2. INDEX
SR NO TOPIC PAGE NO
1 HOSPITAL PROFILE
2 AIM AND OBJECTIVE OF STUDY
3 INTRODUCTION TO TOPIC
4 RESEARCH METHODOLOGY
5 PROCESS OF INPATIENT ADMISSION
6 BED CATEGORY
7 TARRIF LIST FOR BED
3. INDEX
SR NO TOPIC PAGE NO
8 DATE WISE TOTAL NO OF ADMISSION
9 EMPANELLED TPA
10 COMPANY/CORPORATE EMPANALMENT
11 PATIENT ADMITTED AS PER CATEGORY
12 PATIENT ADMITTED AS PER NON AVAILABILITY
13 REVENUE LOSS ANALYSIS
14 PATIENT RETURN DUE TO NON AVAILABILITY OF BED
4. INDEX
SR NO TOPIC PAGE NO
15 CAUSE AND EFFECT OF NON AVAILABILITY OF BED
16 OBSERVATION
17 RECOMMANDATION
18 BIBOLOGRAPHY
5. A MOVEMENT CALLED ‘CARE’ TOOK BIRTH IN THE YEAR 1997, WHEN PADMASHRI
DR. B. SOMA RAJU LED A TEAM OF MEDICAL PROFESSIONALS TO SET UP THE
FIRST CARE HOSPITAL. IT OPENED A NEW CHAPTER IN THE HISTORY OF HEALTH
CARE. THE DRIVING FORCE OF COMPASSION, CONCERN, CARE, COUPLED WITH
SINGLE MINDED OBJECTIVE - THE RECOVERY OF THE PATIENT IS BEEN THE
FOUNTAINHEAD OF INSPIRATION. TODAY, WITHIN A SPAN OF 10 YEARS, CARE HAS
EMERGED AS THE LEADING NAME IN HEALTH CARE AND HAS EARNED A
REPUTATION FOR HUMANITARIAN AND SELF LESS SERVICE. BUT, MOST
IMPORTANTLY, CARE HAS THE UNDIVIDED FAITH OF MILLIONS.
THE ORIGINS OF CARE CAN BE TRACED TO 1983 WHEN A TEAM OF
CARDIOLOGISTS, LED BY PADMASHRI DR. B SOMA RAJU, SET UP A SYNERGY FOR
PROFESSIONAL EXCELLENCE IN THE CARDIOLOGY DEPARTMENT OF THE NIZAM’S
INSTITUTE OF MEDICAL SCIENCES (NIMS) IN HYDERABAD. THE IDEA WAS TO
PROPEL THE CARDIOLOGY DEPARTMENT INTO ONE OF THE TOP CENTRES IN THE
COUNTRY. THE SYNERGY GAVE MOMENTUM TO THE PURPOSE AND ACCELERATED
THE BIRTH OF CARE 13 YEARS LATER. THE TEAM COLLABORATED WITH
SCIENTISTS TO MAKE HEALTHCARE AFFORDABLE THROUGH THE DEVELOPMENT
OF INDIGENOUS MEDICAL TECHNOLOGIES. IT WAS THE DEVELOPMENT OF INDIA’S
FIRST CORONARY STENT (KALAM-RAJU STENT) THAT INSPIRED THE CREATION OF
CARE HOSPITAL IN 1997 TO NURTURE A MODEL THAT MAKES QUALITY MEDICAL
CARE AFFORDABLE AND ACCESSIBLE.
7. LIST OF ALL HOSPITALS
CARE BANJARA CARE NAMPALLY
CARE
MUSHEERABAD
CARE
SECUNDERABAD
CARE VIZAG CARE NAGPUR CARE RAIPUR
CARE
BHUBANESHWAR
CARE SURAT CARE GALAXY CARE VIZAG 2
9. CARE NAGPUR HAS BEEN ACCLAIMED AS A HOSPITAL PAR-
EXCELLENCE FOR ITS CONTRIBUTION IN PROVIDING HEALTHCARE IN
THE NEIGHBOURHOODS OF NAGPUR. THIS 105 BEDDED HOSPITAL
COMMISSIONED ON THE 19TH OF NOVEMBER 2006, HAS CLINCHED
THE HONOUR OF BEING THE BEST PROVIDER OF QUALITY
HEALTHCARE OF INTERNATIONAL STANDARDS AT LESS THAN
COMPETITIVE PRICES. IN OUR EFFORTS TO SERVE YOU BETTER
THROUGH CASHLESS FACILITY, WE HAVE JOINED HANDS WITH
VARIOUS TPA, CORPORATE AND INSURANCE COMPANIES.
THE HOSPITAL IS ACCREDITED WITH NABH FOR MULTI-SPECIALTY
SERVICES HOSPITAL WITH DOCTORS OF INTERNATIONAL ACCLAIM,
WELL QUALIFIED AND COMPETENT MEDICAL, NURSING, PARAMEDICAL
AND OTHER STAFF, UNITE WITH THE SUPERIOR TECHNOLOGY AND
STATE-OF-THE-ART FACILITIES TO PROVIDE THE BEST AND THE
PUREST FORM OF CARE TO ITS PATIENTS. WE STRIVE TO ACHIEVE
PERFECTION IN SERVING OUR PATIENTS BY PROVIDING QUALITY
HEALTHCARE BUILT ON VALUES OF COMPASSION, CARE AND
CONCERN.
10. “MISSION”
“VISION”
TO EVOLVE AS A UNIQUE UNIVERSITY-BASED HEALTH CENTRE WHERE THE QUEST FOR NEW
KNOWLEDGE WOULD CONTINUOUSLY YIELD MORE EFFECTIVE AND MORE COMPASSIONATE
CARE FOR ALL.
TO NURTURE A NEW GENERATION OF PROFESSIONALS OF LIFE-LONG COMMITMENT, DEDICATION,
KNOWLEDGE, SKILLS, WISDOM AND VALUES.
TO STRIVE FOR PUBLIC TRUST AND MAINTAIN MEDICINE’S HUMANE AND NOBLE PLACE AMONG
PROFESSIONS.
TO BE GLOBALLY COMPETITIVE IN HEALTHCARE AND RELATED BUSINESSES INTEGRATING
LOCAL CULTURE AND ETHOS
11. PUTTING THE PATIENT FIRST ABOVE OUR OWN INTREST
VALUES & PRINCIPLES
THE CORNER STONE OF VALUES PRACTICED AT CARE STEM FROM OUR IDEOLOGY OF ‘TO PUT PATIENT’S INTERESTS FIRST’. THE IDEOLOGY
DICTATES EVERY ASPECT OF THE CLINICAL GOVERNANCE, PATIENT CARE AND THE WORK CULTURE. THE GREAT HEIGHTS WE HAVE
ACHIEVED IN DELIVERING MEDICAL CARE WITH EXCEPTIONAL QUALITY HAVE BEEN A RESULT OF THESE VALUES-BASED HEALTH SERVICES.
PRACTICE: PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH
PROFESSIONALS.
EDUCATION: SERVICE THROUGH EFFICIENT TRAINING AND EDUCATION OF PHYSICIANS, NURSES AND ALLIED HEALTH
PROFESSIONALS.
RESEARCH: CONDUCT BASIC AS WELL AS ADVANCED CLINICAL RESEARCH TO IMPROVE PATIENT CARE AND QUALITY IN EVERY
SERVICE WE UNDERTAKE TO OFFER.
MUTUAL RESPECT: TREAT EVERYONE WITH RESPECT AND DIGNITY.
COMMITMENT TO QUALITY: CONTINUOUSLY STRIVE TO IMPROVE ALL PROCESSES THAT SUPPORT PATIENT CARE, EDUCATION AND
RESEARCH.
WORK ATMOSPHERE: FOSTER TEAMWORK, PERSONAL RESPONSIBILITY, INTEGRITY, INNOVATION, TRUST AND COMMUNICATION.
SOCIETAL COMMITMENT: SUPPORT SOCIETY WE LIVE IN BY ASSISTING PATIENTS WITH LIMITED FINANCIAL RESOURCES.
FINANCES: ALLOCATE RESOURCES WITHIN THE CONTEXT OF SYSTEM RATHER THAN ITS INDIVIDUAL ENTITIES.
14. GROUND FLOOR
1. ENQUIRY COUNTER
2. CMO CHAMBER
3. CASUALTY
4. MINOR OT
5. IP RECEPTION
6. CASHIER
7. OUT PATIENT PHARMACY
8. X RAY
9. EEG
10.EMG
11.MARKETING DEPARTMENT
16. SECOND FLOOR
1. PICU
2. NICU
3. ENDOSCOPY DEPARTMENT
4. DIALYSIS
5. GENERAL WARD
6. 2ND OPD
7. ADMINISTRATION DEPARTMENT
8. PHYSIOTHERAPY DEPARTMENT
9. BILLING DEPARTMENT
10. CHIEF HOSPITAL ADMINISTRATOR OFFICE
11. HUMAN RESOURCE DEPARTMENT
12. BIO MEDICAL DEPARTMENT
13. MATRON OFFICE
14. LIAISON OFFICE
15. MEDICAL RECORD DEPARTMENT
16. CONFERENCE HALL
17. INTERNAL MANAGEMENT AUDIT
17. THIRD FLOOR
1. GENERAL WARD
2. TWIN SHARING WARD
3. SINGLE ROOM
4. COMMUNICATION DEPARTMENT
5. SUPER DELUXE WARD
6. DELUXE WARD
7. EDP DEPARTMENT
18. FOURTH FLOOR
1. OT DEPARTMENT
2. CATH LAB
3. POST CATH RECOVERY WARD
FIFTH FLOOR
1. CSSD
2. PATHOLOGY DEPARTMENT
3. MICROBIOLOGY DEPARTMENT
4. IP PHARMACY
5. GENERAL WARD
19. TO STUDY NON AVAILABALITY OF BED AND ITS EFFECT ON REVENUE
20. OBJECTIVE OF STUDY
1. TO STUDY PROCESS OF ADMISSION OF IN PATIENT AT CARE HOSPITAL
2. DATE WISE TOTAL NO OF ADMISSION
3. TO STUDY CATEGORY WISE PATIENT ADMITTED
CASH PATIENTS
CGHS CASH + CGHS CREDIT
CORPORATE PATIENTS
INSURANCE PATIENTS
GOVERNMENT (JEEVANDIYE AND RAJIV GANDHI GRAM AROGYA YOJNA)
4 PATIENT ADMITTED AS PER NONAVAILABILITY.ADMITTED IN
TWIN SHARING
SINGLE ROOM
DELUXE ROOM
SUPER DELUXE ROOM
ICU
PICU
5 REVENUE LOSS ANALYSIS
6 CAUSES AND EFFECT OF NON AVAILABILITY
7 SUGGESTION AND RECOMMANDATIONS
21. NON-AVAILABILITY OF BED
PATIENT COMES TO THE HOSPITAL FOR TREATMENT IN FORM OF
1. OPD PATIENT
2. IPD PATIENT
3. EMERGENCY PATIENT
4. SURGERY'S
5. PATHOLOGY INVESTIGATIONS
6. RADIOLOGICAL INVESTIGATIONS
THE PATIENTS WHO NEED THE ADMISSION ARE ADMITTED IN THE HOSPITAL AND FOR ADMISSION WE NEED BEDS
WHEN THERE ARE NO BEDS AVAILABLE FOR ADMISSION IN HOSPITAL IN THAT CASE WE SAY THAT THERE IS NON AVAILABILITY OF BED
THERE ARE TOTAL 105 BEDS IN CARE HOSPITAL.
CARE HOSPITAL CONSIST OF FOLLOWING BED CATEGORIES
1. GENERAL WARD
2. TWIN SHARING
3. SINGLE ROOM
4. DELUXE ROOM
5. SUPER DELUXE ROOM
6. ICCU
7. PICU
22. WHILE ADMISSION TO THE HOSPITAL PATIENT HAS TO CHOOSE
THE BED FROM ABOVE CATEGORY AS PER HIS CHOICE
BUT IF THE PATIENTS CHOICE IS NOT AVAILABLE IN THAT CASE
PATIENT IS SHIFTED TO OTHER ROOM AS PER AVAILABILITY OF
BED. FOR E.G. IF THE PATIENT WANTS TO ADMIT IN GENERAL WARD
BUT GENERAL WARDS BEDS ARE NOT VACANT IN THAT CASE
PATIENT IS ADMITTED TO TWIN SHARING.IN THIS CASE ALSO IT IS
CALLED NON AVAILABILITY OF BED.
23. REVENUE
FOR A COMPANY, THIS IS THE TOTAL AMOUNT OF MONEY RECEIVED BY THE COMPANY FOR GOODS SOLD OR SERVICES
PROVIDED DURING A CERTAIN TIME PERIOD. IT ALSO INCLUDES ALL NET SALES, EXCHANGE OF ASSETS; INTEREST AND ANY
OTHER INCREASE IN OWNER'S EQUITY AND IS CALCULATED BEFORE ANY EXPENSES ARE SUBTRACTED. NET INCOME CAN BE
CALCULATED BY SUBTRACTING EXPENSES FROM REVENUE. IN TERMS OF REPORTING REVENUE IN A COMPANY'S FINANCIAL
STATEMENTS, DIFFERENT COMPANIES CONSIDER REVENUE TO BE RECEIVED, OR "RECOGNIZED", DIFFERENT WAYS. FOR
EXAMPLE, REVENUE COULD BE RECOGNIZED WHEN A DEAL IS SIGNED, WHEN THE MONEY IS RECEIVED, WHEN THE SERVICES
ARE PROVIDED, OR AT OTHER TIMES.
IN HOSPITAL FOLLOWING ARE THE REVENUE GENERATING AREAS
1. OUT PATIENT DEPARTMENT
2. IN PATIENT DEPARTMENT
3. PATHOLOGY DEPARTMENT
4. RADIOLOGY DEPARTMENT
5. AMBULANCE
6. PHARMACY ETC
HOSPITAL BEDS ALSO PLAYS AN IMPORTANT ROLE IN GENERATING THE REVENUE
BUT IN CASE OF NON AVAILABILITY OF BED HOSPITAL BEARS THE REVENUE LOSS
24. * TYPE OF STUDY: STUDY IS DESCRIPTIVE & ANALYTICAL IN NATURE.
*
* DATA COLLECTION:
* PRIMARY DATA: PRIMARY DATA IS THAT DATA WHICH IS COLLECTED FOR THE FIRST TIME & FRESH. THEY ARE
COLLECTED BY THE RESEARCHER HIMSELF. THE VARIOUS METHODS FOR COLLECTING PRIMARY DATA ARE AS FOLLOW
OBSERVATION METHOD
PERSONAL INTERVIEW
FRONT OFFICE
BILLING
* SECONDARY DATA: SECONDARY DATA IS THAT DATA WHICH ALREADY EXISTS & COLLECTED BY SOMEONE ELSE. THE
RESEARCHER GOES THROUGH THE SECONDARY DATA FOR GETTING SOME PREVIOUS INFORMATION RELATED TO THE
TOPIC. THE SOURCES OF SECONDARY DATA ARE:
INTERNET
BOOKS & MAGAZINES
JOURNALS
PREVIOUS RECORDS
* SAMPLE SIZE FOR DATA COLLECTION: THREE MONTHS.
25. PATIENT COMES TO HOSPITAL
PATIENTS ARE ADMITTED FROM
OUTPATIENT DEPARTMENT(OPD)
EMERGENCY DEPARTMENT
REFERRALS
IP FORM IS GIVEN TO FILL IT. PATIENT /RELATIVE FILLS FOLLOWING DATA
PATIENTS NAME
AGE
SEX
ADDRESS/PHONE NO
REFERRAL DOCTORS NAME
COMPANY NAME IF ANY
MODE OF PAYEMENT
ATTENDANT INFORMATION
UNDERTAKING FOR SETTLEMENT OF THE BILL FORM
PATIENT COUNSELING FORM
SURROGATE CONSENT FORM
26. EXPLANATION OF RATES AND BED CHARGES
ISSUE ATTENDANT PASS, INFORM ABOUT NO OF ATTENDANT ALLOWED WITH
PATIENT AND VISITING HOURS
ASK FOR ADVANCE PAYMENT
TAKE APPROPRIATE UNDERTAKING (REGULAR/INSURANCE/ICCU)
ROOM ALLOTMENT AND INFORM ATTENDANT FOR SHIFTING THE PATIENT TO
ROOM
FOR CORPORATE PATIENT
COLLECT REFFERAL LETTER
MENTION COMPANY NAME AND COMPANY CODE
INFORM BILLING
27. IN CASE OF EMERGENCY ADMIT THE PATIENT AND ASK FOR APPROVAL
IN CASE OF NON AVAILABILITY OF ROOM IT IS MENTIONED IN HOSPITAL BILLING RECORD
AND INFORMED TO FLOOR COORDINATOR AND PRE
28. TOTAL BED – 105
ROOM TOTAL NO OF BEDS
CASUALTY 2
ICCU 1 13
GENERAL WARD 48
AC SHARING 12
AC SINGLE 4
ICCU 2 8
NICU 5
AC DELUXE 4
AC SUPER DELUXE 1
RECOVERY 4
PICU 4
TOTAL 105
29. BED CATEGORY BED CHARGES CONSULTATION CHARGES
GENERAL WARD 1000 330
TWIN SHARING 1700 385
SINGLE ROOM 2500 440
DELUXE ROOM 3000 550
SUPER DELUXE ROOM 3500 650
NICU 3000 750
PICU/ICU 3500 750
30. JANUARY 2013
DATE TOTAL NO OF ADMISSION
1/1/2013 11
2/1/2013 17
3/1/2013 27
4/1/2013 17
5/1/2013 21
6/1/2013 7
7/1/2013 26
8/1/2013 14
9/1/2013 21
10/1/2013 17
11/1/2013 15
12/1/2013 15
13/1/2013 10
14/1/2013 22
15/1/2013 15
40. 1. ALANKIT
2. BAJAJ ALLIANZ INSURANCE COMPANY LIMITED
3. CHOLAMANDALAM
4. DEDICATED HEALTHCARE SERVICES TPA (INDIA) PVT LTD
5. E MEDITEK
6. FAMILY HEALTH PLAN LIMITED
7. GENINS INDIA TPA
8. GOOD HEALTH PLAN LIMITED
9. HERITAGE
10. ICICI LOMBARD HEALTH CARE
11. I CARE HEALTH MANAGEMENT AND TPA SERVICES LTD
12. MD INDIA HEALTH CARE SERVICES
13. MEDI ASSIST INDIA TPA SERVICES
14. MEDI CARE TPA SERVICES
15. MP KAY
16. PARK MEDICLAIM
17. PARAMOUNT HEALTH CARE SERVICE TPA
18. RBI – TTK
19. SEAL CARE
20. TTK HEALTH CARE TPA PVT LTD
21. UNITED HEALTH CARE
22. VIPUL
41. 1. CGHS CASH
2. CENTRAL EXCISE
3. CENTRAL GROUND WATER BOARD
4. CGHS CREDIT
5. CICR
6. CIMFR
7. CPWD
8. CUSTOMS AND CENTRAL EXCISE DEPARTMENT
9. ESIC
10. FCI
11. GARRISON ENGINEER
12. GSI – GEOLOGICAL SURVEY OF INDIA
13. INCOM TAX
14. INDIA BUREAU OF MINES
15. JAIN TRUST
16. JEEVAN DAYEE YOJANA
17. MAHARASHTRA STATE GOVERNMENT
42. 1. MAHARASHTRA POLIC KUTUMB AROGYA YOJANA
2. MAHINDRA AND MAHINDRA LTD
3. MILITARY ENGINEERING SERVICES
4. MOIL
5. MSRTC
6. NEERI
7. ORDANANCE FACTORY AMBAZARI
8. ORDANANCE FACTORY BHANDARA
9. ORDANANCE FACTORY CHANDA
10. ORDANANCE FACTORY JABALPUR
11. POSTAL
12. PUNJAB NATIONAL BANK
13. RBI
14. SMILE TRAIN
15. SERVA SIKSHA ABHIYAN
16. UNION BANK OF INDIA
17. UTI
18. AIRPORT AUTHORITY OF INDIA
19. BHEL
77. PATIENT RETURN DUE TO NON AVAILABILITY OF BEDS
DATE PATIENT NAME REASONS
12/01/2013 MRS DARA NON AVAILABILITY OF ICCU
14/01/2013 RENUKA MUKHERJEE NO BED AVAILABILITY IN ICCU
PATIENT NEED VENTILATOR
23/01/2013 PARASRAM CHOUDHARY SECR PATIENT REQUIRE ICCU.NON
AVAILABILITY OF ICCU
23/01/2013 SHALINI KADAM OF A PATIENT REQUIRES ICCU.NON
AVAILABILITY OF ICCU
78. CAUSE AND EFFECT OF NON AVAILABILITY OF BED.docx
CAUSE AND EFFECT OF NON AVAILABILITY OF BED
79. OBSERVATION
1. DUE TO NON AVAILABILITY OF BED PATIENT HAS TO WAIT FOR ADMISSION IN WATING AREA
2. DUE TO NON AVAILABILITY OF BED PATIENT ARE KEPT IN CASUALTY TILL THE BED BECOME
VACANT
3. DISCHARGE PROCESS TAKES 3 TO 4 HOURS DUE TO WHICH BEDS ARE NOT VACATED
4. MOSTLY DISCHARGES TAKES PLACE AFTER 12 PM AS THE PEAK PERIOD OF ADMISSION STARTS
FROM 10 AM
5. NO DISCHARGE LOUNGE IN HOSPITAL
6. SOME PATIENT AFTER DISCHARGE DO NOT VACANT THE BED AS THEY WAIT FOR THERE
TRAIN,BUS AND FOR OTHER REASONS DUE TO WHICH THERE BEDS ARE OCCUPIED
7. PERCENTAGE OF ADMISSION OF CASH PATIENT IS MORE IN HOSPITAL
JANUARY 2013:-38%
FEBRUARY 2013:-43%
MARCH 2013:-38%
80. RECOMMANDATION
1. DISCHARGE LOUNGE SHOULD BE MADE IN HOSPITAL
2. STEP DOWN ICU (HIGH DEPANDANCY UNIT) SHOULD BE MADE FOR SETTLED ICU
PATIENTS TO VACANT THE ICU BEDS
3. TO DECREASE THE DISCHARGE TIME UP TO 2 HOURS
4. PLANNED DISCHARGE DATE SHOULD BE GIVEN AS PER THE PATIENTS CONDITION
5. DISCHARGE PROCESS SHOULD START ONE DAY PRIOR OF PATIENT DISCHARGE
6. DISCHARGE SUMMARY SHOULD BE MADE ONE DAY BEFORE OF PATIENT DISCHARGE
7. PATIENT RETURN REGISTER SHOULD BE MAINTAINED AT FRONT OFFICE
81. BIBOLOGRAPHY
BOOKS
1. FINANCIAL MANAGEMENT - M Y KHAN & P K JAIN
2. FINANCIAL MANAGEMENT - DR ANIL KUMAR DHAGAT
3. FINANCIAL MANAGEMENT - PRASSANA CHANDRA
INTERNET
1. www.google.com
2. www.wikipedia.com