants. We bring healthcare at home for patients unable to visit our facilities. Our centres
are equipped with a well-stocked pharmacy, state-of-the-art radiology & lab. We partner with
38
corporate, institutions, sports federations, and social organisations to provide them with healthcare
services.
RxDx has provided extensive COVID care services like testing, remote medical care, and vaccination
drives in Bangalore and beyond. RxDx turns to be strong competitor of Brooke field Hospital as
they provide similar services but vary in distance.
➢ Sri Sathya Sai Hospital
Started by Bhagawan Sri Sathya Sai Baba in the year 2001, Sri Sathya Sai Institute of Higher
Medical Sciences, Whitefield is 4th
such venture of Sri Sathya Sai Central Trust, to provide best of
the best, high quality medical and surgical care to the poorest of the poor patient, free of cost, without
any discrimination based on caste, creed or nationality.
It is a 333-bedded tertiary care hospital inaugurated by the then Prime Minister of India, Sri Atal
Behari Vajpayee, it is located in the picturesque suburbs of Whitefield in the garden city of
Bangalore, Karnataka, India.
Shaped in the form of letter K, the Hospital stands for Karuna or compassion and has been
successful in healing thousands of diseased hearts and brains and returning to the society a healthy
and grateful individual touched by spirit of sacrifice and transformed to make a difference to the
fellow human beings.
Sri Sathya Sai Institute of Higher Medical Sciences is equipped with state- of-art diagnostic and
treatment facilities, highly skilled medical, nursing and paramedical professionals delivering care
with love and compassion, in a clean, aesthetic and spiritual environment ensuring that healing
happens in body, mind and spirit. Infrastructure wise, Hospital has state of the art 1.5 Tesla Siemens
MagnetomAera MRI Scanner, 128 slice HD 750 GE CT Scanner, Siemens Artis Zee Biplane Cath
Lab, Philips Monoplane Cathlab, Medtronic S7 Neuro-navigation system, 8 fully equipped operation
theaters, automated biochemistry and microbiology analyzers, high end diagnostic Cardiology
equipment, full blown Hospital Information System eHIS from Computer Science Corporation and
Fuji Synapse PACS system. Apart from patient care, Hospital is also active creating next generation
39
of doctors, nurses and technologists. Hospital has a very active post graduate and post doctoral
programs affiliated to National Board of Examinations providing DNB in Cardiac Surgery,
Neurosurgery, Cardiology, Anesthesiology and Radiology. Additionally Hospital also has post
doctoral fellowships in Interventional Cardiology, Cardiac Anesthesia, Critical Care Anesthesia and
Cross sectional imaging. In the paramedical field, Hospital provides B.Sc Nursing, B.Sc Imaging
Technology, B.Sc Perfusion Technology, B.Sc Anesthesia Technology, B.Sc Cardiac Technology
and B.Sc Medical Laboratory Technology.
Sri Sathya Sai Central Trust, Prasanthi Nil yam is perhaps the only charitable trust in INDIA to offer
complete medical care including consultation, diagnosis, comprehensive treatment and follow – up
and diet at the primary, secondary and tertiary levels to all patients free of all charges irrespective of
his caste, creed, religion or economic status. The founder, Bhagawan Sri Sathya Sai Baba has
established the Trust with the motto of Service to man is service to GOD and with the mission of
providing free and quality health care to all patients.
➢ Columbia Asia Hospital/ Manipal varthur
1. Columbia Asia Hospital, Bangalore is an international healthcare group operating a chain of
modern hospitals across Asia.
2. Columbia Asia Hospitals Pvt. Limited is one of the first healthcare companies to enter India
through a 100% foreign direct investment (FDI) route. The Columbia Asia Group is owned by
more than 150 private equity companies, fund management organizations, and individual
investors.
3. The hospitals of Columbia Asia are clean, efficient, customer care, affordable and accessible.
The innovative design of the hospitals, from their convenient size to their advanced
technology, is focused on creating a positive experience for patients.
4. Columbia Asia Hospitals, Bangalore has an International standard infrastructure and follows
globally benchmarked standards of medical, nursing and operating protocols making it the
preferred healthcare destination for patients from around the world.
5. The Columbia Asia Pvt. Ltd. centre has a high-end NICU and PICU facility available.
40
6. The area of special expertise of Columbia Asia hospitals includes Audiology,
Anthology, Bariatric Surgery, Clinical Haematology, IVF, Internal Medicine, Intensive
Care/Critical Care, Medical & Surgical Oncology, Neurology & Neurosurgery, Nephrology,
Neonatology, Pulmonologist, Rheumatology & Paediatric Rheumatology, Renal Transplant,
Surgical GI, Urology, and Vascular Surgery.
7. Columbia Asia Hospital's International Patient Service offers a wide range of clinical
specialties. The hospital has a team of qualified and highly experienced doctors supported by
high end technology and infrastructure, which enables us to provide the best possible medical
care at affordable cost.
8. They have a International Patient helpdesk that understands the special needs of foreign
patients and provides special attention and personalized services to them .
9. Columbia Asia hospital has a 128-slice CT machine.
10.It has a digitized radiography & an interventional radiology unit.
11.The hospital has 24 hour pharmacy, ambulance and laboratory services
Columbia Asia Hospital near Sarjapura is a multispecialty hospital which provides all types of
healthcare facilities. It is similar to Brooke field hospital. Both Hospitals aim to offer a wide range of
medical specialties and services to cater to diversify the needs of their patients. Therefore, Columbia
Asia Hospital is one of the competitor of Brooke field Hospital.
Brooke field Hospital is located in Kundalahalli, Brooke field main road. It is a multispecialty
hospital which is one of the reputed hospitals in Bangalore and well known for customer service and
quality service. The hospital is surrounded by many other small and big clinics, pharmacies and
hospitals, which is a challenge for the hospital to attract patients. The hospitals and pharmacies
surrounding Brooke field Hospital provide services similar to Brooke field Hospital. The local
people have access to clinic near their locality which reduces patient inflow in the hospital pharmacy.
Also there are many vendors of similar products, these vendors might be supplying same products to
Brooke field Hospital’s competitors as well. Brooke field Hospital should keep in mind all these
competitors and challenges in order to attract patients by adopting technical advancements, engage in
community awareness through healthcare camps, etc.
41
CHAPTER 4
Oganizational Structure
Chairman
Medical Director Managing Director
Marketing
Manager
Nursing Superintendent Medical superintendent Operations
Manager
HR
Manager
IT
Manager
Pharmacy
Manager
Operation
Theatre
In charge
Nursing
Supervisor
Nurses Trainees
Training
Manager
Consultants
Duty Doctors
Facility
Manager
Front Office
Manager
Billing
Manager
Accounts Executive
House Keeping
Security
Food and
Linen
Other Services
- Pest, TV,
Water, Current
Maintenance
- Plumbing,
Electricity, Repairs,
Medicines, Gas
Cylinders
Front Office
Reception
Cashier
IP Billing
Insurance
Billing
Department
Manager
• Radiology
• OT
• Physiotherapy
• Casualty
• OPD
• Lab
• Dialysis
• Dental
• Other
Department
Heads
Shift
Nurses
42
Brooke field Hospital is a Private Entity located in main road at Brooke field, Bangalore. The
Hospital has a Chairman who guides the board’s work to achieve the annual objectives and strategic
plans of the hospital. Brooke field has two directors who are the owners of the entity, one being the
Medical Director who guides the medical department and the other being the Managing Director who
manages the operations of the firm. Both have control on the marketing department which is essential
for hospital’s growth to familiarize people about the hospital.
Brooke field Hospital delivers best quality service possible to its patients. It’s Marketing Team
actively works to update the Hospital profile on social media to spread awareness about the hospital
and various treatments and services rendered at Brooke field to attract more people. They also
conduct medical health camps to spread awareness. The Medical Director of the Hospital has Nursing
Superintendent and Medical Superintendent under it, which consists of nursing staff and Trainees.
The Head of Nursing department supervises the nursing staff and oversees patient care. The nursing
department is responsible for recording and monitoring a patient's vital signs. Promoting well-being
by educating patients on self-care techniques. Consulting with doctors and other medical staff to
determine the optimal treatment plan.
The accountants department works in minimizing the burden of taxes, maintaining the record of
medical accounts payable and receivable, conducting accounting review, audits etc. It is essential for
them to maintain these records as it will assist the business for future analysis.
The accounts team keeps records of the bills and invoices and is responsible to prepare vouchers and
cheques for the payment to vendors for the benefit received.
Brooke field Hospital has Cashless Insurance Service. Any patient having insurance policy in his
name can claim for insurance at the time of admission to take this benefit. He can fill the TPA form
to claim for admission. Patients who are admitted and do not have insurance can also get insurance
admission registration done at the time of admission to avail this service. We have refund and
reimbursement policy at insurance desk. The Hospital Consists of Training Manager who supervises
the work to be done and is responsible to maintain the hospital clean and tidy. It has housekeeping,
security and maintenance department etc to keep the functioning of the hospital smooth.
43
CHAPTER 5
SWOC
Strengths.
Brooke field Hospital has numerous strengths that help it to thrive in the market place and protect its
market share.
Customer Satisfaction: Brooke field Hospital satisfies its patients by providing quality
work/treatment. It is first choice to consult with a Qualified and Experienced Doctor and all doctors
here are experienced and highly qualified.
BEAST Service: It is an emergency service rendered by Brooke field hospital to its patients. It has
launched a two-wheeler ambulance service called ‘BEAST’ to reach essential medical care during the
‘golden hour’ post accidents. The Two-wheeler ambulance is equipped with splints to immobilize
broken bones and stabilize cervical spine (the area most susceptible pat to injury in a road accident).
Qualified and experienced Consults: All the consultant doctors here are highly qualified and
experienced, including the nursing staff, OPD staff, consultant doctors etc.
Pharmacy: It has its own Pharmacy located in the ground floor of its building which operates 24/7.
Insurance Service: Brooke field Hospital provides insurance service to the one who is insured and
also helps with new insurance registration as well.
Technology: Brooke field Hospital adopts new technologies to stay updated with upcoming
technologies to provide its patients with quality service.
24/7 services: Emergency & Trauma Care, Diagnostics & Laboratory, Dialysis, Dental Surgery,
Well stocked Pharmacy, Ambulance Service.
Reliable suppliers – It has a strong base of reliable supplier of raw material thus enabling the
company to overcome any supply chain bottlenecks.
44
Strong Brand Portfolio – Over the years Brookfield has invested in building a strong brand
portfolio. This brand portfolio can be extremely useful if the organization wants to expand into new
product categories.
Weakness of Brookfield
Weakness are the areas where Brookfield can improve upon and build on its competitive advantage
and strategic positioning.
Limited resources- sometimes the hospital may run in shortage of funds as replacing or acquiring
new medical equipments and machines are expensive, and other expenses are also to be looked upon.
Limited outreach: If the hospital does not activity engage with local community and does not refer
other physicians or health care it may struggle in attracting patients.
Competitors- Brooke field Hospital is surrounded by many other small clinics, hospitals and
Pharmacies which provide similar services.
Expensive: Due to the expensive services, local patients are not able to afford it.
Opportunities
Chances to grow and improve
Health insurance tie-ups – Partnering with insurance companies can increase patient flow as they
will have health insurance coverage of their treatment.
Medical research and clinical trials- it can explore to participate in medical research studies and
clinical trials, It not only enhances one’s medical knowledge but also increases the institutions
reputation.
Collaboration- Tie up or partnering with vendors, insurance providers, hospital, diagnostic centres
etc.
45
Technical advancements- adopting new upcoming innovative technologies is helpful in providing
quality service. E.g.- software updates, machines systems etc.
Vendors- entrance of new suppliers of similar product or consumables has given Brooke field the
opportunity to choose suppliers with good moral.
Freedom of choice- Since there are many sellers of similar products Brooke field has choice to
choose its supplier.
Telemedicine services: reduced physical visits to hospitals, telemedicine allows the patients to
consult the doctors remotely
Community outreach programme: can conduct health camps, medical check-ups etc which will
increase awareness about the hospital in the community and built trust in local population.
Challenges
Financial Challenge: Running a hospital is expensive, with costs including staff salary, medical
equipment, maintenance etc. It faces a challenge to ensure to have sufficient funds to run its
operations.
Staffing Challenge- Recruiting trustworthy candidates and retaining qualified professionals.
New entrance –increased number of industry over the years has put downward pressure on not only
profitability but also on overall sales.
Distributors- Growing strengths of local distributors also presents a threat as the competitors pay
higher margins to the local distributors.
Online- Changing consumer buying behavior from online channel could be a threat to the existing
physical infrastructure .
46
CHAPTER 6
Learning outcomes:
As an intern at Brooke field Hospital I gained valuable learning and experiences that have shaped me
into polite, and friendly person. Some of the key takeaways from Brooke field Hospital are:
Team Work: As hospital institutions are large in size there is need of proper communication and co-
ordination among the team mates to complete the given task. I learnt team work and collaboration
with team mates and completed the assigned duty with accuracy.
Professionalism - As an intern at Hospital I learnt to be polite, empathetic and had been professional
in my code of conduct.
Billing- I learnt how to generate bills and receipts of the inside and outside patients at hospital
pharmacy.
Medicine Knowledge- during the internship tenure I had also been to the hospital pharmacy and
gained knowledge in medicine. I learnt to bill and give the medicines to the patients prescribed by the
consultant doctors.
Store Management- as an intern I worked with the senior store management staff and helped in
checking and preparing list of hospital store stocks.
Store stock book- manual entry of the stocks and distributed indent items in the store stock register
book.
Printing and scanning- I learnt to print and scan documents, invoices, bills etc.
Preparing Vouchers- I learnt to write payment vouchers and arranged them in order according to
voucher number.
47
Medication Dispensing and management- Developed a thorough understanding of medication
dispensing process, inventory management, to ensure safe and accurate delivery of medications to the
patients.
Pharmacy law and regulation- Developed an understanding in pharmacy medicines. Understood
which medicines come under schedule H1 and those which cannot be dispensed to the outside
patients without doctor’s prescription.
Ethical Conduct- understand patients privacy and maintain confidentiality of information.
Organizing documents- helped the accounts, finance and HRM team in organizing the documents
according to financial year
ledger- arranged the invoices according to their date and GRN Number wise and at the end of the
month recording the ledger number on the invoice bills.
Deficiency Sheet- writing the deficiency of the pharmacy counter and reception counter
in cash, card and phone pay modes of payments/transactions.
Indents- distributing weekly indents to the hospital staff.
Bank challan- filling the NEFT challan form for cash deposits.
Communication- developed professional communication skills through the internship course time
by communicating with the vendors and pharmacy patients.
Placing order- placing online order to vendors to supply medicines and required items in pharmacy.
Organizing and distributing indents- Organized and arranged the medicines in place. Gave indents
to the nursing staff to treat the patients admitted in the hospital.
48
CHAPTER 7
Conclusion
Being a B.com graduate it was a wonderful and experiential learning in medical field at Brooke field
Hospital. I was both excited and scared on my first day. I was curious about everything that I could
see, smell and hear. I was excited because everything was new to me. The office was very quiet, all
the staff members were concentrated and doing their work. Everything in the office was organized
very well.
Overall, my internship at Brooke field Hospital proved to be an invaluable learning experience. It
allowed me to apply my theoretical knowledge gained during my studies to apply in real world
situations. I developed a deeper understanding of accounts, finance and pharmacy departments and
their vital role in efficient functioning in healthcare institutions.
I learnt to manage stocks, place order to vendors of pharmacy and store items. Distributed items
stocks to the hospital staff. Managed arranged files and documents in financial year. Maintained
employee files and documentation. Organized files in MRD.
Learnt to print, scan documents and invoices.
The environment of hospital is calm, tidy and silent, gained invaluable skills by being an hospital
intern. The hospital has shaped me into a calm, polite person. Developed communicational skills and
developed understanding in pharmacy medicines. Learnt to dispense medicines prescribed by
consultants , developed understanding in H1 schedule medicines. Learnt to dispense medicines of
cold, fever, cough, gastric etc. Came across names of new tablets, syrups, ointments etc. Interacted
with different customers and developed understanding in customer behavior.
This internship not only enhanced my technical skills but also improved my communication, team
work and problem solving abilities. I am grateful to the management and office staff team to give me
an opportunity to be a part of their institution and guide me in learning new things and gaining
experience in medical field. I ensure confidentiality of hospital information and this internship has
given me many learning which will be useful and I can apply them in my future endeavors.

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POOJA 21COMF20 - INTERNSHIP REPORT.pdf

  • 1. INTERNSHIP REPORT ON BROOKEFIELD SANJEEVINI HEALTHCARE PVT LTD Submitting in partial fulfilment of the requirements for the Award of the Degree of BACHELOR OF COMMERCE By POOJA GUPTA V 21COMF20 Under the Guidance of DR.KUMARASAMY P KRISTU JAYANTI COLLEGE (AUTONOMOUS) K.NARAYANPURA, KOTHANUR POST, BANGALORE - 560077 2023 – 2024
  • 2. KRISTU JAYANTI COLLEGE (AUTONOMOUS) CERTIFICATE FROM GUIDE This is to certify that this internship work titled Office Intern is based on an original study conducted by Pooja Gupta.V (21COMF20) of V semester B.Com under my guidance. This internship work has not formed the basis for the award of any degree/ diploma by Bangalore North University or any other university. Place: Bangalore Dr.Kumarasamy.P Date: 10/09/2023 Name of the Guide
  • 3. KRISTU JAYANTI COLLEGE (AUTONOMOUS) CERTIFICATE FROM INSTITUTION This is to certify that this internship work titled Office Intern is based on an original study conducted by Pooja Gupta V (21COMF20) of V semester B.Com under the guidance of Dr.Kumarasamy P This internship work is based on original and has not formed the basis for the award of any degree/diploma by Bangalore North University or any other University. Head of the Department Place: Bangalore Date: 10/09/2023
  • 4. DECLARATION FROM CANDIDATE I Pooja Gupta V (21COMF20) hereby declare that this internship work titled Office Intern is based on the original study conducted by me under the guidance of Dr.Kumarasamy P This has not been submitted earlier for the award of any other degree/diploma from Bangalore North University or any other University. Place: Bangalore Date: 10/09/2023 Pooja Gupta V Reg. No: 21COMF20 Student’s Name
  • 5.
  • 6. List of content S. No. Chapter No. Particulars Page No. 1 1 Introduction 1-2 2 2 Industry Profile 3-17 3 3 3 C Analysis – Company, Customer, Competitor 18-40 4 4 Organizational Structure/ Departments Profile 41-42 5 5 SWOC Analysis 43-45 6 6 Learning Outcomes 46-47 7 7 Conclusion 48 TOTAL 48
  • 7. 1 CHAPTER 1 Introduction I Pooja Gupta.V, 21COMF20 a student pursuing B.Com at Kristu Jayanti College started my internship at Brooke field Sanjeevini Healthcare Pvt Ltd on 15th June 2023, which is for a tenure of 30 days. It is a multispecialty facility located in Brooke field, Kundalahalli, Bangalore, which is near my residence. I worked as an office staff intern at Brooke field Sanjeevini Healthcare Pvt Ltd l with the accounts, finance, HRM and pharmacy department team. It was an enriching experience where I gained practical knowledge and hands-on exposure in various aspects of these departments. This report aims to summarize my learning and experiences during the internship. There were two accounts staff in the accounts department who carry and look over the accounts of the hospital. Since it is a hospital many transactions take place, as an intern I helped the team in arranging the important files and documents according to financial year. During the internship tenure I got an opportunity to explore in more than one department at Brooke field Hospital. I managed on stock up keeping, distributed indents to the nursing staff, OPD staff, radiology staff and housekeeping staff etc. Maintained stock of goods and others. Also under the superior senior accounts staff I prepared the store stock order book to order the items from suppliers. Collected orders, received hospital consumables from vendors/suppliers. Medicines which vendors supply to the pharmacy staff goes through various check points before it reaches the pharmacy, I worked at one of this check point and checked the medicines. Had to check the details of the medicine (i.e.) MRP, expiry, quantity etc and entered the database in the computer system to keep records. Entered the invoice details and data in computer system to generate GRN number and arranged the invoice according to its GRN number in the file.
  • 8. 2 Entered the Credit Invoice Bills in the CRN register book after getting approval in the given format. Learnt to make/prepare vouchers. Arranged the credit and payment vouchers in financial year and had to find the missing vouchers and invoices, also tried to find the reasons behind the missing vouchers. And recorded the voucher and necessary documents in voucher register book. Also helped the accounts team to cross verify the bills and its amount to match with the data entered in Tally and give the ledger number to the invoices. Brooke field Hospital has insurance coverage, got an opportunity to gain an experience in finance department. Helped the team in filling various insurance forms, refund form, checked and arranged the documents in required order to arrange it in the patients file. Giving the mentioned patient name file to the insurance team to carry forward their procedure from the MRD. Arranged the patient files in MRD store by writing MR number and IP number on the file , then arranged them according to its IP Number to locate the file easily. Worked with the hospital HRM in documentation of employees and intern documents, then arranged the employee documents in the employee file. Given declaration form, checklist and other forms to newly recruited candidates to fill their details in the form, to document them in the hospital employee and file. Helped in filling patient death forms in online portal and keeping records of it in the hospital death book. I had the chance to observe and assist pharmacist in their day-to-day activities, such as dispensing medications. This experience enhanced my understanding of importance of effective communication and patient-cantered care in the pharmacy setting. Worked at Brooke field Hospital’s Pharmacy, helped the pharmacy staff team in giving the prescribed medicines to inside and outside patients. Learnt to make bill/receipts of patients. Received the medicines from suppliers in hospital pharmacy after its been checked in all the check points. Then arranged the medicines i.e. tablets, syrups, syringes etc in its place. Prepared list of medicines required in pharmacy then took approval from the management to order the stock in Pharmacy order book. Place online order to vendors to supply medicines to hospital Pharmacy. I completed the internship on 20th July 2023.
  • 9. 3 CHAPTER 2 Industry Profile A hospital is a healthcare institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment.[1] The best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a sudden illness. A district hospital typically is the major health care facility in its region, with many beds for intensive care and additional beds for patients who need long-term care. Specialized hospitals include trauma centres, rehabilitation hospitals, children's hospitals, seniors' (geriatric) hospitals, and hospitals for dealing with specific medical needs such as psychiatric treatment (see psychiatric hospital) and certain disease categories. Hospital, an institution that is built, staffed, and equipped for the diagnosis of disease; for the treatment, both medical and surgical, of the sick and the injured; and for their housing during this process. The modern hospital also often serves as a centre for investigation and for teaching. To better serve the wide-ranging needs of the community, the modern hospital has often developed outpatient facilities, as well as emergency, psychiatric, and rehabilitation services. In addition, “bed less hospitals” provide strictly ambulatory (outpatient) care and day surgery. Patients arrive at the facility for short appointments. They may also stay for treatment in surgical or medical units for part of a day or for a full day, after which they are discharged for follow-up by a primary care health provider. Hospitals have long existed in most countries. Developing countries, which contain a large proportion of the world’s population, generally do not have enough hospitals, equipment, and trained staff to handle the volume of persons who need care. Thus, people in these countries do not always receive the benefits of modern medicine, public health measures, or hospital care, and they generally have lower life expectancies. In developed countries the hospital as an institution is complex, and it is made more so as modern technology increases the range of diagnostic capabilities and expands the possibilities for treatment. As a result of the greater range of services and the more-involved treatments and surgeries
  • 10. 4 available, a more highly trained staff is required. A combination of medical research, engineering, and biotechnology has produced a vast array of new treatments and instrumentation, much of which requires specialized training and facilities for its use. Hospitals thus have become more expensive to operate, and health service managers are increasingly concerned with questions of quality, cost, effectiveness, and efficiency. History of hospitals Ancient Greek ruins As early as 4000 BCE, religions identified certain of their deities with healing. The temples of Saturn, and later of Asclepius in Asia Minor, were recognized as healing centres. Brahmanic hospitals were established in Sri Lanka as early as 431 BCE, and King Ashoka established a chain of hospitals in Hindustan about 230 BCE. Around 100 BCE the Romans established hospitals (valetudinarian) for the treatment of their sick and injured soldiers; their care was important because it was upon the integrity of the legions that the power of ancient Rome was based. It can be said, however, that the modern concept of a hospital dates from 331 CE when Roman emperor Constantine I (Constantine the Great), having been converted to Christianity, abolished all pagan hospitals and thus created the opportunity for a new start. Until that time disease had isolated the sufferer from the community. The Christian tradition emphasized the close relationship of the sufferer to the members of the community, upon whom rested the obligation for care. Illness thus became a matter for the Christian church. About 370 CE St. Basil the Great established a religious foundation in Cappadocia that included a hospital, an isolation unit for those suffering from leprosy, and buildings to house the poor, the elderly, and the sick. Following this example, similar hospitals were later built in the eastern part of the Roman Empire. Another notable foundation was that of St. Benedict of Nursia at Montecassino, founded early in the 6th century, where the care of the sick was placed above and before every other Christian duty. It was from this beginning that one of the first medical schools in Europe ultimately grew at Salerno and was of high repute by the 11th century. This example led to the establishment of similar monastic infirmaries in the western part of the empire.
  • 11. 5 Lyon: Hôtel-Dieu The Hôtel-Dieu of Lyon was opened in 542 and the Hôtel-Dieu of Paris in 660. In these hospitals more attention was given to the well-being of the patient’s soul than to curing bodily ailments. The manner in which monks cared for their own sick became a model for the laity. The monasteries had an infirmitorium, a place to which their sick were taken for treatment. The monasteries had a pharmacy and frequently a garden with medicinal plants. In addition to caring for sick monks, the monasteries opened their doors to pilgrims and to other travelers. Religion continued to be the dominant influence in the establishment of hospitals during the Middle Ages. The growth of hospitals accelerated during the Crusades, which began at the end of the 11th century. Pestilence and disease were more potent enemies than the Saracens in defeating the crusaders. Military hospitals came into being along the travelled routes; the Knights Hospitallers of the Order of St. John in 1099 established in the Holy Land a hospital that could care for some 2,000 patients. It is said to have been especially concerned with eye disease, and it may have been the first of the specialized hospitals. This order has survived through the centuries as the St. John Ambulance. Throughout the Middle Ages, but notably in the 12th century, the number of hospitals grew rapidly in Europe. Arab hospitals—such as those established at Baghdad and Damascus and in Córdoba in Spain—were notable for the fact that they admitted patients regardless of religious belief, race, or social order. The Hospital of the Holy Ghost, founded in 1145 at Montpellier in France, established a high reputation and later became one of the most important centers in Europe for the training of doctors. By far the greater number of hospitals established during the Middle Ages, however, were monastic institutions under the Benedictines, who are credited with having founded more than 2,000. The Middle Ages also saw the beginnings of support for hospital-like institutions by secular authorities. Toward the end of the 15th century, many cities and towns supported some kind of institutional health care: it has been said that in England there were no fewer than 200 such establishments that met a growing social need. This gradual transfer of responsibility for institutional health care from the church to civil authorities continued in Europe after the dissolution of the monasteries in 1540 by Henry VIII, which put an end to hospital building inn England for some 200 years.
  • 12. 6 The loss of monastic hospitals in England caused the secular authorities to provide for the sick, the injured, and the handicapped, thus laying the foundation for the voluntary hospital movement. The first voluntary hospital in England was probably established in 1718 by Huguenots from France and was closely followed by the foundation of such London hospitals as the Westminster Hospital in 1719, Guy’s Hospital in 1724, and the London Hospital in 1740. Between 1736 and 1787, hospitals were established outside London in at least 18 cities. The initiative spread to Scotland, where the first voluntary hospital, the Little Hospital, was opened in Edinburgh in 1729. The first hospital in North America (Hospital de Jesus Nazarene) was built in Mexico City in 1524 by Spanish conquistador Hernán Cortés; the structure still stands. The French established a hospital in Canada in 1639 at Quebec city, the Hôtel-Dieu du Précieux Sang, which is still in operation (as the Hôtel-Dieu de Québec), although not at its original location. In 1644 Jeanne Mance, a French noblewoman, built a hospital of ax-hewn logs on the island of Montreal; this was the beginning of the Hôtel-Dieu de St. Joseph, out of which grew the order of the Sisters of St. Joseph, now considered to be the oldest nursing group organized in North America. The first hospital in the territory of the present-day United States is said to have been a hospital for soldiers on Manhattan Island, established in 1663. The early hospitals were primarily almshouses, one of the first of which was established by English Quaker leader and colonist William Penn in Philadelphia in 1713. The first incorporated hospital in America was the Pennsylvania Hospital, in Philadelphia, which obtained a charter from the crown in 1751. The modern hospital Hospitals may be compared and classified in various ways: by ownership and control, by type of service rendered, by length of stay, by size, or by facilities and administration provided. Examples include the general hospital, the specialized hospital, the short-stay hospital, and the long-term-care facility.
  • 13. 7 Bed number and length of stay Hospitals may be compared by the number of beds they contain. Modern hospitals tend to rarely exceed 800 beds, and though some integrated health facilities may have more beds, they often comprise multiple geographic locations, each with several hundred beds. In the early 21st century, it was thought that a facility of 800 beds was the largest unit that could be governed satisfactorily from a single administrative unit while maintaining a corporate unity. Another index is the average bed-occupancy rate—that is, the percentage of available beds actually occupied per day or per month. Bed-occupancy rates may be higher in the cold winter months, which bring more respiratory disease. In developing countries the bed-occupancy rate is often more than 100 percent—there are more patients in the hospital than there are beds for them. This situation has also emerged in some developed countries where demand for services has outstripped supply. The amount of time that a patient spends in a hospital bed, or the average length of stay (ALOS), is another important index and depends on the nature of the hospital. In an acute-care hospital the ALOS will be relatively short. In hospitals catering to the chronically ill, the ALOS will, for the most part, be higher. There may be significant variations between units in the same hospital, depending on the acuity and co morbidities of the patients (co morbidity is the presence of two or more unrelated diseases or disease processes in a single patient). In hospitals in developing countries, the ALOS is much shorter than in developed countries. Ownership and control The issues of hospital ownership and control underwent significant analysis and change in the late 20th and early 21st centuries. Such transformation was prevalent in developed countries, particularly those in which fiscal sustainability was problematic. National Health Service In many countries nearly all hospitals are owned and operated by the government. In Great Britain, except for a small number run by religious orders or serving special groups, most hospitals are within the National Health Service. The local hospital management committee answers directly to the regional hospital board and ultimately to the Department of Health and Social Security. In the United
  • 14. 8 States most hospitals are neither owned nor operated by governmental agencies. In some instances hospitals that are part of a regional health authority are governed by the board of the regional authority, and hence these hospitals no longer have their own boards. In Canada some hospitals are owned by religious orders and are contracted to deliver publicly funded services. Other hospitals may be owned by municipalities or provincial or territorial governments. Worldwide, many hospitals are associated with universities; others were founded by religious groups or by public-spirited individuals. Mental health facilities traditionally have been the responsibility of state or provincial governments, while military and veterans hospitals have been provided by the federal government. In addition, there are a number of municipal and county general hospitals. Financing Because hospitals may serve specific populations and because they may be not-for-profit or for- profit, there exist a variety of mechanisms for hospital financing. Almost universally, hospital- construction costs are met at least in some part by governmental contributions. Operating costs, however, are taken care of in different ways. For example, funds may come from private endowments or gifts, general funds of some unit of government, funds collected by insurance carriers from subscribers, or some combination thereof. In some countries, operating costs may be supplemented in part by public or private sources that pay charges on uninsured or inadequately insured patients or by out-of-pocket payment by these individuals. In many countries, and in Europe in particular, the financial support of services in hospitals tends to be collectivized, with funding provided through public revenues, social insurance, or a combination of the two. Thus, the costs of hospital operation are covered infrequently by payments made directly by patients. Details vary somewhat from country to country. In Sweden, for example, most hospital operating costs are financed by public revenues collected by regional governments. Many other European countries follow a similar model, with operating costs for hospitals paid out of national insurance funds; such is the case in the Netherlands, Finland, Norway, and elsewhere. In contrast, other countries, such as the United States, rely heavily on private insurance funds. Private health insurance corporations or agencies exist in many countries. These entities may offer different or
  • 15. 9 more services relative to national health insurance, although generally at additional cost as well. Private insurance funds offer an alternative mechanism of hospital financing. The general hospital General hospitals may be academic health facilities or community-based entities. They are general in the sense that they admit all types of medical and surgical cases, and they concentrate on patients with acute illnesses needing relatively short-term care. Community general hospitals vary in their bed numbers. Each general hospital, however, has an organized medical staff, a professional staff of other health providers (such as nurses, technicians, and physiotherapists), and basic diagnostic equipment. In addition to the essential services relating to patient care, and depending on size and location, a community general hospital may also have a pharmacy, a laboratory, sophisticated diagnostic services (such as radiology and angiography), physical therapy departments, an obstetrical unit (a nursery and a delivery room), operating rooms, recovery rooms, an outpatient department, and an emergency department. Smaller hospitals may diagnose and stabilize patients prior to transfer to facilities with specialty services. In larger hospitals there may be additional facilities: dental services, a nursery for premature infants, an organ bank for use in transplantation, a department of renal dialysis (removal of wastes from the blood by passing it through semi permeable membranes, as in the artificial kidney), equipment for inhalation therapy, an intensive care unit, a volunteer-services department, and, possibly, a home-care program or access to home-care placement services. The complexity of the general hospital is in large part a reflection of advances in diagnostic and treatment technologies. Such advances range from the 20th-century introduction of antibiotics and laboratory procedures to the continued emergence of new surgical techniques, new materials and equipment for complex therapies (e.g., nuclear medicine and radiation therapy), and new approaches to and equipment for physical therapy and rehabilitation. The legally constituted governing body of the hospital, with full responsibility for the conduct and efficient management of the hospital, is usually a hospital board. The board establishes policy and, on
  • 16. 10 the advice of a medical advisory board, appoints a medical staff and an administrator. It exercises control over expenditures and has the responsibility for maintaining professional standards. Pharmacist The administrator is the chief executive officer of the hospital and is responsible to the board. In a large hospital there are many separate departments, each of which is controlled by a department head. The largest department in any hospital is nursing, followed by the dietary department and housekeeping. Examples of other departments that are important to the functioning of the hospital include laundry, engineering, stores, purchasing, accounting, pharmacy, physical and occupational therapy, ssocial service, pathology, X-ray, and medical records. The medical staff is also organized into departments, such as surgery, medicine, obstetrics, and pediatrics. The degree of departmentalization of the medical staff depends on the specialization of its members and not primarily on the size of the hospital, although there is usually some correlation between the two. The chiefs of the medical-staff departments, along with the chiefs of radiology and pathology, make up the medical advisory board, which usually holds regular meetings on medical-administrative matters. The professional work of the individual staff members is reviewed by medical-staff committees. In a large hospital the committees may report to the medical advisory board; in a smaller hospital, to the medical staff directly, at regular staff meetings. Cornell University General hospitals often also have a formal or an informal role as teaching institutions. When formally designed as such, teaching hospitals are affiliated with undergraduate and postgraduate education of health professionals at a university, and they provide up-to-date and often specialized therapeutic measures and facilities unavailable elsewhere in the region. As teaching hospitals have become more specialized, general hospitals have become more involved in providing general clinical training to students in a variety of health professions. Specialized health and medical care facilities Hospitals that specialize in one type of illness or one type of patient can generally be found in the developed world. In large university centers where postgraduate teaching is carried out on a large
  • 17. 11 scale, such specialized health services often are a department of the general hospital or a satellite operation of the hospital. Changing conditions or modes of treatment have lessened the need or reduced the number of some types of specialized institutions; this may be seen in the cases of tuberculosis, leprosy, and mental hospitals. On the other hand, specialized surgical centers and cancer centers have increased in number. Between 1880 and 1940, tuberculosis hospitals provided rest, relaxation, special diets, and fresh air, and even if the tuberculosis was in an early stage, a stay of more than two years was thought necessary to effect a healing of the disease; a permanent cure was not considered entirely feasible. Today the use of antibiotics, along with advances in chest surgery and routine X-ray programs, has meant that the treatment of tuberculosis need not be carried out in a specialized facility. Leprosy has been known for centuries to be contagious. Lazar houses (hospitals for individuals with infectious disease) were established throughout Europe in the Middle Ages to isolate those with leprosy, at that time a common disease, from the community. In the 14th century there may have been some 7,000 leper houses in France alone, and some of the earliest hospitals in England were established for lepers. Thanks to an intense campaign for leprosy elimination begun in the early 1990s, leprosy is now relatively rare. The purpose of the modern leprosarium is not so much isolation as it is treatment. The chronic form of the disease is treated by surgical correction of deformities, occupational therapy, rehabilitation, and sheltered living in associated villages. Acute leprosy is treated in general hospitals, clinics, and dispensaries. Mental health facilities Psychiatric patients traditionally have been cared for in long-stay mental health facilities, formerly called asylums or mental hospitals. Today the majority of large general hospitals have a psychiatric unit, and many individuals are able to maintain lives as regular members of the community. There are still facilities that specialize in the treatment of mental illness. The hospital stay of many persons with chronic mental illness has been shortened by modern medication and better understanding on the part of the public. Patients are encouraged to participate in facility-based activities and programs. They may be encouraged to return to the community,
  • 18. 12 beginning with trial visits at home, or they may be placed in assisted-living or group homes. Every effort is now made, through the use of appropriate medication and support services, to have the patient integrated into the community. Even those individuals who require custodial care are no longer isolated from contact with their relatives, friends, and the community at large. In addition, the strong correlation between mental illness and addiction has been noted and has given rise to numerous programs incorporating the simultaneous treatment of both conditions. Such programs are prevalent in developed countries in particular. In some cases special hospitals addressing both mental illness and addiction have been established—for instance, the Centre for Addiction and Mental Health in Toronto. Long-term-care facilities Historically, long-term-care facilities were homes for the elderly, the infirm, and those with chronic irreversible and disabling disorders, especially if the patients were indigent. Medical and nursing care was minimal. Today, however, long-term-care facilities have a more active role in health care. Some facilities are transitional from an acute hospital setting to the community. Others have residents who have a need for professional health care but do not need the intensive care found in an acute-care facility. As a result, long-term-care facilities often are staffed with health professionals and are equipped to care for patients with extensive needs for daily living or to help patients prepare to live at home or with a member of the family. Long-term-care facilities represent a significant extension of the hospital health care system, helping to conserve expensive facilities for the acutely ill and improving the prospects of the chronically disabled. Private hospitals Many countries have private hospitals that specialize in the treatment of specific diseases. For example, private facilities may be designed specifically for cataract or joint surgery. In Britain small private hospitals are often called nursing homes, many of which provide little more than accommodation and simple nursing, the patient being under the care of a general practitioner or of a visiting consultant physician. Medical practice in the towns of developing countries is characterized by a proliferation of many small private hospitals, usually owned by doctors, that have developed to meet the widespread need for hospital care not otherwise available.
  • 19. 13 Another method of providing health care in a hospital for those able to pay for it, in both developed and developing countries, is the provision of a limited number of beds for private patients within a large general hospital otherwise financed to some degree by public funds. In the United Kingdom and, for example, in West Africa, these beds usually form part of the ward unit, the patient being required to pay for certain amenities such as a measure of privacy, unrestricted visiting, attractively served food, and a more liberal routine. Alternatively, many large general hospitals are able to offer much more costly accommodations in so-called private blocks—that is, in a part of the hospital specially designed and equipped for private patients. Patients in a private block pay a large portion of the total cost of their medical care, including that of surgery. Wholly independent private hospitals sometimes are run by a company or business consortium. Many of these privately funded hospitals are able to provide most or all of the services of a general hospital, including constant medical care and nursing services. Such facilities, however, are costly. The hospice Historically a hospice was a guesthouse intended for pilgrims and was often closely connected with a monastery and supervised by monks. From the beginning it had a strong religious connection and exemplified the Christian insistence on compassion and care for the aged, the infirm, the needy, and the ill. In modern Britain the hospice movement developed gradually from its beginning in 1905, when the Sisters of Charity founded the St. James Hospice in London. St. Christopher’s Hospice, also in London, founded in 1967, soon became known for its peaceful environment and expert medical and nursing care. In 1974 the first hospice in the United States, the New Haven Hospice (now Connecticut Hospice), was established in New Haven, Connecticut. The hospice movement later spread to many countries worldwide. Mission hospitals The spread of Western medicine (or conventional medicine) and the founding of hospitals in developing countries can be attributed in large part to the influence of the medical missionary. The establishment of mission hospitals gained momentum gradually in the second half of the 19th century. By the second half of the 20th century, however, this steady growth had already dwindled, since all but a few of the hospitals and dispensaries founded during that hundred years had been
  • 20. 14 absorbed into the native health care system. The Christian missionaries had a great influence on the creation of centres of Western medicine in many developing countries and in promulgating the concept of a hospital in which health care would be centralized and organized for the benefit of the ill and injured, many of whom would not otherwise have survived. The medical missionaries also promoted the idea and the ideals of nursing as a profession for native men and women. Apart from its religious associations, a mission hospital functions as a general hospital in the sense that it admits all who need hospital care. A number of mission hospitals, however, have been devoted to specific diseases—for example, leprosy and diseases of the eyes. Perhaps the most important contribution made by mission hospitals is in the enormous numbers of persons, particularly women and children, who have been treated as outpatients. Extended health care Intensive care unit With the advance in medical science and the ever-increasing cost of hospital operations, the progressive-care concept is more attractive, both for outpatient and inpatient care. Progressive care can be divided into five categories: (1)intensive care, (2) intermediate care, (3)self-care, (4)long- term care, (5) organized home care. Self-care facilities are organized into separate units in which ambulatory patients who require only diagnostic or convalescent care are given accommodations similar to those of a hotel. The patients are free to wear street clothes and to go to the hospital cafeteria. Such a ward or wing of a general hospital requires much less costly equipment than the intensive- or intermediate-care units and can be staffed with far fewer nurses and aides. Home-care programs are for patients who need some health services but not all of the treatment facilities of a hospital. The patients are provided with a range of individualized medical, nursing, social, and rehabilitative services in their own homes, coordinated through one central agency. Patients can be considered ready for home care when: (1) diagnosis and a plan for treatment have been established; (2) inpatient hospital facilities are no longer required for proper care; (3) the nursing service has found that the physical environment of the home is such that the
  • 21. 15 patient receives adequate care; (4) the patient is too ill to visit an outpatient clinic but does not need hospital care; (5) the family environment would have a therapeutic effect, and family members or others can be taught to provide the necessary care; and (6) the family and the patient prefer that care be provided at home. Home care conserves expensive acute-care beds, and most patients on home care do as well as or better than expected. Regional planning There are several useful historical and modern examples of regional planning, in which hospital networks were integrated into coordinated health services. For example, during the period of the Soviet Union’s existence in the 20th century, the government was charged with the responsibility of providing health care to all citizens. In Sweden modern coordinated health services centre primarily on hospital services, which are the responsibilities of the government. In the early 2st century, regional planning of hospital services in Sweden was highly organized. The country was divided into health service regions and had three different levels of health care: primary (general practitioner), secondary (small hospitals that offered most medical specialties), and tertiary (university hospitals, one each for the six main health service regions). Several of the country’s hospital facilities had about 1,000 beds, as well as specialized and outpatient facilities. Small communities had health centers or ambulatory service centers that were not necessarily administered as part of the hospital system. During its existence the Soviet Union took a somewhat different approach. In its thinly populated rural areas, general hospitals, called uchastok hospitals, served populations as small as 2,000 to 15,000 persons. The next-larger hospitals, the district hospitals, had 250–500 beds and usually had divisions for surgical, medical, obstetric, and pediatric services and provided care for infectious diseases. Patients who could not be treated adequately in the district hospitals were referred to the next-higher level, the regional hospital, which served a population of 1,000,000–5,000,000 people and contained up to 1,250 beds. The republic hospital, often associated with medical education and with one or more research institutes, occupied the highest level in the Soviet system. Following the dissolution of the Soviet Union, each soviet socialist republic adopted its own approach to administering and financing hospital services and health care.
  • 22. 16 Regional planning in North America historically was less advanced relative to the government- controlled systems developed elsewhere in the world. One regional pattern that was implemented in the United States was a satellite system, which centred on a metropolis and applied the principle of progressive patient care. The system focused on the efficient provision of comprehensive health care to the residents of the region. Less-serious cases were handled in the outer, more accessible health facilities of the system; the more serious cases were referred to the inner hospitals of the ring or to the research and teaching hospital at the core. The term metropolitan planning council is often used to denote an advisory planning group that coordinates services between member hospitals in a metropolitan area and decides where specialized services are to be delivered and what services or number of beds are to be added. However, in the United States most hospitals are not government-operated, and it is often difficult to achieve close cooperation between voluntary groups. In Canada through the late 1990s and early 2000s, most provinces shifted to regional health authorities, which plan, allocate resources, and apply government health policies. However, several jurisdictions favored more centralized models, with one or a small number of authorities directing the delivery of all services. Hospitals in India In India, hospitals have existed from ancient times. Even in 6th century BC, during the time of Buddha, there were a number of the hospitals to look after the handicapped and the poor. The outstanding hospitals in India at that time were those built by King Ashoka (273–232 BC). Books written by Arabian and European travellers (around AD 600) reveal that the study of medicine in India was in its bloom. The zeal of the native vaidyas for the investigation of the Indian flora slackened for want of encouragement. The invasion of foreigners in the 10th century AD brought with them their own physicians called Hakims. The use of the allopatic system of medicine commenced in the 16th century with the arrival of European missionaries. It was during the British rule that there was progress in the construction of hospitals. Organized medical training was started in the 19th. century.
  • 23. 17 Market Size of Hospitals • The Indian healthcare sector is expected to record a three-fold rise, growing at a CAGR of 22% between 2016–22 to reach US$ 372 billion in 2022 from US$ 110 billion in 2016. By FY22, Indian healthcare infrastructure is expected to reach US$ 349.1 billion. • India’s public expenditure on healthcare touched 2.1 % of GDP in FY23 and 2.2% in FY22, against 1.6% in FY21, as per the Economic Survey 2022-23. • In FY22, premiums underwritten by health insurance companies grew to Rs. 73,582.13crores (US$ 9.21 billion). The health segment has a 33.33% share in the total gross written premiums earned in the country. • The Indian medical tourism market was valued at US$ 2.89 billion in 2020 and is expected to reach US$ 13.42 billion by 2026. According to India Tourism Statistics at a Glance 2020 report, close to 697,300 foreign tourists came for medical treatment in India in FY19. India has been ranked tenth in the Medical Tourism Index (MTI) for 2020-21 out of 46 destinations by the Medical Tourism Association. • The e-health market size is estimated to reach US$ 10.6 billion by 2025. India’s healthcare sector is extremely diversified and is full of opportunities in every segment, which includes providers, payers, and medical technology. With the increase in the competition, businesses are looking to explore the latest dynamics and trends which will have a positive impact on their business. The hospital industry in India is forecast to increase to Rs. 8.6 trillion (US$ 132.84 billion) by FY22 from Rs. 4 trillion (US$ 61.79 billion) in FY17 at a CAGR of 16–17%. India is a land full of opportunities for players in the medical devices industry. The country has also become one of the leading destinations for high-end diagnostic services with tremendous capital investment for advanced diagnostic facilities, thus catering to a greater proportion of the population. Besides, Indian medical service consumers have become more conscious towards their healthcare upkeep. Rising income levels, an ageing population, growing health awareness and a changing attitude towards preventive healthcare is expected to boost healthcare services demand in the future. Greater penetration of health insurance aided the rise in healthcare spending, a trend likely to intensify in the coming decade. The Government aims to develop India as a global healthcare hub and is planning to increase public health spending to 2.5% of the country's GDP by 2025.
  • 24. 18 CHAPTER 3 3C Analysis ❖Company From MD’S desk, Dear Patients, Doctors, Clients, Brooke field Hospital is committed to do more than just providing medical care. We aim at providing exceptional & accessible health care at optimal costs to every patient with the same dignity and respect. Our specialized doctors always strive to provide guaranteed high level of quality services. Seasoned staff combined with commitment to look after the well-being of patients has made us a quality health care provider. We align with the family members of patients to provide the best care to our patients. We strongly commit to protect every right of patient and we also ensure that the patient’s privacy and confidentiality is maintained. We also re-affirm that we make stay of patients as pleasant and comfortable as possible. We work toward to build the trust among patients, so that we continue to provide our committed services as long as possible. Brooke field Hospital has state-of-the-art facilities and specialist doctors to treat all health conditions. Browse our specialities and list of consulting doctors. Best Regards - Dr T. J. Pradeep Kumar CEO Cardio-Endocrinologist
  • 25. 19 INDUSTRY: • Healthcare/ Hospital • Founded Date 2009 • Operating Status - Active • Last Funding Type Venture - Series Unknown • Also Known As Apollo Spectra Hospital • Company Type – Private ,For Profit • Brooke field Hospital is at your service 24/7. Our ambulance services, emergency care, and doctors are available round the clock. We also have certain procedures like dialysis available 24/7 History, Location and Overview Established in the year 2011, Brooke field Hospital in Kundalahalli , Bangalore is a top player in the category Hospitals in Bangalore. This well-known establishment acts as a one-stop destination servicing customers both local and from other parts of Bangalore. Over the course of its journey, this business has established a firm foothold in its industry. The belief that customer satisfaction is as important as their products and services, have helped this establishment garner a vast base of the customers, which continues to grow day by day. This business employs individuals that are dedicated towards their respective roles and put in a lot of effort to achieve the common vision and larger goals of the company. In the near future, this business aims to expand its line of the products and services and cater to a larger client base. In Bangalore, this establishment occupies a prominent location in Kundalahalli. It is an effortless task in commuting to this establishment as there are various modes of
  • 26. 20 transport readily available. It is at ITPL Main road, Whitefield, Opposite to Kalyani Platinum, next to Cosmos Mall, which makes it easy for the first-time visitors in locating this establishment. It is known to provide top service in the following categories: Hospitals, Corona virus Vaccination Centres, Multi-Speciality Hospitals, Private Hospitals, Pm jay Scheme Hospitals. Products and Services Offered: Brooke field Hospital in Kundalahalli has a wide range of products and/ or services to cater to the varied requirements of their customers. The staff at this establishment are courteous and prompt at providing any assistance. They readily answer any queries or questions that may have. Pay for the product or service with ease by using any of the available modes of payment, such as Cash, Debit Cards, Cheques, Credit Card, Amex Card. This establishment is functional from 00:00 – 23:59. Brooke field Hospital is committed to doing more than just providing medical care. They aim at providing exceptional & accessible health care at optimal costs to every patient with the same dignity and respect. MISSION, VISION AND GOALS ❖Mission Unwavering and uncompromising commitment to achieving excellence in delivering quality and compassionate health care. It promise nothing but a memorable medical experience for their valued customers in all departments of health care. ❖Vision At Brooke field hospital, their vision is to be recognized as a premiere healthcare organization and to be a preferred choice for patients, doctors and associated work force at local, regional and ultimately at the national level. ❖Goals & Objectives To provide patient centered high quality service in an effective and efficient manner, with passion and compassion in a friendly, stimulating and professional environment
  • 27. 21 ✓ Amenities • Casualty • Blood Bank • Stroke Unit • Waiting Area • Dialysis Unit • U.S(Ultrasound) • Fertility Clinic • Thyroid Check Up • 24 Hours Hospital • In House Pharmacy • Parking Available • Coronary Care Unit • Critical Care Unit • Anemia In Pregnancy • Intensive Care Unit • Online Appointments • Blood Pressure Clinic • Clinical Bio-Chemistry • Computer Vision Clinic • Assistive Vision Clinic • Liver Transplant Centre • Kidney Transplant Centre • Specialized Dialysis Unit • Intensive Critical Care Unit • 24 Hours Blood Testing Center • NICU Isolation Room Available • Beds • ICU
  • 28. 22 Services Rendered: I. Health Checkup • Advanced Cardiac Health Check up • Cancer Detection (Female) Health Check-ups • Cancer Detection (Male) Health Check-ups • General Health Check up (Mini) • Pre-Employment Health Check • Executive Health Check • IT Health Check • Cardiac Health Check • Diabetic Health Check • Well Women Health Check • Senior Citizen (Female) Health Check • Senior Citizen (Male) Health Check • Paediatric Health Check • ANC Package • Master Health Check (Male) • Master Health Check (Female) • Comprehensive Health Check Up for Men • Comprehensive Health Check Up for Female • Pre Marital Check Up(Male) • Pre Marital Check Up (Female) II. Endocrinology And Diabetes Care Brooke field Hospital Centre for Diabetes Care & Education
  • 29. 23 Brookefield Hospital has a dedicated center for Diabetes Care & Education that takes a complete holistic view in detecting and managing the disease. Our Diabetes Research Centre is one of the “Centers of Excellence” in the field of Diabetes Research and undertakes basic and clinical research in this discipline. Our goal is to enable every person with diabetes to lead a normal healthy life. Some of the facilities include: • Diabetic Kidney and Eye Care • Diabetic foot care • Diabetes neuropathy clinic • Diabetes heart evaluation • Dental care for diabetic patients • Diabetes management and education • Diabetes neuropathy clinic • Specialist consultants in OPD • Diagnostic laboratory • Nutrition and diet counseling Brooke field Hospital Endocrine Diseases The hospital has expertise and specialists to treat all types of endocrine diseases and disorders: • Adrenal disorders • Glucose homeostasis such as Diabetes, Hypoglycemia, Glucagonoma • Sex hormone disorders • Pituitary gland disorders • Pediatric endocrinology III. Cardiology And Cardiothoracic Surgery We have cardiologists and cardiac surgeons on staff supported by a team of anesthetists and critical care experts and a highly trained and experienced post operative healthcare professionals including
  • 30. 24 nursing staff and other paramedics who work together as a team to make Brookefield Heart Care a centre of excellence. Our specialists have together published several clinical papers in cardiology and cardio-thoracic surgery. Cardiac conditions: The hospital has technology and capabilities to treat several cardiac conditions including: • Coronary Artery Disease (CAD) • Heart failures • Carotid Artery Disease/ Stroke • Valve dysfunctions • Aorta diseases • Arrhythmias (Abnormal or irregular heart rhythms) IV. Joint replacement and trauma care Orthopaedics and Trauma Care o Bone and Joint Care Brooke field Hospital is equipped to treat all types of muscular, bone and skeletal problems ranging from Trauma Surgery to Minimally Invasive Arthroscopy Surgery. The hospital specializes in surgery for joint replacements, knee surgeries, spine surgeries and physical therapy for rehabilitation. Technology and equipment available include : • State-of –the art Operation Theatre • Diagnostic equipment for scanning and x-ray • ICU dedicated for Trauma care o Joint Replacement Surgeries The hospital specializes in joint replacement surgeries and treating orthopedics conditions such as: • Hip and Knee replacement procedures • Hand & Wrist disorders including birth defects, trauma, and deformities • Trauma / Fractures and joints tendon injuries
  • 31. 25 • Sports injuries, ligament tears • Arthroscopic procedures • Arthritis, Osteoarthritis • Physiotherapy and rehabilitation V. Medical and surgical Gastroenterology Gastroenterology and Laparoscopic Surgery. Brooke field Hospital provides a complete range of diagnosis and treatment of gastrointestinal diseases. Our team of specialist doctors in endoscopy and gastroenterology use advanced diagnostic and treatment techniques such as video endoscopes – gastro copy and colonoscopy. Some of the types of conditions we have treated include: • Stomach conditions such as ulcers, nausea/vomiting and cancer • Pancreatic conditions such as pancreatitis, cystic fibrosis, cysts etc. • Diseases of liver and bile ducts like duct stones, hepatitis and liver disease • Diseases of the Small Intestine like bowel syndrome, ulcers, and celiac disease • Gastrointestinal disorders like IBS (Irritable Bowel Syndrome) Laparoscopic Surgery Laparoscopic surgery, also called minimally invasive surgery (MIS) is a modern surgical technique in which operations in the abdomen are performed through small incisions (usually 0.5 to 1.5 cm) where the recovery time is very fast and patients feel less pain, and involves less hospitalization. Some of the surgeries conducted include • Diagnostic Laparoscopy • Partial Mastectomy, Hysterectomy • Hernia repair • Liver biopsy and Nephrectomise
  • 32. 26 • Laparoscopic assisted vaginal surgeries e.g.- Fibroid, Ovarian cyst VI. Nephrology and Neurosurgery Brooke field Hospital has specialist doctors and technology available for diagnosis and treatment of all categories of disease involving the central, peripheral, and autonomic nervous systems. The hospital provides a complete range of diagnostic, therapeutics, surgical and rehabilitation services for treatment and management of neurological disorders including: • Neuron Vascular disorders such as stroke, brain aneurysms, vacuities, spinal vascular malformations etc. • Epilepsy and other movement disorders • Muscular disorders such as muscular dystrophy, spinal muscular atrophy, peripheral neuropathy • Multiple sclerosis • Headaches and Migraine • Chronic pain rehab programs The hospital well equipped with sophisticated and advanced technological aids to assist in diagnosis and management of neurological disorders: • MRI & MRA scanning • EEG (Electro Encephalography) • Spiral CT / 3D CT • State of art operation theatres • 24/7 diagnostics laboratory VII. Dental surgery and cosmetic dentistry Dental Care- The health science that deals with prevention and treatment of damage and disease to the oral cavity and its adjoining structures is known as Dentistry. Some of the procedures available are:
  • 33. 27 • Tooth Whitening including in surgery power whitening • Dental Crowns • White Fillings • Dental Bridges VIII. Obstetrics, IVF and Paediatric Obstetrics & Woman Health - In Vitro Fertilization (IVF) Brooke field Hospital works as your partner throughout your pregnancy offering all the services you will need through this important and life changing experience. We provide the full range of services including full antenatal care, your preferred or medically suggested delivery option and postnatal care. All major surgeries like hysterectomy, Caesarean section, etc. are being done routinely. Some of the facilities include: • Diagnosis laboratory with scanning and 4D ultrasound • Specialist doctors in OPD • Birthing suites (LDR Rooms) • State of the art operation theatres • Dedicated NICU to handle premature babies and other birth conditions • Laparoscopy, and hysteroscopy • Lactation consultant services • 24/7 pharmacy and laboratory The hospital has expertise and specialists to treat infertility using different methods such as assisted reproductive technology (ART), Artificial insemination, Intra cytoplasm Sperm Injection (ICSI), Ovulation induction and IVF. The hospital acts as a one-stop treatment solution for all stages of IVF including – preparation, fertility evaluation, egg collection, fertilization, embryo development, embryo transfer and pregnancy. Some of the services available at the hospital include: • IUI Package (Intrauterine Insemination)
  • 34. 28 • IVF Package (In Vitro Fertilization) • ICSI Package (Intra cytoplasm Sperm Injection) • Fertility evaluation such as semen analysis, hysteroscopy • HSG without anesthesia • Embryo transfer with anesthesia IX. Physiotheraphy Care Physiotherapy Care- Brooke field Hospital has a dedicated centre for Physiotherapy Care. Some of the facilities include: • Short wave diathermy (SWD) • Inferential therapy (IFT) • USG • Physical Therapy • Manual Therapy • Sports Medicine • Rehabilitation in Bangalore • Dry needling • Physiotherapy package • Back rehab package • Knee rehab package • Neck & Shoulder Rehab package • Sports package • Diabetic Rehab & Prevention package • Ligament injury Pre & Post Rehab package • Fracture Rehab package • Posture correction package
  • 35. 29 • Performance Enhancement (Golf, Running, cricket, football,) • Taping X. Cancer care facility Cancer Surgeries – Brooke field Hospital uses a multidisciplinary approach for the treatment of patients suffering from cancer. The cancer centre has the expertise to perform full range of cancer surgeries. It offers complete range of chemotherapies in an inpatient as well as day care setting. Technology and equipment available include: • State-of-the-art Operation Theatres • Diagnostic equipment for CT scan, X-rays, blood tests and endoscopes • Specialist consultants in OPD Cancer Checks- The hospital specializes in diagnosis and treatment of different types of cancer situations: • Cancer checks and diagnosis • Preventive care (includes various screening procedures for early detection) • Breast related cancers and re-construction • Bone, lung, liver cancers • Prostate and Rectal cancers • Surgical oncology procedure • Paediatric oncology Services • Pain and palliative care XI. Dermatology and Maxillofacial surgery Maxillofacial Services
  • 36. 30 At Brooke field, this super-specialty that deals with management of deformity, trauma and pathology of the skull and facial regions. With many consultant maxilla facial and dental surgeons, our team offers a range of procedures that include: • Maxilla facial trauma and surgery • Craniofacial fractures involving bones of skull and face • Reconstructive surgery • Cancer/tumour surgery • Dental surgery and dental implants • Congenital anomaly correction Skin care-The hospital has expertise and specialists to treat all types of skin conditions, diseases as well as conditions related to hair, scalp etc.: • Allergy testing • Skin allergies such as acne • Laser therapy for birth marks, skin disorders, tattoo removal etc. • Cryosurgery for removal of warts and other skin conditions • Cosmetic filler injections • Chemical Peeling XII. Beast service A SINGLE STEP TO SAVE A PRECIOUS LIFE “Medical professionals, world over, from time immemorial, have been harping on the importance of TIME in case of medical emergencies. The Medical fraternity, on their part, have spoken of and publicized, on various platforms, the importance of reaching professional medical help to the effected in the shortest possible time, especially within the “Golden Hour”. Despite this, a large number of the effected continue to reach hospitals late either in a state of “brought
  • 37. 31 dead” or “beyond revival”. The cause of delay in reaching the hospital can be attributed to the initial commotion and turmoil at the individual’s residence in searching for telephone numbers of hospitals/ambulances & passing on information of address & medical condition of patient. Activating the ambulance, briefing the staff of the location and condition of patient; ambulance negotiating through traffic and searching for the address adds tremendously to the time factor. Shifting of the stretcher borne unstable critical patient through small capacity lifts or very narrow winding stair cases to the ambulance takes its toll on the patient’s health condition and contributes to time. The final evacuating process completes with the ambulance reaching the hospital through traffic hurdles exhausting most or all of the “Golden Hour”. - Dr. Pradeep T.J Alive in the above backdrop Brooke field Hospital has enunciated and put in place a scheme to ensure maximum time of the “Golden Hour” is used optimally. The scheme nick named “BEAST” has been put together by putting together Man, Machine, Technology, Medical Equipment and Medicines together to form a composite, comprehensive & cohesive team with the sole objective of reaching out to patients with expert medical assistance at the earliest possible time by overcoming all inherent obstacles so as to optimally utilise the Golden hour thereby substantially increasing the survival chances ❖ Customers The customers of Brooke field Hospital are its patients or an individuals who seek medical care and treatment for various health concerns. They are people of different ages, from children to adults, who require medical attention for illness, injuries, or any other medical conditions. Brooke field Hospital serves a wide range of patients, providing them with healthcare services and support. Brooke field Hospital in Kundalahalli has a wide range of products and/ or services to cater to the varied requirements of their customers. The staff at this establishment are courteous and prompt at providing any assistance. They readily answer any queries or questions that may have. Pay for the product or service with ease by using any of the available modes of payment, such as Cash, Debit Cards, Cheques, Credit Card, and Amex Card. This establishment is functional from 00:00 – 23:59.
  • 38. 32 Brooke field Hospital is committed to doing more than just providing medical care. They aim at providing exceptional & accessible health care at optimal costs to every patient with the same dignity and respect. The patients feel comfortable in the pleasant hospital environment. Any concern of patients and their family members are addressed promptly. All the activities and operations at Brooke field are fully transparent. Brooke field is a centre of excellence in cardiology and vascular surgery. The hospital also has a state-of-the-art operation theatre to perform cancer surgeries. Moreover, a centre of excellence in diabetes research also operates from the hospital, which performs basic and clinical research in diabetes. A wide range of healthcare facilities are offered at Brooke field. The cardiothoracic and vascular surgery department offers treatment for complex heart problems such as valve dysfunctions, aorta diseases, coronary artery disease, and arrhythmias. The oncology department at Brooke field offer surgeries for various cancers such as bone, lung, liver cancers, pediatric oncology services, breast related cancers and re-construction, and prostate and rectal cancers. The gastroenterology department performs laparoscopic or minimally invasive surgeries such as liver biopsy and hernia repair, laparoscopic minilab surgeries, laparoscopic assisted vaginal surgeries for the treatment of fibroid, and ovarian cyst, , and hysterectomy. The treatment for several diseases of the small intestine like bowel syndrome, ulcers, and celiac disease, liver and bile ducts like duct stones, hepatitis, liver disease, pancreatitis, cystic fibrosis, and cysts is also available at Brooke field. Asthma Symptoms: Asthma is a chronic respiratory condition that affects millions of people worldwide. It is characterized by inflammation and narrowing of the airways, leading to breathing difficulties. Identifying asthma symptoms is crucial for early diagnosis and effective management of the condition. • Patients for Health Check up • Endocrinology & Diabetes Care Patients • Cardiology & Cardiothoracic Surgery Patients • Joint Replacement & Trauma Care Patients
  • 39. 33 • Medical & Surgical Gastroenterology Patients • Nephrology & Urology Patients • Neurology & Neurosurgery Patients • Patients of Dental Surgery & Cosmetic Dentistry • Obstetrics, IVF & Paediatric Patients • Cancer Patients • Dermatology & Maxillofacial Surgery Patients • Others Beast Emergency Service What Is BEAST ? Brooke field Hospital has launched a two-wheeler ambulance service called ‘BEAST’ to reach essential medical care during the ‘golden hour’ post accidents. Negotiating Bangalore traffic can be traumatic but the Brooke field Hospital has devised a solution, at least for patients needing emergency care. A Two-wheeler ambulance service has been launched, promising to cut time for patients needing instant response. Equipped with life-saving drugs, oxygen cylinders and trained paramedic drivers, the motorbike ambulances are meant to provide emergency medical care to patients till a fully equipped ambulance arrives. The Hospital Promises 3-5 minutes is all that will be needed for the two-wheeler ambulances to reach a patient in need. The Two-wheeler ambulance will be equipped with splints to immobilize broken bones and stabilize cervical spine (the area most susceptible part to injury in a road accident). WHY BEAST ? - There are thousands of automobiles blocking the traffic, resulting in time being lost. The two-wheeler ambulance can attend to the immediate needs, while the four-wheeler ambulance follows if there is further assistance required. We will be able to reach much faster. The bike has immediate first aid. A life can be saved even if the four-wheeler ambulance arrives late. That’s a comforting thought considering that the biggest challenge for health services is to deal with the city traffic, which can be life-threatening in more ways than one. The two-wheeler ambulance has a first-aid kit using which the rider of the vehicle would provide needed medical care to the patient before shifted him/her to a four-wheeler ambulance.
  • 40. 34 ➢ Competitors ➢ Vydehi Institute of Medical Sciences and Research Centre (VIMS) Vydehi Institute of Medical Sciences and Research Centre houses one of the best hospitals and leading medical institutes in Bangalore. VIMS with global standards provides a various range of medical services with 1600 bedded multi-specialty hospital, 24*7 Emergency unit, Critical Care Unit, Blood Bank, Lab, and Ambulance Services, Vydehi Ayurveda, etc. Well-trained, highly-qualified healthcare professionals and consultants are available at VIMS. VIMS aims for world-class, state-of- the-art healthcare services. VIMS has carved a niche in the field of healthcare and medical education for itself on par with global standards. VIMS delivers quality healthcare whilst offering a varied range of medical services, including alternative healing techniques such as authentic Ayurvedic experience through Vydehi Ayurveda. Vydehi is a 1600 bedded multi-specialty hospital, where we are at your constant beck and call, 24*7 with our Emergency, Critical Care Unit, Blood Bank, Lab, and Ambulance Services. VIMS is proud of its exceptional well-trained, highly-qualified healthcare professionals, who uphold our vision of providing world-class, state-of-the-art healthcare services through its infrastructure. Our primary goal is to touch the lives of all by promoting health to not just urban, but also the rural, underprivileged communities. Vydehi endeavours to rise above the realm of therapeutic care, focusing on preventive care, to bring the best health care to the community. Yashaswini Farmer’s Co-operative Health Insurance Scheme, promoted by Government of Karnataka, is an innovative effort to provide world class healthcare at the lowest possible cost, Vydehi Hospital is identified as a responsible partner in this path breaking venture. Vydehi hospital today is known as an integrated healthcare provider with its exceptional clinical success rates and superior technology. It is committed to provide superior healthcare services of international standards in a comprehensive manner to every individual with an emphasis on quality,
  • 41. 35 service excellence, empathy and respect. The hospital aims at providing tomorrow’s treatment today by deploying State-of-the art facilities and equipments, by providing affordable health care of unmatched quality and by embracing change and encouraging innovation. The hospital provides free services to the poor and needy that includes – free treatment, surgeries, free medicines, diagnostics and follow up care. The Institute provides services similar to Brooke field Hospital but at cheaper cost than Brooke field Hospital. At this institution it is students practicing at the hospital an gaining practical experience. ➢ Appolo Maternity Hospital in Brooke field, Bangalore Maternity Hospital in Brooke field, Bangalore, with 50,000 square ft Apollo Cradle Brookfield is one of the largest exclusive facilities in the city for Women and Children. Carefully built to suit every woman, mother-to-be and baby’s physical and emotional needs, this sprawling facility is designed to ensure patient delight. The 50 bed facility is a hub of advanced equipment and technology to ensure positive clinical outcomes. With fully automated beds for patient’s comfort, in-house multi cuisine dining, a gym and a warm ambience we are always on our toes to ensure our mummies feel at home. The highly sophisticated level III NICU (Neonatal Intensive Care Unit) provides highest level of care for newborns. Supporting babies weighing as little as 550 grams, babies born with critical illness and babies requiring ventilator support. We ensure your baby is always in safe hands Apollo Cradle Brookfield has 3 operations theatres with best in industry equipment’s to support gynaecological procedures. Apollo Cradle Brookfield also houses Apollo Fertility. With the best consultants in town our motto is ‘when science meets hope, beautiful things can happen! Boasting of a consultant panel of over 50 of Bangalore’s best consultants, Apollo Cradle maternity hospital in Brooke field, Bangalore is a hub of excellence in women and child health care. The Apollo Cradle Hospital prioritises safety, which is what distinguishes it as a high-end maternity hospital in Bangalore and other cities. Its medical infrastructure and facilities adhere to international safety and efficiency protocols. This hospital has a Neonatal Intensive Care Unit for newborn who require extra attention. Apollo Cradle Hospital has a High Dependency Unit for patients who require
  • 42. 36 close monitoring. If a mother requires temporary intensive care, she is stabilised in HDU so that doctors can closely monitor her and transfer her to Apollo hospital in the event of an emergency. Apollo Hospital is located next to Brooke field Hospital but when compared the patient inflow at Brooke field Hospital is more, as Apollo Cradle Hospital is well known for its maternity service and infant care. ➢ Aayug Multispeciality Hospital 1. Located at AECS layout, spread over an area of 12000 square ft. 2. The vision of the hospital is to serve the patients with utmost care and concern while preserving human touch. 3. Aayug Multi Speciality Hospital is a speciality hospital designed and executed by medically experienced professional. 4. Complete management of the day to day activities is done by dedicated medical experts. 5. Patients are treated with care, Hospital has the facility to take care of the needs of the patients. 6. At Aayug Multi Speciality Hospital each patient receives individual attention resulting in complete satisfaction, & the treating consultant is aware of their problems which help them to manage their condition properly; which generally are evaded from the patient in a corporate hospital. All these are carried out with human touch and at an affordable and reasonable cost. With the perfect diagnosis and correct treatment, patient recover faster. 7. Providing with the right spirit to one and all under one roof. 8. Easy accessibility to patients; Affordability to all sections is our prime concern Aayug Hospital is located very near to Brooke field Hospital and renders similar services but is in different lane/street. Since Brooke field Hospital is located at the main road the patient access is more here in case of emergency. The cost of service is same. ➢ Yashomati Hospitals Private Ltd 1. Yashomati Hospitals Private Ltd has been operational since October 2010 spread over an area of 1.7lakh Sq ft land and building owned by the company covering all amenities.
  • 43. 37 2. 217 beds with wards/ rooms ranging from Economy Class, Semi-Private Wards, Private Wards, Deluxe Rooms and Suites with well furnished top class equipment. 3. 24 hrs facilities like Laboratory, Pharmacy, Blood Bank and Emergency Services are provided at this hospital 4. ICU with 52 beds covering Cardiac, Medical, Surgical, Pediatric and Neonatal ICU is rendered. 5. 9 specialized operation theatres covering Cardiac, Neuron, Orthopedic/ Trauma Care & General Surgery are provided. 6. High-end cardiac CT and 1.5Telsa volume MRI scanning are made available. 7. Prenatal Care, Child Caring & Maternity Care with nursing suites are been provided. 8. In-house cafeteria, well organized and well equipped headed by a Senior Dietician with well- trained chefs. It is located on an arterial road, with prime frontage, in Marathahalli – Whitefield area, the most prominent IT suburb in Bangalore connecting all hotspots. 9. Patient’s occupancies reached a level of 40% by the first-year end and subsequently raising evenly on a monthly level. Yashomati Hospital is tie-up of Aayug Hospital located in main road at Kundalahalli Gate which provides similar services and is one of the biggest competitor of Brookefield Hospital. ➢ RXDX RxDx Healthcare is a Bangalore-based NABH-NABL accredited Multispecialty Healthcare chain. Founded in 2007, our company practices the core principles of delivering the best health outcomes, at the optimal cost, with the utmost patient satisfaction. Two main hubs of RxDx are located at Whitefield and Malleswaram. Our peripheral branches are in Kadugodi, Siddapura, ITPL (within the tech park), and Brooke field (in partnership with the Say Dhanvantri Trust). In 2023, we have set up two new centres, one in the bustling Dommasandra circle, and the latest in the Diamond District, Domlur. Including corporate tie-ups, we have around 30 medical centres all over Bangalore. Doctors from over 35 disciplines practice at our facilities. We have a global presence through our large pool of teleconsultants. We bring healthcare at home for patients unable to visit our facilities. Our centres are equipped with a well-stocked pharmacy, state-of-the-art radiology & lab. We partner with
  • 44. 38 corporate, institutions, sports federations, and social organisations to provide them with healthcare services. RxDx has provided extensive COVID care services like testing, remote medical care, and vaccination drives in Bangalore and beyond. RxDx turns to be strong competitor of Brooke field Hospital as they provide similar services but vary in distance. ➢ Sri Sathya Sai Hospital Started by Bhagawan Sri Sathya Sai Baba in the year 2001, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield is 4th such venture of Sri Sathya Sai Central Trust, to provide best of the best, high quality medical and surgical care to the poorest of the poor patient, free of cost, without any discrimination based on caste, creed or nationality. It is a 333-bedded tertiary care hospital inaugurated by the then Prime Minister of India, Sri Atal Behari Vajpayee, it is located in the picturesque suburbs of Whitefield in the garden city of Bangalore, Karnataka, India. Shaped in the form of letter K, the Hospital stands for Karuna or compassion and has been successful in healing thousands of diseased hearts and brains and returning to the society a healthy and grateful individual touched by spirit of sacrifice and transformed to make a difference to the fellow human beings. Sri Sathya Sai Institute of Higher Medical Sciences is equipped with state- of-art diagnostic and treatment facilities, highly skilled medical, nursing and paramedical professionals delivering care with love and compassion, in a clean, aesthetic and spiritual environment ensuring that healing happens in body, mind and spirit. Infrastructure wise, Hospital has state of the art 1.5 Tesla Siemens MagnetomAera MRI Scanner, 128 slice HD 750 GE CT Scanner, Siemens Artis Zee Biplane Cath Lab, Philips Monoplane Cathlab, Medtronic S7 Neuro-navigation system, 8 fully equipped operation theaters, automated biochemistry and microbiology analyzers, high end diagnostic Cardiology equipment, full blown Hospital Information System eHIS from Computer Science Corporation and Fuji Synapse PACS system. Apart from patient care, Hospital is also active creating next generation
  • 45. 39 of doctors, nurses and technologists. Hospital has a very active post graduate and post doctoral programs affiliated to National Board of Examinations providing DNB in Cardiac Surgery, Neurosurgery, Cardiology, Anesthesiology and Radiology. Additionally Hospital also has post doctoral fellowships in Interventional Cardiology, Cardiac Anesthesia, Critical Care Anesthesia and Cross sectional imaging. In the paramedical field, Hospital provides B.Sc Nursing, B.Sc Imaging Technology, B.Sc Perfusion Technology, B.Sc Anesthesia Technology, B.Sc Cardiac Technology and B.Sc Medical Laboratory Technology. Sri Sathya Sai Central Trust, Prasanthi Nil yam is perhaps the only charitable trust in INDIA to offer complete medical care including consultation, diagnosis, comprehensive treatment and follow – up and diet at the primary, secondary and tertiary levels to all patients free of all charges irrespective of his caste, creed, religion or economic status. The founder, Bhagawan Sri Sathya Sai Baba has established the Trust with the motto of Service to man is service to GOD and with the mission of providing free and quality health care to all patients. ➢ Columbia Asia Hospital/ Manipal varthur 1. Columbia Asia Hospital, Bangalore is an international healthcare group operating a chain of modern hospitals across Asia. 2. Columbia Asia Hospitals Pvt. Limited is one of the first healthcare companies to enter India through a 100% foreign direct investment (FDI) route. The Columbia Asia Group is owned by more than 150 private equity companies, fund management organizations, and individual investors. 3. The hospitals of Columbia Asia are clean, efficient, customer care, affordable and accessible. The innovative design of the hospitals, from their convenient size to their advanced technology, is focused on creating a positive experience for patients. 4. Columbia Asia Hospitals, Bangalore has an International standard infrastructure and follows globally benchmarked standards of medical, nursing and operating protocols making it the preferred healthcare destination for patients from around the world. 5. The Columbia Asia Pvt. Ltd. centre has a high-end NICU and PICU facility available.
  • 46. 40 6. The area of special expertise of Columbia Asia hospitals includes Audiology, Anthology, Bariatric Surgery, Clinical Haematology, IVF, Internal Medicine, Intensive Care/Critical Care, Medical & Surgical Oncology, Neurology & Neurosurgery, Nephrology, Neonatology, Pulmonologist, Rheumatology & Paediatric Rheumatology, Renal Transplant, Surgical GI, Urology, and Vascular Surgery. 7. Columbia Asia Hospital's International Patient Service offers a wide range of clinical specialties. The hospital has a team of qualified and highly experienced doctors supported by high end technology and infrastructure, which enables us to provide the best possible medical care at affordable cost. 8. They have a International Patient helpdesk that understands the special needs of foreign patients and provides special attention and personalized services to them . 9. Columbia Asia hospital has a 128-slice CT machine. 10.It has a digitized radiography & an interventional radiology unit. 11.The hospital has 24 hour pharmacy, ambulance and laboratory services Columbia Asia Hospital near Sarjapura is a multispecialty hospital which provides all types of healthcare facilities. It is similar to Brooke field hospital. Both Hospitals aim to offer a wide range of medical specialties and services to cater to diversify the needs of their patients. Therefore, Columbia Asia Hospital is one of the competitor of Brooke field Hospital. Brooke field Hospital is located in Kundalahalli, Brooke field main road. It is a multispecialty hospital which is one of the reputed hospitals in Bangalore and well known for customer service and quality service. The hospital is surrounded by many other small and big clinics, pharmacies and hospitals, which is a challenge for the hospital to attract patients. The hospitals and pharmacies surrounding Brooke field Hospital provide services similar to Brooke field Hospital. The local people have access to clinic near their locality which reduces patient inflow in the hospital pharmacy. Also there are many vendors of similar products, these vendors might be supplying same products to Brooke field Hospital’s competitors as well. Brooke field Hospital should keep in mind all these competitors and challenges in order to attract patients by adopting technical advancements, engage in community awareness through healthcare camps, etc.
  • 47. 41 CHAPTER 4 Oganizational Structure Chairman Medical Director Managing Director Marketing Manager Nursing Superintendent Medical superintendent Operations Manager HR Manager IT Manager Pharmacy Manager Operation Theatre In charge Nursing Supervisor Nurses Trainees Training Manager Consultants Duty Doctors Facility Manager Front Office Manager Billing Manager Accounts Executive House Keeping Security Food and Linen Other Services - Pest, TV, Water, Current Maintenance - Plumbing, Electricity, Repairs, Medicines, Gas Cylinders Front Office Reception Cashier IP Billing Insurance Billing Department Manager • Radiology • OT • Physiotherapy • Casualty • OPD • Lab • Dialysis • Dental • Other Department Heads Shift Nurses
  • 48. 42 Brooke field Hospital is a Private Entity located in main road at Brooke field, Bangalore. The Hospital has a Chairman who guides the board’s work to achieve the annual objectives and strategic plans of the hospital. Brooke field has two directors who are the owners of the entity, one being the Medical Director who guides the medical department and the other being the Managing Director who manages the operations of the firm. Both have control on the marketing department which is essential for hospital’s growth to familiarize people about the hospital. Brooke field Hospital delivers best quality service possible to its patients. It’s Marketing Team actively works to update the Hospital profile on social media to spread awareness about the hospital and various treatments and services rendered at Brooke field to attract more people. They also conduct medical health camps to spread awareness. The Medical Director of the Hospital has Nursing Superintendent and Medical Superintendent under it, which consists of nursing staff and Trainees. The Head of Nursing department supervises the nursing staff and oversees patient care. The nursing department is responsible for recording and monitoring a patient's vital signs. Promoting well-being by educating patients on self-care techniques. Consulting with doctors and other medical staff to determine the optimal treatment plan. The accountants department works in minimizing the burden of taxes, maintaining the record of medical accounts payable and receivable, conducting accounting review, audits etc. It is essential for them to maintain these records as it will assist the business for future analysis. The accounts team keeps records of the bills and invoices and is responsible to prepare vouchers and cheques for the payment to vendors for the benefit received. Brooke field Hospital has Cashless Insurance Service. Any patient having insurance policy in his name can claim for insurance at the time of admission to take this benefit. He can fill the TPA form to claim for admission. Patients who are admitted and do not have insurance can also get insurance admission registration done at the time of admission to avail this service. We have refund and reimbursement policy at insurance desk. The Hospital Consists of Training Manager who supervises the work to be done and is responsible to maintain the hospital clean and tidy. It has housekeeping, security and maintenance department etc to keep the functioning of the hospital smooth.
  • 49. 43 CHAPTER 5 SWOC Strengths. Brooke field Hospital has numerous strengths that help it to thrive in the market place and protect its market share. Customer Satisfaction: Brooke field Hospital satisfies its patients by providing quality work/treatment. It is first choice to consult with a Qualified and Experienced Doctor and all doctors here are experienced and highly qualified. BEAST Service: It is an emergency service rendered by Brooke field hospital to its patients. It has launched a two-wheeler ambulance service called ‘BEAST’ to reach essential medical care during the ‘golden hour’ post accidents. The Two-wheeler ambulance is equipped with splints to immobilize broken bones and stabilize cervical spine (the area most susceptible pat to injury in a road accident). Qualified and experienced Consults: All the consultant doctors here are highly qualified and experienced, including the nursing staff, OPD staff, consultant doctors etc. Pharmacy: It has its own Pharmacy located in the ground floor of its building which operates 24/7. Insurance Service: Brooke field Hospital provides insurance service to the one who is insured and also helps with new insurance registration as well. Technology: Brooke field Hospital adopts new technologies to stay updated with upcoming technologies to provide its patients with quality service. 24/7 services: Emergency & Trauma Care, Diagnostics & Laboratory, Dialysis, Dental Surgery, Well stocked Pharmacy, Ambulance Service. Reliable suppliers – It has a strong base of reliable supplier of raw material thus enabling the company to overcome any supply chain bottlenecks.
  • 50. 44 Strong Brand Portfolio – Over the years Brookfield has invested in building a strong brand portfolio. This brand portfolio can be extremely useful if the organization wants to expand into new product categories. Weakness of Brookfield Weakness are the areas where Brookfield can improve upon and build on its competitive advantage and strategic positioning. Limited resources- sometimes the hospital may run in shortage of funds as replacing or acquiring new medical equipments and machines are expensive, and other expenses are also to be looked upon. Limited outreach: If the hospital does not activity engage with local community and does not refer other physicians or health care it may struggle in attracting patients. Competitors- Brooke field Hospital is surrounded by many other small clinics, hospitals and Pharmacies which provide similar services. Expensive: Due to the expensive services, local patients are not able to afford it. Opportunities Chances to grow and improve Health insurance tie-ups – Partnering with insurance companies can increase patient flow as they will have health insurance coverage of their treatment. Medical research and clinical trials- it can explore to participate in medical research studies and clinical trials, It not only enhances one’s medical knowledge but also increases the institutions reputation. Collaboration- Tie up or partnering with vendors, insurance providers, hospital, diagnostic centres etc.
  • 51. 45 Technical advancements- adopting new upcoming innovative technologies is helpful in providing quality service. E.g.- software updates, machines systems etc. Vendors- entrance of new suppliers of similar product or consumables has given Brooke field the opportunity to choose suppliers with good moral. Freedom of choice- Since there are many sellers of similar products Brooke field has choice to choose its supplier. Telemedicine services: reduced physical visits to hospitals, telemedicine allows the patients to consult the doctors remotely Community outreach programme: can conduct health camps, medical check-ups etc which will increase awareness about the hospital in the community and built trust in local population. Challenges Financial Challenge: Running a hospital is expensive, with costs including staff salary, medical equipment, maintenance etc. It faces a challenge to ensure to have sufficient funds to run its operations. Staffing Challenge- Recruiting trustworthy candidates and retaining qualified professionals. New entrance –increased number of industry over the years has put downward pressure on not only profitability but also on overall sales. Distributors- Growing strengths of local distributors also presents a threat as the competitors pay higher margins to the local distributors. Online- Changing consumer buying behavior from online channel could be a threat to the existing physical infrastructure .
  • 52. 46 CHAPTER 6 Learning outcomes: As an intern at Brooke field Hospital I gained valuable learning and experiences that have shaped me into polite, and friendly person. Some of the key takeaways from Brooke field Hospital are: Team Work: As hospital institutions are large in size there is need of proper communication and co- ordination among the team mates to complete the given task. I learnt team work and collaboration with team mates and completed the assigned duty with accuracy. Professionalism - As an intern at Hospital I learnt to be polite, empathetic and had been professional in my code of conduct. Billing- I learnt how to generate bills and receipts of the inside and outside patients at hospital pharmacy. Medicine Knowledge- during the internship tenure I had also been to the hospital pharmacy and gained knowledge in medicine. I learnt to bill and give the medicines to the patients prescribed by the consultant doctors. Store Management- as an intern I worked with the senior store management staff and helped in checking and preparing list of hospital store stocks. Store stock book- manual entry of the stocks and distributed indent items in the store stock register book. Printing and scanning- I learnt to print and scan documents, invoices, bills etc. Preparing Vouchers- I learnt to write payment vouchers and arranged them in order according to voucher number.
  • 53. 47 Medication Dispensing and management- Developed a thorough understanding of medication dispensing process, inventory management, to ensure safe and accurate delivery of medications to the patients. Pharmacy law and regulation- Developed an understanding in pharmacy medicines. Understood which medicines come under schedule H1 and those which cannot be dispensed to the outside patients without doctor’s prescription. Ethical Conduct- understand patients privacy and maintain confidentiality of information. Organizing documents- helped the accounts, finance and HRM team in organizing the documents according to financial year ledger- arranged the invoices according to their date and GRN Number wise and at the end of the month recording the ledger number on the invoice bills. Deficiency Sheet- writing the deficiency of the pharmacy counter and reception counter in cash, card and phone pay modes of payments/transactions. Indents- distributing weekly indents to the hospital staff. Bank challan- filling the NEFT challan form for cash deposits. Communication- developed professional communication skills through the internship course time by communicating with the vendors and pharmacy patients. Placing order- placing online order to vendors to supply medicines and required items in pharmacy. Organizing and distributing indents- Organized and arranged the medicines in place. Gave indents to the nursing staff to treat the patients admitted in the hospital.
  • 54. 48 CHAPTER 7 Conclusion Being a B.com graduate it was a wonderful and experiential learning in medical field at Brooke field Hospital. I was both excited and scared on my first day. I was curious about everything that I could see, smell and hear. I was excited because everything was new to me. The office was very quiet, all the staff members were concentrated and doing their work. Everything in the office was organized very well. Overall, my internship at Brooke field Hospital proved to be an invaluable learning experience. It allowed me to apply my theoretical knowledge gained during my studies to apply in real world situations. I developed a deeper understanding of accounts, finance and pharmacy departments and their vital role in efficient functioning in healthcare institutions. I learnt to manage stocks, place order to vendors of pharmacy and store items. Distributed items stocks to the hospital staff. Managed arranged files and documents in financial year. Maintained employee files and documentation. Organized files in MRD. Learnt to print, scan documents and invoices. The environment of hospital is calm, tidy and silent, gained invaluable skills by being an hospital intern. The hospital has shaped me into a calm, polite person. Developed communicational skills and developed understanding in pharmacy medicines. Learnt to dispense medicines prescribed by consultants , developed understanding in H1 schedule medicines. Learnt to dispense medicines of cold, fever, cough, gastric etc. Came across names of new tablets, syrups, ointments etc. Interacted with different customers and developed understanding in customer behavior. This internship not only enhanced my technical skills but also improved my communication, team work and problem solving abilities. I am grateful to the management and office staff team to give me an opportunity to be a part of their institution and guide me in learning new things and gaining experience in medical field. I ensure confidentiality of hospital information and this internship has given me many learning which will be useful and I can apply them in my future endeavors.