The document outlines the author's background and experience in veterinary medicine and hospital management, detailing educational qualifications and development courses attended. It discusses various managemental schools in hospitals, types of organizations, organizational life cycles, factors influencing organizations, and specifically outlines components of the medical insurance department. Additionally, it presents managerial functions and proposes a plan for improvement within the insurance department aimed at enhancing efficiency and reducing claims rejection.

1. HOSPITAL
MANAGEMENT
PROJECT
Under supervision of Dr. Hatem Elbitar

2. Assignment (1)
■ Self Introduction:
 Name: Eman Mohamed Saad Badr
 Education:
- Bachelor of Veterinary Medicine – Benha University
- Biochemistry Diploma - Benha University
- Microbiology Diploma - Cairo University
 Developmental Courses:
- Customer service excellence
- Excel developed course.
- Medical translation course.
- Content writing / transcription course.
- GCP (Good clinical practice) - National Drug Abuse Treatment Clinical Trials Network
- CPR (Cardiopulmonary resuscitation) - American Heart Association
- AED (Automated External Defibrillator) HeartSaver Prog. - American Heart Association
- BLS (Basic Life Support) Prog. - American Heart Association
- Soft skills - sports & sports ministry
 Working Experience:
- Insurance Manager – Global medical group
■ Goal of attending the course:
- The ability to be enrolled in the quality & hospital managemental field.

3. Assignment (1)
■ Type of managemental schools in the hospital to be
supported & why ?
- I support Arabic / Egyptian school.
- It’s very indicated from my point of view that managemental level
must be with medical background along with managerial degree &
experience is highly suggested, that will minimize the gap between
the manager & staff supervised and will help in planning the proper
schemes for action and realistic instructions to be applied for solving
problems & improvement steps.

4. Assignment (1)
Organization & Hospital Management Def.:
Organization Hospital Management
It consists of 2 or more persons
engaged in systemic effort to produce
goods or services.
( systemic arrangement of people to
accomplish specific purpose )
It’s the art and science of doing things
through others efficiently under
organization law and regulation.

5. Assignment (1)
■ Types of organizations
- It’s divided into 3 types :
1. Public ( Governmental formal institution )
2. Private ( profitable non formal institution )
3. NGOS ( non profitable non formal institution )
■ Life cycle of organizations
1. Start up
2. Growth
3. Plateau
4. Decline / renewal

6. Assignment (1)
■ Life cycle of organizations compared with human’s:
0
0.5
1
1.5
2
2.5
3
3.5
4
Step 1
Step 2
Step 3
Step 4
1.Start up
2.Growth
3.Plateau
4.Decline
1.Crawling baby
2.Walking child
3.Running Adult
4.Aging Organization
Human

7. Assignment (2)
■ Factors affecting the organization:
External Factors Internal Factors
 Social
 Economical
 Political
 Technological
 Environmental
 Legal
 Demographic
 HR
 Competitors services
 Law & regulation policies
 Finances
 Values
 Managemental styles
 Organizational structure

8. Assignment (2)
■ Medical system components concerning my field of Medical Insurance Dept.:
- It’s divided into 3 components :
Input
• Hiring
experienced/qualified
staff.
• Implementing insurance
policy.
• Implementing standard
working cycle to be
followed.
• Providing proper offices /
computers / cabinets for
storage / software system.
Process
• Medical Claims
processing.
• Following the steps of
receiving / submission /
resubmission /
reimbursement.
• Wrongs verifications & on-
spot corrections.
• New commers orientation
of policies & working cycle.
• Data collection/ sharing /
recording / archiving in
the sharing software.
Output
• Mistakes free claims.
• Zero rejections ( main
goal).
• Complete data records.
• Patient satisfaction.
• Organizational extra profit.

9. Assignment (2)
■ Managerial functions:
- Can be divided into 4 categories:
1. Planning
2. Organizing
3. Leading
4. Controlling
Planning Def.: is the function of management that involves setting objectives and
determining a course of action for achieving those objectives.
OR Process that is based on the analysis of data & assess the available resources
to use it for creating the change accordingly.

10. Assignment (2)
■ Creating a plan for the Insurance Dept. improvement:
What to do?
• Scheduling for a Dept. meeting.
When to do it?
• 1st of next month.
How to do it?
•Sending mails inviting for the meeting ( place, time, agenda ) to all attendees ( Dept. staff, CFO, MD, QC, HR, CS ).
Why to do it? Hiring new staff because of:
- Increasing claims rate & workload. - Increasing audit efficiency. - Reducing rejection %.
Who will do it?
- HR / Dept. Manager / CFO.