OCH101-Hospital Management                Department of CSE                              2023-24
UNIT I OVERVIEW OF HOSPITAL ADMINISTRATION
Distinction between Hospital and Industry, Challenges in Hospital Administration – Hospital
Planning– Equipment Planning – Functional Planning
                                              PART-A
1.   Define the term Hospital?
     A hospital is a health care institution providing patient treatment with specialized staff
     and equipment. The best-known type of hospital is the general hospital, which has an
     emergency department. A district hospital typically is the major health care facility in its
     region, with large numbers of beds for intensive care and long-term care. Specialized
     hospitals include trauma centers, rehabilitation hospitals, children's hospitals, seniors'
     (geriatric) hospitals, and hospitals for dealing with specific medical needs such as
     psychiatric problems and certain disease categories. Specialized hospitals can help reduce
     health care costs compared to general hospitals.
2.   State the code of ethics in Hospital?
     The following principles recognize each Medical center personnel’s duty to act in the
     public’s interest, to be honest and truthful, to demonstrate personal integrity, and to
     respect privileged information. They maintain integrity with respect to their duties as
     they come in contact with the public, other service providers, and clients and patients.
     Principle I: Confidentiality
     Principle II: Professional Conduct
     Principle III: Quality of Service
     Principle IV: Moral and Legal Standards
     Principle V: Medical Provider-Client Relationships
3.   What is the vision of the hospital?
     To provide each patient with the world class care, exceptional service and compassion.
     To be a caring hospital trusted by patients and staff renowned for clinical excellence and
     innovation.
4.   Why is now efficient administration much required in hospital.
     To provide the best possible patient care
     To optimise the resources available in hospitals
     To instill efficiency and effectiveness into the existing CT system
     To satisfy the increasing health needs
     To streamline the health care services
5.   List the condition peculiar to administrative work in hospitals.
     The difference between administration work in hospitals and in other organizations can
     be attributed to the existence of following conditions peculiar to hospitals:
     I. Consumers of services - physically / mentally ill
     II. Customers require highly personalized and custom made services.
     III. Many of its services are provided continuously
     IV. Services deals with human relations problem
     V. Hospital personnel are expected to maintain a very high level of efficiency, as their
     functioning affects the lives of patients.
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   OCH101-Hospital Management                  Department of CSE                             2023-24
6.   What is the need for efficient management in hospitals?
     1. Increase in health needs
     2. Increase in competition from internal & external source
     3. Necessity of employing trained and dynamic employee
     4. To utilize all the resources effectively
     5. To integrate the individual goals with organizational goals.
     6. To attain the organizational objectives effectively.
7.   What are the main functions of the hospital?
     Hospital administration functions can be classified into three broad categories:
     Medical - This involves the treatment and management of patients through the staff of
     physicians. Patient Support - This relates directly to patient care and includes nursing,
     dietary diagnostic, therapy, pharmacy and laboratory services.
      Administrative - This concerns the execution of policies and directions of the hospital
     governing discharge of support services in the area of finance, personnel, materials and
     property, housekeeping, laundry, security, transport, engineering and board and the
     maintenance.
8.   Define Hospital management.
     Hospital Management is a term very broad in scope and may be defined from different
     aspects. It mainly relates to management of all aspects of a hospital; a coordination of all
     elements of a hospital. This may range from patient care to record keeping to inventory of
     medicines and cleanliness.
9.   Define Hospital Administration.
     Health administration or healthcare administration is the field relating to leadership,
     management, and administration of public health systems, health care systems, hospitals,
     and hospital networks.
10. Write the challenges in hospital Administration.
          Compete for healthcare
          professionals Specialize for growth
          Prepare for the future Improve patient care through technology
          Managing Medicare and Medicaid.
          Specialize for growth
11. Give the importance of counseling as a tool in Hospital administration.
     Counseling is a dynamic interaction between counselor and a counselee where a
     counselor adopts certain attitude and uses knowledge and skill to introduce and sustain
     in the clients learning process of self – expression leading to self understanding, leading
     to action so that the client changes his behavior and solves his problems.
12. Write the role of hospital administrators in legal matters.
     Though all hospital administrators are not qualified legal persons yet they are supposed
     to possess sufficient knowledge of the Indian laws to be able to take decisions on legal
     matters. Indian contract act - to deal with building contractor. Industrial employment
     standing orders act, the industrial disputes act, and the principle of natural justice to deal
     with employees employment and termination.
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  OCH101-Hospital Management                Department of CSE                             2023-24
13. List the functions of a CEO.
    Strategy, Operations, Marketing, Mentoring and Finance are the various functions of a
    CEO.
14. What is the primary responsibility of CEO in hospital?
    The primary responsibility of CEO of a hospital is to communicate his vision about the
    hospital as well as to involve the employees at every step towards the attainment of
    organizational objectives. Another responsibility is to invite the employees to give their
    views and discuss how they would work towards the vision.
15. List the steps to plan a hospital.
         Demographic pattern
         Site selection
         Environmental study
         Water supply
         Project approval
16. What is the associate ship of CEO with the governing body?
    The associate ship of CEO with the governing body is in policy formulation, Mission and
    vision framing, Functional and operational planning, Decision making on HR policies and
    procedures, wages and salary administration, legal compliance.
17. What is the relationship between operational and functional plan.
    Operational plan is a subset of functional plan. It is the planning of activities to do a
    function.
18. Define equipment planning.
    It is the process of planning to determine all the items of equipment necessary for the
    hospital, to write or secure specifications, to call for and receive bids and to purchase or
    recommend purchase according to hospital organization's policy.
    Planning for service and maintenance of equipment.
19. What are the phases involved in equipment acquisition?
    Demand forecasting, purchasing, reception and inspection, labelling and tagging ,
    inventory control, work record, maintenance history record, preventive maintenance
    programme, calibration and safety.
20.   List the types of hospitals present in India.
      General hospital, Rural hospital, Specialized hospital, Teaching hospital, Isolation
      hospital, Trust hospital, Public hospital, voluntary hospital, private nursing home and
      corporate hospital.
21.   What does the selection of medical equipment require?
      The selection of medical equipment require equipment planning - It is the process of
      planning to determine all the items of equipment necessary for the hospital, to write or
      secure specifications, to call for and receive bids and to purchase or recommend purchase
      according to hospital organization's policy.
      Planning for service and maintenance of equipment.
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  OCH101-Hospital Management                 Department of CSE                             2023-24
22. What is functional planning?
    It refers to medium term planning carried out by middle management at times with
    assistance of top management. It comprises of Functional guidance, Goal setting and
    Functional Assessment
23. Define equipment planning.
    It is the process of planning to determine all the items of equipment necessary for the
    hospital, to write or secure specifications, to call for and receive bids and to purchase or
    recommend purchase according to hospital organization's policy.
    Planning for service and maintenance of equipment.
24. What is Nosocomial infection?
    Nosocomial: originating or taking place in a hospital, acquired in hospital, especially in
    reference to an infection. Nosocomial is now synonymous with hospital- acquired.
    Infections that have been caught in a hospital and are potentially caused by organisms
    that are resistant to antibiotics.
25. Define Incidence rate
    It is the rate of new (or newly diagnosed) cases of the disease. It is generally reported as
    the number of new cases occurring within a period of time (e.g per month, per year ).
    Fraction of the population at risk of developing the disease.
26. Define Prevalence
    It is the actual number of cases alive, with the distance either during a period of time
    (period prevalence) or at a particular date in time. (Point Prevalence). Fraction of the total
    population at risk and can be further categorized according to different subsets of the
    population.
27. Identify various factors considered for Equipment planning.
          Planning for Future Growth
          Seek Help from Experienced Equipment Planners
          Know About the Vendor and Their Equipment Delivery Process
          Consider Regulations
          Prevent Interruptions in Patients and Workflow
          Make Sure to Involve the Departments Concerned in the Process
          Always Check, Test, and Ensure Quality Before Transferring Ownership
28. Distinguish between hospital and industry.
             The consumers of the services provided in a hospital are physically or mentally
               ill and are rendered services within the four walls of the hospital
             The customers of the hospital have individual needs and require highly
               personalized and custom-made services.
             The diagnostic, therapeutic and preventive services provided by physicians,
               nurses and technicians, with the aid of expensive and specialized equipment’s
               and medication are tailored to the needs of each individual consumer.
             All the services involve many individuals – the ill customer, tensed friends and
               relatives, physicians, technologist, clerks and manual laborers. These
               individuals are working suffering, eating and sleeping within a comparatively
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  OCH101-Hospital Management               Department of CSE                            2023-24
             small space and in an unusual atmosphere, highly charged with emotion and
             tension.
           The hospital also provides a wide range of scientific and technical services such
             as nursing, diet therapy, anesthesiology, pharmacy, radiology, clinical
             laboratory, physiotherapy and medical social work and also, many of its
             services are provided continuously, round the clock, every day of the year.
           The end product of all business is people. Organizations are created to fill
             certain needs-including healthcare organizations – continue to exist because
             they provide something that people want or need.
           The health care product is ill-defined, and the outcome of care is uncertain
                                       UNIT-I / PART-B
1   Explain in detail the difference between hospital and Industry
2   Discuss in detail about challenges in hospital Administration.
3   Explain the guiding principles in planning hospital facilities and services
4    Describe the conditions to which the distinction between hospital and industry can be
     attributed.
5    Discuss about hospital ethics.
6    Explain how challenges to the administrative abilities have come from within the health
     field as well as from the public.
7    Explain and draw a flow chart for the different stages in promoting and building a new
     hospital.
8    Classify the main functions of a hospital and explain.
9    What are the approaches of CEO 'S Vision to improve the hospital.
10 Explain Hospital equipment: planning, scheduling and maintenance?
11 Discuss hospital planning and functional planning.
12 i)State the important functions of the human resource department try to keep the
     Organization safe and efficiently?
     (ii) Discuss: the Role of human resource management in hospital?
13 Explain the current issues in hospital management.
14 Explain functional planning of hospital administration.
15 Explain the nature and scope of a hospital.
16 Discuss in detail about the ethical challenges faced by hospital administrator.
17 Predict the planning procedure for equipment management in hospital.
18 Explain the different stages in promoting and building a new hospital.
               UNIT II HUMAN RESOURCE MANAGEMENT IN HOSPITAL
Principles of HRM – Functions of HRM – Profile of HRD Manager- Human Resource
Inventory – Manpower Planning
                                            PART A
1    List the fundamental principles of HRM.
     Human Resource Management (HRM) is the term used to describe formal systems
     devised for the management of people within an organization. These human resources
     responsibilities are generally divided into three major areas of management: staffing,
     employee compensation, and defining/designing work. Essentially, the purpose of HRM
     is to maximize the productivity of an organization by optimizing the effectiveness.
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  OCH101-Hospital Management                Department of CSE                              2023-24
2   What are the steps to improve the use of human resources
    The steps to improve the use of human resources are Leadership Mentoring, Education
    Climate Assessment, Competence Management / Knowledge Management and
    Performance Evaluation, Incentive Systems, Analytical and Problem Solving and
    Teamwork , Meetings Management, Internal Communication
3   What are the functions of HRM?
    The various functions of Human Resource Management (HRM) are Policy formulation,
    Staff function, Line function Control, Managerial. Human resource management ensures
    satisfaction of employees and maximum contribution of employees to the achievement of
    organizational objectives.
4   Define Manpower Planning.
    Manpower planning is may be defined as a technique for the procurement, development,
    allocation and utilization of the human resources in the organization. It views employees
    are scarce and costly resources, whose contribution must be developed to the fullest by
    the management. Manpower planning, which is at times described as manpower
    management is basically concerned with having the right types of personnel for the right
    job at the right times.
5   List the importance of HRM.
    An organization cannot build a good team of working professionals without good
    Human Resources. The key functions of the Human Resources Management (HRM) team
    include recruiting people, training them, performance appraisals, motivating employees
    as well as workplace communication, workplace safety, and much more.
6   Explain the policy formulations of HRM.
    Human Resource Management consists of deliberate organizational activities
    designed to improve employee productivity and administration through such means
    as recruitment, compensation, performance, evaluation, training, record keeping and
    compliance. HR policies should be developed for key HR management functions
    covering the commonly accepted responsibilities.
7   Recall the role of HRM in a hospital?
    Human resources, when pertaining to health care, can be defined as the different kinds of
    clinical and non-clinical staff responsible for public and individual health intervention. As
    arguably the most important of the health system inputs, the performance and the
    benefits the system can deliver depend largely upon the knowledge, skills and motivation
    of those individuals responsible for delivering health service.
8   What is the most important function of Human Resource Management?
    Hiring potential candidates by assessing their skills is the primary function of Human
    Resource Management. Before taking the step of recruitment and selection, the companies
    must consider the process of staffing as an important step. They should analyze the
    number of employees needed and work on the budget.
9   What is the nature of communication in HRM?
    Communications is fundamental to the existence and survival of humans as well as to
    an organization. It is a process of creating and sharing ideas, information, views,
    facts, feelings, etc. among the people to reach a common understanding.
    Communication is the key to the Directing function of management.
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  OCH101-Hospital Management                Department of CSE                              2023-24
10 What is the need for Manpower Planning
    Every hospital has to do manpower planning for the following reasons : Shortage of
    certain categories of employee, Advancement of medical science and technology
    resulting in need for new skills and new categories of employee, Changes in organization
    design and structure affecting manpower demand, Government policies in respect to
    reservation of seat for handicapped person/women and others, Labour law affecting
    demand and supply of labour, International scenario of employment eg employment of
    nurses & doctors, paramedical personnel on USA, UK, Ireland & gulf countries ,
    Introduction of computer.
11 What are the benefits of manpower planning?
    The benefits of manpower planning are as follows:
         Enables an organization to have the right person at the right place and at the right
           time
         Provides scope for advancement and development of employee through
           training development
         Helps in anticipating advertisement and salary budgets
         Foresees the need for redundancy and plan eliminate it
         Plans for better working conditions, fringe, benefits and training needs
         Given an idea of the type of tests to be used and interview techniques in selection
           based on the level of skills, qualification, intelligence, value of future manpower.
         Helps improve service to patients and contribution of working personnel.
12 What are the objectives of manpower planning?
    The most important objectives are Ensuring maximum utilization of personnel,
    Assessing future requirements of the organization, Determining recruitment sources,
    Anticipating from post records: Resignations, Discharge simplicities (simple discharge),
    Dismissals and Retirements, Determining training requirements for management
    development and organizational development.
13 What are the steps for manpower planning?
    Manpower planning covers the total activity of the personnel function such as
    recruitment selection, training career development staff appraisal etc. Manpower
    planning involves the following steps Scrutiny of the present personnel strength,
    Anticipation of manpower needs, Investigation of turnover of personnel, Planning job
    requirements and job description.
14 What is the purpose of job Analysis?
    Job Analysis plays an important role in recruitment and selection, job evaluation, job
    designing, deciding compensation and benefits packages, performance appraisal,
    analyzing training and development needs, assessing the worth of a job and increasing
    personnel as well as organizational productivity.
15 List the steps in conducting job analysis.
    The various steps for conducting a job analysis are as follows: Recruitment and Selection,
    Performance Analysis, Training and Development, Compensation Management, Job
    Designing and Redesigning.
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 OCH101-Hospital Management                 Department of CSE                               2023-24
16   Mention the purpose of Job description in Manpower Planning.
     The main purpose of job description is to collect job-related data in order to advertise for
     a particular job. It helps in attracting, targeting, recruiting and selecting the right
     candidate for the right job. It is done to determine what needs to be delivered in a
     particular job. It clarifies what employees are supposed to do if selected for that particular
     job opening. It gives recruiting staff a clear view what kind of candidate is required by a
     particular department or division to perform a specific task or job. It also clarifies who
     will report to whom.
17   Explain the purpose of Job specification in manpower planning.
     Described on the basis of job description, job specification helps candidates analyze
     whether are eligible to apply for a particular job vacancy or not. It helps recruiting team
     of an organization understand what level of qualification, qualities and set of
     characteristics should be present in a candidate to make him or her eligible for the job
     opening. Job Specification gives detailed information about any job including job
     responsibilities, desired technical and physical skills, conversational ability and much
     more. It helps in selecting the most appropriate candidate for a particular job
18   Define Human Resource inventory.
     It involves the determination of personnel whose inventory to be made, cataloging the
     actual information of each employee, systematic and detailed appraisal of employees
     through study of individuals. Human Resource Inventory, also known as the skills
     inventory comprehensively lists down the basic information on all the employees, like
     their education, experience, skills, age, gender, salary related data, job preference and
     special achievements.
19   What are the examples of Human Resources?
     Human resources are defined as the people employed by a company or the department in
     a company in charge of hiring, training, benefits and records. An example of human
     resources is the department you would speak with to get more information about
     employee benefits.
20   Define Training.
     Training is a process of learning through a sequence of programmed behaviour. It is
     aimed at increasing the skills and knowledge with a view to do a particular job. The basic
     purpose of training is to fill the gap between the present capabilities of an employee and
     the requirements of a job.
21   Plan the methods of collecting job analysis information.
     The methods of collecting job-related data are (i) observational method, (ii) interviews,
     (iii) questionnaire, (iv) checklists, (v) technical conferences, and (vi) diary.
22   Identify the functions of Human Resource management.
     The various functions of Human Resource Management (HRM) are Policyformulation,
     Staff function, Linefunction Control, Managerial. Human resource management ensures
     satisfaction of employees and maximum contribution of employees to the achievement of
     organizational objectives.
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 OCH101-Hospital Management                 Department of CSE                              2023-24
                                              PART-B
1     Explain in detail the various Principles of HRM.
2     List out the Functions of HRM and explain each function in detail.
3     Describe the profile of HRD Manager.
4     Explain in detail the tools of Human Resource Department.
5     Describe Human Resource Inventory and the various information collected.
6     Explain in detail Human Resource Records and Forms.
7     Explain in detail on Manpower planning.
8     Describe the Need and Benefits of Manpower Planning.
9     Explain the Benefits and Objectives of Manpower Planning.
10 Describe Manpower Planning in different departments.
11 Analyse the role of manpower planning in the hospital administration.
12 Explain the characteristics of human resource management.
                       UNIT III          RECRUITMENT AND TRAINING
 Different Departments of Hospital, Recruitment, Selection, Training Guidelines – Methods of
Training – Evaluation of Training – Leadership grooming and Training, Promotion – Transfer.
                                              PART A
1     List the different process of Human resource.
      The different process of Human resource are as follows:
           Acquisition
           Development
           Motivating
           Maintenance
2     Give the importance of human factor in hospitals.
      Human factor is balancing the people and process to best achieve the goals of a hospital.
      Human factors examines the relationship between human beings and the systems with
      which they interact by focusing on improving efficiency, creativity, productivity and job
      satisfaction, with the goal of minimizing errors. A failure to apply human factors
      principles is a key aspect of most adverse events in health care. Therefore, all health-care
      workers need to have a basic understanding of human factors principles.
3     What is the purpose of job Analysis?
      Job Analysis plays an important role in recruitment and selection, job evaluation, job
      designing, deciding compensation and benefits packages, performance appraisal,
      analyzing training and development needs, assessing the worth of a job and increasing
      personnel as well as organizational productivity.
4     Give types of training given for staff at different levels?
           Fresher training - new employees to familiarize them with organizational mission,
              vision, objectives.
           Refreshment training - to refresh and enhance their knowledge
           Job training - training is given to cope with advancements
           Training for promotion - to share the responsibilities of higher level job.
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    OCH101-Hospital Management              Department of CSE                             2023-24
5      What may lead to if a wrong person is selected as an employee in hospitals?
       Selection of wrong person as an employee in a hospital may lead to inefficient use of
       resources, occurrence of accidents, and more expense on training. This can lead to the
       extent of being the cause of deaths in the hospitals due to the carelessness of the wrong
       person.
6      Write the main responsibilities of a super leader in a hospital.
       The main responsibilities of a super leader is to spot and liberate the leader in every
       employee. He has to continuously put effort in developing individual capacity of every
       employee till they realize their optimum potential to act in a responsible manner.
       Another responsibility of a super leader is to create an effective learning environment to
       develop people's skills and competencies.
7      Summarize the merits of a training program.
             Reduce obsolence
             Improvement in skill and knowledge
             Attract new employees - retain old employees
             Higher productivity
             Best use of available resources
             Promoting safety measures
             Ensure adaptability
             Stability of workforce
             Filling higher post
             Reduction in complaints, wastes.
8      What preparation the supervisor has to do to make training successful?
           Identification of training needs
           Setting training objectives
           Preparing training materials, the training space, trainers and trainees
           Selecting appropriate methods of training
           Selecting right person for training
           Evaluating the skill set of individuals before training
           Monitoring the effectiveness of training frequently.
9      Why is the salary structure important?
       The salary structure gains primary importance since it is used determine the following:
            To define the duties and responsibilities involved in each positions in the hospital
               and determining the qualifications and training requirements of employee
            To compare positions according to mental and physical requirements, skill,
               responsibility and working conditions.
            To establish a periodic salary review system so that the adjustments may be
               effected whenever indicated.
            Evaluate each job to determine the relative value in relation to all other jobs
               performed in the hospital.
            Classifying the jobs into groups which possess similar characteristics and
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 OCH101-Hospital Management              Department of CSE                                2023-24
         establishing a wage level for each groups.
10   List how the evaluation of training is carried out in hospitals.
              Identify purposes of evaluation
              Select evaluation method
              Design evaluation tools
              Collect data
              Analyze and report results
11   Define promotion.
     Promotion refers to upward movement of an employee from his current job position to
     another that is higher is pay, responsibility and hierarchy within an organization.
     Promotion has an inbuilt motivational value i.e. it elevates the status and power of an
     employee within an organization.
12   What is the need of orientation programs?
     Orientation programs are needed for the following reasons :
              To help a new employee overcome his sense of strangeness
              To introduce the new employees to the existing employees so that they may
                 develop a sense of belonging.
              To introduce new employees to organizational objectives, policies and practices.
              To foster a close and cordial relationship among employees.
13   What are the types of transfers of employee in hospitals?
             Production transfer - to avoid lay off in one department and also to avoid
                employment of persons from outside.
             Replacement transfer - to transfer employee to similar job in another
                department.
             Versatility transfer- to make employee versatile
             Shift transfer - transferred from one shift to other on similar jobs involving same
                type of work.
             Remedial transfer - to avoid faulty placement of an employee on a job at the
                time of his joining, incompatability with his supervisor, illness, accident record
14   List the main objectives of an interview in hospitals.
     The main objectives of an interview in hospitals:
          To obtain all the information about the candidate to decide about his suitability for
             the post.
          To give the candidate a complete picture of the job as well as the organization
          To demonstrate fairness to all candidates.
15   What is training evaluation ?
     Training evaluation Process helps
         to check whether training has had the desired effect
         to check the effectiveness of training
         ensure that whether candidates are able to implement their learning in their
            respective work places or to the regular work routines
16   How are training needs identified in a hospital?
     William Mc Ghee and Paul W. Thayer recommended approach to determine training
     needs : 1. Organization analysis to determine whether training emphasis should be
     placed within the organization. 2. Operation analysis to decide as to what the training
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  OCH101-Hospital Management                  Department of CSE                            2023-24
    programme should consist of including a study of what a person should be taught, if he
    is to perform his task with maximum effectiveness. 3. Man analysis to determine who
    needs to be trained and what skills, knowledge or attitudes should be augmented or
    improved.
17 Why leadership grooming is essential?
    Leadership grooming is essential to recognize the ' skill set ' of employee, hone these
    skills and mould every employee into the next rung ladder. It fosters this attitude by
    encouraging them to break old patterns of thinking, come out of their boxes, question
    routines and challenge assumptions.
18 Give the merits of employee performance appraisal.
    Merits of employee performance :
         It gives evidence of management’s interest in the individual employee.
         It gives an opportunity to an employee to know his plus and minus points and to
            improve his performance.
         It provides an objective basis for many types of personnel decisions including pay
            increase, training, promotion, etc.
19 Define selection with respect to hospital management.
    Selection with respect to hospital management is the process of differentiating between
    applicants who apply for various roles in the hospital, in order to identify and hire those
    with a greater likely hood of success in the hospital and its growth with a service motive.
20 List the different approaches of recruitment.
    The different approaches of recruitment are:
         In house recruitment
         Internal recruitment
         Outsourcing recruitment
         Recruitment through Employee referral
21 Define Transfer.
    A transfer refers to lateral movement of employees within the same grade, from one job
    to another. According to Flippo “a transfer is a change in the job accompanied by a
    change in the place of the job of an employee without a change in responsibilities or
    remuneration”.
22 List the positive strengths to be present in HR manager's profile.
    The positive strengths to be present in HR manager's profile are effective
    communication, good counseling, clarity in job description, commitment, confidence,
    control, patience, self motivation, initiative Ness, ability to accept risk, willingness to
    serve, creative and critical thinking, good decision making and problem solving.
23 Write the objectives of human resource development.
    The objectives of human resource development is to develop the following :
               1. Capabilities of all individuals working in an organization in relation to their
               present role
                2. Capabilities of all such individuals in relation to their future roles.
               3. Better interpersonal and employee- employer relationship.
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    OCH101-Hospital Management             Department of CSE                              2023-24
               4. Team spirit
               5. Co - ordination of work groups
               6. Organizational health
24     List the steps in conducting job analysis.
       The steps for conducting a job analysis are as follows:
              Recruitment and Selection
              Performance Analysis
              Training and Development
              Compensation Management
              Job Designing and Redesigning
25     What is Leadership grooming?
              Grooming leaders for success is a critical task for today's organizations. By
       maintaining a group of qualified, high-potential candidates for leadership positions,
       companies can avoid the hazards of succession problems and ensure that they are
       prepared for the future.
26     Determine the objective of training policy of healthcare organization
          The objectives of training are as follows:
          (i) To provide job related knowledge to the workers.
          (ii) To impart skills among the workers systematically so that they may learn quickly.
          (iii) To bring about change in the attitudes of the workers towards fellow workers,
          supervisor and the organisation.
          (iv) To improve the productivity of the workers and the organisation.
          (v) To reduce the number of accidents by providing safety training to the workers.
          (vi) To make the workers handle materials, machines and equipment efficiently and
          thus to check wastage of time and resources.
          (vi) To prepare workers for promotion to higher jobs by imparting them advanced
          skills.
27     Mention the functions of outpatient department.
           Early diagnosis, curative, preventive & rehabilitative care on ambulatory basis
           Effective treatment on ambulatory basis
           Screening for admission to hospital
           Follow up care & care after discharge
           Promotion of health-by-health education
           Rendering of preventive health care
           Promotion of health through health education
           Training of medical / nursing students
           Keeping up to date records for future treatment, medical education,
              epidemiological and social research
                                               PART B
1      Discuss in detail about the different departments of hospital.
2      Explain the various levels of training and management of technical staff in hospital. How
       are these training programs developed?
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3   What are the different methods of evaluating training in an organization?
4   List the considerations to be kept in mind while advertising a post in hospitals. List the
    points to be kept in mind for the recruitment of employees in hospitals.
5   List the points to be kept in mind while preparing the job application form for hospitals
6   Discuss the features and merits of promotion policy in hospitals.
7   Describe the factors involved while developing a training program for hospital staff.
8   List and explain the sources of recruitment in Hospitals.
9   Describe about the retention tools used by the HR manager to retain their employees.
10 Explain with neat diagram the Human Resource Recruitment model and discuss the six
    retention tool used in the hospital administration.
11 Define Leadership grooming. Explain in detail about Leadership grooming with suitable
    examples.
12 Analyze and explain the important aspect of the following process (i) Recruitment (ii)
    Selection (iii) Training guidelines.
13 List the important information that the Human Resource Manager should consider while
    recruitment in a hospital and the effects of selecting a wrong employee in a hospital.
14 Discuss in detail the steps involved along with benefits of promotion and transfer in
    hospitals.
15 With a suitable diagram indicate the importance of having various departments in a
    hospital.
16 Explain in detail about different departments of hospital.
17 Classify the types of interview in selection process and explain in detail.
18 Explain how to retain the employees of an organization and how to retain top performers.
                              UNIT IV -SUPPORTIVE SERVICES
Medical Records Department – Central Sterilization and Supply Department –
Pharmacy– Food Services - Laundry Services.
                                           PART A
1    How are computers useful for Medical record department of a hospital?
         In record admin area: used for chart abstracting, indexing. Coding, statistics, etc.
         In registration: used to maintain information and patient's personal data, for
           assigning patient numbers, making appointments and assigning to physicians,
           creating records, etc.
2   What will be the outcome of food serving to employees of a hospital during working
    hours?
    When the food is served to employees of a hospital during working hours, the quality of
    food can be checked, type of food selection excusing standard recipes or scheduled meals
    could be made possible.
3    Specify the need for Food Service Department.
         Provide the best possible food at a cost consistent with the policy of the hospital
         Buy to specifications, receive supplies, check their quantity and quality, and store,
           produce, portion, assemble and distribute food.
         Establish standards for planning menus, preparing and serving food and
           controlling meals. Standards must be established before setting up food purchase
           specifications.
         Establish policies, plan layouts and equipment requirements
         Plan and implement patient therapy, education and counseling
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        Train dietetic interns
        Cooperate with medical staff in planning, preparing and serving experimental
            metabolic research diets.
4   Why are medical records an integral part of quality patient care ?
    Medical records become an integral part of quality patient care because of
        Increasing medico legal cases such as assaults, attempted suides, death
            from criminal acts, industrial accidents , poisoning , and road accidents,
            Consumer cases
        Teaching in hospitals to postgraduate students
        Research work.
5   How do you select an equipment for laundry service department ?
    The following factors should be considered when selecting equipment for laundry
    service department.
        Reasonable capital cost
        Reliability of design and compliance with BIS
        Availability of spare parts and ease of maintenance
        Efficiency in working under normal conditions
        Economy in consumption of utilities like water, power, steam etc and in washing
            materials and consumables.
        Continuity of workflow and reduction of manual effort.
6   What are the constituents of a good pharmacy?
    Quality modern facilities, qualified personnel, efficient organization and operation,
    sound budgeting, therapeutic committee, Medical, nursing and administrative staff of the
    hospital. Physical constituents- Dispensing area, manufacturing area, administration
    area, storage area, unit dose Dispensing system and I.V Additive system.
7   What are the functions of laundry services?
        Collection of / receiving soiled and infected linen
        Processing soiled linen through              laundry      equipment. (Sorting,sluicing,
            disinfecting, washing, extracting, conditioning, ironing, pressing and holding).
        Inspection and repair of damaged articles, their condemnation and replacement.
        Assembling and packing speciality items and linen packs for sterilization.
        Distributing processed linen to the respective user departments.
        Maintenance and control of active and back up inventories and processed linen.
8      Write the role of CSSD.
       CSSD play a vital role in combating ubiquitous menace of infections caused by
       pathogenic microorganisms, speedy recovery, helps in providing sterile hygienic
       environment, and sterile supplies before utilized in patient care. It helps in gaining a
       higher level of efficiency in operations.
9      Write the computer applications in pharmacy department of a hospital
       Automation, computer based ordering system, computer assisted pricing, billing,
       Medical Information System, batch wise inventory management for drugs and
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   consumables. Facilitate all activities from procurement to documentation. Drug - drug
   interactions - Similar drug - Drug reactions and combined effects, Online drug
   prescription and issue.
10   The use of computers in pharmacy department improves the patient care - justify
     Pharmacists use computers to review the patients' current and previous drugs. Pharmacy
     also maintains a “drug dictionary “using computers that contains information on the
     commonly prescribed drugs. For each drug, default dose and frequency, maximum
     recommended dose, interaction with other drugs, side effects are stored and instructions
     are given to patient based on these stored information.
11   What are the factors considered for location of pharmacy in hospitals?
          Flow of outpatient traffic through the hospital
          Flow of drugs and other raw materials into the pharmacy
          Flow of drugs and other services from the pharmacy to the inpatient areas and
             other departments
          Need for future expansion.
12   What are the components of electronic medical record?
     Access to knowledge resources, integrated communication and reporting support,
     clinician order entry, clinical decision support system, integrated view of a patient data.
13   What is the role played by pharmacy department?
     Drug ordering, preparation, distribution and Dispensing. Clinical pharmacy- includes
     activities like taking medication history, monitoring drug use, drug selection, patient
     counseling and surveillance of adverse reactions of drugs. It is a part of therapeutic
     committee.
14   What is the laundry capacity and load based on American, British and Indian standard?
     American standard : An average of 15 pounds ( 6.80 kilograms) per bed per day plus 25
     pounds ( 11.33 kilograms) for each operation or delivery.
     British standard : 60 articles per bed per week at 0.39 kilograms per article.
     Indian standard : The rule of thumb is three to five kilograms per bed per day.
15   List the functions of medical records department.
          Location
          Design
          Organization Unit record
          Numbering system
          Filing system
          Dictating and transferring system
          Space requirements
16   What are the facilities and space requirements of the laundry and linen services?
     It should be located at the ground floor or basement. Area should be large enough to
     separate the infected linen according to the infectious disease, and separate rooms for
     cleaning, segregation, Treating, drying and dispatching the linens.
17   How can proper maintenance of medical records help in hospitals?
     A good medical record serves the interest of the medical practitioner as well as his
     patients. It is very important for the treating doctor to properly document the
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    management of the patient under his care. Medical record keeping has evolved into a
    science. The key to dispensability of most of the medical negligence claim rest with the
    quality of the medical records. Record maintenance is the only way for the doctor to
    prove that the treatment was carried out properly.
18 Differentiate clinical information systems and administrative information system.
    A clinical information system (CIS) is an information system designed specifically for use
    in the critical care environment, such as in an Intensive Care Unit (ICU). It draws
    information from all these systems into an electronic patient record, which clinicians can
    see at the patient's bedside.
    Administrative Information Systems is            divided     into    3    sub departments:
    Administrative Applications is responsible for information technology that supports core
    hospital and college business functions such as human resources, payroll, parking,
    accounting, public safety, admissions, financial aid and registration.
19 What are the advantages of medical record maintenance?
    The benefits of electronic health records include: Better health care by improving all
    aspects of patient care, including safety, effectiveness, patient-centeredness,
    communication, education, timeliness, efficiency, and equity.
20 What are the advantages of a clinical departmental information system?
         Helps in patient tracking by enabling staff communication through
            automated alerts and information.
         Avoids prescription errors and demonstrate alerts for abnormal lab values
         Maximizes revenue - prevents user bias, losses and repetitions of clinical
            and financial information
         Improves patient satisfaction
21 What are the Objective and Functions of CSSD?
         To provide sterilized material.
         Contributing to a reduction in the incidence of hospital infection.
         To avoid duplication of costly equipment.
         To maintain record of effectiveness of cleaning, disinfection and sterilization
            process.
         To monitor and enforce controls necessary to prevent cross infection.
         To maintain an inventory of supplies and equipment.
         To stay updated regarding developments in the field.
         To provide a safe environment for the patients and staff.
22 How the CSSD is manned
    CSSD is usually manned by following staffs:
         CSSD in charge/ manager: supervises activities of CSSD.
         CSSD technicians: operate the autoclave and eto Machines.
         CSSD assistants: perform the cleaning and packing, gauge Cutting and cotton ball
            making.
         Clerk or storekeeper: to manage the inventory and Sterile stores.
         housekeeping staff.
23 List the functions of CSSD
         Receiving the used equipment’s
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        Sorting the equipment’s
        Packing
        Sterilizing
        Disturbing
24 What are the advantages of CSSD
        Bacteriological safe sterilization.
        Less expensive.
        Elimination of unsound practices & establishment of standard procedures.
        Assurance of adequate supply of sterile products immediately and constantly
           available for some time as well as emergency use.
        Conservation of trained staff.
        Better quality control
        Better good of material flow
        Prolonged life by proper care of equipment
25 Why Healthcare supply chain management Department is important?
    Healthcare supply chain management involves obtaining resources, managing supplies,
    and delivering goods and services to providers and patients. To complete the process,
    physical goods and information about medical products and services usually go through
    a number of independent stakeholders, including manufacturers, insurance companies,
    hospitals, providers, group purchasing organizations, and several regulatory agencies.
    However, by promoting efficiency in the healthcare supply chain, hospitals and physician
    practices can create substantial cost-reducing opportunities across their organization.
26 Compare the advantages and disadvantages of Medical Records keeping.
      Advantages of Medical Records
           Reduced Upfront Costs.
           Ease of Use in a Familiar Format.
           Physical Form Factor.
           Easier to Customize.
      Disadvantages of Paper Medical Records
           Storage Isn't Scalable.
           Lack of Backups & Limited Security.
           Time Consuming & Error Prone.
           Inconsistent Layouts.
27 Recommend the factors considered in determining the most suitable location for the
    pharmacy department.
        Flow of outpatient traffic through the hospital
        Flow of drugs and other raw materials into the pharmacy
        Flow of drugs and other services from the pharmacy to the inpatient areas
           and other departments
        Need for future expansion.
                                            PART B
1   Write the important functions of medical record department and draw the flowcharts of
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     medical records on admission and discharge of patient.
2    Explain how the pharmacy department of any hospital is a major source of
     administrative concern.
3    Explain the hospital information system in detail.
4    List the objectives, functions and procedures of CSSD. List the points to be considered
     in while determining the staffing norms for CSSD.
5    Explain the role of the following departments - Laundry department , Food service
     department.
6    Explain about the Pharmacy services in hospital / Describe the facilities, location,
     organization and space requirements of Pharmacy department.
7    How do you choose equipment for laundry service department?
8    “A new information system reduces clerical tasks and enables the pharmacists to spare
     more time for reviewing patient profiles - Justify.
9    Elaborate the functions of medical records department in hospital. Also explain the
     systematic procedure of maintenance of medical records in hospital
10 Explain in detail about the support service technical information systems.
11 What is clinical information system? Why is it required? Explain its features, benefits and
     barriers.
12 Explain in detail about CSSD
13 Elaborate the linen distribution system in a hospital laundry service.
14 Explain in detail about Central Sterilization department in hospital.
15 Why Supply Department are important in hospitals. Justify
16 Why medical record department is important in each hospital. Justify with reasons.
17 Analyze the need of security systems in hospital.
18 Identify the importance of food services in hospitals.
19 Why medical record department is important in each hospital. Justify with reasons.
           UNIT V – COMMUNICATION AND SAFETY ASPECTS IN HOSPITAL
Purposes – Planning of Communication, Modes of Communication – Telephone, ISDN, Public
Address and Piped Music – CCTV Security – Loss Prevention – Fire Safety – Alarm System –
Safety Rules.
                                            PART A
1.   Define Communication systems in healthcare
     Communication systems are the formal or informal structures organisations use to
     support their communication needs. A communication system involves people, the
     messages they wish to convey, the technologies that mediate conversations, and the
     organisational structures that define and constrain the conversations that are allowed to
     occur
2.   List out the different elements of communication systems.
     Elements of communication systems include:
                 Communication channel:
                 Types of message:
                 Communication policies:
                 Agents
                 Communication services
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                  Communication device
                  Interaction mode
                  Security protocol
3.   Define Signs and Symbols communication
     Many health care settings are full of signs and symbols that communicate quickly what a
     patient or visitor needs to know. Using this type of communication is beneficial in care
     settings, as it allows individuals who are unable to read or understand a specific language
     to still know what is being communicated.
4.   Define Technology-Aided communication
     Not all patients are able to communicate on their own with their caregivers. In these
     instances, many use technology-aided communication devices to hear or speak. For
     example, patients who are unable to speak may type their thoughts into a computer that
     announces them out loud.
5.   What is the difference between synchronous and asynchronous communication?
          Communication needs can be characterized by the separation of participants over
              time or distance
          When two parties exchange messages across a channel at the same time, this is
              known as synchronous communication
          In contrast, when individuals can be separated in time, they may use
              an asynchronous channel to support their interaction. Since there can be no
              simultaneous discussion, conversations occur through a series of message
              exchanges
                        Sound         Image                          Data
     synchronous telephony            video-conferencing             shared electronic white
                                                                     boards, shared documents
     asynchronous voice-mail letters and notes, computer paging, fax, e-mail
                                      image store and forward
6.   What is the importance of Nurse Paging System for Hospital Management
     Nurse Call System ranges from the simplest a mere visual signal system to most
     sophisticated computer controlled system.
     The system has the following
          panel in patient room
          Patient room door panel
          Main nurse station panel
          Monitoring
          Computer interface
          Software
          Alert panel
          Computer voice interface
7.   Explain about Integrated Service Digital Network
          ISDN is an international communications standard for sending voice, video, and
              data over digital telephone lines or traditional telephone copper wire.
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          Benefits: Carries a variety of user traffic, such as digital video, data, and telephone
            network services, using the normal phone circuit-switched network
          Offers much faster call setup than modems
8.   What is Telemedicine and Teleconsultation ?
     Telemedicine and teleconsultation are the application and development of the
     telecommunication networks. Health experts can solve problems by using the electronic
     and communication technologies without distance limitation. We can apply this system in
     training local volunteers, educators, and welfare workers. Meanwhile, we can save lots of
     cost and time
9.   What is Quality Management System?
     Quality management system (QMS) is a set of policies, processes and procedures required
     for planning and execution (production /development/service) in the core business area
     of an organization (i.e areas that can impact the organization’s ability to meet customer
     requirements.)
10. Define Quality.
     According to Institute of Medicine (IOM) defined quality as the“the degree to which
     health services for individuals and populations increase the likelihood of desired health
     outcomes and are consistent with current professional knowledge.” According to WHO:
     Quality of care is the level of attainment of health systems’ intrinsic goals for health
     improvement and responsiveness to legitimate expectations of the population.
11. What is the role of CCTV in Communication systems for Hospital Management?
     In hospitals and healthcare facilities, video surveillance is an effective tool not only for
     increasing security, but also for controlling costs. CCTV cameras can work to protect
     hospital employees and patients from security breaches, and provide valuable visual
     evidence that can be used to increase productivity and prevent dishonest claims.
12.   What is Public Address System?
      A public address system (PA system) is an electronic sound amplification and
      distribution system with a microphone, amplifier and loudspeakers, used to allow a
      person to address a large public.
13.   What about the two - fold responsibility regarding safety for the management of any
      hospital?
      Management of any hospital has a twofold responsibility regarding safety:
          (a) To make the workplace and the environment safe by creating safe conditions and
          (b) To establish communication to all concerned and enforce safety rules.
14.   What precautions are taken for fire safety?
         Keep doorways, corridors and egress paths clear and unobstructed. Make sure
            that all electrical appliances and cords are in good condition and UL approved.
            Do not overload electrical outlets. Use surge protected multi-outlet power strips
            and extension cords when necessary.
         Never store flammable materials in your room or apartment.
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 OCH101-Hospital Management              Department of CSE                   2023-24
       Do not tamper with any fire system equipment such as smoke detectors, pull
         stations or fire extinguishers.
15.   How the fires are classified in general?
           Class A Fire - Ordinary combustible materials like wood, paper, rags, rubbish,
              rubber and plastics
           Class B Fire - Flammable or combustible gases and liquids like gasoline, kerosene,
              thinners, paints, grease and similar materials
           Class C Fire - Fires involving or near electrical equipment- Non-conducting
              materials like carbon dioxide or dry powders should be used.
           Class D Fire - Fires involving active metals like magnesium, sodium, titanium
              potassium, zirconium.
16.   How many levels are there in documented quality system and explain them with
      diagram?
      There are 4 tiers:
      First tier consist of Quality Manual, Second Tier consist of Procedures, third tier consist of
      work instructions and fourth tier consist of documents, forms and records.
17.   State the factors by which accidents may be caused in hospitals.
           Occupational exposure to infectious waste, body fluids
           Mismanagement of Biomedical waste
           Exposure to chemicals
           Fire accidents from frayed or damaged electrical cords
           Improperly used extension cords, appliances
           Improper grounding
18.   Write the need for voltage fluctuation alarm.
      Low voltage poses the biggest threat to electrical system and equipment. Diagnostic
      equipment often gives erroneous readings in low voltage conditions. There are certain
      areas and sensitive equipment that do not tolerate excessive low or high voltage. Such
      areas or equipment may be fitted with a simple voltage- sensitive alarm with a voltmeter.
      The alarm can be set at any desired point.
19.   List the types of alarm in hospital
      Fire alarm, Medical Gas alarm, Elevator Alarm, narcotics alarm, Code blue alarm, Patient
      emergency alarm, blood bank alarm, and voltage fluctuation alarm.
20.   Mention the benefits of accreditation.
           Accreditation benefits all stake holders. Patients are the biggest beneficiary.
              Accreditation on high quality of care and patient safety - Rights of patients are
              respected and protected. Patient satisfaction is regularly evaluated.
           The staff in a accredited health care organization are satisfied lot as it provides for
              continuous learning, good working environment, leadership and above all
              ownership of clinical processes.
           Accreditation to a health care organization stimulates continuous improvement. It
              enables the organization in demonstrating commitment to quality care. It raises
              community confidence in the services provided by the health care organization. It
              also provides opportunity to healthcare unit to benchmark with the best.
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 OCH101-Hospital Management                Department of CSE                      2023-24
       Finally, accreditation provides an objective system of empanelment by insurance
         and other third parties. Accreditation provides access to reliable and certified
         information on facilities, infrastructure and level of care.
21.   Write any five medical emergency code.
           Code Red: Fire
           Code Blue: Cardiac Arrest
           Code Orange: Disaster or Mass Casualties
           Code Green: Evacuation
           Code Yellow: Missing Patient
           Code Amber: Missing or Abducted Infant or Child
           Code Black: Bomb Threat
           Code White: Aggression
           Code Brown: Hazardous Spill
           Code Grey: System Failure
           Code Pink: Pediatric Emergency and/or Obstetrical Emergency
22.   List the types of a medical gas alarm.
           One monitors the pressure of various gases at different areas of the distribution
              system. If abnormal pressure is sensed, the system sets off an alarm- the green
              signal goes off and the red warning signal glows with audible alarm until the line
              pressure returns to normal.
           Remote signal lamp- lights up when either of the banks of cylinders becomes
              empty.
23.   Define Environmental Management System (EMS)
      (a) It refers to the management of an organization environmental programs in a
      comprehensive, systematic, planned and documented manner.
      (b) Act->Plan->Do-> Check. It is a frame work that helps a company achieve its
      environmental goals through consistent control of its operations.
      (c) It helps a company address its regulatory demands in a systematic, cost effective
      manner and non-regulated issues such as energy conversation and can promote stronger
      operational control.
24.   Define Loss Prevention? What are the Categories of Losses
      Loss Prevention is the concept of establishing policies or procedures and business practice
      to prevent the loss of inventory in a retail environment. Loss control is the act of reducing
      severity by identifying the factors that aggravate or increase a loss. There are three
      categories of Loss prevention. Internal theft, External theft and through error.
25.   Define Fire Safety and Alarm Safety with exampled?
      Fire Safety: Refers to precautions that are taken to prevent or reduce the likelihood of a
      fire that may result in deaths, injury or property damage, alert those in a structure to the
      presence of an uncontrolled fire in the event one occurs, better enable those threatened by
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    fire to survive in and evacuate from affected areas, or to reduce the damage caused by a
    fire. Alarm Safety: It is a sounder. The sounders make a noise to let people know that
    there is a fire. Some companies that make fire alarms are Wheelock and simplex
    sometimes, of fashioned fire alarms are metal belts. It can be either manual or an
    automatic system
26.     Identify the steps involved in loss prevention.
                 Internal Control:
                 1: Physical Security
                     Communicate Watchfulness. ...
                     Use Technology to Your Advantage. ...
                     Organize Your Storefront to Minimize Theft. ...
                 2: Procedural Security
                     Handle Checkout Procedures with Care. ...
                     Let an Expert Help.
27.     List the function of CCTV.
        A CCTV is a video surveillance system that is placed in security cameras to help record
        images and videos in a home, business property, and even on the roads. The camera
        works by monitoring, recording video images and transmitting them to a monitor. A
        CCTV is therefore used primarily for security purposes.
                                                   PART B
1.      What are the different modes of communication and explain the essentials of effective
        communication?
2.      Explain the Fire and safety procedure maintained in the hospital administration?
3.      Define Security and its Concept?
4.      Write Brief notes on Loss prevention?
5.      Discuss about the various Modes of Communication
            (i)      Telephone
            (ii)     ISDN
6.      Explain about
           (i) Cable television and closed circuit television
           (ii) safety Rules
7.      Explain about
            (i)      Purpose of communication in hospital
            (ii)     Fire safety in hospital.
8.      Explain about safety rules and security measures in the hospital
9.      What are the Purposes in Planning of Communication?
10.     Explain about Alarm system in hospital and its types in detail.
11.     Analyze the need of security systems in hospital.
12.     Explain in detail about the fire alarm systems used in hospital.
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