1. Journey Towards Quality General Hospital Ernakulam KERALA Dr. Haneesh Meerasa

2. GREETINGS.. FROM GENERAL HOSPITAL-ERNAKULAM

3. GENERAL HOSPITAL ERNAKULAM THE FIRST HOSPITAL IN GOVT.SECTOR IN THE STATE AND FOURTH IN THE COUNTRY TO RECEIVE NABH ACCREDITATION

4. Hospital Profile..

5. Hospital Statistics • Bed strength : 783 • Average OP Per day : 2000 - 2500 • Average Admission Per day : 80 - 100 • Bed occupancy rate : 90% • Delivery Per Day : 8 – 10

6. Challenges • Administrative Support • HR issues • Gap analysis • Infrastructural Design • Financial constraints • Documentation

7. Administration

8. HR issues

9. HR issues

10. Gap Analysis

11. Financial

12. Documentation

13. Documentation

14. Hospital Statistics- 2008 • Average OP Per day :1000-1500 • Average Admission Per day : 40-50 • Bed occupancy rate : 75% • Delivery Per Day : 7-8 • Bed strength : 783

15. A LOOK BACK • IDENTIFIED GAPS • ANALYSED • A,B,C LEVELS • SET PLANS

16. 2008- OCTOBER

20. Administrative Office- 2008

21. Our journey to quality.. • Developed signage and display for public information • Mission, vision and quality Policy • Services available • Patient’s rights and responsibilities • Organization chart • Layout • Hazard signage • Suggestion/complaint box • Patient information • Time frame for diagnostic and imaging services • Floor Plans 2. Crowd management • OP waiting area • Evening OP • Strengthening of security

22. Our journey to quality..(cont 3. Basic amenities • Waiting chairs , fan and proper lighting • Drinking water • Cafétaria • Television 4.Ensuring patient privacy • Curtains in high dependency areas, Casualty , labour room. 5.Patient information • Reception counter • RSBY counter • PA system

23. Our journey to quality..(cont) 6.Pharmacy and stores • Medicines are properly arranged • Counters increased and relocation of counters. • 24 hours pharmacy • Hospital Formulary 7.Ward management • Rearrangement of wards • Emergency medicines made available • Crash cart in all wards • Daily sanitary rounds. • Periodic Auditing

24. Our journey to quality… • 8. Hospital Computerization • With the help of NIC • 9. Staff motivation and cooperation/ Team Work • Training • Health Checkup • Vaccinations • Provide better working environment • Staff welfare committee

25. Awareness and Training

26. Ventilator Training

27. FIRE SAFETY TRAINING

28. CPR TRAINING

29. Mock Drills conducted • Code Blue • Code Pink • Code Orange • Code Red • Code Black

30. Mock Drills conducted

31. CARE FOR EMPLOYEES.. Employees are given health check up on yearly basis, Vaccinations and personal file maintained for all staffs

32. HOSPITAL DAYORUMA- 2012

33. Transformation of Quality care…

34. Transformation of Quality care …..

35. Transformation of Quality care ….. • October 2008

36. Hospital committees • Core committee/ Quality Assurance Committee • House Keeping Committee • Infection Control Committee • Internal Audit Committee • Medical record audit committee • Biomedical Equipment Management • Safety Committee • Blood bank committee • Clinical risk management • Condemnation Committee. • Diet Committee • Disaster Management/ Emergency preparedness

37. Hospital committees 13.Drugs formulary committee 14.Ethics Committee 15. Office Management Committee 16.Purchase Committee 17. Safety Committee 18.Staff welfare Committee

38. PREPARATION AND DISTRIBUTION OF MANUALS AND SOP’S

39. Transformation of Quality care …..

43. 43

44. Mission & Vision

45. Admission/RSBY Counter

46. Hospital computerization Registration counter

47. OP - Waiting Area

48. OP WAITING INSIDE AREA

49. Waiting Area – OP with Token system

50. DENTAL OP-AIRCONDITIONED