Operations Management in

Hospitals

Snehal Ashtekar – 51 Suyog Koyande -57

Soham Purandare – 52 Swapnil Tatar – 58
Srushti Pagrut – 53 Vaibhav Rohankar – 59
Stuti Doshi - 54 Varsha Tadge – 60
Sumedh Desai – 55 Yash Pawar - 61
Sumeet Garad – 56
Aarogya Hospital – Our Objective
To make available a model of an Health Care Institution.

Increase the range of services.

Provide a safe and therapeutic environment for all patients, staff and visitors.

Increase overall satisfaction.

Achieve financial and human resource key performance indicators.

To serve as an example.

 DEPARTMENTS
• List of departments :-
1. OPD
2. OT
3. ICU
4. PATHOLOGY
5. RADIOLOGY
6. CARDIOLOGY
7. OBSTRETRICS AND GYNAECOLOGY
8. NEUROLOGY
9. ORTHOPEDICS
10. PEDIATRICIANS
11. UROLOGY
12.BLOOD BANK
13.ANASTHESIOLOGY
14. Plastic and Reconstructive Surgery
 OUT-PATIENT DEPARTMENT
 OPD :- Out Patient Department
 Out patient :- A patient who is in the hospital for less than 24 hours.
 First point of contact between patient & hospital staff and usually on the ground floor.

Visits for Tells which department

first time a patient should go.
Patient OPD DEPARTMENT

CAPACITY
 Has a seating capacity of 100
 A total of 7 staff members
 3 receptionists to take/ give appointment
 4 Attendants to guide the patients
 Floor Plan of ground floor. OPD

RECEPTION
1. Confirmation Waiting for their Attendant calling
chance and guiding the
2. Form filling & Fees patients
Collection
3. Allocating

Meeting the
allocated Doctor
 ICU DEPARTMENT
CONSTANT
Intensive Care PEOPLE WITH LIFE CARE
Unit THREATENING ILLNESS/
(ICU) INJURY
CLOSE SUPERVISION
FROM LIFE SUPPORT
SYSTEM
 Staffed with highly trained physicians, nurses and other therapists

 Equipped with advanced medical resources.

 Higher staff to patient ratio

 Types of ICU :-
 NICU: neonatal intensive care unit
 SICU: surgical intensive care unit
 MICU: medical intensive care unit
 AICU: Anesthesia intensive care unit
 ICCU :Intensive Coronary Care Unit
 ICU DEPARTMENT
 MINIMUM REQUIREMENTS OF ICU
1. Director :- 1
2. Specialist Doctor (Consultants) :- 3
3. Resident Doctor :- 3
4. Other Speciality Doctor :- 3
5. Nursing staff (Head Nurse, Incharge Nurse, Other nursing staff) :- 20
 Total staff :- 30

 Total bed capacity :- 10-15 Beds

 Bed Size :- 7ft x 4ft

Emergency Operations
• It deals with medical emergencies or casualties
• Pre diagnosis and check up is done
• On this basis the patient is either shifted to respective
IPD(Inpatient Departments) ,to EMS OT ,ICU or
discharge
• Sub section of pathology ,radiology ,pharmacy, blood
bank are situated in EMS
 Operations theatre
• An operations theatre is where certain invasive surgical
procedures are performed
• It is most critical department in the hospital
• Space is compact and machines and equipment are
organized in a way that they are accessible without
moving much
• Specialized staff
• Planning and scheduling
• Maintenance
 Orthopedics department
OPD CARDIOLOGY PATHOLOGY anesthesia

ADMITTED Pre-operative Anaesthetic

PREPARATION
TO IPD stage stage

EMS
RADIOLOGY BLOOD BANK IMPLANTS SUPPLIERS

discharge Recovery stage Post op stage Surgical stage

Department of Obstetrics and
Gynaecology
• This department provides comprehensive services for the
reproductive health and gynaecological needs of women.
• This department has higher workload out of all other
departments
• OPD of this department attend large number of
patient as they have to visit multiple times before and
after the delivery
• Closely works with sonography and pediatrics
department
Nutrition department
• This department takes care of nutritional aspects
of patient
• It is important to provides nutritional food to
patient in order to recover fast
• inventory
• Timely delivery of food
• Quality management
• Staffing and scheduling
 Capacity
• Your patient capacity ( No of beds in OPD, In patient, OT, ICU)
• Your staff capacity (On roll employees – nurses, ward boys, resident
doctors, & others; visiting doctors)
Daily Operations
• How will your daily operations be handled, keeping capacity
constraints in mind
• Working out smooth cooperation between departments
• How will you prioritize, what operations will you refuse to undertake,
minimizing the impact on future operations
 Maintenance Activities
• Prepare and maintain maintenance time schedule for various
activities. For e.g.
1. Preventive and predictive equipment maintenance time schedule

Device Brand Model Daily Every 10 mins

2. Hospital building maintenance time schedule

Element Time Covered Specific Time
1. Main Structure
2. Internal Construction
3. Internal Fixtures
4. External Decoration
5. Electrical Services and
Equipment
For Successful maintenance -
Make sure that :
• The maintenance and repair manuals for hospital equipment are in one location
• There is a master record of maintenance for each piece of equipment in the hospital
• There is a system of reports to show the state of each piece of equipment at the time
of each test and to initiate any further action which may be necessary
• There are routine inspections, oiling and replacement of defective parts for electrical
and mechanical systems
• Renovations are performed when required on the external and inside of the buildings
when required
• There is removal of equipment that is no longer operable or repairable
• The hospital grounds and facility clean and free of litter
 Expansion Possibilities
• How much can your capacity be expanded
• In how much time will you be able to expand
1. Interview knowledgeable staff to uncover challenges

2. Evaluate existing systems

3. Define your financial capacity

4. Align your expansion with strategic plans

5. Plan for expansion before you build your facility

6. Understanding the cost of hospital expansion

 AH – Areas Of
Possible Improvement
• What can be improved in the hospital for all stakeholders involved,
respectively