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Transcript of Dheeraj Kumar Mba+Pgpha 2003
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SUBMITTED BY:-DHEERAJ KUMAR SINGH
COURSE: MBA(PGPHA)ROLL NO. 09010954
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Max passion
To deliver world-class healthcare with a service focus, by
creating an institution committed to the highest standards of medical & service excellence, patient care, scientific
knowledge and medical education
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The cross is the accepted symbol for Healthcare the worldover. The hands that you see within it are inspired by
Michaelangelo's famous painting on the roof of the Sistine
Chapel showing the birth of Adam. In this work, which has
endured for centuries, God bestows the gift of life on
mankind through his touch, a truly fitting symbol for a group
that endeavours to enhance the quality of life through
healing and care.
The healthcare green they have finally chosen is fresh, closeto nature and symbolic of life. They hope to use this colour
to differentiate all there healthcare properties.
The Logo Story
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MAX HOSPITALS
Max Super Specialty Hospital (A unit of DeviDevi Foundation), Saket
Max Super Specialty Hospital, Saket
Max Super Specialty Hospital, Patparganj
Max Hospital - Pitampura
Max Hospital - Noida
Max Medcentre - Panchsheel Park
Max Speciality Centre - Panchsheel Park
Max Hospital - Gurgaon
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Aesthetic and Cosmetic Surgeries
Knee Replacemnet Surgery
IVF and Reproductive Medicine
Minimal Access, Metabolic & Bariatric(Weight loss) Surgeries
Neuron surgeries/Neuron Spine Surgeries
Cancer Treatment
SPECIALITIES AND SERVICES
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Orthopedics and Joint Replacements
Heart Surgeries & Interventions
Ortho Spine Surgeries
Eye & Dental Care
Pediatric Surgery
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ROLE & RESPONSIBILITIES
Study of following department of hospital :
Marketing
Quality
Linen & Laundry services
Dietary services
Store & equipment
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Medical record department
Account & Finance
Front Office
Detail study of Marketing department
(Call handing , Communication with doctors , Publicrelation activities)
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CONTRIBUTION
Studied each departments of hospital including their function ,
contribution to hospital ,suggestion and recommendations.
A study on the turn around time for preparation of discharge
summary.
Methodology :- Sample study.
SOURCE :- MEDICAL TYPIST, NURSING STATION AND
TRIAGE ROOM.
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PURPOSE OF STUDY :-
The aim of the study is to find out the average time takento discharge a patient.
Discharge of the patient starts when doctor pronouncedthe discharge of the patient, after that nurse prepares thefile (including ECG reports, Path. Lab reports, etc) andsend the file to Medical Typist cabin, where summary isprepared and at the same time activity is sent to Front-
Office.
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CONT..
When discharge summary is prepared, the fileincluding summary sent to DMO for check.
As the summary is checked by DMO, it dispatchedto nurse to complete any other formality.
If patient is corporate (TPA) then dischargesummary after checked by DMO sent to the TriageDoc. for counter checking and then dispatchedsummary to the Front-Office for Fax.
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Procedure:-
Data is collected from 3rd & 4th I.P.D floor in the ³MaxHealthcare Pitampura´.
My data collection is based on TAT (turn around time), i.e.time starting when discharge is pronounced and finished
when the summary is sent to nurse after checking it by
DMO
.
I had taken reading at every step, i.e. T1, T2, T3, T4, T5, T6
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(T1) - TIME DISCHARGE IS PROUNOUNCED BY DOCTOR
(T2) - TIME FILE IS GIVEN TO THE MEDICAL TYPIST
(T3) - TIME DISCHARGE ACTIVITY IS SENT TO F.O
(T4) - TIME DISCHARGE SUMMARY SENT TO DMO FOR CHECK
(T5) - TIME THE SUMMARY IS CHECKED & DISPATCHED TO NURSE
(T6) - TIME THE SUMMRY IS SENT TO TRIAGE FOR COUNTER CHECKING
& F.O FOR FAX
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DISCHARGE TAT OBSERVATION
DAY1(28/05/2010)
R.NO/FILE NO. PT. NAME TYPE T1 T2 T3 T4 T5 T6 T2-T1 T5-T4
G Cash 10:00 11:30 12:10 12:15 12:30 1:30 0:15 2:30
B/O H Cash Mrng 11:45 12:00 12:30 12:40 0:10 2:40
S Corp. 11:00 12:05 12:30 12:45 1:00 1:15 1:05 0:15 2:15
B/O S Corp. 11:15 12:30 12:35 12:45 1:50 2:30 1:15 1:05 2:35
S Corp. 11:10 12:25 12:40 1:40 1:55 2:20 1:15 0:15 2:45
B/O S Corp. Mrng 12:55 1:10 1:15 2:15 2:25 1:00 2:25
3109-A M . K Cash 11:00 2:00 2:30 2:45 4:30 3:00 1:45 5:30
3114 P Cash 12:00 2:15 2:20 3:00 5:00 2:15 2:00 5:00
3106 S Cash 2:30 2:45 3:15 3:05 3:20 0:15 0:15 0:50
1417 B/O R Cash 3:00 3:20 3:25 4:00 4:30 0:20 0:30 1:30
N Cash 10:30 10:45 11:12 11:00 12:20 0:15 1:20 1:50
D Corp. 8:00 11:40 1:07 12:00 12:30 2:15 3:40 0:30 6:15
3102 S Corp. 3:00 4:00 4:05 4:35 4:45 5:00 1:00 0:10 2:00
1420 S Corp. 11:30 4:30 4:45 5:00 5:00 5:30
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DAY2(29/05/2010)
R.NO/FILE NO. PT. NAME TYPE T1 T2 T3 T4 T5 T6 T2-T1 T5-T4
1402 R Corp. 9:00 9:30 9:35 9:40 10:40 10:45 0:30 1:00 1:45
3111 P Corp. 9:00 9:30 9:35 9:40 10:45 10:50 0:30 0:55 1:50
3114-B AR Cash 10:00 10:55 11:00 11:10 11:30 0:55 0:20 1:30
3104-A H Cash 10:00 11:10 11:15 11:11 11:35 1:10 0:24 1:35
GW2D B C Corp. 10:00 11:45 11:45 11:15 12:35 12:40 1:45 0:20 2:40
3105-B S Cash 10:00 12:00 12:05 1:12 3:30 2:00 2:18 5:30
ICU RK Cash 12:00 12:10 12:20 12:15 12:20 0:10 0:05 0:20
3106-B R Corp. 12:15 12:20 12:25 2:40 3:15 3:30 0:05 0:35 3:15
1412-B A Cash 12:15 12:23 1:40 1:23 1:50 0:08 0:27 1:35
1409 D Corp. 12:15 12:25 12:35 2:00 4:15 4:30 0:10 2:15 4:00
3105-A S Cash 12:45 12:55 1:00 2:35 4:00 0:10 1:25 3:15
3104-B G Cash 10:30 1:00 1:10 1:30 2:00 2:30 0:30 3:30
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DAY3(01/06/2010)
R.NO/FILE NO. PT. NAME TYPE T1 T2 T3 T4 T5 T6 T2-T1 T5-T4
3110 J.S.M Corp. 10:00 10:15 10:20 10:20 11:30 12:50 0:15 1:10 2:50
1402 S Corp. 10:00 10:15 10:20 10:20 11:45 12:30 0:15 1:25 2:30
3106-B R Corp. 9:00 10:00 10:15 10:10 12:00 12:30 1:00 1:50 3:30
3109-A S Corp. 9:30 10:25 10:30 10:30 2:00 2:30 0:55 3:30 5:00
3114-B P Corp. Mrng 10:00 10:05 10:15 11:50 12:45 1:35 2:45
1414 A Corp. Evng 10:30 10:40 12:00
(Cancelled
) 1:20
3102-B K Cash Mrng 10:40 10:45 10:50 12:15 1:25 2:15
3111 Y Cash 10:30 10:55 10:55 11:00 12:20 0:25 1:20 1:50
1418 A Corp. 11:15 11:30 11:40 1:00 2:15 2:30 0:15 1:15 3:15
1421 R Corp. 11:00 11:35 12:00 2:00 2:30 2:45 0:35 0:30 3:45
3103-A R Corp. 1:00 1:20 1:30 2:20 2:30 2:55 0:20 0:10 1:55
3105-B K Corp. 3:15 3:25 3:25 3:45 4:15 4:30 0:10 0:30 1:15
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DAY4(02/06/2010)
R.NO/FILE NO. PT. NAME TYPE T1 T2 T3 T4 T5 T6 T2-T1 T5-T4
1405 S Corp. Mrng 10:00 10:05 10:30 12:45 1:00 2:15 3:00
GW1A R Cash Mrng 11:00 11:05 11:15 1:35 2:20 3:35
1415 M Corp. Mrng 11:05 11:10 11:30 1:00 1:15 1:30 3:15
1416 H Cash Mrng 10:45 10:50 11:10 1:15 2:05 3:15
1414 A Corp. Mrng 11:00 11:05 11:15 11:45 12:00 0:30 2:00
3106-B M Corp. 9:00 9:40 9:45 9:55 10:15 10:45 0:40 0:20 1:45
3106-A W Corp. Mrng 9:45 9:50 9:55 10:30 10:45 0:35 1:45
3114-A R Cash Mrng 9:45 9:45 10:00 10:30 0:30 1:30
3109-B K Corp. Mrng 11:30 11:50 12:00 1:45 1:55 1:45 3:55
1404 V Corp. 11:00 12:00 12:10 12:15 1:30 1:40 1:00 1:15 2:40
1406 R.K Cash 11:50 12:00 12:05 12:15 1:20 0:10 1:05 1:30
3104-B C Corp. 12:00 12:45 12:50 12:55 1:25 1:40 0:45 0:30 1:40
GW2D S Cash Noon 2:00 2:10 3:15 4:00 4:15 0:45 3:45
GW2B V Corp. 2:00 2:38 2:45 3:20 3:50 4:00 0:38 0:30 2:00
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(T2-T1) - TIME TAKEN BY NURSES TO SENT THE FILE
(T5-T4) - TIME TAKEN BY DMO TO SIGN THE REPORT
(T2-T1) (T5-T4)
Avg Time 1:27 1:04
MEAN 1:00 1:01
STD DEV. 0.044 0.0041
MAX - 5:00 3:30
MIN - 0:05 0:05
The main reason of delay in discharging a patient during the time at which nurse
sent the file to the typist, i .e. T2-T1 and when the summary is prepared and
waiting for DMO to sign it, i.e. T5-T4.
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(T2 - T1)
TIME DISCHARGES PERCENTAGE
0-30 MIN. 17 44.73684
31-60 MIN. 9 23.68421
1:01-1:30 HRS. 5 13.15789
ABOVE 1:30 HRS. 7 18.42105
0
5
10
15
20
25
30
35
40
45
50
0-30MIN. 31-60MIN. 1:01-1:30HRS. ABOV E 1:30HRS.
DISCHARGES
PERCENTAGE
(T2-T1) - TIME TAKEN BY NURSES TO SENT THE FILE
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(T5 - T4)
TIME DISCHARGES PERCENTAGE
0-30 MIN. 23 45.09804
31-60 MIN. 5 9.803922
1:01-1:30 HRS. 12 23.52941
ABOVE 1:30 HRS. 11 21.56863
0
5
10
15
20
25
30
35
40
45
50
0-30MIN. 31-60MIN. 1:01-1:30HRS. ABOV E 1:30HRS.
DISCHARGES
PERCENTAGE
(T5-T4) - TIME TAKEN BY DMO TO SIGN THE REPORT
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Average time taken by nurse to send the file to the typist is 1:27hrs.
Maximum time taken by nurse to send the file to the typist is 5hrs.
Minimum time taken by nurse to send the file to the typist is 5min.
Average time taken to sign the summary by DMO is 1:04hrs.
Maximum time taken to sign the report by DMO is 3:30hrs.
Minimum time taken to sign the report by DMO is 5min.
Average time taken to Complete the discharge summary is 2:24hrs.
Maximum time taken to discharge a patient is 6:15hrs.
Minimum time taken to discharge a patient is 0:20hrs.
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Time Period Discharges Percentage
within 0-1hrs 2 3.921568627
1-2 hrs 18 35.29411765
above 2 hrs 31 60.78431373
Discharges
within0-1hrs
1-2 hrs
above 2 hrs
DISCHARGE TIME:-
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Reasons for Delay:-
Infrastructural issues: as this hospital is a verticalfacility with different floors involved in different dischargeactivities eg., Typist is on 4th floor, Billing section is on 5th
floor, Triage DMO on Ground floor and IPD Patients ondifferent floors.
1- Most of the time DMO came late to counter check thesummary and after that signed it because:-
-either he is busy in rounds.-refuses to check the summary as the file is of different flooror belong to other doctor.-sometimes doctor is busy in surgery.
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Cont«
2- Nurses delays to handle the file to the typist because:-
-either she was waiting to attach some report.- waiting for doctors round.-
some correction in prescription written by Doctor orDMO.
3- GDA not available to take the report to the Triageroom.
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Recommendations:-
Integration of services close to each other is recommended
Discharges should be planned
Activity should be updated on daily basis.
Investigations should be compiled on daily basis.
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Cont..
There should be a separate DMO for checking the
summary.
Typist and the designated doctor for checking of summary should be on same floor.
Separate GDA for dispatching the summary .
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Learning experiences
K nowledge about the Health & hospital sector.
Hospital Industry work scenarios
Quality structure in hospital with better patient safety.
K nowledge about Marketing structure in
hospital
Communication with Doctors
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