Dipankar Das - A Study on Hospital Overview-1.pdf

CREATE A PPT USING THIS PROJECT WITHIN 10 SLIDES

1. “A STUDY ON HOSPITAL OVERVIEW”
CONDUCTED AT SANJIBAN HOSPITAL.
FULESWAR, ULUBERIA, HOWRAH, 711316.


Submitted By: DIPANKAR DAS

Course: MASTER OF HOSPITAL ADMINISTRATION
Semester : 2nd(Second) Semester
Session : 2022 - 2024
Registration No. : 202206083
Roll No. : 23262010054
Institute Name : International Institute Of Hospital Management And
Allied Health Sciences Affiliated to The West Bengal University of
Health Sciences.

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Internship Certificate

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Application Form



Name : DIPANKAR DAS

Registration no. : 202206083

Roll No. : 23262010054

Hospital Name : SANJIBAN HOSPITAL
– Class-I Super Specialty Hospital

Duration of Training : 2 Months


Project Guide

Name : Mr. Tanmoy Majumder

Designation : HOI (INTERNATIONAL INSTITUTE OF HOSPITAL
MANAGEMENT & ALLIED HEALTH SCIENCES)

Official

I hereby declare that the above furnished documents are true and faith to
the best of my knowledge.



………………………. ………….........................
Sign of Project Guide Sign of Candidate

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DECLARATION


I, Dipankar Das, student of International Institute of
Hospital Management and Allied Health Sciences
affiliated to The West Bengal University of Health
Sciences, hereby declare that the project “A Study on
Hospital Overview” conducted at SANJIBAN HOSPITAL,
Fuleswar, Uluberia, Howrah, has been made by me, is the
result of my original and independent research work.
The fact and finding presented in this project report are
completely genuine and true to the part of my knowledge
and belief.
No part of this project shall be produced or transmitted
without the prior to written permission of the document.




Date : ……….……………………
Place :
Sign of Candidate

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Anti – Plagiarism Certificate

1. Anti – Plagiarism Certificate of Introduction

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2. Anti – Plagiarism Certificate of Objectives

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3. Anti – Plagiarism Certificate of Methodology

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4. Anti – Plagiarism Certificate of Data Collection & Data Analysis

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5. Anti – Plagiarism Certificate of Problem Identification

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6. Anti – Plagiarism Certificate of Recommendation

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7. Anti – Plagiarism Certificate of Conclusions

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ACKNOWLEDGEMENT


“Failures Are The Pillars of Success”

I wish to express my sincere gratitude to Mr. Tanmoy Majumder
(HOI,IIHMAHS), for providing me an opportunity to do my
internship and project work in SANJIBAN HOSPITAL .
I sincerely thanks to Mr. Shovandeb Bera (Operations Head) and
Mr. Tanmay Ghosh (Billing Manager) for his guidance and
encouragement in carrying out of this project. I also wish to
express my gratitude to the officials and other staffs and
members of SANJIBAN HOSPITAL who rendered their help
during the period of my project work.





DIPANKAR DAS

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Table of Contents


Sl.
No
Contents
Page.
no.
1. Executive Summary 16
2. Introduction 17
3. Objectives 18
4. Review Literature 20-21
5. Hospital Profile 22 - 35
6. Methodology 36
7. Data Collection & Analysis 37 - 44
8. Problem Identification 45 - 47
9. Recommendations 48
10. Conclusion 49
11. Bibliography 50

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Executive Summary


PROJECT TITLE : “A STUDY ON HOSPITAL OVERVIEW”

ORGANIZATION : Sanjiban Hospital
Fuleswar, Uluberia, Howrah, 711316

DURATION : 2 MONTHS

An operations department ensures that the service process is completed from
start to end. These service processes need to line up with the goals and
functionsof other departments within a company.
Managers assigned to the operations department provide constant oversight on
the operations process to make sure their employees can systematically perform their
tasks.
A Hospital is a highly challenging work place. There are numerous bottlenecks
that deteriorates the productivity & efficiency of the Healthcare services
delivered.
Brand reputation of a Hospital depends on how quick they resolve the issues
raised without compensating the quality and patient satisfaction. Spontaneity to
untangle any situation is possible only with a strong “Hospital Operations team”.
Operations management team is responsible for managing all operational
process of the Hospital which includes all clinical & non-clinical departments to
have a smooth working environment.

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Introduction

A 500-bedded Class-1 multi-specialty hospital in Fuleswar, West Bengal.
SANJIBAN HOSPITAL provides world-class healthcare at an affordable cost.
Sanjiban Institute of Health Sciences (SIHS), an educational initiative by
SANJIBAN HOSPITAL helps students to explore their inner strength and
achieve excellence. SANJIBAN HOSPITAL believe that paramedical students
should also be provided evidence-based teaching so that they can build clinical
skills at their best. SANJIBAN HOSPITAL always motivate our paramedical
students to inculcate values like empathy, conscience, trust and respect in
learning.

SANJIBAN HOSPITAL have 5 Modular Operation Theatres, Component
separated Blood Bank, Immunology Analyzers, 72 Critical Care Beds including
Adult, Pediatric and Neonatal Intensive Care etc. for their paramedics. In a
nutshell, SANJIBAN HOSPITAL can say that their mission is to provide
world- class healthcare at an affordable cost with accountability while building
a high quality health education system, which will produce expert doctors and
allied clinical and paramedical professionals.

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Objectives
The objectives of the operations department in a hospital are crucial for ensuring the
efficient and effective functioning of the healthcare facility. Here are five key
objectives:

1. Patient Care and Safety: The primary objective of the operations department is to
provide high-quality patient care while prioritizing patient safety. This includes
ensuring that medical procedures, treatments, and surgeries are carried out with
precision and minimizing the risk of errors or complications.
2. Resource Management: Efficiently manage hospital resources, including
personnel, medical equipment, and supplies. This involves optimizing staff
scheduling, maintaining and upgrading medical equipment, and ensuring the
availability of necessary supplies to support patient care.
3. Cost Control and Budgeting: Develop and manage budgets to control costs
effectively. Hospital operations departments need to balance the delivery of quality
care with the need to operate within financial constraints. This objective involves
monitoring expenses, optimizing resource allocation, and finding cost-effective
solutions without compromising patient care.
4. Compliance and Accreditation: Ensure that the hospital complies with all
relevant healthcare regulations and standards. This includes meeting accreditation
requirements set by organizations like The Joint Commission. The operations
department must implement and maintain policies and procedures that align with
these standards.
5. Workflow Efficiency: Streamline hospital processes and workflows to enhance
operational efficiency. This objective involves optimizing patient admission and
discharge procedures, reducing wait times, and improving communication among
healthcare teams to provide timely and efficient care.

These objectives are critical for the successful functioning of a hospital's operations
department and, ultimately, for providing high-quality healthcare services to patients.

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 Training Objective

 Obtains, records and communicates an accurate history and physical.
 Utilize supplemental laboratory and diagnostic studies to
support the most likely diagnosis.
 Interprets the clinical information by prioritizing a problem list
 Presents patients in the context of daily care
rounds and new patients presentations
 Documents clear and accurate admission and progress notes each
patient.
 Demonstrates and understanding of the
indications, techniques and complications of basic
procedure
 Applies an evidence-based medicine approach to
addressing questions that rise in the clinical settings.
 Develops a reading/study plan that will work in the clinical setting.
 To make available to women and children 256beds
for Obstetrical, Neonatal care and general patient
care, including Incubators for premature babies.
 To make available to women Pre-Natal and Post-
Natal outpatient services, as well as immunization
for women and children.
 To calculate the bed occupancy.

 To know about the role of doctors & nurses.

 To know overall about IPD like admission procedure,
discharge procedure etc.
 To also know about the OPD facilities

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Review Literature

Author: Edwin D. Boudreaux, Erin
L. O'Hea
Date: January 2004
This article discussed on the empirical literature on patient satisfaction in the
Emergency Department (ED). It explores the implications for clinical practice,
discusses limitations and weaknesses of the literature, and provides direction for
future research. Articles resulting from a comprehensive electronic search were
obtained, their references examined, and all other relevant articles not already
discovered via the electronic search were acquired and reviewed.

Author: Gregory C. Pascoe
Date: 1983
Research findings are discussed and used to develop a model of patient
satisfaction. The measurement of patient satisfaction and the findings of
empirical studies are then reviewed, including summaries of effect sizes. It is
concluded that patient satisfaction information can provide a dependent measure
of service quality and serves as a predictor of health-related behavior. Issues
deserving further investigation and recommendations regarding research
strategies are presented.

Author: John Sitzia, Neil Wood
Date: December 1997
This review presents issues arising from an analysis of over 100 papers
published in the field of patient satisfaction. The published output appearing in
the medical and nursing literature which incorporated the term “patient
satisfaction” rose to a peak of over 1000 papers annually in 1994, reflecting
changes in service management especially in the U.K. and U.S.A. over the past
decade.

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Author: J. Rees Lewis
Date: September 1994
The present paper examines research on patient satisfaction and the factors
which influence patient attitudes regarding quality in general practice. Although
data are used from U.S. and other sources, conclusions are drawn with a specific
focus on a U.K. general practice context. This is a research area with a growing
literature, much of it based on unsystematic research. The purpose of this paper
is to make a contribution to the process or ordering the data in a manner which
will be of utility to those involved in the provision of healthcare and the
assessment of that provision.

Author:
Peter Johansson RN, MNSc (Student)1,2, Magnus Oléni RN, MNSc
(Student)1,3and Bengt Fridlund RN, RNT, PhD (Professor)1,4
Date: 23 NOV 2002
To evaluate and improve the quality of care provided, it is of vital importance to
investigate the quality of care in the context of health care. Patient satisfaction is
a significant indicator of the quality of care. Consequently, quality work
includes investigations that map out patient satisfaction with nursing care. To
improve the quality of nursing care, the nurse needs to know what factors
influence patient satisfaction. The aim of this literature study was to describe the
influences on patient satisfaction with regard to nursing care in the context of
health care.

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Hospital Profile

In India, a private hospital is a hospital owned by a for-profit company or a
non- profit company and privately funded through payment for medical services
by patients themselves, by insurers, governments through national health
insurance programs, or by foreign embassies. Hospital is a health care
institution
providing patient treatment with specialized medical and nursing staff and
medical equipment. The best- known type of hospital is the general hospital,
which typically has an emergency department to treat urgent health problems
ranging from fire and accident victims to a sudden illness. A district hospital
typically is the major health care facility in its region, with a large number of
beds for intensive care and additional beds for patients who need 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 treatment and certain disease categories. Specialized
hospitals can help reduce health care costs compared to general hospitals.
Hospitals are classified as general, specialty, or government depending on the
sources of income received. However state owned hospitals in India are
known for high patient load and there is a persistent claim of incident relating to
physical abuse on doctors and staff.
A teaching hospital combines assistance to people with teaching to medical
students and nurses. The medical facility smaller than a hospital is generally
called a clinic. Hospitals have a range of departments
(e.g. surgery and urgent care) and specialist units such as cardiology. Some
hospitals have outpatient departments and some have chronic treatment units.
Common support units include a pharmacy, pathology, and radiology. Hospitals

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are usually funded by the public sector, health organizations (for profit or non
profit), health insurance companies, or charities, including direct charitable
donations. Historically, hospitals were often founded and funded by religious
orders, or by charitable individuals and leaders .Currently, hospitals are largely
staffed by professional physicians, surgeons, nurses, and allied health
practitioners, whereas in the past, this work was usually performed by the
members of founding religious orders or by volunteers.

Vision, Mission, and Quality Policy of SANJIBANHOSPITAL.
VISION :- To achieve excellence in affordable healthcare, medical education and
research.


MISSION:- To provide world standard affordable, patient-centered healthcare
with accountability. To produce doctors, nurses and other allied healthcare
professionals equipped with excellent knowledge, clinical skills, commitment
and empathy, who are fit to serve in any healthcare settings in the world.

QUALITY POLICY:- We are committed to provide excellent care to our
patients in the most personal, sympathetic and confidential and dignified manner
possible. We will make every effort to be responsive to the psychological and
cultural values of our patients and their families and their rights. We are
dedicated to use our knowledge base and the resources to help the community to
prevent illness, restore and maintain health and also to provide support, pain
management and comfort to our patients. Our Endeavour is to achieve our
policy through best practices, dedication, team work and periodic review of our
performances for continual improvement.

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 FLOOR MANAGEMENT
 GROUND FLOOR
 RECEPTION
 PHARMACY
 ADMISSION
 BILLING
 DISCHARGE
 OPD
 SWASTHASATHI DESK
 EMERGENCY
 ACCOUNTS
 RADIOLOGY
 BLOOD BANK
 PATHOLOGY
 HR DEPARTMENT
 CARDIOLOGY
 ADMINISTRATIVE AREA

 1ST FLOOR
 IT
 CCU 8
 CCU 9
 OT COMPLEX
 NICU and Gynecology Ward
 CCU 11
 CCU 10

 CCU 12

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 2ND FLOOR
 CATH LAB
 DIALYSIS
 CCU 5
 COVID WARD
 CCU 1
 CCU 2
 CCU 3
 CCU 4
 GENERAL WARD

 3RD FLOOR
 Hostel
 Class room

 4TH FLOOR
 CSSD
 LIBRARY

 5TH FLOOR
 LAUNDRY
 MRD

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 Number of Diagnostic Departments :-
The department of diagnostic at SANJIBAN HOSPITAL officer complete
range of diagnostic and image guided therapeutic services.
 RADIOLOGY

 ECHO DOPPLER

 X-RAY

 ULTRASONOGRAPHY

 CT SCAN.

 CARDIOLOGY

 ECG

 ECHO-CARDIOGRAPHY

 24hours HOLTER MONITORING

 TILT ABLE TEST NEURO DIAGNOSTICS

 EEG

 PATHOLOGY LAB

 CILINICAL BIOCHEMISTRY

 HAEMATOLOGICAL TEST

 CLINICAL PATHOLOGY DIVISION

 IMMUNOLOGY AND SEROLOGY

 MICROBIOLOGY

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 SERVICES :-
 Consultation: OP and IP
 24/7 emergency services
 Pharmacy
 Blood bank
 Laboratory
 Radiology

 Facilities :--
 ICU, CCU, NICU, PICU
 OT’s for each super specialty
 CATHLAB for CARDIO OT
 Emergency dept.
 Radiology: CT scan, X-ray, colour Doppler
 Dialysis services


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SPECIAL FACILITIES AVAILABLE OF THE SANJIBAN
HOSPITAL

 Department of Pulmonology
 Department of Urology
 Department of Maxillofacial
 Department of General Surgery
 Department of Medicine
 Department of Neurology & Neuro Surgery
 Department of Nephrology
 Department of ICU, CCU, NICU , PICU
 Department of Pediatrics
 Department of Gynecology
 Department of Oncology
 Department of Orthopedics
 Department of Ophthalmology
 Department of Dental
 Department of Dermatology

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 Out-Patient Department (OPD) Services.

An outpatient department or outpatient clinic is the part of a hospital designed
for the treatment of outpatients. Outpatients are people with health problems
who visit the hospital for diagnosis or treatment, but do not require a bed or to be
admitted for overnight care.
This part of the hospital is allotted with physical facilities and medical and other
staffs, with regularly scheduled hours, to provide care for patients who are not
registered as inpatients. The medical care provided by an OPD includes
diagnosis, observation, consultation, treatment, intervention, and rehabilitation
services.
This care can include advanced medical technology and procedures. The
outpatient department is an important part of the overall running of the hospital.
Many patients are examined and given treatment as outpatients before being
admitted to the hospital at a later date as inpatients. When discharged, they may
attend the outpatient clinic for follow-up treatment.
The care and attention provided by OPD goes a long way in building up the
reputation and confidence of the people in the hospital.
 Functions of OPD:
 It provides best quality services to as many out-patients as possible.
 It provides wide range of specialized services of quality health care for the people,
for the treatment of their ailments and ways to prevention, which can also be
termed ad Health Education.
 It provides its services to everyone irrespective of cast, creed, religion and financial
status.
 It provides facilities for training of health workers and it is the first step in the
medical research.

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 Categories of patients coming to OPD:
 Patients are usually of two categories:-

 First is OUTPATIENTS, who are walk-ins. They are prescribed and allowed to
go home.

 Second category of patients visiting this department is examined by the doctors
and is asked to get admitted for further management and treatment, called In-
patients

 In-Patient department (IPD) Services

An inpatient department or IPD is a unit of a hospital or a healthcare facility
where patients are admitted for medical conditions that require appropriate care
and attention. An Inpatient Department of the hospital is equipped with beds,
medical equipments, round the clock availability of doctors and nurses.. The
billing unit of an IPD in a hospital has predefined fees depending on the type of
room (either a single, double sharing, triple sharing or a general unit), the type
of specialty the patient is admitted in, the specialist under which the patient is
admitted and the type of procedure the patient is admitted for. Once a patient is
admitted in the IPD, the consultant doctor/specialist visits the patient for
evaluation and advice further treatment plan. A nurse is assigned to the patient
on rotation basis to monitor the vitals, take care of medicines and provide food
on time. The duty doctors monitor the patient’s condition regularly and inform
the concerned specialist in case of any improvement and deterioration of the
patient’s condition.

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 Functions of IPD
 To provide the highest possible quality of medical and nursing care for the
patients.

 To provide necessary equipment, essential drugs and all other stores
required for patient in an organized manner.
 To furnish most desirable environment substituting as temporary home for
the patients.

 To provide facilities to meet the needs of the visitor and attendants.

 To provide highest degree of job satisfaction for the nursing & medical
staff including training & research

 Floor Plan
The activities of the outpatient department (OPD) are conducted on the
specific floor of the hospital. That floor has separate cabins for the
doctors where they see their OPD patients.
 Patient Flow:
 In healthcare, patient flow is the movement of patients, information
or equipment between department, staff groups or organizations as
pan of a patient’s care pathway.
 Patient flow means movement of patients through multiple stages of
caret rating parts of the OPD.
 Factors Affecting Patient Flow:-
 Number of patients visiting OPD on daily basis
 Types of patients seen as per their health issues
 Hospital policies on frequency of the patient visits
 Waiting in queue for appointment and registration
 Waiting for a doctor
 Waiting for preliminary test result
 Waiting for investigations performed outside or for a specialist from

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outside.
 Waiting to find a hospital bed or to go to a hospital bed
 Waiting for patients attendants for patient admission
 Ways to Improve the Patient Flow:
 Clearly indicate the actual location of OPD so searching time will be
minimized.
 Avoid the bottleneck at the time of appointment and registration.
Know your staff capacities and schedule accordingly. Keep
multiple counters for appointment and registration with short time
procedure.
 Very often a patient checks in, sits in a waiting room and then must
cross the path of new patients checking in on the way to anexam
room. Plan instead for a traffic flow that moves patients sequentially
through a visit without crossing paths or retracing steps.
 Provide touch-down stations where staff can write notes after a
patient visit without going back to an office or nurses’ station. One
practice prefers stand-up stations for doctors, located close to work
stations where medical assistants can provide necessary back-up.
These stand-up work stations keep doctors in the middle of the
flow, enable them to complete notes quickly, view records, and then
move on.
 Patient Waiting Time: The length of the time from when patient
entered in to the OPD up to the time actually patient leaves the OPD
section.

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 Daily Audit as per checklist for every patient files
 Billing Card Check:
 Check all the investigation /Bed side procedure properly written or
not.
 Check all the bed side papers of patients are properly update or
not.
 Check consultants rounds properly or not and sing in billing card
or not.
 Check all the surgery procedure is mentioned in billing card or not.
 Daily update of billing card and sign it after checking all the
procedure. Check whether all the things are properly mentioned or
not also check the investigation report & test reports are collected
from lab& radiology before discharge of the patient.
 Check whether the billing card is properly input in the system or
not.
 Medicine Card Check :
 Check medicine name as advised by consultant is in capital
letter & clearly visible or not.
 Drug route properly mentioned or not, e.g.- iv Intravenous, IM-
Intra Muscular, RT-Ryle Tube.
 Check frequencies of drug or medicine are properly mention or
not, e.g.- OD-1 time, BD-2 time, TDS-3time daily, QDS-4time,PC-
after food, AC- before food, HS-Bed time
 Check nursing signature in the medicine card after giving every
medicine are present or not. Check Doctor signature are present
or not in the medicine card.
 Check whether patient has any medicine allergic or not.

 Doctor Treatment Sheet Check:
 Date & time of advice.
 Doctor signature after advice.
 Check whether Doctor is visiting & advice regularly or not.

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 Admission Case Sheet:
 In admission case sheet check patient full detail are properly
mentioned are not. Example- name, Address, Contact no., Relative
details & signature.
 Emergency Sheet:
 Doctor initial assessment sheet properly written properly or not.
 Patient chief complain & past history is properly written or not.
 Diagnosis properly written or not.
 Consultant advice properly written or not.
 Doctor signature properly done or not.
 OP case sheet properly written or not.
 Nursing Observation:
 Observation chart is properly mention or not like BP-Blood
Pressure, RR- Respiratory Rate, Temperature, Oxygen, Saturation
etc.
 Fluid Balance Chart / Intake Output Chart is properly mentioned
or not.
 Diet Chart is daily mentioned or not.
 Nursing assessment sheet is properly mentioned or not.
 Surgery Details:
 For surgical patient pre-surgery note is given & post-surgery
note is given by surgeon or not.
 Pre anesthesia note is properly given by anesthetist or not.
 Patient Care/ Nursing Care:
 Patient dress change.
 Mouth wash.
 Hair care.
 Sponge Wash.

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Way to Hospital




















































SANJIBAN HOSPITAL
FULESWAR, ULUBERIA, HOWRAH, 711316.
6290410760, 8420053501

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Methodology

PLACE OF STUDY: SANJIBAN HOSPITAL
FULESWAR, ULUBERIA, HOWRAH, 711316.
6290410760, 8420053501
Training Duration : 2 Months (11.07.2023 to 15.09.2023)

Timing : 10:00 am to 6:00pm (General Duty )

DATA COLLECTION METHODS USED:

PRIMARY DATA - A questionnaire had been formulated in
order to collect the primary data consisting of close ended questions
and open ended questions.
Questionnaire was mainly objective types based on Accounts
department services, waiting time, facilities, behavior of the staff, and
support services.

SECONDARY DATA - The secondary data had been collected
directly from the hospital, with the help of hospital yearly files and
other reports.

Samples- I have collected data from my department. The data were
mainly collected through observation during the training period and
regular interactions with the doctors, employees, and nurses of the
hospital.

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Data Collection & Data Analysis
 Data collection :-

Data collection in hospitals is a crucial process that involves gathering,
recording, and organizing various types of information related to patient care,
hospital operations, and healthcare outcomes. Effective data collection is
essential for patient care, quality improvement, research, billing, and
compliance with regulatory requirements. Here are some key aspects of data
collection in hospitals:

 Patient Health Records (PHRs):
 Electronic Health Records (EHRs): Most modern hospitals
use electronic health record systems to collect and store patient
health information. EHRs capture a wide range of data,
including patient demographics, medical history, medications,
laboratory results, diagnostic images, and treatment plans.
 Paper Records: In some cases, hospitals may still
maintain paper health records, which require manual
data entry.
 Clinical Data:
 Vital Signs: Routine collection of vital signs
such as blood pressure, heart rate, respiratory
rate, and temperature.
 Clinical Notes: Documentation of physician
assessments, nursing notes, and progress reports.
 Medication Administration Records
(MARs): Records of medications administered
to patients.
 Lab and Diagnostic Tests: Data on laboratory

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tests, radiology reports, and other diagnostic
findings.
 Administrative Data:
 Patient Registration: Demographic information,
insurance details, and contact information.
 Billing and Financial Data: Information related
to patient billing, insurance claims, and financial
transactions.
 Appointment Scheduling: Records of patient
appointments and scheduling.
 Quality Improvement Data:
 Patient Satisfaction Surveys: Data collected from
patient surveys and feedback to assess the quality
of care and patient experiences.
 Adverse Events Reporting: Data on adverse
events, medical errors, and near misses,
which is essential for improving patient
safety.
 Clinical Outcome Measures: Data used to
monitor and improve healthcare outcomes, such
as infection rates, readmission rates, and
mortality rates.
 Research and Clinical Trials:
 Patient Enrollment and Consent: Data
on patients who participate in clinical
trials, including informed consent.
 Clinical Trial Data: Collection of specific data
points required for research purposes.

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 Regulatory Compliance:
 Data for Regulatory Reporting: Hospitals are
often required to collect and report data to
comply with state, federal, and international
regulations and standards. This includes data
related to quality metrics, patient safety, and
healthcare-acquired infections.
 Operational Data:
 Resource Allocation: Data on the allocation of
hospital resources, including staffing levels,
equipment utilization, and bed occupancy rates.
Supply Chain Management: Data on inventory levels,
ordering,and procurement of medical supplies and pharmaceuticals.
 Workflow and Process Data: Data on the
efficiency of hospital processes and workflow,
which can be used to optimize operations.
 Patient-Reported Data:
 Patient Surveys: Collecting data on patient-
reported outcomes and experiences, which are
increasingly important for assessing healthcare
quality and patient-centered care.
Effective data collection in hospitals involves not only
capturing data but also ensuring its accuracy, privacy, and
security. Many hospitals have established data governance
committees and protocols to oversee data collection, storage,
and usage. Data collected in hospitals serves a wide range of
purposes, from clinical decision-making to research and
quality improvement, ultimately contributing to better patient
care and healthcare outcomes.

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Admission Analysis(%)
30
25
20
15
10
5
0
 Data Analysis
 Admission Analysis : -

 Patient admission analysis of two months :-

Sl. Department Admission(%)
1 MDICINE 6
2 GENERAL SURGERY 12
3 GYNECOLOGY 4
4 NEUROLOGY/ NEURO SURGERY 15
5 CARDIOLOGY 15
6 ORTHOPEADICS 6
7 MAXILLO-FACIAL 1
8 PEADIATRICS 3
9 ONCOLOGY 5
10 NEPHROLOGY(Day care) 25
11 UROLOGY 7
12 PULMONOLOGY 1
According to hospital G-Health online system and hospital
patient register daily patient admission count is 10 and daily
day care patient admission count is 15.

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Patient Payor Type ratio(%)
70

60

50

40

30

20

10

0
CASH TPA- Medi-claim WBHS CGHS Swasthya Sathi
 Patient Payor Type :
According to hospital G-Health online system and hospital patient
register checking two months report the average patient billing and
payor type are following :-

Sl. Payor type Admission ratio(%)
1 CASH 5
2 TPA- Medi-claim 10
3 WBHS 20
4 CGHS 5
5 Swasthya Sathi 60

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 Discharge Analysis :-
 Patient discharge analysis of two months :-

Discharge type Ratio(%)
Regular Discharge 65
Referral Discharge 10
LAMA 20
DAMA 5

According to hospital G-Health online system and hospital
patient register daily average patient discharge count (including
day care) is 21.




















Discharge Analysis(%)
70

60

50

40

30

20

10

0
Regular Discharge Referral Discharge LAMA DAMA

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Birth & Mortality Rate




Birth
Death
 Birth & Mortality rate of Hospital :-
 According to hospital G-Health online system and hospital
patient birth register and death register weekly average
birth(new born) count is 6 and death count is 1.

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OPD Patient Visit Analysis(%)
18
16
14
12
10
8
6
4
2
0
 OPD Patient Analysis:-
 According to hospital G-Health online system
and hospital OPD register daily average OPD
patient is 155.
 OPD Patient analysis of two months :-

Sl. Department
Patient Visit Ratio
(%)
1 MDICINE 17
2 GENERAL SURGERY 12
3 GYNECOLOGY 8
4 NEUROLOGY/ NEURO SURGERY 3
5 CARDIOLOGY 14
6 ORTHOPEADICS 11
7 MAXILLO-FACIAL 2
8 PEADIATRICS 5
9 ONCOLOGY 7
10 NEPHROLOGY 6
11 UROLOGY 12
12 PULMONOLOGY 3

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Problem Identification

Infection Prevention (IP):
Hospital-Acquired Infections (HAIs): These are infections that
patients acquire while receiving treatment in a hospital. Common
HAIs include urinary tract infections, surgical site infections, and
respiratory infections. Hospitals need robust infection prevention
protocols to minimize HAIs.

Staffing Issues:
Nursing Shortages: This Hospital may experience a shortage of
qualified nurses and other healthcare professionals, leading to increased
workloads and potential burnout among staff.

Physician Shortages: In some areas, there may be a shortage of
physicians, which can impact patient access to care.


Transportation problems:
Patient Transport: Hospitals need to move patients between different
areas within the facility, such as from the emergency department to a
patient room, from the operating room to the recovery room, or from
one department to another for diagnostic tests. Efficient patient
transportation is crucial to ensure timely care and minimize the risk of
complications.

Medical Supply Distribution: Hospitals have a vast inventory of
medical supplies, including medications, surgical instruments, and
disposable items. Ensuring these supplies are readily available in the
right quantities and locations is essential for patient care and reducing
waste.

Patient Flow and Capacity Management:
Overcrowding : This Hospital can experience overcrowding, which
can lead to longer wait times, reduced quality of care, and increased
stress on staff

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Nurse-to-Patient Ratio:
Insufficient nurse staffing levels can compromise patient care. When nurses are
responsible for too many patients, they may not have enough time to provide
adequate attention and care to each individual, potentially leading to medication
errors or neglect.

Patient Safety: Patient safety is a top priority, and issues such as falls,
medication errors, or medical equipment malfunctions can lead to patient harm.
Hospitals must have protocols in place to minimize these risks.

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 Achievements:-
 Re-organized something to make it work better Identified
a problem and solved it.
 Come up with a new idea that improved things.
 Developed or implemented new procedures or systems.
 Been complimented by my supervisor or co-worker.
 Team work.
 Positive attitude.
 Institute support.
 How to communicate with the patient’s relative.
 Always support to other employees.

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Recommendations
 Cleaning hospital campus regularly.
 Have to upgrade laundry service for much faster patient
dress and bedsit delivery to ward.
 Have to clean wards hourly to maintain infection control.
 Nursing staff and technologist have to put the used
patient care disposal materials in right basket.
 If all ward have a running computer and printer then it will
help to work faster to discharge summary typing and checking
reports, indent medicine and consumables and update patient
billing for RMO,s and other staffs.
 If there are two or three more computers in the discharge
counter, it will work faster.
 Reception staffs have to more patience and taking patient status
everyday from Floor Coordinator to serve better information to
patient parties or relatives either feeling disturbed.
 Everyone has to help each other.
 Everyone should have a positive attitude in the hospital.
 It would be nice to have more floor coordinator
 Everyone must have good communication skill.
 Everyone should talk to the patient party in a good way so that
they can explain their problems easily
 Think about how the “lama process” can be further reduced.

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CONCLUSION

Health for all- is a common manifesto for all the health service agencies
including the private hospitals. Barring the education and defense departments,
health department is the single most important department for the wellbeing of
the people. Right from the tertiary hospitals and medical colleges to the primary
health centers, every person at every level of health care is an integral part of
this system. The well heeled populace prefers the private health sector, owing to
its gamut of services but at a fairly pinch-where-it-hurts price. On the other
hand, the general population is served by private hospitals like SANJIBAN
HOSPITAL, ULUBERIA. Our country is a billion strong Republic and perhaps
the largest one at that. Health is obviously amongst the most basic facilities
promised by any government, and it should be. Striving to give the common
population the very best of treatments at the most affordable rates, is a very tough
task. But the public hospitals try their level best to fulfill this humongous
arduous task at hand with definite aplomb. The doctors and the nurses along
with the different co- helpers form the very backbone of this system. The latest
treatment protocols and the recent instrumentation required to handle such a
larger population, is often found wanting. The gross mismatch between demand
and supply becomes quite evident, inspired of the best efforts of the health care
givers.

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Bibliography


 Hair J F, Bush R P & Ortinai D J. Marketing Research: with
a change of information environment. 3rd Ed. Tata McGraw
Hill, New Delhi: 2006.
 Cooper D & Schinder P. Business Research Methods.
8th Ed. Tata McGraw-Hill Publishing Company Ltd.
New Delhi: 2003
 www.google.com
 www.wikipedia.com
 https://eoffice.sanjibanhospital.org/
 Author: Edwin D. Boudreaux, Erin L. O'HeaDate: January 2004
 Author: Gregory C. Pascoe Date: 1983
 Author: John Sitzia, Neil Wood Date: December 1997
 Author: J. Rees Lewis Date: September 1994
 Author:
Peter Johansson RN, MNSc (Student)1,2, Magnus Oléni RN, MNSc
(Student)1,3and Bengt Fridlund RN, RNT, PhD (Professor)1,4
Date: 23 NOV 2002


















SANJIBAN – CLASS-I SUPERSPECIALITY HOSPITAL
FULESWAR, ULUBERIA, HOWRAH, 711316

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ANNEXTURE

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