Feedback Points 1.

Availability of sufficient
information

Very Good
Excellent

Good

Fair
Sl. No Patient GHID No. patient Name

1 MR. ZAMEERODDIN SOUDAGAR 5

2 MR. REVANSIDDAPPA BHAVI 5
3 MR. SAMBAJI SHINDE 5
4 2014002365 MR. NITIN SHINDE 5
5 2014002350 MR. NAGNATH VAKARE 5
6 2013000691 MR. VASANT BHARATE 5
7 2014001033 MR. MOHASIN SHAIKH 4
8 2014001106 MR. MAHESH CHAKSHETTY 4
9 2014001719 MRS. SUVARNA PATIL 5
10 2014002381 MS. HEMAVATI CHAVAN 5
11 2013003053 MRS. NURJAHA BEGAM 5
12 2014002040 MR. SATISH HINGMIRE 5
13 2014001969 MRS. RUKMINIBAI HUGGE 5
14 MS.KOUSAR MULANI 5
15 2014002354 MR. KERAPPA HALIMANI 5
16 MRS. JYOTI PAVLE 5
17 2014002344 MRS. RAHEMANBEE LANJIWALE 5
18 2014002346 MR. MD. SABER LANJIWALE 5
19 2014002380 MRS. SARVAMANGAL DHULKHED 5
20 2014002414 MR. SAIFAN SHAIKH 3
21 2014002870 MR. SHIVRAJ PATIL 5
22 MR. CHANDRASHEKHAR ATNOOR 5
23 2014002399 MRS AMEENA PIRJADE 4
24 2014003807 MRS. LAXMI UDANSHIVE 5
25 2013002334 MR. SHIV DIGGAO 5
26 MRS. SAROJA PATIL 5
27 2014001319 MR. SURYAKANT SAJJAN 5
28 2014001330 MR. BABURAO BALATE 5
29 2014001125 MRS. BIBISHAN SOMVANSHI 4
30 2014002437 MR. DHANAPPA ANKALGI 4
31 MR. RAMDAS TAMBE 4
32 2014002440 MRS. SHASHIKALA JOTHADE 4
33 2014003162 MR. NAMDEV KANDAR 4
34 2013001960 MRS. PARVATI KOLI 4
35 2014001174 MRS. CHANDANBAI PYAGE 4
36 2014002053 MRS. SHAMSHAD SAYYAD 4
37 2014003180 MS. ZIKRA BAGVAN 4
38 2014001818 MRS RADHA JADAV 4
39 2014002441 MR. MARLINGAPPA PUJAR 4
40 2014001641 MR. MAHADEV UKRANDE 4
41 2014002056 MRS. JAGDEVI VAKARE 4
42 2014002209 MR. RAJIV CHAVAN
43 2014003138 MR. SUJATA WAGHAJ 4
44 2014002208 MR. TOLABAI SALUNKE 4
45 2014001689 MR. CHANDRAHAR JADAV 4
46 2013000036 MR. LAXMAN MEKALE 4
47 2014001612 MRS. RATNABAI PUJARI 4
48 2014000193 MR. SANTOSH MANE 4
49 2014001459 MRS. LAXMI KOLI 4
50 2014001673 MR. JADAV FATTEHSING 4
51 2014001468 MRS AASHA KALE
52 2014000760 MRS. SHARNAMMA YADGIR 4
53 2014000795 MR. DHANAJI ROUT 4
54 MRS PRATIBHA SATHE 4
55 2014002494 MR. YENKOBA GOUNDI 4
56 2014000372 MR. NAGRAJ SHIRSIGIKAR 3
57 2014001810 MR. SURESH KATTIMANI 4
58 2014002070 MR. KANNAPPA PUJARI 4
59 2014001246 MRS. DAIVASHALA GOTE 4
60 18255 MRS MAHANANDA PATIL 4
61 2013000477 MR. RAJENDRA KHELBUDE 4
62 MR. PRABHU KSHIRSAGAR 4
63 2014002490 MR. PIRAPPA WADLURE 4
64 JAITUNBEE HUNGADI 4
65 2014001511 MR. AMBADAS ROTE 4
66 2014000141 MR. BALBHIM KAMBALE 4
67 2013001313 MR. SURESH VANCHANJE 4
68 2014002100/13 MR. AYAZ BAGWAN 4
69 2014002018 MR. PRALHAD MADAKE 4
70 2013003197 MR. MARUTI MALLADE 2
71 2014002540 MR. RAJESH DOSHI 4
72 2013002083 MR. ABDUL SHAIKH 4
73 2014002108 MR. TABREJ MALAK 4
74 12784/12 MR. NAGESH GARADE 4
75 2013001840 MRS.AASHBEE ROTE 4
76 2014004031 MRS. LATABAI SUTARAVE 4
77 2014002545 MR. SHARANKUMAR KORBANAWARE 4
78 2014002565 MR. LIMBRAJ KOREKAR 4
79 2014001308 MRS. GEETA MAHANTGOUD 3
80 2014002613 MR. NAJEER BAGWAN 4
81 17914/12 MRS. NEELAWATI MATHPATI 4
82 2014002610 MR. SHIVKUMAR MAGDAL 4
83 2014002609 MR. ASHOK GAVALI 4
84 2014001701 MRS. SHAILAJA DUDHANI 4
85 2013002377 MRS. SANGEETA KATMORE 4
86 2014000239 MRS. SHANTABAI HOTKAR 4
87 2014002264 MR. PRADEEP ADAGOND 4
88 2013001150 MRS. MEERABAI TINGRE 4
89 2014002592 MR. RASHID SHAIKH 4
90 2014002596 MR. AHEMADOLI SAYYAD 4
91 2014002594 MRS. SALIMABEGUM HOSMANI 4
92 2013002996 MR. DAYANAND KAPSE 4
93 2014001083 MRS. KAMAL BIRAJDAR PATIL 4
94 2014001539 MR. SUNIL GAJARE 4
95 2014000709 MR. SANTOSH SHETSANDI 4
96 2014002817 MR. HANMANTHRAI PATIL 4
97 2014000617 MR. AKSHAY GOUDAPPAGOLA 4
98 2014005431 MR. JAGADISH SHANKARSHETTY 4
99 2014005410 MRS. RUKMINI SHERKHANE 2
100 2014000665 MRS. VANDANA YELGUNDE 3
101 2013001967 MR. SHREYASH PAWAR 3
102 2014005408 MRS. RAJESHWARI KOSTI 4
103 2014002653 MR. UMESH KADAM 4
104 2014002657 MRS. ARATI PAWAR 4
105 2014000778 MR. SHARNAYYA SALIMATH 4
106 2014001884 MR. NANASAHEB MAGAR 4
107 2013001101 MR. YASH DHERE 4
108 2014002639 MRS. SUJATA MUDDEBIHAL 4
109 2014000125 MRS. JAYASHREE GARAD 4
110 12894/12 MR. YAKUB BAGWAN 3
111 2014007770 MRS. CHANDRABAGA KENGNALKAR 4
112 2014002622 MR. SAHIL NALAVADE 4
113 2014002636 MS. JYOTI CHINCHANSUR 4
114 2014002339 MR. KRUSHNA HAKIM 4
115 2014000931 MRS. VITHABAI DEVNOOR 4
116 2014001840 MR. AVIDHA TOMBARE 4
117 2014002154 MRS. LATA MORE 4
118 2014001492 MRS. ANUSAYABAI JAIE 3
119 2014001752 MR. SHREEMANT ANBHULE 4
120 2014002718 MS. SHARNAMMA PUJARI 4
121 2013002208 MRS. NEELABAI CHANDANSHIVE 3
122 2014002239 MR. SANJAY SOMANNA 4
123 2014002140 MRS. NAZEEROBI SHAIKH 4
124 2014002720 MRS. SHREEDEVI MASHALE 4
125 2014002101 MR. S.A. AZIZ 4
126 2014002372 MR. DAYAPPA WALIKAR 4
127 MRS. SHOBHA KADAM 3
128 2014002029 MR. GOUTAM PAWar 4
129 2014002426 MR. ANAND JAINAPUR 4
130 2014002296 MR. YASHWANT DESHMUKH 4
131 2014002430 MR. SUHAS DALAVI 3
132 2013001889 MR. MALLIKARJUN KADAM 3
133 2014002814 MRS. INDUBAI PHARATE 4
134 2014001118 MR. POPAT KOLAWALE 4
135 2013000087 MR. BASAVRAJ PATIL 4
136 2014000760 MRS. SHARNAMMA YADGIR 4
137 2014002809 MS. REKHA K.P. 5
138 2014002812 MRS. KAMAL JADHAV 4
139 17976/12 MRS. SHAILADEVI MAYUR 4
125 396 33 4
4.02
Total Satisfaction Index 4.07
 Yes

23.7
No

76.3
0-30 mins

23.7
30-60 mins

7.9
60-90 mins

12.9
Above 90 mins
55.4

Yes
0.0
Total Satisfaction Index
 PATIENT FEEDBACK FORM -OPD (PART-B), May
B. Front office

ty of sufficient 2. Response & courtesy of

3. Waiting time at the desk 4. Billing services
rmation staff
Very Good

Very Good

Very Good
Excellent

Excellent

Excellent
Good

Good

Good
Poor

Poor

Poor
Fair

Fair

Fair
4 5 5
4 5 5
5 5 5
5 5 5
5 5 5
5 5 5
4 4 5
3 3 4
5 5 5
5 5 5
5 5 5
3 5 5
4 5 4
5 4 4
5 5 5
5 5 5
5 5 5
5 5 5
5 5 5
3 3 3
5 4 5
5 5 5
2 2 3
5 5 5
5 5 5
5 5 5
5 5 5
5 3 5
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
3 4 4
4 4 4
4 4 4
 4 4 4
4 4 4
4 4 4
1 1
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
3 4 4
4 3 4
1 1 1
4 4 4
4 4 4
4 4 4
4 4 4
2 1 2
4 4 4
4 4 4
4 3 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
2 2 2
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
3 3 3
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
3 3 4
4 4 4
4 3 4
4 3 4
4 3 3
4 4 4
4 4 4
 4 3 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
3 2 3
3 2 3
3 2 3
3 5 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 2 3
4 3 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
3 3 3
4 4 4
4 4 4
3 2 3
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
3 3 3
4 4 4
4 4 4
4 4 4
3 2 3
3 3 3
4 4 4
4 3 4
4 3 4
4 3 4
3 3 4
4 3 4
4 3 4
1 100 388 51 6 2 110 340 60 19 3 115 396 39 4
4.02 3.94 3.83 4.00
Above 90 mins

55.4
Yes

0.0
No

100.0
0-30 mins

87.2
30-60 mins

12.8
60-90 mins

0.0
Above 90 mins

0.0
OPD FEEDBACK REPORT JUNE 2014 - 2

0-30 Mins

30-60 Mins 31.4

60-90 Mins 14.0

43.0

11.
D (PART-B), May 2014
C. Out Patient Consultation
3. Was the
doctor
available
1. Explanation about 2. Privacy during 4. If no, waiting t
ng services at the
treatment consultation to meet doctor
scheduled
appointm
ent time
Very Good

Very Good

0-30 mins
Excellent

Excellent
Good

Good
Poor

Poor

Poor
Fair

Fair

Yes

No
5 5 1
5 5 1
5 5 1
5 5 1
5 5 1
5 5 1 1
3 5 1 1
5 5 1 1
5 5 1
5 5 1 1
5 5 1
5 5 1
5 5 1
5 5 1
5 5 1
5 5 1
5 5 1
5 5 1
5 5 1 1
5 5 1
5 5 1 1
5 5 1 1
4 5 1 1
5 5 1 1
5 5 1 1
5 5 1 1
5 5 1 1
5 5 1 1
5 5 1 1
5 5 1
5 5 1
5 5 1
5 5 1 1
5 5 1
5 5 1
5 5 1
5 5 1 1
5 5 1
 5 5 1 1
5 5 1
5 5 1
1 5 4 1
4 4 1
4 4 1
5 5 1
5 4 1
4 4 1 1
4 4 1 1
4 4 1 1
4 4 1 1
1 4 4 1 1
4 5 1
4 4 1 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
5 4 1
4 4 1
4 4 1
4 4 1 1
4 4 1
4 5 1
5 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
 4 4 1
4 4 1
4 5 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1 1
4 4 1
4 4 1
4 4 1
4 4 1 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
4 4 1
5 4 1
4 4 1
3 4 1
4 4 1 1
3 4 1 1
4 4 1 1
4 4 1 1
4 4 1 1
4 4 1 1
4 4 1 1
4 4 1
4 4 1
4 4 1
4 4 1
5 3 1
4 4 1
4 4 1
2 230 360 9 0 0 225 372 3 0 0 33 106 33
4.00 4.31 4.32 23.7 76.3 23.74
 30-60 Mins

14.0
60-90 Mins

43.0
Above 90 Mins

11.6
0-30 mins

85.3
30-60 mins

14.7
60-90 mins

0.0
Above 90 mins

0.0
0-30 Mins

25.0
30-60Mins

6.0
60-90 Mins

20.7
Above 90 Mins
48.3
ion D. Laboratory Services E. Radiolog
5. Would
you prefer
a second
1. Waiting time
4. If no, waiting time opinion 5. Waiting time for 1. Waiting time before
before test
to meet doctor from reports Imaging Services
another
doctor
30-60 mins

60-90 mins

30-60 mins

60-90 mins

30-60 mins
30-60 Mins
0-30 mins

60-90 Mins

0-30 mins
0-30 Mins

Above 90
Above 90

Above 90
mins

mins

Mins
Yes

No

1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1
1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1
1 1 1
1 1
1 1
1 1 1 1
1 1 1 1
1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1
 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1
1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1
1 1 1 1 1
1 1
1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1
1 1
1 1 1
 1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1
1 1
1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1
1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1
1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1
1 1
1 1 1
1 1
1 1 1 1
1 1 1 1
1 1
1 1 1 1
1 1
1 1 1 1
1 1 1 1
1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
11 18 77 0 139 75 11 0 0 27 12 37 10 99 17
7.914 12.95 55.4 0 100 87.21 12.79 0 0 31.4 13.95 43.02 11.63 85.34 14.66
 60-90 Mins

.7
Above 90 Mins

48.3
Yes

100.0
No

0.0
 E. Radiology Services H. Overall Experience

J. Would you like to

1. Waiting time before 4. Waiting time for refer a
Imaging Services reports friend/relative to
Gangamai
60-90 mins

60-90 Mins
30-60Mins
0-30 Mins
Above 90

Above 90
mins

Mins

Yes

No
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1
1 1
1
1
1 1
1 1
1 1
1 1
1 1
1
1
1 1
 1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
1 1
1
1
1 1
1 1
1 1
1 1
1
1 1
1 1
1 1
1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
0 0 29 7 24 56 139 0
0 0 25 6.034 20.69 48.276 100 0
 1. Consultant’s attention 2. Regulari
and care Consultant’s a

Very Good
Excellent

Excellent
Good

Poor
Fair
Sl. No Patient GHID No. patient Name

1 2015001702 Mrs. SIVMURITHY 4

2 2014001536 Mrs. ANDIWADI 4
3 215001084 Mrs. KOODI 4
4 2015001404 Mrs. SHASHNAR 4
5 2015001614 Mrs. SHIMAGE 4
6 Mrs. Patil 4
7 2015001440 Mrs. TELINATH 4
8 2015000839 Mrs.JAMADAR 4
9 2015001337 Mrs. GADDIMANI 4
10 201500399 Mrs. RATOD 4
11 2014002454 Mrs. DESHMUKH 4
12 2015001785 Mrs. MUTEKAR 4
13 2015001758 Mrs.DHANE 4
14 2015001784 Mrs. SANGAVE 4
15 2015001783 Mrs. KALSHETTY 4
16 Mrs. HREMATH 4
17 2015001598 Mrs.MADIWAL 4
18 2015001821 Mrs. GAIKWAD 4
19 Mrs. MAHESH CHAVAN 3
18 2015000719 Mrs. INDIRABAI TAVASGI 3
21 Mrs. MAHADEV DHONI 4
22 2015001902 Mrs. SUBHASH BHOSALE 3
23 2015000814 Mrs. SANTOH MARATHA 4
24 Mrs. NAGRANI JOSHI 4
84 9
AVERAGE MARKS SCORED OUT OF 5 3.9 3.6

Total Satisfaction Index 5.08

4.5

IPD
4.0
3.9 3.9
3.8
3.8 3.8

3.6 3.6
3.5
3.5 3.5
 0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0

1. Consultant’s attention and care

3.9

2. Regularity of Consultant’s attention

3.6

3. Services of Junior Doctors

3.8

4. Attitude and communication of Junior Doctors

3.6

5. Regularity of Junior Doctors attention

3.5

1. Round the clock availability of nurses

3.8

2. Response to complaints
3.5

3. Medication on time
1.0

4. Attitude and communication of Nurses

3.9

1. Round the clock Availability of Mama/ Mavashi

3.8
 1.

2. Regu

4. Attitude and co

5. Regula

1. Round

4. Attitude

1. Round the clock

0.9
1.0
1.0
1.0
1.0
 A. Clinical Care
4. Attitude and
2. Regularity of 3. Services of Junior 5. Regularity of Junior
communication of Junior
Consultant’s attention Doctors Doctors attention
Doctors
Very Good

Very Good

Very Good

Very Good
Excellent

Excellent

Excellent
Good

Good

Good

Good
Poor

Poor

Poor
Fair

Fair

Fair

Fair
4 4 4 4
4 4 4 4
4 4 4 3
4 4 4 4
4 4 4 3
4 4 4 3
4 4 4 3
4 4 4 4
4 4 4 4
4 4 3 4
4 4 4 3
4 4 3 4
4 4 4 4
3 3 3 3
4 4 4 4
3 4 3 4
4 4 3 4
3 4 3 4
3 3 3
3 3 4 3
4 3 3 3
3 3 3 3
4 4 4 4
4 4 4 3
72 15 0 76 15 60 27 52 33
3.6 3.8 3.6 3.5

IPD SATISFACTION INDEX- MARCH 2015

3.9 3.9 3.9

3.8 3.8
3.7 3.
3.7
3.6

3.5
3.3
 1.0
4. Attitude and communication of Nurses
3.9

1. Round the clock Availability of Mama/ Mavashi

3.8

2. Cleanliness of the bed sheets / pillow covers

3.7

3. Cleanliness of the bathrooms & toilets

3.9

4. Cleanliness of the ICU/Ward/Room

3.6

5. Promptness in response to complaints

3.2

1. Timeliness of supply of diet

3.8

2. Quality of diet
3.5

3. Diet education by Dietetics

3.3

E. Casualty Services
3.7

F. Laboratory Services
3.9

3.
 4. Attitude

1. Round the clock

0.9
1.0
1.0
1.0
1.0
2. Cleanliness of

3. Cleanli

4. Clea
Row 30

5. Prompt
 B. Nursing Care
3.
arity of Junior 1. Round the clock Medicatio 4. Attitude and
2. Response to complaints
s attention availability of nurses
Very Good n on time communication of Nurses

Very Good

Very Good
Excellent

Excellent

Excellent
Good

Good

Good
Poor

Poor

Poor

Poor
YES
Fair

Fair

Fair
NO
4 4 1 4
4 4 1 4
4 4 1 4
4 3 1 4
4 3 1 4
4 4 1 4
4 4 1 4
4 3 1 4
3 4 1 4
4 4 1 4
4 4 1 4
4 3 1 4
4 4 1 3
4 3 1 4
3 4 1 4
4 3 1 4
4 3 1 4
4 3 1 4
4 4 1 3
4 3 1 4
3 3 1 4
3 3 1 3
4 3 1 4
4 3 1 4
0 80 12 0 44 39 24 0 0 84 9
3.5 3.8 3.5 1.0 3.9

3.9 3.9 3.9

3.8
3.8
3.7 3.7 3.7
3.6
3.5

3.3
 E. Casualty Services

F. Laboratory Services 3.7

3.9

G. Radiology Services
3.7

H. Physiotherapy Services
3.8

1. Availability of drugs prescribed by doctors

3.9

2. Speed of issuing medicine

3.5

3. Education/information provided by the pharma...

3.3

4. correctness of medicine
3.7

5. Billing services
3.6

Reception
3.9

Admission
3.8

Patient Relation Executive (PRE)

3.3
 1. Availability

3. Education/informa

P
 C. Housekeeping Services
1. Round the clock 2. Cleanliness of the
3. Cleanliness of the 4. Cleanliness of the
Availability of Mama/ bed sheets / pillow
bathrooms & toilets ICU/Ward/Room
Mavashi covers
Very Good

Very Good

Very Good

Very Good
Excellent

Excellent

Excellent

Excellent
Good

Good

Good

Good
Poor

Poor
Fair

Fair

Fair

4 4
4 4
4 4
4 4
4 4
4 4
4 4
4 4
4 4
4 4
4 4
4 3
4 4
3 3
4 3
4 3
4 3
4 3
4 3
3 4
4 4
3 4
3 3
3 4
0 76 15 0 64 24
3.8 3.7
Fair
4 4
4 4
4 4
4 4
4 4
4 4
4 4
4 3
4 4
4 4
4 4
3 3
4 4
3 3
3 3
4 3 4
4 3
4 3
4 3
3 4
3 4
4 3
3 3
4 4
0 72 21 0 60 27
3.9 3.6

3.8
3.8 3.8

3.5

3.3 3.3
 Admission 3.8

Patient Relation Executive (PRE) 3.3

Billing
3.5

Discharge Process
3.8

Security
3.8

Shifting (internal)
3.3

Row 30
P
 PATIENT FEEDBACK FORM -IPD
D. Dietary Services
liness of the 5. Promptness in response 1. Timeliness of supply of 3. Diet education by
2. Quality of diet
Ward/Room to complaints
Very Good diet Dietetics

Very Good

Very Good

Very Good
Excellent

Excellent

Excellent

Excellent
Good

Good

Good
Poor

Poor

Poor

Poor
Fair

Fair

Fair
3 4 4
3 4 4
3 4 4
3 4 4
3 4 4
3 4 4
3 4 4
3 4 4
3 4 4
3 4 4 4
3 4 3
4 3 3
3 4 3
3 3 3
3 4 3
4 4 3 4
4 4 3 4
4 4 3 4
4 3 3 4
3 4 3 4
3 4 3 4
3 3 3
3 3 3
3 4 4 4
0 20 57 0 76 15 0 44 39 0 32
3.6 3.2 3.8 3.5 3.3
BACK FORM -IPD (PART-A), May 2014
E. Casualty Services
F. Laboratory Services
G. Radiology Services
3. Diet education by
E. Casualty Services F. Laboratory Services G. Radiology Services
Dietetics

Very Good

Very Good

Very Good
Excellent

Excellent

Excellent
Good

Good

Good

Good
Poor

Poor

Poor

Poor
Fair

Fair

Fair

Fair
3 4 4 4
3 4 4 3
3 4 4 4
3 4 4 4
3 4 4 4
3 4 4 4
3 4 4 4
3 4 4 4
3 4 4 4
4 3 3
3 3 4 4
3 4 4 4
3 4 4 4
3 3 4 4
3 4 4 4
4 3 4
3 4 3
3 4 3
3 5 4
4 4 4
4 4 4
3 4 4 3
3 3 3 3
3 3 3
48 0 68 21 5 76 12 0 68 21
3.3 3.7 3.9 3.7
H. Physiotherapy Services I. Pharmacy ServicesQ
3. Education/information
1. Availability of drugs 2. Speed of issuing
H. Physiotherapy Services provided by the
prescribed by doctors medicine
pharmacist
Very Good

Very Good

Very Good

Very Good
Excellent

Excellent

Excellent

Excellent
Good

Good

Good

Good
Poor

Poor

Poor
Fair

Fair

3 4
4 4
3 4
4 4
4 4
4 4
4 4
4 4
4 4
3 4
4 4
4 4
4 4
4 4
4 3
4 4
4 4
4 4
5 4
4 3
4 4
3 4
3 4
3 3
5 68 18 0 84 9 0
3.8 3.9
Fair
4 4
4 3
4 3
4 3
4 4
4 3
4 3
4 3
4 3
4 3
4 3
3 4
3 3
3 3
3 3
3 4
3 4
3 4
3 3
4 3
3 3
3 3
4 4
3 3
52 33 0 28 51
3.5 3.3
rmacy ServicesQ
ucation/information
provided by the 4. correctness of medicine 5. Billing services Reception Admission
pharmacist
Very Good

Very Good

Very Good
Excellent

Excellent

Excellent

Excellent
Good

Good

Good
Poor

Poor

Poor

Poor
Fair

Fair

Fair

Fair
4 4 5 5
4 4 3 4
4 3 4
4 3 4
4 3 4
4 4 4
4 4 4
4 4 4
4 4 4
4 3 4
4 4 4
3 4 4
4 3 4
4 3 4
4 4 4
3 4 4
3 4 4
3 4 4
4 3 3
3 3 3
4 3 4
3 3 4
3 3 3
4 3 3
0 68 21 0 48 39 5 76 12 5
3.3 3.7 3.6 3.9 3.8

Patient Relation Executive
Admission
(PRE)
Very Good
Very Good
Excellent
Excellent
Good
Good
Poor
Poor
Fair
Fair
4 4
4 3
4 3
4 4
4 3
4 3
4 3
4 4
4 3
4 3
4 4
4 3
4 3
4 3
4 3
3 4
3 4
3 4
3 3
3 3
4 3
4 4
3 3
3 3
64 21 0 32 48
3.8 3.3
J. Other Services
Billing Discharge Process
Very Good
Very Good
Excellent
Good
Good
Poor
Fair
Fair
5
4 4
4 4
4 4
4 4
4 4
4 4
4 4
4 4
4 3
3 4
4 4
4 4
4 4
3 3
3 4
3 4
3 4
3 4
3 3
3 3
3 3
3 3
3 3
0 52 33 5 64 21
3.5 3.8
 Would you
K. Overall Experience
like to
recommen
d our
rge Process Security Shifting (internal) Overall satisfaction
hospital to
your
friends/
relatives
Very Good

Very Good

Very Good
Excellent

Excellent

Excellent
Good

Good

Good
Poor

Poor

Poor

Poor
Fair

Fair

Fair

Yes

No
4 4 4 1
4 3 4 1
5 3 4 1
4 4 4 1
4 3 4 1
4 4 4 1
4 4 4 1
4 4 5 1
4 3 4 1
4 3 4 1
4 3 4 1
4 3 4 1
3 3 4 1
5 3 4 1
5 3 4 1
3 4 4 1
3 4 4 1
3 4 4 1
4 3 4 1
4 3 4 1
3 3 4 1
4 3 4 1
3 3 4 1
3 3 4 1
15 56 21 0 32 48 5 92 0 24 0
3.8 3.8 3.3 4.0 1.0
 Do you
think any
of the
perienceGangamai
Hospital
Staff
members
deserve
special
appreciati
on?
Yes

No

1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
23 0
1.0
 Feedback Points 1. Availability of sufficient
information

Very Good
Excellent

Good

Fair
Sl. No Patient GHID No. patient Name

1 2014005483 Mrs. LAXMI MADYAL 4

2 2015001061 Mrs. HOUDAPPA SALGAR 4
3 2015001304 Mrs. KHAN 5
4 2015001655 Mrs. SAMMUKAVVA WALI 4
5 2015001061 Mr. BALASAHEB CHAVAN 5
6 2014003854 Mr.LALU PUJARI 4
7 2015001767 Mrs. SNEHAL JADHAV 4
8 2015001344 Mrs. PRADEEP PATIL 4
9 2015001033 Mrs. ASHISH NANDGONDE 4
10 2015000431 Mrs. ANAND SODDE 4
11 2015001756 Mr. HARIDAS DHATE 4
12 2013002532 MR. BALNARSAYYA GUDDAM 4
13 2014003271 Mrs. SANGITA YAMGAR 4
14 2015001750 Mrs. GODABAI NILANGE 4
15 2015001751 Mrs. SUMITI GHARE 4
16 2015001789 Mrs. PARVATI PAWAR 4
17 2014003967 Mr.BASAVRAJ GUMMA 3
18 2014005719 Mr. RAMCHANDRA KOKAME 4
19 2015001191 Mrs. AFSANA SHAIK 4
20 2015001811 Mrs. THALOMGE 4
21 2013002334 Mrs. DIGGAS 4
22 2015001509 Mrs. DHUMSHETTI 4
23 2013002409 Mrs.TAMBOLI 4
24 2015001277 Mrs. HACHAD 4
25 2013000920 Mrs.FAND 4
26 2015001819 Mrs.MULEGAWN 4
27 2015001467 Mrs. MHETRE 4
28 2015000017 Mrs. SATYABHAMA SHELAKE 3
29 2014008313 Mrs. DOVARE 4
30 2015000932 Mrs. NANDA FUND 4
31 2014001144 Mr. SIDDHARAM ANDHEWADI 4
32 2015001792 Mrs. SHOBHA GHAWLE 4
33 2014005782 Mrs. SHANTABAI KURPI 3
34 2015001954 Mrs.LAXMI DHANVE 3
35 2015000618 Mrs. KAVIRI AHERKAR 4
36 2015001516 Mr. SHRIRANG BIRAJDAR 3

10 116 15 0
 3.6
Total Satisfaction Index 3.04
 PATIENT FEEDBACK FORM -OPD ,
A. Front office

ty of sufficient 2. Response & courtesy of 1. Explanation abou

3. Waiting time at the desk 4. Billing services
mation staff treatment
Very Good

Very Good

Very Good

Very Good
Excellent

Excellent

Excellent

Excellent
Good

Good

Good
Poor

Poor

Poor

Poor
Fair

Fair

Fair
4 4 4 4
4 4 3 5
5 4 4 4
4 4 4 4
5 5 4 4
4 4 3 4
4 4 4
3 3 3 4
3 3 4 4
3 3 4 4
3 3 4 4
4 4 4 4
4 4 3 4
3 3 4
3 3 4 4
3 3 4 4
3 3 3
3 3 4
3 4 3 4
3 4 3
3 4 3
3 4 3 4
3 4 3
3 4 3 4
4 3 3 4
3 4 3 4
3 4 3 4
3 3 3 4
3 4 3 4
4 4 4 4
4 4 4 4
4 4 4 4
3 3 3 4
4 3 3 4
4 3 3
3 4 3

0 10 52 63 0 0 5 84 42 0 64 60 0 0 5 104
3.6 3.5 3.6 3.4 3.8
ACK FORM -OPD , March 2015
B. Out Patient Consultation
5. Would
3. Was the
you prefer
doctor
a second
available 1. Waiting time
1. Explanation about 2. Privacy during 4. If no, waiting time opinion
at the before test
treatment consultation to meet doctor from
scheduled
another
appointm
doctor
ent time

30-60 mins

60-90 mins

30-60 mins
Very Good

0-30 mins

0-30 mins
Above 90
Excellent
Good

Good

mins
Poor

Poor
Fair

Fair

Yes

Yes
No

No
4 1 4 1 4
3 1 4 1 4
4 1 4 1 3
4 1 4 1 4
4 1 4 1 4
4 1 4 1 4
3 4 1 4 3 1 4
3 1 4 1 3
3 1 4 1 4
3 1 3 1 4
3 1 3 1 4
3 1 4 1 4
3 1 4 1 4
3 3 1 4 1 3
3 1 4 1 4
3 1 4 1 4
3 3 1 4 1 4
3 3 1 4 1 4
3 1 4 1 4
3 3 1 4 1 4
3 3 1 4 1 4
3 1 4 1 4
3 3 1 4 1 4
3 1 4 1 4
3 1 4 1 4
3 1 3 1 4
3 1 4 1 4
4 1 4 1
3 1 4 1 4
4 1 4 1 4
4 1 4 1 3
4 1 4 1 4
4 1 4 1 4
4 1 4 1 4
3 4 1 2 1 3
3 3 1 3 1 3

27 0 52 69 26 10 124 2 0 0 36 112
3.8 3.4 1.0 3.5 1.0 3.2
 C. Laboratory Services

1. Waiting time 4. Promptness of

2. Explanation about the 3. Courtesy level of the 5. Waiting time f
before test sample/specimen
test laboratory staff reports
collection
60-90 mins

Very Good

Very Good

Very Good

0-30 Mins
Above 90

Excellent

Excellent

Excellent
Good

Good

Good
mins

Poor

Poor

Poor
Fair

Fair

Fair
4 4 3
4 4 3 4
5 4 4 4
4 4 4 4
5 4 3 4
4 4 3 4
4 3 3 4
4 3 4
4 3 3 4
4 3 3 4
4 3 3
4 3 4 4
4 3 4 4
4 3 3
4 3 3 4
4 3 4 4
3 3 4 4
4 3 4
4 3 4 4
4 3 3
4 3 4
4 4 3 4
4 3 4
4 3 4
4 3 4 4
4 3 4
4 3 4
2 4 3 3
4 3 5
4 3 4 4
4 3 4 4
4 4 3
4 4 4
4 3 4
3 4 4
3 4 4

2 10 124 9 0 44 75 5 84 42 72
3.2 4.0 3.3 3.6 3.2
 D. Radiology Services

1. Waiting time
5. Waiting time for 2. Courtesy level of the 3. Privacy during 4. Waiting time
before Imaging
reports radiology staff procedure reports
Services

30-60 mins

60-90 mins
30-60 Mins

Very Good

Very Good
60-90 Mins

0-30 mins

0-30 Mins
Above 90

Above 90

Excellent

Excellent
Good

Good
mins

Poor

Poor
Mins

Fair

Fair
2 4 4 4 4
3 4 4 4
4 4 4
4 4 5 4
4 4 4 4
4 4 3 4
4 3 3 4
2 3 3 3
4 3 3 4
4 4 3 4
3 3 3 4
4 4 5 3
4 4 3
3 3 4 3 4
4 4 4
4 4 3 4
4 4 3
2 4 4 3 4
4 4 3 4
2 4 4 3
2 4 4 3
4 4 4 4
2 4 4 3
2 4 4 3 4
4 4 5 4
2 4 4 3
2 4 4 3
2 4 4 3 4
3 4 4 3
4 4 4 4
4 4 4 4
3 4 3 3
3 4 4 4
2 4 3 4
3 4 3 3
3 3 4 4

21 22 0 124 15 0 0 0 116 21 0 0 15 48 66 0 0 72
3.2 3.9 3.8 3.6 3.3
 E. Pharmacy Services

3. Education/ information
4. Waiting time for 1. Availability of drugs 2. Speed of issuing
provided by the
reports prescribed by doctors medicine
pharmacist
60-90 Mins
30-60Mins

Very Good

Very Good

Very Good
Above 90

Excellent

Excellent

Excellent
Good

Good

Good
Poor

Poor

Poor
Mins

Fair

Fair

Fair
5 4 3
4 4 3
2 4 4 3
4 4 3
5 4 4
4 4 3
4 4 3
3 4 3 3
4 4 3
4 3 3
2 4 3 3
2 5 4 3
2 4 4 3
4 3 4
2 4 3 3
5 4 3
3 4 3 4
4 4 3
4 4 3
3 4 3 4
3 4 3 4
4 4 4
3 4 3 4
5 4 3
4 4 3
3 5 4 3
3 5 3 4
3 3 4
3 4 4 3
4 3 4
4 3 4
2 4 4 3
3 4 4 3
3 4 4 3
3 3 4 4
3 2 3 2

36 12 0 35 104 6 2 0 0 88 42 0 0 0 48 69 2 0
3.3 4.1 3.6 3.3
Services

4. Correctness of Medicine 5. Billing services 1. Infrastructure 2. Cleanliness

Very Good

Very Good

Very Good

Very Good
Excellent

Excellent

Excellent

Excellent
Good

Good

Good

Good
Poor

Poor

Poor
Fair

Fair

3 4
5 3
4 3
4 3
5 3
4 5
4 3
4 3
4 4
3 4
4 3
4 3
3 4
3 4
3 3
4 4
3 4
4 3
4 3
3 4
3 4
4 3
3 4
4 4
4 3
4 3
3 4
3 3
4 3
4 3
4 3
3 3
3 4
4 3
4 4
3 3
Fair
5 5
5 5
5 5
4 5
5 5
5 5
5 5
4 4
3 4
4 3
4 4
4 4
4 3
4 3
4 4
4 4
4 3
4 4
4 3
4 4
4 4
4 4
4 4
4 4
4 4
4 3
4 3
5 5
4 3
4 4
4 4
5 5
4 4
4 4
4 4
5
5

10 80 42 5 56 63 45 104 3 50 72 24
3.7 3.4 4.2 4.1
 F. Facilities

2. Cleanliness 3. Signs & name boards 4. Waiting area 5. Canteen 6. Parking

Very Good

Very Good

Very Good
Excellent

Excellent

Excellent

Excellent
Good

Good

Good
Poor

Poor

Poor

Poor
Fair

Fair

Fair

Fair
4 5 5 5
5 5 5 5
5 5 5 5
5 5 5 5
5 5 5 5
4 5 5
5 5 5 5
4 4 3
3 4 3
3 4 3
3 3 3
4 4 4
4 3 4
4 3 4
4 4 4
3 3 4
4 3 4
3 3 4
4 3 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 4
4 4 3 5
4 3 4
4 3 4
4 3 2
4 3 4
4 4 3
4 4 3
5 4 3
4 4 4
3 4 3
4 3
5 5 4

0 0 35 92 18 40 64 33 35 72 30 2 0 35
4.1 4.0 3.8 3.9 3.8
 G. Overall Experience
J. Would
you like to
refer a
6. Parking 7. Security staff H. Overall satisfaction
friend/rel
ative to
Gangamai
Very Good

Very Good

Very Good
Excellent

Excellent
Good

Good

Good
Poor

Poor

Poor
Fair

Fair

Fair

Yes

No
5 4 1
5 4 1
5 4 1
5 4 1
5 4 1
4 5 4 1
5 4 1
4 5 4 1
4 4 4 1
4 5 4 1
3 5 4 1
4 4 4 1
3 4 4 1
3 4 4 1
4 5 4 1
4 3 4 1
3 4 4 1
3 3 4 1
3 4 4 1
4 4 4 1
4 4 4 1
4 4 4 1
4 4 4 1
4 4 4 1
4 3 1
3 4 4 1
3 4 3 1
3 3 3 1
3 4 4 1
3 3 4 1
3 3 4 1
3 3 5 1
4 4 4 1
3 3 4 1
3 3 3 1
4 4 3 1

56 45 0 0 55 68 24 0 0 5 120 15 0 0 36
3.8 4.1 3.9 1.0
 OPD SATISFACTION INDEX MARCH-2015

4.5

4.0
3.8
3.6
3.6
3.5 3.5
3.5 3.4
3.4

3.2

3.0

2.5

2.0

1.5

1.0 1.0
1.0

0.5
 0.0
0.5
1.0

1. Availability of sufficient information

4. Billing services

3. Was the doctor available at the scheduled appointment time

5. Would you prefer a second opinion from another doctor

X MARCH-2015

OPD SATISFACTION INDEX MARCH-2015

Chart Title
4.1
4.0
3.9
3.8
3.6 3.7
3.6 3.6
3.5
3.4
3.3 3.3 3.3
3.2 3.2

1.0 1.0
3. Was the doctor available at the scheduled appointment time

5. Would you prefer a second opinion from another doctor

2. Explanation about the test

5. Waiting time for reports

4. Waiting time for reports

2. Speed of issuing medicine

5. Billing services
MARCH-2015 4.2
4.1 4.1
4.0
3.9 3.9
3.8 3.8
3.7
6
3.4
3.3
 5. Billing services

3. Signs & name boards

6. Parking