SYLLABUS FOR MHA PROGRAMME

MASTERINHOSPITALADMINISTRATION

SIKSHA O ANUSANDHAN UNIVERSITY

BHUBANESWAR ORISSA, INDIA

COURSESTRUCTURE
TRIMESTERI Code MHA101 MHA102 MHA103 MHA104 MHA105 MHA106 Subject Credit Function,MedicalTerminology,Basicof 3 computer FoundationofManagement 3 OrganisationBehaviour 3 HealthEconomics 3 Quantitativemethodsofmanagement 3 PrinciplesofHealthServiceManagement 3 Total 18 TRIMESTERII Subject Credit BasicEpidemiology 3 NHP 3 BiostatisticsrelatedtoHealth&Hospital 3 MarketingManagement 3 Humanresourcemanagement 3 ManagerialAccountingandfinancial 3 Management Total 18 TRIMESTERIII Subject HealthandDevelopment HospitalOrganisation CommunicationinHospital HospitalInformationsystem MaterialsManagement ResearchMethodology Total SummerTraining Trimester1+2+3=18+18+16+6=58 TRIMESTERIV Subject HospitalAdministration LegalissuesrelatedtoHospital Planningofhospital Planningofhospital&supportiveservices ManagementofSpecificHospital HospitalStoresOrganisation&Pharmacy Credit 2 3 2 3 3 3 16 6 L 3 3 3 3 3 3 18 T 0 0 0 0 0 0 0 P 0 0 0 0 0 0 0

Code MHA207 MHA208 MHA209 MHA210 MHA211 MHA212

L 3 3 3 3 3 3 18

T 0 0 0 0 0 0 0

P 0 0 0 0 0 0 0

Code MHA313 MHA314 MHA315 MHA316 MHA317 MHA318

L 2 3 2 3 3 3 16

T 0 0 0 0 0 0 0

P 0 0 0 0 0 0 0 6

Code MHA419 MHA420 MHA421 MHA422 MHA423 MHA424

Credit 3 3 3 3 3 5

L 3 3 3 3 3 3

T 0 0 0 0 0 0

P 0 0 0 0 0 2

Total

20

18

TRIMESTERV Code MHA525 MHA526 MHA527 MHA528 MHA529 MHA530 Subject AdministrationofClinicalServices NursingAdministration SpecialisedhospitalsandSuperspecialty centers MedicalAuditanditsAdministration QualityManagementinHealthcare Dissertation Total TRIMESTERVI Code MHA631 MHA632 MHA633 MHA634 Subject Credit NonClinicalServicesinHospitalI 7 NonClinicalServicesinHospitalII 7 HealthInsurance 3 Dissertation 8 Total 25 Total=Trimester4+5+6=20+25+25=70 Grandtotal=58+70=128 L 3 3 3 9 T 0 0 0 0 0 P 4 4 0 8 16 Credit 5 3 3 3 3 8 25 L 3 3 3 3 3 15 T 0 0 0 0 0 0 0 P 2 0 0 0 0 8 10

TRIMESTERII

BASICEPIDEMIOLOGY
Totalhours:30 Credit:3

CodeMHA207

Objective:Tostudythedistributionofdiseasesinthecommunityandtheroleofhealthadministrators initsprevention.

ModuleI(7hours)
Introduction to Epidemiology: Basic measurements, Use of Epidemiology, Measurement of morbidity andmortality.Dynamicsofdiseasetransmission.

ModuleII(8hours)
Sampling & Survey methods :Sources of epidemiological data, Cause & effect relationship: how to investigateanepidemicandroleofhospitalinitscontrol,Screening&survey,CommondiseaseinIndia &itsprevention,Investigationofanepidemic,Epidemiologyandpublichealthpolicy.

ModuleIII(7hours)
The role of epidemiology in Public health : Types of Epidemiology and Methods of epidemiological Studies,Socioeconomicstatusandoccupationasdeterminantindiseasedistribution.

ModuleIV:(8hours)
Practical epidemiology : tools for monitoring & evaluation of Health programmes.Practical epidemiological consideration in development of management of information.Concept of Health indicators:Disabilityadjustedlifeyears(Dalys),Qualityadjustedlifeyears(Qalys),Disabilityadjusted Lifeexpectancy(Dales),PhysicalQualityofLifeindex(Pqli)Evaluationofhealthinterventions. SuggestedReadings: 1. 2. 3. 4. TextBookofPreventiveandSocialMedicinesK.Park,M/sBanarasidasBhanot HospitalAdministration,OUPTabish,Jaypee PreventiveandSocialMedicinePrabhakarRao TextbookofSocial&PreventiveMedicineMahajan

NATIONALHEALTHPOLICY,PLANNING&MANAGEMENTOFNATIONALHEALTHPROGRAMME CodeMHA208 Objective : To create an awareness about Indian health policy,planning and management and role of hospitalinsupportiveandreferralservicesinnationalgoal. Totalhours:30 Credit:3

ModuleI(7hours)
HealthPolicyInIndia:Historicalgrowthofpublicpolicyinhealthandmedicalcare,NationalHealth policy,PopulationPolicy,Blood&DrugPolicy.

ModuleII(8hours)
Health Planning : Need for Planning, Concept of Planning, Concept of Programme Planning, Process , Need Assessment, Community Diagnosis, National Health planning in India, Role of Health Ministry PlanningCommisision&DirectorateofHealthServices.AnalyzingtheachievementsofFiveyearplanin Healthsectors.

ModuleIII(7hours)
Management of National Health Programmes I : Introduction to the course, Brief outline of health situations in India, Health sectors in Development planning in India after independence, Organisation networkofhealth&familywelfareservicesTthecentre,state,district&blocklevel.

ModuleIV(8hours)
Management of National Health Programme II : Health programmes in India, National Malaria eradication Programme, Filaria control programme, T.B Control Programme,Leprosy Control Programme, AIDS Control Programme, Universal Immunization Programme, MCH programme, Cancer Screening&nationalcancercontrolprogramme. SuggestedReading: Textbookofsocial&preventivemedicine,K.Park,M/sBanarasidasBhanot TextbookofSocial&preventivemedicineB.KMahajan,Jaypee Moment&Hospital,Deaps&Deeps,NewDelhiS.LGoel&R.Kumar. TheEvolutionofInternationalHealthSystems,OUPCamper,G.E

BIOSTATISTICSRELATEDTOHEALTH&HOSPITAL CodeMHA209 Objective:Tounderstandtheroleofstatisticsinestimationofburdenofdiseases,methodsapplicable tohealth. Totalhours:30 Credit:3

Module:I(6hours)
BasicConcepts:Introduction&definition,presentationofdata,frequencydistribution,measurement ofcentraltendency,Mean,median,mode,measuresofdiseasefrequency,,measurementofdispersion mean&standarddeviation.

ModuleII(9hours)
ConceptofSampling:Probabilityandnonprobabilitysamplingtechniques,selectionmethods,sizeof sampling,samplingdistribution,errorinsampling,andnormalcurve&poisondistribution.

ModuleIII(10hours)
Testing of Hypothesis & Test of significance : Normal test, TTest, Chi square Test, Basics of Medical Research : primary & secondary data collection, classification of data, charting of data Bar chart,Histogram,onedimensionalandtwodimensionalgraphs.

ModuleIV(5hours)
Health&HospitalStatistics:Introduction,utilizationofbasicdata,sourceofhealthstatistics,common rates&ratiosinIndia,incidence&prevalencerate,healthreports,ICD10,Notifiablediseases. SuggestedReadings: ElementaryStatisticsforMedicalWorks,JaypeeI.Singh ElementofHealthStatisticsRao,NSN BiostatisticsKS.Negi,A.I.T.B.SPublishers AnintroductiontoBiostatistics.AmanualforstudentsinhealthsciencePSSRao. TextbookofBiostatisticsB.KMahajan,Jaypee

MARKETINGMANAGEMENT CodeMHA210 Totalhours:30 Credit:3

Objective : To make aware of the concepts of marketing & developing analytical skills for problem solvinginhospitalscenario.

ModuleI(8hours)
Introduction to Marketing : Marketing Concept & current trends, Marketing process, Marketing environment,MarketingOrientation,SocialMarketing,Patientcare&communication,RoleofPRdept. inhospital,EMarketing&MarketingMix.

ModuleII(6hours)
Marketing Planning and Competitiveness : Creating customer value, Strategic marketing, Planning process,Competitorsanalysis,pricingstrategies&programmes.

ModuleIII(8hrs)
Consumer Behaviour : Introduction & role of computer, Factors influencing consumer behavior, Consumerdecisionmakingprocess,Marketingimplications,ConductingMarketingResearchinrelation tohospital.

ModuleIV(8Hours)
Marketing Strategy : Market Segmentation, Market Targeting & Positioning Strategies,Designing & ManagingServices,CaseAnalysis. SuggestedReadings: 1. PrinciplesofMarketing:PhilipKotler,PearsonEducation. 2. MarketingManagementRajanSaxena,TMH 3. PKMishra,PSDasandJRDas:MarketingManagement,AlokPublication(2NDEdition)

 HUMANRESOURCEMANAGEMENT CodeMHA211 Totalhours:30 Credit:3

Objective:Tocreate&understandingvariouspolicies&practicesofhumanresourcemanagementto facilitate various concepts & skills required for utilization & development of human resources in the hospital&healthcaresystems.

ModuleI(5hours)
EmergingtrendofHRM:Nature,Scope&growth&DevelopmentofHumanResourceManagementin India,StrategicHumanResourceManagement,EmergingtrendsofHRMinglobalizedeconomy.

ModuleII(10hours)
Creating the human resource base: Manpower planning, RecruitmentConcept Objectives, factors, sources&methods,Selection:Objective,procedure,typesoftest,interviews,evaluation.Orientation, Promotion:Bases&Types,Transfer:Types&Separation.

ModuleIII(10hours)
Training & Development Concept, training need, assessment, Types of training programmes, On the jobtraining,Offthejobtraining,ExecutiveDevelopmentProgrammeInBasketTraining,Transactional analysis, Sensitivity training, Grid training ,evaluation of training programmes. Monitoring and Evaluation;PerformanceManagementEvolutionofconcepts,PerformanceAppraisalObjectives,Uses, Traditional&ModernMethods

ModuleIV(5hours)
FunctionsofHRManager:Locatingproblemsituation,Identificationofleadershipproblems,Personnel valueinadministrativedecisions,Relationshipofmanagement&employeeinorganization,Considering therightofemployees,Grievanceredressal,Absenteiism.HRPolicyinhospital. SuggestedReading: 1. 2. 3. 4. HumanResourceManagement,ExcelBooksV.S.PRao ManagingHumanResources,TMHW.FCascio HumanResourceManagement,TMHAswathappa ManagingHumanResources,PearsonGomezMejia,Balkin&Cardy

MANAGERIALACCOUNTING&FINANCIALMANAGEMENT CodeMHA212 Totalhours:30 Credit:3

Objective:Thecourseaimsatenablingstudentstounderstandthebasicaccountingprinciples& presenting the accounts for users of accounting information.This course also aims to equip studentswiththebasicmethodologytoanalyse&interpretthefinancialstatement.

ModuleI(10hours)
Financial & Management Accounting : Introduction, Meaning , Accounting concepts & conventions,introductiontoaccountingstandards,classificationofaccounts:Assets,Liabilities, Equity,Revenue,Expenses,AccountingProcess:Thejournal,theledgertrialbalalnce,financial statements Trading Accounts, P&L Account, Balance Sheet, Analysis of Financial Statements Ratioanalysis.

ModuleII(5hours)
BasisofFinancialManagement:ConceptofBuisenessFinance,role,functionsandobjectivesof financemanagersinhealthcaresector.

ModuleIII(10hours)
Cost&ManagementAccounting:Elementsofcost,Costing&CostAccounting:Estimationof costtovariousservicedepartmentsi.eCSSD,Laundry,WaterSupply,Oxygen,Food&Beverages, HouseKeeping,OperationTheatre,costingasabuyormakedecision,specialfeatureofhospital as multi division with multi product in each division, Cost reduction in a competitive environment.

ModuleIV(5hours)
CostManagementTechniquesforHospitals:HospitalBudgetplanning,forecast,suballotment &utilization,Depreciation,Accountingrecords.InternalControl&audit,Costeffectiveanalysis, Costbenefitanalysis,Breakevenanalysis,CostAscertainmentinhospitals. SuggestedReading: 1. 2. 3. 4. 5. 6. 7. PrinciplesofAccounting:Sharma AccountingforMangers:Dutta FinancialAccounting,KalyaniPublisherJain&Narang FinancialAccounting,SultanChandMaheswariS.N FinancialAccountingforManagement,TMH,Ramachandran&Kakani AdvancedcostandmanagementAccounting,KalyaniPublishersS.PJain&Narang Hospital Management Accounting Planning and Control, National Health Management Institute,Mumbai,1995G.RKulkarni

TRIMESTERIII
HEALTH&DEVELOPMENT

Code:MHA313

TotalHours:20

Credit:3

Objective:Tomakeawareofstudentsaboutevolutionanddevelopmentofhealthcaresysteminthe societyasawhole.

ModuleI(5hours)
Evolution of Health care system in India : Historical overview, Indian health care system, Concept of health&disease,SpectrumofHealth,DeterminantsofHealth,ResponsibilityofHealth.

ModuleII(5hours)
MeasurementofHealthstatusinthecommunity:Indicatorsofhealth:Mortality,Morbidity,Disability, Nutritional status, health care delivery, utilization rates, socio economic indicators, health policy indicators,indicatorsofqualitylife.

ModuleIII(5hours)
HealthcareSysteminDevelopedandDevelopingcountries:Developed&Developingreasons,Health Systems, Levels of health care, Health team concept, Millennium Development goal. International health:WHO,UNICEF,UNDP,ILO,SIDA,DANIDA,InternationalRedCross,CARE.

ModuleIV(5hours)
NationalHealthplanandReviewofreportonHealthcare:NationalFiveyearPlans,Reviewofreport on Health care, Bhore Committee, Mudaliar committee, Jain Committee, Chaddha Committee, Kartarsinghcommittee,Srivastavacommittee&committeeonplan&projects,Bajjacommittee&Rao Committee. SuggestedReading: TextbookofsocialandPreventiveMedicineK.Park,BhanotPublication PreventiveandSocialMedicinePrabhakarRao, TextbookofsocialandPreventiveMedicineMahajan

HOSPITALORGANISATION
MHA314 TotalHours30 Credit3

Objectives: To educate students to know various organisational structures exists in the varioushospitalforsmoothfunctioningofthehospital.

ModuleI(7h)
Elements of Hospital organization : Objective of hospital organization, Structural dimension of an Organisation,ExternalEnvironment,Organizationalassessment,humanresources,politicalprocess.

ModuleII(8h)
Organisational Structure: Purpose Formalisation, Centralisation, Specialisation, Complexity, Configuration.

ModuleIII(8h)
Organisation Design: Organisation Designs, Functional design, Divisional design, corporate design, Matrixdesign&Paralleldesign.

ModuleIV(7h)
Organisation module of selected hospital: Configuration of selected hospitals, Models of select hospital, Rationality of these models, Implication for future designs, Designing organization for long termgrowth. SuggestedReading: PrinciplesofHospitalManagementS.A.Tabish,Jaypee HospitalManagementS.LGoel, HospitalAdministrationFrancis.

 COMMUNICATIONINHOSPITALS
CodeMHA315 Objective:Totrainthestudentstoknowvariouscommunicationmethodsandskillstoimprove hospitalfunctioningandadministration. Totalhours:20 Credit2

ModuleI(4hrs)
Communication in an organization : Importance of communication in the hospital, purpose of communication, responsibility ,Internal and External effect of communication, Responsibility of good communication,flowofcommunicationinthehospital.

ModuleII(4hrs)
Communication Process : Understanding communication process in hospital, sender of message, variouschannelsusedinhospital,receiverofthemessage,factorsaffectingcommunicationinhospital, situationalfactorsinhospitalinfluencecommunication.

ModuleIII(4hrs)
Communication in the organization like hospital: communication need of manager, communication flow required, methods of communication practiced in the hospital, written, oral, nonverbal, communicationnetworkinthehospital.

ModuleIV(4hrs)
Barriers of Communication :Lack of planning, semantic distertion, poorly expressed message, poor listening,distrustthreat&fear,impropercommunication,prematureevaluation,insufficientperiodfor adjustmenttochange.

ModuleV(4hrs)
Effective communication: Improving communication skills in hospitals, communication audit, communicationguidesinthehospital,varioustechniquestowardsgoodcommunication,Development ofcommunicationskill.

SuggestedReading:

HospitalAdministration:Tabish,Jaypee EffectivecommunicationmethodsAshaKaul. ManagementHaroldKoontz,CyrilOODonnel,HeinzWeihrick.

 HOSPITALINFORMATIONSYSTEM
CodeMHA316 Totalhours:30 Credit:3

Objective: Students to learn various hospital information required in the hospital for smooth functioning,patientcare,legalandresearchpurposes.

ModuleI(7hrs)
Over view of HIS: Overview of HIS, Structure of management Information System specific to hospital, Information for control, decision & statutory need, Feedback, Information & data, Decision making process,Hierarchyofmanagementactivities,Documentpreparation,Datacapture,ProjectofLifeCycle.

ModuleII(8hrs)
Managering data resources: Physical system design, physical database design, programme development,proceduraldevelopment,inputoutputdesign,onlineDialogue,Designoffiles&auxiliary storagedevices,Datacommunication,Projectlifecycleinstallation&Operation,Conversion,Operation, documentationmaintenance&postauditsystemevaluation,

ModuleIII(7h)
Approachestohospitalinformationsystem:Approachestohospitalinformationsystem,Patientbased, Functional organization based, User department based, Clinical information system, Medical Record, Nursing Info system, Appointment scheduling, Dissemination of diagnostic information, Registration, GeneralAdministration&productivity.

ModuleIV(8h)
Information Technology: Telemedicine, knowledge management, information Technology integration. LAN,WAN. SuggestedReading: ManagementInformationSystem:Srivastava,Jaypee ComputerstodayS.K.BasandraGalgoliaBooks. ManagingamodernhospitalAVSrinivasansagepublication.

MATERIALSMANAGEMENTINHOSPITALS
CodeMHA316 Totalhours30 Credit3

Objective: Topreparethestudentstoknowvariousmaterialsrequiredinthehospitalandhowtoplan toprocure,maintainforthesmoothfunctioningofthehospitalwithminimumexpenditure.

ModuleI(4hrs)
General concept of Materials Management in the hospital : Introduction to principles of material management,Inventorymanagement,Classificationofinventory,Basicinventorymodel,Inventorycost

ModuleII(8hrs)
Inventory control: Concept of inventory control, Inventory control techniques , Selective Inventory controltechniques,ABCanalysis,VED,SDE,FSN,HML,XYZ,GOLF,EconomicOrderofquantity.

ModuleIII(8hrs)
Inventoryorderingsystem:OrderingSystem,Leadtime&safetystock,Standardisation&codification, Valueanalysis,Valueengineering,Justintimeinventory.

ModuleIV(6hrs)
Purchase procedure in hospital : Purchase system, materials planning, tendering system of purchase supply, storage, distribution & accounting in hospital pertaining to Medical store, surgical store, lines store&generalstore.

ModuleV(4hrs)
Managementofinventoryhavinginthehospital:Conditioning&disposalofstore,Roleofautomation instoremanagement,Vendorrating,suggestedreading. SuggestedReading: MaterialsmanagementGopalKrishnan MaterialsmanagementSundaram MaterialsmanagementA.K.Dutta,PrenticaHallofIndia(PHI)

RESEARCHMETHODOLOGY
Code:317 Totalhours:30 Credit:3

Objective:Tostudythevariousresearchprojectsinrelatedtohospitaladministration.

ModuleI(4hrs)
Defining Research Methodology: In introduction, defining research problems, selection of problems, techniqueinvolveddefiningproblem.

ModuleII(6hrs)
Research design: Meaning of research design, need for research design, features of good design, differentresearchdesign,basicprinciplesofexperimentaldesign.

ModuleIII(6hrs)
Sampling: Samplingdesign,census&samplesurvey,Implicationofasampledesign,stepsofsample design, characteristic of good sample design, different types of sample design, how to select random sample.

ModuleIV(6hrs)
Measurementandscalingtechnique:measurementinresearch,measurementscales,sourcesoferror inmeasurementtestsofsoundmeasurement,important&scalingtechniques.

ModuleV(4hrs)
Datacollection,Processing&Analysis:Variousmethodsofcollectionofdata,selectionofappropriate methodprocessingoperationsmultiplecorrelationandregression,Associationincaseofattributes.

ModuleVI(4hrs)
TestingHypothesis&reportwriting:Whatishypothesis,procedureoftesting,importantparameters, significanceofreport,writingtypesofreports&presentation. SuggestedReading:

ResearchMethodology:C.RKothari, ResearchMethodology:P.KMahajan

TrimesterIV HOSPITALADMINISTRATION
CodeMHA419 TotalHours30 Credit3

Objective:Togiveanideaabouthospitalanditsrole,peculiaritiesandfactorsinfluencinghospitalcare androleofhospitaladministratortosolvethem.

ModuleI(6hrs)
Hospital:Introduction,togiveanideaabouthospitalanditsrole,peculiaritiesandfactorsinfluencing hospital care and role of hospital administrator to solve them, History & Development of hospitals, Definition,Typesofhospitals,Control,roleandfunction,HospitalsinIndiatodaytheirnumber,types, size,distribution,ownership,utilization,issuesandtrends.

ModuleII(6hrs)
Hospital Administration as a specialty: Role and function of hospital administrator, hospital as an organization,profileofhospitaladministrator,Roleofhospitaladministrationineducationandresearch.

ModuleIII(8hrs)
Hospitalassystem:Systemapproachtohospitaladministration,Hospitalasasystem,systemapproach tohospitaladministration.

ModuleIV(10hrs)
Administration of specific issues: Human Relation and employer welfare, public relation and hospital training of medical and paramedical manpower in hospital, interpersonal relationship, conflict management,stressmanagement,counseling,occupationalsafety. SuggestedReading:

PrinciplesofHospitalAdministrationTabish,Jaypee ManagementofHospitalS.LGoel&Kumar HospitalAdministrationSekharkar HospitalAdministrationSrinivasan

LEGALISSUESRELATEDTOHOSPITAL
CodeMHA420 TotalHours30 Credit3

Objective: To explain the laws and regulations applicable to hospital and hospital employee while providingpatientcare.

ModuleI(8hrs)
Problem areas in hospital and law: Broad introduction to medical jurisprudence and its application, Medico legal cases, accident, brought in dead, documentation, police cell, legal issues in medico legal cases,handing/takingoverdeadbodies.

ModuleII(7hrs)
Differentactsandlawsapplicabletohospital:DrugandCosmeticsAct,OrganTransplantAct,Nursing HomeRegistration,BARCguidelines,PNDTAct,MTPAct,BirthsandDeathsRegistrationAct1969, TransplantationofHumanOrgansAct,PharmacyAct,

ModuleIII(7hrs)
Lawspertainingtohealth: LabourlawsApplicabletoHospitalsI:WorkmancompensationAct1923,MinimumwageAct 1948,IndustrialdisputesAct1947,TradeUnionAct1926,PaymentofBonusAct1965.

ModuleV(8hrs)
LabourlawsApplicabletoHospitalsII:IndustrialEmployment(standingorder)Act,1946,Employees StateInsuranceAct1948,EmployeesProvidentFundAct1952,MaternityBenefitAct1961,Consumer protectionActanditsapplicationinhospitals,lawofTORT,Pollutioncontrolboard. SuggestedReading: PersonalManagementMamoria HumanResourceManagementL.M.Prasad HospitalAdministrationG.DKunders BusinesslawincludingS.SGulshon CompanyLaw G.K.KapoorNewAge BareActs IndustrialLaws:N.DKapoor

PLANNINGOFHOSPITAL
CodeMHA421 Totalhours30 Credit3

Objective: Tocreateawarenessaboutthechangingrequiredinhealthservicessuchashospitaldesign whichsatisfyfunctionandneeds.

ModuleI(8hrs)
MacroplanningofHospital:Hospitalplanninggeneralconsiderationconceptsinplanning,feasibility study,conceptsofdesigningandspace,formationofDesignTeamandfunctions.

ModuleII(7hrs)
SitesurveyPhysicalenvironment,siteadequacy,possibilityoffutureexpansion,utilitieslikewater, electricity,sewerageline,telephone,transportation.

ModuleIII(8hrs)
Architecturalappreciation:Roleofarchitecthospitalspacemodule,hospitalengineeringgrid,external architectural aspects, internal arrangements, preliminary sketch, final plans, working drawings, specifications,costestimation.

ModuleIV(7hrs)
Planninghospitalbuilding:Building,contract,construction,constructionproblemsandmodificationof tender furnishing, equipping and staffing, readiness as operational hospital, commissioning and inauguration. SuggestedReading: HospitalPlanning:G.D.Kunder HospitalAdministration:McGibony ManagementofModernHospital:A.V.Srinivasan PrinciplesofhospitalAdministrationandplanningB.MSakharKar

PLANNINGANDDESIGNINGCLINICALSERVICES
CodeMHA422 TotalHours30 Credit3

Objective: To consider various planning and operational aspects of importance, function and other factorsofeachclinicalservices.

ModuleI(8hrs)
OPDServices:Overview,function,locationdesign,organsiation,spacerequirementfacilities,emergency servicesdesign,spacerequirement,physicalfacilities.

ModuleII(7hrs)
In patient services: Operating dept ,ward designing general and specialized, Intensive Care Unit generalandspecializedDeliverysuiteandmaternityward,NeonatalIntensiveCareUnit,DayCareUnit.

ModuleIII(8hrs)
Medicalandalliedservices:Medicalservices,paediatricservices,psychiatricservices,gastroenterology services,endocrinologyservicesgeriatricservicescardiologycentre,nephrologyanddialysis.

ModuleIV(7hrs)
Surgicaland alliedservices:SurgicalservicesDentalservices,obstandgyneacservices,physiotherapy services,Traumacentre,burns,paraplegicandmalignanttreatmentcentre,urologycentre,orthopedic services. SuggestedReading: HospitalPlanning;G.D.Kunder HospitalAdminstration:McGibony ManagementofModernHospital:A.V.Srinivasan

MANAGEMENTOFSPECIFICHOSPITAL
CodeMHA423 TotalHours30 Objective: To educate specific specialized area of the hospital and different types of hospitals which needspecialattentionfordesigningandplanningofthehospital. Credit3

ModuleI(8hrs)
Nuclear Medicine dept: Overview, design & planning function, precautions to be taken for BARC clearance,Burn,paraplegicandMalignantdiseasestreatmentcenters.

ModuleII(8hrs)
Nephrology Services Renal dialysis unit, transplantation unit, overview, design and planning, specific areatobeconsidered,variouslegalfactorstobeconsidered.

ModuleIII(14hrs)
Teaching/ superspeciality hospital : Planning and designing 30,100,250, bedded general hospital, planninganddesigningof500750beddedteaching/nonteachinghospital. SuggestedReading: HospitalPlanning;G.D.Kunder HospitalAdministration:McGibony ManagementofModernHospital:A.V.Srinivasan

HOSPITALSTORESORGANISATION&PHARMACY
CodeMHA424 Totalhours30 Credit3

Objective: Tomakeawareofthestudentshowtomanageamedicalstoreandpharmacyina
hospital for smooth flow of drugs and allied requirements in patient care with minimumcost.

ModuleI(7hrs)
Introduction: Functions of the pharmaceutical store, Drugs & therapeutic committee, Hospital Store Organisation,DifferenttypesofstoresinhospitalMaterialsmovementinstore.

ModuleII(8hrs)
Inventory Management :Purchase, Size of inventory, Turnover, storage facility, stock location system issues,wardsemergencydrugs/instrument.

ModuleIII(8hrs)
Classification of drugs and legal aspect: ABC, VED, HML, XYZ, FSN, Hospital pharmacy licenses, drug licenses,Narcoticsdrugs.

ModuleIV(7hrs)
Staffing,dispensingandbilling:Staffing,Reporting,Pharmacybilling,computerizeddrugmanagement system,Rationaluseofdrugsandprescriptionaudit,Spuriousdrugs,Banneddrugs,procedureofdrug indenting,ontimedrugdispensing,Methodsofordering:atwobinsystem,CyclicSystem SuggestedReading: MaterialsManagementGopalkrishnan

MaterialsManagementA.C.Dutta

 TrimesterV ADMINISTRATIONOFOTHERSERVICESRELATEDTOHOSPITAL
CodeMHA525 Objective:Tomakeawarethevariousaspectsofadministrationconcernedtosupportiveservicesinthe hospital TotalHours30 Credit3

ModuleI(8hrs)
Hospital hazards: general safety of the patients, fire safety, hospital hygiene, hospital acquired infection, Biomedical waste handling rule, segregation, collection, transportation, disposal, modern technology,fordisposalradioactivewastehandling.

ModuleII(7hrs)
Disaster managements in hospital : definition, types, components of disaster plan pre hospitals and hospital,disasterpreparedness,disasterplanformulationandimplementation.

ModuleIII(15hrs)
Equipment management : Demand estimation, strategies of hospital equipments, planning and selection, purchase procedure, installation and commissioning, hospital equipment, untilisation and audit,hospitalequipmentrepairandmaintenancequalitycontrol. SuggestedReading: HospitalPlanning;G.D.Kunder HospitalAdministration:McGibony ManagementofModernHospital:A.V.Srinivasan ManagementofHospitalAdministration:S.LGoel PrinciplesofHospitalAdministration:Tabish,Jaypee PrinciplesofHospitaladministration:Sekharkar

NURSINGADMINISTRATION
CodeMHA526 Objective:Toeducatestudentsaboutcompletenursingadministrationwhichispartofthetotalpatient caredeliverysysteminthehospital. TotalHours30 Credit3

ModuleI(7hrs)
Introduction to Nursing:Concept of Administration planning, Organising staffing, Directing co ordinating,Reporting,Recording.

ModuleII(8hrs)
NursingServiceAdministration:objectiveofnursingserv.Dept.,organisaiton&mgtofnursingservice, factorsinfluencingwardmgt,modeloforgansingpt.care,Nursingsupervision.

ModuleIII(8hrs)
EvaluationofNursingService:purpose,types,methodsofevaluation,principlesofperformance evaluation,toolsofperformanceappraisal.

ModuleIV(7hrs)
Qualitycontrol:NursingauditNursingcarestandardsinwardmgt,legal&ethicalissueinnursing,legal resp.ofNurse,ethicalaspectsofnursing. Suggestedreadings: NursingAdministrationJhoraMedicalpublication,Mumbai NursingAdministration,B.TBasantthapa,Jaypeepublication.

 SPECIALISEDHOSPITAL&SUPERSEPCIALITYCENTRESINTHEHOSPITAL
CodeMHA527 TotalHours30 Credit3

Objective:Toeducatethestudentsaboutthelocation,planning&staffingofvarioussuperspecialty centres&hospitals.

ModuleI(8hrs)
Specialised Hospitals: Teaching hospital attached to Medical college: Location, spa Area, staffing, instrument,equipments,workload,clinicalzone,supportzone,utilityzonecosteffectiveness;Children Hospital:Location,spaArea,staffing,instrument,equipments,workload,clinicalzone,supportzone, utilityzonecosteffectiveness;MaternityHospital:Location,spaArea,staffing,instrument,equipments, workload,clinicalzone,supportzone,utilityzonecosteffectiveness;PsychiatricHospital:Location,spa Area, staffing, instrument, equipments, work load, clinical zone, support zone, utility zone cost effectiveness;AyushHospital:Location,spaArea,staffing,instrument,equipments,workload,clinical zone,supportzone,utilityzonecosteffectiveness.

ModuleII(8hrs) Super Specialty Centres :Concept of super specialty in the hospital, cardiothorasic centre:
Location,Area,staffing,instrument,equipments,workload,clinicalzone,supportzone,utilityzonecost effectiveness; Neurology Centre : Location, Area, staffing, instrument, equipments, work load, clinical zone,supportzone,utilityzonecosteffectiveness;

ModuleIII(7hrs)
SpecialisedCentres:Gastroenterology,CancerCentre,Location,Area,staffing,instrument,equipments, workload,clinicalzone,supportzone,utilityzonecosteffectiveness.

ModuleIV(7hrs)
Lithotripcy Centre, Dialysis Centre, Endocrinology Centre, Location, spa Area, staffing, instrument, equipments,workload,clinicalzone,supportzone,utilityzonecosteffectiveness.

SuggestedReading:
HospitalAdministration:Tabish

MEDICALAUDITANDITSADMINISTRATION
CodeMHA528 Objective: To make aware of students how to audit the hospital services proved to assess the performanceandimprovefurther. TotalHours30 Credit3

ModuleI(8hrs)
Conceptofmedicalaudit:DefinitionofMedicalAudit,Protocols,committee,frequencyofaudit,areas ofaudit.

ModuleII(7hrs)
Types of Audit: Direct and indirect audit ; Audit element case audit, mortality review, complication audit,antibioticutilizationoverstayaudit,investigationaudit,infectioncannotaudit,criticalareaaudit, medicalrecordaudit,equipmentaudit.

ModuleIII(8hrs)
MethodsofAudit:Statisticalmethod,Deathreviewcommitteemethod,Randomtablemethod,scoring method,onthespotmedicalauditmethod.

ModuleIV(7hrs)
Audit Practice and Implementation: Audit practice, audit monitoring, constraints, implementation, outcomestatussurveyofmedicalauditanexample. SuggestedReading: HospitalAdministration:McGibony ManagementofModernHospital:A.V.Srinivasan ManagementofHospitalAdministration:S.LGoel PrinciplesofHospitaladministration:Tabish,Jaypee, PrinciplesofHospitaladministration:Sekharkar

QUALITYMANAGEMENTINHEALTHCARE
CodeMHA529 Objective: Toappraisethestudentsthequalitymanagementandpatientcarewhichisimportantfactor inthesociety. TotalHours30 Credit3

ModuleI(3hrs)
Quality in Health care: Evolution of concept, Defining quality, present International scenario, AccreditatingtheAccredators,Indianscenario.

ModuleII(4hrs)
Improvement of quality of services in Hospitals: Essential of quality improvement in health care services, how to improve the quality of services in hospital, improvement of quality in health care, implementation.

ModuleIII(7hrs)
Certification & Accreditation of hospitals: ISO certification, Benefits, NABH Accreditation, JCAHO, JCI Accreditation,Idealapproachtoquality.

ModuleIV(10hrs)
Quality Management at Departmental level: Patient friendly hospital, FO, OPD, Emergency service, pathology Dept, Radiology Dept, Operation theatre Dept, Blood Bank, Physiotherapy Dept. Maternity services,Inpatientareas,ICU,CSSD,DietaryServices,Laundryservice,Housekeepingservice,security service, HIS, five safety service, Accounts Dept, Nursing service, HRD, Marketing a public relations, pharmacyservice,MRD. SuggestedReading:TotalqualitymanagementAswathappaHimalayaBooksHouse QualityManagementP.C.Tripathy QualityManagementBarnettPitmanpublishing

TrimesterVI UTILITYCLINICALSERVICESINHOSPITAL

CodeMHA631

TotalHours30

Credit3

Objective:Toteachthestudentsvariousutilityservicesinthehospitalwhichareimportfacetsofbetter patientcare.

ModuleI(10hrs)
AdmittingDept:Enquiry&registration,admissionoffice,administrationofservicehospitals,(a)Reports & returns, (b) Medical boards, (c) Entitlement of treatment (d) Filling & book keeping (e) inspection, medical superintendents rounds, (f) Hospital Standing Orders, Hospital welfare services, Hospital EstablishmentOffice,MedicalRecord.

ModuleII(10hrs)
House keeping and other services: House keeping including paste control: Hospital engineering services,Hospitalcentralstore,cafeteriaservices,andwelfareservices.

ModuleIII(6hrs)
ManagementofDeathcase:Deathinhospital,mortuary,Fataldocuments

ModuleIV(4hrs)
Transportationinhospital:Transportationservices,Intramural,Extramural,staff,patients,renders. Suggestedreading:

HospitalManagementTabishjaypee HospitalAdmn&ManagementS.LGoel&R.kumarDeep&DeepPublication EssentialofHospitalsupportservicesNSharmaJaypee

SUPPORTIVESERVICESINHOSPITAL
CodeMHA632 TotalHours30 Credit3

Objectives: To make aware of students about detailed supportive services provided in the hospitalwhichispartofwholepatientcare.

ModuleI(10hrs)
Radiological and other imaging services : Design, layout, staffing, equipments, hospital laboratory services planning design, layout, staffing and equipments, blood transfusion services, layout, space requirement,designstaffingstoragefacility,equipmentsBloodbanklicense.

ModuleII(8hrs)
CentralstoresterilizationDepartment(CSSD):Design,layout,reception,autocleaning,issue,Typesof sterilization,staffingequipments,oxygenmanifold/concentrator;Medicalrecord:Introduction,Medical record definition, functions of medical record: out patients record, filling, numbering, Medico legal records, incomplete records, computerization of record, census & discharge analysis, assembling of records,deficiencycheck,patientindex,coding,filling,groupstudy,vital&healthstatistics.

ModuleIII(6hrs)
Dietaryservices:Planninganddesigning,function,variousdiets,moderncookinggadgets,layout,fresh anddryrationstore,staffing,Therapeuticdiets,RoleofDietitian.

ModuleIV(6hrs)
Laundry services :Function, design, layout, modern mechanical laundry equipments, receipt of linens, repairshop,disinfectionandwashing,pressing/calendaring,storingandissue. SuggestedReading:

HospitalManagementTabishjaypee HospitalAdmn&ManagementS.LGoel&R.kumarDeep&DeepPublication EssentialofHospitalsupportservicesNSharmaJaypee PrincipleofHospitalAdmnSakharkar,Jaypee

 HEALTHINSURANCE
CodeMHA633 ObjectiveToapprisethestudentaboutvarioushealthinsurancesavailablewhichareapplicableto patients,staff,whichcanbeutilizedforthepatientcare. TotalHours30 Credti3

ModuleI(7hrs)
IntroductiontoInsurance&itsfundamentalprinciples:Concept ofinsurance,fundamentalprinciples of insurance, under writing, Important aspects of insurance: actuary, under writing, claim Administration,Marketing,legal&compliance,agents,insurancebroker,consultants,Bankingoutlets.

ModuleII(8hrs)
Regulation & legislation applicable to insurance; The Insurance Act1938, IRDA1999, CPA, Health Insurance,claimsmanagement,claims,forms,underwritingofhealthinsurancerisks.

ModuleIII(7hrs)
Health Insurance: Individual medi claim policy, domiciliary hospitalization, proposal questionnaire, BhavishyaArogyapolicy,JanArogyaBimaPolicy,CancerInsurance,GroupMediclaimPolicy.

ModuleIV(8hrs)
Third party Administration: concept, process of cashless hospitalization, functions of TPA, IRDA, TPA, CriteriatobecomeTPA. SuggestedReading:Insuranceproductstaxmanpublication