The medical oncology department at Amrita Hospital, led by Dr. Pavithran, focuses on solid tumors in adults and children. The study aimed to analyze the workflow, staffing, and functioning of the department, which includes various roles such as doctors, nurses, and administrative staff. Key processes involve patient registration, consultation, investigations, chemotherapy procedures, and billing, with detailed layout information provided for the respective units.

1. MEDICAL ONCOLOGY
DEPARTMENT
AISHWARYA R
AISWARYA C
VANI D SHENNOY

2. INTRODUCTION
 The Medical Oncology department is a specialized unit of AMRITA HOSPITAL
deals with solid tumors in both adults and children headed by Dr. Pavithran
 The aim of the study was to observe and understand the workflow, staffing,
various procedures, problem areas and functioning of the department

3. LOCATION OF OPD
 Medical oncology department is located in tower 3 floor 0
 Chemo day care unit locatied in tower 2 floor 0

4. STAFFING
 The department consists of
 4 doctors
 1 physcian assistant, 2 UG, 2PG physcian assistant
 5 chemo day care nurses
 1 manager
 1 coordinator
 2 secretary
 3 public relation assistant
 2 clerk
 3 pharmacy billing staff
 4 pharmacist
 1 house keeping staff

5. BASIC WORKFLOW AND LAYOUT

6. WORK FLOW
1.NEW VISIT

7. START
PATIENT REPORTS AT
REGISTRATION COUNTER
IS THE PATIENT
NEW?
MRD GENERATION, REGISTRATION
AND BILLING
WORKUP BY PHYSICIAN ASSISTANT
OR DM
MRD VERIFICATION,ENCOUNTER
AND BILLING BILLING
NO
YES

8. HISTORY GENERATION
CONSULT THE DOCTOR
ORDERS INVESTIGATION LIKE BLOOD
TEST, ECG ETC
BILLING FOR BLOOD TEST, ECG,
MAMMOGRAM
BLOOD TEST, ECG, MAMMOGRAM
PROCEDURES

9. RECONSULTATION
IS CHEMO NEEDED?
FIXING CHEMO TIRES AND
PROCEDURE DATES
ADMISSION AND PROCEDURE
BILLING
CHEMO PROCEDURES
NO
YES

10. DISCHARGE AND BILLING
PHARMACY BILLING
PHARMACY
END

11. 2. REFERRAL PATIENTS

12. PATIENT REFERRED FROM OTHER
DEPARTMENTS
START
ENCOUNTER AND BILLING
WORK UP BY DM/ PA
CONSULTATION

13. BILLING FOR BLOOD TEST, ECG, X RAY
BLOOD TEST, ECG, , X RAY PROCEDURE
RECONSULTATION
FIXING CHEMO SCHEDULE
IS
INVESTIGATI
ONS
REQUIRED
NO
YES

14. PHARMACY BILLING
PHARMACY
EXIT

15. 3. CHEMO DAY CARE
UNIT

16. START
MRD VERIFICATION, ENCOUNTER
BILLING
DOCTOR CONSULTATION
WWHETHER
INVESTIGATI
ON
REQUIRED
ORDERS FOR BLOOD DRAW,
ECG, X-RAY ETC.. AND
BILLING
Yes
No

17. PHARMACY
CHEMO SESSION IN DAY
CARE UNIT
RECONSULTATION AFTER
PROCEDURE
NEXT CHEMO SCHEDULE
END
BLOOD DRAW ,ECG, X-RAY
PROCEDURE
PHARMACY BILLING

18. 4. REFERRED TO OTHER
DEPARTMENTS

19. START
PATIENT REPORTS AT
REGISTRATION COUNTER
IS THE PATIENT
NEW?
MRD GENERATION, REGISTRATION
AND BILLING
WORKUP BY PHYSICIAN ASSISTANT
OR DM
MRD VERIFICATION,ENCOUNTER
AND BILLING BILLING
NO
YES

20. CONSULTATION
REF TO OTHER DEPT.
(SURGICAL,RADIATION ONCOLOGY ETC )
POST PROCEDURE RECONSULTATION
IS CHEMO
REQUIRED
PHARMACY BILLING
Yes
No

21. PHARMACY
CHEMO PROCEDURE
EXIT

22. LAYOUT INFORMATION
 REGISTRATION :- TOWER 1 FLOOR 0
 ENCOUNTER :- NEAR CONSULTATION ROOM
 NEAR THE COSULTATION ROOM THEREIS A OBESRVATION ROOM ATTACHED
 INVESTIGATIONS:-
BLOOD DRAW AND ECG AT TOWER 2 FLOOR 0
MAMMOGRAM ROOM AND X-RAY AT TOWER1 FLOOR1
PET-CT, PET-MRI AND CYBER KNIFE TOWER 2 FLOOR 0
INVESTIGATION BILLING AT THE ENTRY OF TOWER 3
 PROCEDURES :- CHEMOTHERAPY – DAY CARE UNIT TOWER 2 FLOOR 0
OPERATION THEATRE SITUATED AT TOWER 4 FLOOR 0
CHEMO DAT CARE ROOM TOWER 2 FLOOR 0
RADIATION TOWER 3 FLOOR 0
 PHARMACY BILLING:- TOWER 3 FLOOR 0
 PHARMACY :- TOWER 2 FLOOR 0