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1. MEDICAL ONCOLOGY DEPARTMENT AISHWARYA R AISWARYA C VANI D SHENNOY

2. INTRODUCTION The Medical Oncology department is a specialized unit of AMRITA HOSPITAL deals with solid tumors in both adults and children headed by Dr. Pavithran The aim of the study was to observe and understand the workflow, staffing, various procedures, problem areas and functioning of the department

3. LOCATION OF OPD Medical oncology department is located in tower 3 floor 0 Chemo day care unit locatied in tower 2 floor 0

4. STAFFING The department consists of 4 doctors 1 physcian assistant, 2 UG, 2PG physcian assistant 5 chemo day care nurses 1 manager 1 coordinator 2 secretary 3 public relation assistant 2 clerk 3 pharmacy billing staff 4 pharmacist 1 house keeping staff

5. BASIC WORKFLOW AND LAYOUT

6. WORK FLOW 1.NEW VISIT

7. START PATIENT REPORTS AT REGISTRATION COUNTER IS THE PATIENT NEW? MRD GENERATION, REGISTRATION AND BILLING WORKUP BY PHYSICIAN ASSISTANT OR DM MRD VERIFICATION,ENCOUNTER AND BILLING BILLING NO YES

8. HISTORY GENERATION CONSULT THE DOCTOR ORDERS INVESTIGATION LIKE BLOOD TEST, ECG ETC BILLING FOR BLOOD TEST, ECG, MAMMOGRAM BLOOD TEST, ECG, MAMMOGRAM PROCEDURES

9. RECONSULTATION IS CHEMO NEEDED ? FIXING CHEMO TIRES AND PROCEDURE DATES ADMISSION AND PROCEDURE BILLING CHEMO PROCEDURES NO YES

10. DISCHARGE AND BILLING PHARMACY BILLING PHARMACY END

11. 2. REFERRAL PATIENTS

12. PATIENT REFERRED FROM OTHER DEPARTMENTS START ENCOUNTER AND BILLING WORK UP BY DM/ PA CONSULTATION

13. BILLING FOR BLOOD TEST, ECG, X RAY BLOOD TEST, ECG, , X RAY PROCEDURE RECONSULTATION FIXING CHEMO SCHEDULE IS INVESTIGATIONS REQUIRED NO YES

14. PHARMACY BILLING PHARMACY EXIT

15. 3. CHEMO DAY CARE UNIT

16. START MRD VERIFICATION, ENCOUNTER BILLING DOCTOR CONSULTATION W WHETHER INVESTIGATION REQUIRED ORDERS FOR BLOOD DRAW, ECG, X-RAY ETC.. AND BILLING Yes N o

17. PHARMACY CHEMO SESSION IN DAY CARE UNIT RECONSULTATION AFTER PROCEDURE NEXT CHEMO SCHEDULE END BLOOD DRAW ,ECG, X-RAY PROCEDURE PHARMACY BILLING

18. 4. REFERRED TO OTHER DEPARTMENTS

19. START PATIENT REPORTS AT REGISTRATION COUNTER IS THE PATIENT NEW? MRD GENERATION, REGISTRATION AND BILLING WORKUP BY PHYSICIAN ASSISTANT OR DM MRD VERIFICATION,ENCOUNTER AND BILLING BILLING NO YES

20. CONSULTATION REF TO OTHER DEPT. (SURGICAL,RADIATION ONCOLOGY ETC ) POST PROCEDURE RECONSULTATION I S CHEMO REQUIRED PHARMACY BILLING Y e s N o

21. PHARMACY CHEMO PROCEDURE EXIT Follow up

22. LAYOUT INFORMATION REGISTRATION :- TOWER 1 FLOOR 0 ENCOUNTER :- NEAR CONSULTATION ROOM NEAR THE COSULTATION ROOM THEREIS A OBESRVATION ROOM ATTACHED INVESTIGATIONS:- BLOOD DRAW AND ECG AT TOWER 2 FLOOR 0 MAMMOGRAM ROOM AND X-RAY AT TOWER1 FLOOR1 PET-CT, PET-MRI AND CYBER KNIFE TOWER 2 FLOOR 0 INVESTIGATION BILLING AT THE ENTRY OF TOWER 3 PROCEDURES :- CHEMOTHERAPY – DAY CARE UNIT TOWER 2 FLOOR 0 OPERATION THEATRE SITUATED AT TOWER 4 FLOOR 0 CHEMO DAT CARE ROOM TOWER 2 FLOOR 0 RADIATION TOWER 3 FLOOR 0 PHARMACY BILLING:- TOWER 3 FLOOR 0 PHARMACY :- TOWER 2 FLOOR 0