Hi Friends
This is supa bouy
I am a mentor, Friend for all Management Aspirants, Any query related to anything in Management, Do write me @ supabuoy@gmail.com.
I will try to assist the best way I can.
Cheers to lyf…!!!
Supa Bouy
Different Departments Required in a Hospital Rhea Shivan
This presentation though long is a brief presentation on the different departments required for a hospital to run. Apt info for those having hospital administration as a paper
Location and layout of hospital, need of hospital to community,planning,factors and data required in planning,fundamentals and objectives,principles,different stages,equipment planning,icu design and layout,quality quantity and temperature and noise control in hospital,conclusion
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.
Master of Architecture Thesis Healthcare Project management "A Structure Appr...Rohit Digra
Master of Architecture Thesis Healthcare Project management "A Structure Approach" the thesis is based on project management of hospitals in mumbai,well it is all about the reason why many hospitals in mumbai getting delay and how I have overcome it.
Different Departments Required in a Hospital Rhea Shivan
This presentation though long is a brief presentation on the different departments required for a hospital to run. Apt info for those having hospital administration as a paper
Location and layout of hospital, need of hospital to community,planning,factors and data required in planning,fundamentals and objectives,principles,different stages,equipment planning,icu design and layout,quality quantity and temperature and noise control in hospital,conclusion
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.
Master of Architecture Thesis Healthcare Project management "A Structure Appr...Rohit Digra
Master of Architecture Thesis Healthcare Project management "A Structure Approach" the thesis is based on project management of hospitals in mumbai,well it is all about the reason why many hospitals in mumbai getting delay and how I have overcome it.
Clinical Assignment Quality Improvement Final Project GoalWilheminaRossi174
Clinical Assignment: Quality Improvement Final Project
Goal:
· Combine your Quality Improvement Project Part 1 through Part 3 and finalize the Quality Improvement Project.
· Compose a conclusion for your Quality Improvement Project.
Content Requirements:
1. A description of the clinical issue to be addressed in the project.
2. An assessment of clinical issue that is the focus of the quality improvement project.
3. A SWOT (strengths, weaknesses, opportunities, threats) analysis for the project. Analysis of the strengths, weaknesses, opportunities, and threats related to the quality improvement process.
4. An outline of the action plan for the project.
5. Discuss stakeholders and decision makers who need to be involved in the quality improvement project.
6. Discuss resources including budget, personnel and time needed for the quality improvement project.
7. Discuss potential strategies for implementation and evaluation.
8. Conclusion
Submission Instructions:
· Refine your Quality Improvement Project Part 1, Part 2, and Part 3 based on your instructor's feedback.
· The paper is to be clear and concise, and students will lose points for improper grammar, punctuation and misspelling.
· The final project is to be 8 - 12 pages in length and formatted per current APA, excluding the title, abstract and references page.
· Incorporate a minimum of 12 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
· Journal articles and books should be referenced according to the current APA style (the library has a copy of the APA Manual).
Running Head: QUALITY IMPROVEMENT PROJECT 3
QUALITY IMPROVEMENT PROJECT
Part 3
June 20, 2021
Quality Improvement Project
Action Plan
Outline
-Defining the scope of the recruitment work plan, nursing residency enhancement, and career development projects.
-Allocation of responsibilities to stakeholders of the project departments.
-Estimate and create workable timelines and activities for each team.
-Note down the budget for the project.
The project involves an action plan to ensure quality improvement in the nursing profession. It is based on the fact that there is a significant shortage of nursing practitioners, which directly affects their quality of service. The action plan itself involves defining the nature of the recruitment work plan, which will be in connection to the newly graduated nurses with no experience and using their feedback on the job to determine if they will retain them. The work plan will involve questionnaire interviews, group sessions, and one-on-one interviews about the state of the job as the nurse continues.
The action plan will also include research on the state of nursing residency facilities at different medical institutions and later crafting proposals to the medical center and the government department involved in their nursing residency facilities with recommendations. Th ...
Change thesis: how to introduce and manage organize changerangada shah
One of the most baffling issues which business executives face is an employee’s degree of resistance and adaptation to change. This is a difficult time for global pharmaceutical
companies — the unending series of concerns that pharmaceutical companies face include payers tightening up on cost management, strained government healthcare budgets, the need to understand and adopt new technologies, and challenges to their traditional pricing mechanisms
by empowered stakeholders, from patients to payers. Thus in this hustle and bustle and matching global cut-throat competition, human capital becomes the victim of change where sometimes they adopt changes and sometimes resist.
Data available in the report is true and purely based on the employees responses.
and the questionnaire is prepared on Google form.
each and every topic of employee welfare is covered in my report.
Monitoring National Health Programs-A New Approach.pdfRPal5
"This exercise was planned to compile checklists of selected output indicators, which are often reported & can be compared to assess periodically the progress of National Health Programs. Five programs were selected for this initiative. The purpose is to use the analysis of information to plan & implement timely mid course corrections to improve the quality & efficiency of the programs. 26 Faculty members and Editorial team of 10 members from different medical colleges across India have volunteered their effort and time without any compensation to develop this document. As coordinator and member of this amazing team I would like to express my sincere appreciation and gratitude for each member. Dr Ravi Kiran Pal MBBS, MD, MPH Professor, Community Medicine"
The Nurse Leader as Knowledge Worker
H
Walden University
Transforming Nursing And Health Through Technology
NURS 6051
Nov 27, 2019
1
The Nurse Leader as Knowledge Worker
2
Purpose
Explain the concept of a knowledge worker.
Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
The concept of a knowledge worker
The term “knowledge worker” was first coined by Peter Drucker. Ducker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services (CFI, 2019). He emphasized that due to the high level of productivity and creativity of knowledge worker, that they would be the most valuable assets in the 21st century organization. Professionals that can be referred to as knowledge worker includes engineers, pharmacists, architects, financial analysts, public accountants, physicians, scientists, design thinkers, and lawyers. Furthermore, knowledge workers have a high degree of expertise, experience, education and the primary purpose of their jobs involve the distribution, creation and application of knowledge.
3
Definition of a knowledge worker by Peter Drucker
Professional that are referred to as knowledge worker
Nursing Informatics
Nursing Informatics is a subset of informatics, specific to the nursing field and the role of the nurse in the healthcare setting. There has been several interpretation of nursing informatics. The American Nurses Association (ANA), identified nursing informatics as a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice (ANA, 2001, pg.17).
4
Nurse leader as a knowledge worker.
A nurse leader is one who inspire others to work together to achieve a common goal, for instance enhanced patient care or satisfaction. All nurses are called to nurse leadership, however there are different levels of nurse leadership. Nurse leaders are expected to help the organization to fulfill the organization’s mission, vision, values, and strategies to achieve long-range plans. Nurse leaders part take in policy setting, overseeing quality measures are carried out, accountability for overall quality of patient care delivery, staff satisfaction and organizational outcomes. For a nurse leader as a knowledge worker to be productive in an organization, the nurse leader must understand that knowledge work requires continuous learning on the part of the knowledge worker, but equally continuous teaching on the part of the knowledge worker. Having said that, a knowledge worker nurse leader will depend hugely on evidenced based practice to be productive in a healthcare organization. The use of EBP by knowledge worker nurse leader will require learning and teaching. Most healthcare organizations or hospitals rely on evidenced based practice to im.
Clinical Workforce Development NCA Informational WebinarCHC Connecticut
Learn more about training and technical assistance offered through Community Health Center Inc.'s National Cooperative Agreement (NCA) on Clinical Workforce Development. Hear more about FREE Learning Collaboratives opportunities to enhance or implement a model of Team-Based Care at your Health Center, and how to implement a Post-Graduate Residency program for Nurse Practitioners and Post-Doc Clinical Psychologists.
To study how nirmal healthcare products pvt. ltd. can strengthen their place ...Supa Buoy
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Supa Bouy
To map brand performance of videocon brand and competition for colour televis...Supa Buoy
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Supa Bouy
The role of integrates marketing communications in life insurancetSupa Buoy
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Supa Bouy
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I am a mentor, Friend for all Management Aspirants, Any query related to anything in Management, Do write me @ supabuoy@gmail.com.
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Supa Bouy
Study the customer satisfaction ratio and viewsSupa Buoy
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Supa Bouy
Study of procedural aspects of cng valve productionSupa Buoy
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Supa Bouy
Study of material flow and procurement control systems of materialSupa Buoy
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Supa Bouy
Study of market potential for enterprise messaging solutionSupa Buoy
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Supa Bouy
Study of effectiveness of distribution channelSupa Buoy
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Supa Bouy
Study of cng and lpg based vehicle system in pune and ahmedabadSupa Buoy
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Supa Bouy
Standardisation of ilr format and ilr for isv in usaSupa Buoy
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Supa Bouy
Spend analysis of leaf springs procurementSupa Buoy
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Supa Bouy
Market potential survey for low temp. absorption refrigeration system in wes...Supa Buoy
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Market potential of bsnl's broadband services in puneSupa Buoy
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Market analysis and potential marketsize for taco autocomponents aftermarket ...Supa Buoy
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Supa Bouy
Find out potential market for industrial burners and gas systemsSupa Buoy
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Exploring market potential of ammonia absorption refrigeration plant in ferti...Supa Buoy
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Estimation of market size and potential of fibre cement boards for mumbai marketSupa Buoy
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Supa Bouy
Hi Friends
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Customer overview of retail outlets hpcl vs. reliance Supa Buoy
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"𝑩𝑬𝑮𝑼𝑵 𝑾𝑰𝑻𝑯 𝑻𝑱 𝑰𝑺 𝑯𝑨𝑳𝑭 𝑫𝑶𝑵𝑬"
𝐓𝐉 𝐂𝐨𝐦𝐬 (𝐓𝐉 𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬) is a professional event agency that includes experts in the event-organizing market in Vietnam, Korea, and ASEAN countries. We provide unlimited types of events from Music concerts, Fan meetings, and Culture festivals to Corporate events, Internal company events, Golf tournaments, MICE events, and Exhibitions.
𝐓𝐉 𝐂𝐨𝐦𝐬 provides unlimited package services including such as Event organizing, Event planning, Event production, Manpower, PR marketing, Design 2D/3D, VIP protocols, Interpreter agency, etc.
Sports events - Golf competitions/billiards competitions/company sports events: dynamic and challenging
⭐ 𝐅𝐞𝐚𝐭𝐮𝐫𝐞𝐝 𝐩𝐫𝐨𝐣𝐞𝐜𝐭𝐬:
➢ 2024 BAEKHYUN [Lonsdaleite] IN HO CHI MINH
➢ SUPER JUNIOR-L.S.S. THE SHOW : Th3ee Guys in HO CHI MINH
➢FreenBecky 1st Fan Meeting in Vietnam
➢CHILDREN ART EXHIBITION 2024: BEYOND BARRIERS
➢ WOW K-Music Festival 2023
➢ Winner [CROSS] Tour in HCM
➢ Super Show 9 in HCM with Super Junior
➢ HCMC - Gyeongsangbuk-do Culture and Tourism Festival
➢ Korean Vietnam Partnership - Fair with LG
➢ Korean President visits Samsung Electronics R&D Center
➢ Vietnam Food Expo with Lotte Wellfood
"𝐄𝐯𝐞𝐫𝐲 𝐞𝐯𝐞𝐧𝐭 𝐢𝐬 𝐚 𝐬𝐭𝐨𝐫𝐲, 𝐚 𝐬𝐩𝐞𝐜𝐢𝐚𝐥 𝐣𝐨𝐮𝐫𝐧𝐞𝐲. 𝐖𝐞 𝐚𝐥𝐰𝐚𝐲𝐬 𝐛𝐞𝐥𝐢𝐞𝐯𝐞 𝐭𝐡𝐚𝐭 𝐬𝐡𝐨𝐫𝐭𝐥𝐲 𝐲𝐨𝐮 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐚 𝐩𝐚𝐫𝐭 𝐨𝐟 𝐨𝐮𝐫 𝐬𝐭𝐨𝐫𝐢𝐞𝐬."
LA HUG - Video Testimonials with Chynna Morgan - June 2024Lital Barkan
Have you ever heard that user-generated content or video testimonials can take your brand to the next level? We will explore how you can effectively use video testimonials to leverage and boost your sales, content strategy, and increase your CRM data.🤯
We will dig deeper into:
1. How to capture video testimonials that convert from your audience 🎥
2. How to leverage your testimonials to boost your sales 💲
3. How you can capture more CRM data to understand your audience better through video testimonials. 📊
Unveiling the Secrets How Does Generative AI Work.pdfSam H
At its core, generative artificial intelligence relies on the concept of generative models, which serve as engines that churn out entirely new data resembling their training data. It is like a sculptor who has studied so many forms found in nature and then uses this knowledge to create sculptures from his imagination that have never been seen before anywhere else. If taken to cyberspace, gans work almost the same way.
3.0 Project 2_ Developing My Brand Identity Kit.pptxtanyjahb
A personal brand exploration presentation summarizes an individual's unique qualities and goals, covering strengths, values, passions, and target audience. It helps individuals understand what makes them stand out, their desired image, and how they aim to achieve it.
Personal Brand Statement:
As an Army veteran dedicated to lifelong learning, I bring a disciplined, strategic mindset to my pursuits. I am constantly expanding my knowledge to innovate and lead effectively. My journey is driven by a commitment to excellence, and to make a meaningful impact in the world.
VAT Registration Outlined In UAE: Benefits and Requirementsuae taxgpt
Vat Registration is a legal obligation for businesses meeting the threshold requirement, helping companies avoid fines and ramifications. Contact now!
https://viralsocialtrends.com/vat-registration-outlined-in-uae/
Premium MEAN Stack Development Solutions for Modern BusinessesSynapseIndia
Stay ahead of the curve with our premium MEAN Stack Development Solutions. Our expert developers utilize MongoDB, Express.js, AngularJS, and Node.js to create modern and responsive web applications. Trust us for cutting-edge solutions that drive your business growth and success.
Know more: https://www.synapseindia.com/technology/mean-stack-development-company.html
Memorandum Of Association Constitution of Company.pptseri bangash
www.seribangash.com
A Memorandum of Association (MOA) is a legal document that outlines the fundamental principles and objectives upon which a company operates. It serves as the company's charter or constitution and defines the scope of its activities. Here's a detailed note on the MOA:
Contents of Memorandum of Association:
Name Clause: This clause states the name of the company, which should end with words like "Limited" or "Ltd." for a public limited company and "Private Limited" or "Pvt. Ltd." for a private limited company.
https://seribangash.com/article-of-association-is-legal-doc-of-company/
Registered Office Clause: It specifies the location where the company's registered office is situated. This office is where all official communications and notices are sent.
Objective Clause: This clause delineates the main objectives for which the company is formed. It's important to define these objectives clearly, as the company cannot undertake activities beyond those mentioned in this clause.
www.seribangash.com
Liability Clause: It outlines the extent of liability of the company's members. In the case of companies limited by shares, the liability of members is limited to the amount unpaid on their shares. For companies limited by guarantee, members' liability is limited to the amount they undertake to contribute if the company is wound up.
https://seribangash.com/promotors-is-person-conceived-formation-company/
Capital Clause: This clause specifies the authorized capital of the company, i.e., the maximum amount of share capital the company is authorized to issue. It also mentions the division of this capital into shares and their respective nominal value.
Association Clause: It simply states that the subscribers wish to form a company and agree to become members of it, in accordance with the terms of the MOA.
Importance of Memorandum of Association:
Legal Requirement: The MOA is a legal requirement for the formation of a company. It must be filed with the Registrar of Companies during the incorporation process.
Constitutional Document: It serves as the company's constitutional document, defining its scope, powers, and limitations.
Protection of Members: It protects the interests of the company's members by clearly defining the objectives and limiting their liability.
External Communication: It provides clarity to external parties, such as investors, creditors, and regulatory authorities, regarding the company's objectives and powers.
https://seribangash.com/difference-public-and-private-company-law/
Binding Authority: The company and its members are bound by the provisions of the MOA. Any action taken beyond its scope may be considered ultra vires (beyond the powers) of the company and therefore void.
Amendment of MOA:
While the MOA lays down the company's fundamental principles, it is not entirely immutable. It can be amended, but only under specific circumstances and in compliance with legal procedures. Amendments typically require shareholder
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
Sustainability has become an increasingly critical topic as the world recognizes the need to protect our planet and its resources for future generations. Sustainability means meeting our current needs without compromising the ability of future generations to meet theirs. It involves long-term planning and consideration of the consequences of our actions. The goal is to create strategies that ensure the long-term viability of People, Planet, and Profit.
Leading companies such as Nike, Toyota, and Siemens are prioritizing sustainable innovation in their business models, setting an example for others to follow. In this Sustainability training presentation, you will learn key concepts, principles, and practices of sustainability applicable across industries. This training aims to create awareness and educate employees, senior executives, consultants, and other key stakeholders, including investors, policymakers, and supply chain partners, on the importance and implementation of sustainability.
LEARNING OBJECTIVES
1. Develop a comprehensive understanding of the fundamental principles and concepts that form the foundation of sustainability within corporate environments.
2. Explore the sustainability implementation model, focusing on effective measures and reporting strategies to track and communicate sustainability efforts.
3. Identify and define best practices and critical success factors essential for achieving sustainability goals within organizations.
CONTENTS
1. Introduction and Key Concepts of Sustainability
2. Principles and Practices of Sustainability
3. Measures and Reporting in Sustainability
4. Sustainability Implementation & Best Practices
To download the complete presentation, visit: https://www.oeconsulting.com.sg/training-presentations
What is the TDS Return Filing Due Date for FY 2024-25.pdfseoforlegalpillers
It is crucial for the taxpayers to understand about the TDS Return Filing Due Date, so that they can fulfill your TDS obligations efficiently. Taxpayers can avoid penalties by sticking to the deadlines and by accurate filing of TDS. Timely filing of TDS will make sure about the availability of tax credits. You can also seek the professional guidance of experts like Legal Pillers for timely filing of the TDS Return.
Discover the innovative and creative projects that highlight my journey throu...dylandmeas
Discover the innovative and creative projects that highlight my journey through Full Sail University. Below, you’ll find a collection of my work showcasing my skills and expertise in digital marketing, event planning, and media production.
Putting the SPARK into Virtual Training.pptxCynthia Clay
This 60-minute webinar, sponsored by Adobe, was delivered for the Training Mag Network. It explored the five elements of SPARK: Storytelling, Purpose, Action, Relationships, and Kudos. Knowing how to tell a well-structured story is key to building long-term memory. Stating a clear purpose that doesn't take away from the discovery learning process is critical. Ensuring that people move from theory to practical application is imperative. Creating strong social learning is the key to commitment and engagement. Validating and affirming participants' comments is the way to create a positive learning environment.
Implicitly or explicitly all competing businesses employ a strategy to select a mix
of marketing resources. Formulating such competitive strategies fundamentally
involves recognizing relationships between elements of the marketing mix (e.g.,
price and product quality), as well as assessing competitive and market conditions
(i.e., industry structure in the language of economics).
The world of search engine optimization (SEO) is buzzing with discussions after Google confirmed that around 2,500 leaked internal documents related to its Search feature are indeed authentic. The revelation has sparked significant concerns within the SEO community. The leaked documents were initially reported by SEO experts Rand Fishkin and Mike King, igniting widespread analysis and discourse. For More Info:- https://news.arihantwebtech.com/search-disrupted-googles-leaked-documents-rock-the-seo-world/
The Influence of Marketing Strategy and Market Competition on Business Perfor...
Manpower planning
1. 1
A
PROJECT REPORT
ON
MAN POWER PLANNING
FOR
SANCHETI INSTITUTE OF ORTHOPAEDICS AND
REHABILITATION
SUBMITTED TO UNIVERSITY OF PUNE
PARTIAL FULFILLMENT OF 2 YEARS FULL TIME COURSE
MASTERS IN BUSINESS ADMINISTRATION (M.B.A)
SUBMITTED BY
K.RAJANI BALA
(BATCH - 2005-2007)
VISHWAKARMA INSTITUTE OF MANAGEMENT PUNE.48
2. 2
ACKNOWLEDGEMENT
Any project is never an individual effort; it is contributory of many hearts, hands
and brains. I sincerely feel that the credit of the project work could not be
narrowed down to only one individual. As the whole work is outcome of
integrated efforts of all those concerned with it, through whose cooperation and
effective guidance I could achieve its completion.
I take this opportunity to express my deep sense of obligation to the management
of Sancheti institute and especially to MR. PARAG SANCHETI and MRS.
MANISHA SANGHAVI for giving me this opportunity to undertake this project
in their organization.
I extend my heartfelt gratitude to MR. IYYER and MR. DARSHAN DEOKULE
who facilitated me with all means and also guided me through out this project
and helped me in completing this project work successfully.
I shall be failing in my duty if I do not express my thanks to all the members of
Sancheti institute who took time out of their schedule to share their knowledge
with me.
I am greatly obliged to our Director, Dr. SHARAD JOSHI. and my project guide
Dr. VANDANA GOTE, for guiding and supporting me all through this project.
Above all, I thank every body at Sancheti institute of orthopaedics and
rehabilitation, for making me feel comfortable and offering me help whenever I
required. I do feel privileged for getting and opportunity to work in such an
esteemed organization.
K. Rajani Bala
3. 3
TABLE OF CONTENTS
Sr.No. TOPIC PAGE No.
1 EXECUTIVE SUMMERY 1
2 OBJECTIVE AND SCOPE OF PROJECT 4
3 COMPANY PROFILE 5
4 THEROTICAL BACKGROUND 15
5 DATA ANALYSIS 21
6 LIMITATIONS 46
7 SUGGETIONS 49
8 CONCLUSION 47
9 BIBLIOGRAPHY 51
10 ANNEXURES 52
Sr.No. TOPIC PAGE
No.
1 Percentage increase in the number of patients 22
2 Recommended and existing nurse to bed ratio in Sancheti
hospital
26
3 Existing workload and estimated Manpower requirement in
radiology department.
29
4 Existing workload and estimated Manpower requirement in
physiotherapy
32
5 Existing workload and estimated Manpower requirement in
pathology department.
35
6 Existing workload and estimated Manpower requirement in
pharmacy
39
7 Department wise Manpower requirement results (conclusion) 49
4. 1
EXECUTIVE SUMMERY
INTRODUCTION OF THE PROJECT:
Manpower planning basically aims at maintaining and improving the
organization s ability to achieve its goal by developing and utilizing human
resources most-effectively. Effective manpower panning provides adequate lead
time for the procurement and training of employees. If practiced properly and
precisely. It helps in increasing productive, reducing unnecessary absenteeism
decreasing employee turnover, and accomplishing other important organizational
objectives.
PROJECT TITLE:
MANPOWER PLANNING IN SANCHETI INSTITUTE OF
ORTHOPAEDICS AND REHABILITATION
REASON FOR CHOOSING THIS COMPANY AND THIS PROJECT:
Any organizations success or failure depends mainly upon the human
resource available to it, and to ensure the optimum utilization and
estimating the future skills requirement is the most crucial element for any
organization, and this could be achieved through systematic manpower
planning.
Manpower planning is not just determining the present manpower and
projecting it to the future requirement but it takes into consideration all
the activities like recruitment, training and development and various other
policies and procedures that affects the manpower of the organization
5. 2
Sancheti institute is one of the largest orthopaedics hospitals in south East
Asia. Hospitals services are required when people are going through
delicate and traumatic moments of their life, therefore the services should
be of supreme quality, and performance of any service providing
organization mainly depends on its manpower therefore manpower
planning becomes all the more important in service providing
organizations.
And most importantly I was getting the rarest opportunity of actually
designing the manpower of Sancheti institute.
COURSE OF ACTION TAKEN IN COMPLETING THE PROJECT
1. Visiting each department and determining the strength and workload of
each department
2. Collecting the data of previous years for determining the percentage
increase in the number of patients analyzing the trends for determining the
increasing and decreasing patterns followed by the patients in various
months.
3. Preparing the department wise organization charts and taking the approval
of all the department heads.
4. Visiting each ward and determining the nurse to bed ratio and comparing
it with the norms provided by the Indian medical council and if there is
any difference in the actual ratio and standard ratio then finding out the
reasons for the difference.
5. Finding out the departments which majorly gets affected due to increase
in the number of patients and focusing the study on these departments.
6. Consulting various administration heads and determining the estimated
percentage increase in the number of patients and also finding out the
reasons for the increase.
6. 3
7. Finding out the recruitment policies and procedures
8. Finding out the various welfare and motivational activities under taken to
uplift the moral of the manpower.
9. Determining the weaknesses and strengths of the nursing staff by taking
into consideration their qualification, experience, trainings etc.
10. Finding out the performance appraisal system and determining how it
effects the manpower planning
11. Finding out various training activities taken up to increase the
effectiveness, moral, and satisfaction of the employee.
12. Taking all these factors and analysis drawn out of the available data,
projecting the future manpower requirement.
7. 4
OBJECTIVE AND SCOPE OF THE PROJECT
TITLE:
MANPOWER PLANNING OF SANCHETI INSTITUTE OF
ORTHOPAEDICS AND REHABILITATION
PRIMARY OBJECTIVE:
Designing the manpower requirements for next two years.
Finding the Recruitment policies and procedures
Determining the Training and development programmes done to increase
the effectiveness of the staff members
Finding Performance appraisal system
Finding employees welfare activities and rewards given to motivate them
Finding strengths and weaknesses of the nursing department
SCOPE OF THE PROJECT: Manpower planning provides adequate lead time
for the procurement and training of employees. It helps in increasing the
productivity, reducing unnecessary absenteeism decreasing employee turnover,
and accomplishing other important organizational objectives.
Manpower planning makes it possible for the management to correct the
weakness of the existing personnel determined through employee
evaluations/performance appraisals by incorporating necessary corrective
training/retraining programmes or refresher training programmes effectively.
This may also contribute towards reduction of manpower costs
9. 6
COMPANY PROFILE
SANCHETI HOSPITAL FOR ORTHOPEDICS & REHABILITATION is a
purely orthopedic hospital and is the largest orthopaedics hospital in south East
Asia .it is a highly specialized hospital rendering services in all specialties of
orthopaedics like joint replacement, traumatoloty, spinal surgery, Pediatrics
orthopaedics, Llizarov techniques, arthroscopy and sports injuries, hands and
plastic surgery.
THE MISSION
We shall enhance patient quality of life through preventive health care
activities and specialized medical treatment at affordable cost and free/concession
rate to poor and needy.
THE VISION
Sancheti institute for orthopaedics and rehabilitation will have under one
roof a state of art, health care service provider, focused on multi-super
orthopaedics and rehabilitation.
SLOGAN: SAFE IN OUR HANDS
LOGO OF THE HOSPITAL
10. 7
ORIGIN OF THE HOSPITAL
Sancheti institute for orthopaedics and rehabilitation was founded by Dr.
K.H.Sancheti, he had the foresight to develop an orthopaedics hospital of such a
magnitude as far back as in 1972 Sancheti hospital Dr. K.H.Sancheti who is the
moving spirit behind this institute has also started the college of physiotherapy,
the college of hospital management within the Sancheti institute campus.
Dr.K.H.Sancheti has played vital role towards the social cause of creating health
awareness among public at large. He is a strong advocate of preventive medicine
and alternative medicine.Sanchek health club has been inexistence since 1990
and in the year 2003 his innovative ideas and creative mind have manifested into
the concepts of knee club and spine club all within the campus of Sancheti
institute.
11. 8
STATE OF THE ART-(SPECIALIZATIONS OF SANCHETI
INSTITUTE)
JOINT REPALCEMENT CENTER
This center deals with replacing the severely deformed joints with artificial joints,
this institute offers the latest techniques of replacement surgery to such patients.
Highlights of this center
Averagely 350 knee replacement surgeries and around 250 hip
replacement surgeries done every year center
The centre has all the ultra modern equipments and implants required for
such surgeries
Specially designed OT complex with laminar airflow for maintaining
highly aseptic and hygienic environment, which is very important to
avoid post surgery infections.
Highly trained and experienced nursing and paramedical staff.
Well trained physiotherapist for post operative rehabilitation
Post discharge telephonic consultation and videoconferencing facilities
available.
Availability of computer assisted replacement surgery
KNEE ARTHROSCOPY
It is a keyhole surgery in which a telescope is put inside the knee joint to
visualize all internal structures .instruments can also be put through the keyhole
to treat the knee problem.
12. 9
PELVIACETABULAR TRAUMA:
Sancheti institute has a separate pelviacetabular trauma unit headed by Dr.Parag
Sancheti and Dr. Atul patil.These fractures are very complicated and may
endanger the patients life due to life threatening hypovolemic shock. The
pelciaxetabular fractures are difficult to understand and require highly skilled
surgical expertise to treat.
SPINE SURGERY
This unit is comparable to the best in the world. It offers surgical treatment for
various congenital, traumatic and degenerative spinal disorders LIKE SLIPPED
KDISCS, SPINDYLOSIS. Spondylolisthesis, spinal deformities, infections,
spinal fractures etc.
The highlights of the spinal surgeries are-
Microscopic surgery performed by making only a small incision to
remove the highly damaged disc or for spinal tumors and other disorder.
Cervical spine surgery for spinal coed compression using latest
microscopic techniques and implants.
Anterior spinal reconstruction surgery for vertebral tumors, fractures and
spinal infections
Spinal disc replacements etc
13. 10
KAMALNAYAN BAJAJ TRAUMA CENTRE AND EMERGENCY
MEDICAL SERVICIES
THIS UNIT IS EXCLUSIVELY DEDICATED TO TRAUMA AND
EMERGENCY MEDICAL SEVICES. It offers full support 24*7, functioning as
per the stringent guidelines of A.T.L.S.(accredited by the royal college of
surgeons Edinburgh U.K)
Patients are ensured-
Fully equipped ambulance with highly sophisticated advance life support
systems, accompanied with qualified doctors
Immediate attention any where by competent orthopaedics surgeons of the
Sancheti institute
All round expertise right from on site treatment to complete rehabilitation
Comprehensive accident care infrastructure, which includes intensive
trauma care unit and a competent trauma team.
Complex of four highly sophisticated and advanced operation theatre
suites
105757-punes first 6 digit emergency number exclusively granted by
BSNL to Sancheti hospital.
This service has proven to be life saver for many critical patients and victims of
Polytrauma
The trauma centre has following sub specialties
EMS
Polytrauma care and adult reconstruction
Upper limb and lower limb fractures knee injuries
Shoulder injuries
Spinal trauma
14. 11
PAEDIATRIC ORTHOPAEDICS
In this unit treatment is offered for congenital, developmental and acquired
musculoskeletal and neuromuscular problems from birth to 16 years
ILIZAROV &RECONSTRUCTIVE SURGERY
Llizarov surgery is an external fixation system of skeletal stabilization originating
from Russia. Unique feature of this surgery makes its application highly
successful in the following conditions.
Filling of defects or gasping the bone due to trauma, infection and tumor
resection.
Correction old limb deformities.
Treatment of union of fractures especially due to infection
Limb lengthening.
HAND SURGERY
The hand unit offers a wide ranging treatment that help in full functional
rehabilitation in hand movements that includes traumatic crush injuries and
industrial accident , our multidisciplinary approach includes highly trained
specialists hand surgeons from hematologists and hand therapists.
PLASTIC SURGERY
Sancheti offers a wide spectrum of solutions that include cosmetic correction of
deformities, and care of traumatized limbs to attain skin cover post injury.
Plastic surgery unit has expertise
Correction of facial deformities
Skin cover for compound fractures with skin loss
Care of neglected wounds
Neurovascular injuries
Micro vascular surgery
15. 12
SHOULDER ARTHROSCOPY AND SURGERY
The shoulder unit at SIOR is a pioneering effort in India, it has state of art
equipment along with an all integrated rehabilitation unit. There is a daily OPD
for patients and a variety of surgical procedures have been performed. These
include some very rare surgeries, which are seldom performed internationally.
Sancheti offers-
Arthroscopic bank art repair for recurrent shoulder dislocation using
suture anchors and on a day care concept also.
Arthroscopic rotator cuff repair in elderly, a fair number of our patients
are elderly 70yr old who have recovered their full function and are pain
free.
Arthroscopic adhesiolysis for stiff shoulders especially in diabetic
patients.
Shoulder replacement in arthritic and ¾ part proximal Humerus fractures.
Total shoulder, hemairthroplasty and surface replacement which
encompass the entire spectrum in application of cutting edge technology
to benefit a patient with shoulder problems.
Open decompression for supracapsular and long thoracic nerve
compression syndrome. These are rare unusual conditions and Sancheti
has probably pioneered the largest series in the world
In addition to this Sancheti also boast the finest shoulder rehab programmes,
which has been designed as a two phase programme which is ultra efficient and
at the same time cost effective for the patient. Patients attend our shoulder rehab
unit for 2 weeks, follower by a 1 month home programme. This is a rather
innovative concept, which has been very effectively implemented in the shoulder
unit.
16. 13
AWARDS AND ACHIEVEMENTS
1. Founder Dr.K.H.Sancheti received the
Padmashree award from the president of
India in 1991, for his contribution to
human kind by his charitable activities
and for conducting a record number of polio and deformity correction
camps and treating innumerable people for social cause, by the president of
India
2. Founder Dr.K.H.sancheti received the Padmabhushan award from the
president of India in 2003 for his contribution to research work and
excellence in the field of orthopaedics by the president of India
3. Founder Dr.K.H.Sancheti was awarded the Maharana Mewar award for
his excellence in the field of medicine.
4. medical director Dr. Parage Sancheti was awarded the Dr. Manibhi desai
award for services to the nation
5. Pediatric orthopaedics surgeon Dr. Sandeep patwardhan received the best
paper award at the Maharastra orthopaedics association 2003 for his
excellent presentation on surgical treatment of development dysphasia of
the hip.
6. Shoulder specialist Dr. Ashih Babhulkar was awarded the best paper award
at the Moacon 2003 fro his excellent presentation or arthroscopic rotor cuff
repair in shoulder.
7. Founder Dr K.H.Sancheti has trained at least 150 orthopaedics surgeons at
the institute , under the university of Pune
8. Dr Parag Sancheti has been presented the award for excellence for the year
2004-2005.the award of excellence was presented to Dr Parag Sancheti at
the hands of his Excellency Shri S. M. Krishna ,honorable governor of
Maharastra.
17. 14
EDUCATION TRAINING AND DEVELOPMENT
Sancheti institute contributes to the up gradation of knowledge in medicine and
medical management. It has established the college of post graduate studies in
orthopaedics, college of physiotherapy and college of hospital management.
Apart from these Sancheti hospital conducts education, training and development
program for nursing staff in every two months to increase their knowledge about
latest techniques and developments.
19. 16
WHAT IS MANPOWER PLANNING
Manpower planning id considered as a strategy for the acquisition, utilization,
improvement and retention of an enterprise s human resources. Thus, the activity
of manpower planning is synonymous with personnel management itself. The
procurement function of manpower management id basically concerned with
having the right type of people available as and when required and improving the
performance of the existing people to make them more effective on their jobs.
Manpower management thus starts with manpower planning.
DEFINATION OF MANPOWER PLANNING /HUMAN RESOURCE
PLANNING
Manpower planning is the process by which management determines how an
organization should move from its current manpower position to its desired
manpower position .
-VETTER
All organization-those that are expanding, those that are dynamic in character,
and those that are expanding, must systematically plan their short-term, medium
term and long term manpower needs
-DALE S. BEACH
Manpower planning is the process (including forecasting, developing,
implementing and controlling) by which a firm endures that it has the right
number of people and the right kind of people, at the right places, at the right
time, doing things for which they are economically most useful
-EDWIN B.GEISLER
20. 17
NEED FOR MANPOWER PLANNING IN HOSPITALS
Every hospital has to do manpower planning for the following reasons:
1. Shortage of certain categories of employees.
2. Advancement of medical science and technology resulting in need for
new skills and new categories of employees.
3. Changes in organization design and structure affecting manpower
demand.
4. Government policies in respect to reservation of seats for
SC/ST/OBC/handicapped persons/women, and others.
5. Labors laws affecting demand and supply of labors.
6. International scenario of employment, e.g. employment of nurses, doctors,
paramedical personnel in USA, UK, Ireland, the gulf countries, etc.
7. Introduction of computers.
OBJECTIVES OF MANPOWER PLANNING
1. Ensuring maximum utilization of personnel
2. assessing future requirements of the organization
3. determining recruitment sources
4. Anticipating from past records: resignations, discharge simpliciter (simple
discharge) dismissals and retirement.
5. Determining training requirements for management development and
organization development
21. 18
BENEFITS OF MANPOWER PLANNING
Manpower planning is very important tool of human resources management
because it is beneficial in a number of ways: for instance
1. Forecasts of long-range manpower requirements are helpful in forecasting
the compensation costs involved.
2. Anticipation of future manpower needs provides an opportunity for
training and developing existing personnel to fill up future openings
through internal promotions which may create a favorable psychological
climate for their motivation.
3. Manpower planning makes it possible for the management to correct the
weakness of the existing personnel determined by them through employee
evaluation/performance appraisals by incorporating necessary corrective
training /retraining programmes or refresher training programmes
effectively. This may also contribute towards reduction of manpower
costs.
4. Manpower planning can ensure control of labor costs because it helps the
management to anticipate shortages and surpluses of manpower and
correct these imbalances before they become unmanageable and
expensive.
5. Manpower planning is important to the individuals of an organization
since it assists them in the development and application of critical skills
and knowledge.
6. Organizations many times face the problem of under utilization of human
resources. Prudent manpower planning provides for rewarding
opportunities for proper utilization of human resources.
7. Manpower planning can provide the necessary personnel with requisite
capabilities, qualifications, skills, aptitudes and work experience in
accordance with the changing requirements of any organization.
22. 19
PROCESS OF MANPOWER PLANNING
The process of manpower planning seeks to ensure that the right number and
kinds of people will be at the right places at the right time in the future. This
requires forecasting future needs, inventorying existing resources into the future
and comparing these projections projecting present resources into the future and
comparing these projections with the forecasts and finally planning ways to fill
the identified gaps.
INVESTIGATIION
FORCASTS AND PLANS
UTILIZATION AND
CONTROL
23. 20
1. INVESTIGATION STAGE is crucial since the main purpose of manpower
planning is to avoid the situations of over staffing and understaffing; and for
this purpose a stock of existing manpower is to be assessed.
Preparation of manpower inventory comprises four steps:
i. Determination of personnel to be inventoried;
ii. Cataloguing off actual information on each individual;
iii. Systematic and detailed appraisal of each individual;
iv. Detailed study of these individuals deemed to possess potential for
development.
.
2. Forecasts and plans which constitute the second stage are important basic
premises for manpower planning.
Forecasting of future manpower requirement, both qualitatively and
quantitatively, depends upon various factors like amount of production,
technological changes, supply- and demand conditions, and career planning.
3. Utilization and control constitute the third stage of the process of manpower
planning. Here the focus is on ensuring that the plans will materialize.
Manpower control is a system for measuring achievements in terms o
utilization against what was expected in order to check that things are keeping
up with the expectations. Constant monitoring of information flow helps in
warning the organization when forecasts or targets of utilization are gong
awry so that corrective action may be taken.
25. 22
MANPOWER PLANNING
The human resource requirement for any organization depends on the
number of customers it has or the number of products sold by it, for an
organization like hospital the number of personnel required depends on the
number of patients (customers) it has and for designing the future manpower
requirement, the basic criteria is the percentage increase in the number of patients
which is found by comparing previous years data and projecting it for the current
and coming years manpower requirement
The percentage increase in the number of patients for last year and the current
year s estimates are as follows:
Percentage increase in the number of
Patients in the year 05-06 and 06-07
0
10
20
30
40
OPD IPD XRAY LAB
Departments
Percentage increase
2006-2007
Current years
Estimates
2005-2006
%increase in last
Year s patients
26. 23
The percentage increase in the number of patients in the year 05-06 over previous
year in various departments is OPD (5%), IPD (7%), XRAY (12%), and LAB
(5%). The estimated increase in the number of patients in the current year is OPD
(10%), IPD (12%), XRAY (18%), & LAB (10%)
The reasons for the increase in the estimated number of patients for the year
2006-2007, over and above the previous years are
The Increase in the number of consultants for various specialties of
orthopaedics.
New satellite OPD s at various places of Pune for convenience of
patients.
Increase in number of medical camps and Lectures by our consultants at
various places in and around Pune.
Increase in the number of ambulances.
Introduction of latest technologies
ON the bases of above given estimates the future strength of manpower required
is designed
27. 24
Doctors to bed ratio
Sancheti is a specialized hospital rendering services in all specialties of
orthopaedics like joint replacement, traumatoloty, spinal surgery, pediatrics
orthopaedics, llizarov techniques, arthroscopy and sports injuries, hand and
plastic surgery.
In Sancheti there are 14 consultants and 22 resident doctors so the total number o
f doctors are 36 and the number of beds is about 114, therefore the doctors to bed
ratio is approximately 1:3. this ratio may further increase as three more consults
have been inducted into the current staff of consultants foreseeing the future
increase in the number of patients, keeping the bed number the same so as to
provide better and enhanced services to the patients.
According to IMC the doctors to bed ratio should be 1:5 but this is applicable to
only those hospitals which are attached to medical colleges and where doctors are
required to participate in teaching programmes of the medical colleges. The ratio
of 1doctor for 5 patients will imply an in-built facility for examining 15 out door
patients approximately, but mainly the doctor to bed ratio depends on the type of
the hospital.
As Sancheti is orthopedics cum rehabilitation center more attention is required to
be given to the patients, more over Sancheti has its own colleges of post graduate
studies in M.S and D. ortho, and the college of physiotherapy therefore it can
comfortably maintain a higher ratio of doctors- to- bed than prescribed.
29. 26
NURSE TO BED RATIO
The nurse to-bed ratio should be 1:3 according to the Indian nursing council.
The council has further prescri9bed that for every 100 beds and to cover a 24-
hour period, there should be 4 ward sisters and 30 staff nurses and for fractions of
100, the staff should increase in the proportion of 1 ward sister to 25 beds and 1
staff nurse to 3 beds.
When the bed strength is between 150 and 400, in addition to the nursing
superintendent, there should be an assistant nursing superintendent, and when the
bed strength is 401 to 700 for every 300 beds in excess of 700, there should be an
additional assistant nursing superintendent. There should be separate staff for
special departments with a sister- in- charge of the operating room and a sister- in
charge of the casualty department. The out patient department should have a
sister- in-charge and a minimum of one staff nurse for each out- patient daily, but
not less than a total of two in the department.
The recommended nurse to bed ratio in various kinds of wards in the hospital are
Ward Nurse Beds
Causality 1 1
I.C.U 1 1
Operation theatre 2 1
Orthopedics 1 3
In Sancheti there are total 114 beds and nurse to bed ratio can be tabulated as
30. 27
Ward Nurse beds Nurse to bed
ratio
Causality 5 5 1:1
I.C.U 9 9 1:1
Operation
theatre
5 2 2:1(app)
orthopedics 32 98 1:3(app)
The increase in number of beds in any department should be accompanied by e
increase in the number of nurses in the above given ratio.
31. 28
RADIOLOGY DEPARTMENT
Radiology department works in 3 shifts to cover 24 hours and apart from
this, there is a general shift which is from morning 9:30 to evening 6
o clock
HOD
1 ECG TECHNICIAN
6 X RAY TECNICIANS
1 WARD BOY
1RECEPTIONIST AND
1 CASHIER
32. 29
There is one receptionist and one cashier who are common for both
pathology and radiology department
According to Indian medical council 1 X ray technician should not be
asked to do more than 30 investigations/day
According to last two years statistics the number of patients attended to
by the radiologists/day were 21758 in the year 04-05 and 25076 in the
year 05-06 and the number of investigations were 40774 in 04-05 and
47008 in 05-06 therefore the patients to investigation ratio is
approximately 1:2 and the increase in number of patients from 04-05 is
approximately 13 percent.
The number of investigations/day/technician are
year 04-05 05-06
Investigations/year 40774 47008
Investigations/day 136 157
Investigations/day/
X ray technician
23 26
According to the estimates for the year 06-07, the percentage of patients will
increase by 18% and therefore the estimated number of patients will be 29589
and the number of investigation would be 59180, then the number of technicians
required would be
33. 30
Number of investigations*/year 59179
Investigations/day 197
X ray technicians /30
investigations
6.6
As the number of investigations increase to 59179 the number of technicians
need to be increased by 0.6, this increase is according to the IMC standards of 30
investigations/day, but Sancheti is currently working at 26 investigations/day, if
we take this as standard and find out number of technicians required per 26
investigations it would come out to be 7.5 that means, Sancheti hospital needs to
increase its technicians strength by at least one person to counter act the increased
work load.
RESULT
Number of investigations : 59179
Investigations/day: 197
Number of investigations
under taken/day by Sancheti: 26
Number of technicians required: 7.
Minimum increase in the number
of technicians required above
current strength: 1
34. 31
PHSIOTHERAPY DEPARTMENT
The main function of this department is to rehabilitate or activate various
limbs/parts of human body which might have become inactive due to
accidents/diseases/ageing process, etc.
According to Indian medical council (IMC) one physiotherapist can treat about
25 patients in day, but as Sancheti hospital specializes in orthopedics and
rehabilitation, the number of patients attended to by a physiotherapist/day is
much less than the set norm, so that more attention is given to each patient,
according to last two years statistics the number of patients attended to per day
per physiotherapist is given below
HEAD OF THE
DEPARTMENT
10 PHYSICIANS
1 WARD BOY 1 MAUSI
1 RECEPTIONIST-CUM-
CASHIER
35. 32
YEAR 04-05 OPD IPD TOTAL
PATIENTS /YEAR 31238 32535 63773
/DAY 104 108 212.5
/DAY/
PHYSIOTHERAPIST
20.8 21.7 21(app)
YEAR 05-06 OPD IPD TOTAL
/YEAR 32452 33844 66296
/DAY 108 113 221
/DAY/
PHSIOTHERAPIST
21.6 22.6 22(app)
The number of patients attended to per physician per day in Sancheti is 21-22.
Although this number is less than the set standard of 25 patients/ physician, this
number will be taken as the standard as Sancheti believes in providing the best
service to the patients so the number of patients/ physiotherapist is kept low so
that the efficiency of the physiotherapist is not affected.
As the number of patients in OPD and IPD is increasing by 4.6% and 5%
respectively, this will directly affect the number of patients to physiotherapy
department, the percentage increase in the number of patients to physiotherapy
department from the year 04-05 to 05-06 is 2% and the expected increase in the
number of patients to the same is 4% that of 05-06 which is almost double.
36. 33
Number of patients/year 68766
Number of patients/day 229
Number of physiotherapist/22patients 10.4
Number of investigations/10
physiotherapist (229/10)
22.9
( Number of working days/year are taken to be 300)
With 4% increase in the number of patients the number of patients expected
in the current year is 68766 and the number of physiotherapist for 22 patients
comes out to be 10.4.
RESULT
Increase in the number of technicians required is 0.4 % and the increase in the
work load per physiotherapist is only by one patient, which could be
comfortable taken up there fore the number of physiotherapist need not be
increased.
37. 34
PATHOLOGY DEPARTMENT
Total number of personnel involved conducting tests are 5 (1 senior pathologist
and 4 technician)
HEAD OF THE DEPARTMENT
PATHOLOGIST
4 TECHNICIANS
1 MAUSI
1 cashier and 1 receptionist
38. 35
According to the IMC one medical laboratory technician can do
approximately 35 tests per day. If he does less than 35 tests, it means that his
performance is below average.
According to the last two years statistics the number of tests done by a
technician per day in Sancheti is
Year 04-05 05-06
Number of tests per year 54966 57512
Number of tests per day 183 192
Number of tests /day
/technician
37 38
Therefore the number of tests per day by a technician is more than 35(the
minimum level)
the number of tests increased by 4.6% from the year 04-05 to 05-06 and the
anticipated increase in the number of tests from 05-06 to 06-07 is 10% therefore
the number of tests are expected to increase to 63263, the number of technicians
required for conducting this many number are
39. 36
Number of tests per year 63263
Number of tests per day 211
Number of technicians per 38 tests 5.5
Conclusion
The increase in number of technicians required is by 0.5 which is not a
whole number so the technicians may or may not be increased but as, already the
technicians are working above the IMC standards of 35 tests/day/technician,
Sancheti should go for an increase of one technician.
41. 38
The pharmacy department of any hospital is a major source of administrative
concern in terms of cost control, quality of medicines, Pilferage, Wastage, legal
obligations, etc. Over and above these, it is essential to stock the right quality of
vital and essential drugs all the time. Hence, hospital pharmacy operations are
fairly complex.
It has been observed that on pharmacist can dispense medicines to 150
patients per day, provided there is one pharmacy aid for every two pharmacists.
But the number of pharmacists to be employed in a hospital depends upon the
policy of the hospital.
In Sancheti hospital there are 7 pharmacists who work in 3 shifts, in first
two shifts there are 3 pharmacist and in the last shift, which is the night shift there
is only 1 pharmacist, these three shifts cover complete 24 hours, so as to ensure
that the patients requirements are fulfilled at any moment of the time whether it is
day or night, and these pharmacist do not have any pharmacy aid to help them,
therefore the number of medicines dispensed to patients per day by one
pharmacist is around 60.
If we take this number to be standard then with every increase of 60
prescriptions one extra pharmacist should be employed .pharmacy department is
directly affected by number of patients as the number of patients increases the
number of prescriptions increases, as there is a 10% expected growth in OPD and
12% increase in IPD, the expected growth in pharmacy is about 10%
42. 39
Conclusion:
For 10% growth the number of prescriptions comes out to be 440 and the number
of pharmacists/60 prescriptions is 7.3 .if the number of pharmacists are kept at
the same number 7 then the work load on each member will be 63
proscriptions/day which can be easily handled, so the number of pharmacists
need not to be increased
Prescriptions/day Number of pharmacists
(/60 prescriptions)
Present number 400 7
Expected 440 7.3
43. 40
ANALYSIS OF NURSING STAFF
To analyze the nursing staff on the basis of their skills, qualification, experience,
training, absenteeism records, performance records and appraisal records a
questionnaire was prepared a
1. Name
2. Age
3. Gender
4. Designation
5. Qualification
6. Experience
7. From how many years you are working here
8. Training:
On job training/ vestibule training /apprenticeship
training
9. Marital status:
Married/single
10. Location of relatives
11. Career plans
12. Special skills
13. Absenteeism records
14. Performance rating
15. Appraisal report
16. Disciplinary record
44. 41
Analysis
80% of the nursing staff is between the age group 19-35, this shows that the
nursing staff is very young and therefore the working capacity is more.
The nursing staff is all women brigade with exception of one male nurse.
The basic qualification of the nurses is 12th
class, mainly in arts and
commerce. But all of them are highly trained with 2-3 years of training in
nursing field
Training undergone by the nurses was apprentiship training where the get
class room training as well as practical training.
Most of the nursing staff is married therefore their chances of leaving the job
for the sake of marriage is less because of which the attrition rate will be less.
Nursing staff has great skills like apart from knowing the local language,
Hindi and English the also some of the other Indian languages like Telugu,
Tamil, Malayalam, Urdu ,this decreases the communication barrier between
the patients and the staff members and makes patients stay, in Sancheti more
comfortable
Performance rating is done using grades from (A to E) where A is below
average, B average, C good, D very good, and E outstanding.
Performance report shows that 64% have scored in b category 33%have
scored in c category and 03% have scored in a category.
The attrition rate of nursing staff is 30%
Conclusion: From the analysis it is visible that the nursing staff comprises of
average performers therefore further training and development activities
needs to be undertaken to increase the efficiency of the nursing staff.
45. 42
DEPARTMENTAL PROCEDURE FOR
RECRUITMENT AND APPOINTMENT
1. If any vacancy arises in any department
(a) HOD informs in writing (about the nature of work, qualification and
experience required to HR department. After obtaining sanction for
DA suitable advertisement is placed in newspaper by HR department
or application will be taken from data bank.
(b) For walk in- interview, Bio data s are collected and whenever
vacancy arises they are called for the same.
2. On receipt of application they are short listed and called for an interview.
3. First interview is conducted by HR manager then the candidate is send to
concerned department. After selecting, for final interview and
appointment candidate and papers are sent to director of administration.
4. Offer letters are given, after joining, appointment letter is given.
5. Individual personal file with required records like application form,
interview records, and offer letter with accepted appointment letter is
maintained by HR department
HR involvement in recruitment is
placing advertisement
scrutiny of application
preliminary interview
issue of appointment letter
The first step in the procurement function that is manpower planning aims at
ascertaining the manpower needs of the organization both in right number and or
right king. Once a determination of human resources requirements has been
made, the recruitment and selection process-which forms the next phase to
procurement function, can begin. Recruitment and selection represents one of the
most routine yet one of the most vital functions of any organization. Procurement
of efficient and capable employees can significantly contribute to the success of
an organization.
46. 43
MONITERING LEAVE
1. Staff is provided with 30 days El (earning leave) subject to their attendance
excluding 8 CL (casual leave) and 7 SL (sick leave) and 84 ML (maternity
leave is also provided.
2. Person going on leave for CL should submit the leave application form duly
sanctioned by their HOD , 1 day prior to leave or the next day after resuming
duty
b) SL is granted subjected to doctor s certificate and fitness certificate
c) EL can be availed only if it is more than 3 days with pre sanction
(minimum 10 days in advance)
3. Leave days are monitored by daily attendance report and leave report
4. If application form is not received from employee after taking leave it is
treated as absent.
5. If leave application form is submitted and no leave balance id found then it is
treated as LWP (leave without pay)
6. No CL or SL will be converted into EL except in special cast of sick leave
after getting Director of administrations approval.
7. Memo is given for frequent absenteeism.
47. 44
IN HOUSE AND OUT HOUSE TRAINING
1. Sancheti hospital runs its own orthopedics college and students from this
college are taken in as resident doctors.
2. Training for ward boys maushis and nursing staff is taken on priority basis as.
3. Apart from training doctors and nurses and other staff members Sancheti also
runs a management college which is affiliated with Pune university and gives
PG degree in P.G.D.H.M
4. In house and out house training programs are arranged by the HRD with
guidance of Director Administration , according the suitable timings without
affection daily work schedules of employees
5. Training is based on various issue related to day to day work of employees
for the improvement of work. Training record are maintained by HRD
6. Training of clerical as well as administration staff is also undertaken on
various issues like, time management communication skills telephone
etiquettes, motivation, leadership, attitudinal change, quality awareness etc.
7. All the administration jobs are given on job training, when a candidate joins
the organization he is kept on low pay for the first month during which he
learns the work.
Employee training attempts to improve skills, or add to the existing level of
knowledge so that the employee is better equipped to do his present job, or to
prepare him for a higher position with increased responsibilities. Continuous
growth and development of employees makes an organization viable and it adapts
itself to changing environment .training is supposed to bring about change in the
behavior of employees so as to enable them to meet the current and future
requirements of their tasks and roles.
48. 45
PROCEDURE FOR PERFORMANCE APPRAISAL
1. Performance appraisal form is filled up by concerned HOD. Which involves
giving grades to the employees on a five points scale ( a to e)
2. A review committee comprising of HR manager HOD and DA reviews
each case and pass their judgment accordingly.
3. An appraisal is based on performance approach, attitude loyalty job
knowledge, ability to work cooperation etc.
4. Increment promotion, training etc are based on the above points.
Performance appraisal data is useful in human resource development in several
manners. It becomes the basic tool in administrative purposes for e.g.
it can help the management in determining whether an individual should be
considered for promotion because the system not only appraise the worth of
the employee on the present job but also evaluates his potentialities for higher
job
Various personnel transfer and discharges etc can be justified only if they are
based on performance appraisal. It also helps in taking action against
unsatisfactory performance of the employees.
Performance appraisal system indirectly helps in strengthening the manpower
of the organization as it help in spotting the potential to train and develop
them to create an inventory of executives.
49. 46
LIMITATIONS
Manpower planning is a vast subject involving process such as job analysis,
description, specification etc. which could not be taken up due to time
constraint. Therefore designing of manpower was done purely on the basis
of the estimated percentage increase in the number of patients.
As Sancheti hospital was undergoing certification process from ISO for the
first time, all the departments were involved in updating records and other
documents required for audit, because of which collecting primary data
took more time than expected.
As this whole process is a mere forecast it also suffers from all those
limitations that a forecast has that is although it is possible to predict with
reasonable degree of accuracy the future degree of accuracy the future
vacancies in the organization resulting from retirements, deaths, and
resignation, yet it is more difficult to anticipate which particular member of
the personnel will be required to be so replaced.
50. 47
ANALYSIS AND SUGGESTIONS
It was observed that the ward secretaries (care takers of the ward )wear
same coat with absolutely no differentiating feature, which the doctors
wear and the patients and their relatives mistake them for doctors, and it
so happens that the relatives of the patients come calling for help when
the patients suffering increases to the secretaries, and these secretaries say
that the doctor would be coming in few minutes and the relatives think
that being doctors themselves they are not attending to the patients
problems. And this gives a wrong impression that Sancheti s doctors are
having very casual attitude towards the patients.
Therefore to avoid this problem either the color of the coat for members
other than doctors should be changed or instead of SIOR which is the only
and common tag on every ones coat, job positions should be specified on
the coat, for e.g. SIOR doctor, SIOR lab technician, SIOR ward secretary
etc.
It was observed that due to Sancheti s growing popularity, it could attract
patients from not only different parts of India but also from other Asian
countries, and although Indian patients are not facing any problem on the
basis of language as there are nurses who can communicate in various
Indian languages, patients coming from other countries are definitely
having hard time in communicating their problems, this issue becomes all
the more important when Sancheti has undergone a big tie- up recently
with Omanian government.
51. 48
To avoid this problem, Sancheti s management should either give
preference to those candidates who can speak more Indian and foreign
languages while recruiting or should provide a crash course to the staff
members on those Indian and foreign languages of which the patients are
more in number.
It was found that almost all the nurses came under B grade that is
average category in performance, to increase their performance to good or
very good category Sancheti s management should revise the training and
development programmes for nurses, and should also set up a grievance
cell to find out why their performance is low.
52. 49
CONCLUSION
Department wise manpower planning results
Name of the department %increase in the number
of patients
Increase/decrease in the
number of employees
X ray 18% Increase by 1
Pathology lab 10% Increase by 1
Physiotherapy 4% -
pharmacy 10% -
Therefore the number of employees need to be increased by 1 in X-ray and
pathology department and although there is an increase in the % of employees
in physiotherapy and pharmacy department, the number of employees need not
be increased as there is no marked difference in the work load per employee.
Sancheti hospital has a very systematic recruitment procedure where the
vacancies are notified through newspapers and the interview is taken together
by the concerned department head and the HR person and then the required
candidate is short listed.
There are continuous training and development programmes conducted to
increase the effectiveness of all the staff members through various seminars,
lectures and on job training processes.
53. 50
Performance appraisal system followed in Sancheti hospital is a grade based
system and all the important decisions like promotions and terminations are
based on this and through performance appraisal system, training and
developments needs of the employees are also identified.
Employees are given awards on the basis of their performance and these
awards are given in all the categories and these awards are both in terms of
mementos and cash reward.
56. 53
HUMAN RESOURCES DEPARTMENT
PERFORMANCE APPRAISL FORM
(FOR STAFF)
Performance appraisal report from .to .
EMPLOYEEE DATE: EMPLOYEE
STATUS:
Name: .. Designation:
.......
Date of birth: .. Department:
.
Address: .. Date of joining:
.
............ training completed
on
..ph .. Dt. Of confirmation:
..
Educational background: ..work
experience ..
Marital status: total working experience:
SALARY DETAILS (AS ON .)
Basic:
Rs ..D.A .............H.R.A
Special allowance; rs Tea allowance misc. allowance:
rs .
Conveyance allow compensatory allow total salary rs ..
57. 54
GUIDELINES
A) Please write relevant rating for each attribute in rating column.
B) a .below average b. average c. good d. very good e. outstanding
Sr
No
TYPES OF
SKILL
DESCRIPTION RATING
A, b, c, d, or e
Remarks
1 Job knowledge
&skills
Knowledge pertaining to the
area of work and related areas
2 Productivity Extent of task/ target
fulfillment, completion o
assigned tasks, magnitude of
output and work efforts.
3 Attitude Attitude towards work
4 Personal
grooming.
possesses good bearing and is
neat, smart and well turned out
5 attendance &
punctuality
Promptness in attending work,
work timing and regularity
6 Discipline Adherence to the hospital s
policies and rules.
7 Dependability Consistent accomplishes
allocated jobs without
supervision/ followed-ups
8 Team work &
coordination
Ability to effectively coordinate
with all linked departments to
ensure smooth functioning
58. 55
LAST APPRAISAL DETAILS:
Overall rating: ..Increment:
Promotion .
DISCIPLINARY ACTION: AWARDS & REWARDS
1 ..DATE ..
1 .DATE
.
2 ..DATE ..
1 .DATE
..
The appraisal form should be send to the H.R.Dept on or before: .
Performance report
Job performance
Employee (superior-subordinate) relations:
Personal strength &weakness:
Training &development needs:
Comments on the overall performance & potential of the employee by the HOD:
..
59. 56
..
Comments of the appraisee:
.
Signature of the appraisee
Comments of the senior reviewing officer:
Signature of the senior reviewing officer
Human resource department
Overall rating: below average/ average/ good/very good /out standing
Recommendation of the performance review committee:
HR manager director of administration
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