Chapter 1

Introduction
Human Resource Development

Human beings are resources to an organization. They represent an investment whose development and
utilization requires managing (i.e. planning, organizing, leadership and evaluation). There is a
fundamental truth in the cliché that “People are the organizations most important assets”.

Human resource is the important resource of any organization. The complicated and challenging task
of human resource management is handled by the personnel department. The aim of this department is
to utilize man power to the fullest extent. Hence if an organization has to succeed it has to select right
men to right job and right place at the right time.

Functions performed by personnel department are:

 Manpower planning
 Recruitment
 Selection and placement
 Training and Development
 Performance management system
 Wage and salary administration
 Employee relations and welfare facilities
 Legal compliances
 Compensation and benefits
 Retirement

The organization consists of human resource department which is inevitable in today’s fast changing
world. So is the case with Aster Ramesh Hospitals which has an effective HR department.In Aster
Ramesh Hospitals, totally 250 employees are working at present.

Training and development

Training and Development nowadays constitute an ongoing process in any
organization. Training is a tool for increasing individual performance and
overall organizational growth. The objective of the training is to enable the
employees to grow acquire knowledge of thought and action.
What is “Training”?
 Training refers to importing of specific skills, abilities and knowledge to
an employee or it is any attempt to improve present or future, employee
performance by increasing an employee ability to perform, through
learning, usually by changing the attitude or increasing his/her skills and
knowledge.
 Training is needed not only for technicians who work in the shop floor
but also for supervisors, managers and executives.
 Development refers to those learning opportunities designed to help
employees grow. Development is, less skill oriented and stresses on
knowledge.
 Any training & development programme must contain inputs, which
enable the participants to gain skills, learn theoretical concepts and help
acquire vision to look in to the distant future.

Importance of Training and Development

 Training is the corner stone of sound management, for it makes employees more
effective and productive. It is actively and intimately connected with all the personnel
 or managerial activities. It is an integral part of the whole management programme,
with all its many activities functionally related.
 Training is a practical and vital necessity because, apart from the other advantages
mentioned above, it enables employees to develop and rise within the organization,
and increase their market value, earning power and job security.
 Recognition of the importance of training in recent years has been heavily influenced
by the intensification of the overseas competition and the relative success of
economies like Japan, Germany etc.
 This has also been underscored by the rise in HRM with its emphasis on the
importance of people and the skills they possess in enhancing organization efficiency.

Need of the Study

 Evaluating the impact of training programs helps organizations
understand if their investments are yielding desired results.
 It allows for continuous improvement in training methods and
content based on feedback and data analysis.
  Studying effectiveness can help identify gaps in employee skills
and knowledge, leading to targeted training initiatives.

Objective of study
 To understand the Training programmes and their impact on
employees of Aster Ramesh Hospital, Vijayawada.
 To analyse the views and opinions of the employees regarding
the programmes provided at Aster Ramesh Hospital,
Vijayawada.
 To find out the satisfaction level of the employees towards the
Training programs.
 To study the perception of the employees about the usefulness of
the training program with reference to the improvement in their
performance and skill enhancement.

Scope of study
 The study is conducted on the employees in Aster Ramesh
Hospitals, Vijayawada.
 The study will help the organization
 To know the present condition of Training and Development
programmes.
  To know the expectation of employees towards Training and
Development programmes.
 To know the willingness of employees towards Training and
Development programmes.
 The study is confined to the employees of Aster Ramesh
Hospital, Vijayawada for RL5, RL4, RL3, RL2 and RLI grade
employees as on 29/2/2024 to 1/4/2024.
 The employees were given 2 days of sufficient time to fill the
structured questionnaires.

Methodology of the Study

Research methodology is purely and simply the framework or a plan for
study that guides the collection and analysis of data. Research is the
scientific way to solve the problems and is necessarily used to improve
market potential. This involves exploring the possible methods, one by
one, and arriving at the best solution, considering the resources at the
disposal of research.

Research Design
A research design is a specification of methods and procedure for
acquiring the information needed. It is the overall operation pattern or
framework of the project that stipulates what information is to be
collected from which sources by what procedure, it also refers to the
blue print of the research process.
 Research Design: Descriptive
 Data: Primary and Secondary data
 Research: Survey method
 Research instrument: Questionnaire, expert’s interview
 Data Collection: The required data for the project has collected
from Primary and Secondary Data

Primary Data:
Primary data are those, which are gathered directly through
questionnaire and it is the original source of data collected by the
researcher. Primary data is collected with the help of structured
questionnaire administered to 50 randomly selected employees at Aster
Ramesh Hospital the managerial level.

Secondary Data:
 Secondary data are those which are generally published sources
which are been collected originally for some other purpose they
are not gathered specially to achieve the objectives of particular
research project.
 Secondary data is collected through the documents provided by
HR department such as reports and books of various authors in
HRI) and annual report of the company.

Sample Process
Sampling Unit : All Employees of Aster Ramesh Hospital Vijayawada.
Duration: Feb to Mar (2024)

Type of sampling
Type of sampling used in this survey was simple random sampling. In
this method, the sampling units had chosen randomly from the total
employees at all the levels in the levels in the organization.

Sample size determination

Sample size refers to number of elements to be included in the study.
The sample size of respondents was decided to be 50 and the
questionnaire was administered to 50 randomly selected employees of
Ramesh Hospitals.

Research Instruments
 Questionnaire.
 Questionnaire refers to a device for securing answer to a formally
arranged list of questions by using the term, which the respondent
fills in himself.
 Questionnaire Design
 Open-ended
 Close-ended
 Dichotomous questions
 Multiple questions

Statistical Tools
 The collected data were classified and tabulated and analyzed with
some of the statistical tools listed
 Percentage analysis
 Line graph was used to explain the tabulation clearly

Limitations of the study

 The research is limited only to the employees of Aster Ramesh
Hospital, Vijayawada.
 An extensive research could not be undertaken because of time
constraints.
 The fear of expressing the true facts among the respondents could
be a limitation.
 The result and findings based on employee’s responses sometimes
may be biased.
 No discussion was possible with the department heads regarding
Training and Development has they were busy with their work and
could not spare time for discussion.
 The data collection method is through interview method
respondents often were hesitant to provide information.
 The study is descriptive and explanatory in some cases but not
casual.

Chapter 2
 Industry profile

ORIGIN OF THE INDUSTRY

Hospitals in India are running at 80-90% occupancy. Major

corporations like the Manipal, Apollo Group, Fortis, Max,
Wockhardt, Piramal, Duncan, Ispat, Escorts have made significant
investments in setting up state-of-the-art private hospitals in cities
like Mumbai, New Delhi, Chennai and Hyderabad.
Using the latest technical equipment and the services of highly skilled
medical personnel these hospitals are in a position to provide a
variety of general as well as specialists’ services.
“India is well positioned to tap the top end of the $3 trillion global
healthcare industry because of the facilities and services it offers, and
by leveraging the brand equity of Indian healthcare professionals
across the globe”, said Vinod Khanna, Union Minister of state for
external affairs.
The government of India places top priority to healthcare in the
national agenda. It is very serious about encouraging indigenous
R&D and creation of human capital. This would improve the quality
of life of our people, leading to greater socio-economic progress of
the country.
“India, with outstanding human resource talent and the setting up of
world class medical facilities, was now poised to take leadership in
the fast emerging arena of healthcare, management which is
witnessing the first signs of globalization”.

INDUSTRY POLICY
INTRODUCTION
Health care means a wide and intensive form of services, which will be
related to well-being of human beings. Health Care is a social sector.
Health Care services are provided at state level with the help of central
government.
Health Care is a wide and intensive industry, which covers Hospitals,
Health Insurances, Medical Software, Health-equipment’s and
pharmacy in it.
Major inputs of health Care industry
The major inputs of health care industries are as listed below:
I. Hospitals
II. Medical insurance
III. Medical software
IV. Health equipment’s

OVERVIEW OF HEALTHCARE SECTOR IN INDIA

India’s healthcare sector has made impressive strides in recent years. It

has transformed to a US$ 17 billion industry and is surging ahead with
an annual growth rate of 13% a year. The healthcare industry in India
expected to grow in size to Rs 270,000 crores by 2012. The healthcare
industry employs over four million people, which makes it one of the
largest service sectors in the economy of our country.
Healthcare is dependent on the people served; India’s huge population
of a billion people represents a big opportunity. People are spending
more on healthcare. The rise in literacy rate; the higher levels of
income; and an increased awareness through the deep penetration of
media, has constituted to greater attention being paid to health. India
has a very low density of doctors. Infant mortality is amongst the
highest in India.

This prompted Ida to Study medicine in the USA. On returning to India in

1900, Ms Scudder, started a clinic in Vellore. Later, she started a school
for compounders (1903), a school for Nurses (1909) and finally a medical
school for women in 1918. From 1947 onwards, Males were also
admitted.

MARKET OVERVIEW
India has a fairly comprehensive healthcare system comprising of
government and private service providers. However, the system reaches
barely fifty percent of the population mainly on account of general
infrastructure bottlenecks. The country lags behind international standards
on basic healthcare infrastructure and facilities. India has 94 beds per
100,000. The density of doctors is also low. There are only 43 doctors for
a population of 10,000.

SIZE OF MARKET
India’s healthcare industry is estimated at Rs 1000 Billion. Of This,
Pharmaceuticals account for Rs 200 Billion. As Per some estimates, Rs
185 billion is spent on healthcare annually.
On average, Indian families spend 600 per month on healthcare which is
11% of the household income, showing that they are willing to spend
provided the service they get is of high standard. According to The World
Health Report 2000, India’s health expenditure is 5.2% of its GDP. Public
and private health expenditure is 13% and 87% respectively.

The Indian healthcare industry, unlike other industries, stands untouched

by recession. There had been a steady growth in this sector, revenues from
the healthcare sector accounts for 5.2% of the GDP, Making it the third
largest growing sector in India, and further the healthcare sector is
projected to grow to nearly 1,80,000 crores by year 2012 that GDP 6.2%
to 7.5% and a compounded annual growth rate (CAGR) of 15-17 percent
for at least the next 7-10 years.

History of Health care sector in ancient days:

Institutions created specifically to care for the ill appeared early in India.
In ancient India, hospitals for men and animals were established during
the reign of Maurya and Gupta Kings. Under the Emperor Ashoka (260
B.C,), there were schools with attached hospitals. A few religious and
charitable endowments in south India established schools with attached
hospitals. Such hospitals were known as ‘’Veera Solan”. In South India an
edict dated 1097 of Veera chola Maharaj refer to a sixteen bedded hospital
for students of the school attached to the template Tirumakundal in
Chingleput district. There are also ruins of a hospital at Mahintale near
Anuradhapura in Srilanka. It is believed to have been constructed by
Mahendra, the son of Ashoka. Emperor Akbar, in the 16th century, built a
large hospital at Fatehpur Sikri.

By the turn of the century, however on seeing that less qualified Britishers
were preferred over competent Indian physicians for jobs, nationalists
decided to build a hospital where Indian doctors could treat patients. This
led to the formation of the king Edward VII memorial (KEM Hospital) in
1926. The famous people associated with this hospital over the years
include Jivraj N Mehta and R.J. Vakil (physicians), R.N. cooper, A.V.
Baliga, P.K. sen (Surgeons) and V.R.Khanolkar (pathologist). The Tata
Memorial Hospital (1941) and the Cancer Research Institute (1952) are in
the forefront of India’s fight against the dreaded disease, cancer. The
motto of the Tata Memorial Centre, Bombay [comprising the above two
institutions] is’ Service, Research, Education’. This centre was built solely
out of personal.
 Chapter 3
Company profile
INTRODUCTION

A Man Was born on 27th April 1957, in Denduluru Village,

West Godavari District, Andhra Pradesh, he comes from an
agricultural family who believed in education and reform of
society through giving it back. His journey into medical field
began from Guntur medical college where he pursued his
MBBS and went on to specialize in Cardiology. An alumnus of
the illustrious AIIMS institute, New Delhi, Dr. Ramesh Babu did
his M.D, D.M Cardiology under Prof. M.L.Bhatia with a goal to
provide the best possible medical care to people from all
sections of the society. To achieve this he chose to serve the
people of Vijayawada and surrounding rural areas in spite of
lucrative opportunities abroad.

Dr. Pothineni Ramesh Babu

Managing Director of Ramesh Hospital
 Qualification MBBS, MD, DM (Cardiology)

Life Goal
Providing quality healthcare not only to the people living in cities but also to people living in
semi urban and rural areas by making the services of the specialists and state of the art
equipment available to them.

ABOUT THE Vijayawada HOSPITAL

In 1988 Dr. Ramesh Babu started a hospital on his name with 6 bed
setup but with his great vision and goal he transformed it into 1,000
beds hospitals build across major cities in Andhra Pradesh like Guntur,
Vijayawada, Eluru & ongole. He is the Chief Cardiologist &
Intervention Specialist with an experience of 30 years treating
over 10,00,000 patients. He is also currently serving as the
Healthcare Panel Convener for Confederation of Indian
Industry, Andhra Pradesh

Ramesh Hospital in Vijayawada

In March 2015, Vijayawada RH was inaugurated by the Former
President of India, Dr. APJ Abdul Kalam – ‘The Missile Man of
India, and the event was presided by Union Minister Sri. M.
Venkaiah Naidu, Hon’ble Minister for Urban Development,
Govt. of India; Dr. Kodela Siva Prasada Rao, Hon’ble Speaker,
AP Legislative Assembly & Dr. Kamineni Srinivas, Hon’ble
Minister for Health, Govt. of AP .
Ramesh Hospital is the state of art super specialty center
located in Vijayawada boasts of best medical practices in a
setting comparable to international standards. After having
treated 10,00,000 patients over three decades of healthcare
journey, the unit at Vijayawada have been shaped to deliver
quality treatment with patient experience & safety as the
prime focus. Designed and constructed as per JCI standards,
the unit has received NABH Accreditation in 2016.
 Ramesh hospital tie up with ASTER DM health care 2016
 To provide international quality services to Ramesh
hospital branches
 It has sold some share to the Aster DM Health care.
 Aster DM Health care is the largest private health care in
Asia.
 To provide international quality services to local people
at lowest prices
 The benefit is international experienced doctors will
available at Ramesh hospital at any time
Multi-super-speciality Hospital
 State of the art super specialty hospital located in
Vijayawada
 Commenced OP operations in Apr 2015 and IP operations
in June 2015
 350 bed facility –3,16,000 sq. ft. built up area
 1 Cath lab, 128 Slice CT Scanner, 3 Telsa Digital CX MRI
 Designed and constructed as per JCI standards.
 Achieved NABH Accreditation in September 2016
 Liver & Kidney transplant surgeries since July 2017
 NABH Re-Accreditation in 2018

Highlights
 350 Bedded multi super-specialty Hospital with over 50
Specialist Doctors
 Dedicated “Golden Hour” Causality for Heart & Brain
stroke patients
 8 operation theaters with latest laminar airflow
technology
 Allengers VENUS with AEC mammography machine for
early detection of Breast cancer
 24*7 in-house Blood Bank Services
 Round the clock Trauma/Emergency services
 Only laboratory accredited by NABL for Biochemistry &
clinical pathology
 Recognized Organ Transplant Center
Scope of Services

*CLINICAL SERVICES:
 Anesthesiology
 Cardiology
 Cardio thoracic surgery
 Critical Care
 Endocrinology
 General Medicine
 Nephrology
 Neurology
 Orthopedics & Joint Replacement
 Pediatric Cardiology & Cardio
 Thoracic surgery
 Pulmonology
 Urology
 Radiology

*DIAGNOSTIC SERVICES:
 Cath lab/DSA Lab
 ECHO/ECG/Holter MonitoR
 EEG/ENMG/Video EEG/NCV
 Tread Mill Testing
 Ultrasound
 X-ray
*LABORATORY SERVICES:
 Clinical Biochemistry
  Clinical Pathology
 Hamatology
 Serology
*BLOOD BANK
*PROFESSION ALLIED TO MEDICINE
 Dietetics
 Physiotherapy
*SUPPORT SERVICES:
 Ambulance
 CSSD
 Pharmacy
 Laundry

*SERVICES NOT AVAILABLE:

 Oncology
 Burns Unit
 Psychiatry
 Logo

Blue- Technology and Profession

White- Openness & Honesty

Red-Passion and Dedication towards saving life

BOARD OF DIRECTORS
Chairman-Sri MS Rama Mohan Rao

Managing Director-Dr. Pothineni Ramesh Babu

ADMINISTRATION
1. P Gopi Krishna- Group Chief Operating Officer

2. Maj Gen (Rtd) Dr S Kumarvelu- Medical Director – Vijayawada

4. Dr. Mamatha-COO of Guntur Ramesh Hospital

 5. Dr N Kishore-Medical Administrator (Emergency Medical Services)
– Vijayawada

Over 1200 employees,125 doctors (50 Specialized doctors & 75

Duty doctors) available in the hospital

State-of-the-Art Technology & Facilities

 Houses the First time in Navyandhra Pradesh – Philips
Ingenia 3.0 Tesla CX Digital MRI
 Philips Ingenuity 128 Slice CT Scanner
 Two Philips Catheterization Labs with IVUS & FFR
 Eight Operation Theatres with Laminar Air Flow
 Fully Automated Laboratory with Johnson & Johnson
equipment
 Blood Bank
 Genetic Laboratory
 CSSD
 Radiology

Ramesh Hospitals -Birth n’ Beyond for women and children is

a boutique maternity center with a dedicated dept. of Gynecology,
Neonatology & Pediatrics. The comfort and convenience of prenatal
guidance, birthing suits, lactation support, and post-delivery care are all
brought within the reach of people of Andhra Pradesh.
MISSION
Provide quality treatment to patients with medical expertise, excellence,
and empathy and state-of-the-art equipment in an amicable and
assuring ambiance

VISION
 Maintain high standards of medical practice

 Provide quality and cost effective medical care to patients in the

region and beyond

 Continue developing as an educational and training institute

 Contribute to medical research by participating in national and

international study trial.

CORE VALUES
 Commitment to Profession
 Compassion for Patients
 Care and Concern for Employees

CUSTOMERS (Patients)
The customers here are patients. Patients here are treated with
primary care and with good quality. The patients are left with an opinion
of happy long living after the treatment and there are various check-ups
and scanning facilities wherein every patient is studied heedfully.
 For customers hospital provide different health check-ups they are
 Master Health check-up
 Executive Health check-up
 Basic Cardiac Health check-up
 Basic Diabetic Health check-up
 Advanced Diabetic Health check-up
 Senior Citizen Health check-up
RADIOLOGY
And there are various types of scanning’s like
1. Ultra sound scanning
2. MRI SCANNING ( Magnetic resonance scanning)
3. CT SCAN ( Compressed Tomogram)
4. X Ray
5. ECG ( Electro Cardio Graphy)
6. EEG ( Electro Encephalon Graphy)

COMPETITORS
There is a huge competition in Vijayawada for medical
services. There are many hospitals which provide many services for the
patients. Hospitals like Aayush hospital, sentini Hospitals, Vijayawada
Government Hospital and all. There are yoga centers and Ayurveda
centers which are becoming a peril for the hospitals.

ENVIRONMENT
Centrally located in the heart of the city, can be easily
accessible from all corners of the city. It is a one stop center for
excellence with multi-disciplinary interaction under one roof. Customer
Relation Management and Coordinators help reach out patients a stress
free treatment assisting them in admission procedure, consultant visits
with required documentation.

TECHNOLOGY
 First time in Navyandhra Pradesh Philips ingenia 3.0 Tesla CX
Digital MRI

 Philips ingenuity 128 slice CT scanner

 Philips Allura Centron catheterization labs with IVUS & FFR

 Fully Automated Johnson & Johnson VITROS 250 & ECI

 Laminar Airflow Technology based operation theaters under a

single roof

When it comes to surgical technologies within a hospital, the

administration needs to work in conjunction with its physicians and
nurses to determine the best strategy. The intraoperative MRI, ECG,
EEG and CT scan machinery are very unique and are the latest ones
because they are used in identifying the problems and defects and there
is also ultra sound scanning.

GOALS
 Double the owned bed capacity to 700, with a goal of increasing
owned and managed beds to 1000 by 2026.
  Achieve Revenue CAGR of 25% over the next 5 years while
improving EBITDA margins.

 Achieve JCI accreditation and sustain total quality and reliability

in all areas of patient care and employee welfare

 TO MAKE GUNTUR BRANCH A MOST FAMOUS

HOSPITAL LIKE VIJAYAWADA BRANCH

 To provide good quality healthcare not only to the people living in

cities but also to people living in rural areas

Timeline of Journey from Attempt to Excellence:

1988 – First Cardiac Hospital in Coastal Andhra Pradesh

1996 – First to start Cardiac Surgeries and Digital Cath lab in Coastal

India (Kolkata to Chennai)

1997 – Limca book of world records for highest success rate 99.8%

2008 – First cardiac institute in the east coast to be accredited for DNB

2012 – Dr. K. Sharan Cardiology Excellence Award by Indian Medical

Association

2012 – First to start heart and brain stroke unit in Andhra Pradesh
2012 – First to start 256 slice CT scanner and FD20 Cath lab in Andhra

Pradesh

2013 – Fellowship conferred by International Institute SCAI

2013 – First Hospital to start BLS training general public in Andhra

Pradesh – training over 30,000 people

2014 – First Teaching Institute in Cardiology to achieve NABH

accreditation

2014 – First to start Doctor @ Your Home facility for patients in

Vijayawada

2015 – First to introduce 3.0 Tesla Digital MRI scanners in Andhra

Pradesh

2015 – First PGDCC Training Institute affiliated with Texila American

University (WHO recognized)

2015 – First Hospital in Andhra Pradesh to start Telemedicine centres

benefitting 28 lakh people

99.9% success rate for Cath lab procedures – over 60,000 procedures

taken up till date

Selected as International Cardiac Interventional Training Centre –

KREAD FOUNDATION.

2016- achieved NABH accreditation in September 2016

2017- Liver and kidney transplant surgeries since July 2017

2018-Ramesh hospitals acquired sanghamitra hospitals in ongole with

150 bed facility – 98000 sq.ft built up area; owned land and building

Services
Services in our hospital were divided into two types. They are a

a) Multispecialty services
b) Home care services

MULTISPECALITY SERVICES :-

The following are the Multispecialty services provided by Ramesh

hospitals:

 Gastro Science
 Rheumatology
 Urology
 Pulmonology
 Neurology
 Neuro Surgery
 Nephrology
 Multi Organ Transplant
  Internal Medicine
 General Surgery & Allied Specialities
 Anesthesiology
 ENT And Head & Neck Surgery
 Endocrinology & Diabetology
 Emergency Medicine
 Critical Care Medicine
 Clinical Imaging & Interventional Radiology
 Cardiology
 Cardiac Surgery
 Bariatric & Metabolic Surgery

HOME CARE SERVICES

In continuation of our efforts to bring the best healthcare at
the lowest cost and address your every medical need, Ramesh
Hospitals presents all new Homecare Services, bringing the
hospital like care straight to your doorstep. We always put our
patients first. Through our Homecare plans we will travel
along with you continuously throughout the year in your
wellness journey to ensure your safety and comfort thus
derive better health outcomes.

 Doctor at Your Home

 Homecare Nursing

 Homecare plans for Pregnancy Management

 Out Patient Packages for Diabetes & Cardiac Problem

 In Patient Packages for Diabetes & Cardiac Problem

 Physiotherapy Plan
TEAM OF RAMESH HOSPITALS
At Ramesh Hospitals You Will Find A Team Of Highly
Qualified Doctors Performing Revolutionary Procedures & Surgeries
On Regular Basis And Taking Care Of Individual Patients. On Regular
Basis And Taking Comes As No Surprise As The Hospital Staff Is
Committed To Providing Compassionate, Healing And Safe
Environment.

The Top Ranked Team Of Experts At The Hospital Treats The Full
Spectrum Of Cardiac, Neurologic And Other Disorders, Including The
Most Rare And Complex Surgeries. With A Commitment To Treat
Every Patient In A Loving And Caring Way, Ramesh Hospitals
Provides A Comprehensive Recovery Environment To Patients.

Patient Services
 Admission & Discharge
 Credit Facilities/TPA/Insurance
 Guidelines for Patients & Attendants
 Visiting Guidelines For ICU
 Patient rights and Responsibilities

Admission
Before you are admitted to the hospital, an admissions
counselor will call you to obtain preliminary information,
provide important information regarding your hospital stay
and answer your questions. Your doctor also may schedule
routine medical tests, such as laboratory tests or X-rays,
 before your hospitalization. Other routine tests may be done
on the day of your admission.

Discharge
If you need skilled nursing care or physical therapy at home,
Case Management/Social Services will help you arrange this
service if medically necessary. We also will arrange ongoing
hospitalization at a skilled nursing facility or rehabilitation
hospital if needed.

GUIDELINES FOR PATIENTS AND

ATTENDANTS

 Attendants are requested to abstain from requesting for additional

facilities like linen / extra pillow etc., from the hospital.
 Attendants are requested to have all their meals at the cafeteria
only. Eating in the patient room is not encouraged.

 VISITING GUIDELINES FOR ICU

You can help us help your loved one. Please follow the guidelines:

 Limit ICU visitors to two at the patient’s bedside during regular

visiting hours (until quiet hours). More than two visitors are
permitted in the PCU, but in all cases, nurses may limit visits to help
your loved one rest and heal
 Exchange visitors and information in the waiting areas, not at the
 bedside or in doorways

 Use the waiting area when not visiting in the patient’s room to
help limit traffic in hallways, doorways and the unit itself. This helps
us comply with all fire and safety regulations and patient
confidentiality rules
 Use hand sanitizers on the wall near the door of each room when
entering and leaving; infection control guidelines are set to help
patient recovery – GEL IN and GEL OUT
 Do not bring live flowers, plants or animals into ICU (flowers are
permitted in the PCU) but balloons, cards and photographs are
welcome
 Provide direct supervision for children; for safety reasons, please
keep toddlers and infants at home
 Rest and take care of yourself so you’re in the best possible health

PATIENT RIGHTS AND RESPONSIBILITIES

Patient Rights:
Care

 Right to access to care and clinical records.

Privacy and Confidentiality

 Right to respect, personal dignity, privacy and

confidentiality.

Communication

 Right to communication about special preferences, spiritual and

cultural needs.
Safety and Security

 Right to safety and security from physical abuse or

neglect.
Preference

 Right to refusal of treatment.

 Right to seek a second opinion on his/her m.conditions.

Consent

 Right to consent.

Information & Education

 Right to information on expected cost.

 Right to information on hospital rules and regulations.
 Right to know the identity of individual providing service to him/
her.
 Right to information and education about plan of care and their

health care needs.

Right to Redress

 Right to complaint and on how to voice a complaint.

Patient Responsibilities:
Honesty In Disclosure

 To provide complete and accurate information about his/

 her health, including present condition, past illness,
hospitalizations, medications, natural products and
vitamins, and any other matters that pertain to his/her
health.
 To provide complete and accurate information including

full name, address and other information.

 To provide correct and truthful history.

Treatment Adherence
 To ask questions when he/she does not understand what the doctor
or other member of the health care team tells about diagnosis or
treatment. He/she should also inform the doctor if he/she anticipate
problem in the following prescribed treatment or considering
alternative therapies.
 To be on time in case of appointments. To cancel or reschedule as
far in advance as possible in case of cancellation or rescheduling of
the appointments.
 To attend follow up appointment as requested.
 Not to take any medications without the knowledge of doctor and
health care professional.

Abide With Rules

 Abide by all hospital rules and regulations:

 Comply with the No-smoking policy.
 Comply with the visitor policy to ensure the rights and comfort of
all patients. Be considerate of noise levels, privacy, and safety.
Weapons are prohibited on premises.
 Treat hospital staff, other patients and visitors with courtesy and
respect.
Conduct

 Not to give medications prescribed for him / her to others.

  To pay for services billed for in a timely manner as per the
hospital policies.
 To respect that some other patient\’s that medical condition may
be more urgent that yours and accept that you doctor may need to
attend them first.
 To respect that admitted patient and patients requiring emergency
care take priority for your doctor.
 To follow the prescribed treatment plan and carefully comply with
the instructions given.
 To accept, where applicable, adaptations to the environment to
ensure safe and secure stay in hospital.
 To accept the measures taken by the hospital to ensure personal
privacy and confidentiality of medical records.

Transparency and Honesty

 Provide complete and accurate information for insurance, claims

and work with the hospital and physician billing offices to make
payment arrangements.

Communication

 To communicate with the health care provider if his/her condition

worsens or does not follow the expected course.

Intent For Health Promotion

 Do everything in my capacity to maintain healthy habits and

routines that contribute to good health, and take responsibility for my
health. To understand the charter or rights and seek clarification, if
 any.

LATEST EQUIPMENT
CMO – Extra Corporeal Membrane Oxygenation
 1st ECMO unit in Andhra Pradesh.
 Carries Venous blood from the patient removes CO2 &
enrich with O2, re-enters patient circulation.

Indications:

 Respiratory Failure
 Cardiac Failure
 Septic Shock
 ECPR
Thromboelastographic (TEG)
 1st in Andhra Pradesh
 To know the efficiency of blood coagulation
 To know the platelet functions –Dengue fevers.
 Indications :
 To transfuse appropriate component of blood

 To prescribe appropriate medication

 To give effective treatment for Dengue haemorrhagic
fever.
  To monitor coagulation in organ transplantation.

Laser Endo Urology – Litho 30, Cyber TM 200

Litho 30

 Dusting of the stone instead of making bigger pieces

 Can reach any part of urinary tract without having to make incision
and puncturing the kidney (more complex procedure with
complications)
Cyber TM 200 1st in Andhra Pradesh
 Can remove even big prostates without open surgery
 Chances of bleeding much less than conventional surgery
even in patients on anticoagulants
Argon Plasma Coagulation (APC)
 To control the intra-abdominal bleeding without open
surgery.
 To treat the intra-abdominal tumors.

Surgical Microscope -Sanma

 1st in Andhra Pradesh , 1st Made in India Microscope
 Fully Motorized.
 Eye focus Variable lens 200 mm – 500 mm.
 Can be used in –
 Neurosurgery

 ENT surgeries,
 Plastic Surgeries
  Ortho-Spine surgeries.

EDUCATION
First Cardiac Institute in the Coastal belt to be accredited by GOI
for DNB Cardiology, DNB Cardiothoracic Surgery .Affiliated with
IGNOU for PGDCC Program.
It has been enriching experience since Ramesh Hospitals was
granted the permission by the Central Government to conduct the
prestigious DNB (Cardiology & CTVS) training programme. The
hospital takes pride in the students who pass out with flying colors every
year.
The Hospital is also affiliated to Indira Gandhi national Open
University (IGNOU) for conducting PGDCC (Post Graduate Diploma in
Clinical Cardiology) programme. In fact, the very first year when the
hospital hosted the training programme, all the 10 students of the first
batch passed out with distinction.

CONTRIBUTIONS

 Highest quality of treatment to Arogya Sri Beneficiaries (450

consecutive patients of Arogya Sri subjected to PCI with 0%
mortality rate)
 Over 1500 Medical Camps and Free Clinics in rural areas
 Contribution during Kargil War, Hudhud Toofan, Nepal Earth
Quake victims
 Charity Services to the people below poverty line through 6 Trusts
 Water purifying RO plant to APSRTC Employees at vijayawada

EXISTING FACILITIES OF RAMESH HOSPITALS

1. Main Hospital & Teaching Cardiac Institute, Vijayawada

 Company’s flagship NABH accredited hospital located in the heart

of Vijayawada
 Commenced operations in 1988
 160 bed facilities – 75,000 sq. ft. built up area constructed on
leasehold land of 27,000 sq. ft.
 FD20 & F10 Cath labs with IVUS & FFR; 4 Operation Theatres
 Primary focus on Cardiology and Paediatric Cardiology
 Also conducts academic programmes in Cardiology – PGDCC
and DNB Cardiology

2. MG Road/ Labbipet Hospital, Vijayawada

 Multispecialty hospital located in MG Road, Vijayawada

 Commenced operations in 2011-12
 50 bed facilities – 30,000 sq. ft. built up leased area on leasehold
land of 9,500 sq. ft.
 256 Slice CT Scanner and 2 Operation Theatres
  Focus specialties include Neurology, Orthopaedics and
Gastroenterology
 NABH entry level accreditation
3. Multisuperspeciality Hospital, Guntur

 State of the art super specialty hospital located in Guntur

 Commenced OP operations in Apr 2015 and IP operations in June
2015
 350 bed facility –3,16,000 sq. ft. built up area
 1 Cath lab, 128 Slice CT Scanner, 3 Telsa Digital CX MRI
 Designed and constructed as per JCI standards.
 Achieved NABH Accreditation in September 2016
 Liver & Kidney transplant surgeries since July 2017

4. Ramesh Sanghamitra Hospital, Ongole

 Started multi-specialty services in 2011. Acquired by Ramesh

Hospitals in April 2018
 150 bed facility – 98,000 sq.ft built up area; owned land and
building
 1 Cath lab, Dual Slice CT Scanner, 1.5 Telsa MRI
 Achieved NABH Accreditation in February 2017

DEPARTMENTAL STUDY :-

In order to function efficiently and effectively every

organization has a functional department. it’s important to divide

departments so that the work is divided into units and departments. This

division of the work is helping in bringing specialization in various

activities of concern and helps in putting right men on right job which

can be done by selecting people for various departments according to

their qualifications, skills and experience. This is helping in defining the

jobs properly which clarifies the role of every person.

Ramesh hospital has the following departments:-

 Finance department

 Hr. department

 Marketing department

 It department

 Medical records department

 CSSD department

FINANCE DEPARTMENT :-

Finance function at Ramesh hospitals:-

There exits an inseparable relationship between finance and other

functional departments almost all kinds of business activities, directly or

indirectly involve the acquisition and use of funds.

The functions are:

 Proper use and allocation of funds.

 Taking sound financial decisions.

 Improving profitability through proper financial controls.

Billing :-

The billing department has three different sections:-

1. Inpatient billing

2. Outpatient billing

HUMAN RESOURCE :-

A human resources department is a critical component of employee

well-being in any business, no matter how small. HR responsibilities

include payroll, benefits, hiring, firing, and keeping up to date with state

and federal tax laws.

CSSD (central sterile supply department) :-

The central sterile supply department (CSSD), also called sterile

processing department (SPD), sterile processing, central service

department (CSD), or central supply it is an heart of the hospital. It is

an integrated place in hospitals and other health care facilities that

performs sterilization and other actions on medical devices, equipment

and consumables, for subsequent use by health workers in the operating

theatre of the hospital and also for other aseptic procedures, e.g.

catheterization, wound stitching and bandaging,etc.

Sterile processing departments are typically divided into four major

areas to accomplish the functions of decontamination, assembly and

sterile processing, sterile storage, and distribution.

Decontamination

 Decontaminating used surgical instruments and other medical

devices

 Operating and maintaining special decontamination equipment like

automatic washers

 Inspecting decontaminated items to make sure they are clean

 Assembly

 Organizing clean items and packaging them into appropriate

instrument trays and sets

Sterilization and storage

 Sterilizing assembled trays of instruments

 Precisely operating and monitoring special sterilization equipment

like autoclaves

 Keeping detailed records of items that have been cleaned, sterilized,

and stored

Distribution

 Stocking crash carts

 Organizing sterilized medical supplies

 Ensuring that sterile supplies don’t become outdated / preventing

event related sterility issues

 Delivering sterile supplies where they are needed and picking up

dirty ones
 NURSING DEPARTMENT:-

Team of highly skilled and highly trained medical and nursing

professionals work in collaboration with members of the health care

team in achieving the best possible outcomes for our patients. An

interdisciplinary team plans and directs the provision of care throughout

the continuum from admission through discharge and facilitates referrals

with appropriate resources and agencies.

FACILITY SERVICE DEPARTMENT:-

Facility service department consists of these teams that are given below

1. Nursing Assistant boys

2. Sweepers

3. Store boys

4. Security guards

5. Maintenance department

So, these are the some departments which are working under the support

service department. Without support services department hospital can’t

survive for few seconds. Basically this department provides the basic
needs to the patients/attendants so that they can have good stay in

hospital.

CLINICAL COORDINATOR:-

Responsible for organizing and overseeing the administrative aspects of

health services and hospital departments. They work in hospitals,

clinics, academic medical programs, and other patient care

environments.

SWOT ANALYSIS
STRENGTHS

 Dedicated Team of Highly Qualified Doctors and Nurses.

 Strong Brand Name and Loyal Patient Base in Andhra Pradesh.
 Competitive Advantage through Low Real Estate Cost.
 Proven Ability to Execute Green Field Hospital Projects.
 Publications, Research and Training Programs.
 Pioneer in Deployment of Latest Technology.

WEAKNESS
Ramesh Hospital which is located in Eluru Road (Main
Road) is super specialty hospital and the branch in Guntur is newly
established so it needs to get on over other hospitals to withstand. To
sustain long term in market hospital needs to adjust the package prices
moderately low.

OPPORTUNITY
As it is newly established branch in Guntur and so far
there are no other hospitals that could compete with the fame of Ramesh
Hospitals so there is an opportunity to succeed.

THREAT
Guntur and Vijayawada are the cities that are populated in the
range of middle class families. So they are getting their treatment from
other hospitals like Lalitha, Sai Bhaskar and City Guntur hospitals etc.
Too many costs are issued for the treatments when compared to other
hospitals. This is newly formed capital so may be foreign competitors
may enter in hospital field in Guntur

SERVICES & CONTRIBUTIONS

 Highest quality of treatment to Aarogya Sri Beneficiaries (450

consecutive patients of Aarogya Sri subjected to PCI with 0%
mortality rate)
 Over 1500 Medical Camps and Free Clinics in rural areas
 Contribution during Kargil War, Hudhud Toofan, Nepal Earth
Quake victims
 Charity Services to the people below poverty line through 6 Trusts
 Water Purifying RO Plant to APSRTC Employees at Vijayawada

CSR INITIATIVES
 Free camps across Andhra Pradesh
 Free daily OPD for people below the poverty line
 Adopted 2 villages Chinnaavtapalli & Peddaavtapalli for health care
needs
 Conducting Basic Life Support (BLS) in schools and colleges.
 Neighbourhood Camps
 Awareness talks in clubs, schools, and colleges

ROLE OF INTERNSHIP ACTIVITIES:-

These are some activities which I performed during my internship.

Firstly I would like to give sincere thanks to my company guide

Zareena Madam for locating us in a floor which has chance to know
a lot and I like to thank the staff who helped me to know about the
things I don’t know.

I had a memorable experience from joining the internship program at

Ramesh hospitals, Guntur. In addition to daily work I had great

opportunity to meet different people working over there. Be sides, I

made a lot of colleagues during the course of internship.

Thank you