The document discusses improving quality of service for small hospitals and nursing homes in India. It notes that a government report found serious quality deficiencies in many private healthcare practices, including inadequate treatments, excessive technology use, and medical negligence. To address this, the government plans to introduce regulations and accreditation for healthcare services. However, the document argues that small hospitals should take steps now to improve quality on their own by focusing on better management of patients, staff, facilities, technology, finances, and knowledge. Doing so will help hospitals thrive amid future government regulations and quality standards.

1. Improving Quality Of Service.Improving Quality Of Service.
For Small Hospitals & NursingFor Small Hospitals & Nursing
Homes.Homes.
 Dr.Shirish kumthekar.Dr.Shirish kumthekar.
Surgeon Oncologist.Surgeon Oncologist.
Past President Solapur Private HospitalPast President Solapur Private Hospital
OwnersOwners
Association.Association.
Organizing Chairman,Organizing Chairman,
SOLAPUR HOSPICON 2009.SOLAPUR HOSPICON 2009.

2. Quality thoughts-Quality thoughts-
“Quality is never an accident; it is“Quality is never an accident; it is
always the result of high intention,always the result of high intention,
sincere effort, intelligent direction andsincere effort, intelligent direction and
skillful execution; it represents theskillful execution; it represents the
wise choice of many alternatives.”wise choice of many alternatives.”
--

3. The Situation……..The Situation……..
 The Planning Commission had constitutedThe Planning Commission had constituted
a Working Group on Clinicala Working Group on Clinical
Establishments, Professional ServicesEstablishments, Professional Services
Regulation and Accreditation ofRegulation and Accreditation of
Healthcare Infrastructure for the 11th fiveHealthcare Infrastructure for the 11th five
year plan (2007-2012).year plan (2007-2012).

4. The Present Picture……The Present Picture……
 private sector healthcare delivery system in India,private sector healthcare delivery system in India,
according to the Report, has remained "largelyaccording to the Report, has remained "largely
fragmented and uncontrolled, and there is a clearfragmented and uncontrolled, and there is a clear
evidence of serious quality of care deficiencies in manyevidence of serious quality of care deficiencies in many
practices." Problems cited in the Report range frompractices." Problems cited in the Report range from
inadequate and inappropriate treatments, excessive useinadequate and inappropriate treatments, excessive use
of higher technologies, and wasting of scarce resources,of higher technologies, and wasting of scarce resources,
to serious problems of medical malpractice andto serious problems of medical malpractice and
negligence. The current policies and processes fornegligence. The current policies and processes for
healthcare are alleged to be inadequate or nothealthcare are alleged to be inadequate or not
responsive to ensure healthcare services of acceptableresponsive to ensure healthcare services of acceptable
quality and prevent negligence.quality and prevent negligence.

5. ? The Solution!.........? The Solution!.........
 Thus quality levels need to be defined andThus quality levels need to be defined and
maintained and the Government seems tomaintained and the Government seems to
believe that the healthcare industry needsbelieve that the healthcare industry needs
a watchdog to do this. Besides liftinga watchdog to do this. Besides lifting
general healthcare standards, thegeneral healthcare standards, the
regulators are of the view that this 'seal ofregulators are of the view that this 'seal of
approval' will also attract more medicalapproval' will also attract more medical
tourism to the country.tourism to the country.

6. The Responsibility……..The Responsibility……..
 Providing quality care to patients is anProviding quality care to patients is an
ethical responsibility of the healthcareethical responsibility of the healthcare
providers. Quality is a relative conceptproviders. Quality is a relative concept
strongly influenced by the historical,strongly influenced by the historical,
political, economical and cultural contextpolitical, economical and cultural context
to which it is applied. When we refer toto which it is applied. When we refer to
quality in healthcare we implied everythingquality in healthcare we implied everything
that improves the status of present healththat improves the status of present health
services and not just an abstractservices and not just an abstract
characteristicscharacteristics

7. Fundamental Right!.........Fundamental Right!.........
 To deliver required healthcare toTo deliver required healthcare to
population at large which is right of thepopulation at large which is right of the
people as per mandate of the Article 47 ofpeople as per mandate of the Article 47 of
Indian Constitution.Indian Constitution.

8. The Approach……..The Approach……..
 In 2002, the Confederation of IndianIn 2002, the Confederation of Indian
Industry (CII) National Committee onIndustry (CII) National Committee on
Healthcare, chaired by renowned heartHealthcare, chaired by renowned heart
surgeon Dr Naresh Trehan, commissionedsurgeon Dr Naresh Trehan, commissioned
McKinsey to prepare a report on the stateMcKinsey to prepare a report on the state
of the private healthcare system in India.of the private healthcare system in India.

9. Improvement In Quality Service …Improvement In Quality Service …
Why?Why?
 The study found clear evidence of seriousThe study found clear evidence of serious
quality of care deficiencies. Problemsquality of care deficiencies. Problems
ranged from inadequate and inappropriateranged from inadequate and inappropriate
treatments, to excessive use of hightreatments, to excessive use of high
technologies, to serious problems oftechnologies, to serious problems of
medical malpractice and negligence.medical malpractice and negligence.

10. What about us the small& MediumWhat about us the small& Medium
sized Hospital Owners ?sized Hospital Owners ?
 The Government as you have just seenThe Government as you have just seen
now is bound to bring in these toughnow is bound to bring in these tough
legislations in due course of time…..legislations in due course of time…..
 But why wait ?But why wait ?
 Why can we not regulate ourselves ?Why can we not regulate ourselves ?
 Remember a famous quote….!Remember a famous quote….!

11. The Quote…….The Quote…….
 If you do not Regulate (Discipline)If you do not Regulate (Discipline)
yourself……..yourself……..
………………………………....
There is always going to be somebody …There is always going to be somebody …
WHO WILL (Discipline) REGULATEWHO WILL (Discipline) REGULATE
YOU !...........YOU !...........

12. Let us find out some answersLet us find out some answers
 So… Why Wait?.......So… Why Wait?.......

13. We have 7 areas in whichWe have 7 areas in which
improvement in Quality can beimprovement in Quality can be
implemented…implemented…
1.Improvement in Patient & Relatives1.Improvement in Patient & Relatives
Management.Management.
2.Improvement in Practice Management.2.Improvement in Practice Management.
3.Improving Staff Management.3.Improving Staff Management.
4.Improvement in Hospital Management.4.Improvement in Hospital Management.
5.Improvement in Technology management.5.Improvement in Technology management.
6.Improvement in Money Management.6.Improvement in Money Management.
7.Improvement in Knowledge Management.7.Improvement in Knowledge Management.

14. Patient & Relative Management.Patient & Relative Management.

15. Practice Management.Practice Management.

16. Staff Management.Staff Management.

17. Hospital Management.Hospital Management.

18. Technology Management.Technology Management.

19. Money(Financial)Management,Money(Financial)Management,

20. Knowledge Management.Knowledge Management.

21.  The Single most important Reason forThe Single most important Reason for
striving to Improve quality ……….isstriving to Improve quality ……….is
 YOU NEED TO SUSTAIN & FLOURISH.YOU NEED TO SUSTAIN & FLOURISH.
 YOU NEED TO BE SUCCESFUL!YOU NEED TO BE SUCCESFUL!

22.  Wish you all the best & Thank YOU.Wish you all the best & Thank YOU.