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INDEX "HAPTER, OBTECTS INTRODUCTION ‘SCOPE OF THE STUDY OBIECT OF THE STUDY LIMITATION OF STUDY INDUSTRY PROFILE, COMPANY PROFILE a [RESEARCH METHODOLGY SORUCE OF DATA PRIMARY DATA SECONDARY DATA INTRODUCTION OF STRESS, ‘MANAGEMENT DATA ANALYSIS AND INTERPRETATION vi CONCLUSION AND SUGGESTION ‘SUMMARY OF FINDINGS vit BIBILOGRAPHY CHAPTER 1 INTRODUCTION Sess management can be defined as inervetons designed w reduce the impact of suessors in dhe workplce. These can hive an individual fcus, sed at icrensing an indhihal's ably w cope with stressors. The gral of Stess Managemen ist manage che sess of every Me among empyees. Many Aiorem methods may be employed, such as biofeedback, median and massage. Counsolas work with inviuas in oder to detemine what sess management program wil werk best arth person, ‘Work pps 9 eral role the ves of invita which has contrated to the phenome of sess for bash indivi employees and the organizations. Stress, at work, i one ofthe threats in proving a heahy rife of work to empyees, The sires indiced die to foes performed by inlvduasas emplayces at workplace, has heen one ofthe most persuasive organiza stress, the outcomes of which have been found vo be cost tothe erznizaton, The previous tas in th area of research indicate that the role tess 1s phenomenon has harly heen understood ins entity and comprehensively in case of commercial hanks particu the Inn context The tight competive banking aus has ved varod ob reguvements omomployees resuling into sess Sess i Something that happens in ur diy Shes ad is usualy associated wi a paricuareveat suc as work family or cer responses. There are many stuatoas that we camt consol but here ae ways to centro ow we deal with cerlain shuts. Esfectne sets management is samettng tht ou ives ca goa Ie more smowiy. Stress management is as simple as taking « walk was been proven hit pyskal stivis would ingrove« person's meatal heal, hop wih depression, an rebeve te side effects of ses. This muhos person's heat rate nerease and will enor Hel tobe acted by stress. Is vit that tess ‘management techniques are inpemeted ino our day ves. Coping wih stress is anvil tsk and oo: method over anther may not be super: A pets tat is stesso takes so much away from iso ber heah and performance veh, ‘This paricular stuly about work sess management i rested within the organization. the stay is cendcted on the mplyces of the engizatinn, this isnot because of non-avabiy of resources bt the ratte ofthe stay se restricts 2 it sts the exsence or non enstense of sess ang the empyecs in the organization and emis the factors hich are contbuting for stress ian) i ako proves the ‘aus steps adped by the rgnization for managing the work stess of the employees, which ean be used ss fue reference for decisin-ntking and policy making with egad othe employes, ths study reveal the morale of the esplnees opgecTiVEs 1. ‘Theoljictive of the stay iw ently the existence of work tes in the organization. 2. IFYBS, themto study the Factors causing sess anny the employees 5 To sty the impact and useless of Work Sires: Management and ako to suggest measures for coping with tess LIMITATIONS 4 Dueto constrains oft and many ther resources this stay & confines to manages and oicers ‘of KIMS HOSPITAL. HYDERABAD (ais 5. ‘Theopinns, behavior and atitudes of he respondents relied hs sty are estictedto the uration ofthe osearchanl are abet change wth de passage of tine CHAPTER 2 I, HEALTH CARE INDUSTRY PROFILE, ‘The healthcare sector isthe sector ofthe economy made up of companies that speciaze in products and servses reed (0 health and medial are. The heakheare setor icles pubelytrded companies that power al dimenshns ofthe healicare industry. Examples of these companies include, but are ot ied to, iotectnobgy companies, beth insurance provers, phamuceutcsl compass, and compas th manage clhics ad hospitals. Companies hat produce pofesioal and home heath produts (fo example, blood Pressure maior, Bhstoplss, Onhopaedic devices, and surgical supplies) are alo inci in this sete. I comprises of providers of dagmsc,povwatne, remedial and therapeutic sevses such as doce, ase, hospi and cher priate, publ, and vohmtary oraniztioes. It ako inchules medical equipment and Pharmaceutical manufacturers, bea insurance firs. The modern heal care sector i dvd into many subsectors, and depends on ined piaary teams of waned professionals and paraprofessional to meet heath need of ndvsls and popltions, The heath care indy is one ofthe words ges and ast rowing istries. Consuming over 10 percent of Gross Domestic Product (GDP) of most developed nations, healthcare can form an enormous prt ofa ountys eeapomy: The beth care indy typical ved ino severaareas, 1 The sector comprises hospital and aled sectors that include: 1 Mesa are providers that ines physicians, specialist clini, nrsing homes and bot b Diagnotsservce centres and pathology oratories Medial eqjment mafactrrs 4 Consract esearch organs and pharmaceutza manufactures, Tid party suport seve providers ‘Tha died pony iohes actos of or unr the superviion of, arses, midwives, pnsiaherapis, scious or diagnostic Rhorateries, paiolbgy clnics, eesleaal heahh facies, er har llod heals The National Heath Poly was endorsed by the Parimcat of Ini in 1983 and pated in 2002 However, the government sector & understaffed and underfinanced: poor services at state-run hospitals force many oople to visit priate medial prctioners, Goverment hospital, some of which are aming the best hsitalsin Ini,povite reament at taxpayer expense Most essential drugs are offered fre of charge in these hospitals. Goverment boss provide tsstment citer fee oat minimal charges. Forexampe an outpatient carat ATIMS (one ofthe test hospital Ini) ests onetime fee of rapes 10 (aroun 20 cents US) and thereafir otpatint medical advice is fe. In esi eatment costs depend on nancial condo of the pation and Facies ued hy him but are ‘sally mh es than the priate sector For instance, «pint waived treatment costs if he ew poverty ne. Another patient may seek for an contimed room if be is wilng 10 pay exea for i, The cages for basic nbospil weatment an investigations are much Iss compared tothe pate sect. The cost fr these subsis comes from annul locations from the central and state governess Primary oath care provided by cy and dct hapa and url Primary Heals Cerzes (PHS). Those pias provide testa ree of cnt Prinary care focused on Immunization, prevention of matt, pregnancy. ciel bith postnatal care ann weatment of commen esses The Indian heathcare marke is one of the prominent contributors to the country's Gross Domestic Product (GP) hnving aracted large munber of players- domestic as wells Internationa during the past few years Accondng 10 part, The Indian eatheare market i curently estinaod at USSICS bio and expected to reach USSI20bion by 2015 and USS1SO bin by 2017. Highly qualfid doctors and sient, state ofabe-attechnabgy and hw’ caxs have heed Ta become an attractive glial destination for meat tourism, cincal studs, and research and developmet (R&D) programs. Medical tourism oo has een rising in recent years. To conch, the Todan healiare sector ison a fast postoall. Regional level Bach reginal/Zone set-up overs three to five dstrsts and act ander stb delegated by the State Directorate of Heath Senices District Level ~The diet vel sructae of heh servbes a mle vel management organisation li i link between dhe State as wel as ep stuctine a one side andthe perperal evel structues such PHC ax well suv cesre on the cer si SuhtivisionalFaluk level - At the Takic vel hoalcare services ate rendered though the office of Asshtant Distt Heath and Fuly Welt Officer (ADHO). ‘Community level - cae Consmuniy Heals Cone (CHC) has hoon ests fr every 80000 0 1, 20000, Populi, and this centre provies the basi Specialy services in general medkine, padi, surgery, losers and gynaccolgy 2, 4 PLAYERS IN THE MARKET: Apollo Hospitals Enterprise Limited: Provides beatheare services primarily in Ini, Maris, Bangdesh, and Kuwait The company’s beadcare facies offer weatment Fr acute and cron eases in pimary, secondary, and tertiary care sectors. Its teriy care hospi provide care in approximately 0 specities inclaing carte sciences, oncolbgy,radinhgy and imaging, gastenterokgy, neuraiences, lwthopaedcs, and erical care services, as well as specize in minimally invasive superies and translation, Fortis Healtheare Limited - owns, operates, and manages muespecithy hospital. Its heacare fies offer a range of speciaty modal somice, such as cardiac car, athopedies, nwoscionces, metabelc ciseaes, eral care, oncology, mother and chil cae, a8 well other services, sb as cosmetic suger. ‘phalnolgy, ear nose that cae, and dernatohgy Hosp, POLL is one of the Fest beathcare compuesto enter Toda theagh 100% Forcign Direct Ivesmene FD route 2.5 INDUSTRY VOLUME, “The beabheare equipment sector atractod 88 por cent of de total investment in tems of dal va wih aggregate of USS240001 mii. The hospial and dagnosties conse in India received Farign Diet Iwesment(FDD worth USS 1597.33 mill, while drugs & pharmaceutical and medical & sorgcal appliances indsty registred FDI work USS 1318.17 millon and USS 62299 milion, especvly daring Agr 2000 w Mach 2013, according to data provided by Depstment of ns Poey ad Promioa oir, ‘The demaal for boil serves has boon conten soaring ia she country, with every css of the sac eaunding beter quality and standands of heabheae. Realising the continous ging demand, may investors worlwide hive expressed their Keenness toward investing inthe Indan xp service market. “The coumry is making strides inthe right direction as evieat fram he 100% albwance of FDI in he hospital Segeat under the automat rout, since January 2000. Tae World Healh Organization estimates there are 92 milion physicians, 194 ilion nurses an mitwhes, 9 millon deat and eter deotitry personne 2.6 milion pharmacis and ther pharmaceutical persomel, and over 1.3 mi community Heath workers worlwide, making the health care industry one of the rest segmenis af the workforce ‘The medical indus is abo supported by many professoes that do nt dety prove eat care sl, but ase part of the management and suppor of the beads care system, The facomes of managers and sinintrators, underwiters an medical mapractceattmeys, marksters vestors and shares of fr profit services alae atrable to heh cre costs 2.6 CURRENTSCENARIO: The heaticareecosjstem in India satan infection point. Whi the outok for dh healicare indy i India presemly has a bed efit of approximately 30 kh beds as pr the WHO recommendation of Fur beds per 1000 population. Consitcrng even 280 bedded hospital on an average, tbe county would need! 1200 sia in the near fture. As almost 80 per cet ofthis wonkl be failed bythe pate payers a huge Hse in IPOS and premium commanding payer in the arena woul Tvter begin interesting ines foe the Ilia nds Recent spurt in Pube Pate Parmershp (PPP) projets, and trast on quay by the goverament sector an ts demand (& mascate in some areas) on National Accretion Board for Hospitals (NABH and ISO, kt of comutancy basins i abuzz with he pots gabe ia dhe accrediation an Qualty managemeat Systems (QMS) Feld India to its credit eady has one goeennoet hospital NABH accredted and may are inthe pipe. With CGHS making NABH mundstry for care nl hospitalization cost reimbursements there 1s hectic activity seen in hundreds of hospitals waking up to the lng due need for quality ealibcare and plying fr the coveted gusty mak The tenis on 3 seep re iti ju amar of ne when the govemment launches patient awareness on NABH quality in fal swing, Ths woudl make the paseot demand at kast an ISO QMS cerifed hospital if net NABH. The hzaticaro industry estimated at USD 22 bin. Estimated prowth at 13 per coat annually sores a etm of 15.20 per cent forthe healhcare prviers. Heabicare sector at present employs milion oople det and indirectly, Private helicare market cure estimated at Rs 690 hills (USD 14.8 tion) 85 por cent private sector Establishments have Fess than 25 hed. Specialy and super special hospitals account fr 2 percent of tal instites. Corporate hosptals consiute ess than I percent of aliases. Private sector accou for 82 per cont of ll outpatient isis, Prine sector accounts for $2 per cent of al oxpaaton, The Indian heainare industry, which compres. hospitals, medical ifsc, medical devices, cca is, crsouring, teed, health insurance an medial equipment, was valved at USS 79 bilo in 2012, ant i expected to reach US S160 bln by 2017. The Indian Houlicare sect i expected to grow at about 1S percent year-on-year (-03), on account of factors such at cpl growth in ifastcture development, creation af demand for higher kvek of boaihcare, sing awareness of end users, and hunch of innovative insurance, renbursemest and Francis pos, “Tous cromaly of thee [velian toealfozime cencerwe i farsher ceiver toy eke 30) enilfiems etre eridlie cloee eameletieme. ‘COMPANY PROFILE DsDoms TYPE OF PRIVATE BUSINESS ENTITY INDUSTRY HEALTHCARE, FOUNDED 1983 HEAD QUARTERS ‘nyerabad INDIA KEY PEOPLE REVENUE 3884 bili (USS691milfion) (2017) EMPLOYEES: 10000 WEBSITES ‘www KIMSospita.com ‘wow KIMSspeciliybospita com csr ivi We are commit to the achievemnt an maintenance of excelknve in edition, ressarch tl beakare forthe Bene tof mat In the 30 years since it has seripted one of the most magnifcem stores of success that Inia has seen. No only the KIMS. Group one of the lrpest tegrated bealhcare groups inte region i ako dd successfully catalyze the peivateheakbcare revlon in the coutry. KIM today has ade every aspect of their by mision a realty. Alig the way the joumey has touched ad enriched 39 nlion bes that cate fom 120, KIMS Hospi was the forenmer of integrated lalate in Asia ab wellassblully. Today. he groups func visio hos ensured that & has een a poston of strength at every toch pit ofthe heabheare otvery chain. ls presence encompasses over 00D bods across SI hospi, mice Hin 1500 pharmaco, over 100 prirury care & diagnose cin, 115 tkmedicine unis across 9 cowie, heakh insurance services, ghlal propels constancy, 15 acadomic asin and 4 Research Founda ha ecu oa oa cial wink, epidemiological stats, stem-cell and genetic research, (Over the past tree decades KIMS Hepa’ trnsformvejnurey his frged a leaey of excellence in Indian healtcare. The Group has continously set the agenda and ed by example inthe bosoming priate heabicare space. (One of KIMS 'sspiicantcontibutions has ben the adoption of enka excelknve as am industry standard KIMS pionoored the concept =the aru was the fst to vest the pre-Tuies ta es otras \giy aceredaton le the JCT and abo develped cones of excelbnce in Castine Seinces, Ortopsedss Newosciones, Emergency Care, Cancer and Organ Transplant Albag with excelonce the KIMS plisoly rests on the pis of technological superionty, a warm patent- centre appcach, a elar ant sisinct cost advantage and an edge in farwarl-boking research, KIMS 's spectacular success rests oa sustuned commit and investncas in each of tes pls. ‘The Group conto to oak mow ground 8 adeping now techanbgy. From verging ow age malty 10 ting Fis equipment KIMS. has always been aboad of the cuve. Curent the group babes ithe tremendous potential of robotics and is vesting heavy in making ia eal and robust option forall KIMS neered Tendet Loving Care (TLC) and 2 continues tobe the mag tht inspires hope, warn ana sense Recemly KIMS Hospitals celebrated its 3h yar, The Group, by Dr, Prathap Rey, reafimed sera unl redefined thei focus, With ambitious poets he KIMS. Reach Hospi, strong fous on preventive heakhcare and an snabated commitment to mire excellence and expertise in heakbare, KIMS Hosta envisions for anew eran ~ a future where the nation heathy, where its people are iin tan nin emerges as the prefered ghbal healthcare destination, HYDERABAD BRANCH PROFILE ‘The KIMS_specaiy hospital Jayamgar has stated on 2th Mar 2013 inaugurated by Sang Rey jit managing Dtetor AHEL. “The hosp having 145 beds hoya and 10 emergence buds a fully ledge operations thee 9 Huan Resource Depart ‘9 Marktng/Healhcare Services Department © FrDepartment (© Medical Reconls Deparmest(MRD) (© Pharmacy Deparment Nursing Departmen, 6 essp 6. Stores Depart oo Howsekeeping department (0 Fenland heverages Bio medial @ Seeurty KIMS Hospital Grup i one of the largest healicare groups in Asi, Referred to as the “Archiets of Heaibare ia Ind the KIMS Hospital group, wih the help of test technology and excepionaly commited medial practtimers, prove outstanding heuer fies to people from all walks of He, In ksoping with our visi of "Paching 8 Bilin Lives" we offer you the test KIN. Specithy Hostal at Jayanagar, Bangabre. This pew hospital works in conjmeton with our fagsip hospital on Banerghata Road. The KIMS Specialty Hospital Jayanagar sa referral trauma & po-rauma cente that species in Ontnpwedics Coit Replicements, Sports Medicine & Trauma), Neurosciences (Bran & Sine care) and tical Care (Pulmoncbgy, Itrventional Palonolgy) Quality: Always parsing Quay, our Hospial envisions mice efficient, equitable care at all vel of = patents experience. Throgh a consensus-based process lina quality unl eicincy measures meets the needs and expectations of the general publ, government, pels an practitioners Compassion: We vale a quality of presence and caring hat accepts peop: as they are and fosters healing and wholeness. Innovation: We embrace change and work to inprone awe doin Fea response manos Patient Centric In all car endeavours, we are guided bythe needs ofthe patient, creating a partnership dat is effective and pesonal across the comingum of care. We put cu patents fists we Seckto exceed te expects of our customers wih supeior service, cusunling cial care and unsurpassed responsiveness Teamwork: System effectiveness is bait onthe colectve strength and cata dvrsty of everyone, working with open communication and ruta respec. Respeet fora: ‘We use ‘Name's he saation when meting patents, guess, emphyees in person ortekponcally, We ect each invita, those we serve and those with whom we work, withthe highest prfessimaln and Alen KIMS Anthe Ary ispiing anthem conmemonting our 25h year came 10 sparking Ke co Sth Feb 2008, as it was hunched wih a vbeant Eve ren by scompesots ~ Shar, Ehsaan and Loy. Composed in 4 aguages, Eglsh, Hind, Tan and Tela, tly captures the spt of KIMS Hospi, GROWTH OF THE ORGANISATION vs xis: DN & MISSION Dr, Pathap C Red eocebed the prosighns Si Nikutan Skea Memorial Ont (IMA) Award for ‘Single handedly making super specaiy cave avaiable toa vast section of sci KIMS Hospi, New Doli came the Fest hospital ia India to recive accrediation foe ICL USA. Subsoquemiy si of our hospi got the ICL aceredtaton, KKIMS_comtinved to grow as a healthcare powerhouse. It added hospitals in Abmsdabad, Biss Mysore, Kollats ae Kakinuda among others 1 2012, SACHE The Saving 2 Chis Heat iniave was huachod. SACHis 2 conmunty service ‘nitive ained at providing quay puodatrc cadac care w chien {rom underiveged sections of wei. J 2005, KIMS Hospitals was nominated asthe Consumer Heaiicare Super Brand in anindependent suey conducted by te Super Brand Counc, in association wilt AC-Nicken. “The first factional Health City in Asia ws bunched by KIM 2007 IMS. Hops st Bangsle and Kolata were accredited by dhe Joint Conmission Internatio CD.USA, KIMS Specaty Hospi, Chemal successfuly comlucted extant Micro vascular fee tssue ‘wunsferand Aestbete supers on more than 1000 pata Full Pel! Dgial Mammography with Tom syrbesis (3D) system, fs-o-ts-knd in South Asia wos Thunched at KIMS Speciaity Hospial, Chennai ee KIM. Hoops Enterprise Limited hs over S500 bed across 51 opts in In, rest of Asta and Afra, ‘The hospitals are muti specithy trary care facie with cenres-of-excellnce in medical disciplines inclaling Candy, CartioThorcic Surgery, Gastrenterobgy, Onbopaedes & Joint Replacement Surgery, Neutobgs, Ceieal Care Medicine, Neptraigy, Oncobgy, Hand & Micro. Surgery and Reproductive Medi Reach Hospitals IMS. Hops & prod to present ts est visnary develpmoat- KIMS Reach Hoyptu: An endeavour 1p ving Wovk-chss hoalbcare to smal whan ceauos and rural Tada: A concrete effet oars bling 3 hoatioe satin, starting foe th ass 00 KIMS Pharmacy KIMS Phinmacy,a division of KIMS. Hospials Emerprie Luis Inds fist nd largest branded pharmacy nctwork, wih oer 1500 phamacies acros 20 sates. Acrediod with International Qualay Certirations, KIMS. Pharmacy offers gemine moines roun-he-clbck, thr the network: of 24 bor phaemcs, KIMS Pharmacy ako provides customer care a anytime of the day. Nurse Station: Nurse Staton TM is a unig iniative where an KIMS nurse is tatinned at KIMS. Phases assis wih rior teatments and health emergencies, The objective ofthe Nuse Staton TM is fo provide quik eatment in the mot convenient way: The service & especialy meant fr the eletly who find inconvenient to wak foe bg bours at eis and hospital for mince eaten and fequeatchechups. It ao af great hal to patio who fd fio to move out ofthe house and travel tps distances foe treatment, He pregnant women, bedren patents and paints recuperating afer a surgery. The service abo manitrs the satus of people with chron: problems sucha bd pressure dake et IMS Hospitals Education and Research Foundation: The KIMS. Hospials Group his hi at of impertance on education and esearch. AHERF has been setup with the prime objective of establishing, mantsinng and supporting edvetonal an research ctv, Several nsttuions hve been setup a various KIMS cations to all tose objectives. inogrted fy, wil have simul Ibs, classrooms, a hospital, mesa colege, resieia facis, ud wil he looking at developing 2,000 skid healcare warker pr year. B) SERVICES:- CORE SPECIALITIES: 1. Bones a Joins 2 Bran and Spine 3. Emergency 26:7 4. Pulmonology and Crical Care KIMS DIGNOSTICS: 1. Ray Serves 2. Laberatary Services 4. Bea Bank IMS CLINIC: 1. Encrne an Bone Hea 2.ENT A Heaa Care 4. General Meine S.Gaswoetobgy Minimal Access Surgery 7.Cancer 8. Conmetlogy Imerpretation Services Bank & ATM Money Transfer & Careney Exchange Intercontinental Food Cafeteria 24 COMPETITORS: 8) NIMS HOSPITAL NIMS Hospi (formerly Wockhardt Hospiak) Bangalore a part of the 40 hospitals chain of Forts ealiare. The Faris Hospals network consis of 11 hospital focusing onthe high en tertiary are arcu the species of care care ~ alt and paediae cardnlogy’ and eatdae surgery, complex tain & spine surgeries, otbopueds and ont replcement surgery and minimal access surgery: b) MAXCURE HOSPITAL MAXCURE Hospital Bangslre i cosiered tobe India’s fist hospital ta be 1S0 90012000 cere for Cnical Nursing, Diagnostics and All Areas. Ako, the hospital i the winsr of the Galen Peacock National Quality Award 2005 in he service category. MAXCURE Hospiak i an integrated asp sevice system that provides beatiare fom he smallest othe ost corp medical prbles ©) YASHODA HOSPITAL, 4) APPOLO HOSPITAL APPOLO hospital is lcated in the hear of the Bangalore ct. APPOLO Hospi hs grown over th years with substantial inrease in bed strength, infrastructure and an assurance of quali patient care with uma touch wsing sateoe art echokgy wih quali beat care under one rox. APPOLO hrs has ois edt as the fest Mukipeciay hospital the country to recvive the coveted 180-9002 certicaton swan wich has en cel upgraded to ESO 9001:2008, Further, slo boon award the pestis NABHL (National Accreditation Board for Hospitals & care providers) certieaton on 18th July 2011. 2.5 ORGANISATION STRUCTURE: = 3, DEPARTMENTAL STUDY ‘+ Marketing DepanmenHeathcare Service Department + Deparment 4+ Medical Reconds Department + Nuning Departnet FINANCE DEPARTMENT FFunce is roparded as the Wile Hood ofa business enterprise. Tis i because inthe madern money ented cconomy. Finnie & the one ofthe hast: founfaton fala of activity. His the maser Key whic provides access tothe entte source fr beng employed in manufactring a merchandising atts. 1 has righ toon said that ihe business needs momey to make mice mney. However itis ako tr tht money begets ce money, only when tis propery managed. Hen, efficient management of every barnes entero is ls ly Finke with efficient management of ts ance Meaning of Business Finance: In general finance may be defied as the provision of money atthe tie i is wamted, However, as a ‘management function it has a special meaning. Fiance funtion may be defied as the procurement of fds edt fective uization, Some ofthe authoratve define areas follows: “Busipess hance i hat bushes aetily which sconcemed wit the aequisin andl conservation of capital ‘ands in meting Fane needs and overall obectines of far busines eater “Busnes nance can brady be defined asthe activty concemed with plain dmintating ofthe fd sed inthe busines.” ting, controling and DEPARTMENT STRUCTURE: Nota Xe} EXECUTIVES EXECUTIVE BM EXECUTIVE ‘Finance Functions at KIMS. Hos pitas: ‘There exits an inseparable relationship between finance ant otberfuntional Departments such s marketing, THR, IT ete. Almost a kinds of business activites, dectly or inely ioe the acqustin and use of funds. The finance funtion of raking and sing money akbough bas a significant effect on other functions, yeti needs net necessarily tnt r constrain dhe genera runing of the bane. ‘The fmetions ate: 4+ Proper we and alain of fans 4+ Taking sound financial decisions. 1+ Improving roftabiky through proper ance conto, Finnce functions are performed simvlancoushy and inthe normal couse ofthe Business and they need shia planing, coma and execution 5 Ovtputien Bile, (Xray tests, ct.) Inpatient Billing [At the tine of Discharge the piso activity chart sent to Impatient pharmacy, fod unt distr departments to note the medicine and fond expenses. There are two ways of paying the Bl that, the form of eashor credit Ifthe patem doesnt have heat Insurance then, the bis pal on cash has Ihe paint has hea insurance, he bi i faxed sen tothe Insurance Company forthe necessary approval, Approval of medial expenses incurred by the patent and the same elected withthe ered period of 30 ds, 2 Outpatient Bling (Consultation ) Any caption has to pay the fod amount of conaubsti charges every tine they cons docters. The hiing is dane forthe sare 3 Outpatient Bling (Xray, tests, ete) Thi section of ing prepares a fin bil based on diferent ets such as X-ray, Semin, the patient as uplergone and the ammount is colbeted ia cash for dhe same. ‘The Performa statement contiing vari heads under which trnsstinns takes pice in KIM hep are stow ey ton he bok tbl, Expenditure. Income, Puretse Account Direct Incomes Dizect Expenses Inpatient Tacome Indirect expenses (Outpatient Income Employees cost. Lab Income, Finance Charges Consuation Income, Fond and Beverages 4 Latest charges 4+ Bplyees cost inlade 4 Boording ant Lodging 4+ Hostel charges, PF contusions 4+ Thing expenses, salaries and wages et Fnnce charges iclole hank charges, Credit charges. Interest on ans, administration cos inches Ectcty charges, Internet charges, Legal expenses, Ofice expense, sas and marketing, advertisements, pubiciy-Camp, sales promo, ete 3.2 HUMAN RESOURCE DEPARTMENT: According to Edward Fippo, “Human Resouree management isthe organizing, drcoting and comoling of the procurement, develpmert, compensation, tegration, mtn and separation of human resources 0 ‘he ead that individual omniaonal and secbtal obpetbes are accomplshed” Human resource ‘management is a management Function dt helps manage, crs, soko, ai and develops memos for an paca. IMS. Hospital is a vixant Company with over 300 empyes. Ita rie misture of cutures. KIMS Hospitals is today the efninent postion of the Infia's Top-most best Hospi powered by is mos important rescue - "poop IMS Hospials "Peon Philesophy is driven bythe KIMS Hospials Human Resources General Manager which says 4 Ateact god people 4+ Ruin be beter peopl, ‘+ Advance the best peopl Deputy Gene: Manager - HR. HR INCHARGE KIMS tsp give an epportnity 0 werk with aoe ofthe I's best Hospi ‘9 Career growth sed on performance. ‘© Ata, Mat hase Pay thats inked perfomance. © Sietued career adership program for ih pesnmers to manage tee carers. 19 Needed al vabe adie wang program to prepare emphyes for ftue growth KIMS Hospitals recruits personne! mainly inthe areas: 1. oetrs (AN speci), 2 Nuses. 3. Security guards, poms, beer, eceptois, ete 4 Biling manager, financial contol, finance manage, Financia analyst 5. Computer Science Engineers In pro-rcratment, HR manger rings indents from a ether department and ans a vacancy’ i up by giving aditinal responsibilty to the co-vorkerempkyces ofthe department, than thes is need of recruiting provedres 2. Planning Recruitment KIMS Hospitals has decided «jp specication & jp desertion foreach poson in the organizations Different quasi & experience i rete foreach jb. If any vacancy generates among one ofthe portent, than it should be fue with ropard to job speciation & job devcripion, which & being fone by cxpanizaton 3. Searching + xs there no actu reemating take place unt manager gives pemnssin, (b) Seling- Selig ue organization means both message & media should be wellsekcted, The rganzion tives is auvertbement in ts eal newspaper for wekoming of more & mre appBeant, Sereening ‘The purpose of screenings treme from he recruitment pressatan early stage, those appcants who are unuiied fr the johs. Te Sreening ean save a preat deal ime and money. The HR executes srtize ant short tal appication and shes applicant ats sent so HR manager. Then, ony elgble application ane called fr iteriow 4. Evaluation & Control Evahaton and contol is necessary to cay out eemutnen process at ow cast, KIMS. hospitals conto f)Saurce Activation: Hunan resource manager voried hat there any vacancy exist owl cost hy way of ‘© Byavoing recrting unstable candies forthe section process © The Organization has a systematic and well panned rerun procedure so tote & no ovetine cet Recnukment in KIMS Horak can tke place in any ofthe folowing ways: Advertisement o Walkins In this source cost per person i ow so the Fim gives an advertisement in newsqupe, in magizve t Feerit mpkyoes for managerial bs Employment Exchange: Government of India has established employment exchange. So, puble an fms ako some takes advantages oft Recommendation: ‘When there i need, company reeus the person who x recommended by manger or executives. KIMS ota usos the recommendation of managers anal exccutves fr the reeruiment Selection: KIMS hospital ses the holow produ for selection 1. Preinnary ierview. 2 Appleaton Form: Detail about age, edbaton ee 5. Employment Test and Inne 4. Physical Fines: Medsal Examination 5. Fal Section [After the seectio of cant be has been given temporary peril for 12 months. He work effectively ant efficiency than be becomes pemanent employe, Indution: When a new person is appinted inthe fir, they Know tke about his Industry, his sta, heads, his workes, So he azeds to he given info about his work, abut is head. Thi. proces scaled Indueto, Thi the process to phe information to fresh candies about the fm. Whoa afresh candate knows shout his department, des ot fel brn at the tine of sting of hi nb ‘Training and development: “Teaining i a short ter peocess bing a syste ancl cxgaized by which not-mmnagerial personal ara tecnica and sft kil (2 Tring by experienced person © Apprenticeship 2 Conference method Ako, Training ned analysis is done forthe exiting employees co se if hey are weak in sft sil, being regukaty absented Performance Appraisals ‘The management wil appeate and mabtun performance record of emphyees peraticaly and or a and hon equ 2 Normally, Performance appraal i before confomation and thereafter before grating anal (0 The methad used for perfomance appraisal is solely decided by the management presently KIMS apa are using Bell curve Le. 180"apprsal. And the concison of such apa wil be fin and wil be binding ypon concerned, (2A Promotions, demetion, ranfer; anal increments wil ao be done onthe bass of performance appeal ratings andthe factors of suit rebvan for a particule poston of ph Promotion and Transfer: According to Dale Yader; Promtion& & movemet ta poston in which responses and presuabl prestige are increased.” When any vacancy erated doe to reason of any retement or temiaton the vacant posted yp." From the nex category persons taking into consideration ther seni series of «capuble person sna ave in second category than ps ified upby advertisement In KIMS.Hosptah they gvepromeson onthe basis of meas, vacaney an the capacity of employee. They ive promotion on the bus of previous tury and beter perfoamnce ofthe candies, ‘The prompted employee wil he cn for a period as specified inthe promotion leer the perrmance of cempbyce i found satifactory or above during the end of probation pind, the employee will hecame permanent employee inthe promoted postion, |i KIMS_Hosptab, every empnee shall compuoriy rere om the date wien the employe ata the age of $8 years or earl if the employee becomes medically unfit, The management ints discretion can re ply the medial ft employee on some Terms ul condos agreed ‘Leave: Offi permission to be absent fom work or dy that granted to corporate personne or anyother enphyee scaled ave and the prio of tine granted by such permis scaled leave of absence. “To ensure snout uniwerrpted operations of the organization reali aendance for work sa vial fcr. “This requtes that enpaye pln thei kave, Leave rus willbe differen for deren expec, Types ofteave: | Casual leave, Sick kave, Earned leave, Maternity ave other ave In KIMS Hospitals, Leave application shoul! be submited to HR executhe at east a day before and with thee Department he’s approval Dismndesa An empyse is lble to be dismissed for misconduct after being given maxinum the wamings depending nthe depres of misconduct 3.3 MARKETING DEPARTMENT: Marketing generally refers a the task of eeating, promoting and delivering goods and services wo consumers tn busiess, Marketing managers secks to infseve the level of ining and compostion of demand io meet the orpanizaon's objectives. Marketing people are ivohed in lOypes of entkies: goo, senses, exporonces, evens, persons, pices, propos oepaniztinn, infomation and ideas. The marketing concept rests on four pias: target market, customer needs, integrated marketing and profiabity. Marketing i fined as a societal process by which indviduak and groups cain what they need and want trough creating, offering and eel exchanging products and serves of vale with ees. IMS Hovpiak belbves f creating vant brand diferemaion and bung & strong Brand withthe pubis and making ysl customers. Ths foeus slang with coninnos innovation in sil aspets of Brand marketing and sales has beled to transform the KIMS, Hospital brand it ts mars ad ve mar Marketing Executive Marketing Objectives: (9 Tobring in ofera from Decors increase the revenue and castes (© Generating med, dough awareness with regu fee medval camps (© Wallis usualy through med al fom eter people Marketing plan & strategy: (0 Marketing pln & is strategies makes service rice in compete situation and executes bral imag, ‘which ges lyal cusomerspatents ote company. ‘© Suengihen KIMS Hospi’ buses in exsing geoerapies, Marketing at KIMS : ‘The work of marketing department in KIMS Hospitals sw create awareness about tbe packages unl services fered bythe Hospi to ior the pubic about de wetness cenie (Hospital andthe hens ut a a 'o inform the Doctors (General practioner) ouside the hospital egatding the speciy inthe Hospital Abo, the musketng Department as 10 lak after al he advertbemons in TV, newspaper, et. The Hospital tas deren puckages Ske compote package and other special packages, KIMS Haspial conducts diferent camps such a8 “Free Newolyy & Nou Surzery Cap, ete to weat poop and create awareness to the pubic ia dfforet acas. They abo create and design atracive and informational rochues and dtrbute them to poop to create swvarenoss ofthe services proved bythe Pasi (One ofthe Progam which are undertaken by the Hospital & Preventive Hea car, I says “Fines about being ware of one's weakness, “Ts one hing fee and quite another to be really So". This program basically eat check up for diferent categories of people namely; Candie heal checkup, Diabetic heath chock up, Execute sah check up, Maser beth check up, Pevestive Heath check for Women, Pre “Maria! Healthcheck for Men and employment heal check. Te comprehensive program kaves ning cance and certs one’s fess in absobte deta “1 comiats of a group of customer who share si st of wars” Dine into $ map segments 1. Corporate 2. Pablo sector unis 3. Banks 4, Doctor referals 44 INFORMATION TECHNOLOGY DEPARTMENT. IT management the disciptine whereby all othe technology resources of «fer are managed in accordance wih is needs and prints, These resources may inchde tangle imestments tke computer hardware, software, dit, neworks and data entre facies, as well 6 the sas who are hed to msn them. Managing this responsbiliy within a company entails ny of the base management functions, ike adpsting, sing, and cxgaicing and conoling, ang with ther aspect that are unique to techickgy, 1 charge management, software dex, network pling, tech support ec ‘The infamatin rluing to Hosp management is stored trough electoni: data processing, aba called as lectronc data processing (EDP).The IT department minly takes IT standaad pocy to implemen inthe Hospital forthe dephoyment of inrastrectre to improve producti. Structure of the department: IT Manager System) Administration Desktop Engineer Hospital formation System: IMS. Hoxpal uses Hospital Information System (HIS) which hs 18 menus. The HIS is designed by ‘Wipro, The information regarding Doctor, patios ad erpnees are maintained in SQL. (Aequenal eusey language) as hack end and vil Basic in dhe font endl wit the fcilty of LAN The infor is more ‘© Discharge summary, purchase aml aks records 2 Admissions 5 MEDICAL RECORDS DEPARTMENT: Medical Records i defined 8s clic, siete adminstratine and gal document relating to paint care in which ate cecrded suffice daa writen in sequence of events t satisfy the dagnosis and warrant ‘weaunoot and ead vsu Ald sulin! clinical information portant the patent aust he incorporated in to the patient medial recon, The content of medal record mast be suffeiemly detailed & oratized to enable the medial care team response forthe pation to prvi continu of care to determine at any tine the status of patent and 16 review the diagnostic and dherapeuic procedure performed and the patents expenses to weatnent Contents of MR: Ie canbe clssiid under the flowing categories: |. Patios: Sacnopcal 2. Cina: - al infusion regarding the dase, diagnos und weatment procedure and al events of ptt ding hs sty in hosp 2. Meio gal patents consent for surgeryhreatment 4 Ttsernal & extemal comespondence & communication reguedng puns: ~ patents corespandenss, referals to other extremes expt, consttant & thr pain, LIC reed aera oaalCaey Mera elma eg aot ae Ponctions: Primary function is ready avaibity of MIE ‘ts resposhle for eration care, collect code, storage, sue apd etal of bealh information “Tofle and keep records a wellas Maintaining confitenintty of records “Toco-oprate wih th heath care pofesinas ia crderto otsin cmmrchensine pation records “Toassemble the MR in acconlance wih prscrBed order ‘Toreuieve the MR wo meet the seed of pata, docs and sts. “To conti the manent of pate fe “To maintain dere regsters for nfrraion rete from MRD ‘Toinform communivale dheases and vial states to goverment autor Nurses advocate for beath prmetin, educate patients and the publi onthe preverton of less and ini, provide care and assist in cure, parcipte in ehubation, and provide support No ether healh care profess has sch bad and far-reaching ro, "Many lives have been saved because an attesve nurse picked yon early waming sgn ofan upcoming ers ke carte ames or respiratory fale Nursing care at KIMS hospi ACKIMS losis de responsiiis of staff nurses reach afar and wale across the medal dscipine. Structore of Nursing Department: CHARGE NURSES eae 159 Nurses ae werking in tis deparumen. There are 3 shits fr 8am to 2 pn, 2to Spm and oe night shit from 8pm 1 8 am. Nigh sit Nurses wil get beak of ene uri the le of hei sche and 6 days iva mom a nurse wil gt nigh dr. "rn ean gaia ION NE For the muses to be effin In-service educational programmes are conducted eau. And nurses have tive pre and post tests. Performance appraisal is done yearly for the regular nurses and hall yearly foe the fresher ures Ako, Nuss are sent to Camps ognized by the marketing department of the hosp and some mes are ao sent to caxpoate tases houses. In KIMS. Hospital atemions given towards the were of the mses hy providing thm segubr taining programmes. They suppet them by giviag those Tramsportaton fais, souy, ee. CHAPTER 3 RESEARCH METHODOLOGY INTRODUCTION: Unter Reseach Methodology various eps that ae generally doped bya esearcherin studying hs research publem along with gic Behind thom discussed. The researcher metaalgy as many dimensions an research methods to constiute a par ofthe eveatch meting It nocessty fr dhe researcher wo design the methodology foe his probe as i my der from problem to problem. In the process of conduction dhe sty the researcher has flowed the fllbwing mehdaigy Field Study:The researcher has conducted the study amang the executnes andices level empyoes in IMS HOSPITALS. Since employees were operating tal onthe whole sytem coukl mot be undertaken os whole and is esticted wo with nthe unt ofthe company. Collection OF Data Prtary Data: Prinary dat was colited within the erpyees of organization though survey and pesca iene, Secondary Data: Secondary data was colected fram various publsied books, companies’ web stes and company all recods Research Design ‘The research designs under taken forthe stayin deserpie oe. Themethadokgy involved in this desi 's monly quate ina mtr ‘Types of Study (9 The present stay is party expratry, party descrpive and party caus ‘0 Wivexpbratoy because tis concemed wih ening the exience non-existence af sess © isesernive as tains to desert the varus fern al eatemalfactrs hat conte to ste 2 Miseausslas tains to analyze the causes frstress andthe effect of sess inthe performace of the cenplyees. Sample Design ‘A sample of 80 employees is then cut of a ttl population of 250employees (S85), based on julgment cs umber oF 20 questions. n has ath pen edad cheod ended questions, Te information clested thrgh personaltersiew is ako being used, Pre-testing was conducted to find if there were any discrepancies in the questomie designed necessary changes were mide after desing the questionaire for which data was colected Diagrams used Bu Chars Pe Cars CHAPTER 4 Introduction to stress management Sess has hoon called “the vibe" ka dicase that may’affect you, your organization, al any of Uo poole in so you cane afford to ignore EVOLUATION OF STRESS: The Garden of Eden began asa rangulstess emeenment. However when Adam was given the tain ctnce 1 eat the frbiden fru be was ust io mankind's fest stressfUl satin. Adar was offered 2 ctnve ands we know decison mabing i the bred prune for confit, frusteation and stress DEFINITION: Suess in ivi defined as any iterfereace hat distur a persons” esky mental and physical wel being. acurs wen he yi repre to perform beyond socal range of capa. Sess is the way tht you reat physically, mentally and ematonaly to varius condons, changes and emunds in your ie. High levels of stress can affect your physical and mental wellbeing and performance, ‘The resus of ress ate harmful nv, fais, secety and erganizations, which can suffer from “organization stss", Ianeevieh and Matteson define stress as iid with te envmment. Bee ant Newman define job stress as “x condtion aking from the interaction of people and thir js and cratered by changes win poop that fave then to deviate fom ihe oral funetining” Sess js a dynamic condition, whch an itl confronted with an opporuniy,constait or demas relted to whit he or she desires and foe whch the outcome i perceived to be bob uncertain and important Swess i associted with consnins and demands. The former preven! you from doing wht you desi, te lator refers to the Kas of somthing dei. Stes is highest fr thon nil who peresive that dey are uncertain as to whether they wl win or se and west for thse individuals wh thik hat wining oe sin is consi, “wil invigoration” to “esease of adaptation”. » Resistance: The second i the phase of resistance. The inv atempss to resis or cope with he teat. Maxim um adaptation occurs ding hs stage. The bly sans characterise of the alum reaction disappear. It the sts persist, or the defensive reaction proves inesTecne, may overwhelm the hay resources, Depleted of emery, he bay enters the ise of thi chau: Adapition energy s exhausted Sings of the alann reaction seappea, al the reste vel begins to define every. The erga cops Level ot resisonce = ldgance ‘sac Resisunce | Extaishon ste shoe stage Duration of exposure to sess Peptone his atemstod/ Ment hee portant sectors of ein whch toss ovrites, Tose are (pi andthe ngaization ‘The soot sector lnupsyeic sector Job and exganitim, refers w the taaliy of the work ensicament (task, slmosphore, coleages compensation, poles, ete). The sci! soctr refers to the ther sich factors. The Inbapsyehic sector a] |e} fr lo} jo} |s el je} |é al ir} |e eo} af |e IR L s e ° INDIVIDUAL EQUIPPED WITH S.T.L ORGANIZATION-INDIVIDUAL NORMAL INTERACTION PATTERN STL. - STRESS TOLERANCE LEVEL Inthe figure we ind hat job aa ganization ads have increased and have mada den de personaly. Jn is stage, we Fa mine surface changes taking pice, which ae que manageable ‘apgoren Most of the stress related cseases emerge at hs pont. When the suai persists we move into the next stage in whch we start operating beyond the stress tokrance iit” INOIVIUAL EQUIPPED Witt ST] MAJOR SURFACE DISFIGURATION Frantic copying 1. Esra rdimary effort 2 Wonry al anaty ot the ef 3. Onset of pysioligcal symtoms 4. Aggressive tondencies Several pes of reakdowns and cracks are okervabl a thi stage ie, forth stage, IF unchackod dhe siuation may culminate ino the stand most intense phase herein comple dsinezration of personality lakes pce. At this stage, he individual regutes proper peyshologial amd medial care. The figure tehw epics the fourth and ith tage Oe Z\ BREAKDOWNS AND CRACKS: FAILURE IN COPING A. Work relied symptons Lack of eanentation Affected clit of thinking & desig making Freguco abseotcim Affected tam work Ageressve bobavie 8. Physibbgical symptoms Headache / Migraine Insormia Lack of appetite Digestive disorders Sexual doxders Temperament changes, Peston has ao developed model to expin how we cope with stes reactions. Is elle the BOUNCE ime because the behavioal decomposition aking place due to stess tense to got rected in imerpersmal reactions. The eacions are ceived & analyzed by the envionment, which in tun, bounce ack signals tothe ida to bring about a change eer atthe rgasnc vel or atthe response evel ‘THE BOUNCE MODEL STRESSORS ETERNAL PHYSICAL) b onGaNEM—trespdRce: EXTERNAL (SOC) P Wee wee oa <2n| HONEYMOON STAGE: ‘This stage can be descrbe as accountng forthe eupberc felng of encounter with the new jb such as cactement emhsasm, challenge and pie. Dysfunctional features emerge in two ways Fist tbe enensy reverses are gradually depkted in coping wih the demarals of «changing envronmert, Secor, habits an strategies for coping with sess are formed inthis sage which is often mx useful i coping with ter tage. FUEL SHORTAGE STAG This stage can he inti as composed ofthe vals feelings of hs, ftigns aid confusion atsing fom the ‘nviua's overdraws on ovorses of adaptation energy. Other sympsons are disatsfactin,nefficeny, and fatigue ant seep dsturhances kad escape activate such as creused eating drinking & stoking CRISIS STAGE: When these felngs and plysiobgcal symptoms persist over pti of ime, the inva emer the stage of cis. At is stape bo develops “escape metal” an fle oppressed. Heightoed pessimism, sdeubing temencies peptic ukers tensin headaches, chronic hackaches, bod ressur HITTING THE WALL STAGE: This stage of BOSS is characterized by tol exhaustion of one's adaption energy. which may mark the end cof one's profess carer. Whie recovery fom this stage ee maybe rescuvefl tote verte cies. ‘TYPES OF STRES the sres for the day 0 day adptshity of man w his environment and ress He maverance of vera steady sate (bomoutasi) iis Know as neusress. For example, one prodices meses in onde Ieeath work - Stes through of in agatve wor, shop to be caused by something bad (ir example the boss ges a formal ropvinand for poor perfomance). Ith sess response uafavrabl al ptoaily ikease producing, thsi known as dstess. Constant worry ina susceptible individual can ato urs “ie dhe

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