PROJECT REPORT

ON

“COMPARATIVE ANALYSIS OF PRIVATE AND GOVERNMENT

HOSPITAL”

WITH REFERENCE TO

MEKAHARA AND RAMKRISHNA CARE HOSPITAL, RAIPUR

SUBMITTED IN THE PARTIAL FULFILLMENT FOR THE AWARD

OF

BATCHLOR OF COMMERCE (B.COM) 2015-16

MATS UNIVERSITY, RAIPUR

Under the supervision of: Submitted By:

Mrs POOJA RATHI priya singh

 ACKNOWLEDGEMENT

With great pleasure I would like to present my sincere gratitude to Mrs. Pooja rathi maam

our teacher for helping me throughout my project and providing her guidance to me. I would

also like to take this opportunity to thank our H.O.D Mr. T.G Madhusoodhanan, coordinator

of Mats School of Business Studies, for giving us this project which made us gain practical

knowledge in the field.

I express my heartiest thanks to the faculties for giving me an opportunity to work under their

guidance in their esteemed organization and providing me necessary resources for my

project.

I would like to extend my sincere thanks to all the respondents to whom I visited for giving

their support and valuable information which helps me in completing my project work. I

would also thank my institution and my faculty members without whom this project would

have been a distant reality.

I would also like to thank my parents and friends who helped me to make this project and

motivated me to complete it on time.

MAHIMA TOPPO
 B.Com Vth Semester

CERTIFICATE

This is to certify that this project entitled “COMPARATIVE ANALYSIS OF PRIVATE

AND GOVERNMENT HOSPITAL”, Submitted in partial fulfillment of the degree of

Bachelor of Commerce to MATS University, Raipur, done by Mahima Toppo, ID No.

MU14BCM184 is an authentic work carried out by her at MEKAHARA AND

RAMKRISHNA CARE HOSPITAL IN RAIPUR, under my guidance. The matter embodied

in this project work has not been submitted earlier for award of any degree or diploma to the

best of my knowledge and belief.

Signature of Student Signature of Guide

Mahima Toppo MRS. POOJA RATHI

MU14BCM184 Faculty of Mats

University
 CERTIFICATE

T.G.MADHUSOODHANAN

Head of the Department

Mats School of Business Studies

Date:

APPROVAL CERTIFICATE

This is to approve that the work presented in the project titled “Comparative Analysis of

Private and Government Hospital” was carried out by Mahima Toppo and submitted for

the partial fulfillment of the requirement for the award of the degree of Bachelor of

Commerce in Mats University is the original work carried out under the guidance and

supervision of MRS. Pooja Rathi maam and that no part of this work has been submitted

elsewhere for the award of any degree or diploma.

T.G.MADHUSOODHANAN

Head of the Department

 DECLARATION BY CANDIDATE

I Mahima Toppo hereby declare that this project is record of authentic work carried out by

me during the academic year 2016-2017 Submitted in partial fulfillment of the degree of

bachelor of commerce to Mats University has not been submitted to any other university or

institute towards the award of any degree to the best of my knowledge and belief.

The entire data, figure and information belong to selected hospitals, based on collected by

myself.

Signature of student

Mahima Toppo
 CONTENTS

PAGE
CHAPTER TITLE
NO.

INTRODUCTION

Introduction 1-2

Conceptual Background 2-6

I Significance of the study 7-8

Scope of the Study 9

Objectives of the study 9

Research Design & methodology 10-11

THEORATICAL FRAMEWORK

Selection of the Hospitals 13-14

History of selected Hospitals

1. MEKAHARA HOSPITAL 15-41

II
2. RAMKRISHNA CARE HOSPITAL 42-48

Cost-Benefit Analysis 49-50

Feedback 51-53

Expenditure pattern 53-56

Limitations 57
III DATA ANALYSIS AND 59-65
INTERPRETATIONS

IV SUGGESSIONS 67-70

SUMMARY AND CONCLUSION 71

BIBILIOGRAPHY 72
 CHAPTER

ONE

INTRODUCTION
 Introduction

Each child born in a country is human resource who will add to the productivity and

prosperity of the nation. However, the responsibility of converting this latent resource in to an

active workforce lies with the Government, private sector and NGOs. They should be made

responsible for health care development in the country. A child suffering from poor health

lacks attendance in the school. Workers who suffer from childhood malnutrition are less

productive than healthy workers. India has one of the youngest populations in the world.

India is experiencing high growth since a decade. The sustainability of this high economic

growth rate requires huge investment in education and health care of the population

Government hospitals, some of which are among the best hospitals in India, provide

treatment at taxpayers’ expense. Before economic reforms in 1991, most essential drugs were

provided free of charge to all patients in these hospitals. Government hospitals provide

treatment either free or at minimal charges. For example, an outpatient card at AIIMS (one of

the best hospitals in India) costs a onetime fee of rupees 10 (around 20 cents US) and

thereafter outpatient medical advice is free. In-hospital treatment costs in these hospitals

depend on financial condition of the patient and facilities utilised by him but are usually

much less than the private sector. For instance, a patient is waived full treatment costs if

he/she is below poverty line. Another patient may seek for an air-conditioned room, if he is

willing to pay extra for it. The charges for basic in-hospital treatment and investigations are

much less in public hospitals as compared to the private hospitals. The cost for these

subsidies comes from annual financial allocations from the Central and State Governments.

In addition to the network of public and private hospitals, there are charitable dispensaries

and hospitals, many of which provide treatment and facilities parallel to those provided by
private hospitals at highly concessional rates or in some cases free of costs to the needy

population.

Primary health care is provided by city and district hospitals and rural primary health centres

(PHCs). These hospitals provide treatment free of cost. Primary health care is focused on

immunization, prevention of malnutrition, care during pregnancy, child birth, postnatal care,

and treatment of common illnesses. Patients who receive specialised care or have

complicated illnesses are referred to secondary care centres (often located in district and

taluka headquarters) and tertiary care hospitals (located in district and state headquarters or

those that are teaching hospitals).

In post-independence period, India has eradicated mass famines, however the country still

suffers from high levels of malnutrition and disease especially in rural areas. Water supply

and sanitation in India are also major issues and many Indians in rural areas lack access to

proper sanitation facilities and safe drinking water. However, at the same time, India's health

care system also includes facilities that meet or exceed international quality standards. The

medical tourism business in India has been growing in the recent years and as such India is a

popular destination for medical tourists who receive effective medical treatment at lower

costs than in the developed countries.

Conceptual Background:

The health care industry, or medical industry, is an aggregation of sectors within the

economic system that provides goods and services to treat patients with curative, preventive,

rehabilitative, and palliative care. The modern health care industry is divided into many
sectors and depends on interdisciplinary teams of trained professionals and paraprofessionals

to meet health needs of individuals and populations.

The health care industry is one of the world's largest and fastest-growing industries.

Consuming over 10 percent of gross domestic product (GDP) of most developed nations,

health care can form an enormous part of a country's economy. For purpose of finance and

management, the health care industry is typically divided into several areas. As a basic

framework for defining the sector, the United Nations International Standard Industrial

Classification (ISIC) categorizes the health care industry as generally consisting of:

1. hospital activities;

2. medical and dental practice activities;

3. "Other human health activities".

As this is comparative study on government and private hospital in Raipur . We have seen lot

of differences in both private and public in many terms no doubt with the data collected has

shown more response towards private hospitals then public hospitals. Private sector seems to

be much more effective in influencing policy making, satisfying the public at the local or

national levels then the Public sector.

Health:

World Health Organization’s (WHO) constitution defines health as “a state of complete

physical, mental and social well being and not merely the absence of disease or infirmity”.

Necessarily, health has to be defined from a practical point of view and therefore, it has been

defined according to life expectancy, infant mortality, and crude death rate, etc.

Human Development Index (HDI):

The Human Development Index (HDI) is a comparative measure of life expectancy, literacy,

education and standards of living for countries worldwide. It is a standard means of

measuring well-being, especially child welfare. India ranked 134th among 187 countries

ranked in terms of Human Development Index.

Health Expenditure per Capita (PPP; International $):

Health Expenditure Per Capita is the sum of public and private health expenditure (in PPP,

International $) divided by total population. The health expenditure per capita stood at 45 $ in

the year 2009 in India, which lies much below the international standards.

Health Economics:

Health economics is the study of how scarce resources are allocated among alternative uses

for the care of sickness and the promotion, maintenance and improvement of health,

including the study of how health care and health-related services, their costs and benefits,

and health itself are distributed among individuals and groups in society.

Out-of-Pocket Expenditure on Health (% of Private Expenditure on Health):

Out-of- Pocket Expenditure on Health is the direct outlays of households, including gratuities

and in- kind payments made to health practitioners and to suppliers of pharmaceuticals,

therapeutic appliances and other goods and services. The out-of-pocket expenditure on health

stood at 74.4% as at the end of the year 2009 .

Equity in Health Sector:

Equity in health implies providing equal access to health facilities, equal use of services and

equal health status for all by distributing health services on the basis of need regardless of
income. There exist widespread disparities in India in providing health care services –

disparities in health care infrastructure in rural and urban areas, disparities in access to health

care services by men and women and also by rich and poor, disparities in health care

expenditure by public and private sector and also be various state governments.

Morbidity Rate (Sickness):

Morbidity rate shows the departure from the ideal condition of health, i.e. a state of complete

physical, mental and social well being. Morbidity rate is high in slum areas than non-slum

areas. One of the obvious explanations for this high morbidity in slums is the degradation of

the physical environment.

Nutrition:

Nutrition refers to food substances required to keep the body in good working condition, and

to supply fuel for energy. Good nutrition can help prevent disease and promote health. On an

average, per capita per day calorie intake is 2,496 and the per capita per day consumption of

protein is 59 grams. So far as the people below the poverty line are concerned, their average

per day calorie intake is not even 1,500 and many of them do not get even 30 grams of

protein per day.

Illness:

Webster’s International Dictionary defines illness as a state of being ill or sick, bodily

indisposition disease. It refers to anything affecting the total well-being of the patient.

Communicable diseases, maternal, peri-natal and nutritional disorders constitute 38 per cent

of deaths in India while non-communicable diseases account for 42 per cent of all deaths.

Injuries and ill-defined causes constitute 10 per cent of deaths each.

Primary Health Care (PHC):

The concept of Primary Health Centre was introduced by Bhore Committee in 1946 as basic

health unit to provide health services to people as close to people as possible. Primary health

care means essential health care based on practical, scientifically sound and socially

acceptable methods and technology which is made universally accessible. Primary health care

in India is provided through a network of over 147,069 health sub-centres, 23,673 Public

Health Centres (PHCs) and 4,535 Community Health Centres (CHCs).

Morbidity among Women:

Morbidity among women is the major issue in recent health policies. Women are more prone

to sickness due to neglect during puberty and at the reproductive age. Due to poor financial

condition women consume inferior quality and inadequate food which leads to anaemia. In

the allocation of food women always neglect themselves. The work burden is always more.

SERVICE TO MANKIND IS SERVICE TO GOD

Expanding healthcare access is a critical priority for the Government of India and the private

sector. Efforts to date have addressed numerous issues and much progress can be reported.

Yet the gap between the aspiration - of providing quality healthcare on an equitable,

accessible and affordable basis across all regions and communities of the country - and

today’s reality is all too apparent. The extent of change and improvement in India’s

healthcare system over the past decade is remarkable. The Government of India’s initiatives,

as well as private sector actions and public-private-partnership programs, have all contributed

to this progress. Yet much more remains to be done. Understanding the current state of
healthcare access is one important and foundational element for determining priorities,

resource allocations and goals for the future.

THE STUDY

The literature available, clearly indicates that much work has been done on various aspects of

healthcare organizations such as its techniques regarding, maintenance of bed-nurse ratio,

doctor-patient ratio etc

Majority of the hospitals in India follow the western system of medicine and public hospitals

today are exclusively run in the administrative framework designed by the Britishers in the

19th century1.This type of traditional management leads to crisis in hospitals owing to an

increase in population and inadequate availability of facilities. Both the central and state

Governments have multiplied their investments on health sector since the First Five Year

Plan. Even though government spends crores of rupees in this area, patient satisfaction levels

are very low and hospitals continue to deteriorate. The private hospitals exploit the patients

without providing adequate facilities to the needy. These traditional and rigid organizations

fail to respond effectively to the problems of developing needs of the society.

At present, most of the hospitals are run by the Superintendent who is the senior-most

physician, with a small number of administrative staff. The administrative body generally

tends to rely on rules, procedures and techniques which have not changed over the years. A

good doctor may not be a good administrator. He himself is a doctor and has to attend to

many administrative matters. It is very difficult to attend to both kinds of duties effectively.

Time has changed and specialization has become the order of the day. In view of the

tremendous expansion in health services, it has become essential to have specialists or experts

not only in their fields but also in other fields of hospital administration so that maximum

efficiency can be achieved at a minimum cost.

The rapidly rising number of patients and the inadequate expansion of hospitals and medical

services have thrown the administrative machinery completely out of gear. It is therefore,

imperative to have separate specialists for general administrative and personnel functions in

the hospitals. Moreover, earlier the patients used to favour a good doctor. In the recent years

the patient shifted his interest to availability of facilities in a hospital. Now the patient trusts a

hospital with well-reputed doctors. In this context, it is necessary to have a separate cadre of

administrators who combine some knowledge of medical system with sound management

principles.

In the present changed scenario, the public shows interest on corporate hospitals which run

their organizations on scientific principles. Some of the distinct features of these corporate

hospitals are (a) provision of sophisticated services in various fields of specialization,(b)

availability of all diagnostic facilities under one roof and (c) availability of different

specialists without any delay or inconvenience. Corporate hospitals make these facilities

possible only with proper administration of management functions. In practice, corporate

hospitals also have some drawbacks. Basically, an average Indian citizen is not in a position

to go to corporate hospital because of non-affordability. Middle-income group and low-

income group are not in a position to use this facility because if a patient wants to have a

kidney transplantation, he has to spend Rs.1 50,000 to Rs.2, 00,000 as package amount. For

coronary bypass surgery (CABG), one has to spend nearly Rs.1, 50,000. In this context, the

question arises as to how many patients can utilize these services. The answer is clear. Only

higher income group can afford, leaving all the other groups out of the reach.

Scope of the Study:

The scope of the present study extends to analyze financial status of both the selected

government and private hospitals and comparison between both the hospitals and how far the
management functions are carried out effectively to satisfy their Out and In-patients in

sample units. The study however includes the comparative details of paramedical staff,

finance related aspects , Bed capacity, size, in- patients and out-patients super specialties

offered are taken as basis for sample selection of both the hospitals.

In the next step, an attempt has been made to elicit the opinions from patients about both

government and private health care because every human being carries a particular set of

thoughts, feelings and needs. It gives new ideas and suggestions. One must admit that there

are lots of things which could be altered. Moreover, the concept, scope and philosophy of the

hospital of today are far different from those of the past. Once upon a time, the hospitals were

regarded as curative institutions and today these hospitals are being recognized more and

more as social institutions and the focal point is patient’s satisfaction.

OBJECTIVES OF THE STUDY

 To compare and contrast the differences in healthcare standards and facilities in

private and public sector hospitals in Raipur.

 To know the perceptions of out-patients and in-patients of selected hospitals and

availability of patient care in selected hospitals.

 To draw attention of policy makers of healthcare system and make suggestions for the

betterment with the help of public advices.

RESEARCH DESIGN

This study is mostly exploratory in nature and it aims at comparing the hospitalss. In this part,

an attempt has been made to explain the research design, the procedure of sample selection,

methodology used in data collection, analysis, and presentation.

Public Perceived Difference in Public and Private Hospital at Raipur
Cost:

Cost of treatment at a public healthcare facility is more affordable than that available at a

private healthcare facility, and is dependent on the nature of treatment. The economic burden

of a treatment is significant for both poor and affording class of people , However, due to

lack of physical reach, availability of quality treatment, and other practices, people are forced

to use more expensive private hospitals.

Quality of Services:

The standard of something as measured against other things of a similar kind; the degree of

excellence of something.

Patient Satisfaction:

The study shows that the first important factor that influences the overall service quality as

perceived by people is satisfaction. Hospitals need to focus on patient giving them personal

attention, providing in correct help and suggestion easy in and out service, doctor availability,

behaviour of doctors and staff emergency service and ensuring the accuracy of billing system

etc as per the study and the feedback taken this was effectively practices in private then the

public hospitals.

Timeliness:

It includes observation of patients according to appointment, availability of the doctors

according to promised time, and delivery of reports according to promised time.

Behaviours of Staff and Doctors:

Importance of understanding the high need for discipline professionalism empathy towards

individual is very important this is high requirement both in private and public hospitals.
 METHODOLOGY-

The present study is an attempt to explore both public and private healthcare hospitals in

Raipur, and examine the performance of each sector. For this study a private hospital and a

government hospitals comparative feedback has been taken. Private, in this study refers to the

corporate sector in health care and government sector are used interchangeably. The scope is

so vast that the effort in this study is limited to private and Government hospitals. This study

answers many structured problems that the public faces. This study has been done through

primary data and secondary data

 CHAPTER

TWO
THEORITICAL
FRAMEWORK
Selection of Sample Hospitals
There are more than 70 hospitals in Raipur alone. It is difficult for a researcher to take up all

the hospitals and study the existing financial analysis. For this reason a detailed study of two

hospitals that run on different lines were taken up for study.( i.e private hospital and public

hospital.)

Private hospital

A private hospital is one which is owned and governed by a person or many people who are

managing the whole finances on their own. Not just finances, even the whole funds process

and the administration, staff, all the doctors, everything is under control of that private body.

It has been seen that most of the people go for private hospitals and they prefer them over any

other option. This might be due to the facilities provided and the perception that all the

equipment used are reliable, of good quality, and better. However, the fact of private

hospitals being much more expensive and costly can also not be denied. The number of

facilities and the kind of individual care and attention given to the patient in a private hospital

is undeniable. These little yet highly paying services provided in a private hospital makes it

the first choice for any patient who can afford the price. Since no one wants to risk their lives

and get into more trouble caused by even the slightest of negligence on the part of treatment,

private hospitals remain to be popular.

1. MEKAHARA or ( Dr. Bhimrao Ambedkar Hospital ) -

It is the largest government health care facility in Chhattisgarh. Located in the heart of

the Raipur. Dr. Bhimrao Ambedkar Hospital is commonly known as MEKAHARA

(Medical College Hospital Raipur). It is affiliated to Pt. Jawaharlal Nehru Memorial

 Medical College, Raipur & functioning since 1995. It was started with the mission of

providing better patient care, to the needy and poor.

Public Hospital-

A public hospital, on the other hand, is completely and entirely run by the government

funding and money. Everything from the construction to the fees of the doctors to the

equipment, medicines are based on the government budget. Hence, each and every single

thing is being taken care of by the local government body. A public hospital is considered to

be a preferable option for the not-so-rich lot of people who, despite acute illness, cannot

afford the heavy fees of a private hospital. It is very ironical to see that a hospital that is

governed by the government, which has obviously more funds than a group of people or one

person alone, does not offer that level of service that can be counted on in most of the times.

However, this can be due to the fact that a government has a limited budget allocation to

health care as it has many things in its hands such as defense, education, economy, etc.

2. RAMKRISHNA CARE HOSPITAL

It is the private health care located in Pachpedhi Naka

Dhamtari Road Raipur. It provides various facilities to the patients. Hospital aims to grow

the business while maintaining various levels of profitability, providing a basis for

shareholder loyalty. It is functioning since 17 October 2004.

 History of Sample Hospitals

1. MEKAHARA or (Dr. Bhimrao Ambedkar Hospital) -

INTRODUCTION

Dr. Bhimrao Ambedkar Memorial Hospital, Raipur is the largest government health care

facility in Chhattisgarh. Located in the heart of the city and within one kilometer from

railway station & bus stand, Dr. Bhimrao Ambedkar Hospital is commonly known as

MEKAHARA (Medical College Hospital Raipur). It is affiliated to Pt. Jawaharlal Nehru

Memorial Medical College, Raipur & functioning since 1995.

Dr. Bhimrao Ambedkar Memorial hospital has medical facilities in all specialties and in

super specialties of cardiology, nephrology, neurosurgery, plastic surgery & pediatric

surgery. A highly developed radiotherapy & cancer department is the largest medical care

facilities for the cancer patients in the state.

Besides OPD & general wards, hospital also has Medical ICU, Cardiac Care Unit, Post

Operative Ward, well equipped Operation Theatres for routine and emergency surgeries,

Critical Care Unit, Neonatal ICU, Labour Room, and Nephrology Unit with dialysis facilities.

A 24 hour casualty & trauma unit is supported by round the clock laboratory & radiological

services.

The hospital has state of the art equipments like latest 3 Tesla MRI, 128 Slice CT scan,

Linear Accelerator, Cobalt Machine, Digital Subtraction Angiography (DSA) &Cath lab. A
model blood bank insures adequate supply of tested blood & blood components to the

patients of the hospital.

The Hospital also provides services under Rashtriya Swasthya Bima Yojna (RSBY), Mukhya

Mantri Swasthya Bima Yojna (MSBY), SanjeevaniSahayataKosh, BalshravanYojna,

BalHridaySurakshaYojna (BHSY) and JananiShishuSurakshaYojna (JSSY).

Hospital has other patients care facilities like ambulances, help counter, canteen, generic

medicine shop, pharmacy & injection room, mortuary and a separate OPD for senior citizens.

The hospital has facilities for mechanized central sterilization, lift & generator. MRD

(Medical Records Departments) has been established for registration and data recording of

the patients.

The Dr. Bhimrao Ambedkar Memorial Hospital is committed to provide excellent medical

care facilities and continuously growing opportunities for medical education, research &

training in Chhattisgarh.

Objective-

 providing comprehensive health care under one roof, the hospital is equipped with all

sophisticated modern medical facilities.

 Hospital provides high quality and cost effective medical services to all sections of the

society.

 Will give Personal Attention to all our patients, treating them as our friends and

family members. We shall provide a good environment for our Healthcare Team.

 Special provisions are also available to those who are unable to afford cost of medical

treatment.
 SUPPORT SERVICE

Central Medicine Store

The storage and description of medicines and the other medical equipments of Central

Medicine Store are as follow:

1. Storage-

The medicines and other medical equipments are purchased by the purchase

department of the hospital; the related firm supplies the medicines as per requirement.

employees maintain the daily expenditure register, the batch expiry no., details of bill,

stock and the other required information is maintained in it. At the time of supply,

firm provide 3 bill copy to us. This is sent to Dispatch department to record received

Information. After a remark by purchase department it is resend to our department.

We keep one copy of bill and the other 2 is sent to the purchase officer for

verification, and later sent to purchase department. We maintain the supply of

medicine/article in our computer software regularly. The medicines, injection and the
 other medical equipment are placed in rack according to alphabetical order and by

their expiry date.

2. Description:

During this procedure the computer software is placed central medicine store

and to the wards of different department. As required by the various wards/department in

which demand is online, which is also known as indent. According to the stock this indent

ismade, the Central Medicine store generate an issue voucher which is kept by store. The 2

copy is released in which one is distributed to the related wards, and the other to sore for

stock entry. The pharmacist matches the drugs volume through the medicine voucher. The

related calculations are matched by the departmental nurse, officers and doctors.

3. Stock Management:

In stock management, dail entry the issue and distribution of medicines in

expenditure register. And by the end of month, the stock register is maintained as the

consumption of medicines is done. The expenditure and stock register of all materials like

tablets, disposable, dressing material suture, soap cancer medicine, x-ray material and

permanent artier are maintained separately. The expenditure of articles is daily the end of the

month issue voucher and consumption of article is maintained in stock register.

For the purchase of medicines as required by the central medicine store based on

consumption of pharmaceuticals for 3month, a demand letter is given to Joint Director cum

Superintendent, and as the demand letter is given by the wards, according to that from time to

time we issue letter too as per demands.

Pharmacy-
Hospital pharmacies are within the premises of a hospital which provides a huge quantity of

medications per day which is allocated to the main entrance, wards and to intensive care unit

according to medication schedule. Hospital pharmacists were mostly engaged in traditional

pharmaceutical activities such as dispensing and manufacturing. Then, the increasing range

and sophistication of medicines available, awareness of medication errors and the widespread

use of ward-based prescription charts brought pharmacists out of the dispensary and on to the

wards in increasing numbers. Pharmacist and trained pharmacy technicians compound sterile

products for patients including total parenteral nutrition (TPN), and other medications given

intravenously e.g. Neonatal antibiotics and chemotherapy this is a complex process that

requires adequate training of personnel, quality assurance of products, and adequate facilities.

Hospital pharmacies typically provide medications for the hospitalized patients only, and are

not retail establishments. They typically do not provide prescription service to the public.

Kitchen-

Kitchen of the hospital takes care of diet of the patients admitted in different wards. Every

day breakfast, lunch & dinner of about 700 patients is prepared under hygienic conditions and

under supervision of dietician. Fruits and milk are also included as per the requirement.
Special diets like Liquid Diet, Hyper Tension diet, Diabetic diet etc are provided as per the

patient's requirement. Special diet is also provided to pregnant women and lactating mothers

under Janani Suraksha Yojana.

Laundry-

Hospital laundry is enticed with the reponsiblity of provided clean and hygenic linen to

various wards, OTs and other pateint care area of the hospital. Laundry of Dr. Bhim Rao

Ambedkar Memorial Hospital is equipedwith hydroextractors, washing machines, dryers

and ironing press.

The laundry service has been outsourced to an outside agency which ensure collections of

dirty linen, washing, ironing and distribution of linen within different area of the hospital.

CSSD (Central Sterile Supply Department)-

The central sterile services department (CSSD) is an integrated place in hospital that

performs sterilization and other actions on medical devices, equipment and consumables for

subsequent use by health workers in the operating theatre of the hospital and also for other

aseptic procedures, e.g. Catheterization, wound stitching and bandaging in a medical,

surgical, maternity or pediatric ward.

The operations usually consist of cleaning of previously used devices, like stainless steel

tools, with a sterilizing liquid. After drying the device on a stand (not by hand or cloth) it gets

wrapped in a specialized paper bag (called an aseptor bag), tape-sealed and then sterilized by

gas or in a steam autoclave, according to the prescripts in place at the facility.

An expiry date gets written on the wrapped equipment or consumable, before being supplied

to the end-user as a sterile product. If along the supply route, the sealed package got damaged

or opened by a health worker, it needs to be returned to the CSSD for re-sterilization.

A sterile processing technician is someone who cleans and sterilizes used surgical

instruments and other [medical supplies] so that they can be safely redistributed and reused

on additional patients. This work is usually centralized in a special department of the medical

facility.

Ambulance-

1. Hours Ambulance-

The ambulance service is an integral part of hospital. Have a fleet of ambulances

with the necessary facilities, like monitors, defibrillators, ventilators and continuous oxygen

supply. Ambulance services are available in the hospital for 7x24x365 days. Free Ambulance

service is provided trauma patients as and when required. Our fleet of 4 ambulances. Have

young, skilled emergency medical technicians who are trained in basic life support and

advanced cardiac life support. They accompany the patient during transportation.

The services of doctors trained in emergency medicine are always available to accompany the

patients in the ambulance as and when the need arises.

2. sanjeevni 108-

The Sanjeevani Express is well equipped with basic and state of art instruments to

handle the emergency cases on its way to hospitals - oxygen, suction machine, medicines, BP

operator and delivery kits besides other high end equipments make these ambulances efficient

to handle emergency cases. Along with the vehicle come four types of stretchers which help
in carrying patients in difficult cases like – rough roads, fire cases, commuting in hilly

terrains and water bound regions. Previously, after a road accident or in other emergency

cases there used to be a substantial delay in accessing the treatment. This used to be the

reason for many deaths that were caused due to accidents.

But since the advent of Sanjeevani it takes only 15 minutes in towns and 30 – 35 minutes in

villages for an emergency ambulance to reach the patient. Toll free number 108 connects

directly to Raipur located control room which carries out a conference call between the caller

and the Sanjeevani ambulance which is already in a standby mode in the closest proximity

and runs for the help of the caller after noting down the details of the location/accident spot.

4. Mahatari express 102-

In a frantic bid to coincide the launch of the 'Mahtari' Express service with the chief

minister's Vikas Yatra, the Chhattisgarh health department on providing free transportation to

pregnant women and children below the age of one year without the mandatory telephone

number '102' getting operational.

The service of providing free transportation to pregnant women, which aims at promoting

institutional deliveries, under the centrally sponsored National Rural Health Mission

(NRHM), is available in almost all other states across the country on phone number 102.

5. Muktanjali 1099-

The service christened as ‘Muktanjali’ would be offered in all the district hospitals

and the vans could be summoned by dialling toll free number ‘1099’. The ‘Muktanjali’ van

would bring home the mortal remains of the person on account of his or her sudden death

from the government hospital free of cost. The service launched by the Health and Family

Welfare Department would provide great relief especially to the financial weaker families.

I.T. & Networking-

The use of information and communication technologies has become widespread in the

hospital. Technology has taken over the daily schedules of hospitals, and has allowed nurses

and doctors to work more efficiently with patients and each other. In clinical implication IT is

used in following task:

  Assessment

 Patient Monitoring

 Documentation

 Telemedicine

 Medical Record Department

 Doctor's Monthly Performa

 Patient Registration

 IPD/OPD Registration

 Indent

 E-Tender

 Data gathering

 Computer assisted instruction

The use of IT in assessment helps in gathering and storing data about the patient. IT is used in

settings such as emergency, intensive care, ICCU, and the NICU for vital sign monitoring,

calculations of cardiac output, and even pulmonary artery pressure. This allows the focus to

be solely on the patient and helps in the comparison of a patient's present condition to earlier

conditions. Computers are also useful in documenting nurses' observations. Right now we are

having our new software Hospital Management System. This software was launched on 23rd

July 2014. This software has been designed and developed by a programmer hired from a

private company. This software targets to provide basic solution for Hospital services.

In the category of telemedicine, the internet on computers is used to transfer medical

information for consultation, examinations, and even some small medical procedures. In
Medical Record Department digitalization has increased the efficiency of hospital by making

patient information readily available and saving office space for the storage of records. It has

also eliminated illegible handwriting, decreases on data-entry errors, and automatically

connects related records. Through means of security, only authorized individuals have access

to medical records. The computer even keeps track of the history of those who have visited

certain records. Most significantly, IT has dramatically reduced the need for paper and

storage services. Programs such as Excel and QuickBooks allow hospitals to calculate the

total cost of the services they are providing. These programs would also help with the

comparison of the net values of money coming in and going out, and ensuring balance

between the two. Computers help in the calculating of pay checks, the respective salaries of

all workers, and the respective taxes to be taken out of each salary. This same financial

system also keeps track of the bills the hospital needs to have paid. All of these items above

would assist in the administrators making sure that the medical care they are giving their

patients is as cost effective and efficient as possible. A local area network (LAN) is a

computer network that interconnects computers within a limited area. LAN was installed in

the year of 2008. Cat-5 category cable is used in it. There are 18 Switches installed. Switch is

made 2622655652of HCL Model, HL524 Port - 10/100 Ethernet 24 port is used.

Currently server is located in MRD (Medical Record Department). Server was installed by

Hp Company on June 2013. Server AMC is being done by HP for 1 year. The manpower for

server is provided by Call Me Services

In addition to costs, computers evaluate quality assurance programs. These programs ensure

that all the methods and procedures of the hospital are in proper installation. Computers

additionally help to justify new roles for nursing in the health care system. This essentially

means that the job of a nurse is enhanced through duties on the computer in addition to their
medical duties. So, computers are facilitating the nursing process. A job that used to be

strictly hands on is now branching out to the technological.

Advanced systems are bringing more advanced minds to our hospitals, which in turn,

advances our medical treatments. The picture I see is mighty bleak. Thank you, IT, for

transforming our medical system to the best that it can be in saving our citizens.

Security-

Hospitals are one of the most active public places, When it comes to hospital security we

have the expertise and experience required to address your most challenging problems.

Having a security system in healthcare institutions is of critical importance, considering they

are places with high-valued equipment, accessibility to drugs, and many entrances. A hospital

needs common precautions against fire, attacks, and vandalism as any other large facility. At

the same time, heightened security requires special electronic protection solutions such as

control against abduction of infants from maternity wards or threats against patients or staff,

and crimes of opportunity.

Hospital is having extremely complex building that needs the strongest security solution. We

are having a highly skilled team, experienced with evaluating a Hospital’s infrastructure and

identifying threats and vulnerabilities. We focus on its specific weaknesses and offer the

necessary hospital security solution to protect the institution’s people, property, and

reputation.

Having a fire alarms, access control, and CCTV security systems. 24*7 hours guards are

always there in each and every gate and doors. Security guard view people entering and

leaving the area. They are in entrance, lobbies, operating rooms, labs and pharmacies, wards,

OPDs, OTs etc. Cameras are programmed to count the number of people moving through an

area or identifying and reporting that an object has been removed or left behind.
In some specific areas of a hospital there is restricting access also a high priority for hospital

security. A busy hospital is full of doctors, nursing and service staff, patients, relatives,

friends and other visitors. Any of which may have a reason to access specific areas. The

Hospital administration needs to assure that this access is restricted. Only authorized people

can then access controlled areas (pharmacy/drug storage, ICUs, surgical areas, e.g.). If

unauthorized personnel attempts entry to a restricted area, the security staff control the

situation immediately.

Bio Medical Department-

The engineering department performs a wide image of functions which may be assigning

to various unit of department. It is responsible for the operation of all equipment, machinery

and repair specifically, the department performs the following functions.

 Technology assessment services & procurement

 Routine maintenance

 Breakdown maintenance

 Design & development

 Clinical services

 Educational services

 Acceptance testing

 Maintenance planning

 Risk analysis

 Routine calibration and preventative maintenance

 Equipment management systems

  Organization of service contracts

 Repairs

 Monitoring of service contracts

 Maintaining inventory of spare parts

As a relatively new discipline, much of the work in biomedical engineering consists of

research and development, covering an array of fields: bioinformatics, medical imaging,

image processing, physiological signal processing, biomechanics, biomaterials and

bioengineering, systems analysis, 3-D modeling, etc. Examples of concrete applications of

biomedical engineering are the development and manufacture of biocompatible prostheses,

medical devices, diagnostic devices and imaging equipment such as MRIs and EEGs, and

pharmaceutical drugs.

DEPARTMENTS - Trauma Center

Introduction-

Trauma/ Emergency Care at Dr. B.R.A.M. Hospital facility is a selective focus that offers

quick treatment in any emergency with the most abnormal amount of consideration, round-

the-clock. All our emergency medicine specialists, trauma surgeons, nursing staff, caretakers

pertaining to road side traffic accidents and mass casualties are exceedingly prepared to

manage cases from minor wounds to cutting edge injury administer to patients needing brief

consideration. Our emergency medicine specialists address the patient at the best time

conceivable with the right care. The doctor's facility offers 24*7 service with every minute of

every day access to present day operation theatres, imaging & demonstrative instruments and

completely supplied 24-hour pharmacy stores for prompt and exact conclusion of the

understanding's patient’s condition. Dr. B.R.A.M. Hospital Trauma/ Emergency Care is

recognized by its preparation, master coordination, and 24-hour accessibility of specific

specialists, experts, and anaesthesiologists. The multi-disciplinary joint effort results in a

superior and more successful patient experience. The authorities from different controls, for

example, Orthopaedics, general surgery, neurosurgery, medicine, cardiology, paediatrics and

radiology are promptly accessible all day, every day.

FACILITIES-

We have devoted groups arranged to start quick and propelled look after:

 Trauma Emergency especially extreme head wounds.

 Emergency care for mass casualties.

 Facility for treating poly – trauma.

 Sepsis Emergency

 Vascular Emergency

 Stroke Emergency

Other emergencies like:

 Emergency care at death's door, debilitated/elderly, or patients with multi-framework

disappointments.

 Environmental emergencies (medication misuse/harming/poisoning)

 Obst & Gynae Emergency.

 Paediatric Emergency

 Cardiac Emergency

Facilities available:
  Fully equipped 24/7 blood bank, laboratory, diagnostics and ventilator management

 22 beds in old trauma & with 12 ICU beds, and 2 aseptic major OT and 21 beds in

new trauma.

 Mobile Ultra Sound, X-ray, 2D echo, etc for critically sick & emergency patients

 State-of-the-art Intensive care unit / operation theatre

 Easy to remember emergency number: 108

 Ambulances with state-of-the art monitoring equipment.

Medical Officer-

DEPARTMENT NUMBER OF DOCTOR

CANCER OPD (59-63) 2

CARDIOLOGY 2

ENT OPD (233-252) 3

GYNAE OPD (70-83) 5

MEDICINE OPD (140) 6

NEPHROPLOGY 1

NEURO SURGERY (129) 3

OPTHAMOLOGY (231) 3

ORTHO OPD (50) 2

PAEDIA SURGERY (124-131) 2

PAEDIATRICS OPD (124-131) 3

PLASTIC SURGERY (51-67) 1

PSYCHIATRIC(205) 2

SURGERY OPD (51-67) 5

Total 40
Casulity Medical Officer-

1. Dr. Sunil Gupta

M.D. Anaesthesiology & Resasitation
Specialist in Trauma & critical care

2. Dr. Anil Kumar Baghel

M.B.B.S. M.D.
M.D.(Radiotherapy)

3. DR. ROHIT DUBEY

M.S.
ORTHOPAEDICS
OPD Day:- ALL DAYS

4. DR. ANSUIYA DUTT

M.S.
OPTHALMOLOGY
OPD Day:-All Days

5. DR. M.P. MAHESHWARI

M.D.
MEDICINE SPECIALIST
OPD Day:-All Days

6. DR. HEMLAL MEENPAL

DIPLOMA IN ORTHOPAEDICS
ORTHOPAEDICS
OPD Day:-All Days

7. DR. BIDHI TEMBULKAR

M.B.B.S. M.D. GENERAL MEDICINE
MEDICINE SPECIALIST
OPD Day:-All Days

8. DR. G.S. BAGCHU

B.S.C. M.B.B.S. M.S.
ORTHOPAEDIC SURGERY
OPD Day:-All Days

9. DR. D.K. TANDON

 M.B.B.S. M.S.
OPD Day:-All Days

Hospital Setup (Organization Structure)-

DEAN

Medical Superintendent

Assistant Dy. Medical In charge In charge In charge In charge In charge DDO

Superintendent Superintenden establishment purchase CMO nursing legal
t

Assistant Medical
Superintendent Office
Superintendent

Public
information

Maintenance Establishment Purchase Casualty Medical Account Nursing

support services Branch Branch Officer Branch Department

OPD Registration-

The out patient department (OPD) in Dr. Bhim Rao Ambedkar Memorial Hospital provides out

patient services to the patient coming to the hospital from Raipur Chhattisgarh. On an average 1500-

1600 patients visit the hospital daily for OPD service.

Charges of Hospital Services & Investigations-

SERVICES, FACILITIES & INVESTIGATIONS

(1) OPHTHALMOLOGY:-
RATE

All Minor Surgeries. 200/-

(Probing, Skin tear repair, Chalazion, I & D

orbital cellulites)

All Major Surgeries of Eye 400/-

(Cataract plain, D.C.T., Glaucoma filtering

surgery, Cyclo cryotherapy, Entropion/

Ectropion, Dermoid, Enucleation/

Evisceration, Tear repair)

Super Major Surgeries of Eye 600/-

(I.O.L. Implantation surgery, Detachment of

Retina, Exenteration, D.C.R., I.O.F.B.

Removal, Squint Surgery, Ptosis Surgery,

Plastic Reconstructive (Lid.), Keratoplasty)

Diagnostic Fluoroscein Angiography 250/-

Yag laser Photocoagulation 250/-

Phacoemulsification Surgery 1000/-

(2) SURGERY:- RATE

All operation in Minor O.T. Under L.A. 100/-

Surgery in Major O.T.: (Minor Operation under Anesthesia, 200/-

Hydrocoel, Piles, Fissure, Cyst Excision, I & D

Circumcision, Dilation Under G.A. etc. Abscess & GA etc.

Abscess & G.A. Lenigh, Breast Tumour, Suprapublic

cystostemy)

Medium Surgery: (Burrhole, Appendix, Hernia, 400/-

Laparotomy, Amputation, Bladder Stone, Perforation, Simple

Mastectomy, Cleftlip, Meningocoel, Lumbersympathectomy,

Fistula)

Major Surgery: (Brain Operation, V.P. Shunt, 500/-

Maxillectomy, Cervical Sympathectomy, All Resection and

Anastamosis on GIT, Liver, Spleen, GB Pancreas, Kidney

Bladder, Prostate, Uret- hroplasty, Hypospedia, Thyroid

Operation, Carotid & Radical neck Dissection, Radical

Mastectomy, Large Soft Tissue Sarcoma and Incisional

Hernia repair with mesh, Lung and Heart operations etc.)

Specialist Surgery:
Endoscopy – Upper GIT 300/-

Endoscopy – Lower GIT 500/-

Laparoscopy 1500/-+

(3) MEDICINE:- Rate

Hemoglobin (Hb) 5/-

TLC & DLC 15/-

E.S.R. 5/-

Urine R/M 10/-

Solubility test FREE

Cellulose Acetate paper Electrophoresis 25/-

Hb variant Analysis 400/-

C.T./B.T. 10/-

Sputum for AFB 30/-

Urine Albumin 5/-

Urine Sugar 5/-

E.C.G. 20/-

Lumber Puncture 50/-

Pleural Aspiration 100/-

Peritoneal Aspiration 100/-

 Liver Biopsy 100/-

Peritoneal Dialysis 500/- per day

Pace maker transplantation 500/-

Echo Colour Doppler 500/- & 400/-(without print)

(4) PEDIATRICS:- Rate

Aspiration (Pleural/Peritoneal) 55/-

Pericardial Aspiration 110/-

Lumber Puncture 50/-

Bone Marrow 55/-

Liver Biopsy 55/-

Nebulizer Therapy 55/-

Phototherapy 55/-

exchange transfusion 300/-

Incubator Charge 110/-

Oxygen Therapy 25/-

Ventilator charge 200/-

Nursery Bed Charge 55/-

E.C.G. 10/-

(5) ORTHOPADICS: Rate

Minor Procedures Under LA

Joint Aspiration 60/-

Steroid Infiltration

Bone Marrow Infiltration:

Ganglion/cyst Excision

BIOPSY

Removal of Pins/Fixator

Repair of L.W./I.W./with or without

Debridement

Incision & Drainage of pus

Under GA

Steroid Infiltration 120/-

Bone Marrow Infiltration

Ganglion/Cyst Excision
BIOPSY

Removal of Pins/Fixator

Repair of L.W./I.W./with or without

Debridement

Incision & Drainage of pus

Minor Surgeries :

Tendon repair GA/regional block 750/-

External fixator GA

Jess/Wire Fixation

Shoulder Amputation/Disarticulation

Arm/Forearm Amputation/Disarticulation

Wrist Amputation/Disarticulation

Hip Amputation/Disarticulation

Above/below knee

Amputation/Disarticulation

Ankle/foot internal fixation

Excision of radial head

Patella

Excisional Arthroplasty

Arthroscopy (Diagnostic)
Fixator 500/-

Neurolysis/Neuroraphy

Arthrodhesis of small joints (Hand & Foot)

Skin grafting

All reductions under image control

All bone grafting

Procedures done under C Arm

Bone Curettage 350/-

350/-
Sequesterectomy

Major Surgeries:

Forequarter amputation 1000/-

Hindquarter amputation

Shoulder internal fixation

Arm/Elbow/Forearm internal fixation

Pelvis internal fixation

Hip internal fixation with or without fibular

graft

Thigh/Knee/leg internal fixation

Hemiarthroplasty

Ring Fixator

Reconstruction

CTEV correction

Pseudoarthroses

High tibial osteotomy

Polio joint fusion with reconstructive surgery

Tendon transfer with or without external 1000/-

slab/cast

Hybrid fixation

Spine laminectomy/Fenestration

Open reduction of dislocated joint with or

Without internal fixation

Arthorodhesis of major joints

(Spine/Hip/Knee/Ankle/Shoulder/elbow

wrist)

Osteotomies with or without internal fixation

Super Major Surgeries:

Spine dissectomy/laminectomy/fenestration 2000/-

with Instrumentation

Instrumentation in spinal trauma 2000/-

-------- ant/post decompression/debridement 2500/-

-------- on with or without instrumentation

(6) X-Ray(Radiodiagnosis) Department:- Rate

Upper Lower Limb 50/-

Chest, Spine, Skull 50/-

Special X-Ray per film 60/-

Sonography Screening 100/-

Sonography with film 150/-

Colour Doppler 300/-

C.T. Scan Extremities Upper or Lower Limb without Contrast 1400/-

C.T. Scan Extremities Upper or Lower Limb with Contrast 1800/-

Minor Interventional U.S.G. Procedure (F.N.A.C. Biopsy, 200/-

Therapeutic Aspiration)

Major Interventional U.S.G. Procedure (Tube Drainage) 300/-

Private Ward per Film 60/-

MRI (Plain) 3500/-

MRI with Contrast 5000/-

(7) RADIOTHERAPHY:- Rate

Radiotheraphy (Cobalt) total cost of 30 3000/-

seating

Biopsy Procedure 200/-

Chemotheraph per day 250/-

Brachytherapy Machine Cost per Procedure 1500/-

Mammography Machine Cost Per Procedure 800/-

(4 films)
Ramkrishna Care Hospital

Ramkrishna CARE is virtually a descendent of Ramkrisna Surgical Nursing Home,

founded in July 1992 by Dr.Sandeep Dave as a 25 bedded un-disciplinary mediocrity,
raised to 215 bedded multidisciplinary super specialties by 2004 through immaculate and
arduous team work, innovative pursuits, effervescent enterprises and intuitive foresight.

Dr. Sandeep Dave's dream had ever been to build a hospital with dedicated posture,
meticulously designed , futuristically styled with an eco-friendly and patient-friendly bearing,
unparalleled in skill and specialization, exemplary in nursing care, and affordable to all
classes of society of this region.

Inaugurated on 17 October 2004 in a new building in a different and versatile habitat and in a
new grab of Private Company at Pachpedi Naka, Raipur, with 20 upgradable and sustainable
super-specialties commanding absolute faith of patients, Ramkrishna Surgical Nursing Home
never compromised while rendering quality health service, with state of the art equipment,
dexterity and technology.

Infused with kindled and stirring rationality, reasonability, solidity, judgment and profundity
each and every molecule of this hospital was in perfect harmony while inviting the searching
glances of Care Group of Hospitals, Hyderabad, which ultimately culminated in a wedlock
and interlacing of Ramkrishna and Care on 10th may 2007 being renamed as Ramkrishna
Care Medical Sciences Pvt. Ltd.

This confluence of these two entities pursuing the same goal of preparing a crucible for
amalgamization of new ideas and research for human care, concern and benevolence has
made Ramkrishna Care a Hospital of advantages and opportunities, a friend for life, that
touches and lifts, a companion in solitude that caresses and fondles, a team partner that
supports and upholds and blows a new meaning into life which never betrays.

The visible contours of our venture and transformation forecast that Ramkrishna Care is
going to serve as a growth island and catalyst for the development of Chhattisgarh.

Our Hospitals

Ramkrishna Care Specialty Hospitals, India, provide world class services for all medical
super specialties.

Unit-I

Aurobindo Enclave, Pachpedi Naka, Dhamtari Road, NH - 43 Raipur (C.G.) 492001

Phones: 0771-3003300/01/02/03
Fax: 0771-4004037
Email: info@ramkrishnacarehospitals.com
Unit-II

Raigarh Metro CARE Hospitals, Near Pahad Mandir, Chakradhar Nagar Raigarh – 496001
Phones: +91-7762-220222/220666
Fax: +91-7762-220222
Email: info@carehospitals.com
For Emergency Call: +917762-220222
For Appointments Call : +917762-220222
Timings: 6AM to 10PM
Patient Facilities

Emergency Care

24x7 Emergency care with ambulance and emergency team

Critical Care

Fully-equipped 5 Intensive Care Units (MICU, ICCU, NICU, SICU, Cardiothoracic ICU)

Cardiology

All cardiac emergencies, angiography, angioplasty, cardiothoracic surgery, paediatric cardiac

intervention & surgery and foetal and neonatal cardiology

Laparoscopy

Advanced laparoscopic surgery

Gastroenterology

Endoscopy, pylotest, sigmoidoscopy, colonoscopy, ERCP and endosonography, entroscopy,

fibroscan, hepatology and pancreatobiliary procedures

Pulmonology

Sleep apnea study, Pulmonary Function Test , bronchoscopy

Orthopaedics

Complicated fractures, total hip and knee replacement, arthroscopic surgery, foot and ankle
surgery, spine surgery, ligament injuries and bone grafting

Neurology

EEG, ECD, EMG

Urology

Uroflowmetry, Urodynamics

Nephrology

Dialysis, chronic kidney diseases, acute renal failure, renal biopsy, plasmapherisis, CAPD,
perm cath SLED, peritoneal dialysis

Laboratory services

Pathology, Haematology, Microbiology, Biochemistry

Diagnostics

ECG, Echo, EEG, TMT, Spiral CT scan, digital X-ray and ultrasonography

Other Facilities

Laboratory Medicine

Ramkrishna CARE Hospitals offers investigations in Haematology, Pathology, Clinical

Biochemistry and Microbiology round-the-clock. All these disciplines provide qualitative
analysis of biological fluids such as blood, serum or plasma, tissue, urine, stool, etc. for
specific constituents to support clinicians in the practice of medicine.

Ambulance

The emergency department has a fully equipped ACLS ambulance, which works round-the-
clock and is managed by a team comprising a doctor, nurse and paramedical staff.

Emergency Care

The Trauma & Emergency Unit works round-the-clock. There are 5 beds with all life-saving
equipment. The department also deals with medico-legal cases, medical emergencies and
minor surgical work.

Pharmacy

The hospital runs a 24*7 pharmacy with qualified and trained pharmacists who help patients
to comply with the prescription instructions.
Charges Of Health Check-up
Download Brochure

Package Cost : Rs 1500/- Kidney Check-up

Haemogram, Urine study, Blood Sugar (Fasting & PP), Serum Potassium, Serum Sodium,
Serum Urea Serum Creatinine, Serum Total Protein & Albumin, Serum Phosphorus, Uric
Acid, Sodium Bi Carbonate, Nephrologist Consultation

Package Cost : Rs 1700/-

Gynaecology Check-up

Haemogram, Urine study, Blood Sugar (Fasting & PP), T3, T4, TSH, Ultra Sound (Whole
Abdomen), PAP Smear

Package Cost : Rs 1300/-

Executive Health Check-up

Haemogram, Haemoglobin, Lipid Profile, Liver Function Test, Kidney Assessment, Serum
Urea, Serum Creatinine, Complete urine study, Blood Sugar (Fasting & PP,) , X-ray(Chest),
ECG , Ultrasound Screening (Whole Abdomen), Stool Test, Blood Group & RH, Doctor
Consultation

Master Health Check-up-I

Haemogram, Haemoglobin, Lipid Profile, Liver Function Test, Kidney Assessment, Serum
Urea, Serum Creatinine, Blood Sugar (Fasting & PP), X-ray (Chest) ECG, 2D Echo ,
Ultrasound Screening (Whole, Abdomen), Stool Test, Complete Urine Study, Blood Group &
RH, Physician Consultation

Package Cost : Rs 2500/-

Master Health Check-up-II

Haemogram, Haemoglobin , Lipid Profile , Liver Function Test, Kidney Assessment, Serum
Urea Serum Creatinine, Serum Uric Acid, Blood Sugar (Fasting & PP) ,X-ray (Chest), ECG ,
2D Echo, TMT, Ultrasound Screening (Whole Abdomen), Stool Test, Complete Urine Study,
Blood Group & RH, Physician Consultation ,Cardiologist Consultation

Package Cost : Rs 3500/-

CARE Smart Health Check-up

Haemogram, Haemoglobin ,Lipid Profile , Liver Function Test, Kidney Assessment, Serum
Urea , Serum Creatinine, Serum Uric Acid, Blood Sugar (Fasting & PP) , X-ray (Chest), ECG
, 2D Echo or TMT, Ultrasound Screening (Whole Abdomen), Stool Test, Complete Urine
Study, Blood Group & RH, PSA (For Men), PAP Smear (For Women), PFT, Physician
Consultation, Cardiologist Consultation

Package Cost : Rs 5000/-

Prostate Check-up (Above 45 Years)

Haemogram, Urine study, Urea, Serum Creatinine Ultrasound of KUB, PSA for Men,
Urologist Consultation.

Package Cost : Rs 1600/-

Gastro Check-up

Haemogram, L FT, Urea, Serum Creatinine, Uric Acid, Stool Test, UGI Endoscopy,
Gastroentrologist Consultation

Package Cost : Rs 2100/-

Liver Gastro Check-up

Haemogram, L FT, Urea, Serum Creatinine, Uric Acid Stool test, UGI Endoscopy,Fibro
Scan, Gastroentrologist Consultation

Package Cost : Rs 4200/-

OBJECTIVESS

1. Improve the services provided by the association for the members through improving the

financial resources and by increasing the number of staff.

2. To analyze the factors responsible for creating patient centered hospitals

3. To elicit the feelings and problems of the doctors, nursing staff, paramedical staff and

administrators of selected hospitals in the creation of patient centered hospitals.

4. To know the perceptions of out-patients and in-patients of selected hospitals and

availability of patient care in selected hospitals.

5. Enhance the quality and safety of hospital services provided to patients.

6. Increase the hospital’s medical centers capibilities to become competitive internationally.

7. Aim to grow business while maintaining sustainable levels of profitaibility providing a

basis for stakeholder loyalty.

SERVICES-

Mesh-
Kitchen of the hospital takes care of diet of the patients admitted in different wards. Every

day breakfast, lunch & dinner as per patients requirement, prepared under hygienic

conditions and under supervision of dietician. Fruits and milk are also included as per the

requirement. Special diet is also provided to pregnant women and lactating.

Medical Store-
Medical store is available in the hospital for patients to purchase medicines.

Bed-

Ramakrishna CARE Hospitals is a well-equipped, 227-bed hospital with 6 world-class

Operation Theatres and 5 Intensive Care Units.

Staffs-

Samarpan Hospital contains 15 doctors, 42 nursing staffs and 2 medical officers.

Doctors-

Consultant and There Specialty

Dr. Vinod Ahuja
Cardiac Sciences
Dr. N Gopi
Cardiac Sciences
( Cardiothoracic & Vascular surgery )
Dr. Javed Ali Khan
Cardiac Sciences
Dr. Shailesh Sharma
Cardiac Sciences
Dr. Prashant Thakur
Cardiac Sciences
( Pediatric Cardiology )
Dr. Shradha Sharma
Dietetics & Nutrition
Dr. Asma Faridi
Dietetics & Nutrition
Dr. Juli Pandey
Dietetics & Nutrition
Dr. Sumit Mandal
Emergency Medicine
Dr. Sandeep Pandey
Gastroenterology
Dr. Rajesh Gupta
General Medicine
Dr. Abbas Naqvi
General Medicine
Dr. I U Rahman
General Medicine
Dr. Prakash Chouhan
Lab Medicine (Biochemistry, Pathology, Microbiology)
Dr. Sandeep Dave
Laparoscopic & Bariatric Surgery
( Laparoscopic Surgery )
Dr. Jawwad Naqvi
Laparoscopic & Bariatric Surgery
Dr. A R Vikram Sharma
Laparoscopic & Bariatric Surgery
Dr. Siddharth Tamaskar
Laparoscopic & Bariatric Surgery
( Laparoscopic Surgery )
Dr. Prawash Chaudhary
Nephrology
Dr. Sanjay Sharma
Nephrology
Dr. Sanjeev Kumar
Neuro Sciences
Dr. S N Madhariya
Neuro Sciences
( Neurosurgery )
Dr. Parag Radhey
Neuro Sciences
Dr. J Roy Choudhary
Orthopedics
Dr. Pankaj Dhabaliya
Orthopedics
Dr. Lalit Jain
Orthopedics
Dr. Girish Kumar Agrawal
Pulmonology
Dr. Sharad Chandak
Radiology
Dr. Neelesh P Gupta
Radiology
Dr. Hulesh Mandle
Radiology
Dr. Ajay Parashar
Urology
Dr. Ashish Kumar Sharma
Urology

PATIENTS-

Hospital has aprox. 115 in-patients and 55 out-patients, with having OPD charges 300Rs.

INCOME-

Monthly income of hospital is Rs 800000 to rs 1000000 including smart card patients.

FACILITIES-

 24 hours facility

 Intensive Care Unit

 Ventilator and dialysis facility

 24 hours ambulance
  24 hour Medical store

 X-ray and Sonography

 Skilled and caring staff

 6 operation theatre

 Special trauma unit

 Free treatment and treatment of smart card holders

Cost-Benefit Analysis of Visit to Private Clinics and Government Hospitals

during Minor Illness:

Time Consumption in Accessing Private and Government Hospitals:

Table Indicating Comparison of Time Required in Accessing Healthcare Services of Private

Clinics and Government Hospitals in case of Minor Illness

 Sr. No. Average Time Taken to Access Healthcare Services in
case of Minor Illness

Private Hospital Government

Hospital

1. commuting 20 min 10 min

2. waiting 15 min 70 min

Total 35 min 80 min

The above table indicates the comparison of average time taken to access healthcare services

of private hospitals and government hospitals. It can be seen in the above table that the

average time taken to access healthcare services of private hospital is only 50 minutes on an

average while it is around 80 minutes in the case of government hospitals. Thus, the time

wasted in accessing healthcare services of government hospitals is around 2 times of that of

the time taken to access the services of private hospitals.

Thus, it can be concluded on the basis of above analysis that it is time consuming to access

government hospitals for minor illness.

(A)Sample:
A sample of 50 respondents has been selected randomly from areas in to seek responses on

healthcare services provided by the government hospitals vis-à-vis private in their areas.

The government hospitals and private hospitals which are generally visited by people for

their health-related problems are:

Government Hospital:

Mekahara hospital

Private Hospital:

Samarpan hospital

The researcher found it difficult to collect information from illiterate and some aged

respondents. Some respondents refused to part with information due to their severe and

prolonged illness. Thus, wherever respondents refused to part with information or where the

researcher found it difficult to extract information, such respondents were substituted with

other respondents. The technique used to collect sample for the present research was random

sampling technique

A sample of 50 in-patients and out-patients selected randomly from government sponsored

hospital in the area was interviewed to have in-depth investigation and analysis of the

problem under consideration

(B). Feedback
(1) Feedback on Testing and Evaluation facilities in Government Hospitals:

Although 63% of the respondents reported that they could get hospitalisation on emergency

basis in government hospitals, 72% of them reported that government hospitals lacked

adequate infrastructure and evaluation and testing facilities. Many advanced testing facilities

are not available in these hospitals and therefore, poor patients have to shell out huge money

on getting these tests done from private hospitals and clinics. When inquired reason for such

breakdowns, the hospital staff reported that there is heavy pressure of patients on these

machines and therefore, they are used round the clock. They also reported that most of these

machines are purchased through government rate contracts who generally supply substandard

machines and instruments and there is no maintenance contract for these machines. For

efficient functioning, these machines need regular up keeping and maintenance. Under these

circumstances, they have to recommend their patients to private hospitals and clinics for

testing and evaluation.

(2) Feedback on Standards of Cleanliness, Food, Sanitation and Hygiene in

Government Hospitals:

On an average, most of the respondents found the standards of cleanliness, food, sanitation

and hygiene in Government hospitals to be satisfactory but not at par with the hygiene and

cleanliness standards maintained by private hospitals. While government hospitals are

charitable institutions and in many cases refrain from adopting “scientific cleaning practices”

as it comes at a price, the private set ups claim a handsome price for both treatment and the

clean factors. But on the whole respondents were found to be satisfied with the standards of

cleanliness and sanitation maintained by the government hospitals.

(3) Feedback on Services of Doctors in Government Hospitals:

More than half the respondents who visited a Government hospital for treatment found the

quality of services of doctors and their approach towards patients to be above average with

17% of the respondents rating it to be excellent and 40% rating it to be good. Empirical

evidences show that patients are generally satisfied with the quality of services of

government doctors and in many cases people have complaints against other staff and

absence of infrastructural facilities in hospitals. 15% of the respondents who were dissatisfied

with the services of doctors in Government hospitals were in-patients. Accessibility of a

doctor is a vital factor, especially in case of emergency. But, according to these respondents,

who personally or their family members utilised government hospital for treating their major

illnesses, revealed that doctors were not accessible during emergency, although many of them

were inmates.

(4) Feedback on Services of Nurses and Administrative Staff in Government Hospitals:

On a whole, services of nurses and administrative staff in Government hospitals are found to

be satisfactory which is supported by the responses of 70% of the respondents. But when

compared to satisfaction with the quality of doctors in government hospital, the satisfaction

with quality of the services of nurses and administrative staff was found to be poor. 22% of

the respondents who rated the quality of services of nurses and administrative staff to be

poor reported that the nurses and administrative staff in government hospitals behave

arrogantly and are insensitive and unsympathetic to the needs of patients.

(5) Feedback on Overall Services in Government Hospitals vis-a-vis:

Experience evidences through various researches have been suggestive of failure of public

sector as one of the prime reasons for growth of the private sector in India. In the present

study, majority of the respondents have rated the services provided by public hospitals vis-à-

vis private clinics to be poor. The reasons for this are:

• Although services in government hospitals are free or are provided at concessional rate,

long waiting time, long distance, inadequate infrastructure, irresponsible behaviour of staff

(sometimes), comparatively poor standards of cleanliness and hygiene are some of the factors

that contribute to the dissatisfaction of patients.

Limitations of the Study:

The present study is constrained by the limitation of time and cost. The study is restricted to

the public and private Hospital in the city of Raipur. Due to the size of the problem, the

study is limited to patient satisfaction only. It has become difficult for the researcher to

collect data from different hospitals. Another basic limitation of behavioural sciences is that

they would deal with attitudes. These attitudes differ from individual to individual. Even

though utmost care has been taken in selecting the sample, the results derived from a study

may not be exactly equal to the true value of the population. Hence results of the study are

considered to be true, and relationships hold good, only for this study.

Perceptions of the respondents are measured through observation, personal interview,

questionnaire and schedules. It became very difficult to meet and elicit opinion of

administrators due to their busy schedules.

Majority of administrators are under the impression that research on analysis of hospital

means probing into their internal affairs especially in healthcare Sector. With this opinion

they hesitated in providing required data. However, administrators of different hospitals did

co-operate. This research project would not have been possible without the help received

from them.
 CHAPTER

THREE

DATA ANALYSIS AND

INTERPRETATIONS
ANALYSIS OF THE STUDY

The data was analyzed by simple statistical way to present the study in a meaningful way.

The analysis reveals that there is more positive feedback from the public on private working

hospitals then the government. Based on the study some suggestion has been outlined on the

way of working and management of hospitals.

The below chart 1:Time Management in Government and Private

Hospitals

50

40
Series 1
30
Series 2

20 Series 3
Series 4
10

0
GOVT PRIVATE

Chart 2: illustrate accommodation rate on the ward with regard to private

and Government hospital in Raipur:

 60
50
40
30 Always
20 Sometime
10 Never
0
govt
private

Chart 3: Rate the cleanliness in private or Government Hospital?

60

50

40
EXCELLENT
VERY GOOD
30
GOOD
ADEQUATE
20

10

0
GOVT PRIVATE

Chart 4: Rate of the bathroom facilities at Government and private

hospital in Raipur:
 50
45
40
35
30 EXCELLENT
25
VERY GOOD
20
GOOD
15
10 ADEQUATE
5 POOR
0
GOVT
PRIVATE

Chart 5: pain management treated in a sympathetic manner in comparison

with Government and Private hospitals?

60

50

40
VERY GOOD
30 GOOD
POOR
20

10

0
GOVT PRIVATE

Chart 6: How would you rate the quality of the food and canteen facility in

Public and Private hospitals.

 60

50

40 VERY GOOD
30 GOOD

20 POOR

10

0
GOVT PRIVATE

Chart 7: Prefer hospital in public Government or private

50

40

30 Series 1

20 Series 2

10

0
GOVT PRIVATE
 Collection of Data:

The data was collected from both sources-

 primary data

 secondary data.

For collection of data from primary sources, efforts were made to elicit the opinions of almost

all key personnel in the organizations through observation, personal interviews,

questionnaires and schedules. The researcher spent months together in sample hospital offices

observing the management process in the selected hospitals. In depth interview technique was

used here for collecting primary data. This was collected through personal observation and

also from the hospital documents, Annual Reports & Budgets. The researcher visited and

collected information from the two hospitals i.e., MEKAHARA Hospital and Ramkrishna

care Hospital. The data for the study was collected by administering the questionnaire
schedules and through observation method. Observation method is one of the most important

and extensively used methods in social sciences research. It is one of the primary research

methods. All the time it is not possible to use quantitative techniques, in such circumstances,

observation method bridges the gap. On the other hand Questionnaires are widely used for

data collection in social sciences research particularly in surveys. It is a fairly reliable tool for

gathering data from large, diverse, varied and scattered social groups. It is used in obtaining

objective and qualitative data as well as in gathering information of qualitative nature. It is

treated as the heart of the survey operation. The data for the study was collected by

administering a two part questionnaire to administrative staff, doctors, and nursing staff and

to both inpatients and outpatients. Part I of the questionnaire consisted of socio-economic

information. Part II of the questionnaire which was distributed to administrative staff

contained the data, regarding working and performance of office, different functions of

management and different organizational patterns and structures. The instrument was tested

for its reliability and validity. A Three point scale was used. It contained the column of

Satisfied, Partially Satisfied and Not Satisfied Three point scale was used which contained

Satisfied, Partially Satisfied and Not Satisfied. Relating to their satisfaction on services

offered by the selected hospitals.

 CHAPTER

FOUR

SUGGESTIONS
 SPECIFIC SUGGESTIONS

1. Staff Behaviour:

Employees are the important asset of the organization. Small but Significant number of

health-care workers show disrespect for colleagues, dole out verbal abuse and engage in other

unacceptable behaviour. Now a new report suggests this kind of poor workplace

communication can also contribute to medical errors, even if other preventive steps are being

taken.

2. Executing Quality Improvement Programs:

Quality is one of the main ingredients of all successful organization it includes everything in

the organization work environment as. Especially for hospitals as 10 % of GDP comes from

this industry and there is a history of revelation of hospital worldwide.

3. Hospital Hygiene:

As hygiene is one of the fundamental rights of every human being. That’s why the World

Health Organization (WHO) has chosen May 5 as Save Lives: Clean Your Hands Day, its

annual campaign to get health workers to practice better hygiene. The WHO has a simple

five-step framework for getting health care workers to ensure they keep their hands clean, but

it won’t worker until hospitals get serious about pushing hand washing, before and after a

worker sees a patient.

 4. Food Arrangements Needed To Be Strengthen:

There are various factors which influence customer’s expectations of services. They include

efficiency, confidence, helpfulness, personal interest reliability. The dietary units stand as the

second major department of a hospital from the point of view of expenditure. Except the

well-established hospitals, patients are not happy with the quality of food supplied to them.

That is why most of them get food from their houses or from relatives. There is a problem of

excess diet consumption when compared to the number of in-patients in the hospital resulting

huge expenditure.

5. Personnel:

Delegating the responsibility with authority to the personnel and establishing interpersonal

relationship for the purpose of co-ordination of work, so as to get the work done together

effectively, and in accomplishing the objectives of the organization.

6. Strong Policies and Practice:

There are both excellent and poor performing hospitals worldwide. To promote greater use of

practices and policies that enhance quality in hospitals, this study identifies and describes the

key ingredients that have contributed to the success of hospitals that are sets as an example of

many high-performing hospitals to those who do not have or practice the policies.

The key elements of a successful strategy can be organized into the following categories:

 Developing the right culture for quality;

 Attracting and retaining the right people to promote working environment;

 Updating the right in-house processes for improvement; and

 Giving staff the right tools to do the job.

 7. More Attention to Patients:

Efforts should be made to reduce the patients load at the higher level facilities that doctors

and other staff can give more attention to the patients.

8. Hospital Infrastructure:

The efforts also needed to strengthen infrastructure and human resources.

9. Medicine Availability:

Patients in are suffering due to non-availability of emergency drugs/ life saving drugs. The

emergency drugs/life saving drugs is defined as drugs which require immediate

administration within minutes post or during a medical emergency. These medicines have the

potential to sustain life and/or prevent further complications and are prescribed for both out-

patients and in-patients. The non-availability of these drugs in government hospitals has

posed serious problems forcing patients to buy these drugs from outside.

10. Regular Patient Feedback and Implementation:

Data need to be collected within or at the end of a visit, usually with a very brief written or

even verbal question. It is used to find out patients’ experience when it is fresh in the mind,

and usually focuses either on a specific area of interest to the team, or on the general

experience of the patient during the visit. In our example of visit preparation, the medical

assistant might give the patient a form asking their preferences when they begin the visit. It is

helpful if the form is introduced by a team member. It is very important to set realistic

expectations for the amount of time and effort needed to see results in this work once feed

back of the patient is generated.

 11. Public Hospitals Have Access To Safety Funds And Grants:

Many public hospitals have reimbursed more suppliers then the private.

SUGGESTIONS

The present study indicates that there has been an extensive development in health care

services in public and private hospital. However still there are many changes need to be

acquired to reach the services to the public from government hospital. The cost of treatment

at a public healthcare facility is much more affordable than at a private centre. However, due

to lack of physical reach, availability of quality treatment and other practices, patients are

forced to use more expensive private facilities, thus exacerbating affordability challenges.

The majority of out of pocket expenses are due to medicines, though they have not increased

their share of the affordability burden.

 SUMMARY AND CONCLUSION:

Private hospitals are making better efforts as compared to the public hospitals. As the private

hospitals have to depend on customers in order to meet the financial constraints and gain

profitability. As results of this study shows that private hospitals like the other service

organizations are focusing on their patients demands and developing themselves in order to

provide maximum healthcare facilities to their patients. All these efforts led these hospitals

towards continuous improvement in the processes, system and provide continuously quality

of healthcare service to their patients. It can be concluded from the analysis and the responses

of data collected that in private hospitals where compare to the government hospital are very

satisfactory. Public health care system is very good in terms of space and operational

equipment however services towards patient are inadequate in providing the good services,

government hospitals must select a strategy that gives highest “healthcare access” benefit to

the people Quality services need to be provided to the patient in order for quick recovery.

Whereas the poor quality of healthcare services delivered to patients by public hospitals as

compare to the private hospitals are due to the many factor. These factors include:

government funding, lack of government interest in development of new healthcare projects

and overburdened public hospitals due to rapid growth in population and Comparison of

Service Quality between Private and Public Hospitals.

 BIBLOGRAPHY

Websites:

http://drbramhraipur.in

http://wikimapia.org

http://infohind.com

www.zaubacorp.com

Reports:

Government of India, National Health Policy.