OPD is the mirror of the hospital, which reflects the functioning of the hospital being the first point of contact between the patient and the hospital staff. Patients visit the OPD for various purposes, like consultation, day care treatment, investigation, referral, admission and post discharge follow up. Not only for treatment but also for preventing and promotive services like, health check up, Immunisation, Physio-therapy and so on.

1. ORGANISATION AND MANAGEMENT OFOUT PATIENT SERVICES By: DR.N.C.DAS

2. INTRODUCTION Reasons for Shifting of focus from IP to OP:- -Rising cost of hospital care -Shortage of hospital beds -Economic importance Type of OPD Services : – Ambulatory Care Centre Polyclinic Health Centre Walk-in Clinic Day hospital Dispensary etc.

3. OPD OPD is a very important wing of hospital serving as mirror. OPD is visited by large section of community First point of contact between patient and hospital staff The human relation skill/ Public relation functions are of utmost importance OPD staff should be polite, cheerful, cooperative & efficient

4. FUNCTIONS OF OPD To provide for the community a major source of specialist diagnostic medical opinion by mixing the knowledge, skills and ability of the specialist and supported by the resources of the hospital. These include not only the physical resources but also the materials and machines, which facilitates early diagnosis with support of paramedical staff and other allied health profession. To treat on ambulatory and domiciliary basis all cases which can be treated in the Outpatient Department ( e.g., surgery for hernia and varicose veins). To refer patients for admission to the hospital of those who need it. About 80% of total admissions are through OPD To promote health of the individuals under care in the Outpatient Department by means of health education.

5. FUNCTIONS OF OPD To carry out after care and medical rehabilitation, when necessary, after discharge from hospital. To train medical students house physicians and other professional staff such as nurse and technicians with valuable and diversified clinical experiences. To compile, collate and analyze records of patients using outpatient services for epidemiological, social clinical research and for periodic assessment of clinical outcomes. To carry out preventive and promotive services through provision of immunization, screening, antenatal, well baby, counseling family welfare clinics etc.

6. SPECIFIC PREVENTIVE SERVICES Well baby clinic, marriage counseling & planned parenthood Control of communicable diseases by early diagnosis & providing specific protection Early diagnosis and detection of non communicable disease Epidemiological surveillance and reporting Sentinel centre for vaccine preventable diseases Health education & nutrition/ diet advice

7. OUT PATIENT SERVICES Ambulatory Patient Care Services One of the first point of contact between hospital staff and patient. Reflects the human relation skills and public relation functions of the hospital for the patients, relatives and visitors. OBJECTIVE: To provide adequate quality of care. All modern technique for investigation and treatment. Creating facilities for total patient satisfaction. Good public relation

8. ROLES AND FUNCTIONS MODERN INVES. FACILITY & TREATMENT REFFERAL FOR ADMISSION SPECIALISTS CONSULTATION FOLLOW UP CARE AND REHABILITATION OPD MEDICAL STATISTICS TRAINING OF MED. STUDENTS PREVENTIVE & PROMOTIVE SERVICES HEALTH EDUCATION

9. ORGANISATION OF OPD LAY OUT & PHYSICAL FACILITY ADMN. AREA OPD PATIENT COMFORT PUBLIC RELATION

10. LAY OUT PLAN DECENTRALIZED (AT DIFFERENT DEPARTMENTS) CENTRALIZED (ALL SERVICES UNDER ONE ROOF) LAY OUT SIZE (ONE Sqft PER PT VISIT/ 60 Sqmt/ BED) 2 sqmt/ bed Entrance Zone 10 sqmt/ bed Ambulatory Zone 6 Sqmt/ bed Diagnostic Zone DESIGNING (DOUBLE LOADED SINGLE CORRIDOOR) (SINGLE LOADED DOUBLE CORRODOOR ) LOCATION (NEAR TO MAINGATE IN & OUT GATES)

11. OPD LAY OUT DESIGN DOUBLE LOADED SINGLE CORRIDOOR SINGLE LOADED DOUBLE CORRIDOOR DOUBLE LOADED TRIPLE CORRIDOOR

12. PHYSICAL FACILITIES PUBLIC AREA (ENTRANCE ZONE) CLINICAL AREA (AMBULATORY ZONE) PHYSICAL FACILITIES ANCILLARY AREA AUXILLARY AREA CIRCULATION AREA ADMINISTRATIVE AREA

13. ADMINISTRATION AREA ADMINISTATION DEPT. SECURITY STAFFING ADMINISTATION STORAGE RECORDS & REGISTRATION HOUSE KEEPING

14. ADMINSTRATION STRUCTURE MEDICAL SUPERINTENDENT ADDL.MEDICAL SUPERINTENDENT CMO I/C OPD REGISTRATION CLINICIANS TECH. STAFF NURSING SUPT. HELPING STAFF PUBLIC RELATION PHARMACY N/O REG. CLERK/ RECORD CLERK RADIOLOGY VARIOUS CLINICAL SERVICES DNS BEARERS PHARMACIST PATHOLOGY ANS SECURITY STAFF NURSE SANITATION

15. ENTRANCE WIDE RAMPS & STEPS RECEPTION & INFORMATION REGISTRATION COUNTER 100 cm x 60 cm One disk/ 20 pt /hr DRINKING WATER PUBLIC AREA SNACK BAR TOILETS & WASH WAITING AREA (0.1 Sqmt/ patient Visited) PORTER SERVICE

16. DIFFERENT OPDs SUB WAITING AREA CLINICAL AREA SPECIALIST ROOM SPECIAL EXAM ROOM CONSULTATION ROOM

17. INJECTION ROOM DRESSING ROOM ANCILLARY AREA FAMILY PLANNING IMMUNIZATION PAC PHARMACY

18. CENTRAL COLLECTION X-RAY/ ULTRASOUND PHYSIOTHERAPY AUXILLARY AREA ECG ROOM MEDICAL SOCIAL WORKER HEALTH EDUCATION & COUNSELLING DIET COUNSELLING NUTRITION

19. STAIRS, LIFTS, RAMPS CORRIDORS 1.8M WIDE CIRCULATION AREA 30% OF ALL AREA TELEPHONE SECURITY GUARD

20. TROLLEYS & WHEEL CHAIRS PA SYSTEM PORTORS EQUIPMENTS EXAMINATION EQUIPMENTS FURNISHED CONSULTATION ROOM WALL CLOCK T.V

21. MANAGERIAL CONSIDERATIONS POLICY & GUIDELINES OVER CROWDING QUALITY OF CARE PROPER MANAGEMENT STRUCTURE MANAGERIAL CONSIDERATIONS STAFF TRAINING MOTIVATION MONITORING EVALUATION DIRECTION SIGN/ INFORMATION GRAPHIC APPOINTMENT SYSTEM GOOD PUBLIC RELATION

22. Sustained and continuity of high standard patient care. Modern technology and methods. Obtain total patient satisfaction. Highly motivated and trained, skilled hospital staff. Manual of procedures for hospital staff. Periodic training and review system. Recording and retrieval system. System of appointment Morning and afternoon clinics Proper SinageSystem POLICY AND GUIDELINES

23. QUALITY OF CARE TECHNICAL SKILLS HUMAN SKILLS QUALITY MANAGEMENT CONCEPTUAL SKILLS

24. PUBLIC RELATION PATIENCE HEARING RESPECT WARMTH GOOD CLINICAL CARE PATIENT COMFORT MINIMUM WAITING CANTEEN TOILET, VENTILATION WATER SUPPLY GOOD AMBIENCE CLEANLINESS

25. OVER CROWDING AND LONG WAITING SPLIT OPD CENTRAL REGISTRATION SYSTEM OVER CROWDING SCREENING CENTRES QUEING THEORY MORE CONSULTATION ROOMS MORE REGN. COUNTER APPOINTMENT SYSTEM

26. hospiad THANK YOU Hospital Administration Made Easy http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. DR. N. C. DAS