Managing a modern hospital

Managing a modern hospital

Gupta, A K

Managing a modern hospital, A.V. Srinivasan, Ed. (Sage Publications, New Delhi) 2000. 404 pages. Price : Rs. 45/-. ISBN 0-7619-9411-4 (US-HB); 81-7036-881-2 (India HB)

For efficient functioning of a hospital, managers who help coordinating the activities and functions of different departments with optimum utilization of staff can help in improving the efficiency of the set up. This multiauthored concise book is meant for all those concerned with the management of a hospital. The gamut of work from planning to human resource management and hospital information systems has been succinctly portrayed in this book. Dr AN.V. Srinivasan, an adviser to the Apollo Hospitals Educational and Research Foundation with the vast experience in management has done an excellent job in compiling different aspects of hospital management.

The book has 17 chapters covering a wide range of selected topics. The first chapter provides the official statistics on health care. Chapter two deals with the essentials of planning a modern hospital. The appropriate facilities according to the needs and affordability of the community have been described. It has been empasized that the care should be taken to recruit proper staff and there should be continuous training and motivation with flexibility for future expansion plans.

The third chapter highlights the hospital organization structure which needs to be carefully examined. The importance of financial management for hospitals has b-.en elucidated in the next chapter. The author describes in great detail the need to run a hospital as a business organization. Perfect planning, efficient execution and well-coordinated efforts are some of the most essential features for success and growth of a hospital.

The chapter on human resource management puts emphasis on transformation of personnel philosophy to human resource philosophy which is now needed in the existing hospitals for efficient and effective functioning. This is followed by a chapter on hospital materials management emphasising that intense control of inventory can be just as undersirable and costly as keeping it under control. The next two chapters on hospital stores organization and pharmacy and selective system of materials management suggest the objectives and functions of the stores and pharmacy. The author also gives examples of the systems of classification of materials.

Chapter nine highlights the importance of multiple basis approach to selective inventory control (MBASIC) where accumulated data can be programmed in the environment of computerized pharmacy store operation in a hospital for a one time analysis leading to an evolutionary development of inventory policy based on the MBASIC technique.

Prospective hospital administration and information technology professionals have been provided information regarding the factors involved in the successful installation of the Hospital Information System (HIS) which essentially does not require a computer but a committed team work approach from all disciplines in a hospital. A model of HIS is also presented in the chapter on hospital information system and information technology. The medical records are very vital to health care institutions. The importance of medical records to the patients, doctors, hospital and public health authorities and their contribution in education and research have been beautifully brought out in the chapter on medical records.

Chapter 12 dwells on the operations research in hospitals and emphasizes on the multidisciplinary approach in optimizing resources utilization. A few selected examples have also been discussed. The next chapter on hospital waste management correctly focuses on an increasing problem due to hospital waste. The author has given a good overview on methods of waste reduction and disposal in the hospital.

The management of a hospital should involve building up an environment of faith, belief, reliability and quality assurance for the patient. This has been very well brought out in the chapter on patient relations in hospitals. Medical audit is extremely important in assessing an individual’s performance and hospital’s performance as a whole. The authors emphasise on repeat audits to confirm that a specific practice has improved, and review for possible revision of standards is essential to improve medical audit. This is the essence of the chapter on medical audit and its administration.

The chapter on hospitals and ISO 9002 describes the preparation required for obtaining ISO certification, and the subsequent chapter gives an example of a hospital that has acquired ISO 9002 certification.

The book is well written and will be useful to all those interested in hospital management. In fact, it should be read by all practicing doctors who have administrative responsibilities. The language of the book is simple. Overall it is a good book for hospital managers and would be a valuable resource in the libraries of medical science institutions.

Dr A.K. Gupta

Medical Superintendent

Postgraduate Institute of Medical

Education & Research

Chandigarh- 160012, India

Copyright Indian Council of Medical Research Feb 2001

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