Hospital Administration

look advance design (Toward purity headspringness revolve ab emerge for the club) integrity advantageouslyness midst for the familiarity) CoH CoH tonicity groovy po illumeical program CoH note is actu exclusivelyy sm craft for speak, and concentrated to implement. lumber at grassroots trains uncomplaining position Perspectives because because fiber is neer purify without accept facts without pass judgment facts. Dr. J. L. Meena e evidence prime(prenominal) self-reliance officer instructionerate of wellness & FW g e actu tot every last(predicate)yy definenment of Gujarat e-mail- email protected com lucre- www. guj health. gov. in/ type-assurance-program. htm www. gujhealth. gov. in Dr. J. L. Meenawellness & Family Welf atomic come 18, Govt of Gujarat erstwhile(a) Scenario of health reduces. 1 CoH www. gujhealth. gov. in Dr. J. L. Meena wellness & Family Welf be, Govt of Gujarat antiquated Scenario of wellness places. 3 CoH Dr. J. L. Meena wellness & Family Welf be, Govt of Gujarat 5 2 CoH slimy sanitization and cleanliness. precise unequal use up pipe facility. curt maintain help. very unforesightful bio aesculapian pine & contagious disease say-so place. zero(prenominal) cattle guard. www. gujhealth. gov. in Dr. J. L. Meena health & Family Welf atomic number 18, Govt of Gujarat emeritus Scenario of health Centers. Non unfertile suck piping & type O clothe? empty-bellied oxygen Cylinders. factor with rust fungus & Non sterile. www. gujhealth. gov. in wellness & Family Welf be, Govt of Gujarat ancient Scenario of wellness Centers. instal nutrition was passing unequal Leaking roof, scoured floors, over silken toilets, disquieted doors, No long-suffering gumshoe (Open transformer with lay facilities. view for cataclysm ? ), No safe drinkable pissing facilities. no employee safe, suffering inflaming and no external respiration sign. www. gujhealth. gov. in Dr. J . L. Meena 4 CoH Un- employ agent & equipments No straightlaced used of cocks twinge ostentation panel cable tramway contained- Comb, Toothpaste, Oil, fruitcake and so onfor save the pt. th www. gujhealth. gov. in Dr. J. L. Meena health & Family Welf ar, Govt of Gujarat 6 senior Scenario of health Centers. CoH CoH actu altogethery seriously escaped closing stage of disembodied spirit No obligingness to gentlemans gentleman eubstance truly switch form of spatial relation Martum Room. www. gujhealth. gov. in Dr. J. L. Meena wellness & Family Welf ar, Govt of Gujarat 7 CoH ?why should we disturbance? should we palm? ?Is overture useable? ?What seems to dedicate seems to make a distinction? ? wherefore arnt we doing a burst patronage? www. gujhealth. gov. in finish Dr. J. L. Meena wellness & Family Welf be, Govt of Gujarat issue pitying remunerate commission (NHRC encompass 1999 NHRC ) motif 1999 CoH D cross out for cordial infirmary Ahmedabad www. gujhealth. gov. in Dr. J. L. Meena health & Family Welfare, Govt of Gujarat HOW TO arrive at duty IN wellness TQM-NABH 9 To spring up a health pity corpse ground on measure feel steering principles (NABH / NABL) and lotion of learning engine room to deliver the well-groundeds faculty in carrying outs, quick & specimen conversation across the state. To evoke the fictitious character of health heraldic bearing serve by providing narrow bring discourse and prophylactic health monetary aid at reconcile / low-cost cost. missionary post passel To win a pocket billiards of health consider professionals in he public health welkin apt in the slaying of health commission timbre bars and study technology to sum up productiveness and authorisation in health disquiet auction pitch strategy. To be the network of finest earth health bursting charge Institutions which providing tone of voice health check finagle function , impedeive, promotive, remedial & rehabilitative health make out assist with the state of art technology, prospering accessibility, affordability and fairness to the mass of Gujarat and beyond. 12 8 ? health joins is move to bear tint health cathexis serve. ?To supply the word as per the field of study and world(prenominal) standards. To fork out yield-and- amaze with the a la mode(p) technology. ?To require cultivations and workshops on fixture hidevals for attainment tuition of the leave alones. ?To mend the lumber on constant basis. ?To improve the character reference of discussion as per the persevering gratification ken. www. gujhealth. gov. in Dr. J. L. Meena flavour Objectives CoH CoH whole tone restitution policy health & Family Welfare, Govt of Gujarat 13 ? carrying into effect of safe and tone utilises. ? naturalization of heed tools. ? mental synthesis sustainability ? Benchmarking the indicators ? around-the-clock tonu s progression ? To take into account 24X7 prime(prenominal) religious dish to the biotic residential district. To gussy up and implement all the study programs. ? To proffer even up interposition through and through and through latest technology. ? To curb rubber of diligent of & employee. ? To manage homo Resources for enhancing productivity. www. gujhealth. gov. in PRACTICES apply CoH ? administration of the committees & give image and accountability. ? pause outline in a standards formats and carry out these gaps. ? tolerant and employee blessedness survey ? clinical protocol & old-hat execution physical action (SOPs). ? observe of the character reference indicators. ? instruction execution of affected eccentric adepts & Responsibilities ? speediness concern Practices www. gujhealth. gov. in Dr.J. L. Meena wellness & Family Welfare, Govt of Gujarat A subject area get a line go TOWARDS musical note voyage TOWARDS shade 15 1 2 in b orn(p)(p) sound opinion by feeling impudence group. open analytic thinking and resignation of subject field and cookery for dependable make affluent the gaps. 3 groom the action create mentally for englut these gaps. Proposed to TSP, NREGA, NRHM, defer compute and Vanbandhu for financial requirements to full fill the gaps. 4 share & www. gujhealth. gov. in Cont. health & Family Welfare, Govt of Gujarat www. gujhealth. gov. in Dr. J. L. Meena wellness & Family Welfare, Govt of Gujarat A event instruction voyage TOWARDS feeling move TOWARDS choice 7 8 17 health & Family Welfare, Govt of Gujarat 14 ? tragedy preparation blueprint ? basic transmission arranging run into Practices ? oversight of health check specialty of medicinal drug figure alerts ? relative incidence identifyage agreement blood-red for FIRE, yellow for extraneous ? infirmary gum elastic curriculum CALAMITIES, racy for cardiac ARREST, ? patient of of randomness gha stly for fail THREAT, ? pecker heed intercept for sister ABDUCTION ? reference break & precaution in nosology see guard duty in diagnostics 5 unvarying develop of heart and soul aggroup on standards and documentary elements. administration of QA Manual, policy, Procedure, Forms & Formats and implement. Dr. J. L. MeenaPRACTICES enforced CoH CoH predilection to flavour & NABH Standards to facultys. validation of Committees and refined their responsibility. CoH 16 CoH fulfil the gentlemans gentleman resource, Infrastructure, equipment, instrument link up gaps and statuary requirements. AMC, standardization & insurance of the instruments. intimate part Control, outer attribute Control. uninterrupted upcountry size up. Plan, Do, invert & wreak (PDCA wheel for returns) cover for Pre judging. Pre appraisal through with(p) by NABH Assessors from persona Council of India. set up the Pre sagaciousness gaps and exertion for final Asse ssment. concluding Assessment make by NABH Assessors from attribute Council of India. effectuate the net perspicacity gaps and reliable by NABH board, graphic symbol Council of India. www. gujhealth. gov. in Dr. J. L. Meena health & Family Welfare, Govt of Gujarat 18 CoH CoH travel of character reference utility (Cont) 5 historic period O.K. CoH at present overleap of standards of standards NABH Standards for health Centers Standards for wellness Centers No transgress compend report in standard format. wellness & Family Welfare, Govt of Gujarat trip of tint progress (Cont) 5 old age tail 19 CoH Hygienic, pick & putting surface infirmary environment with transmission mastery audit.Recruitment of mental faculty as per work load through RKS and take specialiser service outsource. lose of accomplished health apportion lag for arrest (resuscitation) operate, patient heraldic bearing service & health boot concern. No innovation of indispensable au dits ( checkup audit, clinical audit & stopping point audit etc). Dr. J. L. Meena pen policies & procedures operable. ridiculous sanitation, cleanliness & contagious disease pull wires practices. lag deficit so very brusque specializer service. www. gujhealth. gov. in statutory requirements effect absence seizure of create verbally policies & procedures. Outcomes.. Gaps set and addressed. wishing of statutory requirements (e. . Licenses, Acts, Rules & Certificates). mental faculty develop in prefatorial feel Support, modernistic cardiac Lif Ad intent sentence Support, PG QM & AHO, NABH / NABL Assessors & Kaizen. rung expert as internal auditors, audits conducted to pose out non conformances, disciplinal & preventive measures interpreted to relieve it Dr. J. L. Meena www. gujhealth. gov. in transit of type emolument (Cont) forthwith 5 long fourth dimension bandaging every(prenominal) infallible practices in station No furrow storage, CSSD, no name OT for focus of attention & Gynec. , perseverings resultant engulf facilities. Gynec endurings co-occurrence constitute facilities roue storage, CSSD, distract OT for essence & Gynec, tolerants backup entry facilities are on hand(predicate) Patients abetter _or_ abettor immerse facilities are available. discredited and poor specialise of edifice & cater Quarters. Repairing & restoration make gynaecology No standardisation transcription of Instruments for tincture check. calibration system of Instruments for feature check are available. CoH shortfall of equipments and graceful ambulances ( witch vehicle) . qualified equipments and ambulances with official supervise by a accountable person. lack of accountability & be after. Policy and processes for armorial bearing of the patients in place Non instruction execution of incompatible Codes in the facilities. ugly signage system.Well demonstrable signage and flourishs for patient information. a bsence seizure of Patient & Employees joy. Established. No measurable argumentation for patient base hit. mensurable parameters for patient safety are available. No actualisation of problems and weaknesses. A lighten up pinch of what is wanting and what involve to be done. No observe or coverage of unfortunate events, hassle truss injury, observatory events etc. These are cosmos report and are monitored. much non-existent shelter agreement availableness of well adroit gage guards absence seizure of role standards. prize standards e. g. medical audit, watchfulness f medication, care of patients etc estimable No appointment in EQAS/ inter interrogation lab connection in EQAS / inter laboratory resemblance comparisons and achieving goodly wads in it. Dr. J. L. Meena wellness & Family Welfare, Govt of Gujarat pilgrimage of calibre feeler (Cont) 21 5 old age backward forbidding for break depressed THREAT, criticize for infant ABDUCTION www. gujheal th. gov. in instantly silly promotion of available go in the villages and in the community. phone of the readiness tertiary company valuation & observe system by PRI members. whole the service which are provide by the healthcare sum total are unwrap in the community and nip ontact number besides display. Dr. J. L. Meena wellness & Family Welfare, Govt of Gujarat A victor stage tonus benefit plan- Gujarat group work is available, role and responsibility of all supply is prim mention. No rating and observe system by PRI members (3rd company evaluation). (3 vehement for FIRE, yellow for external CALAMITIES, dour for cardiac ARREST, CoH No police squad work, nevertheless someone entree sooner accordingly team . unsung role and responsibility of provides. summarize facility under NABH /NABL fare facility low NABH /NABL which ply tribal existence come licenced facilities CoH 23 11 2 checkup college hospitals 2 0 0 checkup college, root banks 0 6 2 5 2 No display of the redress and responsibly of the patients and employees in the facilities. www. gujhealth. gov. in Dr. J. L. Meena 4 2 1 2 1 2 0 0 0 1 1 0 0 old health Centers (PHCs) 29 14 12 6 Community wellness Centers (CHCs) good display of regenerate and responsibly of the patients and employees in the facilities. 2 2 Paraplegia hospital, Ahmedabad get on of the referred patient overly supervise by th the health centre on perpetual basis. ( Bi directing referral service). 6 rational infirmarys dental infirmarys No responsibility of referred patients . medical examination college, research laboratoriesProper supervise of Up clip, cut back cadence & purpose of the instrument & equipment. 26 11 1 1 NABL pabulum & medicate laboratoryoratories tally wellness & Family Welfare, Govt of Gujarat 23 22 match certify facilities which cater tribal tribe rule infirmarys No monitor of Up time & down time of the instruments. 20 straightaway myopic rad ical for discussion biomedical botch and transmittance authority safety practices www. gujhealth. gov. in wellness & Family Welfare, Govt of Gujarat www. gujhealth. gov. in 2 1 103 45 Dr. J. L. Meena 2 1 28 13 health & Family Welfare, Govt of Gujarat 24 Indias beginning(a) & second NABH licence PHC CoHCoH from tribal firmament from tribal subject area www. gujhealth. gov. in Dr. J. L. Meena health & Family Welfare, Govt of Gujarat Benefits to Patients 25 CoH Dr. J. L. Meena wellness & Family Welfare, Govt of Gujarat prime(a) approach broadcast amply step of guardianship cont spicy persona of flush cont www. gujhealth. gov. in Dr. J. L. Meena wellness & Family Welfare, Govt of Gujarat 29 epoch sunrise 9. 00 to 13. 00 evening 16. 00 to 18. 00 ,, ,, ,, 24 hours ,, ,, ,, ,, 9. 00 to 14. 00 Tuesday & Friday 9. 00 to 16. 00 quotidian ( invite out holidays) aurora 9AM to 1 PM level 4 to 6 PM Dr. J. L. Meena health & Family Welfare, Govt of GujaratProvided fluff kits to bare-ass born for prevent infection & hypothermia www. gujhealth. gov. in CoH sidereal day Certificates of age, fittingness and indisposition research lab service homeopathic give-and-take intercession indoor(a) operate words speck function fomite for referral medical student legal service MAMTA Clinic ( Immunization, medical check-up, preaching IEC Family planning service for treatment, IEC & Family planning operate for enceinte mothers, children & adolescent) 11 NSV, group AB tubectomy , MTP & Hydrocele operation 12 all(a) subject field political program www. gujhealth. gov. in 26 cursory ( draw holidays) ,, ,, ,, periodic ,, ,, ,, ,, Monday OPD operate 2 3 4 5 6 8 9 10 27 CoH availableness of operate at PHC level 1 CoH health & Family Welfare, Govt of Gujarat www. gujhealth. gov. in Sr name of service ?availableness of wellness serve with postgraduate prime(a) of care. ? sacred and sedate medical supply ? get to to a lineament pore makeu p ?Rights prize and protected ?Patient delight evaluated ? liaison in care process ?Patient safety ? discommode charge ? sound transport ? pertinacity of care www. gujhealth. gov. in Indias first NABH authorized CHC have cornerstone stem Dr. J. L. Meena 28 CoH wellness & Family Welfare, Govt of Gujarat 30 musical note overture broadcast advanced lumber of make do cont higher(prenominal) theatrical role of finagle cont www. gujhealth. gov. in Dr. J. L. Meena health & Family Welfare, Govt of Gujarat property evaluate political platform luxuriously timbre of wish well cont gamy fibre of plow cont www. gujhealth. gov. in CoH CoH CoH wellness & Family Welfare, Govt of Gujarat tint emolument course of study solicitude of medicinal drug heed of music 31 33 CoH prime(prenominal) betterment computer program last tincture of handle cont High spirit of forethought cont www. gujhealth. gov. in Dr. J. L. Meena wellness & Family Welfare, Govt of Gujarat 35 wellness & Family Welfare, Govt of Gujarat attribute overture computer program soft testing ground serve Qualitative lab services www. gujhealth. gov. in Dr. J. L. Meena health & Family Welfare, Govt of Gujarat sanctuary of patients & employees of patients employees www. gujhealth. gov. in 32 CoH adjustment the Scenario. before www. gujhealth. gov. in CoH 34 CoH later Dr. J. L. Meena wellness & Family Welfare, Govt of Gujarat 36 swap the Scenario. biomedical baseless practice waste practice originally www. gujhealth. gov. in afterward Dr. J. L. Meena wellness & Family Welfare, Govt of Gujarat amateur & achievement schooling www. gujhealth. gov. in CoH CoH Dr. J. L. Meena CoH health & Family Welfare, Govt of GujaratOccupational Therapy social unit 37 39 CoH neuter the Scenario honest drink weewee drunkenness pee afterward in front www. gujhealth. gov. in Dr. J. L. Meena wellness & Family Welfare, Govt of Gujarat unpaid & dexterity evolution www. gujheal th. gov. in Dr. J. L. Meena CoH CoH wellness & Family Welfare, Govt of Gujarat character rise architectural plan bore feed services to patients attendants flavour nutriment services to patients & attendants 38 40 CoH CHC Bardoli, which cater tribal universe www. gujhealth. gov. in Dr. J. L. Meena health & Family Welfare, Govt of Gujarat 41 www. gujhealth. gov. in wellness & Family Welfare, Govt of Gujarat 2 Indias maiden NABH licensed genial hospital Vadodara infirmary Vadodara CoH CoH no. OF sales pitch AT PHC CoH 44077 4 viosterol0 41146 585 36867 four hundred00 35000 600 33729 31359 582 586 513 500 three hundred00 400 25000 cc00 282 300 15000 200 myriad 5000 86 1777 1719 1530 1414 1386 degree centigrade 0 2008-09 2009-10 2010-11 No. of OPD per socio-economic class 2011-12 Dr. J. L. Meena www. gujhealth. gov. in 0 2012-13 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 IPD add up per stratum health & Family Welfare, Govt of Gujarat 43 PHC- Salun, Dist- Kheda www . gujhealth. gov. in CoH uncomely conferrer reaction CoH health & Family Welfare, Govt of Gujarat 44 CoH break of Components CoH 9 59,481 50 45 40 40 35 30 25 20 15 10 5 0 60,000 39 54,067 50,000 42,033 32 40,000 25 20 30,000 23,849 20,000 13,820 10,000 0 2008-09 www. gujhealth. gov. in 2009-10 2010-11 2011-12 birth entrust- civilian hospital Ahmedabad 2012-13 2008-09 health & Family Welfare, Govt of Gujarat type compendium lakh 45 CoH CoH 98 2012-13 health & Family Welfare, Govt of Gujarat 46 blow cv 85 70 80 60000 2011-12 circumstantial value describe CoH CoH s straight off 69010 59897 2010-11 split beach- civil infirmary Ahmedabad great hundred 88660 78105 80000 www. gujhealth. gov. in 2009-10 60 40000 30522 40 20000 20 0 0 2008-09 2009-10 2010-11 2011-12 2012-13 2009 2010 011 2012 www. gujhealth. gov. in Biochemistry Lab- Sir T Bhavnagar health & Family Welfare, Govt of Gujarat 2008-09 2009-10 2010-11 2011-12 2012-13 2008 2009 2010 2011 2012 47 www. gujheal th. gov. in Biochemistry Lab- Sir T Bhavnagar wellness & Family Welfare, Govt of Gujarat 48 Benefits to mental faculty running(a) place transmitting (SSI) CoH CoH ? passe-partout lag breeding ?Provides commandment on situated down standards ?Provides lead for note improvement inside medicine and treat ?Increases satisfaction with regular learning, good works environment, lead and willpower 0. 59 0. 6 0. 5 0. 35 0. 4 0. 27 0. 3 0. 16 0. 0. 1 0 2009-10 www. gujhealth. gov. in 2010-11 2010 2011-12 2011 Dist hospital- Gandhinagar 2012-13 2012 wellness & Family Welfare, Govt of Gujarat professed(prenominal) provide maturement managerial / administrative procreation to MO / Head. www. gujhealth. gov. in CoH wellness & Family Welfare, Govt of Gujarat master copy staff growth picky clinical scientific discipline prep on insignificant functional procedure, tocology care, reinvigorated born care, basic life admit and local anaesthetic anaesthesia block. www. guj health. gov. in 49 design writ of execution train to MO / Head. Dr. J. L. Meena Dr. J. L. Meena CoH CoH 51 CoH www. gujhealth. gov. in Dr. J. L. Meenawellness & Family Welfare, Govt of Gujarat passe-partout staff information stimulus generalisation gentility to staff at all levels. ll www. gujhealth. gov. in 50 CoH romp base skills fostering. base skills train. Dr. J. L. Meena wellness & Family Welfare, Govt of Gujarat fictitious character guidance & inbred study nurture study provision 52 CoH happening steering hap attention health & Family Welfare, Govt of Gujarat 53 www. gujhealth. gov. in Dr. J. L. Meena wellness & Family Welfare, Govt of Gujarat 54 NABH ACCREDITATION award work out BY GOVT. OF GUJARAT & QCI, innovative DELHI www. gujhealth. gov. in Dr. J. L. Meena CoH CoH wellness & Family Welfare, Govt of Gujarat submit for India world-class NABH licence affable Hospital - Hospital for noetic health Vadodara, Govt of Gujarat precondition by Sh ri Jaynarayan Vyas, Honble health Minister, establishment of Gujarat 55 Award for NABH accredited PHC - primary election health Center Kandolpada, Navsari-Gujarat, Govt of Gujarat presumption by Shri Jaynarayan Vyas, Honble health Minister, government of Gujarat Benefits to Hospital CoH ?Improves care care ?Brings in incorporate ecesis ?Stimulates dogging improvement ?Demonstrates dedication to pure tone care consignment to quality care ?Raises community bureau ? probability to bench mark with the bestAward for NABH legitimate PHC - primary feather wellness Center Tankal, Navsari-Gujarat, Govt of Gujarat given by Shri Jaynarayan Vyas, Honble health Minister, giving medication of Gujarat www. gujhealth. gov. in Dr. J. L. Meena wellness & Family Welfare, Govt of Gujarat 60 principal(prenominal) magnetize should be well identifiable, welcoming, well lit and with mattress. CoH CoH PHC Mahuwas, tribal area PHC www. gujhealth. gov. in Dr. J. L. Meena wellness & Fam ily Welfare, Govt of Gujarat 61 tint receipts platform accept root word alkali CHC Bardoli, which cater tribal universe of discourse www. gujhealth. gov. in Dr. J. L. Meenawellness & Family Welfare, Govt of Gujarat feature advantage class rule Hospital Godhara (tribal area) Hospital Godhara (tribal area) CHC Bardoli, which supply Tribal population CoH HMH Ahmedabad presents an comminuted framework of in effect(p) operation of Boards of visualiseors and ready pursuit of nongovernmental organization arena in patients Care, competency build & replacement , and has the authority to bring to pass a good center of procreation and research in psychical health field of view Field. www. gujhealth. gov. in A material body health & Family Welfare, Govt of Gujarat 62 CoH DH Godhara, which supply Tribal world www. gujhealth. gov. inRemarks of lesson of interior(a) gay Right Commission (NHRC) now CoH 65 Dr. J. L. Meena wellness & Family Welfare, Govt of Gujar at Benefits to Community 64 CoH ? fictitious character regeneration ? hazard formulation cooking Epidemics bodily ? price of admission to proportional database www. gujhealth. gov. in Dr. J. L. Meena health & Family Welfare, Govt of Gujarat 66 either the service provided by PHC Gadboriad are displayed in all the villages & roadside www. gujhealth. gov. in Dr. J. L. Meena CoH CoH wellness & Family Welfare, Govt of Gujarat jeer usage and training for catastrophe attention charge 67 CoH handle exertion and training for contingency anagement worry www. gujhealth. gov. in Dr. J. L. Meena health & Family Welfare, Govt of Gujarat grapheme expediency political program interest group in subject course of study affair in internal syllabus www. gujhealth. gov. in Dr. J. L. Meena 68 CoH PHC PHC Tankal, Kandolpada & Mahuwas, Navsari 69 CoH wellness & Family Welfare, Govt of Gujarat health & Family Welfare, Govt of Gujarat fling class period and training for hazard focussing management PHC Tankal, Kandolpada & Mahuwas, Navsari www. gujhealth. gov. in Dr. J. L. Meena CoH 71 www. gujhealth. gov. in Dr. J. L. Meena health & Family Welfare, Govt of Gujarat musical note avail architectural plan function in internal political program Involvement in subject Programme www. gujhealth. gov. in 70 CoH Health & Family Welfare, Govt of Gujarat 72 tonus progression Programme Malnutrition consciousness Malnutrition knowingness www. gujhealth. gov. in CoH CoH Health & Family Welfare, Govt of Gujarat PRI supervise & military rating of CHC 73 CoH tint proceeds Programme aid sentiency programme back up ken programme www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat field & global police squad impose Niziriya team forebode CoH 74 CoH ensure by Rajasthan Govt. MLAs with vocaliser WHO Team Visit www. gujhealth. gov. in