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Shalini, D.
- Re-Engineering of Discharge Process with Emphasis on Sustainability:A Six Sigma Approach
Abstract Views :155 |
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Authors
Affiliations
1 Department of Hospital Administration, M.S. Ramaiah University of Applied Sciences, IN
2 M.S. Ramaiah University of Applied Sciences, IN
3 Ramaiah Memorial Hospital, Karnataka, IN
1 Department of Hospital Administration, M.S. Ramaiah University of Applied Sciences, IN
2 M.S. Ramaiah University of Applied Sciences, IN
3 Ramaiah Memorial Hospital, Karnataka, IN
Source
Indian Journal of Public Health Research & Development, Vol 10, No 11 (2019), Pagination: 81-85Abstract
A quality improvement initiative is incomplete if the improvement is not sustained. The concept of sustainability is not limited to achieving the change and adhering to it, but further commitment is required from the staff for continuous improvements in the organization. The application of Six Sigma for process efficiency and achieving break through results are quite obvious, but evidence on its sustainability is limited. So, the current study was designed to re-explore the applicability of Six Sigma to re-engineer the discharge process with emphasis on determinants of sustainability factors. The methodology chosen was DMADV approach of Six Sigma. Define phase involved scrutinizing the finer details of process and resources utilized. The mean Turn-Around Time was measured for credit (269 mins) and cash (241 mins) patients using a time motion study. The NHS sustainability model was utilized for assessing the existing sustainability score of process. Minitab and Minitab Companion software was used for analysis of process capability and value stream metrics analysis. The process was re-engineered by streamlining the activities based on the standards given by NABH 4th Edition, JCI 6th Edition and best practices followed in different healthcare settings. Specific roles and responsibilities of staff were re-defined for the improved process. Failure Mode and Effect Analysis and control and impact matrix was conducted and provided to process stakeholders for ease of implementation. Validation of process improvement was done by value stream metrics analysis and discussion with the hospital administrator. The outcomes of the study were simplified process and discharge pro-forma which can be further utilized for application of Six Sigma in similar healthcare settings.Keywords
Quality Improvement, Discharge Process, Six Sigma method, Sustainability, Re-Engineering.- Development of an Energy Management System for Tertiary Care Hospital, with Special Emphasis on Lighting
Abstract Views :135 |
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Authors
Affiliations
1 Department of Hospital Administration, M.S. Ramaiah University of Applied Sciences, Bangalore, IN
1 Department of Hospital Administration, M.S. Ramaiah University of Applied Sciences, Bangalore, IN
Source
Indian Journal of Public Health Research & Development, Vol 10, No 11 (2019), Pagination: 2334-2339Abstract
Energy efficiency in the hospitals is the growing concern. The hospitals work 24/7 in the very critical situation and having very huge and crucial equipment to use, which consumes energy. India is the third biggest consumer of primary energy after USA and China by 5.6% global share in 2017. In the hospitals the cost spending on the energy expenditure is in lakhs/month so we need to use the energy efficiently to save energy and to reduce the cost. Hospitals can’t be run without energy. Critical equipment used in ICU, operation theatres, emergency department etc. are highly dependent on energy as in its absence there may be chances of interruption in patient care. The aim of this study is to assess the energy efficiency level of the hospital to propose an energy management policy and energy management system. The retrospective study was conducted on the energy efficiency in the facility department, tertiary care hospital, the results showed the compliance to the energy efficiency, the expenditure on the energy and also the Number of lighting fixture which is used in different departments. Based on the study results, peer literature reviews the Energy Management System is developed and policy is made to achieve the energy efficiency in the hospitals, the prioritization is made in the lighting system to switch towards the efficient lighting with the help of pareto principle and ABC analysis which are given to the facility department. The suggestions could help in the tertiary care hospitals to check the compliance on energy efficiency to implement the energy management system by using the PDCA cycle and to move- towards energy efficiency.Keywords
Energy Efficiency, Energy Management System, Hospital, Light Fixtures.- Evaluation of Operational and Financial Feasibility of Robotic Surgery in Tertiary Care Hospital
Abstract Views :127 |
PDF Views:0
Authors
Affiliations
1 Department of Hospital Administration, Ramaiah University of Applied Sciences, Gnanagangothri Campus, IN
2 Ramaiah Memorial Hospital, New BEL Road, MSR Nagar, Bangalore, IN
1 Department of Hospital Administration, Ramaiah University of Applied Sciences, Gnanagangothri Campus, IN
2 Ramaiah Memorial Hospital, New BEL Road, MSR Nagar, Bangalore, IN