Detailed report on Ramesh Hospital IN GUNTUR

THIS MY DETAILED REPORT ON RAMESH HOSPIAL. IN THE SUMMER INTERNSHIP TIME. IN THIS REPORT WHAT ARE AVAILABLE IN HOPITAL AND MY WORK . MY WORK WAS CUSTOMER SATISFACTION ABOUT THE RAMESH HOSPITAL.

1. SUMMER INTERNSHIP PROGRAM
Final REPORT

MASTER OF BUSINESS ADMINISTRATION (MBA)
(2017-2019)

Topic: REPORT ON RAMESH HOSPITAL
Submitted By : Y.MADHU VENKAT SAINATH
Regd no : 171FC01085


Faculty Guide Company Guide
S.HANUMANTH A RAO K.P.ZAREENA
Asst.Professor , Senior Patient Care Co-ordinator
Department of Management studies . Ramesh Hospital,Guntur.



Department of Management Studies
Vignan’s Foundation for Science, Technology & Research, Vadlamudi

2. ACKNOWLEDGEMENT

First of all, I would like to thank My university and Ramesh hospital , Who is most beneficial
and merciful, who enable me to do this job very well and HE has given me confidence,
guidance & strength to complete this hospital internship report. This is an interesting and
knowledgeable experience for me. Completion of this report was not an easy task, but by the
support and help of all employees of hospital, it becomes very simple to me. I would like to
pay my gratitude to my Respected Company Guide miss K.P ZAREENA madam on her
cooperation during my internship. I am especially grateful for staff who co-operated to learn
something New.
By: Y.MADHU VENKATA SAINATH

3. CONTENTS

 INTRODUCTION
 LIFE GOAL
 ABOUT THE GUNTUR HOSPITAL
 MULTI HOSPITAL SERVICES
 HIGHLIGHTS
 SCOPE OF SERVICES
 SERVICES NOT AVAILABLE
 LOGO
 BOARD OF DIRECTORS
 ADMINISTRATION
 STATE OF THE ART TECHNOLOGY AND FACILITIES
 MISSION
 VISION
 CORE VALUES
 CUSTOMERS (PATIENTS)
 RADIOLOGY
 COMPETITORS
 ENVIRONMENT
 TECHNOLOGY
 GOALS
 TIMELINE OOF JOURNEY FROM ATTEMPT TO EXCELLENCE
 SERVICES
 TEAM OF RAMESH HOSPITALS
 DEPARTMENTS
 PATIENT SERVICES
 LATEST EQUIPMENT
 EDUCATION
 CONTRIBUTIONS
 EXISTING FACILITES IN RAMESH HOSPITALS
 SWOT ANALYSIS
 DESCRIPTION ABOUT ALL OVER THE HOSPITAL
 MY WORK IN THE HOSPITAL IN THE INTERNSHIP PERIOD

4. INTRODUCTION

A Man Was born on 27th April 1957, in Denduluru Village, West Godavari
District, Andhra Pradesh, he comes from an agricultural family who believed in
education and reform of society through giving it back. His journey into
medical field began from Guntur medical college where he pursued his MBBS
and went on to specialize in Cardiology. An alumnus of the illustrious AIIMS
institute, New Delhi, Dr. Ramesh Babu did his M.D, D.M Cardiology under
Prof. M.L.Bhatia with a goal to provide the best possible medical care to people
from all sections of the society. To achieve this he chose to serve the people of
Vijayawada and surrounding rural areas in spite of lucrative opportunities
abroad.


Dr. Pothineni Ramesh Babu
Managing Director of Ramesh Hospital
Qualification
MBBS, MD, DM (Cardiology)

5. Life Goal
Providing quality healthcare not only to the people living in cities but also to people living in
semi urban and rural areas by making the services of the specialists and state of the art
equipment available to them.


ABOUT THE GUNTUR HOSPITAL
In 1988 Dr.ramesh babu started a hospital on his name with 6 bed setup but
with his great vision and goal he transformed it into 1,000 beds hospitals build
across major cities in Andhra Pradesh like Guntur, Vijayawada, Eluru & ongole.
He is the Chief Cardiologist & Intervention Specialist with an experience of 30
years treating over 10,00,000 patients. He is also currently serving as the
Healthcare Panel Convener for Confederation of Indian Industry, Andhra
Pradesh

Ramesh Hospital in Guntur

In March 2015, Guntur RH was inaugurated by the Former President of India,
Dr. APJ Abdul Kalam – ‘The Missile Man of India, and the event was presided
by Union Minister Sri. M. Venkaiah Naidu, Hon’ble Minister for Urban
Development, Govt. of India; Dr. Kodela Siva Prasada Rao, Hon’ble Speaker,
AP Legislative Assembly & Dr. Kamineni Srinivas, Hon’ble Minister for
Health, Govt. of AP .

6. Ramesh Hospital is the state of art super specialty center located in Guntur
boasts of best medical practices in a setting comparable to international
standards. After having treated 10,00,000 patients over three decades of
healthcare journey, the unit at Guntur have been shaped to deliver quality
treatment with patient experience & safety as the prime focus. Designed and
constructed as per JCI standards, the unit has received NABH Accreditation in
2016.
 Ramesh hospital tie up with ASTER DM health care 2016
 To provide international quality services to Ramesh hospital branches
 It has sold some share to the Aster DM Health care.
 Aster DM Health care is the largest private health care in Asia.
 To provide international quality services to local people at lowest prices
 The benefit is international experienced doctors will available at Ramesh
hospital at any time
Ramesh Hospitals has established itself as a multispecialty hospital by
expanding its scope of services and has strong presence in krishna, Guntur
and West Godavari Districts. By Consistently practicing scientific medicine
with integrity and dedication, Ramesh Hospitals has gained the trust of
patients and health care professionals from all over the country..
In 2014 ,Ramesh Hospitals became the first teaching Cardiac institute in
new Andhra Pradesh to achieve NABH Accreditation
Multisuperspeciality Hospital
 State of the art super specialty hospital located in Guntur
 Commenced OP operations in Apr 2015 and IP operations in June 2015
 350 bed facility –3,16,000 sq. ft. built up area
 1 Cath lab, 128 Slice CT Scanner, 3 Telsa Digital CX MRI
 Designed and constructed as per JCI standards.
 Achieved NABH Accreditation in September 2016
 Liver & Kidney transplant surgeries since July 2017
 NABH Re-Accreditation in 2018

7. Highlights
 350 Bedded multi super-specialty Hospital with over 50 Specialist
Doctors
 Dedicated “Golden Hour” Causality for Heart & Brain stroke patients
 8 operation theaters with latest laminar airflow technology
 Allengers VENUS with AEC mammography machine for early detection
of Breast cancer
 24*7 in-house Blood Bank Services
 Round the clock Trauma/Emergency services
 Only laboratory accredited by NABL for Biochemistry & clinical
pathology
 Recognized Organ Transplant Center

Scope of Services

 Anesthesiology
 Accident & Emergency
 Bariatric surgery
 Cardiology
 Cardiothoracic & vascular Surgery
 Critical care
 Dental Sciences
 Dental & Maxillofacial surgery
 Endocrinology
 Pediatrics
 Pediatric Cardiology
 Nephrology
 Neurology
 Neurosurgery
 General Surgery
 Laparoscopic Surgery
 General Medicine
 Orthopedics & Joint Replacement Surgery

8.  Gynecology & Obstetrics
 Ophthalmology
 ENT
 Urology
 Dermatology
 Pulmonology
 Gastroenterology
 Radiology & Interventional Radiology
 Diabetes
 Aesthetic & Plastic Surgery
 Psychiatry
 Multiorgan Transplant
 Emergency, Trauma & Critical Care
 Medical gastroenterology

SERVICES NOT AVAILABLE
 ONCOLOGY
 BURNS UNIT
 TREATMENT FOR CANCER
 RADIOTHERAPHY
Logo

9. Blue- Technology and Profession
White- Openness & Honesty
Red- Passion and Dedication towards saving life

BOARD OF DIRECTORS
Chairman-Sri MS Rama Mohan Rao
Managing Director-Dr. Pothineni Ramesh Babu


ADMINISTRATION
1. P Gopi Krishna- Group Chief Operating Officer
2. Maj Gen (Rtd) Dr S Kumarvelu- Medical Director – Guntur
4. Dr. Mamatha-COO of Guntur Ramesh Hospital
5. Dr N Kishore-Medical Administrator (Emergency Medical Services) – Guntur
Over 1200 employees,125 doctors (50 Specialized doctors & 75 Duty doctors) available
in the hospital



State-of-the-Art Technology & Facilities
 Houses the First time in Navyandhra Pradesh – Philips Ingenia 3.0 Tesla CX
Digital MRI
 Philips Ingenuity 128 Slice CT Scanner
 Two Philips Catheterization Labs with IVUS & FFR
 Eight Operation Theatres with Laminar Air Flow
 Fully Automated Laboratory with Johnson & Johnson equipment
 Blood Bank

10.  Genetic Laboratory
 CSSD
 Radiology

Ramesh Hospitals -Birth n’ Beyond for women and children is a boutique
maternity center with a dedicated dept. of Gynecology, Neonatology & Pediatrics. The
comfort and convenience of prenatal guidance, birthing suits, lactation support, and post-
delivery care are all brought within the reach of people of Andhra Pradesh.
MISSION
Provide quality treatment to patients with medical expertise, excellence, and empathy and
state-of-the-art equipment in an amicable and assuring ambiance
VISION
 Maintain high standards of medical practice
 Provide quality and cost effective medical care to patients in the region and beyond
 Continue developing as an educational and training institute
 Contribute to medical research by participating in national and international study
trial.
CORE VALUES
 Commitment to Profession
 Compassion for Patients
 Care and Concern for Employees

CUSTOMERS (Patients )
The customers here are patients. Patients here are treated with primary care and with
good quality. The patients are left with an opinion of happy long living after the treatment
and there are various check-ups and scanning facilities wherein every patient is studied
heedfully.

For customers hospital provide different health check-ups they are

11.  Master Health check-up
 Executive Health check-up
 Basic Cardiac Health check-up
 Basic Diabetic Health check-up
 Advanced Diabetic Health check-up
 Senior Citizen Health check-up


RADIOLOGY
And there are various types of scanning’s like
1. Ultra sound scanning
2. MRI SCANNING ( Magnetic resonance scanning)
3. CT SCAN ( Compressed Tomogram)
4. X Ray
5. ECG ( Electro Cardio Graphy)
6. EEG ( Electro Encephalon Graphy)


COMPETITORS
There is a huge competition in Guntur for medical services. There are many
hospitals which provide many services for the patients. Hospitals like Lalitha Super specialty
hospital, Sri Rama Hospitals, Guntur Government Hospital and all. There are yoga centers
and Ayurveda centers which are becoming a peril for the hospitals.

ENVIRONMENT
Centrally located in the heart of the city, can be easily accessible from all
corners of the city. It is a one stop center for excellence with multi-disciplinary interaction
under one roof. Customer Relation Management and Coordinators help reach out patients a
stress free treatment assisting them in admission procedure, consultant visits with required
documentation.

12. TECHNOLOGY
 First time in Navyandhra Pradesh Philips ingenia 3.0 Tesla CX Digital MRI
 Philips ingenuity 128 slice CT scanner
 Philips Allura Centron catheterization labs with IVUS & FFR
 Fully Automated Johnson & Johnson VITROS 250 & ECI
 Laminar Airflow Technology based operation theaters under a single roof
When it comes to surgical technologies within a hospital, the administration needs
to work in conjunction with its physicians and nurses to determine the best strategy. It may be
instinctive to purchase the latest and greatest technologies that hit the market, but surgical
equipment has high upfront costs, so it must be properly have become reputation.
The intraoperative MRI, ECG, EEG and CT scan machinery are very unique and are the
latest ones because they are used in identifying the problems and defects and there is also
ultra sound scanning. Specifically, the most common types of cases that use this technology
are craniotomies for brain tumors, Trans sphenoidal surgeries of pituitary tumors and
placement of deep brain stimulators for Parkinson's disease and also these are used to know
the brain cycles, Epilepsy cases and also problems related to heart and all.


GOALS
 Double the owned bed capacity to 700 , with a goal of increasing owned and managed
beds to 1000 by 2019.
 Achieve Revenue CAGR of 25% over the next 5 years while improving EBITDA
margins.
 Achieve JCI accreditation and sustain total quality and reliability in all areas of
patient care and employee welfare
 TO MAKE GUNTUR BRANCH A MOST FAMOUS HOSPITAL LIKE
VIJAYAWADA BRANCH

13.  To provide good quality healthcare not only to the people living in cities but also to
people living in rural areas
Timeline Of Journey From Attempt To Excellence :
1988 – First Cardiac Hospital in Coastal Andhra Pradesh
1996 – First to start Cardiac Surgeries and Digital Cath lab in Coastal India (Kolkata to
Chennai)
1997 – Limca book of world records for highest success rate 99.8%
2008 – First cardiac institute in the east coast to be accredited for DNB
2012 – Dr. K. Sharan Cardiology Excellence Award by Indian Medical Association
2012 – First to start heart and brain stroke unit in Andhra Pradesh
2012 – First to start 256 slice CT scanner and FD20 Cath lab in Andhra Pradesh
2013 – Fellowship conferred by International Institute SCAI
2013 – First Hospital to start BLS training general public in Andhra Pradesh – training over
30,000 people
2014 – First Teaching Institute in Cardiology to achieve NABH accreditation
2014 – First to start Doctor @ Your Home facility for patients in Vijayawada
2015 – First to introduce 3.0 Tesla Digital MRI scanner in Andhra Pradesh
2015 – First PGDCC Training Institute affiliated with Texila American University (WHO
recognized)
2015 – First Hospital in Andhra Pradesh to start Telemedicine centers benefitting 28 lakh
people
99.9% success rate for Cath lab procedures – over 60,000 procedures taken up till date
Selected as International Cardiac Interventional Training Centre – KREAD FOUNDATION.
2016- achieved NABH accreditation in September 2016
2017- liver and kidney transplant surgeries since July 2017

14. 2018-Ramesh hospitals acquired sanghamitra hospitals in ongole with 150 bed facility –
98000 sq.ft built up area; owned land and building

Services
Services in our hospital were divided into two types. They are a
a) Multispecialty services
b) Home care services
MULTISPECALITY SERVICES :-
The following are the Multispecialty services provided by Ramesh hospitals:
 Anesthesiology
 Cardiology
 Cardiothoracic Surgery
 Neonatology
 Pediatrics
 Pediatric Cardiology
 Nephrology
 Neurology
 Neurosurgery
 General Surgery
 Laparoscopic Surgery
 Bariatric Surgery
 General Medicine
 Orthopedics & Joint Replacement Surgery

15.  Gynecology & Obstetrics
 Ophthalmology
 Care Ophthalmology
 ENT
 Urology
 Dermatology
 Pulmonology
 Gastroenterology
 Dentistry
 Radiology & Interventional Radiology
 Endocrinology & Diabetes
 Aesthetic & Plastic Surgery
 Psychiatry
 Multi organ Transplant
 Emergency, Trauma & Critical Care


HOME CARE SERVICES
In continuation of our efforts to bring the best healthcare at the lowest cost and
address your every medical need, Ramesh Hospitals presents all new Homecare
Services, bringing the hospital like care straight to your doorstep. We always put our
patients first. Through our Homecare plans we will travel along with you continuously
throughout the year in your wellness journey to ensure your safety and comfort thus
derive better health outcomes.
All your lab tests, nursing care and physiotherapy will be serviced at your home, at
your convenience at a discounted price. Your medicines will also be delivered to your
home, free of cost.

16. Inside are packages to manage your Diabetes and control your Heart health
minimizing your hospital visits and maximizing your disease control. Avail 10%
discount on pharmacy and free home delivery of medicines. Note that all these
services are available within 5Km radius of the hospital only.

 Doctor at Your Home
 HomeCare Nursing
 HomeCare plans for Pregnancy Management
 Out Patient Packages for Diabetes & Cardiac Problem
 In Patient Packages for Diabetes & Cardiac Problem
 Physiotherapy Plan
TEAM OF RAMESH HOSPITALS
At Ramesh Hospitals You Will Find A Team Of Highly Qualified Doctors
Performing Revolutionary Procedures & Surgeries On Regular Basis And Taking Care Of
Individual Patients. On Regular Basis And Taking Comes As No Surprise As The Hospital
Staff Is Committed To Providing Compassionate, Healing And Safe Environment.
The Top Ranked Team Of Experts At The Hospital Treats The Full Spectrum Of Cardiac,
Neurologic And Other Disorders, Including The Most Rare And Complex Surgeries. With A
Commitment To Treat Every Patient In A Loving And Caring Way, Ramesh Hospitals
Provides A Comprehensive Recovery Environment To Patients.


Patient Services
 Admission & Discharge
 Credit Facilities/TPA/Insurance
 Guidelines for Patients & Attendants
 Visiting Guidelines For ICU
 Patient rights and Responsibilities

17. Admission
Before you are admitted to the hospital, an admissions counselor will call you to
obtain preliminary information, provide important information regarding your
hospital stay and answer your questions. Your doctor also may schedule routine
medical tests, such as laboratory tests or X-rays, before your hospitalization.
Other routine tests may be done on the day of your admission.
Discharge
If you need skilled nursing care or physical therapy at home, Case
Management/Social Services will help you arrange this service if medically
necessary. We also will arrange ongoing hospitalization at a skilled nursing
facility or rehabilitation hospital if needed.
If you are not physically able to return home when you are ready to leave the
hospital, you may require acute rehabilitation or skilled nursing care in another
facility. If your doctor thinks you will need this kind of care, you may wish to
visit several facilities before your admission. Our staff can assist you with the
process.

Credit Facilities/TPA/Insurance
Ramesh Hospitals, has tied up with various government and non-government
insurance agencies/companies to provide patients with hassle-free cashless treatment.
The Corporate Empanelment & Cashless Treatment facility at Ramesh Hospitals is
supported by well-trained team of professionals who efficiently handle medical
insurance and reimbursement documentations.
Corporates
Airport authority of India, ap genco, ap epdcl, acharya nagarjuna university, ap transco, ap
state government, ap spdcl, arogya sri scheme, bsnl, canara bank, esi, hpcl, indian cements,
itcl-chirala, guntur, jayapee cements, sangam diary, union bank of india, vidal health, vignan
university.

Insurance
Bajaj Allianz, Cigna tik, Cholamandalam Ms, Hdfc, Ergo, Icici Lambord, Tokio, L & T,
National, New India, Reliance, Oriental, Religare, Star Health, United india.


Third party associates
Dedicated Health Care, Ericson, FHPL, Focus Health, GHPL, Health India, Heritage, MD
India, Medi Assist, Medi seva, Paramount, Raksha, UHC, Vipul Medcorp.

18. GUIDELINES FOR PATIENTS AND ATTENDANTS

 Attendants are requested to abstain from requesting for additional facilities like linen /
extra pillow etc., from the hospital.
 Attendants are requested to have all their meals at the cafeteria only. Eating in the
patient room is not encouraged.
 In case the patient is in the ICU, attendants are requested to follow the instructions of
the hospital staff relating to patient visits. Their instructions are provided in the best
interests of the patient, who is always the first priority.
 In case the patient is shifted from one room to another, the patient attendant pass
needs to be changed as well.
 In case of loss of the patient attendant pass, the attendant needs to report the loss to
the front desk team immediately to avoid inconvenience
 Before the patient is discharged, the attendant pass needs to be handed over to the
front desk.

VISITING GUIDELINES FOR ICU
You can help us help your loved one. Please follow the guidelines:
 Limit ICU visitors to two at the patient’s bedside during regular
visiting hours (until quiet hours). More than two visitors are permitted
in the PCU, but in all cases, nurses may limit visits to help your loved one
rest and heal
 Exchange visitors and information in the waiting areas, not at the
bedside or in doorways
 Use the waiting area when not visiting in the patient’s room to help
limit traffic in hallways, doorways and the unit itself. This helps us
comply with all fire and safety regulations and patient confidentiality
rules
 Use hand sanitizers on the wall near the door of each room when
entering and leaving; infection control guidelines are set to help
patient recovery – GEL IN and GEL OUT
 Do not bring live flowers, plants or animals into ICU (flowers are
permitted in the PCU) but balloons, cards and photographs are welcome
 Do not eat or drink in the ICU (food and drink are allowed in the PCU)
 Limit cell phone use and keep conversations in a quiet tone; set
phone ringers on low volume or vibrate
 Consider the risk to ICU patients and the need for your visit if you
have a fever or symptoms of an infectious illness (cold, flu). If you might
be ill, reschedule your visit
 Provide direct supervision for children; for safety reasons, please
keep toddlers and infants at home

19.  Rest and take care of yourself so you’re in the best possible health to
help your loved one’s recovery


PATIENT RIGHTS AND R ESPONSIBILITIES
Patient Rights:
Care
 Right to access to care and clinical records.

Privacy and Confidentiality
 Right to respect, personal dignity, privacy and confidentiality.

Communication
 Right to communication about special preferences, spiritual and
cultural needs.

Safety and Security
 Right to safety and security from physical abuse or neglect.

Preference
 Right to refusal of treatment.
 Right to seek a second opinion on his/her medical conditions.

Consent

20.  Right to consent.

Information & Education
 Right to information on expected cost.
 Right to information on hospital rules and regulations.
 Right to know the identity of individual providing service to
him/ her.
 Right to information and education about plan of care and
their health care needs.

Right to Redress
 Right to complaint and on how to voice a complaint.

Patient Responsibilities:
Honesty In Disclosure
 To provide complete and accurate information about his/ her health,
including present condition, past illness, hospitalizations, medications,
natural products and vitamins, and any other matters that pertain to
his/her health.
 To provide complete and accurate information including full name,
address and other information.
 To provide correct and truthful history.

Treatment Adherence
 To ask questions when he/she does not understand what the
doctor or other member of the health care team tells about
diagnosis or treatment. He/she should also inform the doctor if
he/she anticipate problem in the following prescribed treatment or
considering alternative therapies.
 To be on time in case of appointments. To cancel or reschedule

21. as far in advance as possible in case of cancellation or rescheduling
of the appointments.
 To attend follow up appointment as requested.
 Not to take any medications without the knowledge of doctor
and health care professional.

Abide With Rules
 Abide by all hospital rules and regulations:
 Comply with the No-smoking policy.
 Comply with the visitor policy to ensure the rights and comfort
of all patients. Be considerate of noise levels, privacy, and safety.
Weapons are prohibited on premises.
 Treat hospital staff, other patients and visitors with courtesy and
respect.
Conduct
 Not to give medications prescribed for him / her to others.
 To pay for services billed for in a timely manner as per the
hospital policies.
 To respect that some other patient\’s that medical condition
may be more urgent that yours and accept that you doctor may
need to attend them first.
 To respect that admitted patient and patients requiring
emergency care take priority for your doctor.
 To follow the prescribed treatment plan and carefully comply
with the instructions given.
 To accept, where applicable, adaptations to the environment to
ensure safe and secure stay in hospital.
 To accept the measures taken by the hospital to ensure personal
privacy and confidentiality of medical records.

Transparency and Honesty
 Provide complete and accurate information for insurance, claims
and work with the hospital and physician billing offices to make
payment arrangements.

22. Communication
 To communicate with the health care provider if his/her
condition worsens or does not follow the expected course.

Intent For Health Promotion
 Do everything in my capacity to maintain healthy habits and routines
that contribute to good health, and take responsibility for my health. To
understand the charter or rights and seek clarification, if any.
LATEST EQUIPMENT
CMO – Extra Corporeal Membrane
Oxygenation
 1st ECMO unit in Andhra Pradesh.
 Carries Venous blood from the patient removes CO2 & enrich with
O2 ,re-enters patient circulation.


 Indications:
 Respiratory Failure
 Cardiac Failure
 Septic Shock
 ECPR
Thromboelastographic (TEG)

23.  1st in Andhra Pradesh
 To know the efficiency of blood coagulation
 To know the platelet functions –Dengue fevers.
 Indications :
 To transfuse appropriate component of blood
 To prescribe appropriate medication
 To give effective treatment for Dengue hemorrhagic fever .
 To monitor coagulation in organ transplantation.

Laser Endo Urology – Litho 30, Cyber TM 200

Litho 30
 Dusting of the stone instead of making bigger pieces
 Can reach any part of urinary tract without having to make incision
and puncturing the kidney (more complex procedure with

24. complications)

Cyber TM 200 1st in Andhra Pradesh
 Can remove even big prostates without open surgery
 Chances of bleeding much less than conventional surgery
even in patients on anticoagulants
Argon Plasma Coagulation (APC )
 To control the intra-abdominal bleeding without open surgery.
 To treat the intra-abdominal tumors.

Surgical Microscope -Sanma
 1st in Andhra Pradesh , 1st Made in India Microscope
 Fully Motorized.
 Eye focus Variable lens 200 mm – 500 mm.
 Can be used in –
 Neurosurgery
 ENT surgeries,
 Plastic Surgeries

25.  Ortho-Spine surgeries.


EDUCATION
First Cardiac Institute in the Coastal belt to be accredited by GOI for DNB
Cardiology , DNB Cardiothoracic Surgery .Affiliated with IGNOU for PGDCC Program.
It has been enriching experience since Ramesh Hospitals was granted the
permission by the Central Government to conduct the prestigious DNB ( Cardiology &
CTVS) training programme. the hospital takes pride in the students who pass out with flying
colors every year.
The Hospital is also affiliated to Indira Gandhi national Open University (IGNOU)
for conducting PGDCC(Post Graduate Diploma in Clinical Cardiology) programme. in fact ,
the very first year when the hospital hosted the training programme, all the 10 students of the
first batch passed out with distinction .

CONTRIBUTIONS
 Highest quality of treatment to Aarogya Sri Beneficiaries (450 consecutive patients of
Aarogya Sri subjected to PCI with 0% mortality rate)
 Over 1500 Medical Camps and Free Clinics in rural areas
 Contribution during Kargil War, Hudhud Toofan, Nepal Earth Quake victims
 Charity Services to the people below poverty line through 6 Trusts
 Water purifying RO plant to APSRTC Employees at vijayawada
EXISTING FACILITIES OF RAMESH HOSPITALS
1. Main Hospital & Teaching Cardiac Institute, Vijayawada
 Company’s flagship NABH accredited hospital located in the heart of Vijayawada

26.  Commenced operations in 1988
 160 bed facility – 75,000 sq. ft. built up area constructed on leasehold land of 27,000
sq. ft.
 FD20 & F10 Cath labs with IVUS & FFR; 4 Operation Theatres
 Primary focus on Cardiology and Pediatric Cardiology
 Also conducts academic programmes in Cardiology – PGDCC and DNB Cardiology

2. MG Road/ Labbipet Hospital, Vijayawada
 Multispecialty hospital located in MG Road, Vijayawada
 Commenced operations in 2011-12
 50 bed facility – 30,000 sq. ft. built up leased area on leasehold land of 9,500 sq. ft.
 256 Slice CT Scanner and 2 Operation Theatres
 Focus specialties include Neurology, Orthopedics and Gastroenterology
 NABH entry level accreditation

3. Multisuperspeciality Hospital, Guntur
 State of the art super specialty hospital located in Guntur
 Commenced OP operations in Apr 2015 and IP operations in June 2015
 350 bed facility –3,16,000 sq. ft. built up area
 1 Cath lab, 128 Slice CT Scanner, 3 Telsa Digital CX MRI
 Designed and constructed as per JCI standards.
 Achieved NABH Accreditation in September 2016
 Liver & Kidney transplant surgeries since July 2017

4. Ramesh Sanghamitra Hospital, Ongole
 Started multi-specialty services in 2011. Acquired by Ramesh Hospitals in April 2018
 150 bed facility – 98,000 sq.ft built up area; owned land and building
 1 Cath lab, Dual Slice Slice CT Scanner, 1.5 Telsa MRI
 Achieved NABH Accreditation in February 2017

27. DEPARTMENTAL STUDY :-

In order to function efficiently and effectively every organization has a functional
department. it’s important to divide departments so that the work is divided into units and
departments. This division of the work is helping in bringing specialization in various
activities of concern and helps in putting right men on right job which can be done by
selecting people for various departments according to their qualifications, skills and
experience. This is helping in defining the jobs properly which clarifies the role of every
person.

Ramesh hospital has the following departments :-
 Finance department
 Hr department
 Marketing department
 It department
 Medical records department
 CSSD department

28. FINANCE DEPARTMENT :-
Finance function at Ramesh hospitals :-
There exits an inseparable relationship between finance and other functional departments
almost all kinds of business activities ,directly or indirectly involve the acquisition and use of
funds.
The functions are :

 Proper use and allocation of funds.
 Taking sound financial decisions.
 Improving profitability through proper financial controls.

Billing :-
The billing department has three different sections :-
1. Inpatient billing
2. Outpatient billing


HUMAN RESOURCE :-
A human resources department is a critical component of employee well-being in any
business, no matter how small. HR responsibilities include payroll, benefits, hiring, firing,
and keeping up to date with state and federal tax laws.

29. CSSD (central sterile supply department) :-
The central sterile supply department (CSSD), also called sterile processing department
(SPD), sterile processing, central service department (CSD), or central supply it is an heart of
the hospital. It is an integrated place in hospitals and other health care facilities that performs
sterilization and other actions on medical devices, equipment and consumables, for
subsequent use by health workers in the operating theatre of the hospital and also for other
aseptic procedures, e.g. catheterization, wound stitching and bandaging,etc.
Sterilization is the process of destroying all living organisms on an item and is the main task
of most Central Service departments. Items to be sterilized must first be cleaned in a separate
decontamination room and inspected for effectiveness, cleanliness and damage. There are
multiple methods of sterilization, and which one is used is dependent on many factors
including: operational cost, potential hazards to workers, efficacy, time, and composition of
the materials being sterilized. In the US, one of the cheapest and easiest methods is steam
sterilization, where instrumentation trays and packages are placed in a chamber which is
them filled with steam (usually 250-270 °F), killing all microorganisms. Sterilization can also
be achieved using Ethylene Oxide(ETO) gas.
Sterile processing departments are typically divided into four major areas to accomplish the
functions of decontamination, assembly and sterile processing, sterile storage, and
distribution.
Decontamination
 Decontaminating used surgical instruments and other medical devices
 Operating and maintaining special decontamination equipment like automatic washers
 Inspecting decontaminated items to make sure they are clean
 Assembly

30.  Organizing clean items and packaging them into appropriate instrument trays and sets
Sterilization and storage
 Sterilizing assembled trays of instruments
 Precisely operating and monitoring special sterilization equipment like autoclaves
 Keeping detailed records of items that have been cleaned, sterilized, and stored
Distribution
 Stocking crash carts
 Organizing sterilized medical supplies
 Ensuring that sterile supplies don’t become outdated / preventing event related sterility
issues
 Delivering sterile supplies where they are needed and picking up dirty ones


NURSING DEPARTMENT :-
Team of highly skilled and highly trained medical and nursing professionals work in
collaboration with members of the health care team in achieving the best possible outcomes
for our patients. An interdisciplinary team plans and directs the provision of care throughout
the continuum from admission through discharge and facilitates referrals with appropriate
resources and agencies.

FACILITY SERVICE DEPARTMENT :-
Facility service department consists of these teams that are given below
1. Nursing Assistant boys

31. 2. Sweepers
3. Store boys
4. Security guards
5. Maintenance department
So, these are the some departments which are working under the support service department.
Without support services department hospital can’t survive for few seconds. Basically this
department provides the basic needs to the patients/attendants so that they can have good stay
in hospital.

CLINICAL COORDINATOR :-
Responsible for organizing and overseeing the administrative aspects of health services and
hospital departments. They work in hospitals, clinics, academic medical programs, and other
patient care environments.

SWOT ANALYSIS
STRENGTHS
 Dedicated Team of Highly Qualified Doctors and Nurses.
 Strong Brand Name and Loyal Patient Base in Andhra Pradesh.
 Competitive Advantage through Low Real Estate Cost.
 Proven Ability to Execute Green Field Hospital Projects.
 Publications, Research and Training Programs.
 Pioneer in Deployment of Latest Technology.


WEAKNESS

32. Ramesh Hospital which is located in Eluru Road (Main Road) is super specialty
hospital and the branch in Guntur is newly established so it needs to get on over other
hospitals to withstand. To sustain long term in market hospital needs to adjust the package
prices moderately low.

OPPORTUNITY
As it is newly established branch in Guntur and so far there are no other
hospitals that could compete with the fame of Ramesh Hospitals so there is an opportunity to
succeed.
THREAT
Guntur and Vijayawada are the cities that are populated in the range of middle class
families. So they are getting their treatment from other hospitals like Lalitha, Sai Bhaskar
and City Guntur hospitals etc. Too much costs are issued for the treatments when compared
to other hospitals.This is newly formed capital so may be foreign competitors may enter in
hospital field in guntur
SERVICES & CONTRIBUTIONS
 Highest quality of treatment to Aarogya Sri Beneficiaries (450 consecutive patients of
Aarogya Sri subjected to PCI with 0% mortality rate)
 Over 1500 Medical Camps and Free Clinics in rural areas
 Contribution during Kargil War, Hudhud Toofan, Nepal Earth Quake victims
 Charity Services to the people below poverty line through 6 Trusts
 Water Purifying RO Plant to APSRTC Employees at Vijayawada
CSR INITIATIVES
 Free camps across Andhra Pradesh
 Free daily OPD for people below the poverty line
 Adopted 2 villages Chinnaavtapalli & Peddaavtapalli for health care needs
 Conducting Basic Life Support (BLS) in schools and colleges.
 Neighborhood Camps
 Awareness talks in clubs, schools, and colleges

33. ROLE OF INTERNSHIP ACTIVITIES: -

These are some activities which I performed during my internship.

Firstly I would like to give sincere thanks to my company guide KP.Zareena madam for
locating us in a floor which has chance to know a lot and I like to thank the staff who
helped me to know about the things I don’t know.

I had a memorable experience from joining the internship program at Ramesh hospitals,
Guntur. In addition to daily work I had great opportunity to meet different people
working over there. Be sides, I made a lot of colleagues during the course of internship.
I will explain the work done by the staff from basement 3 to 8
th
floor
accordingly
Basement 3
 Four wheel vehicles parking slot
 Here the security guards play a key role on their work allotment

Basement 2
 Two wheeler vehicles parking area
 Doctors vehicle parking
 Here also security guards play a key role in safeguarding the parked
vehicles
Basement 1
 HR Department
 Telephones

34.  Audit Department
 Employs lunch
 Medical record
 Stores
 Bio medical
 Clothes Stretching
 CCTV
Ground floor
 Reception
 Billing
 ER1
 Pharmacy
 CEO chamber
 IP billing
 ER2
 IP Administration
 Coffee Day
 Radiology
 Consultation Rooms
First floor
 Ophthalmology

35.  Cafeteria
 Billing
 Duty doctor consultation
 Pediatric cardiac consultation
 Nan otology consultation
 Diet consoling
 CRM
 X-ray
 ECG, ENMG, NCS & EMG
 Dental X-Ray film develop area
 Credit and billing/all insurances
 Ultra Sound
 TMT
 Medical Superintendent
Second Floor
 Dental Department
 Cath lab
 MICU & ICU
 OP consultation
 Nursing superintendent
 Home care services

36.  Quality Department
 Physiotherapy Consultation area
 Source of information room
Third floor
 Attenders waiting room
 Economy ward, step down, stroke unit
 CCU (Cardiac critical unit)
 AV counseling room
 MD chamber
 Marketing in charge rooms
 Conference hall
 Cardiac consultation rooms
Fourth floor
 Operation Theatre with Laminar Air Flow
 Isolation Rooms
 OT ICUs
 Post-Operative Rooms
 Transplant Complex
 Description
 Operation Theatre- Total are of 5 where Operations are done
 Isolation Rooms- It is used for Observation of Patients before going to
Operation

37.  OT ICU's- Total are of 4 where every patients of all categories will stay
here Separately
 Post Operation Rooms- After the Operation is done Patients are Shifted
here
 Transplant Complex- Total are of 3 where Organ Transplantation can be
done
 Pharmacy- what the Medicines are used for the Operation can be
available here
 Holding Area- The Area which can be used for Patients before going to
Operation
 Equipment stores- The area which can be used to store the necessary
Equipment’s for Operation
Fifth floor
 Laboratory
 Blood Bank
 CSSD
 Central Pharmacy
 Counselling Rooms
 Dialysis Unit
Sixth floor
 Mother and Child Department
 NICU & PICU
 ECMO
 Patient Registration
 Septic Operation Theatre
 Step Down ICUs

38. Seventh floor
 Single Rooms
 Sharing Rooms
 Suite Rooms
Description
 In 7th floor there are total of 36 rooms
 They can be divided as 4 - Suite rooms ,18 - Single rooms, 14 - Sharing
rooms which capacity total of 50 beds
 There are 2 Nursing Stations and 1 Bills Closing Section
 Bills Closing Section - All Patients Bills are closed and they are
forwarded to 1st floor or Ground
 Nursing Stations - Only the Summary is Prepared
 In Summary Process the Consultant Corrections, Patients Billing
Attendants, later Money/Checkout
 Doctors Consultation notes can be given daily
 Duty Doctors-they give instructions to patients
 There is a Nurse call which is used as Alarm which is fixed on every
P0atients room, if they press the alarm
 Crash Trolley- Used for Shokes which can be done in step to step process
which consists of 5 draws and it is used for the people who are done with
training BLS(Basic Life Support)
 Suction Jar- Used to Suck water and blood segments
Eighth floor
 Employment training sessions
 BLS classes
 Suite rooms, sharing & single rooms

39. My Work
 First 10 days of my internship I followed the patient discharge process &
collecting feedback from them in 3
rd
floor
o Next I shifted to 2
nd
floor op consultation rooms
 I collected feedback from out patients about hospital services
The feedback form look like

40.  Arranging the patients according to the time they reached the
consultation rooms
 Translating the language and making patient feels
comfortable
 Participated in System work and observed some tests like
uroflow
 Collected feedbacks nearly 3000
 Observed the works allotted to each member in this
organization
 BLS importance and learned it