Nephrology and Dialysis

Viraj Gosavi (DY23MGTP0HHM013)

D.Y.Patil University School of
Management
 CONTENT

1. ORGANISATION AND ADMINSTRATION OF THE DEPARTMENT

2. SERVICES
3. LAYOUT
4. FINANCIAL PLANNING
5. SIZE REQUIREMENT
6. DESIGN AND PLAN OF 100 BEDDED NEPHRO HOSPITAL
7. DIVISION OF AREA
8. STAFFING
Organization and administration of Nephrology Department

Nephrology is a specialised branch of medicine

dedicated to the study of kidney function and diseases.
Nephrologists are medical professionals with a
specialisation in the diagnosis and treatment of kidney-
related conditions

Organizing and administering a nephrology and dialysis

department in a hospital requires careful planning,
efficient management, and a focus on delivering high-
quality patient care.
The departmental administration is coordinated by the
Head of the Department. Each clinical subspecialty has
a faculty in charge, who is responsible for the
development of the specialty, and day-to-day activities.

A general administration structure of this department is

shown here.
IPD, OPD AND DIAGNOSTIC SERVICES
1. OPD SERVICES:
OPD Services: (JUPITER HOSPITAL)
•The OPD is located in the New Building Hi-Tech on the First floor
•Dialysis Unit in 1st floor of Hi-tech Building
•Nephrology wards on 2nd and 3rd floor and the Kidney Transplant I.C.U on 5th floor located in the Hi-Tech
building. There are total 1 Professor, 2 Associate Professor, 1 Assistant Professor and 1 Senior Residents.
•There is 06 bedded state of the art Transplant Intensive Care Unit with adequate staff, with a 24 hr round the
clock physician availability.

•Nephrology consultation
•Diagnostic evaluation and testing
•Follow up cases
•Patient and family counselling and education of the disease and its treatment Referral for rehabilitative services,
nutritional or other advices as cross consultation, if needed
 SERVICES
1. IPD SERVICES:
-The department provides comprehensive care to all IPD cases of Nephrology with backup of wards
• Hemodialysis – Emergency and maintenance
• Slow intermittent Hemodialysis modalities – (SLED, SCUF)
• Peritoneal Dialysis
• Percataneous Peritoneal Catheter Insertion
• Plasmapheresis
• USG – Guided Renal Biopsy
• HD Catheter insertion
• Tunnelled Permanent Catheter insertion
• Renal Transplant

2. DIAGNOSTIC SERVICES:
• The department has back up of 24 hours laboratory and imaging services to aid
• DIALYSIS UNIT: ‐ The Nephrology department covers the scope of some specialized treatment with a fully
equipped dialysis unit having 2 dialysis The procedures performed are as follows:
• Hemodialysis
LAYOUT
The layout of a nephrology department in a hospital can vary depending on
factors such as the hospital's size, available space, and the specific services
offered. A general design of Nephrology department is:

1. Reception Area:
1. A welcoming and efficient reception area for patients to check in.
2. Comfortable seating for patients and their families.
3. Information desk for inquiries.

2.Outpatient Clinic:
1. Examination rooms for consultations with nephrologists.
2. Procedure rooms for minor interventions such as renal biopsies.
3. Waiting area for patients.

3.Dialysis Unit:
1. Dialysis stations with comfortable chairs or beds.
2. Monitoring equipment for vital signs during dialysis.
3. Dedicated space for dialysis nurses and technicians.
4. Storage for dialysis supplies and medications.
LAYOUT
4. Diagnostic Imaging:
1. Imaging rooms for procedures like renal ultrasounds.
2. Waiting area for patients undergoing imaging studies.

5. Laboratory:
3. Lab facilities for blood and urine testing.
4. Specimen collection area.
5. Storage for laboratory supplies.

6. Inpatient Ward:
6. Inpatient rooms for patients requiring hospitalization.
7. Nursing stations for monitoring and care.
8. Isolation rooms for infectious cases.
9. Dedicated spaces for family or visitors.
7. Conference/Meeting Rooms:
10. Meeting spaces for medical staff discussions and case reviews.
11. Conference rooms for educational purposes.
8. Administrative Offices:
12. Offices for department heads, administrators, and support staff.
13. Staff lounge and break area.
 FINANCIAL PLANNING
Basic outline:
1. Assessment of Current Financial Status: Start by analyzing the current financial status of the nephrology department. This includes
reviewing revenue streams, expenses, profit margins, and any existing financial challenges.
2. Budgeting: Develop a comprehensive budget for the department that outlines anticipated revenue and expenses. Consider factors such as
staff salaries, equipment costs, medication expenses, facility maintenance, and overhead costs.
3. Revenue Generation: Identify opportunities to increase revenue streams for the nephrology department. This could include expanding
services, attracting more patients through marketing efforts, optimizing billing and coding processes to maximize reimbursement
4. Investment in Technology and Equipment: Assess the department's technology and equipment needs and allocate resources for
necessary upgrades or investments. This may include investing in advanced medical equipment, electronic health record systems,
telemedicine capabilities
5. Quality Improvement Initiatives: Implement quality improvement initiatives to enhance patient outcomes, satisfaction, and safety. This
may involve implementing evidence-based practices, conducting regular quality assessments and audits.
6. Financial Reporting and Analysis: Establish robust financial reporting mechanisms to monitor the department's financial performance
regularly.
7. Long-Term Strategic Planning: Develop a long-term strategic plan for the nephrology department that aligns with the overall goals and
objectives of the hospital or healthcare organization.
Size requirement
1.Small Hospitals (0-200 beds):
1. Nephrology department space: Approximately 1,000 to 2,500 square feet.
2.Medium-Sized Hospitals (201-400 beds):
1. Nephrology department space: Approximately 2,500 to 4,500 square feet.
3.Large Hospitals (401-600 beds):
1. Nephrology department space: Approximately 4,500 to 6,500 square feet.
4.Very Large Hospitals (601+ beds):
1. Nephrology department space: 6,500 square feet and above.
DESIGN, PLAN OF A NEPHROLOGY HOSPITAL 100 BEDS
Design and plan a nephrology hospital with 100 beds, including allocations for ICU, dialysis, OPD (Outpatient Department), and IPD (Inpatient
Department).
Breakdown of bed allocations and specific size requirements for each section in square feet:

1.ICU (Intensive Care Unit):

1. Number of Beds: 10
2. Size Requirement: Approximately 10,000 to 15,000 square feet
3. Description: Include ICU beds, monitoring equipment, ventilators, isolation rooms, resuscitation areas, nursing stations,
and utility spaces.
2.Dialysis Unit:
1. Number of Dialysis Stations: 20
2. Size Requirement: Approximately 5,000 to 7,000 square feet
3. Description: Include dialysis stations, water treatment facilities, patient monitoring equipment, waiting areas, and
nursing stations.
3.OPD (Outpatient Department):
1. Number of Consultation Rooms: 8
2. Size Requirement: Approximately 5,000 to 7,000 square feet
3. Description: Include consultation rooms, examination rooms, waiting areas, nursing stations, administrative offices, and registration
counters.
DESIGN, PLAN OF A NEPHROLOGY HOSPITAL 100 BEDS
4. IPD (Inpatient Department):
1. Number of Beds: 60
2. Size Requirement: Approximately 30,000 to 40,000 square feet
3. Description: Include patient rooms, nursing stations, medication
rooms, utility areas, support services, and family waiting areas.
5. Support Services:
4. Size Requirement: Approximately 10,000 to 15,000 square feet
5. Description: Include laboratory facilities, radiology services,
pharmacy, central sterile supply department (CSSD), medical
records, and staff areas.

6. Ancillary Services:
6. Size Requirement: Approximately 5,000 to 7,000 square feet
7. Description: Include rehabilitation therapy rooms, dietary
counseling offices, social work offices, patient education areas, and
group meeting spaces.

7. Administrative Areas:
8. Size Requirement: Approximately 5,000 to 7,000 square feet
9. Description: Include administrative offices, conference rooms, staff
lounges, staff training facilities, and IT support rooms.
 DIVISION OF AREA
For a nephrology and dialysis department in a 200 to 400 bedded hospital, you can allocate space based on the specific needs of these
departments:

1.Consultation Rooms (Nephrology):

1. Allocate around 150 to 200 square feet per consultation room.

2.Dialysis Unit:
1. Dedicate a significant portion of the area for the dialysis unit. The space required per dialysis station can vary, but a
general estimate is around 150 to 200 square feet per station.

3.Procedure Rooms (Nephrology):

1. Allocate around 250 to 400 square feet per procedure room for nephrology procedures, such as kidney biopsies.

4.Waiting Area:
1. Design a spacious and comfortable waiting area, ranging from 200 to 400 square feet.
DIVISION OF AREA

5. Reception and Registration:

– Allocate around 300 to 500 square feet for the reception and registration area, ensuring it has sufficient space for
administrative functions.

6. Staff Areas (Nephrology and Dialysis):

– Provide office space and workstations for nephrologists, nurses, and administrative staff. Allocate around
100 to 150 square feet per office or workstation.

7. Conference/Meeting Room:
– Designate a meeting room for staff discussions, conferences, or training sessions. This can range from 300 to
500 square feet.

8. Storage and Utility Rooms:

– Allocate space for storage of medical supplies, equipment, and utility rooms based on specific needs.
STAFFING
• Staffing for a nephrology department in a 300-bed hospital typically
involves a multidisciplinary team to provide comprehensive care for
patients with kidney-related issues.

KEY POSITIONS:
1. Nephrologists:
1. Senior Nephrologist (1-2)
2. Junior/Associate Nephrologists (2-3)

2. Renal Nurses:
1. Nurse Manager (1)
2. Staff Nurses (8-10)

3. Dialysis Unit:
1. Nephrology Technicians (3-4)
2. Dialysis Nurses (6-8)
3. Dialysis Unit Manager (1)

4. Transplant Coordinator:
1. Transplant Coordinator (1)
STAFFING
5. Renal Dietitian:
1. Renal Dietitian (1)

6. Social Worker:
2. Renal Social Worker (1)

7. Nephrology Technicians:
3. Laboratory Technicians (2-3)
4. Imaging Technicians (1-2)

8. Administrative Staff:
5. Department Administrator (1)
6. Medical Secretary/Assistant (1-2)
THANK YOU!!!!