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DAYANAND
MEDICAL COLLEGE &
D
HOSPITAL
UNIT HERO DMC HEART INSTITUTE
(HDHI)
LOVELY PROFESSIONAL
UNIVERSITY
Jalandhar
PROJECT ON IPD
MEDICAL RECORD
SYSTEM
SUBMITTED TO:
BY:
Miss. Gunjan Mahajan
Sandeep Singh
RR1010
SUBMITTED
MBA (HHM)
INDEX
ACKNOWLEDGMENT.
DECLARATION.
CERTIFICATE.
INTRODUCTION OF DMC&H, LDH.
HISTORY OF DMC&H, LDH.
INTRODUCTION OF HDHI.
HISTORY OF HDHI.
MISSION STATEMENT.
VISION STATEMENT.
VIEW OF HOSPITAL.
MGMT OF HDHI.
CULTURE & ASPECT OF HDHI.
SWOT ANALYSIS OF HDHI.
POLICIES & RIGHTS OF HDHI.
GENERAL GUIDELINES.
LIST OF DOCTORS.
OBJECTIVES OF HDHI.
SCOPE OF SERVE.
HIERARCHICAL FLOW CHART OF HDHI.
INTRODUCTION OF MEDICAL RECORD DEPTT.
ROLE OF MRD.
OTHER DEPTTS.
CURRENT MRD MGMT SYSTEM AT HDHI.
ORGANIZATION STRUCTURE OF MRD.
ROLE AND RESPONSIBILITIES OF MRD PERSONNELS.
PURPOSE OF MEDICAL RECORD
USES OF MEDICAL RECORD:
INPATIENT MEDICAL RECORDS KEEPING
OPD MEDICAL RECORD KEEPING
GENERATION AND FLOW OF MEDICAL RECORDS AT PATEL
HOSPITAL
FUNCTIONS
OF MRD
RETENTION
OF MEDICAL RECORD
CRITICAL EVALUATION OF THE DEPARTMENT AT PATEL
HOSPITAL
CONTENT OF THE MEDICAL RECORDS
METHODS OF RECORD KEEPING
FILING OF MEDICAL RECORDS
CHALLENGES WITH THE SYSTEM COMPLETE PROCESS OF
MRD:
SUGGESTED SYSTEM FOR RECORD MANAGEMENT
ACKNOWLEDGMENT
I wish to express
And above
all, to the Almighty God, who never cease in loving us and for the continued
guidance and protection.
have directly or indirectly help me in completing this project work.
DECLARATION
I, the undersigned, hereby declare that annual project report IPD Medical Record
System (A study in Hero DMC Heart Institute: Ludhiana) has been completed and
submitted by me and it is my original work. The empirical findings in the report
are based on the data collected by me. However, various respondents and
Project guide Miss Gunjan Mahajan (Asst. HR manager of HDHI), helped me at
various points while preparing this report. She gives me her important time to
make this project.
(Sandeep Singh)
Hospital
&
Healthcare
Management
-2nd
semester
(Registration
no.
INDIAN
HEALTHCARE
INDUSTRY
Healthcare industry in developing world is all set to grow exponentially and
India with its inherent qualities can become the global hub for healthcare
services. It is being touted as the next 'big boom' and the sector is expected to
grow rapidly over the next decade, to reach a level of Rs 3200 billion by 2012,
largely spurred by an increased corporate presence in the sector. The need of the
hour is to understand this market and plan future strategies to harness the lying
opportunity. The report on Indian Healthcare Services on analyzing the various
aspects of the industry involving public and private sector participation.
Indian healthcare services report covers various service segments along with
growth drivers, critical success factors, issues and challenges, and regulatory
environment. The market information includes market size, consumer spending;
industry trend etc.The main competition is between Govt and Private Sector.
The private sector plays an important role in India's health care delivery system.
Through a wide network of health care facilities, this sector caters to the needs
of both urban and rural populations and has expanded widely to meet increasing
demands. Utilization patterns indicate that health care seekers depend highly on
the private sector. Despite the widespread public infrastructure, a
higher proportion of health services are provided by the private sector than by
government facilities. The private health care sector has grown
significantly over time. The growth of this sector has been further
triggered by a number of factors, including a liberalized economic
policy, rapid influx of medical technology, growing deficits of public
sector hospitals, and a rising middle income class. Its growth has
profound implications for the existing character of the Indian health
care system and its future course. Recent studies indicate that
private health care significantly affects both the cost and quality of
available health care services in India. Although cases of superfluous
and high cost of services rendered by private physicians and hospitals
have been reported, there is no evidence that these result in any greater use of
public facilities.
The structure of the health care system in India is complex and it includes
various types of providers. These providers practice in different systems of
medicines
and
facilities.
The
providers
and facilities in India can be broadly classified by using three dimensions:
ownership styles (public, not-for-profit, and for-profit); systems of medicine
(allopathic, homeopathic, and traditional); and types of organization (hospitals,
dispensaries, and clinics). These dimensions are interdependent and overlapping
in
nature.
Using the ownership criterion, the health care system can be divided into four
broad sectors: Which are as follows;
(1) The public sector, including government-run hospitals, dispensaries,
clinics, primary health care centers and sub-centers, and paramedics.
(2) The not-for-profit sector, including voluntary health programs, charitable
institutions, missions, churches, and trusts.
(3) The organized private sector, including general practitioners
(having at least a bachelor's degree or equivalent in medicine),
private hospitals and small private hospitals (popularly known as
nursing homes), registered medical practitioners, dispensaries and
other licensed practitioners; and
(4) The private informal sector, including practitioners not having
any formal qualifications (e.g., faith healers, herbalists, priests,
tantriks, hakims, and vaidyas).
Government Policy
improving public health for all is documented in the constitution of India as one
of the primary duties of the state. To achieve this, the planning process of the
country provides a broad framework to the states to develop their health
services infrastructure, as well as facilities for medical education and research.
Since the inception of the planning process, the state and central governments
have experienced a number of constraints in implementing the health programs
effectively. In 1982, the National Health Policy (NHP) acknowledged these
constraints and suggested an integrated and comprehensive approach towards
the future development of health care services. To mitigate the problem of
Historically, DMCH
was the first hospital
in Punjab to set up a
dialysis unit in the
Nephrology service in 1980. DMCH is equipped with latest state-of-art
therapeutic and diagnostic equipments. Recently installed 128-slice CT scanner
and DEXA Scan in the department of Radiology provides the fastest and highest
resolution imaging. Since then, several other super-specialties have been added.
At present, super-specialties, which are providing the most modern and
advanced care to the patients are as follows;
SPECIALTIES
Anaesthesiology.
Dental.
Dermatology.
ENT.
Eye.
Medicine.
Obst & Gynae.
Orthopaedics.
Trauma.
Pediatrics.
Radio-Diagnosis.
Transfusion Medicine.
Surgery.
SUPER-SPECIALTIES
Medical: Endocrinology.
Gastroenterology.
Nephrology.
Neurology.
Oncology.
Chest.
Immunology.
Surgery: Neurosurgery.
Pediatric
Surgery.
Plastic Surgery.
Urology.
GI Surgery.
Surgical Oncology.
Cardiology.
Cardiac Surgery.
All these disciplines are managed by highly qualified doctors who have at
their disposal the latest sophisticated diagnostic and treatment facilities. At
present, there are 37 super-specialist consultants (DM/MCh) on the hospital
staff. The prominent state of the art investigative facilities available include:
1. Spect CT scans.
2. 1.5 Telsa, MRI scan, Fiberoptic endoscopes including upper as well as
lower GI Scopes, Hysteroscope and Peritoneoscope.
3. Biochemical Autoanalyzers, Blood Gas analyzer, auto cell counter,
Somatosensory Evoked Response Testing.
4. Whole Body Spiral CT Scan.
5. Ultrasonography, Echocardiography, EEG, EMG, DEXA etc
It is the first and the only institution in India having, in its Department of
Orthopedics, the facility of a unique technique of external fixators perfected by
the internationally renowned Prof. Oganesyan from Russia.
5. Stroke unit
6. Pulmonary
Critical Care Unit (PCCU)
7. Pediatric and Neonatal ICU
8. Burn ICU.
9. Special care facilities for burns, neonates, thalassaemia and cancer
patients.
INTRODUCTION OF HDHI
Since 1st April, 2001, the Hero DMC Heart Institute has provided the very best
care to patients with heart and blood vessel disease. We are dedicated to the
prevention, detection, and treatment of disorders of the heart. Today we offer
more services than ever before, relying on the latest and most sophisticated
technology available. But as we've advanced, we've never lost sight of our
purpose: to put the patient first in everything we do.
Hero DMC Heart Institute is a 120 bedded hospital (Unit of DMC & Hospital). It is
spread over an area of around one-lakh square feet, centrally air conditioned, is
one of the best Heart Institutes in North India established to provide world-class
standard cardiac care facilities to patients through dedicated team of
Cardiologists, Cardio thoracic Surgeons and Cardiac Anesthetists. The institute is
one of the best heart institutes in North India, which has backup of super
speciality services available at Hero DMC Heart Institute. We recruite and
maintain staff of specialists who are not only unparalleled in their ability to
provide excellent health care, but who are also considerate and compassionate
when it comes to meeting their patients' needs. It means offering non-surgical
procedures whenever possible so that patients can recover more quickly and get
back to their normal activities. And it means preventing heart disease before it
begins, so people can live longer healthier lives and spend more time with family
and friends.
At the Hero DMC Heart Institute, we provide our services in some of the most
personal, comfortable, and convenient surroundings ever designed. You'll be
seeing the same friendly faces each time you visit, and will actually get to know
the people taking care of you. Their goal is to focus on your health and make
sure your care involves the least amount of discomfort and disruption possible.
Moreover, we focus on the whole patient, not just the disease. This means we are
ready to help you find accommodations for your family and provide you with
support
services
beyond
your
prescribed
medical
care. In this part of the site, you'll find comprehensive information about early
detection and disease prevention, diagnosis, treatment, and rehabilitation. You'll
also find useful information such as travel maps, the doctors who may be
treating you.
We offer the best personal attention with the best facilities under the guidance of
the best personnel. A dedicated team & working to help preserve your quality of
life. In Hero DMC, once the patient admitted with us we take full in-house care of
the patient. The institute with its soothing and relaxed ambience provides an
assuring climate to make the patient and his family feel comfortable. Every
room, corridor and alleyway is planned and designed keeping in view the comfort
and ease of our patients. Our up-to-date information helps to easily access any
patient related information at any point of time. Thus, we are one of the few
Heart Centers that provides all the medical super-specialities under one roof.
Hero DMC Heart Institute (HDHI) with 120 beds became operative in April 2001
and is the leading cardiac medical and surgical care center in the region. The
hospital has a Spect- CT Scan for nuclear medicine applications in various
qualities especially Cardiology. The Institute has already performed more than
26,000 catheter laboratory procedures and 4200 O.T. procedures. The institution
has well-developed urban and rural health delivery systems, with residential
facilities for training of students and interns under the department of community
medicine. Models for health care delivery and Community Oriented Learning
have been developed in these areas in addition to research on community health
problems, which has been widely acknowledged. Multi-purpose Dumra
Auditorium is adding a new dimension to the curricular and extracurricular
activities of the students and staff alike. The institution has come up by the dint
of hard work and sincere efforts of the faculty, the management, staff and
administrators as also the co-operation of the students. The citizens of Ludhiana
and other places have always been kind in extending their helping hand in
building up this institution. Above all, the Central and State Governments and
many dignitaries deserve gratitude for their co-operation and interest in the
development of the College and the Hospital.
FACILITIES & SERVICES
Hero DMC Heart institute is well establishing. In the field of Nuclear Medicine,
Hero DMC Heart Institute has acquired the latest facility called SPECT-CT GAMMA
CAMERA, which is the first of its kind in the region. The various methods of
nuclear medical routine diagnostics are used for examinations of the heart,
thyroid gland, skeleton, kidneys, lungs and brain as well as of oncological and
inflammatory diseases. The specialities and super-specialities are as follows;SPECIALTIES
Echo, TMT, Carotid Doppler.
Coronary,
Renal,
Cerebral,
Peripheral
Angiography and Angioplasty.
Single Chamber, Dual Chamber and Biventricular Pacemaker.
Beating Heart Surgery, Valve Replacement, Adult Congenital Surgery.
Aneurysmectomy and Reduction Ventriculoplasty.
Executive Health Check-Up Clinic.
SUPER-SPECIALTIES
Cardiology.
Cardiac Surgery.
Nuclear Medicine.
Cardio Vascular Surgery.
Cardiac Anesthesia.
MISSION OF HDHI
With the patient focused orientation towards delivery of comprehensive cardiac
care of world class standards & quality through our dedicated team of healthcare professionals, leading health care technologies & effective infrastructure
arrangement, we care to develop & maintain everlasting patient relationship.
To
VISION OF HDHI
We aim to establish ourselves as one of the best centre providing ethical with
humanitarian touch at an affordable price.
Hero DMC Heart Institute is one of the Best Heart Institute in Northern
India established to provide world-class standard cardiac care facilities to
patients through expert & dedicated team of Cardiologists, Cardio thoracic
Surgeons and
Cardiac
Anesthetists.
The
Institute
encompasses over an area of around one-lakh Square feet, Centrally Air
Conditioned and 120 bedded, which offers all type of Cardiac facilities
ranging from basic Preventive Cardiology to Non-Invasive Cardiology and
Advanced Interventional and Surgical Procedures.
Digital Cath Lab. From Siemens with DSA facilities with Unique Care
package provided for the first time in India.
State of the art Operation Theatres fully equipped with the latest Siemens
Monitors, the Kion Anesthesia Machine, the fully computerized Stockert
Heart Lung Machine, the Datascope Intraortic Balloon Pump, as well as
the Medistim Flow Meter (One of the First in India).
All beds in the Hospital are equipped with Central Oxygen and Suction
supply and all Intensive Care beds have continuous invasive and noninvasive pressure monitors for facilitating constant monitoring and prompt
medical intervention, if required.
A state of the art Mobile Cardiac Care Ambulance, which is well equipped
with sophisticated machines such as defibrillator, portable ventilator,
pulse oxymeter etc.
Information system helps you with easy access to any patient related
information at any point of time. We facilitate regular interactions between
patient's family & the concerned doctors to keep them informed &
updated about patient's Condition. Information portion the form of touch
screen is also available in the main lobby.
Single, double and four bedded rooms, where all facilities required making
the patients stay comfortable, are provided.
In short span of time Hero DMC Heart Institute has successfully completed
8300 Cath lab Procedures, 1100 Heart Surgeries and 107000 People have
already benefited from the O.P.D Services.
MANAGEMENT
HDHI
OF
Designation
President
Vice-President
Vice-President
Vice-President
Secretary
Joint-
Secretary
Treasurer
Customer
focus.
Honours and rewards for best treatment.
Cordial environment.
There is the
good scope for
the employees if they can go for higher studies.
THREATS
Competitive Environment.
Recession.
Job insecurity.
Higher package by competitive employers.
GENERAL GUIDELINES
1.)You have to abide by the rules and regulation that are followed in the
hospital.
2.)You have to obey the orders of your superiors and need to work strictly in
accordance with their instructions.
3.)You will get the experiencecertificate only if you will work for at least nine
months with the institute.
4.)You have to be in proper uniform when you are on your duty and need to
wear your identity card at all times while on duty.
5.)You will be responsible for for care and maintenance of the goods that may
be entrusted to you by the institute.
6.)You will not indulge in any activity i.e.against the interests or work of the
establishment.
7.)You should not stay in the hospital premises after your duty hours apart from
any personal correspondence regarding to health.
LIST OF DOCTORS
Sr.No
Name
Designation
CARDIOLOGY
1.)
2.)
Dr.Naresh K. Sood
3.)
Dr.Bishav Mohan
4.)
Dr.Naved Aslam
5.)
Dr.S.Kumbkarni
6.)
7.)
Dr.Naveen Kumar
8.)
Dr.Rohit Tandon
9.)
CARDIAC SURGERY
10.)
11.)
Dr.Sarju Ralhan
12.)
13.)
Assistant Professor
CARDIAC
ANESTHESIA
14.)
Consultant (Cardiac
Anesthesia)
15.)
Dr.Dinesh Garg
Consultant (Cardiac
Anesthesia)
16.)
Dr.Vivek Gupta
Consultant (Cardiac
Anesthesia)
17.)
Dr.Sheetal Garg
Consultant (Cardiac
Anesthesia)
BASEMENT
Phr. Store
C.S.S.D.
A.C. Dept. & A.C. Plant
Working Area
C.S.S.D.
Main Pharmacy
C.S.S.D.
Issue Area
C.S.O
Office
Adm
Manager
HRD
Jr.
System
manager
office
JuniorAdmn
office
MRD
office
MRD
Offic
MRD
Mr.
Avatar
Office
Mr.
Goyal`
sOffice
Net Cafe
Library
RAMP
Buildin
g
Suprvi
s.
Library