Magical Facts About Patients Satisfaction and Pearls of Medical Practise:Doctor-Patient Relationship & Medical Professionalism Dr.Sandeep C Agrawal Agrasen Hospital Gondia India www.agrasenortho.com
Patient Listening, Patient guide,Genuine Practise,Patient Satisfaction
Satisfactions Among Admitted Patient of Tertiary Level Hospital in Dhaka City.DR. S A HAMIDI
I am Dr. Saleh Ahmed Hamidi, successfully Conducted a dissertation & also presented by me (08/01/2016) about patient satisfaction level in tertiary level hospital.
A dissertation report on analysis of patient satisfaction max polyclinic by ...Mohammed Yaser Hussain
Hospitals are increasingly becoming sensitive to the needs of the patients as will the community. It is no longer the sellers [providers] market. Except for the totally free service provided by the Government run hospitals and a few hospitals run by the civic hospitals.
According to Dona Bedian
“Patient satisfaction may be considered to be one of the desired outcomes of care, even on element of health status itself” and that “information about patient satisfaction should be as indispensable to assessment of quality as to the design and management of health care system.
During the recent years the use of patient satisfaction surveys has increased in health care industry due in part to the belief that perception of quality is an important factor in demand for services and that survey result may have significant effect on provider behaviour. According to Ware “patient satisfaction is a determinant of a healthcare provider or system. Use of services complaints and malpractice suits”.
Use of patient satisfaction survey as a tool for quality improvement has become extensive in almost all western countries. Most hospital have a system of obtaining routine feedback from all the discharge patients. The quality improvement task force of the joint commission of accreditation of the health care organization in USA is also encouraging hospitals to mandate surveys are conducted in private hospitals.
Culture of Quality Bagladesh AAPS 8 August 2015 FinalAjaz Hussain
Why we are discussing Culture of Quality?
What is Culture of Quality?
How can it help?
The American public is facing unprecedented drug shortages and recalls (erosion of confidence)
Industry and the FDA have the shared obligation to reduce quality errors …
To fulfill this responsibility, both industry and the FDA need a culture of quality.
Magical Facts About Patients Satisfaction and Pearls of Medical Practise:Doctor-Patient Relationship & Medical Professionalism Dr.Sandeep C Agrawal Agrasen Hospital Gondia India www.agrasenortho.com
Patient Listening, Patient guide,Genuine Practise,Patient Satisfaction
Satisfactions Among Admitted Patient of Tertiary Level Hospital in Dhaka City.DR. S A HAMIDI
I am Dr. Saleh Ahmed Hamidi, successfully Conducted a dissertation & also presented by me (08/01/2016) about patient satisfaction level in tertiary level hospital.
A dissertation report on analysis of patient satisfaction max polyclinic by ...Mohammed Yaser Hussain
Hospitals are increasingly becoming sensitive to the needs of the patients as will the community. It is no longer the sellers [providers] market. Except for the totally free service provided by the Government run hospitals and a few hospitals run by the civic hospitals.
According to Dona Bedian
“Patient satisfaction may be considered to be one of the desired outcomes of care, even on element of health status itself” and that “information about patient satisfaction should be as indispensable to assessment of quality as to the design and management of health care system.
During the recent years the use of patient satisfaction surveys has increased in health care industry due in part to the belief that perception of quality is an important factor in demand for services and that survey result may have significant effect on provider behaviour. According to Ware “patient satisfaction is a determinant of a healthcare provider or system. Use of services complaints and malpractice suits”.
Use of patient satisfaction survey as a tool for quality improvement has become extensive in almost all western countries. Most hospital have a system of obtaining routine feedback from all the discharge patients. The quality improvement task force of the joint commission of accreditation of the health care organization in USA is also encouraging hospitals to mandate surveys are conducted in private hospitals.
Culture of Quality Bagladesh AAPS 8 August 2015 FinalAjaz Hussain
Why we are discussing Culture of Quality?
What is Culture of Quality?
How can it help?
The American public is facing unprecedented drug shortages and recalls (erosion of confidence)
Industry and the FDA have the shared obligation to reduce quality errors …
To fulfill this responsibility, both industry and the FDA need a culture of quality.
As an expert in hospital management and administration i have written this book -Hospital Management is a new theory in management faculty. Earlier a senior doctor used to perform the role of a hospital manager. However, nowadays everything demands a specialist. Almost all the things related to hospital have changed. Many categories concerning medical sciences and hospital have altered totally. There are various types of hospitals today, including ordinary hospitals, specialty hospitals and super specialty hospitals. The categories are regarding to the types of facilities they offer to the people.
If you’ve ever spent time in a hospital — either as a patient, staff member, or visitor — then you know that institutional health care is extremely complicated by nature.
Career in Hospital Management and Administration.By.Dr.Mahboob ali khan Phd Healthcare consultant
There has been seen a remarkable growth in the hospital industry in India, which has lead to a great demand and popularity of the hospital management related courses. The requirement of professional administrators in the hospitals is growing briskly mostly because the nature of work in hospitals is quite different from other organizations. Hospitals are expected to deliver quality service 24 x 7 x 365.
Delivering high value healthcare through lean hospitalsglobalsevensteps
The demand for quality healthcare has never been so important with the recent episode of world wide challenges faced by the human race.
However, most hospitals are far from being humane and still working with outdated models. Demand and supply issues are widening the gap in providing quality healthcare.
IN THIS SUMMARY
Many healthcare organizations struggle to communicate effectively with physicians and engage them, particularly when dealing with change implementation. In Inside the Physician Mind, Joseph S. Bujak provides an insider's perspective on how physicians think, outlining beliefs and behaviors specific to physicians and identifying barriers that inhibit productive relationships. Armed with this information, healthcare organizations can improve communication and help physicians and organizational staff members establish the trust necessary for effective change initiatives to take place.
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http://www.bizsum.com/summaries/inside-physician-mind
Master's in Hospital Administration (MHA) Prospects by Dr.Mahboob Khan Phd Healthcare consultant
ALL labour that uplifts humanity has dignity and importance and should be undertaken with painstaking excellence, said Martin Luther King, Jr. The Master’s in Hospital Administration course is meant for those people who share these sentiments, because job responsibilities range from giving astute guidance in administration to managing the daily affairs of the hospital.
Efficient management can play a role in saving more lives. With the advent of medical tourism and rapid development in technologies the health sector is emerging as one of the fastest growing sectors in India. Several corporates and business organisations have forayed into the healthcare sector, thus resulting in the healthcare delivery system becoming more organised, systematic and efficient.
Interview with Ronald G. Spaeth, FACHE, president, Evanston Northw.docxmariuse18nolet
Interview with Ronald G. Spaeth, FACHE, president, Evanston Northwestern Healthcare Foundation, Northbrook, Illinois
Ronald G. Spaeth, FACHE, is the recipient of the American College of Healthcare Executives's 2005 Gold Medal Award, an honor conferred on outstanding healthcare leaders for their contributions to the field. Mr. Spaeth joined Evanston Northwestern Healthcare in January 2000, when Highland Park Hospital (Highland Park, Illinois) merged with Evanston Northwestern Healthcare (Evanston, Illinois). Before this merger, he served as president and chief executive officer of Highland Park Hospital from 1983 through 2002. From 1972 through 1983, he served Evanston Hospital in various roles: as vice president of administrative services, vice president of corporate services, assistant secretary, of the board of directors, senior executive vice president, and chief administrative officer. In addition, he has served on numerous boards, including the Board of Trustees of the Illinois Hospital Association, Board of Directors of the American Hospital Association, and Board of Governors of the American College of Healthcare Executives. He is currently on the Board of Commissioners of the Joint Commission oil Accreditation of Healthcare Organizations. Mr. Spaeth is a Fellow of the American College of Healthcare Executives. He earned his bachelor of arts degree from Western Reserve University in Ohio and his master's in business administration degree from the University of Chicago in Illinois.
Dr. Grazier: You have experience as a faculty, member, president, and chief executive of different types of institutions and systems. How has each role contributed to the success of your career?
Mr. Spaeth: The benefit of the career path I have taken has been the opportunity it has afforded me to view different types of institutions and different forms of physician-hospital-community relationships. I have worked in an academic medical center, the Ohio State University Medical Center in Columbus; in a non-university-owned academic medical program, Evanston Hospital Corporation, which is now Evanston Northwestern Healthcare; and in a community hospital, Highland Park Hospital. Seeing the relationships between the communities and those institutions and particularly their ties with the physicians, has given me a broad understanding of the healthcare business.
Over the years, I have also been a faculty member at several university programs in healthcare management, including at the Ohio State University in the 1970s and at the University of Chicago in the 1980s. Bringing to the students real-world experience and teaching them how to apply what they learned in these programs were fulfilling; the experience gave me a chance to see the links between education and practice. My involvement in a major merger in 2000, in which Highland Park Hospital and Evanston Northwestern Healthcare became one system, was momentous as well. These experiences have helped me to grow.
How to Start, Run and Manage a Hospital Successfully by Dr.Mahboob ali khan Phd Healthcare consultant
The purpose of this paper is to give a brief outline of the pre-planning and strategic thinking in which an entrepreneur might consider before investing in or starting up a new hospital in the developing world.
There are numerous examples of hospital startups that were ill-conceived or poorly planned and have resulted in either a hospital that was partially constructed and abandoned or were completed and within two years failed in profitability and now sit idle. Other examples exist of underperforming assets. What went wrong? What could the investors have done to decrease their investment risk and increase the chances of the hospital being successful?Globalization of Healthcare.
A Career in Hospital Management, Master’s in Hospital Administration (MHA)/MB...Healthcare consultant
ALL labour that uplifts humanity has dignity and importance and should be undertaken with painstaking excellence, said Martin Luther King, Jr. The Master’s in Hospital Administration course is meant for those people who share these sentiments, because job responsibilities range from giving astute guidance in administration to managing the daily affairs of the hospital.
Efficient management can play a role in saving more lives. With the advent of medical tourism and rapid development in technologies the health sector is emerging as one of the fastest growing sectors in India. Several corporates and business organisations have forayed into the healthcare sector, thus resulting in the healthcare delivery system becoming more organised, systematic and efficient. Hence, the healthcare industry needs professionals who can handle these challenges.
Build Physician Relationships that Drive Business Results; Part 1Renown Health
Baystate Health has established a comprehensive, data-driven approach to cultivate new physician referrals, retain current business and earn trust. Learn how market intelligence, business analytics and customer experience design are used to focus physician outreach efforts and drive bottom line results.
Nova Medical Centers wins most innovative mid-size healthcare companies awardNova Specialty Hospitals
Nova Medical Centers, India's premier chain of specialty surgery centers and fertility centers has bagged an award in the 'Innovation in Responsible Business' category at the Innovative100 awards held in 2014.
Weight Loss (Bariatric Surgery): Myths, facts and frequently asked questionsNova Specialty Hospitals
Expert bariatric surgeon, Dr. Neha Shah from Nova Specialty Hospitals, answers your queries and concerns about losing weight through bariatric surgery.
Total Knee Replacement at Nova enhances mobility, improves Quality of LifeNova Specialty Hospitals
Total Knee Replacement at Nova enhances mobility, improves Quality of Life.
Nova Specialty Hospitals, Mumbai, ensures precision, higher success rates and faster recovery.
Weight Loss Solutions at Nova helps many lose weight safely and successfully.
Reduces blood pressure, diabetic and coronary conditions while improving mobility.
Dr Bhat, Medical Director of Nova Medical Centers Pvt. Ltd. takes over as the...Nova Specialty Hospitals
Hernia repair may be the most common surgical procedure by a practicing surgeon today. It is apt that hernia management is an area that a surgeon ought to be comfortable with. After introduction of laparoscopic / endoscopic hernia repair, lot of debate has been generated. A group of like minded hernia enthusiasts from the Asia Pacific region joined hands together and Asia Pacific Hernia Society (APHS) was formed in September 2004 at Singapore. The Hernia Society of India (National Chapter of Asia Pacific Hernia Society) is created to propagate the aims and missions of the parent society in India. The object of the Society shall be to promote and advance the teaching and research in hernia surgery in India and the Indian subcontinent.
The enduring partnership between Suresh Soni and Dr. Mahesh Reddy has helped Nova script an astonishing growth story. Nova Medical Centers has expanded at a lightening pace with 12 short stay surgical hospitals, 7 IVF centers and an advanced genetic diagnostics lab, straddling eight cities in India. In the pipeline are 25 centers in India and the Middle East.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Are There Any Natural Remedies To Treat Syphilis.pdf
16 dr sudarshan-ballal-clinicians-as-healthcare-administrators_ncas_2011
1. Clinicians as healthcare
administrator
Dr. H. Sudarshan Ballal MD
Medical Director & Chairman Medical Director - MHEPL
2. Gist of talk
Introduction
Ingredients of a successful hospital
Advantages and disadvantages of clinician administrator
Difficulties in transition
Ideal situation
Conclusion
3. Who should lead the Hospital?
OR
MD MBA
A billion dollar question
4. Introduction
In the early 20th century, many hospitals were run by clinicians.
Today the vast majority of them are run by non-clinicians like
MBA‟s & MHA‟s.
The debate, clinician vs. non-clinician as an administrator of a
hospital was succinctly covered by the Fortune Magazine in
1970 and the Editorial declared……………
"The time has come for radical change ... The management of medical care
is too important to leave to doctors who are, after all, not managers to
begin with."
5. Introduction
However, the pendulum now seems to be swinging more towards
the „Clinician Leader‟ as many believe that HEALTHCARE IS TOO
IMPORTANT TO BE LEFT TO NON CLINICIANS
6. Ingredients of a successful hospital
• The most important person in the healthcare industry is „THE
PATIENT‟ and the big question is how do we attract and take
good care of this VVIP.
• In my opinion the ingredients neeeded are
• Doctors
• Service
• Infrastructure & Support system
• Brand name
7. Can clinicians afford not to be administrator of
hospitals
Clinicians used to run hospitals.
Now they run behind administrators with concerns which the
administrators think are outrageous demands and for more….
money, space and people.
They used to take care of patients the way they were trained.
Now they are told how to take care of patients by people who
never entered the portals of any medical college.
8. Can clinicians afford not to be administrator of
hospitals
Clinicians are told they “DO NOT SEE THE BIG PICTURE”.
The big question really is, CAN THEY AFFORD NOT TO BE
TAUGHT TO SEE THE BIG PICTURE
11. Disadvantages of Clinician-administrator
• 'God complex' still exists and fail to
understand the changing equations of doctor
/ patient relationship, new business
development needs & strategies.
• May favor investments based on personal
preferences rather than on hospitals
business interests.
12. Disadvantages of Clinician-administrator
• Resist change (HIS)
• Egoistic – feel they are a cut about the
rest. Need not follow the rules applicable
to the rest of the employees.
• Valuable clinical time may be lost for
Administration issues (A constant patient
complaint)
• Very difficult to hire a 'Star clinician' but a
lot easier to hire a Administrator. Busy
clincians find it difficult to change their
practice locations frequently.
13. Disadvantages of Clinician-administrator
Becoming unpopular with colleagues as a result of difficult
service decisions made. Being considered a „TRAITOR TO THE
PROFFESION‟.
Being in the position of having to critically appraise colleagues‟
clinical practice and take action when necessary.
The job can sometimes be overwhelming, with the possibility of
burnout or ill-health if not tackled appropriately in time.
Problems in being accepted by non-medical managers.
14. Advantages of a clinician-administrator
Understands patients better since they are their life line.
Understands doctors better. Doctors would be more
comfortable and will have more trust in dealing with a fellow
clinician as administrator.
Continuity of service (very difficult for a busy clinician to
change locations)
Will understand the procedures better and could have valuable
contribution in coming up with feasible business strategies and
expansion.
15. Advantages of a clinician-administrator
Being in a position to attract resources for developments.
Having a major influence on developments and setting of
standards of clinical care.
Financial incentives and awards.
Gaining status within the trust.
Working on the broader canvas of the organization.
16. Difficulties in transition
from clinician to administrator
Major conflict is between having to give priority to the objectives
of the organization versus the objectives of individuals.
Difficulties with respect to lack of knowledge about the concepts of
management and lack of knowledge about technical matters, such
as statistics and finance.
Coping with conflicting demands.
Dropping the traditional case-by-case approach and adopting a
global view of the organization.
Loss of acceptance by clinical peers, combined with lack of
acceptance by new managerial peers.
Experience and formal training in management.
Major political dimension to management.
17. Ideal administrator of a hospital
Is it necessary to be a MD/MHA of MBA to be a hospital
administrator?
Probably not.
There are many fine hospital executives who possess neither
degree. But I do think that all administrators should be
required to work closely with a panel of the hospital's
clinicians, focusing on how they can collaborate to improve
patient safety and health. Clinicians also should have a say in
how hospitals invest their surpluses.
18. Ideal administrator of a hospital
Is it necessary for a hospital administrators to be licensed?
Hospital administrators should be licensed. Doctors are
licensed, Accountants are licensed, dentists are licensed.
Common sense dictates that someone running a hospital
should be required to pass exams showing, not just that he or
she knows something about "management and
administration," but that he/she has a solid grounding in what
matters to patients-how to reduce errors and lift the quality of
care.
19. Ideal administrator of a hospital
In my opinion, there seems to be a barrier between the
medical fraternity and hospital administration.
It really does not matter who the administrator is as
long they take the medical fraternity along with them in
the decision making process.
Ultimately we all work for the most important person in the
health care scenario “THE PATIENT”.
22. Conclusion
The vast majority of hospitals today are led by non-clinicians.
This is in sharp contrast to the turn of the 20th century, when
most of the hospitals were clinician led.
As the pendulum swings back towards the clinician leader,
there is a strong and appropriate opportunity for clinicians to
reinsert themselves into a leadership role.
In fact the time has perhaps never been more appropriate than
today.
23. Conclusion
In the current health care system that is complex, troubled,
and challenging, the clinician leader brings in a unique set of
skills to the business of medicine.
The successful physician leader, however, must understand the
business of medicine as well as or better than the practice of
medicine.
Training, developing, and equipping our future clinician leaders
with the necessary skill sets will be one of medicines' many
challenges in the future.
24. Conclusion
In conclusion, I feel it really does not matter who runs the
hospital as long as there is no feeling of Us vs. Them but
everyone should work as „WE‟ the team.