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YYYYDesign a mini case study project to show your understanding of how
Quantitative Analysis / Statistics can contribute to management.

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To Check how effeciently Hospital Prakash Netra Kendra is being run.

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Primary Data is collected as a part of the internal working of the hospital. The
collection is done primarily by the nursing staff who measure various variables
like total time spent by patient in hospital etc.

This primary data is compiled by the hospitals quality control department every
year and is then analysed to check how effeciently the hospital is being run and
where improvement are needed.

For the purpose of this study I have acquired data from the quality control
department of this hospital and have attempted to analyse it as would be done
every year in this hospital.

In the analaysis I have shown various statistics measuring effeciency of the

hospital, explained what they imply and then explained what reasons are behind
these implications.

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Following are the key indicators used to see how well patients are being treated
in the hospital.
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1. Allergy No. of cases Total =(308/308)*100 Medical To reduce the

Documentation where number of record potential for
allergy is discharges =100Y Department medication
recorded in errors and
history and Adverse Drug
physical & Events through
drug chart standardized
documentation
of allergies

2. Completion of No. of Total =(248/308)*100 Medical To enable

Integrated complete number of record accurate
Initial Patient Integrated discharges YY Department diagnosis and
Assessment Initial treatment of
form Patient patients
Assessments


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The first marker in this schedule is allergy documentation. Allergy docmentation is a process
which takes place before the first contact with any doctor takes place. In the process the
nursing staff helps the patient fill up a form designed to identify if the patient has any past
allergies. This is done so that errors and mishaps don͛t occur while diagnosis of a patient.

In the above schedule by looking at the above schedule and value of percentage of numerator
by denominator we can see that the allergy documentation was 100% for patients that were
admitted.

The second marker is Completion of integrated initial patient assessment form, the initial
patient assessment form signifies that first contact with a doctor has been made. It is filled up
by a doctor after his first assesment of the patient. By looking at the value of the second
markers numerator by denominator we can see that IPIA form completion rate is not as high as
it should be 20 % of the patients did not
 Due to the presence of a rotation policy in the hospital the staff that completes these forms
changes every month so by checking the completion of initial patient form in different months
(we do this in the following graph) after the initial assessment we can see how effeciently the
different sets of staff are doing their duties. Same applies to the first marker as well.

These statements will become clearer once we see the following graphs :-

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As I mentioned before, the staff for allergy documetation keeps changing every month due a
strongly adhered to rotation policy present at the hospital. As we can see that the staff in
november didn͛t do their jobs as well as the staff present in december and january as the
novemeber staff shows a 93% allergy documentation of allergies compared to the December
and january staffs Perfect 100% showing.
 
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The implication for this was that after the analysis was completed the staff for the month of
november had to undergo a 3 day training to help them to execute their duties with lesser
mistakes.

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Once again because of the policy of rotation we are able to compare different staffs by looking
at data for different months. Here we can see that the Staff for november has a very average
IPIA completeness percentage of just 61%, the december staff shows an improvement of 9%
and the january staff betters the november staffs showing by 10%.
 On scrutinising the matter, the reason for this trend was found. The reason was that in
november 2009 the existing head of staff of doctors was changed. The new head of staff had
implemented some radical new policies that applied to the staff as a whole irrespective of the
rotation policy. By the increasing trend in various months it is safe to assume that these policies
worked and were able to bring up the performance of staff all over the hospital.

 
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The implication here was that the new head was commended for his work, his policies
appreciated and he was allowed to implement more of his radical policies.

NOTE: The data presented in schedule 1.1 only refers to patients that have been admitted,
whereas the data in the graphs refers to data for all patients.


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1. Unplanned Number of Total number of =(1/107)* OT To measure

returns to OT Unplanned Surgeries done procedure
100 In-charge
with in 1 Returns to OT efficiency and
month with in 1 month YY outcome

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The first marker in this schedule is unplanned returns to the Operating Theatre(OT) within a
month of a surgery performed on a patient. These uplanned returns occur to due flawed
diagnosis of the patient or through faulty first surgery.

By seeing the value of the numerator by denominator percentage we can see that the overall
percentage is very low, with mistakes occuring only 0.9% of the time. This translates to less
than a mistake in every hundred cases.

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After calculation we can clearly see that there is very little deviation from the 0.9% that we
calculated. This implies that in the months of november 2009 and january 2010 there was less
than 1 mistake per hundred cases but in the month of december 2009 there was just more than
1 mistake per hundred cases. As the deviation in the month of december is just 0.2% it isn͛t of
much consequence.
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Through this case study we can slearly see that quantitative analysis in statistics plays an
important management in improving the effeciency of this hospital by helping to identify trends
and understand what factors are effecting them. The conclusions drawn by the analysis of these
statistics assist the quality control department of the hospital in coming up with new policies
and shaping existing policies to ensure smooth functioning of the hospital.

This mini case study was conducted on Prakash Netra Kendra eye hospital Lucknow. There
contact information is present in the bibliography. Studies like this take place in hospitals, firms,
corporations all around the world to help increase effeciency in the course of normal
functioning of the institutional.

Managing a modern Hospital by AV Srinivasan (2008)

NCERT class 12th Statistics book (2009)

Prakash Netra Kendra quality control department

Ph no- 0522-4033000