THIS MY DETAILED REPORT ON RAMESH HOSPIAL. IN THE SUMMER INTERNSHIP TIME. IN THIS REPORT WHAT ARE AVAILABLE IN HOPITAL AND MY WORK . MY WORK WAS CUSTOMER SATISFACTION ABOUT THE RAMESH HOSPITAL.
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Detailed report on Ramesh Hospital IN GUNTUR
1. SUMMER INTERNSHIP PROGRAM
Final REPORT
MASTER OF BUSINESS ADMINISTRATION (MBA)
(2017-2019)
Topic: REPORT ON RAMESH HOSPITAL
Submitted By : Y.MADHU VENKAT SAINATH
Regd no : 171FC01085
Faculty Guide Company Guide
S.HANUMANTH A RAO K.P.ZAREENA
Asst.Professor, Senior Patient Care Co-ordinator
Department of Management studies . Ramesh Hospital,Guntur.
Department of Management Studies
Vignan’s Foundation for Science, Technology & Research, Vadlamudi
2. ACKNOWLEDGEMENT
First of all, I would like to thank My university and Ramesh hospital , Who is most beneficial
and merciful, who enable me to do this job very well and HE has given me confidence,
guidance & strength to complete this hospital internship report. This is an interesting and
knowledgeable experience for me. Completion of this report was not an easy task, but by the
support and help of all employees of hospital, it becomes very simple to me. I would like to
pay my gratitude to my Respected Company Guide miss K.P ZAREENA madam on her
cooperation during my internship. I am especially grateful for staff who co-operated to learn
something New.
By: Y.MADHU VENKATA SAINATH
3. CONTENTS
INTRODUCTION
LIFE GOAL
ABOUT THE GUNTUR HOSPITAL
MULTI HOSPITALSERVICES
HIGHLIGHTS
SCOPE OF SERVICES
SERVICES NOT AVAILABLE
LOGO
BOARD OF DIRECTORS
ADMINISTRATION
STATE OF THE ARTTECHNOLOGY AND FACILITIES
MISSION
VISION
CORE VALUES
CUSTOMERS(PATIENTS)
RADIOLOGY
COMPETITORS
ENVIRONMENT
TECHNOLOGY
GOALS
TIMELINE OOF JOURNEY FROM ATTEMPTTO EXCELLENCE
SERVICES
TEAM OF RAMESH HOSPITALS
DEPARTMENTS
PATIENTSERVICES
LATEST EQUIPMENT
EDUCATION
CONTRIBUTIONS
EXISTING FACILITES IN RAMESH HOSPITALS
SWOT ANALYSIS
DESCRIPTION ABOUT ALL OVER THE HOSPITAL
MY WORK IN THE HOSPITAL IN THE INTERNSHIP PERIOD
4. INTRODUCTION
A Man Was born on 27th April 1957, in Denduluru Village, West Godavari
District, Andhra Pradesh, he comes from an agricultural family who believed in
education and reform of society through giving it back. His journey into
medical field began from Guntur medical college where he pursued his MBBS
and went on to specialize in Cardiology. An alumnus of the illustrious AIIMS
institute, New Delhi, Dr. Ramesh Babu did his M.D, D.M Cardiology under
Prof. M.L.Bhatia with a goal to provide the best possible medical care to people
from all sections of the society. To achieve this he choseto serve the people of
Vijayawada and surrounding rural areas in spite of lucrative opportunities
abroad.
Dr. Pothineni Ramesh Babu
Managing Director of Ramesh Hospital
Qualification
MBBS, MD, DM (Cardiology)
5. Life Goal
Providing quality healthcare not only to the people living in cities but also to people living in
semi urban and rural areas by making the services of the specialists and state of the art
equipment available to them.
ABOUT THE GUNTUR HOSPITAL
In 1988 Dr.ramesh babu started a hospital on his name with 6 bed setup but
with his great vision and goal he transformed it into 1,000 beds hospitals build
across major cities in Andhra Pradeshlike Guntur, Vijayawada, Eluru & ongole.
He is the Chief Cardiologist & Intervention Specialist with an experience of 30
years treating over 10,00,000 patients. He is also currently serving as the
Healthcare Panel Convener for Confederation of Indian Industry, Andhra
Pradesh
Ramesh Hospital in Guntur
In March 2015, Guntur RH was inaugurated by the Former President of India,
Dr. APJ Abdul Kalam – ‘The Missile Man of India, and the event was presided
by Union Minister Sri. M. Venkaiah Naidu, Hon’ble Minister for Urban
Development, Govt. of India; Dr. Kodela Siva PrasadaRao, Hon’ble Speaker,
AP Legislative Assembly & Dr. Kamineni Srinivas, Hon’ble Minister for
Health, Govt. of AP .
6. Ramesh Hospital is the state of art super specialty center located in Guntur
boasts of bestmedical practices in a setting comparable to international
standards. After having treated 10,00,000 patients over three decades of
healthcare journey, the unit at Guntur have been shaped to deliver quality
treatment with patient experience & safety as the prime focus. Designed and
constructed as per JCI standards, the unit has received NABH Accreditation in
2016.
Ramesh hospital tie up with ASTER DM health care 2016
To provide international quality services to Ramesh hospital branches
It has sold some share to the Aster DM Health care.
Aster DM Health care is the largest private health care in Asia.
To provide international quality services to local people at lowest prices
The benefit is international experienced doctors will available at Ramesh
hospital at any time
Ramesh Hospitals has established itself as a multispecialty hospital by
expanding its scope of services and has strong presence in krishna, Guntur
and West Godavari Districts. By Consistently practicing scientific medicine
with integrity and dedication, Ramesh Hospitals has gained the trust of
patients and health care professionals from all over the country..
In 2014 ,Ramesh Hospitals became the first teaching Cardiac institute in
new Andhra Pradesh to achieve NABH Accreditation
Multisuperspeciality Hospital
State of the art super specialty hospital located in Guntur
Commenced OP operations in Apr 2015 and IP operations in June 2015
350 bed facility –3,16,000 sq. ft. built up area
1 Cath lab, 128 Slice CT Scanner, 3 Telsa Digital CX MRI
Designed and constructed as per JCI standards.
Achieved NABH Accreditation in September 2016
Liver & Kidney transplant surgeries since July 2017
NABH Re-Accreditation in 2018
7. Highlights
350 Bedded multi super-specialty Hospital with over 50 Specialist
Doctors
Dedicated “Golden Hour” Causality for Heart & Brain stroke patients
8 operation theaters with latest laminar airflow technology
Allengers VENUS with AEC mammography machine for early detection
of Breast cancer
24*7 in-house Blood Bank Services
Round the clock Trauma/Emergency services
Only laboratory accredited by NABL for Biochemistry & clinical
pathology
Recognized Organ Transplant Center
Scope of Services
Anesthesiology
Accident & Emergency
Bariatric surgery
Cardiology
Cardiothoracic & vascular Surgery
Critical care
Dental Sciences
Dental & Maxillofacial surgery
Endocrinology
Pediatrics
Pediatric Cardiology
Nephrology
Neurology
Neurosurgery
General Surgery
Laparoscopic Surgery
General Medicine
Orthopedics & Joint Replacement Surgery
8. Gynecology & Obstetrics
Ophthalmology
ENT
Urology
Dermatology
Pulmonology
Gastroenterology
Radiology & Interventional Radiology
Diabetes
Aesthetic & Plastic Surgery
Psychiatry
Multiorgan Transplant
Emergency, Trauma & Critical Care
Medical gastroenterology
SERVICES NOT AVAILABLE
ONCOLOGY
BURNSUNIT
TREATMENTFOR CANCER
RADIOTHERAPHY
Logo
9. Blue- Technology and Profession
White- Openness & Honesty
Red- Passion and Dedication towards saving life
BOARD OF DIRECTORS
Chairman-Sri MS Rama Mohan Rao
Managing Director-Dr. Pothineni Ramesh Babu
ADMINISTRATION
1. P Gopi Krishna- Group Chief Operating Officer
2. Maj Gen (Rtd) Dr S Kumarvelu- Medical Director – Guntur
4. Dr. Mamatha-COO of Guntur Ramesh Hospital
5. Dr N Kishore-Medical Administrator (Emergency Medical Services) – Guntur
Over 1200 employees,125 doctors (50 Specialized doctors & 75 Duty doctors) available
in the hospital
State-of-the-Art Technology & Facilities
Houses the First time in Navyandhra Pradesh – Philips Ingenia 3.0 Tesla CX
Digital MRI
Philips Ingenuity 128 Slice CT Scanner
Two Philips Catheterization Labs with IVUS & FFR
Eight Operation Theatres with Laminar Air Flow
Fully Automated Laboratory with Johnson & Johnson equipment
Blood Bank
10. Genetic Laboratory
CSSD
Radiology
Ramesh Hospitals -Birth n’ Beyond for women and children is a boutique
maternity center with a dedicated dept. of Gynecology, Neonatology & Pediatrics. The
comfort and convenience of prenatal guidance, birthing suits, lactation support, and post-
delivery care are all brought within the reach of people of Andhra Pradesh.
MISSION
Provide quality treatment to patients with medical expertise, excellence, and empathy and
state-of-the-art equipment in an amicable and assuring ambiance
VISION
Maintain high standards of medical practice
Provide quality and cost effective medical care to patients in the region and beyond
Continue developing as an educational and training institute
Contribute to medical research by participating in national and international study
trial.
CORE VALUES
Commitment to Profession
Compassion for Patients
Care and Concern for Employees
CUSTOMERS (Patients )
The customers here are patients. Patients here are treated with primary care and with
good quality. The patients are left with an opinion of happy long living after the treatment
and there are various check-ups and scanning facilities wherein every patient is studied
heedfully.
For customers hospital provide different health check-ups they are
11. Master Health check-up
Executive Health check-up
Basic Cardiac Health check-up
Basic Diabetic Health check-up
Advanced Diabetic Health check-up
Senior Citizen Health check-up
RADIOLOGY
And there are various types of scanning’s like
1. Ultra sound scanning
2. MRI SCANNING ( Magnetic resonance scanning)
3. CT SCAN ( Compressed Tomogram)
4. X Ray
5. ECG ( Electro Cardio Graphy)
6. EEG ( Electro Encephalon Graphy)
COMPETITORS
There is a huge competition in Guntur for medical services. There are many
hospitals which provide many services for the patients. Hospitals like Lalitha Super specialty
hospital, Sri Rama Hospitals, Guntur Government Hospital and all. There are yoga centers
and Ayurveda centers which are becoming a peril for the hospitals.
ENVIRONMENT
Centrally located in the heart of the city, can be easily accessible from all
corners of the city. It is a one stop center for excellence with multi-disciplinary interaction
under one roof. Customer Relation Management and Coordinators help reach out patients a
stress free treatment assisting them in admission procedure, consultant visits with required
documentation.
12. TECHNOLOGY
First time in Navyandhra Pradesh Philips ingenia 3.0 Tesla CX Digital MRI
Philips ingenuity 128 slice CT scanner
Philips Allura Centron catheterization labs with IVUS & FFR
Fully Automated Johnson & Johnson VITROS 250 & ECI
Laminar Airflow Technology based operation theaters under a single roof
When it comes to surgical technologies within a hospital, the administration needs
to work in conjunction with its physicians and nurses to determine the best strategy. It may be
instinctive to purchase the latest and greatest technologies that hit the market, but surgical
equipment has high upfront costs, so it must be properly have become reputation.
The intraoperative MRI, ECG, EEG and CT scan machinery are very unique and are the
latest ones because they are used in identifying the problems and defects and there is also
ultra sound scanning. Specifically, the most common types of cases that use this technology
are craniotomies for brain tumors, Trans sphenoidal surgeries of pituitary tumors and
placement of deep brain stimulators for Parkinson's disease and also these are used to know
the brain cycles, Epilepsy cases and also problems related to heart and all.
GOALS
Double the owned bed capacity to 700 , with a goal of increasing owned and managed
beds to 1000 by 2019.
Achieve Revenue CAGR of 25% over the next 5 years while improving EBITDA
margins.
Achieve JCI accreditation and sustain total quality and reliability in all areas of
patient care and employee welfare
TO MAKE GUNTUR BRANCH A MOST FAMOUS HOSPITAL LIKE
VIJAYAWADA BRANCH
13. To provide good quality healthcare not only to the people living in cities but also to
people living in rural areas
Timeline Of Journey From Attempt To Excellence :
1988 – First Cardiac Hospital in Coastal Andhra Pradesh
1996 – First to start Cardiac Surgeries and Digital Cath lab in Coastal India (Kolkata to
Chennai)
1997 – Limca book of world records for highest success rate 99.8%
2008 – First cardiac institute in the east coast to be accredited for DNB
2012 – Dr. K. Sharan Cardiology Excellence Award by Indian Medical Association
2012 – First to start heart and brain stroke unit in Andhra Pradesh
2012 – First to start 256 slice CT scanner and FD20 Cath lab in Andhra Pradesh
2013 – Fellowship conferred by International Institute SCAI
2013 – First Hospital to start BLS training general public in Andhra Pradesh – training over
30,000 people
2014 – First Teaching Institute in Cardiology to achieve NABH accreditation
2014 – First to start Doctor @ Your Home facility for patients in Vijayawada
2015 – First to introduce 3.0 Tesla Digital MRI scanner in Andhra Pradesh
2015 – First PGDCC Training Institute affiliated with Texila American University (WHO
recognized)
2015 – First Hospital in Andhra Pradesh to start Telemedicine centers benefitting 28 lakh
people
99.9% success rate for Cath lab procedures – over 60,000 procedures taken up till date
Selected as International Cardiac Interventional Training Centre – KREAD FOUNDATION.
2016- achieved NABH accreditation in September 2016
2017- liver and kidney transplant surgeries since July 2017
14. 2018-Ramesh hospitals acquired sanghamitra hospitals in ongole with 150 bed facility –
98000 sq.ft built up area; owned land and building
Services
Services in our hospital were divided into two types. They are a
a) Multispecialty services
b) Home care services
MULTISPECALITY SERVICES :-
The following are the Multispecialty services provided by Ramesh hospitals:
Anesthesiology
Cardiology
Cardiothoracic Surgery
Neonatology
Pediatrics
Pediatric Cardiology
Nephrology
Neurology
Neurosurgery
General Surgery
Laparoscopic Surgery
Bariatric Surgery
General Medicine
Orthopedics & Joint Replacement Surgery
15. Gynecology & Obstetrics
Ophthalmology
Care Ophthalmology
ENT
Urology
Dermatology
Pulmonology
Gastroenterology
Dentistry
Radiology & Interventional Radiology
Endocrinology & Diabetes
Aesthetic & Plastic Surgery
Psychiatry
Multi organ Transplant
Emergency, Trauma & Critical Care
HOME CARE SERVICES
In continuation of our efforts to bring the best healthcare at the lowest cost and
address your every medical need, Ramesh Hospitals presents all new Homecare
Services, bringing the hospital like care straight to your doorstep. We always put our
patients first. Through our Homecare plans we will travel along with you continuously
throughout the year in your wellness journey to ensure your safety and comfort thus
derive better health outcomes.
All your lab tests, nursing care and physiotherapy will be serviced at your home, at
your convenience at a discounted price. Your medicines will also be delivered to your
home, free of cost.
16. Inside are packages to manage your Diabetes and control your Heart health
minimizing your hospital visits and maximizing your disease control. Avail 10%
discount on pharmacy and free home delivery of medicines. Note that all these
services are available within 5Km radius of the hospital only.
Doctor at Your Home
HomeCare Nursing
HomeCare plans for Pregnancy Management
Out Patient Packages for Diabetes & Cardiac Problem
In Patient Packages for Diabetes & Cardiac Problem
Physiotherapy Plan
TEAM OF RAMESH HOSPITALS
At Ramesh Hospitals You Will Find A Team Of Highly Qualified Doctors
Performing Revolutionary Procedures & Surgeries On Regular Basis And Taking Care Of
Individual Patients. On Regular Basis And Taking Comes As No Surprise As The Hospital
Staff Is Committed To Providing Compassionate, Healing And Safe Environment.
The Top Ranked Team Of Experts At The Hospital Treats The Full Spectrum Of Cardiac,
Neurologic And Other Disorders, Including The Most Rare And Complex Surgeries. With A
Commitment To Treat Every Patient In A Loving And Caring Way, Ramesh Hospitals
Provides A Comprehensive Recovery Environment To Patients.
Patient Services
Admission & Discharge
Credit Facilities/TPA/Insurance
Guidelines for Patients & Attendants
Visiting Guidelines For ICU
Patient rights and Responsibilities
17. Admission
Before you are admitted to the hospital, an admissions counselor will call you to
obtain preliminary information, provide important information regarding your
hospital stay and answer your questions. Your doctoralso may schedule routine
medical tests, such as laboratory tests or X-rays, before your hospitalization.
Other routine tests may be done on the day of your admission.
Discharge
If you need skilled nursing care or physical therapy at home, Case
Management/Social Services will help you arrange this service if medically
necessary. We also will arrange ongoing hospitalization at a skilled nursing
facility or rehabilitation hospital if needed.
If you are not physically able to return home when you are ready to leave the
hospital, you may require acute rehabilitation or skilled nursing care in another
facility. If your doctorthinks you will need this kind of care, you may wish to
visit several facilities before your admission. Our staff can assist you with the
process.
Credit Facilities/TPA/Insurance
Ramesh Hospitals, has tied up with various government and non-government
insurance agencies/companies to provide patients with hassle-free cashless treatment.
The Corporate Empanelment & Cashless Treatment facility at Ramesh Hospitals is
supported by well-trained team of professionals who efficiently handle medical
insurance and reimbursement documentations.
Corporates
Airport authority of India, ap genco, ap epdcl, acharya nagarjuna university, ap transco, ap
state government, ap spdcl, arogya sri scheme, bsnl, canara bank, esi, hpcl, indian cements,
itcl-chirala, guntur, jayapee cements, sangam diary, union bank of india, vidal health, vignan
university.
Insurance
Bajaj Allianz, Cigna tik, Cholamandalam Ms, Hdfc, Ergo, Icici Lambord, Tokio, L & T,
National, New India, Reliance, Oriental, Religare, Star Health, United india.
Third party associates
Dedicated Health Care, Ericson, FHPL, Focus Health, GHPL, Health India, Heritage, MD
India, Medi Assist, Medi seva, Paramount, Raksha, UHC, Vipul Medcorp.
18. GUIDELINES FOR PATIENTS AND ATTENDANTS
Attendants are requested to abstain from requesting for additional facilities like linen /
extra pillow etc., from the hospital.
Attendants are requested to have all their meals at the cafeteria only. Eating in the
patient room is not encouraged.
In case the patient is in the ICU, attendants are requested to follow the instructions of
the hospital staff relating to patient visits. Their instructions are provided in the best
interests of the patient, who is always the first priority.
In case the patient is shifted from one room to another, the patient attendant pass
needs to be changed as well.
In case of loss of the patient attendant pass, the attendant needs to report the loss to
the front desk team immediately to avoid inconvenience
Before the patient is discharged, the attendant pass needs to be handed over to the
front desk.
VISITING GUIDELINES FOR ICU
You can help ushelp your loved one. Please follow the guidelines:
Limit ICU visitors to two at the patient’s bedsideduringregular
visiting hours(until quiet hours). Morethan two visitors are permitted
in the PCU, but in all cases, nursesmay limit visits to help your loved one
rest and heal
Exchange visitors and information in the waiting areas, not at the
bedsideor in doorways
Use the waiting area when not visiting in the patient’s room to help
limit traffic in hallways, doorwaysand the unititself. This helps us
comply with all fire and safety regulations and patient confidentiality
rules
Use hand sanitizerson the wall near the door of each room when
entering and leaving; infection control guidelines are set to help
patient recovery – GEL IN and GEL OUT
Do not bring live flowers, plantsor animals into ICU(flowers are
permitted in the PCU)but balloons, cardsand photographs are welcome
Do not eat or drink in the ICU (food and drink areallowed in the PCU)
Limit cell phoneuse and keep conversationsin a quiet tone; set
phoneringers on low volumeor vibrate
Consider the risk to ICU patients and the need for your visitif you
have a fever or symptomsof an infectiousillness (cold, flu). If you might
be ill, rescheduleyour visit
Providedirectsupervision for children; for safety reasons, please
keep toddlersand infantsat home
19. Rest and take care of yourself so you’rein the best possible health to
help your loved one’srecovery
PATIENT RIGHTS AND RESPONSIBILITIES
Patient Rights:
Care
Right to access to care and clinical records.
Privacy and Confidentiality
Right to respect, personal dignity, privacy and confidentiality.
Communication
Right to communicationabout specialpreferences,spiritual and
cultural needs.
Safety and Security
Right to safety and security from physical abuse or neglect.
Preference
Right to refusal of treatment.
Right to seek a second opinion on his/her medical conditions.
Consent
20. Right to consent.
Information & Education
Right to information on expected cost.
Right to information on hospital rules and regulations.
Right to know the identity of individual providing service to
him/ her.
Right to information and education about plan of care and
their health care needs.
Right to Redress
Right to complaint and on how to voice a complaint.
Patient Responsibilities:
Honesty In Disclosure
To provide complete and accurate information about his/ her health,
including present condition, past illness, hospitalizations, medications,
natural products and vitamins, and any other matters that pertain to
his/her health.
To provide complete and accurate information including full name,
address and other information.
To provide correct and truthful history.
Treatment Adherence
To ask questions when he/she does not understand what the
doctor or other memberof the health care team tells about
diagnosis or treatment.He/she should also inform the doctorif
he/she anticipate problem in the following prescribed treatment or
considering alternative therapies.
To be on time in case of appointments.To cancel or reschedule
21. as far in advance as possible in case of cancellationor rescheduling
of the appointments.
To attend follow up appointment as requested.
Not to take any medications without the knowledge of doctor
and health care professional.
Abide With Rules
Abide by all hospitalrules and regulations:
Comply with the No-smoking policy.
Comply with the visitorpolicy to ensure the rights and comfort
of all patients.Be considerate ofnoise levels, privacy, and safety.
Weapons are prohibitedon premises.
Treat hospitalstaff, other patients and visitors with courtesyand
respect.
Conduct
Not to give medications prescribedfor him / her to others.
To pay for services billed for in a timelymanner as per the
hospitalpolicies.
To respect that some other patient’s that medical condition
may be more urgent that yours and accept that you doctormay
need to attend them first.
To respect that admittedpatient and patients requiring
emergency care take priorityfor your doctor.
To follow the prescribed treatment plan and carefully comply
with the instructions given.
To accept,where applicable, adaptations to the environment to
ensure safe and secure stayin hospital.
To accept the measures taken by the hospitalto ensure personal
privacy and confidentialityofmedical records.
Transparency and Honesty
Provide complete and accurate informationfor insurance, claims
and work with the hospitaland physicianbilling offices to make
payment arrangements.
22. Communication
To communicate withthe health care provider if his/her
conditionworsens or does not follow the expectedcourse.
Intent For Health Promotion
Do everything in my capacity to maintain healthy habits and routines
that contribute to good health, and take responsibility for my health. To
understand thecharter or rights and seek clarification, if any.
LATEST EQUIPMENT
CMO – Extra Corporeal Membrane
Oxygenation
1st ECMO unit in Andhra Pradesh.
Carries Venous blood from the patient removes CO2 & enrich with
O2 ,re-enters patient circulation.
Indications:
Respiratory Failure
Cardiac Failure
Septic Shock
ECPR
Thromboelastographic (TEG)
23. 1st in Andhra Pradesh
To know the efficiencyof blood coagulation
To know the platelet functions –Dengue fevers.
Indications :
To transfuse appropriate componentof blood
To prescribe appropriate medication
To give effective treatment for Dengue hemorrhagic fever .
To monitor coagulation in organ transplantation.
Laser Endo Urology – Litho 30, Cyber TM 200
Litho 30
Dusting of the stone instead of making biggerpieces
Can reach any part of urinary tract without having to make incision
and puncturing the kidney (more complexprocedure with
24. complications)
Cyber TM 200 1st in Andhra Pradesh
Can remove even big prostates without open surgery
Chances of bleeding much less than conventional surgery
even in patients on anticoagulants
Argon Plasma Coagulation (APC )
To control the intra-abdominal bleeding without open surgery.
To treat the intra-abdominal tumors.
Surgical Microscope -Sanma
1st in Andhra Pradesh , 1st Made in India Microscope
Fully Motorized.
Eye focus Variable lens 200 mm – 500 mm.
Can be used in –
Neurosurgery
ENT surgeries,
Plastic Surgeries
25. Ortho-Spine surgeries.
EDUCATION
First Cardiac Institute in the Coastal belt to be accredited by GOI for DNB
Cardiology , DNB Cardiothoracic Surgery .Affiliated with IGNOU for PGDCC Program.
It has been enriching experience since Ramesh Hospitals was granted the
permission by the Central Government to conduct the prestigious DNB ( Cardiology &
CTVS) training programme. the hospital takes pride in the students who pass out with flying
colors every year.
The Hospital is also affiliated to Indira Gandhi national Open University (IGNOU)
for conducting PGDCC(Post Graduate Diploma in Clinical Cardiology) programme. in fact ,
the very first year when the hospital hosted the training programme, all the 10 students of the
first batch passed out with distinction .
CONTRIBUTIONS
Highest quality of treatment to Aarogya Sri Beneficiaries (450 consecutive patients of
Aarogya Sri subjected to PCI with 0% mortality rate)
Over 1500 Medical Camps and Free Clinics in rural areas
Contribution during Kargil War, Hudhud Toofan, Nepal Earth Quake victims
Charity Services to the people below poverty line through 6 Trusts
Water purifying RO plant to APSRTC Employees at vijayawada
EXISTING FACILITIES OF RAMESH HOSPITALS
1. Main Hospital & Teaching Cardiac Institute, Vijayawada
Company’s flagship NABH accredited hospital located in the heart of Vijayawada
26. Commenced operations in 1988
160 bed facility – 75,000 sq. ft. built up area constructed on leasehold land of 27,000
sq. ft.
FD20 & F10 Cath labs with IVUS & FFR; 4 Operation Theatres
Primary focus on Cardiology and Pediatric Cardiology
Also conducts academic programmes in Cardiology – PGDCC and DNB Cardiology
2. MG Road/ Labbipet Hospital, Vijayawada
Multispecialty hospital located in MG Road, Vijayawada
Commenced operations in 2011-12
50 bed facility – 30,000 sq. ft. built up leased area on leasehold land of 9,500 sq. ft.
256 Slice CT Scanner and 2 Operation Theatres
Focus specialties include Neurology, Orthopedics and Gastroenterology
NABH entry level accreditation
3. Multisuperspeciality Hospital, Guntur
State of the art super specialty hospital located in Guntur
Commenced OP operations in Apr 2015 and IP operations in June 2015
350 bed facility –3,16,000 sq. ft. built up area
1 Cath lab, 128 Slice CT Scanner, 3 Telsa Digital CX MRI
Designed and constructed as per JCI standards.
Achieved NABH Accreditation in September 2016
Liver & Kidney transplant surgeries since July 2017
4. Ramesh Sanghamitra Hospital, Ongole
Started multi-specialty services in 2011. Acquired by Ramesh Hospitals in April 2018
150 bed facility – 98,000 sq.ft built up area; owned land and building
1 Cath lab, Dual Slice Slice CT Scanner, 1.5 Telsa MRI
Achieved NABH Accreditation in February 2017
27. DEPARTMENTAL STUDY :-
In order to function efficiently and effectively every organization has a functional
department. it’s important to divide departments so that the work is divided into units and
departments. This division of the work is helping in bringing specialization in various
activities of concern and helps in putting right men on right job which can be done by
selecting people for various departments according to their qualifications, skills and
experience. This is helping in defining the jobs properly which clarifies the role of every
person.
Ramesh hospital has the following departments :-
Finance department
Hr department
Marketing department
It department
Medical records department
CSSD department
28. FINANCE DEPARTMENT :-
Finance function at Ramesh hospitals :-
There exits an inseparable relationship between finance and other functional departments
almost all kinds of business activities ,directly or indirectly involve the acquisition and use of
funds.
The functions are :
Proper use and allocation of funds.
Taking sound financial decisions.
Improving profitability through proper financial controls.
Billing :-
The billing department has three different sections :-
1. Inpatient billing
2. Outpatient billing
HUMAN RESOURCE :-
A human resources department is a critical component of employee well-being in any
business, no matter how small. HR responsibilities include payroll, benefits, hiring, firing,
and keeping up to date with state and federal tax laws.
29. CSSD (central sterile supply department) :-
The central sterile supply department (CSSD), also called sterile processing department
(SPD), sterile processing, central service department (CSD), or central supply it is an heart of
the hospital. It is an integrated place in hospitals and other health care facilities that performs
sterilization and other actions on medical devices, equipment and consumables, for
subsequent use by health workers in the operating theatre of the hospital and also for other
aseptic procedures, e.g. catheterization, wound stitching and bandaging,etc.
Sterilization is the process of destroying all living organisms on an item and is the main task
of most Central Service departments. Items to be sterilized must first be cleaned in a separate
decontamination room and inspected for effectiveness, cleanliness and damage. There are
multiple methods of sterilization, and which one is used is dependent on many factors
including: operational cost, potential hazards to workers, efficacy, time, and composition of
the materials being sterilized. In the US, one of the cheapest and easiest methods is steam
sterilization, where instrumentation trays and packages are placed in a chamber which is
them filled with steam (usually 250-270 °F), killing all microorganisms. Sterilization can also
be achieved using Ethylene Oxide(ETO) gas.
Sterile processing departments are typically divided into four major areas to accomplish the
functions of decontamination, assembly and sterile processing, sterile storage, and
distribution.
Decontamination
Decontaminating used surgical instruments and other medical devices
Operating and maintaining special decontamination equipment like automatic washers
Inspecting decontaminated items to make sure they are clean
Assembly
30. Organizing clean items and packaging them into appropriate instrument trays and sets
Sterilization and storage
Sterilizing assembled trays of instruments
Precisely operating and monitoring special sterilization equipment like autoclaves
Keeping detailed records of items that have been cleaned, sterilized, and stored
Distribution
Stocking crash carts
Organizing sterilized medical supplies
Ensuring that sterile supplies don’t become outdated / preventing event related sterility
issues
Delivering sterile supplies where they are needed and picking up dirty ones
NURSING DEPARTMENT :-
Team of highly skilled and highly trained medical and nursing professionals work in
collaboration with members of the health care team in achieving the best possible outcomes
for our patients. An interdisciplinary team plans and directs the provision of care throughout
the continuum from admission through discharge and facilitates referrals with appropriate
resources and agencies.
FACILITY SERVICE DEPARTMENT :-
Facility service department consists of these teams that are given below
1. Nursing Assistant boys
31. 2. Sweepers
3. Store boys
4. Security guards
5. Maintenance department
So, these are the some departments which are working under the support service department.
Without support services department hospital can’t survive for few seconds. Basically this
department provides the basic needs to the patients/attendants so that they can have good stay
in hospital.
CLINICAL COORDINATOR :-
Responsible for organizing and overseeing the administrative aspects of health services and
hospital departments. They work in hospitals, clinics, academic medical programs, and other
patient care environments.
SWOT ANALYSIS
STRENGTHS
Dedicated Team of Highly Qualified Doctors and Nurses.
Strong Brand Name and Loyal Patient Base in Andhra Pradesh.
Competitive Advantage through Low Real Estate Cost.
Proven Ability to Execute Green Field Hospital Projects.
Publications, Research and Training Programs.
Pioneer in Deployment of Latest Technology.
WEAKNESS
32. Ramesh Hospital which is located in Eluru Road (Main Road) is super specialty
hospital and the branch in Guntur is newly established so it needs to get on over other
hospitals to withstand. To sustain long term in market hospital needs to adjust the package
prices moderately low.
OPPORTUNITY
As it is newly established branch in Guntur and so far there are no other
hospitals that could compete with the fame of Ramesh Hospitals so there is an opportunity to
succeed.
THREAT
Guntur and Vijayawada are the cities that are populated in the range of middle class
families. So they are getting their treatment from other hospitals like Lalitha, Sai Bhaskar
and City Guntur hospitals etc. Too much costs are issued for the treatments when compared
to other hospitals.This is newly formed capital so may be foreign competitors may enter in
hospital field in guntur
SERVICES & CONTRIBUTIONS
Highest quality of treatment to Aarogya Sri Beneficiaries (450 consecutive patients of
Aarogya Sri subjected to PCI with 0% mortality rate)
Over 1500 Medical Camps and Free Clinics in rural areas
Contribution during Kargil War, Hudhud Toofan, Nepal Earth Quake victims
Charity Services to the people below poverty line through 6 Trusts
Water Purifying RO Plant to APSRTC Employees at Vijayawada
CSR INITIATIVES
Free camps across Andhra Pradesh
Free daily OPD for people below the poverty line
Adopted 2 villages Chinnaavtapalli & Peddaavtapalli for health care needs
Conducting Basic Life Support (BLS) in schools and colleges.
Neighborhood Camps
Awareness talks in clubs, schools, and colleges
33. ROLE OF INTERNSHIP ACTIVITIES:-
These are some activities which I performed during my internship.
Firstly I would like to give sincere thanks to my company guide KP.Zareena madam for
locating us in a floor which has chance to know a lot and I like to thank the staff who
helped me to know about the things I don’t know.
I had a memorable experience from joining the internship program at Ramesh hospitals,
Guntur. In addition to daily work I had great opportunity to meet different people
working over there. Be sides, I made a lot of colleagues during the course of internship.
I will explain the work done by the staff from basement 3 to 8th floor
accordingly
Basement 3
Four wheel vehicles parking slot
Here the security guards play a key role on their work allotment
Basement 2
Two wheeler vehicles parking area
Doctors vehicle parking
Here also security guards play a key role in safeguarding the parked
vehicles
Basement 1
HR Department
Telephones
34. Audit Department
Employs lunch
Medical record
Stores
Bio medical
Clothes Stretching
CCTV
Ground floor
Reception
Billing
ER1
Pharmacy
CEO chamber
IP billing
ER2
IP Administration
Coffee Day
Radiology
Consultation Rooms
First floor
Ophthalmology
35. Cafeteria
Billing
Duty doctor consultation
Pediatric cardiac consultation
Nan otology consultation
Diet consoling
CRM
X-ray
ECG, ENMG, NCS & EMG
Dental X-Ray film develop area
Credit and billing/all insurances
Ultra Sound
TMT
Medical Superintendent
Second Floor
Dental Department
Cath lab
MICU & ICU
OP consultation
Nursing superintendent
Home care services
36. Quality Department
Physiotherapy Consultation area
Source of information room
Third floor
Attenders waiting room
Economy ward, step down, stroke unit
CCU (Cardiac critical unit)
AV counseling room
MD chamber
Marketing in charge rooms
Conference hall
Cardiac consultation rooms
Fourth floor
Operation Theatre with Laminar Air Flow
Isolation Rooms
OT ICUs
Post-Operative Rooms
Transplant Complex
Description
Operation Theatre- Total are of 5 where Operations are done
Isolation Rooms- It is used for Observation of Patients before going to
Operation
37. OT ICU's- Total are of 4 where every patients of all categories will stay
here Separately
Post Operation Rooms- After the Operation is done Patients are Shifted
here
Transplant Complex- Total are of 3 where Organ Transplantation can be
done
Pharmacy- what the Medicines are used for the Operation can be
available here
Holding Area- The Area which can be used for Patients before going to
Operation
Equipment stores- The area which can be used to store the necessary
Equipment’s for Operation
Fifth floor
Laboratory
Blood Bank
CSSD
Central Pharmacy
Counselling Rooms
Dialysis Unit
Sixth floor
Mother and Child Department
NICU & PICU
ECMO
Patient Registration
Septic Operation Theatre
Step Down ICUs
38. Seventh floor
Single Rooms
Sharing Rooms
Suite Rooms
Description
In 7th floor there are total of 36 rooms
They can be divided as 4 - Suite rooms ,18 - Single rooms, 14 - Sharing
rooms which capacity total of 50 beds
There are 2 Nursing Stations and 1 Bills Closing Section
Bills Closing Section - All Patients Bills are closed and they are
forwarded to 1st floor or Ground
Nursing Stations - Only the Summary is Prepared
In Summary Process the Consultant Corrections, Patients Billing
Attendants, later Money/Checkout
Doctors Consultation notes can be given daily
Duty Doctors-they give instructions to patients
There is a Nurse call which is used as Alarm which is fixed on every
P0atients room, if they press the alarm
Crash Trolley- Used for Shokes which can be done in step to step process
which consists of 5 draws and it is used for the people who are done with
training BLS(Basic Life Support)
Suction Jar- Used to Suck water and blood segments
Eighth floor
Employment training sessions
BLS classes
Suite rooms, sharing & single rooms
39. My Work
First 10 days of my internship I followed the patient discharge process &
collecting feedback from them in 3rd floor
o Next I shifted to 2nd floor op consultation rooms
I collected feedback from out patients about hospital services
The feedback form look like
40. Arranging the patients according to the time they reached the
consultation rooms
Translating the language and making patient feels
comfortable
Participated in System work and observed some tests like
uroflow
Collected feedbacks nearly 3000
Observed the works allotted to each member in this
organization
BLS importance and learned it