Out Patient dept

OP
• A part of hospital with required physical
facilities along with medical and other
staff, with regularly scheduled hours to
provide care for patients who are not
registered as inpatients
 OP Demand
Varies depending on
• Cost for service
• Distance
• Transport facility
• Economic status of community
• Quality of care
• Level of facilities
 O P Department
• Work flow or flow chart
• Types of OPts – walk in s , referred – new,
Rpt
• Planning considerations – type of service,
service time, staff availability, flow of
patients,
• Location – physical accessibility to other
services
• Space –3/4 to 1 sft for each annual visit
• Design considerations – waiting areas,
traffic flow, location of services, public
utilities,
• 50-70% pharmacy,20-40% injection
room,10-20% path inv,5-10 dressing, 2-5%
minor surg, 8-10% imaging service
• Facilities – public areas, clinical areas, admn
areas, supportive areas
• Public areas – lobby, reception & enq,
waiting , cafeteria , telephone, toilets
• Clinical areas – consulting rooms, sub
waiting area, treatment rooms, minor OT,
inj room,
• Supportive service areas – labs or
specimen collection rooms, imageology,
pharmacy or dispensary, trolley&W chair
bay, H K area,
• Admn areas – registration , OP billing,
Admn room,
 OP
• Organization – staff – medical , nursing, ancillary,
volunteers,
• Policies and procedures
• Problems - crowding, long Q, bottle necks, poor
Quality, low out put, pt dissatisfaction, staff
dissatisfaction
• causes – org rigidity, inadeq ph facility, excessive
pts, pt behaviour, resources, bad coordination
• Evaluation and quality assurance