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 CHAPTER 1

INTRODUCTION




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1.1GENERAL INTRODUCTION

                                  This report is based on the ‗‘organization study ‗conducted at IQRAA
international hospital and research center Calicut. An organization is a planned coordination of a number
of people and there activities for the achievement of some specific goals through division of labour‘s and
hierarchy of authority.

IQRAA, a charity endeavor established by JDT Islam in 2000 under aid from IQRAA for human
relation, Jeddah, was envisioned as a centre of excellence where committed professionals deliver
health care service at affordable cost. The venture aimed to provide quality medical care at
affordable rates, to the poor in particular and the society at large, also to utilize the income
generated for up bringing the orphanage and destitute of JWT Islam orphanage and other
orphanages. This 250-bedded hospital with senior consultants including retired specialists versed
in this respective field of medicine is well equipped with state of the art facilities to deliver the
best services. By now the hospital has carved art a niche for itself amongst the health industry of
the region.

                An organization planned co-ordination of people and their activities for the
achievement of the organizational goals through division of labor specialization and hierarchy of
the .it is an essential part of human life. An organization the structural is very important for its
proper functioning and growth. Organizational structure is the structured frame work with in
which the efforts of different people are coordinate and relate each other. It is a blue print of how
management will take the various activities and function to be performed.

        It is the process of determine arranging for the acquirement of objectives. All
organization are collection of people linked together a formal and informal relationship and have
hierarchal order that are engaged incorporation activities and they are have identified the
boundaries. So organizational hierarchal l and structure and functioning is very important.




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1.2 OBJECTIVES OF THE STUDY

   The study is undertaken with following objectives

1.2.1 Primary objective

         The primary objective of this study is to understand the various activities of various
       departments in the organization and its functions

1.2.2 Secondary objectives

               To study the structure of the organization

               To analyze the strength, weakness, opportunities and threats faced by the
                  company

               To propose suggestions to the management on the basis of study

               To gain the practical knowledge and experience about the company

               To know the financial position of the company

               To know the practical problems and what are the measures taken to solve
                  those problems.

To fulfill the requirement for the award of master degree, in master of business administration
(MBA) of bangalore university.




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1.3 METHODOLOGY OF THE STUDY


                       The obvious function of research methodology is to add new knowledge
       to the existing store. Research is a search for knowledge .One can also define research as
       scientific and systematic search for pertinent information on a specific topic. Input
       research is an art of scientific investigation. The quality and verity of findings in a study
       will always spend on the methodology adopted to conduct the study.

1.4 SCOPE OF THE STUDY

           This study was about the organization structure of the company. From the
organization structure we can understand the various positions of the employees and we can
understand various departments in the organization.




1.4.1 Self Development

    I understood the importance of completing the work in time.
    It gave me insight for better co-ordination with others.
    The punctuality impressed me most and this enabled me to understand the secret of
       achieving the goal.
    I understood the importance of attending the phone call immediately and the response to
       be give to the superiors and equals.
    I understood the importance concentration in work.
    I understood the importance of dress code, communication skill and regularity in
       attendance.
    It developed the self -confidence in me to meet the high officials and to interact with
       them.
    The study has molded me with leadership quality, as each problem should be solved with
       interest at more case.
    Lastly it helped me to get a practical exposure and to update my know.


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       1.5 REASON FOR SELECTING THE COMPANY
                    There are some reason for selecting the company there are mainly
               Powerful brand name in Malabar area of Kerala
               Reputed organization
               ISO certified organization
               Good transportation facility
               Excellent professionals
               Good location


       1.6 DATA COLLECTION



1.6.1 Primary data collection

           Primary data‘s were collected from internally. That is these data‘s were collected
           from the organization mainly from the officials of the organization through the
           interaction

1.6.2 Secondary data collection

These data‘s were collected mainly from outside the organization. Journals, hospital booklet of
the hospital, hospital website etc

1.7 LIMITATIONS OF THE STUDY



                     The time was very low for the study

                     We can‘t get data‘s directly from all the employees because always they
                         were busy

                     Inconvenience of the managers has been a major limitation.

                     Lack of co-operation from certain departments due to their work load.


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   CHAPTER 2

INDUSTRY PROFILE




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2.1 Growing healthcare sector


               Healthcare is one of India‘s largest sectors, in terms of revenue and employment,
and the sector is expanding rapidly. During the 1990s, Indian healthcare grew at a compound
annual rate of 16%. Today the total value of the sector is more than $34 billion. This translates to
$34 per capita, or roughly 6% of GDP. By 2012, India‘s healthcare sector is projected to grow to
nearly $40 billion.


                   The private sector accounts for more than 80% of total healthcare spending in
India. Unless there is a decline in the combined federal and state government deficit, which
currently stands at roughly 9%, the opportunity for significantly higher public health spending
will be limited.

              The Indian healthcare industry is seen to be growing at a rapid pace and is expected
to become a US$280 billion industry by 2020. The Indian healthcare market was estimated at
US$35 billion in 2007 and is expected to reach over US$70 billion by 2012 and US$145 billion
by 2017. According to the Investment Commission of India the healthcare sector has experienced
phenomenal growth of 12 percent per annum in the last 4 years. Rising income levels and a
growing elderly population are all factors that are driving this growth. In addition, changing
demographics, disease profiles and the shift from chronic to lifestyle diseases in the country has
led to increased spending on healthcare delivery.

            Even so, the vast majority of the country suffers from a poor standard of healthcare
infrastructure which has not kept up with the growing economy. Despite having centers of
excellence in healthcare delivery, these facilities are limited and are inadequate in meeting the
current healthcare demands. Nearly one million Indians die every year due to inadequate
healthcare facilities and 700 million people have no access to specialist care and 80% of
specialists live in urban areas.

            In order to meet manpower shortages and reach world standards India would require
investments of up to $20 billion over the next 5 years. Forty percent of the primary health centers
in India are understaffed. According to WHO statistics there are over 250 medical colleges in the

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modern system of medicine and over 400 in the Indian system of medicine and homeopathy
(ISM&H). India produces over 25,000 doctors annually in the modern system of medicine and a
similar number of ISM&H practitioners, nurses and Para professionals. Better policy regulations
and the establishment of public private partnerships are possible solutions to the problem of
manpower shortage.

India faces a huge need gap in terms of availability of number of hospital beds per 1000
population. With a world average of 3.96 hospital beds per 1000 population India stands just a
little over 0.7 hospital beds per 1000 population. Moreover, India faces a shortage of doctors,
nurses and paramedics that are needed to propel the growing healthcare industry. India is now
looking at establishing academic medical centers (AMCs) for the delivery of higher quality care
with leading examples of The Manipal Group & All India Institute of Medical Sciences (AIIMS)
already in place.

As incomes rise and the number of available financing options in terms of health insurance
policies increase, consumers become more and more engaged in making informed decisions
about their health and are well aware of the costs associated with those decisions. In order to
remain competitive, healthcare providers are now not only looking at improving operational
efficiency but are also looking at ways of enhancing patient experience overall.

India has approximately 600,000 allopathic doctors registered to practice medicine. This number
however, is higher than the actual number practicing because it includes doctors who have
emigrated to other countries as well as doctors who have died. India licenses 18,000 new doctors


2.2 Growing population and economy


       One driver of growth in the healthcare sector is India‘s booming population, currently 1.1
billion and increasing at a 2% annual rate. By 2030, India is expected to surpass China as the
world‘s most populous nation. By 2050, the population is projected to reach 1.6 billion.




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        This population increase is due in part to a decline in infant mortality, the result of better
healthcare facilities and the government‘s emphasis on eradicating diseases such as hepatitis and
polio among infants. In addition, life expectancy is rapidly approaching the levels of the western
world. By 2025, an estimated 189 million Indians will be at least 60 years of age—triple the
number in 2004, thanks to greater affluence and better hygiene. The growing elderly population
will place an enormous burden on India‘s healthcare infrastructure.


            The Indian economy, estimated at roughly $1 trillion, is growing in tandem with the
population. Goldman Sachs predicts that the Indian economy will expand by at least 5% annually
for the next 45 years (see chart), and that it will be the only emerging economy to maintain such
a robust pace of growth.


2.3 Expanding middle class


India traditionally has been a rural, agrarian economy. Nearly three quarters of the population
still lives in rural areas, and as of 2004, an estimated 27.5% of Indians were living below the
national poverty line. Some 300 million people in India live on less than a dollar a day, and more
than 50% of all children are malnourished.


2.4 Rise of disease


        Another factor driving the growth of India‘s healthcare sector is a rise in both infectious
and chronic degenerative diseases. While ailments such as poliomyelitis, leprosy, and neonatal
tetanus will soon be eliminated, some communicable diseases once thought to be under control,
such as dengue fever, viral hepatitis, tuberculosis, malaria, and pneumonia ,have returned in
force or have developed a stubborn resistance to drugs. This troubling trend can be attributed in
part to substandard housing, inadequate water, sewage and waste management systems, a
crumbling public health infrastructure, and increased air travel.


        In addition to battling infectious diseases, India is grappling with the emergence of
diseases such as AIDS as well as food- and water-borne illnesses. And as Indians live more

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affluent lives and adopt unhealthy western diets that are high in fat and sugar, the country is
experiencing a rise in lifestyle diseases such as hypertension, cancer, and diabetes, which
is reaching epidemic proportions. Over the next 5-10 years, lifestyle diseases are expected to
grow at a faster rate than infectious diseases in India, and to result in an increase in
cost per treatment. Wellness programs targeted at the workplace, where many sedentary jobs are
contributing to an erosion of employees‘ health, could help to reduce the rising incidence of
lifestyle diseases.


2.5 Growth of telemedicine


          Only 25% of India‘s specialist physicians reside in semi-urban areas, and a mere 3 %
live in rural areas. As a result, rural areas, with a population approaching 700 million, continue to
be deprived of proper healthcare facilities. One solution is telemedicine—the remote diagnosis,
monitoring and treatment of patients via videoconferencing or the Internet. Telemedicine is a
fast-emerging trend in India, supported by exponential growth in the country‘s information and
communications technology (ICT) sector, and plummeting telecom costs. Several major private
hospitals have adopted telemedicine services, and a number of hospitals have developed public-
private partnerships (PPPs), among them Apollo, AIIMS, Narayana, Hridayalaya, Aravind
Hospitals and Sankara Nethralaya.
2.6 Kerala scenario

        Kerala the ―God‘s own country‖, is the cradle of Ayurveda and traditional system of
        medicine. The alternative system of medicine, ayurveda is very well marketed in Kerala
        in terms of medical tourism. Kerala has the best qualified professionals in each and every
        field. The state has the most competent doctors and world class medical facilities also.


               The medical charges in Kerala are also competent so that people from other states,
        across the borders and from all parts of the world come here for the treatment of various
        health conditions.




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              The Kerala hospitals are well equipped of accommodating and treating a multitude
       of medical tourists at the same time. The state of the art infrastructure and health facilities
       provided to patients are excellent. The panel of doctors is well experienced and veterans
       in their fields.


       Kerala has many Super Specialty Hospitals, multi specialty hospitals, Dental care
       hospitals, eye care hospitals, Ayurvedic centers. Moreover, economical and effective
       treatment is assured by the renowned hospitals of Kerala.

2.7 Ancient Asia


           The sin hales (sri Lankans) are perhaps responsible for introducing the concept of
dedicated hospitalto the world. According to the Mahavasma, the ancient chronic of sinhalese
royalty written in the 6th century A.D, king pandukabhaya (4th century B.C) had lying homes and
hospitals had in various part of the country. This is the earliest documentary evidence we have
of institution specifically dedicated to the care of the sick any where in the world mihintale
hospital is perhaps the oldest in the world.


2.8 Factors affecting corporate in the health care sector


 In the mid 80‘s the health care sector was recognized as an industry. Hence it became possible
to get long term funding from the financial institutions. The govt also reduces the impact duty on
medical equipments and technology.
       Socio economic changes
       Brand development
       Opening of the insurance sector




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   CHAPTER 3

COMPANY PROFILE




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3.1 HISTORY OF IQRAA

                  IQRAA, a charity endeavor established by JDT Islam in 2000 under aid from
IQRAA for human relation, Jeddah, was envisioned as a centre of excellence where committed
professionals deliver health care service at affordable cost. The venture aimed to provide quality
medical care at affordable rates, to the poor in particular and the society at large, also to utilize
the income generated for up bringing the orphanage and destitute of JWT Islam orphanage and
other orphanages. This 250-bedded hospital with senior consultants including retired specialists
versed in this respective field of medicine is well equipped with state of the art facilities to
deliver the best services. By now the hospital has carved art a niche for itself amongst the health
industry of the region.

                   IQRRA has a panel of doctors specialized in divergent fields. IQRAA has
almost all the departments to the needs of patients with a wide variety of illness. The hospital
also runs specialty centers focusing on health and medical conditions that call for great care and
attention viz. cardiac care, diabetes centre, diabetic eye clinic, obesity clinic, De-addiction
centre,inferitility clinic, pregnancy care, dialysis centre etc. The operation theatres in the hospital
are fully equipped with up to date facilities.

                   IQRAA provides round the clock service thereby fulfilling its commitment to
the society .IQRAA has set up a host of medical facilities for diagnosing and treating those who
suffer from myriads of diseases.ICU,ICCU,Radient warmer of photo therapy, computerized
pulmonary function test holter monitor, Echo cardiogram-color, Doppler etc, are some of those
facilities.

                 IQRAA is committed to provide quality medical care to the needy at modest
rates.24 hour causality services is available in the hospital. IQRAA is keen to satisfy both in
patients and out patients by providing first-rate diagnosis and treatment. We always keep tabs on
the shift in needs of the community and technological advancement IQRAA offers several
special .Health check up, Diabetes check up, pregnancy package, and delivery package. These
are made available at rates affordable to the common man.

              This 250-bedded hospital banking on the expertise of senior consultants, high
quality nursing staffs, up to date diagnostic facilities and a committed management under the
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leadership of Dr.PC. ANVER. M.D.Executive Director has taken giants leaps in its growth to
multi-specialty centre of excellence. The commendable service rendered over the years have won
it the trust of masses as the hospital of common man and the management responding to the
demands of the public eyes to upgrade its cardiology department to a specialty centre for cardiac
treatment.

3.2 Continuous Quality Improvement Program

                To monitor the quality is maintain in all sector/department in hospital supported by
management, are monitor by core duty by regular quality audit, physical checks, data analysis,
random sample checks etc. program reviewed at regular interval at opportunity for improvement
are identified. Proper awareness to all employees.

                Internal quality audit twice in a year to ensure all employees are strictly adhering to
policies, program and work instrument.

3.3 Hospital administration

   Management set up the vision and mission of the organization quality objective of the
organization. Proper planning shall be undertaken to locate layout and set up facilities for
establishing.

    From the administration down the line proper delegation of tasks shall be carried out and
activities monitored. So that the delegation activities are executed with the responsibility of
authority.

   Patient feedback and general quality implementation progress shall be properly adhered to
and remedial preventive action are to be taken.




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3.4 MISSION

  o Provide high quality, low cost treatment to the whole community especially the under
     privileged patients.
  o In pursuit of our mission, we believe the following statements are essential and timeless:-
             We recognize and affirm the unique and intrinsic value of each individual.


             We treat all those we serve with compassion and kindness.
             We act with honesty, integrity and fairness in the way we conduct our service and
             in our personal behavior.


             We trust our colleagues as valuable members of our health care team and pledge
             to treat each other with loyalty, respect and dignity.

3.5 VISION

     To provide the highest quality clinical care at nominal cost.
     To achieve the highest levels of patient satisfaction.
     To provide state-of-the-art facilities and equipment.
     To innovate in the use of information technology.
     To invest in the professional growth and development of our people.
     To manage our recourses prudently.
     To serve the health care needs of our community.




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3.4 DEPARTMENTS

  1. Cardiology
  2. General medicine
  3. Diabetology and endocrinology
  4. Gynecology
  5. Pediatrics
  6. Psychiatrics
  7. De-Addition and counseling
  8. Nephrology
  9. Neurology
  10. Radiology
  11. Dental
  12. General surgery
  13. ENT
  14. Dermatology and venereology
  15. Ophthalmology
  16. Physiotherapy
  17. Plastic and reconstructive surgery
  18. Pediatric surgery
  19. Anesthesiology
  20. Medical social work
  21. Dietary
  22. Laparoscopic surgery
  23. Urology




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3.5 FACILITIES

    ICU.ICCU
    Surgical ICU
    Operation theatre complex
    24 hour trauma care unit
    NICU
    24 hour IP & OP pharmacy
    Air conditioned labour suit
     Emergency operation theatre
    Physiotherapy centre
    Ambulance service

3.6 DIAGNOSTIC FACILITIES

    Computerized Hi-Tech lab
    Spiral C.T scan
    ECG 12 channel computerized
    Ultra sonogram
    Echo cardiogram – color Doppler
    Computerized tread mill test
    Computerized pulmonary function test
    Holter monitor
    X-Ray
    Neuro lab with EEG & EMG




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      CHAPTER 4

ORGANIZATION STRUCTURE




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4. ORGANISATIONAL CHART

                 JDT Governing Body




                 Executive Director(ED)




                            NURSING Supdt
                                                       ADDMINISTRATIVE OFFICER

MEDICAL Supdt
                                                       H.R Department

                           Deputy Nursing Supdt
                                                       Operation Department
Consultants

                           Nursing Supervisors
                                                      Finance Department
Senior Doctors

                           Ward in charge             Purchase Department
Residents


                           Staff Nurses               Material Department



                           Nursing Assistant          I.T Department



                           Class Four workers          Maintenance Department



                                                       Service and social work
                                                       Department



                                                      Marketing Department


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   CHAPTER 5

 DEPARTMENTS


1. SERVICE/SOCIAL WORK DEPARTMENT
2. MARKETING DEPARTMENT
3. HUMAN RESOURCE DEPARTMENT
4. FINANCE DEPARTMENT
5. OPERATION DEPARTMENT
6. PURCHASE DEPARTMENT
7. MATERIAL DEPARTMENT
8. MAINTENANCE DEPARTMENT
9. NURSING DEPARTMENT
10. PLANT DEPARTMENT
11. INFORMATION TECHNOLOGY DEPARTMENT




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5.1 SERVICE/SOCIAL WORK DEPARTMENT

5.1.1 DEPARTMENTAL STRUCTURE

        ADMINISTRATIVE
        OFFICER




        PUBLIC RELATION
        OFFICER (PRO)




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           IQRAA hospital mainly looking for the common man. The service and social work
department is control by Mr.Shaji and Mr. Faisal

       Joint venture of IQRAA for human relation, Jeddah and JDT Islam orphanage, Calicut.
       Quality care at affordable rate.
       Charitable clinic and health care for poor and needy patient.
       Income generated is utilized for the hospital development and for the upliftment of
       orphans and destitute.
       Free treatment for the inmates of orphanages in Malabar.
       20% discount for the hospital neighbors.
       Poor patients have minimum 10% to 30% discount criteria (social organization letter or
       ration card).
       Every Friday have ortho charity clinic 25% to 50% discount for poor people (criteria
       Hospital director‘s recommendation letter).
       Dialysis charge only 400rs (outside 700rs).
       Hospital has community dental clinic charge only 10rs.
       The service under each department is provided round the clock with senior consultant and
       specialists offering the best services at affordable cost. Our main focus is patient
       satisfaction through quality services. It‘s rewarding to see that our patients bestowed us
       with their trust and have retained us for future services.

       The diagnostic facilities are done at minimal cost compared to other private sectors.

       Cardiac Care Specialty provides cardiac health care of international standards.

       Our main focus is patient satisfaction through quality services.




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5.1.2 Role of PRO/ Social Worker

     Guidance and counseling to patients (Indoor as well as outdoor patients)
     Making the disabled aware of the services and provision available for them (Govt. &
     Voluntary sector)
     Issuance of disability certificate to physically disabled, deaf & dump, M.R, Children and
     Burn Patients.
     Provision of Railway concession to cases suffering from physically disabled, cancer,
     Tuberculosis, Leprosy, Deaf & Dump, Kidney patients etc.
     Networking with Govt. Department, N.G.O‘s and individual donor to enlist their help for
     the disabled poor and needy patients of the hospital.
     Making the patients aware the health services and facilities available for patients at
     IQRAA Hospital.
     Including the services offered by Hospital welfare society.
     Counseling services for patients and their families.
     Motivation for family planning and blood donation.
     Mediation between the patients/their families and the health personnel of the hospital
     facilities effective medical care to the patients.
     To attend the referral services from the doctors for indoor patients.
     Restoration for unknown patients.
     Providing referral services to patients.
     Lesion with all the institutions under directorate of Social welfare.
     To attend unattended/unknown patients.
     To provide rehabilitation services to the patients.
     To provide financial medical Aid with the help of ―Hospital Welfare Society‖.
     Establishing contents and holding consultation for main taing harmonies relation between
     hospital management and its staff.
     Looking after grievances/complaints of the patients in the hospital.




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   5.2 MARKETING DEPARTMENT

   5.2.1 DEPARTMENTAL STRUCTURE



       MARKETING MANAGER




ASSISTANT MANAGER          ASSISTANT MANAGER




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5.2.2 FUNCTIONS OF MARKETING DEPARTMENT

     Marketing department is doing some activities

            IQRAA conducting some of the fever clinic
            IQRAA conducting some activities like the rural camp .they selecting some of
            the rural areas and conducting the camp mainly for the free check up, eye check
            up etc. It should be more help full for the poor peoples.
            Advertisement is the another one creating some of the notices and browsers
            including all details of the hospital, photos etc.
            Starting new department they creating advertisement and give all the news
            peppers, local channel etc.




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 5.3 HUMAN RESOURSE DEPARTMENT

5.3.1 DEPARTMENTAL STRUCTURE



        H.R MANAGER




        H.R ASSISTANT




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5.3.2 FUNCTIONS OF HR DEPARTMENT

                It is a matter of common knowledge that every business organization depends for
its effective functioning on its pool of able and willing human resources. It is man alone who
with his ability to feel, think and grow shows satisfaction and dissatisfaction. The industrial
progress of any country would depend on its committed labor force.

                The personnel department is headed by the personnel officer Mr. Abdul Vahab
(MBA).The department looks after the following functions.

5.3.3 Working hours                       -    8 hours

5.3.4 Wages and salary                    -    based on the performance appraisal. Evaluating the
performance of the employee they are mainly follow the ranking method.

5.3.5 Recruitment                     -       Recruitment mainly the qualification, experience,
evaluation

1. Form (the candidate fill up the application form with full details)

2. Advertisement (The HR department give the advertisement to the staff details)

3. Reference (internal reference of the employee)

4.Bio Data update(Already get some of the bio data its updating)

5.3.6 Selection:

The purpose of selection process is to choose right type of candidate to various positions in the
organization. Administrative department is responsible for the selection of staffs but medical
suprendent is responsible for the selection of doctors. Nursing suprendent will conduct staff
selection test for the selection of nurses.




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5.3.7 Interview - The recruitment mainly through interview it have some steps

1.Pre interview form (collect all the personal information of the applicant .And also have the data
bank collect the information of the applicant friends who are all interested to join any
organization)

2. Interview Evaluation

    (a).Personal traits (The interviewer evaluating the personality, family background and then
give the mark to the candidate 1 to 5).

    (b).Job related traits (In this step evaluating the subject and the technical knowledge of the
candidate

After that selecting the right person to the right job

Recruitment procedures (man power planning-Right person right job right place recruiting)

5.3.8 Induction Training :

Training:

Training is the act of increasing the knowledge of an employee for doing a particular job. Its
purpose is to achieve a change in the behavior of those trained to enable them to do their jobs
better.

Induction program under the control of HR department around 3 month to get the training to the
employee

It should be mainly understanding the organization its mainly focus on the company vision and
mission, about the organizational details then all the department and the facilities of the hospital.

5.3.9 Performance appraisal:

It is a method evaluating the behavior of employee in the work spot, includes both qualitative
and quantitative aspects of job performance. It is a continuous process from the date of joining.

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5.3.10 Management development program

         Its mainly give to the Nursing staffs to improve the personality development and the
skill development of the staff.

5.3.11 Employee welfare and benefit

     The employees of IQRAA hospital can get lot of welfare facilities

Canteen facility (10rs for meals), Uniform, Festival allowances, bonus, Free medical allowance,
Free hostel allowances for employees.

5.3.12 Total employees

557 employees

5.3.13 Leave

12 casual leave per year

12 medical leave

After one year the employees can get the earn leave

5.3.14 Grievances

Administrative officer department head+HR officer handling the grievances

Mostly everyone is satisfied.

5.3.15 Provident fund

Based on the salary




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 5.4 FINANCE DEPARTMENT

5.4.1 DEPARTMENTAL STRUCTURE


      FINANCE MANAGER




        ACCOUNTANT




     ASSISTANT ACCOUNTANT




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5.4.2 FUNCTIONS OF FINANCE DEPARTMENT

               Financial management is the activity which is concerned with planning and
controlling for the firm‘s financial resources. Finance is the life blood of business firm, therefore
planning of finance and control is required for achievement of goal.

            A systematic recording of daily transaction of the business leads to presentation of
complete financial picture, which help to know about the business position. The department is
headed by Mr. Gafoor (Bcom, Mcom).

IQRAA hospital for under the control of JDT trust so the sources of finance is mainly for charity
donations like that. All the accounting activities going through computer with the help HIS
software (Hospital Information system).The last year IQRAA was profitable.

5.4.3 VARIOUS ACTIVITIES

                                  To check all vouchers, bills, adjustment receipts and push up for
                                  orders to the special officer.
                                  To check all the registers relating to the accounts section.ion.
                                  To prepare monthly, quarterly, half yearly, and annual accounting
                                  information.
                                  To arrange for the timely collection of dues from the sundry
                                  debtors and payment to the sundry creditors.

                               The finance department maintains the following books of accounts.

5.4.4 Purchase Journals

          The purchase manager enters vouchers and materials inward notes through the
computer. Its mainly two type of purchase

            A. Pharmacy Purchase
             The pharmacy they transfer the details directly to the account department and the
        chief accountant approve the list after that the administration officer approved the
        settlement the list.


                                                    31
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         B. General Store Purchase
            The general store persons they transfer the details directly to the purchase
      Department and they transfer to the account department the chief accountant approved
      and the n the administrative officer approved and the settled.

5.4.5 Sales Journals

      IQRAA have mainly pharmacy sales

         1. Pharmacy Sales
        The pharmacy they are mainly selling the medicines.


         2. Cash Collections
      Discharge collection
      Reception
      Revisit
      OP pharmacy
      IP pharmacy
      Diabetic center
      Lab
      Dialysis center
      Annex




                                               32
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5.4.6 Payments
  IQRAA have mainly two types of payments
      Cash Payments


Cash Vouchers


Approved By Accountant




 Create Voucher




Approved From Administrative officer




Take Voucher Print




Final Payment (With payee Sign)




                                   33
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           Bank Payment


         Bank Voucher


         Approved By Accountant




         Create Voucher




         Approved From Administrative Officer




         Take Voucher Print




           Print Cheque




           Final Payment (With payee Sign)

5.4.7 Other Books Are Maintain

         Payment Voucher (It‘s For Auditing purpose)
         Pharmacy Files
         Insurance Files
         Bank Statement Files




                                         34
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5.5 OPERATION DEPARTMENT

5.5.1DEPARTMENTAL STRUCTURE




         OPERATION MANAGER




         OPERATION ASSISTANTS




                                35
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5.5.2 FUNCTIONS OF OPERATION DEPARTMENT


            The operation department is control by the operation manager Mr.Faisal
   (MHM).
   The operation management mainly looking for the quality + operating executive.
   Operation department is control by each and every department for the smooth
   functioning.


   In the case of IQRAA hospital operation are mainly for the Registration to Discharge of
   patients. It‘s mainly for two types of patients.


       1. OP patients
           (a).New patients
           (b).Old patients
       2. Casualty
           There are some activities are
             I.    Registration Form(New patients)


                              It‘s mainly for the patients full details. It‘s a unique registration
           also the form have one token number. And then create one op card with patient
           full details and also have one op number after collect the registration fee and
           consultation charge and create the op ticket and then distribute the consent
           department.




                                             36
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5.5.3 DESCRIPTION OF THE PROCESS


1. Registration of New Patient:

Patients intending to consult the OPD clinic of any consultant of the hospital are required to
register prior to the consultations.

Patient will attend the OPD registration desk for new patient registration and wait in queue for
their respective turn

As their turn comes patient will fill the new registration form

Patient‘s details are fed into the hospital information system and a registration fee of Rs.10.00
and consultation fee are collected from the patient. All staffs and charity patients are exempted
from paying the registration charges and consultation charges. From dental and emergency
department (casualty) patients only registration fee is collected. 30 percentage reductions is
given for close relatives (father, mother, spouses, and children) of hospital staff

Patient is allotted an OPD registration number which is valid for lifelong. The consultation fee is
valid for 13 days in case of general OPD (for dental OPD cases- 5 days and for emergency
department cases-7 days) and OP card is generated.

The payment receipt is handed to the patient and is directed them to concerned OPD. Mean while
the OPD case sheet is generated and is issued to concerned OPD by Attender




                                                 37
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2.Old Registration

The patients come with the op card, and revisit the counter

3. Follow Up Patient:

Patients visiting the OPD of the hospital for follow up will attend the ―re visit patient registration
counter‖ and would wait in queue.

As their turn come, the patient will hand over the OP card or previous OP case sheet to the
registration clerk.

The registration clerk will enter in to HIS. No fee is charged for such patients if the validity is
not over.

Patient is asked to move to concerned OPD. New OP case sheet is generated and dispatched to
concerned OPD.

If the patient arrives after thirteen days of the prior date of OP consultation, he/she has to pay
consultation fee.




                                                 38
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4. Booking System

The patient can easily book through the telephone or directly come to the booking counter. (All
details like name, place etc).

5. Enquiry:

The hospital does provide facility for telephonic enquiry and prior fixation of appointment over
telephone (only for some consultants).

Walk in interview are attended in the registration counter of the hospital.

6. Casualty patients

 The emergency patients only collect the formal details.

7. Admission Of The Patients

   Consent department doctors give the information for the admission counter. And then collect
the full details of the patient. And then find any room vacancy or the ward. The visiting time
only for 4 to 8 o‘clock. The visitors should get one visitors pass only one person can get the stay
pass.

8. Discharge OF The Patients

        Discharge Summary

History of the patents, Discharge instructions etc.

Final Bill Preparation

        Lab Bill
        Medicine Bill
        Radiology Bill




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5.6 PURCHASE DEPARTMENT

5.6.1 DEPARTMENTAL STRUCTURE



          PURCHASE MANAGER




            PURCHASE OFFICER




           PURCHASE EXECUTIVE




          WORKERS AND STORE
          KEEPERS




                                40
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5.6.2 FUNCTIONS OF PURCHASE DEPARTMENT

        The min activities of purchase department

               Pharmacy shall have an approved list of suppliers. Purchased order issued for
procurement with relevant information like purchase order no, suppliers name and address,
manufactures, quality, price, delivery, term and condition like replacement. The purchase order
shall be verified and approved before issued by competent authority.

                   The purchase department control by the Mr. Jabir sulaim.Main activities of
the purchase department is the order and availability of the materials. Purchasing the quality
goods without any delay. The agents are give the quotation to the purchase officer after that only
they purchase the materials the bulk purchase gives some discounts.




The daily usage materials are mainly purchasing from Calicut itself some items like Medicines
and Machines are purchase outside Kerala like Chennai, Bangalore etc.

The materials are mainly two types of stores.

5.6.3 Pharmacy

       The IQRAA have a central pharmacy and 4 pharmacies in the hospital premises. The
pharmacy in-charge is the under the control of the Medical superintendent. Each sub pharmacy
have a in-charge he is responsible for the head of central pharmacy.

        Pharmacy in-charge shall be responsible for accurate drug storage, distribution and safe
usage of drugs, inventory control, budgeted.. The pharmacy in charge ensure that the drugs
purchased based on the state and national standards.

        Stock position shall be updated after each receipt and issue in relevant register and files.

        The pharmacy staff have required qualification and trained about the pharmacy
functioning .the staff shall have the information about the latest medicine and its alternatives
relevant and rules and regulation.


                                                 41
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5.6.4 Purchase and storage.

       The HOD shall ensure the availability of right drug having required quality and quantity.
Non moving medicine returned to the supplier with in specified time limit. The HOD shall
ensure right medicine is available and maintained. The minimum stick and issue shall control
and monitoring .Expiry date and the date of receiving are recorded.

5.6.5 General Store

       IQRAA have a general store. The store in-charge is the responsible person of the section.
The store keep all items excluding medicine and surgical. All office and stationary items
purchase and kept in general store. Any equipment and costly items are purchased through the
store. It not a part of pharmacy. The in charge is comes under the AO. The clerical staff of the
store is comes under the in charge.

5.6.6 Inventory practices.

       The FIFO (first in first out.) Method is followed by the pharmacy. The issue of the drugs
to the sub pharmacy on the basis of their request. Stock register and issue register are maintained
by the central pharmacy. Stock verification and auditing are conducted at regular intervals.




                                                42
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5.7 MATERIAL DEPARTMENT

5.7.1 DEPARTMENTAL STRUCTURE




         MATERIAL MANAGER




            SUPERVISORS




             WORKERS




                            43
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5.7.2 FUNCTIONS OF MATERIAL DEPARTMENT

           Material manager Mr.Muhammed Jamsheer.p is control by the material department.
He is directly report to the purchase manager.

Main function is the availability of the material.

The Duties and Responsibilities of Material manager IQRAA International hospital.

       Conducting market survey and analysis of material cost and price.
       Make strong relation and deal with vendors and suppliers.
       Planning and making budget for acquire materials.
       Coordinating and negotiating with vendors for price.
       Organizing and supervising the transporting and receiving of all materials.
       Managing records of all stock and inventory.
       Maintaining the standard of goods and materials.
       Perform data entry of all material details in system for inventory control.
       Decide and prepare different levels of stock and take reasonable action in each level.
       Regularly inspect patient care units for proper equipment cleaning and functioning,
       ensuring that all equipment necessary to patient is in proper working condition.




                                                 44
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5.8 MAINTENANCE DEPARTMENT

5.8.1 DEPARTMENTAL STRUCTURE



   MAINTENANCE
   MANAGER




      SUPERVISORS




        WORKERS




                          45
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5.8.2 FUNCTIONS OF MAINTENANCE DEPARTMENT

Maintenance section in charge is responsible for all maintains activities. He is supported by
adequate number of supervisors and skilled tradesmen. Immediate responsible to all call for
maintains work is ensured by the department in charge.




               The maintenance department under the control of the material department. The
department mainly doing the all the maintenance activities inside the hospital

                              Electricity

                                      All the electricity inside the hospital control by the
maintenance department any problem for the electricity fully repaired within the correct time.

                              Plumbing
                                   All the plumbing activities are control by the maintenance
                              department.
                              Mineral
                                    All the water problems are control by the maintenance
                              department. Availability of the water is the important factor for
                              hospital.



5.8.3 Bio Medical Department

                  Maintaining all the medical equipments and the machines. All the medical
machines like scanning machines, X-ray machines etc all the damages are maintain by the bio
medical department




                                                46
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 5.9 NURSING DEPARTMENT

5.9.1 DEPARTMENT STRUCTURE

    NURSING SUPDT



    DEPUTY NURSING
    SUPDT



   NURSING SUPERVISORS




    WARD IN CHARGE




    STAFF NURSESS




   NURSING ASSISTANT




  CLASS FOUR WORKERS




                             47
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5.9.2 FUNCTIONS OF NURSING DEPARTMENT



          Nursing department is very important thing in any hospital. The department is headed
by Mrs.Syamalakumari (GNM).

The nursing department is mainly control the overall nurses in the hospital. And also allocating
the duties of nurses.

Each and every ward has 1 to 8 nursing staffs and also one nursing assistant. The nurses have
two shift nights have two staff nurses and one nursing assistant.

The Nursing staffs are mainly internship students and they also assistant to the doctors

IQRAA have lot of nursing courses like

         Nursing assistant course
         Dialysis tecqnition course
         MRD(Medical record dept) course
         CSSD(central sterilp supply dept)tecqnition course




                                                48
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5.10 PLANT DEPARTMENT

5.10.1 Structure of STP

    Plant Engineer

    Operation in Charge

    Assistant Operation in Charge



                                                         Cleaning Labour

   Trainees Operates            Trainees Operates


5.10.2 Structure of RO

    Plant Engineer

    Operation in Charge

    Assistant Operation in Charge




 Trainees Operates              Trainees Operates




                                         49
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5.10.3 FUNCTIONS OF PLANT DEPARTMENT


                     There are mainly two types of activities in plant department. The plant

Department headed by Mr. Ashraf (B Tech, Diploma in STP).



                            Sewage Treatment Plant (STP)
                            Reverse Osmosis Plant (RO)


       STP

   The activates of STP mainly for the waste water treatment. For example Basil, Wash basin,
Bath rooms, Septic tanks etc. After these activities there are lot of waste water are coming these
waters are filter and using irrigation purpose and flesh tank purpose etc.

       RO

  In hospitals we are using the normal water it should be creating lot of problems. So the normal
water can be filter and using for the dialysis machines etc. This treatment called minute
treatment.




                                                 50
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5.11 INFORMATION TECHNOLOGY DEPARTMENT

5.11.1 DEPARTMENT STRUCTURE

  I.T ADMINISTRATOR




  COMPUTER PROGRAMMER




  PROGRAMM ASSISTANT




                         51
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5.11.2 FUNCTIONS OF I.T DEPARTMENT

            Today we can‘t think conduct the business practice without the help of computers.
The IT administrator is the in-charge of the department. The computers used for billing.
Preparing accounts, data typing etc

          I.T department is the very important department in any organization. All the records
are storing the computers. The department is headed by Mr.Hidam

The information system is mainly working for data record and networking activities each and
every department are using the computers.

And also IQRAA have internet facility for each and every department

Around 140 computers and 2 servers (main server and pack up server)

IQRAA have separate hospital server HIS (Hospital Information System) each and every thing
record using this software eg-Registration, Billing, accounts etc.




                                                52
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                            6.PORTERS FIVE FORCE MODEL




PORTERS FIVE FORCE MODEL OF IQRAA HOSPITAL

THREAT OF C0MPETITORS

Now days there are only little effort to get sanction for setting up hospitals. Because there are a lot of
hospitals throughout of the country. When we consider the state Kerala, there are a lot of super speciality
hospitals. These hospitals have more contributions from the private sectors than the public sector. So that

                                                    53
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the competition is high in this field. So in the case of IQRAA hospital competitors are high from the
private sector.


THREAT OF SUPPLIERS
Quality is one of the important things. When we consider the case of hospitals, they must use the quality
products only for the treatment of patients. Drugs and equipment‘s (surgical and others) are the main
things which the hospitals purchase from outside.
Now days a lot of suppliers are in the market to supply this type of goods. The material department in the
IQRAA hospital consider the quality as well as the price of the products which they purchased. So they
purchase the goods from the suppliers who supply the quality goods in fewer prices.



THREAT OF CUSTOMERS

Patients are the customers of the hospital. So they provide the services according to their satisfaction.
IQRAA hospital is under the IQRAA charitable trust. So that the fees and other expenses for the treatment
are low. So the bargaining powers of the customers are low.


THREAT OF NEW ENTRANTS
There are two other hospital just near to IQRAA hospital. (MIMS,BABY MEMORIAL). All these
hospitals are super speciality hospital and just near to national highway. The establishment and set up
costs are high in this place compared to others. So according to IQRAA hospital threat of new entrants are
low.




THREAT OF SUBSTITUTES
When we consider the case of hospital the substitutes(i.e. Alternatives) are homeopathy, allopathic,
Ayurveda, and so on. All these hospitals are provide services but in different ways. According to the taste
and preference the customers i.e. the patients select the way of treatment.

                                                    54
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    CHAPTER: 7

MCKINSY’S 7 S MODEL




        55
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MCKINSY’S 7 S MODEL




                      56
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Here the first 3 S are considered as hard S(strategy, system, structure) and the other 4 S are considered as
hard S.(skills, shared values, staffs, and style.).




Strategy

For a hospital the customers are the patients. The hospital achieve the goal only by providing service
according to the needs of the patients. For that the hospital must create a trust in the minds of the patients.
In the case of IQRAA hospital, they provide reliable service from the last 20 years. And also they have
created trust among the minds of people.

System

Mainly in the hospital they used the system for recording purpose. In IQRAA hospital the finance
department used the tally software and the record department used the system for recording the patients
details and the lab department used the system to record the results.



                                                      57
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Structure

The IQRAA hospital is run by the trust called IQRAA. So that the overall control of the hospital are in the
hands of the trust members and under that there is a director and also each department have separate heads.

Skills

For the development of an organization there must be well experienced and skilled labors are necessary. In
the case of IQRAA hospital, staffs mainly the nurses and doctors are very talented and experienced. And
they also provide a 6month training programs to the employees who are newly appointed.

Shared values

The hospital is under the trust. Because of that the treatment cost are less compared to other hospitals. And
also they consider the quality than the price for the equipment‘s which they purchased from outside.

Staffs

Employees are the resources of the organization. Through them the company can win or lose. In IQRAA
hospital there are more than 250 staffs. Hospital treats them equally and also they provide so many facilities
to them.

Style

IQRAA hospital providing services from the last 18years and it is run under a trust. Because of that the cost
of treatment are low compared to other hospitals. They give importance to the patients than the profit and
also they conduct free medical camps for poor people.




                                                    58
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 CHAPTER: 8


SWOT ANALYSIS




     59
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    SWOT ANALYSIS

Swot analysis refers to the strength, weakness, opportunity and threat of an organization. Here strength
and weakness are the internal factors and opportunity and threat are external factors. Through the help of
swot analysis the people or the customers has to compare the organization with the competitor‘s
organization. Through swot analysis the customers has to know the positive as well as the negative
aspects of the business.




STRENGTHS

•       Qualified management team

In IQRAA hospital the management team are well experienced and qualified one. The members in the top
level management are post graduated and the director is a PhD holder.

•       Well experienced doctors and nurses

In IQRAA hospital the doctors as well as the nurses are well experienced one. All most all the nurses are
completed their masters in nursing and also all the doctors are taking their masters.

    •       24 hrs. Service

IQRAA hospital provides 24 hrs. Casualty services in each and every day.

    •       Affordable cost for treatment

This hospital is under a trust called IQRAA. So that the cost for the treatment are less compared to other
hospitals. So that it is affordable for the common people.

        •     Super speciality hospital




                                                   60
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In IQRAA hospital almost all the medical departments are there. (General medicine, neurology,
gynaecology, E.N.T etc….) and the services provided by each department are highly good.




   •   Give importance to patients than profit
IQRAA hospital is under a trust. So that they give importance to the patients than profit. They provide
free treatment to the poor people and provide contribution to charities.



WEAKNESSES

       Infra-structure (i.e. capacity)

IQRAA hospital has only 250 bed facilities. So that they can provide service only for limited patients.

Canteen facility
IQRAA has their own canteen. But the foods are limited. Sometimes the patients didn‘t get the food
according to their needs.


Lack of expensive equipment‘s
All we know that for dialysis we need well and expensive machineries. But in the case of IQRAA hospital
expensive equipment‘s are absent. So that they can‘t provide good services in some fields.


Shortage in the strength of staffs
From the profile we have to know that there are only 31 doctors. When we take the case of super
speciality hospital doctors are necessary. But in the case of IQRAA hospital the strength of doctors are
very less and also in the strength of pharmacy staffs.


Lack of departments
In IQRAA hospital the departments both managerial and medical are less. When we compare IQRAA
hospital with other we can see lack in departments.


                                                    61
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In effective use of Medias to provide information about the hospital to the needy people
IQRAA hospital didn‘t use the Medias in proper ways to provide information to the people.




OPPURTUNITIES

   •      Tie up with government
IQRAA hospital made a tie up with government for starting medical colleges and other medical courses.


   •      New innovations
The hospital has to provide assistance to the medical students for doing research and other


   •      Appointment of well and qualified staffs
The other opportunity for the hospital is to appoint well and qualified staffs in each and every department.


   •      Provide service to more people
IQRAA hospital change the way of giving treatment and also provide free medical camps to the poor
people.


   •      Establishment of research centres and medical colleges
The IQRAA hospital has to establish new medical centres as well as research centres for the further
growth.


   •      Hold seminars and conference relating to specific diseases with the doctors in other country.

THREATS



                                                     62
OS AT IQRAA HOSPITAL, CALICUT


•   Competition
    In the case of IQRAA hospital the competition is high from other hospitals.


•   High capital cost
       The establishment cost are high. So that some of their projects are in pending.


•   Lack and demand for man power
       Now days the demand for the doctors are high. It is one of the problem faced by almost all the
       hospitals and it is the main problem faced by hospital.


•   Lack of finance

IQRAA hospital is under a trust




                                               63
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              CHAPTER 9

              FINDINGS AND SUGGESTIONS




9.1 FINDINGS

  1. The organization functions are very systematic, inspections is done to ensure.

  2. Provide high quality, low cost treatment to the whole community especially the under
       privileged patients.

  3.   Intra-departmental, inter-departmental communications are very effective.

  4. Employees are Knowledgeable
  5. Committed professionals deliver the health care
  6. Multi specialty hospital

                                              64
OS AT IQRAA HOSPITAL, CALICUT


  7. Marketing facilities are not adequate
  8. Absendisum of employees
  9. Compare to the facilities and patients employees are very few
  10. No separate room for all the department
  11. Maintenance works are not completed within the time




9.2 SUGGESTION

     Take adequate step to increase the marketing facilities
     Appoint more nursing staffs in the various departments
     To give more advertisement in media like T.V, news paper, magazines like that
     Develop new innovations
     Appoint well professional doctors more
     Develop new ideas
     Take more feedback from patients
     Give more service to the society

                                                65
OS AT IQRAA HOSPITAL, CALICUT



       Adopt new facilities
       A blood bank can be started.
       The hospital can hire a patient advocate to handle patient grievances.
       Supervision at all level can be improved.
       Proper and regular training program conduct for all staffs.




CONCLUSION

                       From the detailed study of function of different department and working
conditions of the organization has revealed that the organization environment is very good. The
inter-departmental communication is found very effective. The IQRAA hospital is mainly
looking for the common man and also gives the service to the society and gives good health care
at affordable rate .IQRAA hospital is international and also multi specialty hospital.

         IQRRA has a panel of doctors specialized in divergent fields. IQRAA has almost all the
departments to the needs of patients with a wide variety of illness. The hospital also runs
specialty centers focusing on health and medical conditions that call for great care and attention

                                                66
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viz.   cardiac   care,   diabetes   centre,   diabetic   eye   clinic,    obesity   clinic,De-addiction
centre,inferitility clinic, pregnancy care, dialysis centre etc. The operation theatres in the hospital
are fully equipped with up to date facilities.

   Management set up the vision and mission of the organization quality objective of the
organization. Proper planning shall be undertaken to locate layout and set up facilities for
establishing.




9.4 BIBLIOGRAPHY

  TEXT BOOKS
         VS Ramaswamy and S.Namakumari Marketing Management, 4th edition.
         MACMILLAN PUBLISHERS INDIA LTD.

         T.N.CHHABRA (Human Resource Management 2nd edition, 2004, Himalaya publishing
         house, New Delhi).
         Business Research Methods,7e William G. Zikmund


       JOURNALS


                                                  67
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 Booklet of IQRAA hospital and research center Calicut

WEBSITES

 Web site of IQRAA hospital and research centre Calicut     –   www.iqraa hospital
 .com
 En.wikipedia.org/wiki    - Wikipedia, the free encyclopedia-
 en.wikipedia.org/wiki/healthcare-in-India
 www.google.com- www.india lawoffices.com/healthcare sector.
 www.globalhealth.org.




                                        68
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69

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SEO-Optimized Title for Organization Study Report on IQRAA Hospital Calicut

  • 1. OS AT IQRAA HOSPITAL, CALICUT CHAPTER 1 INTRODUCTION 1
  • 2. OS AT IQRAA HOSPITAL, CALICUT 1.1GENERAL INTRODUCTION This report is based on the ‗‘organization study ‗conducted at IQRAA international hospital and research center Calicut. An organization is a planned coordination of a number of people and there activities for the achievement of some specific goals through division of labour‘s and hierarchy of authority. IQRAA, a charity endeavor established by JDT Islam in 2000 under aid from IQRAA for human relation, Jeddah, was envisioned as a centre of excellence where committed professionals deliver health care service at affordable cost. The venture aimed to provide quality medical care at affordable rates, to the poor in particular and the society at large, also to utilize the income generated for up bringing the orphanage and destitute of JWT Islam orphanage and other orphanages. This 250-bedded hospital with senior consultants including retired specialists versed in this respective field of medicine is well equipped with state of the art facilities to deliver the best services. By now the hospital has carved art a niche for itself amongst the health industry of the region. An organization planned co-ordination of people and their activities for the achievement of the organizational goals through division of labor specialization and hierarchy of the .it is an essential part of human life. An organization the structural is very important for its proper functioning and growth. Organizational structure is the structured frame work with in which the efforts of different people are coordinate and relate each other. It is a blue print of how management will take the various activities and function to be performed. It is the process of determine arranging for the acquirement of objectives. All organization are collection of people linked together a formal and informal relationship and have hierarchal order that are engaged incorporation activities and they are have identified the boundaries. So organizational hierarchal l and structure and functioning is very important. 2
  • 3. OS AT IQRAA HOSPITAL, CALICUT 1.2 OBJECTIVES OF THE STUDY The study is undertaken with following objectives 1.2.1 Primary objective The primary objective of this study is to understand the various activities of various departments in the organization and its functions 1.2.2 Secondary objectives  To study the structure of the organization  To analyze the strength, weakness, opportunities and threats faced by the company  To propose suggestions to the management on the basis of study  To gain the practical knowledge and experience about the company  To know the financial position of the company  To know the practical problems and what are the measures taken to solve those problems. To fulfill the requirement for the award of master degree, in master of business administration (MBA) of bangalore university. 3
  • 4. OS AT IQRAA HOSPITAL, CALICUT 1.3 METHODOLOGY OF THE STUDY The obvious function of research methodology is to add new knowledge to the existing store. Research is a search for knowledge .One can also define research as scientific and systematic search for pertinent information on a specific topic. Input research is an art of scientific investigation. The quality and verity of findings in a study will always spend on the methodology adopted to conduct the study. 1.4 SCOPE OF THE STUDY This study was about the organization structure of the company. From the organization structure we can understand the various positions of the employees and we can understand various departments in the organization. 1.4.1 Self Development  I understood the importance of completing the work in time.  It gave me insight for better co-ordination with others.  The punctuality impressed me most and this enabled me to understand the secret of achieving the goal.  I understood the importance of attending the phone call immediately and the response to be give to the superiors and equals.  I understood the importance concentration in work.  I understood the importance of dress code, communication skill and regularity in attendance.  It developed the self -confidence in me to meet the high officials and to interact with them.  The study has molded me with leadership quality, as each problem should be solved with interest at more case.  Lastly it helped me to get a practical exposure and to update my know. 4
  • 5. OS AT IQRAA HOSPITAL, CALICUT 1.5 REASON FOR SELECTING THE COMPANY There are some reason for selecting the company there are mainly Powerful brand name in Malabar area of Kerala Reputed organization ISO certified organization Good transportation facility Excellent professionals Good location 1.6 DATA COLLECTION 1.6.1 Primary data collection Primary data‘s were collected from internally. That is these data‘s were collected from the organization mainly from the officials of the organization through the interaction 1.6.2 Secondary data collection These data‘s were collected mainly from outside the organization. Journals, hospital booklet of the hospital, hospital website etc 1.7 LIMITATIONS OF THE STUDY  The time was very low for the study  We can‘t get data‘s directly from all the employees because always they were busy  Inconvenience of the managers has been a major limitation.  Lack of co-operation from certain departments due to their work load. 5
  • 6. OS AT IQRAA HOSPITAL, CALICUT CHAPTER 2 INDUSTRY PROFILE 6
  • 7. OS AT IQRAA HOSPITAL, CALICUT 2.1 Growing healthcare sector Healthcare is one of India‘s largest sectors, in terms of revenue and employment, and the sector is expanding rapidly. During the 1990s, Indian healthcare grew at a compound annual rate of 16%. Today the total value of the sector is more than $34 billion. This translates to $34 per capita, or roughly 6% of GDP. By 2012, India‘s healthcare sector is projected to grow to nearly $40 billion. The private sector accounts for more than 80% of total healthcare spending in India. Unless there is a decline in the combined federal and state government deficit, which currently stands at roughly 9%, the opportunity for significantly higher public health spending will be limited. The Indian healthcare industry is seen to be growing at a rapid pace and is expected to become a US$280 billion industry by 2020. The Indian healthcare market was estimated at US$35 billion in 2007 and is expected to reach over US$70 billion by 2012 and US$145 billion by 2017. According to the Investment Commission of India the healthcare sector has experienced phenomenal growth of 12 percent per annum in the last 4 years. Rising income levels and a growing elderly population are all factors that are driving this growth. In addition, changing demographics, disease profiles and the shift from chronic to lifestyle diseases in the country has led to increased spending on healthcare delivery. Even so, the vast majority of the country suffers from a poor standard of healthcare infrastructure which has not kept up with the growing economy. Despite having centers of excellence in healthcare delivery, these facilities are limited and are inadequate in meeting the current healthcare demands. Nearly one million Indians die every year due to inadequate healthcare facilities and 700 million people have no access to specialist care and 80% of specialists live in urban areas. In order to meet manpower shortages and reach world standards India would require investments of up to $20 billion over the next 5 years. Forty percent of the primary health centers in India are understaffed. According to WHO statistics there are over 250 medical colleges in the 7
  • 8. OS AT IQRAA HOSPITAL, CALICUT modern system of medicine and over 400 in the Indian system of medicine and homeopathy (ISM&H). India produces over 25,000 doctors annually in the modern system of medicine and a similar number of ISM&H practitioners, nurses and Para professionals. Better policy regulations and the establishment of public private partnerships are possible solutions to the problem of manpower shortage. India faces a huge need gap in terms of availability of number of hospital beds per 1000 population. With a world average of 3.96 hospital beds per 1000 population India stands just a little over 0.7 hospital beds per 1000 population. Moreover, India faces a shortage of doctors, nurses and paramedics that are needed to propel the growing healthcare industry. India is now looking at establishing academic medical centers (AMCs) for the delivery of higher quality care with leading examples of The Manipal Group & All India Institute of Medical Sciences (AIIMS) already in place. As incomes rise and the number of available financing options in terms of health insurance policies increase, consumers become more and more engaged in making informed decisions about their health and are well aware of the costs associated with those decisions. In order to remain competitive, healthcare providers are now not only looking at improving operational efficiency but are also looking at ways of enhancing patient experience overall. India has approximately 600,000 allopathic doctors registered to practice medicine. This number however, is higher than the actual number practicing because it includes doctors who have emigrated to other countries as well as doctors who have died. India licenses 18,000 new doctors 2.2 Growing population and economy One driver of growth in the healthcare sector is India‘s booming population, currently 1.1 billion and increasing at a 2% annual rate. By 2030, India is expected to surpass China as the world‘s most populous nation. By 2050, the population is projected to reach 1.6 billion. 8
  • 9. OS AT IQRAA HOSPITAL, CALICUT This population increase is due in part to a decline in infant mortality, the result of better healthcare facilities and the government‘s emphasis on eradicating diseases such as hepatitis and polio among infants. In addition, life expectancy is rapidly approaching the levels of the western world. By 2025, an estimated 189 million Indians will be at least 60 years of age—triple the number in 2004, thanks to greater affluence and better hygiene. The growing elderly population will place an enormous burden on India‘s healthcare infrastructure. The Indian economy, estimated at roughly $1 trillion, is growing in tandem with the population. Goldman Sachs predicts that the Indian economy will expand by at least 5% annually for the next 45 years (see chart), and that it will be the only emerging economy to maintain such a robust pace of growth. 2.3 Expanding middle class India traditionally has been a rural, agrarian economy. Nearly three quarters of the population still lives in rural areas, and as of 2004, an estimated 27.5% of Indians were living below the national poverty line. Some 300 million people in India live on less than a dollar a day, and more than 50% of all children are malnourished. 2.4 Rise of disease Another factor driving the growth of India‘s healthcare sector is a rise in both infectious and chronic degenerative diseases. While ailments such as poliomyelitis, leprosy, and neonatal tetanus will soon be eliminated, some communicable diseases once thought to be under control, such as dengue fever, viral hepatitis, tuberculosis, malaria, and pneumonia ,have returned in force or have developed a stubborn resistance to drugs. This troubling trend can be attributed in part to substandard housing, inadequate water, sewage and waste management systems, a crumbling public health infrastructure, and increased air travel. In addition to battling infectious diseases, India is grappling with the emergence of diseases such as AIDS as well as food- and water-borne illnesses. And as Indians live more 9
  • 10. OS AT IQRAA HOSPITAL, CALICUT affluent lives and adopt unhealthy western diets that are high in fat and sugar, the country is experiencing a rise in lifestyle diseases such as hypertension, cancer, and diabetes, which is reaching epidemic proportions. Over the next 5-10 years, lifestyle diseases are expected to grow at a faster rate than infectious diseases in India, and to result in an increase in cost per treatment. Wellness programs targeted at the workplace, where many sedentary jobs are contributing to an erosion of employees‘ health, could help to reduce the rising incidence of lifestyle diseases. 2.5 Growth of telemedicine Only 25% of India‘s specialist physicians reside in semi-urban areas, and a mere 3 % live in rural areas. As a result, rural areas, with a population approaching 700 million, continue to be deprived of proper healthcare facilities. One solution is telemedicine—the remote diagnosis, monitoring and treatment of patients via videoconferencing or the Internet. Telemedicine is a fast-emerging trend in India, supported by exponential growth in the country‘s information and communications technology (ICT) sector, and plummeting telecom costs. Several major private hospitals have adopted telemedicine services, and a number of hospitals have developed public- private partnerships (PPPs), among them Apollo, AIIMS, Narayana, Hridayalaya, Aravind Hospitals and Sankara Nethralaya. 2.6 Kerala scenario Kerala the ―God‘s own country‖, is the cradle of Ayurveda and traditional system of medicine. The alternative system of medicine, ayurveda is very well marketed in Kerala in terms of medical tourism. Kerala has the best qualified professionals in each and every field. The state has the most competent doctors and world class medical facilities also. The medical charges in Kerala are also competent so that people from other states, across the borders and from all parts of the world come here for the treatment of various health conditions. 10
  • 11. OS AT IQRAA HOSPITAL, CALICUT The Kerala hospitals are well equipped of accommodating and treating a multitude of medical tourists at the same time. The state of the art infrastructure and health facilities provided to patients are excellent. The panel of doctors is well experienced and veterans in their fields. Kerala has many Super Specialty Hospitals, multi specialty hospitals, Dental care hospitals, eye care hospitals, Ayurvedic centers. Moreover, economical and effective treatment is assured by the renowned hospitals of Kerala. 2.7 Ancient Asia The sin hales (sri Lankans) are perhaps responsible for introducing the concept of dedicated hospitalto the world. According to the Mahavasma, the ancient chronic of sinhalese royalty written in the 6th century A.D, king pandukabhaya (4th century B.C) had lying homes and hospitals had in various part of the country. This is the earliest documentary evidence we have of institution specifically dedicated to the care of the sick any where in the world mihintale hospital is perhaps the oldest in the world. 2.8 Factors affecting corporate in the health care sector In the mid 80‘s the health care sector was recognized as an industry. Hence it became possible to get long term funding from the financial institutions. The govt also reduces the impact duty on medical equipments and technology. Socio economic changes Brand development Opening of the insurance sector 11
  • 12. OS AT IQRAA HOSPITAL, CALICUT CHAPTER 3 COMPANY PROFILE 12
  • 13. OS AT IQRAA HOSPITAL, CALICUT 3.1 HISTORY OF IQRAA IQRAA, a charity endeavor established by JDT Islam in 2000 under aid from IQRAA for human relation, Jeddah, was envisioned as a centre of excellence where committed professionals deliver health care service at affordable cost. The venture aimed to provide quality medical care at affordable rates, to the poor in particular and the society at large, also to utilize the income generated for up bringing the orphanage and destitute of JWT Islam orphanage and other orphanages. This 250-bedded hospital with senior consultants including retired specialists versed in this respective field of medicine is well equipped with state of the art facilities to deliver the best services. By now the hospital has carved art a niche for itself amongst the health industry of the region. IQRRA has a panel of doctors specialized in divergent fields. IQRAA has almost all the departments to the needs of patients with a wide variety of illness. The hospital also runs specialty centers focusing on health and medical conditions that call for great care and attention viz. cardiac care, diabetes centre, diabetic eye clinic, obesity clinic, De-addiction centre,inferitility clinic, pregnancy care, dialysis centre etc. The operation theatres in the hospital are fully equipped with up to date facilities. IQRAA provides round the clock service thereby fulfilling its commitment to the society .IQRAA has set up a host of medical facilities for diagnosing and treating those who suffer from myriads of diseases.ICU,ICCU,Radient warmer of photo therapy, computerized pulmonary function test holter monitor, Echo cardiogram-color, Doppler etc, are some of those facilities. IQRAA is committed to provide quality medical care to the needy at modest rates.24 hour causality services is available in the hospital. IQRAA is keen to satisfy both in patients and out patients by providing first-rate diagnosis and treatment. We always keep tabs on the shift in needs of the community and technological advancement IQRAA offers several special .Health check up, Diabetes check up, pregnancy package, and delivery package. These are made available at rates affordable to the common man. This 250-bedded hospital banking on the expertise of senior consultants, high quality nursing staffs, up to date diagnostic facilities and a committed management under the 13
  • 14. OS AT IQRAA HOSPITAL, CALICUT leadership of Dr.PC. ANVER. M.D.Executive Director has taken giants leaps in its growth to multi-specialty centre of excellence. The commendable service rendered over the years have won it the trust of masses as the hospital of common man and the management responding to the demands of the public eyes to upgrade its cardiology department to a specialty centre for cardiac treatment. 3.2 Continuous Quality Improvement Program To monitor the quality is maintain in all sector/department in hospital supported by management, are monitor by core duty by regular quality audit, physical checks, data analysis, random sample checks etc. program reviewed at regular interval at opportunity for improvement are identified. Proper awareness to all employees. Internal quality audit twice in a year to ensure all employees are strictly adhering to policies, program and work instrument. 3.3 Hospital administration Management set up the vision and mission of the organization quality objective of the organization. Proper planning shall be undertaken to locate layout and set up facilities for establishing. From the administration down the line proper delegation of tasks shall be carried out and activities monitored. So that the delegation activities are executed with the responsibility of authority. Patient feedback and general quality implementation progress shall be properly adhered to and remedial preventive action are to be taken. 14
  • 15. OS AT IQRAA HOSPITAL, CALICUT 3.4 MISSION o Provide high quality, low cost treatment to the whole community especially the under privileged patients. o In pursuit of our mission, we believe the following statements are essential and timeless:- We recognize and affirm the unique and intrinsic value of each individual. We treat all those we serve with compassion and kindness. We act with honesty, integrity and fairness in the way we conduct our service and in our personal behavior. We trust our colleagues as valuable members of our health care team and pledge to treat each other with loyalty, respect and dignity. 3.5 VISION To provide the highest quality clinical care at nominal cost. To achieve the highest levels of patient satisfaction. To provide state-of-the-art facilities and equipment. To innovate in the use of information technology. To invest in the professional growth and development of our people. To manage our recourses prudently. To serve the health care needs of our community. 15
  • 16. OS AT IQRAA HOSPITAL, CALICUT 3.4 DEPARTMENTS 1. Cardiology 2. General medicine 3. Diabetology and endocrinology 4. Gynecology 5. Pediatrics 6. Psychiatrics 7. De-Addition and counseling 8. Nephrology 9. Neurology 10. Radiology 11. Dental 12. General surgery 13. ENT 14. Dermatology and venereology 15. Ophthalmology 16. Physiotherapy 17. Plastic and reconstructive surgery 18. Pediatric surgery 19. Anesthesiology 20. Medical social work 21. Dietary 22. Laparoscopic surgery 23. Urology 16
  • 17. OS AT IQRAA HOSPITAL, CALICUT 3.5 FACILITIES ICU.ICCU Surgical ICU Operation theatre complex 24 hour trauma care unit NICU 24 hour IP & OP pharmacy Air conditioned labour suit Emergency operation theatre Physiotherapy centre Ambulance service 3.6 DIAGNOSTIC FACILITIES Computerized Hi-Tech lab Spiral C.T scan ECG 12 channel computerized Ultra sonogram Echo cardiogram – color Doppler Computerized tread mill test Computerized pulmonary function test Holter monitor X-Ray Neuro lab with EEG & EMG 17
  • 18. OS AT IQRAA HOSPITAL, CALICUT CHAPTER 4 ORGANIZATION STRUCTURE 18
  • 19. OS AT IQRAA HOSPITAL, CALICUT 4. ORGANISATIONAL CHART JDT Governing Body Executive Director(ED) NURSING Supdt ADDMINISTRATIVE OFFICER MEDICAL Supdt H.R Department Deputy Nursing Supdt Operation Department Consultants Nursing Supervisors Finance Department Senior Doctors Ward in charge Purchase Department Residents Staff Nurses Material Department Nursing Assistant I.T Department Class Four workers Maintenance Department Service and social work Department Marketing Department 19
  • 20. OS AT IQRAA HOSPITAL, CALICUT CHAPTER 5 DEPARTMENTS 1. SERVICE/SOCIAL WORK DEPARTMENT 2. MARKETING DEPARTMENT 3. HUMAN RESOURCE DEPARTMENT 4. FINANCE DEPARTMENT 5. OPERATION DEPARTMENT 6. PURCHASE DEPARTMENT 7. MATERIAL DEPARTMENT 8. MAINTENANCE DEPARTMENT 9. NURSING DEPARTMENT 10. PLANT DEPARTMENT 11. INFORMATION TECHNOLOGY DEPARTMENT 20
  • 21. OS AT IQRAA HOSPITAL, CALICUT 5.1 SERVICE/SOCIAL WORK DEPARTMENT 5.1.1 DEPARTMENTAL STRUCTURE ADMINISTRATIVE OFFICER PUBLIC RELATION OFFICER (PRO) 21
  • 22. OS AT IQRAA HOSPITAL, CALICUT IQRAA hospital mainly looking for the common man. The service and social work department is control by Mr.Shaji and Mr. Faisal Joint venture of IQRAA for human relation, Jeddah and JDT Islam orphanage, Calicut. Quality care at affordable rate. Charitable clinic and health care for poor and needy patient. Income generated is utilized for the hospital development and for the upliftment of orphans and destitute. Free treatment for the inmates of orphanages in Malabar. 20% discount for the hospital neighbors. Poor patients have minimum 10% to 30% discount criteria (social organization letter or ration card). Every Friday have ortho charity clinic 25% to 50% discount for poor people (criteria Hospital director‘s recommendation letter). Dialysis charge only 400rs (outside 700rs). Hospital has community dental clinic charge only 10rs. The service under each department is provided round the clock with senior consultant and specialists offering the best services at affordable cost. Our main focus is patient satisfaction through quality services. It‘s rewarding to see that our patients bestowed us with their trust and have retained us for future services. The diagnostic facilities are done at minimal cost compared to other private sectors. Cardiac Care Specialty provides cardiac health care of international standards. Our main focus is patient satisfaction through quality services. 22
  • 23. OS AT IQRAA HOSPITAL, CALICUT 5.1.2 Role of PRO/ Social Worker Guidance and counseling to patients (Indoor as well as outdoor patients) Making the disabled aware of the services and provision available for them (Govt. & Voluntary sector) Issuance of disability certificate to physically disabled, deaf & dump, M.R, Children and Burn Patients. Provision of Railway concession to cases suffering from physically disabled, cancer, Tuberculosis, Leprosy, Deaf & Dump, Kidney patients etc. Networking with Govt. Department, N.G.O‘s and individual donor to enlist their help for the disabled poor and needy patients of the hospital. Making the patients aware the health services and facilities available for patients at IQRAA Hospital. Including the services offered by Hospital welfare society. Counseling services for patients and their families. Motivation for family planning and blood donation. Mediation between the patients/their families and the health personnel of the hospital facilities effective medical care to the patients. To attend the referral services from the doctors for indoor patients. Restoration for unknown patients. Providing referral services to patients. Lesion with all the institutions under directorate of Social welfare. To attend unattended/unknown patients. To provide rehabilitation services to the patients. To provide financial medical Aid with the help of ―Hospital Welfare Society‖. Establishing contents and holding consultation for main taing harmonies relation between hospital management and its staff. Looking after grievances/complaints of the patients in the hospital. 23
  • 24. OS AT IQRAA HOSPITAL, CALICUT 5.2 MARKETING DEPARTMENT 5.2.1 DEPARTMENTAL STRUCTURE MARKETING MANAGER ASSISTANT MANAGER ASSISTANT MANAGER 24
  • 25. OS AT IQRAA HOSPITAL, CALICUT 5.2.2 FUNCTIONS OF MARKETING DEPARTMENT Marketing department is doing some activities IQRAA conducting some of the fever clinic IQRAA conducting some activities like the rural camp .they selecting some of the rural areas and conducting the camp mainly for the free check up, eye check up etc. It should be more help full for the poor peoples. Advertisement is the another one creating some of the notices and browsers including all details of the hospital, photos etc. Starting new department they creating advertisement and give all the news peppers, local channel etc. 25
  • 26. OS AT IQRAA HOSPITAL, CALICUT 5.3 HUMAN RESOURSE DEPARTMENT 5.3.1 DEPARTMENTAL STRUCTURE H.R MANAGER H.R ASSISTANT 26
  • 27. OS AT IQRAA HOSPITAL, CALICUT 5.3.2 FUNCTIONS OF HR DEPARTMENT It is a matter of common knowledge that every business organization depends for its effective functioning on its pool of able and willing human resources. It is man alone who with his ability to feel, think and grow shows satisfaction and dissatisfaction. The industrial progress of any country would depend on its committed labor force. The personnel department is headed by the personnel officer Mr. Abdul Vahab (MBA).The department looks after the following functions. 5.3.3 Working hours - 8 hours 5.3.4 Wages and salary - based on the performance appraisal. Evaluating the performance of the employee they are mainly follow the ranking method. 5.3.5 Recruitment - Recruitment mainly the qualification, experience, evaluation 1. Form (the candidate fill up the application form with full details) 2. Advertisement (The HR department give the advertisement to the staff details) 3. Reference (internal reference of the employee) 4.Bio Data update(Already get some of the bio data its updating) 5.3.6 Selection: The purpose of selection process is to choose right type of candidate to various positions in the organization. Administrative department is responsible for the selection of staffs but medical suprendent is responsible for the selection of doctors. Nursing suprendent will conduct staff selection test for the selection of nurses. 27
  • 28. OS AT IQRAA HOSPITAL, CALICUT 5.3.7 Interview - The recruitment mainly through interview it have some steps 1.Pre interview form (collect all the personal information of the applicant .And also have the data bank collect the information of the applicant friends who are all interested to join any organization) 2. Interview Evaluation (a).Personal traits (The interviewer evaluating the personality, family background and then give the mark to the candidate 1 to 5). (b).Job related traits (In this step evaluating the subject and the technical knowledge of the candidate After that selecting the right person to the right job Recruitment procedures (man power planning-Right person right job right place recruiting) 5.3.8 Induction Training : Training: Training is the act of increasing the knowledge of an employee for doing a particular job. Its purpose is to achieve a change in the behavior of those trained to enable them to do their jobs better. Induction program under the control of HR department around 3 month to get the training to the employee It should be mainly understanding the organization its mainly focus on the company vision and mission, about the organizational details then all the department and the facilities of the hospital. 5.3.9 Performance appraisal: It is a method evaluating the behavior of employee in the work spot, includes both qualitative and quantitative aspects of job performance. It is a continuous process from the date of joining. 28
  • 29. OS AT IQRAA HOSPITAL, CALICUT 5.3.10 Management development program Its mainly give to the Nursing staffs to improve the personality development and the skill development of the staff. 5.3.11 Employee welfare and benefit The employees of IQRAA hospital can get lot of welfare facilities Canteen facility (10rs for meals), Uniform, Festival allowances, bonus, Free medical allowance, Free hostel allowances for employees. 5.3.12 Total employees 557 employees 5.3.13 Leave 12 casual leave per year 12 medical leave After one year the employees can get the earn leave 5.3.14 Grievances Administrative officer department head+HR officer handling the grievances Mostly everyone is satisfied. 5.3.15 Provident fund Based on the salary 29
  • 30. OS AT IQRAA HOSPITAL, CALICUT 5.4 FINANCE DEPARTMENT 5.4.1 DEPARTMENTAL STRUCTURE FINANCE MANAGER ACCOUNTANT ASSISTANT ACCOUNTANT 30
  • 31. OS AT IQRAA HOSPITAL, CALICUT 5.4.2 FUNCTIONS OF FINANCE DEPARTMENT Financial management is the activity which is concerned with planning and controlling for the firm‘s financial resources. Finance is the life blood of business firm, therefore planning of finance and control is required for achievement of goal. A systematic recording of daily transaction of the business leads to presentation of complete financial picture, which help to know about the business position. The department is headed by Mr. Gafoor (Bcom, Mcom). IQRAA hospital for under the control of JDT trust so the sources of finance is mainly for charity donations like that. All the accounting activities going through computer with the help HIS software (Hospital Information system).The last year IQRAA was profitable. 5.4.3 VARIOUS ACTIVITIES To check all vouchers, bills, adjustment receipts and push up for orders to the special officer. To check all the registers relating to the accounts section.ion. To prepare monthly, quarterly, half yearly, and annual accounting information. To arrange for the timely collection of dues from the sundry debtors and payment to the sundry creditors. The finance department maintains the following books of accounts. 5.4.4 Purchase Journals The purchase manager enters vouchers and materials inward notes through the computer. Its mainly two type of purchase A. Pharmacy Purchase The pharmacy they transfer the details directly to the account department and the chief accountant approve the list after that the administration officer approved the settlement the list. 31
  • 32. OS AT IQRAA HOSPITAL, CALICUT B. General Store Purchase The general store persons they transfer the details directly to the purchase Department and they transfer to the account department the chief accountant approved and the n the administrative officer approved and the settled. 5.4.5 Sales Journals IQRAA have mainly pharmacy sales 1. Pharmacy Sales The pharmacy they are mainly selling the medicines. 2. Cash Collections Discharge collection Reception Revisit OP pharmacy IP pharmacy Diabetic center Lab Dialysis center Annex 32
  • 33. OS AT IQRAA HOSPITAL, CALICUT 5.4.6 Payments IQRAA have mainly two types of payments Cash Payments Cash Vouchers Approved By Accountant Create Voucher Approved From Administrative officer Take Voucher Print Final Payment (With payee Sign) 33
  • 34. OS AT IQRAA HOSPITAL, CALICUT Bank Payment Bank Voucher Approved By Accountant Create Voucher Approved From Administrative Officer Take Voucher Print Print Cheque Final Payment (With payee Sign) 5.4.7 Other Books Are Maintain Payment Voucher (It‘s For Auditing purpose) Pharmacy Files Insurance Files Bank Statement Files 34
  • 35. OS AT IQRAA HOSPITAL, CALICUT 5.5 OPERATION DEPARTMENT 5.5.1DEPARTMENTAL STRUCTURE OPERATION MANAGER OPERATION ASSISTANTS 35
  • 36. OS AT IQRAA HOSPITAL, CALICUT 5.5.2 FUNCTIONS OF OPERATION DEPARTMENT The operation department is control by the operation manager Mr.Faisal (MHM). The operation management mainly looking for the quality + operating executive. Operation department is control by each and every department for the smooth functioning. In the case of IQRAA hospital operation are mainly for the Registration to Discharge of patients. It‘s mainly for two types of patients. 1. OP patients (a).New patients (b).Old patients 2. Casualty There are some activities are I. Registration Form(New patients) It‘s mainly for the patients full details. It‘s a unique registration also the form have one token number. And then create one op card with patient full details and also have one op number after collect the registration fee and consultation charge and create the op ticket and then distribute the consent department. 36
  • 37. OS AT IQRAA HOSPITAL, CALICUT 5.5.3 DESCRIPTION OF THE PROCESS 1. Registration of New Patient: Patients intending to consult the OPD clinic of any consultant of the hospital are required to register prior to the consultations. Patient will attend the OPD registration desk for new patient registration and wait in queue for their respective turn As their turn comes patient will fill the new registration form Patient‘s details are fed into the hospital information system and a registration fee of Rs.10.00 and consultation fee are collected from the patient. All staffs and charity patients are exempted from paying the registration charges and consultation charges. From dental and emergency department (casualty) patients only registration fee is collected. 30 percentage reductions is given for close relatives (father, mother, spouses, and children) of hospital staff Patient is allotted an OPD registration number which is valid for lifelong. The consultation fee is valid for 13 days in case of general OPD (for dental OPD cases- 5 days and for emergency department cases-7 days) and OP card is generated. The payment receipt is handed to the patient and is directed them to concerned OPD. Mean while the OPD case sheet is generated and is issued to concerned OPD by Attender 37
  • 38. OS AT IQRAA HOSPITAL, CALICUT 2.Old Registration The patients come with the op card, and revisit the counter 3. Follow Up Patient: Patients visiting the OPD of the hospital for follow up will attend the ―re visit patient registration counter‖ and would wait in queue. As their turn come, the patient will hand over the OP card or previous OP case sheet to the registration clerk. The registration clerk will enter in to HIS. No fee is charged for such patients if the validity is not over. Patient is asked to move to concerned OPD. New OP case sheet is generated and dispatched to concerned OPD. If the patient arrives after thirteen days of the prior date of OP consultation, he/she has to pay consultation fee. 38
  • 39. OS AT IQRAA HOSPITAL, CALICUT 4. Booking System The patient can easily book through the telephone or directly come to the booking counter. (All details like name, place etc). 5. Enquiry: The hospital does provide facility for telephonic enquiry and prior fixation of appointment over telephone (only for some consultants). Walk in interview are attended in the registration counter of the hospital. 6. Casualty patients The emergency patients only collect the formal details. 7. Admission Of The Patients Consent department doctors give the information for the admission counter. And then collect the full details of the patient. And then find any room vacancy or the ward. The visiting time only for 4 to 8 o‘clock. The visitors should get one visitors pass only one person can get the stay pass. 8. Discharge OF The Patients Discharge Summary History of the patents, Discharge instructions etc. Final Bill Preparation Lab Bill Medicine Bill Radiology Bill 39
  • 40. OS AT IQRAA HOSPITAL, CALICUT 5.6 PURCHASE DEPARTMENT 5.6.1 DEPARTMENTAL STRUCTURE PURCHASE MANAGER PURCHASE OFFICER PURCHASE EXECUTIVE WORKERS AND STORE KEEPERS 40
  • 41. OS AT IQRAA HOSPITAL, CALICUT 5.6.2 FUNCTIONS OF PURCHASE DEPARTMENT The min activities of purchase department Pharmacy shall have an approved list of suppliers. Purchased order issued for procurement with relevant information like purchase order no, suppliers name and address, manufactures, quality, price, delivery, term and condition like replacement. The purchase order shall be verified and approved before issued by competent authority. The purchase department control by the Mr. Jabir sulaim.Main activities of the purchase department is the order and availability of the materials. Purchasing the quality goods without any delay. The agents are give the quotation to the purchase officer after that only they purchase the materials the bulk purchase gives some discounts. The daily usage materials are mainly purchasing from Calicut itself some items like Medicines and Machines are purchase outside Kerala like Chennai, Bangalore etc. The materials are mainly two types of stores. 5.6.3 Pharmacy The IQRAA have a central pharmacy and 4 pharmacies in the hospital premises. The pharmacy in-charge is the under the control of the Medical superintendent. Each sub pharmacy have a in-charge he is responsible for the head of central pharmacy. Pharmacy in-charge shall be responsible for accurate drug storage, distribution and safe usage of drugs, inventory control, budgeted.. The pharmacy in charge ensure that the drugs purchased based on the state and national standards. Stock position shall be updated after each receipt and issue in relevant register and files. The pharmacy staff have required qualification and trained about the pharmacy functioning .the staff shall have the information about the latest medicine and its alternatives relevant and rules and regulation. 41
  • 42. OS AT IQRAA HOSPITAL, CALICUT 5.6.4 Purchase and storage. The HOD shall ensure the availability of right drug having required quality and quantity. Non moving medicine returned to the supplier with in specified time limit. The HOD shall ensure right medicine is available and maintained. The minimum stick and issue shall control and monitoring .Expiry date and the date of receiving are recorded. 5.6.5 General Store IQRAA have a general store. The store in-charge is the responsible person of the section. The store keep all items excluding medicine and surgical. All office and stationary items purchase and kept in general store. Any equipment and costly items are purchased through the store. It not a part of pharmacy. The in charge is comes under the AO. The clerical staff of the store is comes under the in charge. 5.6.6 Inventory practices. The FIFO (first in first out.) Method is followed by the pharmacy. The issue of the drugs to the sub pharmacy on the basis of their request. Stock register and issue register are maintained by the central pharmacy. Stock verification and auditing are conducted at regular intervals. 42
  • 43. OS AT IQRAA HOSPITAL, CALICUT 5.7 MATERIAL DEPARTMENT 5.7.1 DEPARTMENTAL STRUCTURE MATERIAL MANAGER SUPERVISORS WORKERS 43
  • 44. OS AT IQRAA HOSPITAL, CALICUT 5.7.2 FUNCTIONS OF MATERIAL DEPARTMENT Material manager Mr.Muhammed Jamsheer.p is control by the material department. He is directly report to the purchase manager. Main function is the availability of the material. The Duties and Responsibilities of Material manager IQRAA International hospital. Conducting market survey and analysis of material cost and price. Make strong relation and deal with vendors and suppliers. Planning and making budget for acquire materials. Coordinating and negotiating with vendors for price. Organizing and supervising the transporting and receiving of all materials. Managing records of all stock and inventory. Maintaining the standard of goods and materials. Perform data entry of all material details in system for inventory control. Decide and prepare different levels of stock and take reasonable action in each level. Regularly inspect patient care units for proper equipment cleaning and functioning, ensuring that all equipment necessary to patient is in proper working condition. 44
  • 45. OS AT IQRAA HOSPITAL, CALICUT 5.8 MAINTENANCE DEPARTMENT 5.8.1 DEPARTMENTAL STRUCTURE MAINTENANCE MANAGER SUPERVISORS WORKERS 45
  • 46. OS AT IQRAA HOSPITAL, CALICUT 5.8.2 FUNCTIONS OF MAINTENANCE DEPARTMENT Maintenance section in charge is responsible for all maintains activities. He is supported by adequate number of supervisors and skilled tradesmen. Immediate responsible to all call for maintains work is ensured by the department in charge. The maintenance department under the control of the material department. The department mainly doing the all the maintenance activities inside the hospital Electricity All the electricity inside the hospital control by the maintenance department any problem for the electricity fully repaired within the correct time. Plumbing All the plumbing activities are control by the maintenance department. Mineral All the water problems are control by the maintenance department. Availability of the water is the important factor for hospital. 5.8.3 Bio Medical Department Maintaining all the medical equipments and the machines. All the medical machines like scanning machines, X-ray machines etc all the damages are maintain by the bio medical department 46
  • 47. OS AT IQRAA HOSPITAL, CALICUT 5.9 NURSING DEPARTMENT 5.9.1 DEPARTMENT STRUCTURE NURSING SUPDT DEPUTY NURSING SUPDT NURSING SUPERVISORS WARD IN CHARGE STAFF NURSESS NURSING ASSISTANT CLASS FOUR WORKERS 47
  • 48. OS AT IQRAA HOSPITAL, CALICUT 5.9.2 FUNCTIONS OF NURSING DEPARTMENT Nursing department is very important thing in any hospital. The department is headed by Mrs.Syamalakumari (GNM). The nursing department is mainly control the overall nurses in the hospital. And also allocating the duties of nurses. Each and every ward has 1 to 8 nursing staffs and also one nursing assistant. The nurses have two shift nights have two staff nurses and one nursing assistant. The Nursing staffs are mainly internship students and they also assistant to the doctors IQRAA have lot of nursing courses like Nursing assistant course Dialysis tecqnition course MRD(Medical record dept) course CSSD(central sterilp supply dept)tecqnition course 48
  • 49. OS AT IQRAA HOSPITAL, CALICUT 5.10 PLANT DEPARTMENT 5.10.1 Structure of STP Plant Engineer Operation in Charge Assistant Operation in Charge Cleaning Labour Trainees Operates Trainees Operates 5.10.2 Structure of RO Plant Engineer Operation in Charge Assistant Operation in Charge Trainees Operates Trainees Operates 49
  • 50. OS AT IQRAA HOSPITAL, CALICUT 5.10.3 FUNCTIONS OF PLANT DEPARTMENT There are mainly two types of activities in plant department. The plant Department headed by Mr. Ashraf (B Tech, Diploma in STP).  Sewage Treatment Plant (STP)  Reverse Osmosis Plant (RO) STP The activates of STP mainly for the waste water treatment. For example Basil, Wash basin, Bath rooms, Septic tanks etc. After these activities there are lot of waste water are coming these waters are filter and using irrigation purpose and flesh tank purpose etc. RO In hospitals we are using the normal water it should be creating lot of problems. So the normal water can be filter and using for the dialysis machines etc. This treatment called minute treatment. 50
  • 51. OS AT IQRAA HOSPITAL, CALICUT 5.11 INFORMATION TECHNOLOGY DEPARTMENT 5.11.1 DEPARTMENT STRUCTURE I.T ADMINISTRATOR COMPUTER PROGRAMMER PROGRAMM ASSISTANT 51
  • 52. OS AT IQRAA HOSPITAL, CALICUT 5.11.2 FUNCTIONS OF I.T DEPARTMENT Today we can‘t think conduct the business practice without the help of computers. The IT administrator is the in-charge of the department. The computers used for billing. Preparing accounts, data typing etc I.T department is the very important department in any organization. All the records are storing the computers. The department is headed by Mr.Hidam The information system is mainly working for data record and networking activities each and every department are using the computers. And also IQRAA have internet facility for each and every department Around 140 computers and 2 servers (main server and pack up server) IQRAA have separate hospital server HIS (Hospital Information System) each and every thing record using this software eg-Registration, Billing, accounts etc. 52
  • 53. OS AT IQRAA HOSPITAL, CALICUT 6.PORTERS FIVE FORCE MODEL PORTERS FIVE FORCE MODEL OF IQRAA HOSPITAL THREAT OF C0MPETITORS Now days there are only little effort to get sanction for setting up hospitals. Because there are a lot of hospitals throughout of the country. When we consider the state Kerala, there are a lot of super speciality hospitals. These hospitals have more contributions from the private sectors than the public sector. So that 53
  • 54. OS AT IQRAA HOSPITAL, CALICUT the competition is high in this field. So in the case of IQRAA hospital competitors are high from the private sector. THREAT OF SUPPLIERS Quality is one of the important things. When we consider the case of hospitals, they must use the quality products only for the treatment of patients. Drugs and equipment‘s (surgical and others) are the main things which the hospitals purchase from outside. Now days a lot of suppliers are in the market to supply this type of goods. The material department in the IQRAA hospital consider the quality as well as the price of the products which they purchased. So they purchase the goods from the suppliers who supply the quality goods in fewer prices. THREAT OF CUSTOMERS Patients are the customers of the hospital. So they provide the services according to their satisfaction. IQRAA hospital is under the IQRAA charitable trust. So that the fees and other expenses for the treatment are low. So the bargaining powers of the customers are low. THREAT OF NEW ENTRANTS There are two other hospital just near to IQRAA hospital. (MIMS,BABY MEMORIAL). All these hospitals are super speciality hospital and just near to national highway. The establishment and set up costs are high in this place compared to others. So according to IQRAA hospital threat of new entrants are low. THREAT OF SUBSTITUTES When we consider the case of hospital the substitutes(i.e. Alternatives) are homeopathy, allopathic, Ayurveda, and so on. All these hospitals are provide services but in different ways. According to the taste and preference the customers i.e. the patients select the way of treatment. 54
  • 55. OS AT IQRAA HOSPITAL, CALICUT CHAPTER: 7 MCKINSY’S 7 S MODEL 55
  • 56. OS AT IQRAA HOSPITAL, CALICUT MCKINSY’S 7 S MODEL 56
  • 57. OS AT IQRAA HOSPITAL, CALICUT Here the first 3 S are considered as hard S(strategy, system, structure) and the other 4 S are considered as hard S.(skills, shared values, staffs, and style.). Strategy For a hospital the customers are the patients. The hospital achieve the goal only by providing service according to the needs of the patients. For that the hospital must create a trust in the minds of the patients. In the case of IQRAA hospital, they provide reliable service from the last 20 years. And also they have created trust among the minds of people. System Mainly in the hospital they used the system for recording purpose. In IQRAA hospital the finance department used the tally software and the record department used the system for recording the patients details and the lab department used the system to record the results. 57
  • 58. OS AT IQRAA HOSPITAL, CALICUT Structure The IQRAA hospital is run by the trust called IQRAA. So that the overall control of the hospital are in the hands of the trust members and under that there is a director and also each department have separate heads. Skills For the development of an organization there must be well experienced and skilled labors are necessary. In the case of IQRAA hospital, staffs mainly the nurses and doctors are very talented and experienced. And they also provide a 6month training programs to the employees who are newly appointed. Shared values The hospital is under the trust. Because of that the treatment cost are less compared to other hospitals. And also they consider the quality than the price for the equipment‘s which they purchased from outside. Staffs Employees are the resources of the organization. Through them the company can win or lose. In IQRAA hospital there are more than 250 staffs. Hospital treats them equally and also they provide so many facilities to them. Style IQRAA hospital providing services from the last 18years and it is run under a trust. Because of that the cost of treatment are low compared to other hospitals. They give importance to the patients than the profit and also they conduct free medical camps for poor people. 58
  • 59. OS AT IQRAA HOSPITAL, CALICUT CHAPTER: 8 SWOT ANALYSIS 59
  • 60. OS AT IQRAA HOSPITAL, CALICUT SWOT ANALYSIS Swot analysis refers to the strength, weakness, opportunity and threat of an organization. Here strength and weakness are the internal factors and opportunity and threat are external factors. Through the help of swot analysis the people or the customers has to compare the organization with the competitor‘s organization. Through swot analysis the customers has to know the positive as well as the negative aspects of the business. STRENGTHS • Qualified management team In IQRAA hospital the management team are well experienced and qualified one. The members in the top level management are post graduated and the director is a PhD holder. • Well experienced doctors and nurses In IQRAA hospital the doctors as well as the nurses are well experienced one. All most all the nurses are completed their masters in nursing and also all the doctors are taking their masters. • 24 hrs. Service IQRAA hospital provides 24 hrs. Casualty services in each and every day. • Affordable cost for treatment This hospital is under a trust called IQRAA. So that the cost for the treatment are less compared to other hospitals. So that it is affordable for the common people. • Super speciality hospital 60
  • 61. OS AT IQRAA HOSPITAL, CALICUT In IQRAA hospital almost all the medical departments are there. (General medicine, neurology, gynaecology, E.N.T etc….) and the services provided by each department are highly good. • Give importance to patients than profit IQRAA hospital is under a trust. So that they give importance to the patients than profit. They provide free treatment to the poor people and provide contribution to charities. WEAKNESSES Infra-structure (i.e. capacity) IQRAA hospital has only 250 bed facilities. So that they can provide service only for limited patients. Canteen facility IQRAA has their own canteen. But the foods are limited. Sometimes the patients didn‘t get the food according to their needs. Lack of expensive equipment‘s All we know that for dialysis we need well and expensive machineries. But in the case of IQRAA hospital expensive equipment‘s are absent. So that they can‘t provide good services in some fields. Shortage in the strength of staffs From the profile we have to know that there are only 31 doctors. When we take the case of super speciality hospital doctors are necessary. But in the case of IQRAA hospital the strength of doctors are very less and also in the strength of pharmacy staffs. Lack of departments In IQRAA hospital the departments both managerial and medical are less. When we compare IQRAA hospital with other we can see lack in departments. 61
  • 62. OS AT IQRAA HOSPITAL, CALICUT In effective use of Medias to provide information about the hospital to the needy people IQRAA hospital didn‘t use the Medias in proper ways to provide information to the people. OPPURTUNITIES • Tie up with government IQRAA hospital made a tie up with government for starting medical colleges and other medical courses. • New innovations The hospital has to provide assistance to the medical students for doing research and other • Appointment of well and qualified staffs The other opportunity for the hospital is to appoint well and qualified staffs in each and every department. • Provide service to more people IQRAA hospital change the way of giving treatment and also provide free medical camps to the poor people. • Establishment of research centres and medical colleges The IQRAA hospital has to establish new medical centres as well as research centres for the further growth. • Hold seminars and conference relating to specific diseases with the doctors in other country. THREATS 62
  • 63. OS AT IQRAA HOSPITAL, CALICUT • Competition In the case of IQRAA hospital the competition is high from other hospitals. • High capital cost The establishment cost are high. So that some of their projects are in pending. • Lack and demand for man power Now days the demand for the doctors are high. It is one of the problem faced by almost all the hospitals and it is the main problem faced by hospital. • Lack of finance IQRAA hospital is under a trust 63
  • 64. OS AT IQRAA HOSPITAL, CALICUT CHAPTER 9 FINDINGS AND SUGGESTIONS 9.1 FINDINGS 1. The organization functions are very systematic, inspections is done to ensure. 2. Provide high quality, low cost treatment to the whole community especially the under privileged patients. 3. Intra-departmental, inter-departmental communications are very effective. 4. Employees are Knowledgeable 5. Committed professionals deliver the health care 6. Multi specialty hospital 64
  • 65. OS AT IQRAA HOSPITAL, CALICUT 7. Marketing facilities are not adequate 8. Absendisum of employees 9. Compare to the facilities and patients employees are very few 10. No separate room for all the department 11. Maintenance works are not completed within the time 9.2 SUGGESTION Take adequate step to increase the marketing facilities Appoint more nursing staffs in the various departments To give more advertisement in media like T.V, news paper, magazines like that Develop new innovations Appoint well professional doctors more Develop new ideas Take more feedback from patients Give more service to the society 65
  • 66. OS AT IQRAA HOSPITAL, CALICUT Adopt new facilities A blood bank can be started. The hospital can hire a patient advocate to handle patient grievances. Supervision at all level can be improved. Proper and regular training program conduct for all staffs. CONCLUSION From the detailed study of function of different department and working conditions of the organization has revealed that the organization environment is very good. The inter-departmental communication is found very effective. The IQRAA hospital is mainly looking for the common man and also gives the service to the society and gives good health care at affordable rate .IQRAA hospital is international and also multi specialty hospital. IQRRA has a panel of doctors specialized in divergent fields. IQRAA has almost all the departments to the needs of patients with a wide variety of illness. The hospital also runs specialty centers focusing on health and medical conditions that call for great care and attention 66
  • 67. OS AT IQRAA HOSPITAL, CALICUT viz. cardiac care, diabetes centre, diabetic eye clinic, obesity clinic,De-addiction centre,inferitility clinic, pregnancy care, dialysis centre etc. The operation theatres in the hospital are fully equipped with up to date facilities. Management set up the vision and mission of the organization quality objective of the organization. Proper planning shall be undertaken to locate layout and set up facilities for establishing. 9.4 BIBLIOGRAPHY TEXT BOOKS VS Ramaswamy and S.Namakumari Marketing Management, 4th edition. MACMILLAN PUBLISHERS INDIA LTD. T.N.CHHABRA (Human Resource Management 2nd edition, 2004, Himalaya publishing house, New Delhi). Business Research Methods,7e William G. Zikmund JOURNALS 67
  • 68. OS AT IQRAA HOSPITAL, CALICUT Booklet of IQRAA hospital and research center Calicut WEBSITES Web site of IQRAA hospital and research centre Calicut – www.iqraa hospital .com En.wikipedia.org/wiki - Wikipedia, the free encyclopedia- en.wikipedia.org/wiki/healthcare-in-India www.google.com- www.india lawoffices.com/healthcare sector. www.globalhealth.org. 68
  • 69. OS AT IQRAA HOSPITAL, CALICUT 69