Operations

in Hospital Management
 OPERATIONAL STREAMS

 Patient Stream

 Staff Stream

 Patient’s samples streams

 Drugs Stream

 Material Stream

 Information Stream
 PARAMETERS OF OPERATIONAL
EXCELLENCE IN HOSPITALS

 Efficiency

 Effectiveness

 Quality

 Cost
 Workflow Physical
Process Layout

Capacity
design and
planning
Supply chain
and Logistics HOSPITAL
Management OPERATIONS
MANAGEMENT Physical
Network
optimizations

Quality Staffing levels

Planning and and productivity
process Management
improvement
 Workflow Process
The process involved in the functioning of the hospital right from
the moment the patient enters and until he or she is discharged

 Physical Layout
Design of Facility which should be in accordance with the workflow

 Capacity Design and Planning

The plan to increase the capacity of the hospital
 Physical Network Optimization
Positioning warehouse, suppliers inorder to minimise lead time and
Costs

 Staffing levels and productivity management

The manpower requirement and optimal usage of labour and
resources

 Quality planning and process improvement

Quality of the service and improvements needed in the process

 Supply chain and logistics management

 SCM IN HOSPITALS

Major players at various stages

 Producers
Pharmaceutical companies, surgical products companies, device
manufacturers

 Purchasers
Pharmaceutical wholesalers, medical surgical distributors

 Health care providers

Hospitals, Healthcare clinics
 MAJOR ISSUES IN SCM

 Outdated IT systems

 Purchasing system

 Inventory and distribution

 SOLUTIONS RELATED TO SCM

 Group purchasing organizations(GPO) have provided sufficient

cost saving advantages

- Purchasing from selected vendors for many hospitals at once

- Network of suppliers

 Outsourcing of supply data management to professional service

providers

- Hospitals can more effectively focus their resources on patient care

 Inefficient inventory management could result in loss of life

- Abandon Just in time inventory and manage their own inventory

distribution
 ISSUES RELATED TO
EMERGENCY SERVICE
 DEPARTMENT
Bed Availability for Emergency situation

 Transportation Van

 Scheduling of Staff

 Availability of Doctor

 Blood and Organs

 Medical Supplies

 Stretchers and Trolley bearers

 RECOMMENDATIONS
 Arrangement for medicated food for patients
 Many drugs have a shelf life ,hence two or more
suppliers for critical medicines
 Training facilities for doctors to learn the newer
concepts of medicine
 Plant layout should be such that the distance
travelled by the patients and staff is minimum.
 Segregation of wards like psychiatry department
which are perceived to be dangerous.
 Super speciality consultation