The document discusses hospital planning and administration. It begins by defining a hospital and the roles of various healthcare professionals. It then covers topics like hospital organization, managing patient care, support services, and administrative responsibilities. Key aspects of hospital planning discussed include need analysis, site selection, equipment planning, interior design, and managing quality patient care. The document emphasizes the importance of policies, guidelines, staff training, and monitoring in delivering efficient patient care services.
As a hospital administrator has to carry out management functions of planning, organizing, staffing, directing, controlling and coordinating.
Health care management is usually studied through healthcare administration[6] or healthcare management[7] programs in a business school or, in some institutions, in a school of public health
As a hospital administrator has to carry out management functions of planning, organizing, staffing, directing, controlling and coordinating.
Health care management is usually studied through healthcare administration[6] or healthcare management[7] programs in a business school or, in some institutions, in a school of public health
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.
A Hospital is a highly challenging work place. There are numerous bottlenecks that deteriorates the productivity & efficiency of the Healthcare services delivered.
Brand reputation of a Hospital depends on how quick they resolve the issues raised without compensating the quality and patient satisfaction. Spontaneity to untangle any situation is possible only with a strong “Hospital Operations team”. Operations management team is responsible for managing all operational process of the Hospital which includes all clinical & non-clinical departments to have a smooth working environment.
Business Plan for Indian Health Care IndustryVenkatesh Kg
Business Plan in using SAAS in Health Care sector to improve customer retention & enhance new customer acquisition for multi-speciality hospitals in India.
Patient Satisfaction Survey as a Tool Towards Quality Improvement by Dr.Mahbo...Healthcare consultant
A mixed bag of poorly evaluated methods leaves patients frustrated, and doctors little wiser.The best way to ensure that services are responsive to those they aim to serve is to elicit feedback on people’s experiences and encourage providers to deal with any problems thus identified. This has been axiomatic in health policy for many years, but have we got the balance right in primary care? Patients’ experiences have become central to assessing the performance of healthcare systems worldwide and are increasingly being used to inform quality improvement processes. This paper explores the relative value of surveys and detailed patient narratives in identifying priorities for improving breast cancer services as part of a quality improvement process.
ISSUES IN HEALTH MANAGEMENT AND ITS CURRENT NEEDSrithi12
The Indian healthcare scenario presents a spectrum of contrasting landscapes. At one end of the spectrum are the glitzy steel and glass structures delivering high tech medicare to the well-heeled, mostly urban Indian. At the other end are the ramshackle outposts in the remote reaches of the “other India” trying desperately to live up to their identity as health subcenters, waiting to be transformed to shrines of health and wellness, a story which we will wait to see unfold. With the rapid pace of change currently being witnessed, this spectrum is likely to widen further, presenting even more complexity in the future.
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.
A Hospital is a highly challenging work place. There are numerous bottlenecks that deteriorates the productivity & efficiency of the Healthcare services delivered.
Brand reputation of a Hospital depends on how quick they resolve the issues raised without compensating the quality and patient satisfaction. Spontaneity to untangle any situation is possible only with a strong “Hospital Operations team”. Operations management team is responsible for managing all operational process of the Hospital which includes all clinical & non-clinical departments to have a smooth working environment.
Business Plan for Indian Health Care IndustryVenkatesh Kg
Business Plan in using SAAS in Health Care sector to improve customer retention & enhance new customer acquisition for multi-speciality hospitals in India.
Patient Satisfaction Survey as a Tool Towards Quality Improvement by Dr.Mahbo...Healthcare consultant
A mixed bag of poorly evaluated methods leaves patients frustrated, and doctors little wiser.The best way to ensure that services are responsive to those they aim to serve is to elicit feedback on people’s experiences and encourage providers to deal with any problems thus identified. This has been axiomatic in health policy for many years, but have we got the balance right in primary care? Patients’ experiences have become central to assessing the performance of healthcare systems worldwide and are increasingly being used to inform quality improvement processes. This paper explores the relative value of surveys and detailed patient narratives in identifying priorities for improving breast cancer services as part of a quality improvement process.
ISSUES IN HEALTH MANAGEMENT AND ITS CURRENT NEEDSrithi12
The Indian healthcare scenario presents a spectrum of contrasting landscapes. At one end of the spectrum are the glitzy steel and glass structures delivering high tech medicare to the well-heeled, mostly urban Indian. At the other end are the ramshackle outposts in the remote reaches of the “other India” trying desperately to live up to their identity as health subcenters, waiting to be transformed to shrines of health and wellness, a story which we will wait to see unfold. With the rapid pace of change currently being witnessed, this spectrum is likely to widen further, presenting even more complexity in the future.
The Operational Excellence Healthcare Alliance (OEHA) is an innovative membership organization dedicated to improving clinical, operational, and financial outcomes by shaping the future of healthcare operations.
Patient’s experience, improve the quality health3zsaddique
Putting patients first requires more than world-class clinical care – it requires care that addresses every aspect of a patient’s encounter with Hospital, including the patient’s physical comfort, as well as their educational, emotional, and spiritual needs. A team of professionals should serves as an advisory resource for critical initiatives across the Hospital health system. In addition, it should provide resources and data analytics; identify, support, and publish sustainable best practices; and collaborate with a variety of departments to ensure the consistent delivery of patient-centered care.
The HIMSS mHealth Physician Task Force's How-to-Guide will help both clinicians and C-suite executives identify which mobile tools are needed and worth investing in.
Healthcare transition in GCC: Current Painful Realities & Proposed Strategic ...STELIOS PIGADIOTIS
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2. Proposed 2016 strategies for CEOs in GCC healthcare ecosystem
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Top 3 Strategic Initiatives for Sustainable Results in Healthcare in Middle EastSTELIOS PIGADIOTIS
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Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
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QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
2. “Separate all departments, yet keep them all together;
separate types of traffic, yet save steps for everybody;
that is all there is to hospital planning”
–
Emerson Goble
3. Learning Objectives
Career in Health care – Challenges and Future
Hospital Planning-
Hospital & Its Organization
Hospital Administration
Managing Patient Care
Quality Patient Care
Management
Policy & Consideration
Managing Support Services
4. Hospital
Hospital is a place for the diagnosis and treatment of human ills and
restoration of health and well-beings of those temporarily deprived
of these
5. Genesis of Health Care & Administration
One of the Fastest growing sectors in India
“HIDDEN” career as per the American college of Health Care Executives.
Hospitals have become large, complex organizations
Technology has advanced exponentially
Government has taken on a larger role in healthcare delivery.
6. Roles of Today’s Professionals
Human resources management
Financial management
Cost accounting
Data collection and analysis
Strategic planning
Marketing
Maintenance functions of the organization.
Maintaining the moral and social order of healthcare organizations
Serving as patient advocates.
Serving as arbitrators in situations where there are competing values.
Serving as intermediaries for the various professional groups.
7. Hospital Administrator's Toolbox
Ability to manage operations, budgets, staffing issues.
Being able to work closely with a variety of strong personalities
Peace making skills
Sensible listener
Detail-oriented
Strong analytical skills
Able to sum up a situation very quickly- Decision Making.
Rationale
Top-notch communication skills
Ability to lead- Accountable and assertive
8. Challenges
Ensuring effective, efficient healthcare
services for communities
Shortages of nurses and other healthcare
workers
Concern for the safety and quality of
healthcare services
Rising healthcare costs
An aging population
Rapidly changing medical terminology and
practice
9. Current Trends in Hospital Administration
Cost-Cutting Focus
Man-power Shortage
Health Care IT Management Professionals in Demand
Drug Shortage Becomes Top Priority
Social Media in Health Care
Population Health Management Strategies to Advert
Readmissions
Privacy Becomes More Important
Compliance to State and Federal Laws
Process Improvements
Implementation of Technological Advancements
Evolving Leadership Opportunities
11. Hospital Planning
A design expert says-
“we’ve got to design ‘smart’
hospitals that respond to
present needs while
anticipating future changes.
12. PLANNING A HOSPITAL
A good hospital is built on a triad of good
planning, good design & construction &
good administration
Designed to serve people and for
promoters to build in the first place &
sustain later
Competent and adequate number of
Manpower
A strong management- For everyday
operations.
13. Classification
There are various classifications to the types of hospital
According to Objectives- Teaching Hospitals, General
Hospital, Specialized Hospital etc.
According to Ownership- Government hospitals, Semi-
Government hospitals, Voluntary Agencies’ hospitals,
Private/Charitable hospitals
According to Systems of Medicine- Allopathic,
Ayurveda, Unani, Homeopathy etc.
According to size- Teaching Hospitals(500 beds),
District Hospitals(200 beds), Taluk Hospitals(50 beds),
PHCs(6 beds)
14. Need Analysis- Does
Community need a Hospital?
There are two methods to estimate
the need for hospital in a
population:
• Analytical method: Taking
feedback and analysis of data
collected through survey e.g.
distributing questionnaire.
• Estimation method- needs of the
community
15. THE 5W-1H Approach
What we expect to do?
Why it will be done ?
Where will it be done ?
When we expect to do it?
Who all are going to do it ?
How will it be done ?
16. Guiding principles to hospital planning
High Quality Patient Care
Effective Community Orientation
Economic Viability
Sound Architectural Plan
Excellent firms don’t believe in excellence – only in
constant improvement and constant change
-Tom Peters
17. Data required in hospital
Planning
Demographic Details
Population Strength
Sex & Age Ratio
Geographic Data
Morbidity & Mortality Status
Need & Demand
Details of existing Facilities
Financial Feasibility
18. Meeting Fundamental
Needs-
Must meet the needs of the
patient it is going to serve
adequately.
It must be in a size and
proportions which the
owners or promoters will be
able to build and operate
19. PLANNING TEAM
• Hospital administrator
• Specialists from various clinical
branches
• Nursing advisor
• Civil and electrical engineers
• Representative of local body
• Senior architect
20. OBJECTIVES OF PLANNIG TEAM
Existing facilities & its adequacy
Asses the needs of area
Needs of new facilities so as to
provide
Adequate, qualitative health are
services
21. MARKET SURVEY
One the first tasks of the any organization is
to survey the service area of the proposed
hospital.
Following bodies helps in market survey-
• Banks
• CA firms
• Financial Institutions
• Consultant
Since major decisions will be on the result of
the survey, it must be done in a professional
manner.
22. FINANCIAL PLANNING
• Financial planning must take precedence
over every other consideration.
• Financial planning must cover the following
three areas:
Constructing, Equipping & Furnishing the
Hospital
Operating Funds
Financial Assistance
23. EQUIPMENT PLANNING
The term ‘equipment’ means all items
necessary for the functioning of all services of
the hospital.
It is necessary to consult with the architect
designing the building early so that the facilities
planned will be of sufficient size to
accommodate the equipment & render the
necessary services.
A room by room equipment list is then
complied & reviewed by the administration,
medical & departmental staff
24. Types of Equipment to be installed…….
Built-in Equipment's- Usually included in the
construction contract and is responsibility of
architect. For e.g. cabinets, incinerators, coolers,
pharmacy, Lines, fixed sterilizing equipment's etc.
Depreciable Equipment's- equipment’s that has
life of five years and is not purchased through
contract like laboratory and diagnostic equipment's,
office furniture's etc.
Non-Depreciable Equipment’s- They include the
items with a low unit cost and life span less than five
years. They are usually under control of the store.
Like kitchen utensils surgical instruments, waste
basket
25. SITE SELECTION
Accessibility to transportation &
communication lines
Parking facilities
Availability of public utilities
Proper elevation for drainage & general
sanitary measures
Freedom from smoke, noise, vapours &
other annoyances
Future expansion
Total cost
26. INTERIOR & FURNISHING
In a patient centred environment,
design solutions will respond to the
needs of the patients profile both
architecturally and through material
selections. Should consider the
following-
Infection control standards
Design story
Healing environment
Physical environment
Organizational planning understanding
Cost analysis
27. GENERAL FEATURES
• Environment
• Screened windows
• 4 separate entrance
• Exit point
• Attractive entrance
• Traffic flow
• Corridors
• Visitors control
• Running physical part
• Fire escape
28. OPERATION PROGRAM
Admission Administration Stores Human Resources
General
Engineering
Laundry Maintenance Purchasing
Clinical
Services
Pharmacy Fire and Safety Waste Disposal
Nursing
Services
Records Dietary Services Information
Public
Relations
Employee facilities Clinical Engineering Disaster Plan
29. SHAKE DOWN PERIOD
After the commissioning of hospital some time is taken for
functional integration of different units, services, staff, patient &
community.
Machine are tested
Staff recruited & trained
Standard operating procedures are made
Maintenance service is put in place
Materials, linen & stationary procured
Then starts the routine & regular functioning of the hospital.
30.
31. MANAGING QUALITY PATIENT CARE
• The degree to which health services for individuals and populations
increase the likelihood of desired health outcomes and are
consistent with current professional knowledge.”
32. Issues that need to be addressed to
improve patient care
• Access. Accessibility and availability of both the hospital and the physician
• Waiting. Waiting times for all services should be minimized
• Information. Patient information and instruction about all procedures, both
medical and administrative, should be made very clear
• Administration. Check-in and check-out procedures should be ‘patient
friendly’
• Communication. Communicating with the patient and the family about
possible delays is a factor that can avoid a lot of frustration and anxiety.
• Ancillary Services. Other services such as communication, food, etc.
should be accessible both to patients and to attending families
34. Planning needs knowledge, experience, foresight, reasoning
and the mastering of special skills and techniques. Its must be :
Futuristic
Decision Making Process
Dynamic
Flexible
The Organizational process is classified into:
Structural organization
Functional organization
There must be a good Co-ordination.
35. Staffing is the process of “personalizing” the organization, by hiring the
right type and adequate number of workers to each unit for the time
required
Budgeting is the financial administration. About 60 percent of total
budget is spent in wages & salaries of the staff in a hospital.
• To ensure adequate care & treatment there must be:
• Regular Auditing
• Purchasing of modern equipments and maitainance
• Supervision of both work & workers by the Executive
• Evaluation of activities, characteristics, outcome of the health care
process to improve effectiveness & make decision for efficient planning.
37. THE MEDICAL STAFF
• The physician is the leader of the
clinical team and the major agent
working on behalf of the patient.
• The physician's responsibility is to
diagnose the patient's condition
accurately and to prescribe the
best and most cost-effective
treatment plan
38. NURSING SERVICES
• Nurses are one of the few blessings of
being ill.
• Nursing services employees are
responsible for carrying out the
treatment plan developed by the
physician.
• Nursing services, also called patient
care services, is the largest component
of the hospital
39. ALLIED HEALTH SERVICES
• The clinical laboratory is a
diagnostic centre that performs a
variety of functions, including
autopsy, clinical cytology, and
clinical pathology.
• Also medical technologists,
radiology department and
rehabilitation services.
40. CLINICAL SUPPORT SERVICE
• The hospital pharmacy purchases
and dispenses all the medications
used to treat patients in the hospital.
• The pharmacist works directly with
the medical staff in establishing a
formulary, the listing of drugs
chosen to be included in the
pharmacy
41. LINE SERVICE
• Emergency services Diagnosis & treatment of illness
of an urgent nature & injuries from accidents
• Out-Patient services Provision of diagnostic,
curative, preventive and rehabilitative services
• In-patient services (Wards)
• Intensive care unit Those who need Acute,
multidisciplinary and intensive observation and
treatment
• Operation theatres Should have a pre anaesthesia
room and sterilization room and a scrub room for
doctors and nurses
43. POLICY AND GUIDELINES
Healthcare managers of all levels and specializations are critical to
guarantee a hospital functions in a competitive, effective,
profitable and satisfactory manner.
44. • Modern well equipped
technology and methods
• Obtain total patient satisfaction
• Sustained and continuity of high
standard patient care
• Highly motivated and trained,
skilled hospital staff
• Manual of procedures for
hospital staff
• Periodic training and review
system
• Morning and afternoon clinics
45. • Modern System of
appointment. e.g. e-
hospital management
• Proper Fire system and
well maintained
evacuation plans
46. ADMINISTRATIVE RESPONSIBILITIES
Procedure manual of patient care
at various areas of health care
Advisory responsibility, planning and
budgeting
Nursing training and research in
services
Recruitment, promotion and
development of nursing staff