ORGANIZATIONAL FRAMEWORK FOR DEVELOPING 150 BEDED HOSPITAL
MR. Narendra Singh Rajawat
Jan. 18, 2009
INDEX Page No. INTRODUCTION . HOSPITAL LAYOUT .. HOSPITAL MANAGEMENT FLOW CHART . STAFFING o MEDICAL STAFF o OTHER STAFF FINANCIAL ASPECT 8 OTHER UTILITIES 9 LICENSING . 10 3 4 5 6-7
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Introduction
The hospital sector in India consists of private nursing homes, government and charitable missionary hospitals. Government and missionary hospitals set their rates according to patients income level, and treat very poor patients for free. Nursing homes (small hospitals, most with fewer than 25 beds) charge higher, market determined rates. They offered services in just a few medical specialties, and were owned and operated by the physicians who worked with them. Nursing homes could not afford the latest medical technology, but provided a more intimate setting compared to government hospitals. Diagnosing and treating complex ailments through nursing homes could be time-consuming and expensive, as visits to several different nursing homes with different specialties were often necessary. These conditions left an unsatisfied demand for high quality medical care. Large government hospitals generally had better facilities than nursing homes, but they were widely believed to provide poor quality care. They failed to maintain their medical equipment, trained their technicians inadequately and did not publicize their capabilities to doctors who might refer their patients to the hospitals. With this current scenario a conclusion can be drawn that a medical facility should be developed which can provide total medical care under one roof with all the latest state of the art equipment and best medical care to the commons at affordable cost.
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THE FIVE STAR
The management philosophy of the hospital, which always been formed by its five arms namely, personnel, technology, employees, value and hospitality.
PERSONNEL
HOSPITALITYN VALUEVALUESS
TECHNOLOGY
HOSPIT AL MOTTO
VALUES
EMPLOYEES
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Hospital Layout
Entrance Front Office Emergency Waiting lobby Administrative office Department of H.R. Diagnostic Outdoor Indoor
Intensive care zone
4
Utility area
OT Complex Store Department of Security CSSD Department of Maintenance Department of Marketing
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HOSPITAL MANAGEMENT FLOW CHART Managing Committee
General Manager Medical Superintendent
Department of Accounts Department of Front Office Department of HR Department of Security
Department of House Keeping Department of Maintenance Department of Material Management Department of Allied Services
Consulting Doctors
Duty Doctors
Nursing Staff
Paramedical Staff
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MEDICAL STAFF Post Required On Roll Casualty Medical Officer ICU In charge (Doctor) Duty Doctors Consultants (Department Wise) Medicine Surgery Gynee & Obst. Pediatrics Orthopedics Pathology Radiology Anesthetic Eye E.N.T. Nursing Staff In total Male & Female for all Departments 70 (Seventy) o For emergency (9), For 5 bedded ICCU (9 + 7 (Trainee)), For PICU & NICU (6 + 3 (Trainee)), Male Ward (9 + 4 (Trainee)), Female Ward (9 + 4 (Trainee)), Other wards (7 + 3 (Trainee)) Paramedical Staff 20 (Twenty) o For OT (8), For X ray (4), For Lab (5), ECG/USG (2), Others (1) Visiting Facility Cardiologist Neurologist Urologist Nephrologists 1 (One) 1 (One) 1 (One) 1 (One) 1 (One) 2 (Two) 2 (Two) 1 (One) 1 (One) 1 (One) 1 (One) 1 (One) 1 (One) 1 (One) 3 (Three) 3 (Three) 6 (Six) Number of positions
Physiotherapist Gastroenterology
1 (One) 1 (One) 1 (One)
Skin & VD PROJECT REPORT/ PP 0 9/ 16.03.08/ RAJ/08/201 901/AJ OTHER STAFF (Department wise) Post Required HR Department (Executive) Accounts Department o Accountant (2), Billing (1), Cashier (2) Front Office Department o Receptionist (4), EPBX operator (2) Department of Material Management o Store Keeper (2) Department of Maintenance o Electrician (2), Plumber (1) Department of House Keeping
Number of positions 2 (One) 5 (Five)
8 (Eight)
2 (Two)
3 (Three)
75 (Seventy Five)
o Floor Supervisor (3), Ward Boy + Lady (36), Sweepers (36) Security Department Allied Services o Secretary (1), Office Asst. (2), Drivers (3), Lift Operator (2) 11 (Eleven) 8 (Eight)
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