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    Introduction

    MEDICAL SERVICES

     The medical staf doctors- are the backbone o hospital organization.

    Doctors may be classied under these categories: highly

    proessional – specialized doctors, honorary specialized doctors and

    general doctors !ith some " no e#perience and no specialization in

    any branch o medical sciences$. %ighly proessional, !ell-trained

    and e#perienced doctors are the real assets o hospital organization.

     The general doctors help them in their !ork. &here proessional

    specialized doctors are not su'ciently a(ailable or are not pro(ided

    to the hospital organization by the authority, honorary specialized

    doctors are generally in(ited to ser(e in hospitals.

     The hospital hierarchy in !hich doctors ha(e to !ork is (ery

    sensiti(e and so constant tension e#ists. Doctor)s *ob is hard and ull

    o stress and strain and patients struggling bet!een lie and death.

     Techni+ues and procedures, may be potentially hazardous in

    absence o due care danger o errors, etc. onstitution and

    atmosphere is +uite diferent rom other organizations, !hich create

    uni+ue problems in(ol(ing sometimes a +uestion o lie and death.

     These all re+uire due care and (igilance by the hospital

    management.

    oreo(er, harmonious relations bet!een specialized doctors, other

    doctors and nursing staf are so essential or good proessional care

    o the sick that it re+uires something more than mere managerial

    skills or mere specialist)s skill in e(ery doctor o hospital

    organization, rather it re+uire the mi# o t!o.

    eneral duties include, diagnosis o illness o state o illness,

    instruction to patients, instruction to nurses or the matron about the

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    patient)s needs buying o medicines and other acilities, consulting

    the medical record o patients, consulting the other doctors or

    doctor regarding the patients and all the acti(ities !hich are

    deemed to be an element o medical care. /(er and abo(e these

    doctors ace many beha(ioral problems, as they ha(e to deal !ith

    human beings- other doctors and nurse, patients, their relati(es,

    lass 000 and 01 employees and head o the institution too. They can

    sol(e such problems successully only, i they ha(e some kno!ledge

    o beha(ioral science. 2o, it is (ery much essential to make 3hospital

    management) as a part o medical curriculum.

    4The medical students in their nal year as !ell as during internship

    should be e#posed to a (ariety o administrati(e and beha(ioral$

    problems5.

     The %ead o the institution is also a doctor ha(ing specialization in

    one o the medical areas. 6ut a man may be a rst class surgeon or

    physician, but that does not necessarily make him a rst- class

    administrator. %is duties as a doctor itsel are (ery hard and tiring

    both, physically and mentally.

    7part rom this, the head o the institution has to look ater so many

    other things such, super(ision and control o(er personnel,

    purchasing, store-keeping, kitchen, laundry, toilet, maintenance o 

    e+uipments and instruments, etc. %o! he can nd enough time orattending medical side o hospital ater doing so many *obs on

    administrati(e side8

     That is !hy, 4%ospital boards no! ha(e a cadre o hospital

    administrators !ho combine some kno!ledge o medical system

    !ith sound management principles, but our institution continue to

    ha(e administrators !hose sole +ualication is that they are

    doctors.5

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    MARKETING A HOSPITAL & FACILITIES

    0ndia today boasts o hospitals and establishments that are

    comparable to the !orld)s best medical acilities. Today)s patients

    are (ery demanding and e#pect the best +uality o acilities and

    medical care. The hospitals need to conorm to 976% 9ational

    7ccreditation 6oard or %ospitals$ and 0 oint ommission

    0nternational$ guidelines.

    0n keeping !ith this philosophy only 0nternational best practices are

    obser(ed by %ospitals. &e need to keep in mind that the %ospital is

    our sho!piece and our sho!-room. &hen a patient (isits the

    %ospital he utilizes the acilities. 6ut his relati(es and riends !ho

    accompany him are also potential patients and the ambience and

    ser(ices that they a(ail o or obser(e may in;uence their decision

    should they e(er re+uire medical attention.

    2ince all acilities are !orld-class !e must make the medical

    raternity and public at large a!are o the e#istence o these

    acilities. This marketing has to be done in 0ndia and abroad, !here

    the medical acilities are not so ad(anced.

    edical tourism is a reality and eforts ha(e to be made to promote

    the hospital in countries like 7rica, 7ghanistan, and =27 the acilities are

    e#pensi(e !ith long !aiting lists and ad(anced medical acilities in

    0ndia make it an attracti(e medical tourism destination.

    ost modern hospitals today ha(e ull-;edged marketing

    departments to promote the %ospital locally, nationally and

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    internationally. They also liaise !ith (arious agencies to acilitate

    the patients) tra(el and medical reimbursement.

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    ORGANOGRAM

    7 modern hospital e#ists as a physician)s !orkshop. 7 number o 

    acilities are re+uired to enable him to diagnose treat patients. The

    setup o dietary department in a hospital is one o the important

    acilities pro(ided or ade+uate o medical care o patients.

    7part rom the proessional ser(ices in diferent elds, the hospital

    management has also to pro(ide proper ood and housekeeping.

    ?ood ser(ice is one o the most important acti(ities in any hospital.

    7s a therapeutic measure it contributes directly through

    scientically prepared nutritious diets, aimed at specic disease

    conditions. oreo(er, in hospitals persons ha(e to stay or (ariable

    period. 2ome ha(e to stay or a longer period. 2o it has to pro(ide

    room ser(ices to all, as oten patients cannot lea(e the bed. ?urther,

    as they are sick, their needs are o diferent kinds. Thus, the hotel

    components o hospital are a challenging task and ha(e an impact

    Administrative Officer

    (Internal)

    Housemen

    Ward Boys

    Supervisor

    (Wards)

    Housemen

    Ward BoysAayas

    Marketing Security

    Supervisor

    Guards

    Supervisor

    (u!lic Area)

    Attendants

    Manager Administrative

    Services

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    on the image o the institution. 2ometimes a hospital is compared to

    a (e star hotel. 6ut in such hotels, you may ha(e comorts, good

    ood, recreation, perhaps, physical and mental satisaction but you

    do not ha(e to satisy a group o people- the riends and relati(es o 

    the customer !ho comes in and stay in the hotel. &hile in a hospital

    sometimes your ma*or task is not only to satisy the customer but

    you ha(e to satisy his riends and relati(es and thereore hospital

    organization is uni+ue in this sense. %ere !e listen oten to the

    remarks o a technical person@one !ho has to kno! a lot o 

    procedures- some o these being lie sa(ing ones. Thus, she has to

    perorm dual task o attending to the patients physical and

    psychological needs as !ell as carrying out re+uired tasks and

    procedures in gra(e emergency.

    Aapses here cause a great danger to patient)s lie. 0n some hospitals

    in !estern countries, selected nurses are gi(en the designations o 

    3nurse technician), to help the doctors in the areas likeanesthesiology, intensi(e care unit, kidney unit, radiology unit, post

    operati(e care unit, operation theatre, etc. it suggests that the

    ser(ices o nurses in such areas should be specialized, rather than

    generalized in the interest o the patient and e'cient perormance

    o the organization. That !ould also reduce the load on the o(er

    burdened specialized doctors.

     The responsibilities o nurses are +uite hea(y. Their *ob is tiring and

    ull o stress and strain. 0nect, a doctor spends a relati(ely short

    time !ith patients and depends upon the nurses to carry out all o 

    his orders careully. ?unctions o nurse include three ma*or areas:

    6ed side nursing: recei(ing patients, in(estigating patients, sending

    them to respecti(e clinics, round !ith the medical o'cer, assisting

    the doctor A.

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    /ther than bed-side nurses: it includes 0< registration, instruction to

    ser(ants and other personnel, !ard cleanliness, super(ision, !ard

    sterilization arranging routine drug mi#tures, checking medical

    dates, etc.

    PHARMACY SERVICES

    0t is the area o increasing importance. This department is oten

    combined !ith central sterilization and stores. The staf has to be

    !ell trained and has to be looked ater properly at all le(els by the

    pharmacist. The role o hospital pharmacy in ensuring proper care in

    preparation, labeling, storage and distribution o drugs and sterilized

    material is o prime signicance. 7(oidance o any kind o error is

    most important here. 7 hospital in modern era cannot do !ithout a

    good and +ualied pharmacist, !ho has to super(ise, guide and

    control the perormance o his subordinates. Bualiy control is an

    important need in this area and hospital management should

    encourage and pro(ide all the acilities to the pharmacist in

    organizing it.

     The (olume o ser(ices is appreciable. 0n the a(erage hospital, the

    pharmacy deals !ith thousands o prescriptions and dispenses a

    large number o !ard orders and re+uisition in a single year

    purchase o drugs and the (alue o the annual in(entory run into

    many thousands o rupees. Thereore, hospitals, !hich do notemploy a pharmacist !ith proper +ualications, trainCing,

    e#perience and talent, are seriously lo!ering the e'ciency o their

    ser(ices and operations.

    7 !ell-organized pharmacy !ill unction efecti(ely in its o!n right

    and also contribute to the !hole integrated hospital organization.

    mployment o a ull- time pharmacist, e(en in a hospital o 

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    moderate size, ar rom being e#orbitant e#pense, !ill more than

    oak or itsel through collateral sa(ings.

     Thereore, it is necessary to ha(e properly organized pharmacy

    department under the direction and control o proessionally

    competent and legally +ualied pharmacist. ?or proper ser(ices and

    su'ciency he re+uires good organization and the ull cooperation o 

    the administrator, departmental heads and the medical staf.

    PATHOLOGY AND CLINICAL LABORATORY SERVICES

     The practice o medicine today re+uires more and more laboratory

    ser(ices and public demands more precise diagnosis. 2o, the

    importance o laboratory ser(ices cannot be o(er- estimated in the

    process o thorough diagnosis.

    a*or unctions o laboratory ser(ices are:

    E. To pro(ide the inormation to assist the physicians

    in their diagnosis, treatment and pre(ention o 

    disease,

    F. 7ssist any training program and

    G. To conduct research.

     The laboratory ser(ices are also useully or ha(ing essentialinormation in surgical treatment, or e.g. in pre-operati(e test, and

    post-operati(e tests.

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    the integral part o the !hole organization. oreo(er, laboratory

    should be stafed !ith +ualied and trained technicians. 0mproperly

    trained indi(iduals tend to lo!er the condence o the medical staf 

    and could lead to results, disastrous to the patient health and care.

    0t is ad(isable or the medical staf to determine and establish

    standing orders or all the routine tests to be perormed on all

    patients.

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    DEPARTMENT BRIEF

    Aaboratory 2er(ices at Hed ross %ospital is a surrogate component

    to linical practice. The ob*ecti(e is to pro(ide all the necessary

    laboratory in(estigations re+uired or patient care. The Aaboratory

    ser(ices comprises o department o 6iochemistry, linical

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    ser(ices GIJ days in a year to the people including 2undays and

    holidays along !ith clinical consultations.

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    Biochemistr L!"

     The 6iochemistry Department o HD H/22 %/2

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     The %ematology department to ensure ade+uate collection samples

    carries out bone marro! aspirates and biopsy procedures.

     The laboratory maintains a high degree o internal and e#ternal

    +uality control.

    Micro"io#o% #!"

     The department o icrobiology at HD H/22 %/2

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     This %istopathology laboratory pro(ides opinions on all kinds o 

    cases rom ynae, =rology, astro-intestinal, ardio(ascular,

    /rthopedic and Hespiratory edicine and highly specialized areas

    are such as 9europathology, /ncology and Transplant li(er K renal$

    pathology. The department also supports the ne!ly started breast-

    screening program in the hospital. /utside cases in orm o 

    specimens or re(ie! slides are also reported.

    0mmunohistochemistry is being done, particularly or diagnostic

    applications in the eld o /ncology.

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    ?unctions o the radiology department are to assist in diagnosis

    through the use o Hadiography, T scan, H0 and =ltra 2ound

    constitutes a ma*or part o the !orkload in the a(erage hospital. The

    department should be under the control and direction o +ualied

    and competent radiologist. %e should also ha(e had specic training

    and e#perience in his specialty. %ere also +ualied radiology

    technologist should be a(ailable in su'cient number.

    O'T( PATIENT SERVICES

    /ut patient ser(ices one o the important unctions !hich most

    hospitals under in their areas encompassing attention to those

    patients !ho may nit re+uire use o a bed. enerally hospital beds

    are not a(ailable in su'cient numbers, nor are they indicated or all

    those !ho need diagnostic ser(ice. 6eds are costly to build and

    maintain and it is oten economic !aste to utilize in patient cure

    !hen out- patient ser(ices !ould ser(e the purpose.

     The emergency clinic is a ma*or unit o the out – patient

    department. %ere the attention to patient needs must be a(ailable

    round the clock, e(eryday o the year. 0n the a(erage hospital one o 

    the e(ery (e emergency out- patients are admitted as an in-

    patient.

     The director or head o the out- patient department should ha(e ull

    status as a departmental head and participate in policy and program

    discussions and decisions or the entire hospital organization in that

    capacity. %e should be directly responsible to the administrator.

    /ne o the most annoying e#periences to the outpatient is the

    interminable !aiting or and bet!een appointments. T!o things

    must be gi(en due consideration or impro(ement. ?irst, !ritten

    policies, procedures and standing orders or all the outpatient

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    unctions and responsibilities need to be de(eloped co(ering

    organization personnel, operating patterns, relationships !ith other

    departments, !ith physicians, etc.

    2econd, e#peditious handling o a !orkable appointment system o 

    record completion and transer need to be de(eloped !hich

    contributes to the e'ciency and to the satisaction o staf and

    patient

    ENGINEERING SERVICES

    7 hospital is described some administrators as ship at high seas.

    7lmost all kinds o emergencies that arise in a ship are re+uired to

    be attended to in a hospital. 2udden ailure in some o the

    installations in operation theatre, 0= etc., can seriously *eopardize

    the lie o patients. %ere some hospital administrators ha(e ad(ised

    e#perienced marine engineers in hospitals. These engineers possess

    the kno!-ho! to deal !ith sudden situations that arise and ha(e to

    be dealt !ith !ithout outside help.

     The responsibility o engineering ser(ice should be assigned to a

    +ualied and competent, !ell-e#perienced engineer. %e has to be

    amiliar !ith maintenance in di(erse areas like !ater supply and

    drainage, boilers, laundry, air conditioning and rerigerators, electric

    supply, electronic e+uipments, etc. %e also needs a small !ell-

    trained group o !orkmen under him. %ospital engineer is also to

    organize some alternati(e arrangement to ensure that casual

    absence o some indi(idual staf member does not create problems

    or routine as !ell as emergency duties.

    0 the chie engineer has come to the hospital directly rom industry,

    he may need help in his ad*ustment to the problems and situations,

    peculiar to the hospitals. %e !ill be conronted !ith the necessity or

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    FL-hours operations and the problem o operating in spite o 

    emergencies. The personnel manager o the hospital can be o help

    in assisting !ith the appropriate de(elopment o training programs

    designed to ad*ust the employee !hose background is outside the

    hospital eld to the general institutional (ie!point.

     The traditional rationale or engineering department has been

    maintenance by crisis. Aike management by crisis this may be an

    e#citing procedure, so may it be dangerous. 6ut !hereas, the

    manager !ho manages by crisis may lose nothing more than his *ob,maintenance by crisis may cost li(es. 0t is (ery practice. &hat is

    re+uired is pre(enti(e maintenance. 0t in(ol(es the calculation o the

    e#pected period during !hich each and e(ery piece o e+uipment

    !ill unction satisactorily ensuring that beore trouble occurs, the

    e+uipment !ill recei(es ser(ice attention or be replace !ithout the

    inter(ention o anyone but the engineer)s staf. This demands much

    time and can be done efecti(ely only by competent by technicalstaf. 0t also re+uires more clerical assistance.

    FIRE(FIGHTING) SEC'RITY AND SAFETY 

    %ospital can be (ictims o res, thets and accidents. &hile the rst

    can be dreadul situation or the sick and their relati(es, the second

    one and third one !ould result indiscipline, dissatisaction and poor

    and bad image o the hospital.

    ?ire-ghting staf must be !ell trained in pre(enti(e measure along

    !ith their routine task. The !hole staf must be thoroughly amiliar

    !ith the re- alarm system in the hospital. There should be its

    regular drill. The !hole must be put under the control o specially

    +ualied re o'cers.

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    2ecurity men"!omen also must be !ell trained and e#perienced and

    they should be polite to all. 2miling security men !ho are al!ays

    alert and e'cient !ould be an asset or any organization.

    0t is thereore ad(ised to ha(e a separate section or this peculiar

    unction o hospitals, as the training, duties and re+uirements o the

    staf in emergencies are +uite diferent rom other personnel. They

    are like the 3armed orces) ha(ing special and important role to play.

    HOSPITAL LA'NDRY SERVICES

     The importance o a clean en(ironment and linen or optimal patient

    care has been stressed upon since the (ery inception o hospitals. 0t

    goes !ithout saying that Osupporti(eO ser(ices are indispensable or

    a hospital to perorm in the true perspecti(e and deli(er good

    patient careN besides going a long !ay in de(eloping good public

    relation o the hospital. 7 sick person coming to the alien

    en(ironment o the hospital gets tremendously in;uenced and

    soothed by the aesthetics or cleanliness o the surroundings and the

    linen. /n the contrary, dirty linen tends to result in psychological

    dissatisaction like a chain reaction, !hich creates a negati(e image

    o the entire hospital E$. 2tudies ha(e pro(ed beyond doubt, that

    hospital ac+uired inections sho! an increase !hene(er laundry and

    linen ser(ices are inade+uate

    CONVENTIONAL TECHNOLOGY 

    on(entionally, the ollo!ing e+uipment are used in most o the

    mechanical laundries and the linen is se+uenced through !ashing

    machines, cylinder, (acuum-cup or agitator types$ hydro-

    e#tractors, motor dri(en, top loading type$ drying tumblers motor

    dri(en, heat in*ected, ront loading type$ calendaring machines

    single or multiple roller !ith (ariable speed control$ ;at bed steam

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    press, pneumatic push button types$. ost o the hospital

    mechanized laundries in our country are presently using (arious

    combinations o these machines o (arying capacity depending upon

    the +uantity and type o linen used in the hospitals

    REHABILITATION DEPARTMENT

    The Ho#istic Tre!tme$t

    6esides con(entional methods o treating illness, HD H/22

    %/2

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    4=nlike other therapies, in

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    Hosit!#  I$+orm!tio$ Sstem ,HIS-

    A"str!ct

    %ospital  0normation 2ystem %02$ is e#pected to pro(ide the stafs

    !ith (arious, !orld!ide inormation or decision making and better

    communication en(ironment. The 0nternet can satisy such needs.

    &hen %02 aims the direction to!ard an integrated en(ironment !ith

    the 0nternet, se(eral key issues should be discussed. The rst

    important issue is that the 0nternet en(ironment should be a(ailablee(ery!here in a hospital. The second is communication en(ironment

    bet!een hospitals. The third is sharing medical kno!ledge among

    hospitals and clinics. The orth is ho! to create a useul high-+uality

    database a(ailable through the 0nternet. 7nd the last is the security

    issue.

    %ospital 0normation 2ystem %02$ has e(ol(ed as integration system

    oorder entry systems, an administrati(e system, and departmental

    subsystems !ithin a hospital. 0t has become more and more

    necessary or e(ery health care staf in a hospital to use a computer

    terminal at almost e(ery day)s !orks.

    =nder this circumstances, %02 is e#pected to pro(ide the stafs !ith

    (arious, !orld-!ide inormation or decision making and better

    communication en(ironment !hich can be used *ust on thecomputer terminals or e(ery day)s !orks.

    ?urthermore, tale-communication bet!een a central hospital and a

    satellite clinic"hospital has become more and more necessary

    especially !hen a physician consult !ith domain e#perts in other

    hospitals concerning his"her patientsP care.

    &e think that only the 0nternet can satisy such needs as abo(e. Thispaper describes ho! the 0nternet can contribute its useul unctions

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    to %02s, and introduces the net!ork en(ironment o %02 at

    =ni(ersity o Tokyo %ospital and some e#perimental pro*ects using

    the 0nternet.

    OTHER SERVICES

    ?inancial management is also e+ually important in hospital. 4&e as

    medical men are (ery poor in matters concerning the nance. 2o !e

    should take the ad(antage o the e#perts o nance in making our

    budget, in cost accounting the cost analysis o the (arious acti(ities

    o the hospitals to nd out ho! the ma#imum could be achie(ed at

    minimum cost5. This !ould result in economy and also impro(e the

    e'ciency o the !orking o the hospitals.

     There has also to be proper planning and organizing, sta'ng,

    direction and control o hospitals ser(ices.

    oreo(er, in hospital, lots o data regenerated relating to the

    patients and the ser(ices pro(ided by the (arious departments.

     These data !hen properly tabulated and analyzed pro(ide (ery

    useul material or the planning, management and research

    purposes. The hospital management, thereore, should make ull use

    o the hospital statistic or impro(ing its ser(ices, by getting the

    data analyzed regularly in a (ariety o !ays and in particular, by

    getting certain indices o perormance calculated or the (arious

    ser(ices. 0t pro(ides a means o efecti(e budgetary and cost

    control. 0t is a mean to assess the ade+uacy o staf and e+uipment,

    etc. 0t also helps in uture planning and in impro(ing the +uality o 

    ser(ice. 0t also has a a(orable impact on the !ay in !hich hospital

    ser(ices are being managed and in their impro(ement to.

    SCOPES FOR E.PANSION

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    7t present, the %ospital has a state-o-the art 0ntensi(e are =nit

    apart rom the present CM beds and is in the process o being

    e#panded to FJM beds. 0t also has three operation theatres !ith the

    latest medical e+uipment that allo!s surgeons to perorm e(en the

    most complicated surgeries !ith ease, ambulance ser(ices and a FL

    hours emergency centre.

    Hed ross %ospital, 6hopal. has EJ acres o land. The entire co(ered

    area o the building as per plans !ould be around FM,MMMs+ meters.

    /ne o the uni+ue eatures o the building is to pro(ide a totallybarrier ree en(ironment.

     The aim o the centre is to pro(ide !orld-class acilities or medical

    management, comprehensi(e rehabilitation including physical,

    psychosocial, se#ual and (ocational rehabilitation$, research and

    training in the eld o spinal in*uries. The philosophy is to pro(ide

    e+ual ser(ices to the economically depri(ed sections o the society

    by ofering a high percentage o ree and subsidized ser(ices. 2ince

    pro(iding spinal cord in*ury management is most e#pensi(e as

    compared to any other ser(ice, and since most o these in*uries take

    place in the economically depri(ed sections o the society, it

    became increasingly apparent that generating the recurring

    e#penditure re+uired or +uality ser(ices at the entre !ould pose a

    ma*or challenge.

     The %ospital has planned a 6lood 6ank !ith 0mmunohematology

    backup and component laboratory. 7ssisted ertilization clinic is also

    part o the uture plan

    GOALS FOR THE MILLENNI'M

     To upgrade %ealth K Hehabilitation 2er(ices to 0nternational

    standards.

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     To e#pand the centre to FJM beds, o !hich EMM beds are de(oted

    e#clusi(ely or management o 2pinal 0n*uries.

    9et!orking o the centre !ith the 2an Haaela 6io-edical 2cientic

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    HOSPITAL PROFILE

      "ed #ross

    Hospital

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    INDIAN RED CROSS SOCIETY is a voluntary organization network of 700 lus

     !ran"#es t#roug#out t#e "ountry$ rovi%ing relief in ti&es of %isasters'e&ergen"ies

    an% ro&otes #ealt# ( "are of t#e vulnera!le eole an% "o&&unities) It is a lea%ing

    &e&!er of t#e largest in%een%ent #u&anitarian organization in t#e worl%$ t#e

    International Re% Cross ( Re% Cres"ent *ove&ent) T#e *ission of t#e In%ian Re%

    Cross is to insire$ en"ourage an% initiate at all ti&es all for&s of #u&anitarian

    a"tivities so t#at #u&an suffering "an !e &ini&ize% an% even revente% an% t#us

    "ontri!ute to "reating &ore "ongenial "li&ate for ea"e) *a%#ya +ra%es# State

    ,ran"# fra&e% un%er se"tion -. of t#e In%ian Re% Cross So"iety A"t / of -1.0

    effe"tive fro& Year 2 -134)

    #oncept $ote

    Introduction

    T#is year on 5 *ay$ 6orl% Re% Cross Re% Cres"ent Day$ t#e *ove&ent will laun"# a

    glo!al "onversation "ele!rating t#e 30t# Anniversary of t#e a%otion of t#e

    un%a&ental +rin"iles) T#e "a&aign will rovi%e t#e oortunity for internal an%

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    e8ternal stake#ol%ers to refle"t on t#e rin"iles an% t#eir "ontinuing relevan"e in

    to%ay9s ever "#anging #u&anitarian "onte8ts)

    6orl% Re% Cross Re% Cres"ent Day also &arks t#e !eginning of a series of events t#is

    year to #ig#lig#t an% %is"uss t#e un%a&ental +rin"iles 2 in"lu%ing a :lo!al

    Engage&ent Initiative$ anel %is"ussions an% a "ele!ration in ienna 2 "ul&inating

    wit# t#e International Re% Cross an% Re% Cres"ent *ove&ent9s ;.n% International

    Conferen"e in De"e&!er)

    O!%ectives

    T#e O! To engage internal an% e8ternal au%ien"es in a "onversation a!out t#e un%a&ental

    +rin"iles an% re"lai& ' restate t#eir &eaning in to%ay9s #u&anitarian lan%s"ae

    > To ro%u"e a versatile toolkit t#at will suort National So"ieties in t#eir fun%raising

    a"tivities$ volunteer re"ruit&ent$ #u&anitarian %ilo&a"y an% awareness raising

    > To ro%u"e a visual i%entity an% outrea"# tools on t#e un%a&ental +rin"iles t#at

    are #ar&onize% wit# t#e :lo!al Engage&ent Initiative an% t#e International

    Conferen"e "o&&uni"ation strategies)

    #oncept

    6orl% Re% Cross Re% Cres"ent Day will fo"us on t#e t#e&e ?Our +rin"iles in

    A"tion?) Tol% T#roug# a series of ersonal stories$ t#e "a&aign will %e&onstrate

    #ow t#e un%a&ental +rin"iles gui%e t#e work of t#e Re% Cross an% Re% Cres"ent

    *ove&ent in all situations an% at all ti&es) In arti"ular$ stories will illustrate #ow t#e

    real2life ali"ation of t#e rin"iles ena!les in%ivi%uals to retain t#eir #u&an %ignityin t#e fa"e of "onfli"t$ %isaster or "risis) or e8a&le$ t#e rin"ile of i&artiality an%

    #ow it fo"uses on t#e nee%s of t#e &ost vulnera!le is illustrate% t#roug# t#e story of a

    fa&ily w#o re"eive% s#elter following a %isaster 2 ?I&artiality &eans I "an slee wit#

    a roof over &y #ea%?)

    #ommunication roducts

    T#e following "o&&uni"ation &aterials will !e ro%u"e% =

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    > +osters$ we! !anners an% ost"ar%s

    > i%eo

    > So"ial &e%ia "ontent

    > Ca&aign &i"rosite

    A%%itionally$ a "o&&uni"ation toolkit will !e "reate% to rovi%e =

    > Ca&aign key &essages

    > @oint State&ent ICRC ( IRCB

    > +ress release te&late

    > A"tivation ti s#eet

    &imeline

    T#e "o&&uni"ations toolkit for National So"ieties will !e availa!le in early Aril)

    owever$ as in%ivi%ual "a&aign &aterials are rea%y$ t#ey will !e &a%e a""essi!le in

    t#e "o&ing weeks on e%Net =

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    MARKETING RESEARCH

    arketing anager oten commissions ormal marketing studies o 

    specic problems and opportunities. They may re+uest a market

    sur(ey, a product preerence test, a sales orecast by region, or an

    ad(ertising e(aluation. &e dene marketing research. arketing

    research is the systematic design, collection, analysis and reporting

    o data and nding the rele(ant to a specic marketing situation

    acing the company.

    E0ecti1e m!r2eti$% rese!rch i$1o#1es the 31e stes !re !s

    +o##o4s5 (

    Dene the problem and research ob*ecti(es.

    De(elop the research plan.

    Design a marketing research strategy.

    ollect the inormation.

    0normation analysis.

    0nterpretation o the 0normation

    DEFINE THE PROBLEM AND THE RESEARCH OB6ECTIVE

     The rst step in marketing research is identiying and understanding

    the marketing problem. &hat is the problem8 &hat types o 

    inormation are re+uired to sol(e it8 &hat segment o the related

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    inormation is already a a(ailable marketing research also make use

    o a(ailable literature or an in depth background study o problem.

    7 marketing problem must also dene the research ob*ecti(e clear.

    DEVELOP THE RESEARCH PLAN:

    &hen marketing problem is dened is clearly identied and

    ormulated, a market researcher should de(elop a plan to collect the

    re(erent inormation. &hile de(eloping the research plan, he should

    also be amiliar !ith the e#isting research nding. %e can also take

    the help o library sources as !ell as e#perienced consultants,

    personnel !ith practical kno!ledge, etc.

    DESIGN A MARKETING RESEARCH STRATEGY5

    7 arketing Hesearcher should design the research strategy in the

    line birth o the re+uirements o the problem. %e should make

    certain hypothesis, the testing o !hich !ould be considered helpul

    in sol(ing the problem.

    COLLECT THE INFORMATION

    7 marketing researcher has to make a plan or collecting secondary

    data primary data or both, as the case may be.

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     The ne#t step in the market research is to e#tract nding rom the

    collected data the researcher tabulates the data and de(elops

    re+uency distribution, 7(erages and measures o dispersion are

    computed or the ma*or (ariables. The resources !ill also apply

    some ad(anced techni+ues and design models in the hope o 

    disco(ering additional ndings.

    PRESENT THE FINDINGS5

    >eeping the ob*ecti(es o the study in mind, the researcher should

    prepare the study reportN the ndings should be !ritten in a concise.

    2imple and ob*ecti(e oriented languages. raphs and e#ample in

    the main report should be only i they are essential or con(eying

    the essential acts or are other!ise necessary to support the

    statement.

    ROLE OF THIRD PARTY ADMINISTRATORS

     The clinicians !ould rather be re!arded or being part o an

    organized, accountable aculty, by the patient. ?urther the clinician

    !ill retain the supreme authority o the patient)s treatment

     Third party administrators T

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    e(aluation through clinical audits, update one)s armory by

    continuous medical education and compete !ith each other on the

    +uality criteria, to secure contracts !ith T

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    %ealth 0nsurance or all %ealth or allQ$ reorms has taken JM years

    post-independenceQ

    0t is long o(erdue or the clinician to undergo perormance scrutiny

    and ob*ecti(e assessment o one)s treatment outcomes. 6eore a

    third party e(aluates perormance and decides the e'ciency o a

    clinician based on cutting costs rather than +uality, it !ould be

    prudent or the clinician to submit or continuous (oluntary

    e(aluation through clinical audits, update one)s armory by

    continuous medical education and compete !ith each other on the+uality criteria, to secure contracts !ith T

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    F'NCTIONING OF TPA

    7 %ealthcare

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     T

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    prepared to ser(e the immediate medical needs o e(ery patient

    !ho arri(es at admission. 6ut no hospital can do all thing or all

    people.

    7 small hospital in a rural community must necessarily reer patient

    in need o a rare or highly sophisticated treatment to specialized

    center. Today, ho!e(er a !ide choice is a(ailable in metropolitan

    area. %a(ing a mission that diferentiate your hospital your hospital

    rom all other and communicating that mission is important.

    &hat does this hospital ofer that others don)t8 &hat is bigger or

    better8 Does the hospital ha(e more specialists in particular eld8 0s

    it pro(iding a particular ser(ice to patient at a lo!er8 Does the

    location o the hospital ha(e special ad(antage – transportation

    access, a pleasant en(ironment. appro#imating to some attraction,

    etc.

     The ans!er !ill diferentiate the hospital rom other dening the

    strengths and the !eaknesses o the hospital e#plicit positioning

    statement can be !ritten. 7ter adopting the positioning statement,

    e(ery staf member should be able to ans!er the +uestion 4&hat is

    the hospital kno!n or85

    THE PRESENT SCENARIO IN INDIA

    ?airly recently, the concept o orporate %ospitals has arri(ed in

    0ndia. 0n the early eighties, the 7pollo group set up the rst hospital

    in hennai and ollo!ed it in %yderabad. scorts group established

    scorts heart institute in ECRR. orporate ompanies like &ockhardt

    and a# 0ndia started the %ospital industry. 7pollo group also built

    the 0ndraprastha 7pollo %ospital at 2arita 1ihar in 6hopal. any

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    more other companies like scorts, ?ortis %ealth are, Heliance and

    arico 0ndustries ha(e also aimed at health care sector.

    HOSPITALS PREVENTIVE HEALTHCARE MARKET

     They say pre(ention is better than cure.

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    OThe packages are highly subsidized. 0 a patient undergoes the

    tests separately, it !ould cost him thrice the amount.O

    ore than EMM patients !alk in to &ockhardt %ospitals e(ery day or

    FM test packages, !hich cost rom Hs JMM to Hs J,MMM. 2ays 1ishal

    6ali, (ice president, operations, &ockhardt hospitals, O7 patient

    might *ust come to the hospital or a blood test and can decide to

    get a complete health check-up done5. &e ha(e seen patients

    giting test packages to their parents. 7lso, around EM per cent o 

    the patients !ho come or the health check-ups re+uire urthertests.

    %ospitals also conduct talks or a better lie-style. 2ays 6rig oe

    urian, /, %indu*a hospital, O/ur patients are gi(en talks on lie-

    style modications and dietary habits.O

    2ome hospitals ha(e started marketing their health packages by

    holding ree health check-up camps and educational programs

    about the importance o pre(enti(e health check-ups. Hecently,

    7ssociation o %ospitals, a body o G umbai-based hospitals

    declared it !ould conduct ree health check-ups. %o!e(er, 6ali,

    eels it is not a good proposition, as O0t costs us a lot o money to do

    a comprehensi(e check-up. %olding ree check-ups might lead to a

    compromise o +uality, and that is the last thing that a hospital

    should do.O

     The small cities, !hich on an a(erage do not attract more than EJ to

    FM patients per day, are also e+ually enthused. 7round M per cent

    o their patients are through company tie-ups and the rest are !alk-

    in patients. ?ortis, or instance, !hich gets around EJ patients a day,

    attributes it to the tie-ups that they ha(e !ith G companies. 0t

    ofers eight packages ranging rom Hs E,MMM to Hs G,MMM and our

    more are in the pipeline. 2ays Dr Ha(indra >aran*ekar, medical

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    director, ?ortis, ohali, O0t is a big challenge or us to sell the

    package. &e ha(e tied up !ith diferent medical associations so that

    they reer their patients to us.O The patient education cell o the

    hospital educates the relati(es o patients to go in or these check-

    ups. O&e do not see many !alk-in patients. 2o !e distribute

    brochures and educate them about our health package.O %e

    suggests that a hospital in a small city should approach schools or

    the tie-ups. (en diagnostic centers ha(e started cashing in on this

    emerging sector. 2ays Dr 9ilesh 2hah, managing director, 9

    edical enter, umbai, O&e score o(er others as being a

    diagnostic center, our pre(enti(e health check-ups borro! high-tech

    diagnostic e+uipment like digital S-Hay, bone densitometry, G-D and

    L-D ultrasonography, acilities !hich are not a(ailable !ith

    pre(enti(e healthcare centers per se. (ery indi(idual !ho !alks

    into our center is also made to undergo liestyle and stress

    management !orkshops.O

    #perts say this sector has a tremendous potential to gro!, as much

    as the insurance sector. OThe go(ernment gi(es ta# benets to the

    curati(e healthcare, but neglects pre(enti(e healthcare. &ith the

    right kind o incenti(es rom the go(ernment, pre(enti(e healthcare

    can make a dent in the curati(e healthcare sector,O says urian.

     7 6O'RNAL OF HOSPITAL MARKETING8 HAS P'BLISHED THE

    FOLLO9ING ARTICLE ON MARKETING STRATEGIES

    OThis dynamic *ournal takes as its mission the dissemination o 

    pertinent and practical material on ne! and efecti(e !ays o 

    marketing hospital ser(ices. &ritten by and or hospital marketing

    proessionals, the ournal o %ospital arketing K

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