HOSPITAL ADMINISTRATION 2

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Q. 1. Any Four Questions(4X 10=40)

1. Hospital waste causing environmental pollution and leadingto negative recycling with serious medical and healthconsequences- Discuss at length.
Answer:Hospital is a place of almighty, a place to serve the patient. Since beginning, the hospitals are known for the treatment of sick persons but we are unaware about the adverse effects of the garbage and filth generated by them on human body and environment. Now it is a well established fact that there are many adverse and harmful effects to the environment including human beings which are caused by the "Hospital waste" generated during the patient care. Hospital waste is a potential health hazard to the health care workers, public and flora and fauna of the area. Hospital acquired infection, transfusion transmitted diseases, rising incidence of Hepatitis B, and HIV, increasing land and water pollution lead to increasing possibility of catching many diseases. Air pollution due to emission of hazardous gases by incinerator such as Furan, Dioxin, Hydrochloric acid etc. have compelled the authorities to think seriously about hospital

2. Keeping the Hospital staff equipped with latest knowledgein the new millennium in clinical, technical and managerialcompetence is the need of the hour. Identify some newmethods to achieve the objective.
Answer:


3. List out the various areas of Hospital Administration. Reviewthem in your own style.
Answer: Hospital administration is the management of the hospital as a business. The administration is made up of medical and health services managers -- sometimes called health care executives and health care administrators -- and their assistants. Administrations range in size, and the duties of the administrator vary with the size and complexity of the hospital.
·         Range of Duties: Administrators are liaisons between hospital boards, other administrators and medical staff. They coordinate hospital activities and formulate its overall politices. Some administrators are in charge of hiring doctors and other staff, performing employee evaluations and directing staff meetings. They may also be responsible for the hospital's public relations and fundraising programs. Because administrators develop programs for teaching and research hospitals, they must keep up with the latest advances in medicine.
·         Administration Sizes: Large hospitals have several administrators and assistant administrators managing different departments while one administrator is in charge overall. In smaller hospitals, one administrator may be in

4. What do you understand by the term MBO? Apply theconcept to the Hospitals with appropriate examples.
Answer: Management by objectives (or MBO) is a personnel management technique where managers and employees work together to set, record and monitor goals for a specific period of time. Organizational goals and planning flow top-down through the organization and are translated into personal goals for organizational members. The technique was first championed by management expert Peter Drucker and became commonly used in the 1960s.
The core concept of MBO is planning, which means that an organization and its members are not merely reacting to events and problems but are instead being proactive. MBO requires that employees set measurable personal goals based upon the organizational goals. For example, a goal for a civil engineer may be to complete the infrastructure of a housing division within the next twelve months. The personal goal aligns with the organizational goal of completing


5. Based on your study, establish certain Managementtechniques for the administrative Improvement andAdministrative Reforms of Hospitals.
Answer:Administration or to be very specific,the Bureaucracy from a traditional point of view has always been change resistant,opaque and rigid. Therefore,in today's times,where the world is become a global village and the concept of Welfare State and Good Governance looms large it has become imperative to transform the administrative machinery and reform it for the best results in order for it to remain important and not become obsolete.Therefore, administrative improvement and reforms are a priority. So, today we will discuss this very important aspect of administration.
ADMINISTRATIVE IMPROVEMENT:
It is an artificial inducement of administrative transformation against resistance.A.F Leaman asserts that Administrative reforms are an effort to mitigate the gap between reality and what is desirable of the administration. And this transformation is for a



Case Studies(20X2=40)
Case No.1
Issues to be Discussed

Q. 1. Facts of the case.
Answer: The hospital's employment specialist assists applicants in applying for appropriate jobs based on their qualifications and communicates with them throughout the application process. In several departments, applicants undergo a peer interview to ensure that the appropriate candidate is selected for the position.
Once hired, new employees attend an orientation where they learn the importance of organizational values, expectations of employees, customer service, etc. The hospital's values play a crucial role in the culture of the organization, and employees are expected to continually exhibit these values and behaviors.


Q. 2. By making additional study, Analyse the means to achievethe major objectives as stated in the case.
Answer: Turnover in any company is normal. Exciting job offers or personal reasons cause many employees to turn in their resignations. However, when a high percentage of your employees choose to leave the company, you are faced with the consequences. High turnover rates result in your time spent finding a replacement and walking that individual through the training process. Additionally, your company’s productivity suffers as work is placed on hold until the new hire’s training is complete, or as the new person makes large errors while getting accustomed to the work. The hiring process and other productivity losses may also result in high, unnecessary costs.
·         Decrease turnover rate:When you create a job description for applicants, be accurate and truthful. Explain in detail what the job entails and do not be vague about the expectations of the position. Many employees accept job
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Q. 3. How would you address the workforce problems as given inthe case effectively?
Answer: The organization's culture has created a pleasing environment for both employees and patients. Employees are on a first name basis with one another, they acknowledge each other when passing in the hall, and they always take time to help their colleagues.
This program strives to open the lines of communication between administration and employees by holding monthly luncheons with administrators and employees. Each month, several employees are selected at random to attend the luncheon. The luncheons give employees the opportunity to share ideas and concerns with administrators; administration's motto is "If you don't say it, I can't hear it." This ethic allows employees to have ownership in the



Case No 2
Hospital Waste Management: A Case Study ofChandigarh Administration
Issues to be discussed
Q. 1. Facts of the Case.
Answer: Hospital waste is the term used to denote unwanted material produced by various medical processes carried out in medical treatment and other laboratory procedures. Hospital wastes comprise both infectious and non-infectious wastes generated in the different sections of a hospital, which if not properly collected, transported or disposed-off, may cause cross-infections in the hospital and pose a major public health hazard and environmental pollution.
The “City beautiful”, Chandigarh has made the implementation of the bio-medical waste rule, 1998 possible by installation of incinerators in PGI, Medical College & Hospital, Sector-32 and in the process of starting incinerator in General Hospital, Sector-16, Chandigarh.
Private Nursing Homes also produce almost equal amount of Solid Waste and bio-medical waste, but they don’t have any independent facility available


Q. 2. Analyze the different categories of waste as discussed inthe case in your style by making additional study.
Answer: Hospital waste is the term used to denote unwanted material produced by various medical processes carried out in medical treatment and other laboratory procedures. Hospital wastes comprise both infectious and non-infectious wastes generated in the different sections of a hospital, which if not properly collected, transported or disposed-off, may cause cross-infections in the hospital and pose a major public health hazard and environmental pollution.
The waste can be classified into the following categories
1.       General Waste:This includes domestic type of

Q. 3. Comment on the framed categories which are 10 innumber.
Answer:Ten numbers of categories have been framed:
(i) Human anatomical waste: All human anatomical wastes and all wastes that are human tissues, organs, or body parts removed by trauma, during surgery, autopsy, birth, research studies, or another hospital procedure, and which are intended for disposal. Pathological waste differs from anatomical waste in that these are typically samples of tissues that are examined in a laboratory setting to understand the nature of the disease or make a diagnosis. For the most part, pathological waste refers to very small tissues sections and body material derived from biopsies or surgical procedures that are then examined in the lab. Anatomical wastes are typically distinguished as recognizable human organs, tissue and body parts, and may require special treatment under some state regulations. Some states do not consider hair, teeth and nails to be pathological/anatomical waste.
(ii) Animal waste: Many facilities have


Q. 4. How would you deal with the problem of Hospital wastemanagement (Add on to the suggestions given in the case)
Answer: Proper management of various types of waste is essential for the upkeep of hospital sanitation. Segregation at source, safe transfer, requisite treatment and disposal through cost effective technologies can bring about significant changes. Infectious waste from hospital and health care Establishments contain pathological wastes, used disposable, semi-wet products (the used blood bags etc.) This waste is often thrown into the community bins instead of being properly treated and disposed-off.
Presently in most Government hospitals and Pvt. Nursing Homes there is no specialized system of handling, collection, transportation and disposal of

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