DE 2567 DE DISTANCE EDUCATION M.B.A. (HM) DEGREE EXAMINATION, DECEMBER First Semester PRINCIPLES OF HOSPITAL MANAGEMENT (2005 onwards)

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1 DE 2567 M.B.A. (HM) DEGREE EXAMINATION, DECEMBER First Semester PRINCIPLES OF HOSPITAL MANAGEMENT 1. Explain the importance of hospital management. 2. Describe the different types of decision making. 3. What is organisation charts? List down its merits and demerits. 4. State the qualities of a successful leader. 5. What is strategic alliance? Enumerate its significance. 6. How would an employer of a hospital motivate his employees? 7. Discuss the essentials of effective communication. 8. Outline the business process re-engineering in hospital management. 9. Elucidate the steps involved in hospital planning. 10. Outline briefly the structure of hospital organisation. 11. Explain the styles of Leadership in hospitals. 12. Describe the maslow theory of motivation. 13. Discuss the barriers of hospital communication. How do you overcome the barriers? 14. What is supply chain management? How do you use it hospitals? List down its merits and demerits. 15. Planning and control are closely related with each other - Discuss. 11 1

2 DE 2568 M.B.A. (Hospital Management) DEGREE EXAMINATION, DECEMBER First Semester HEALTH ECONOMICS (2005 Onwards) PART A (5 8 = 40 marks) 1. Brief the healthcare system in India. 2. Mention the features of health economics. 3. Detail the economic policy tools in Indian healthcare. 4. Discuss the forms of elasticity in healthcare. 5. What is budget? Mention the types of budget. 6. What is the need for economic analysis in healthcare? 7. How do you measure the productivity of the hospital? 8. What is external economy? Explain. PART B (4 15 = 60 marks) 9. List and explain the economical indicators of healthcare. 10. Write brief notes on : (a) Scarcity in healthcare (b) Healthcare in free market. 11. Brief the health expenditure pattern of Indian healthcare. 12. Write in brief about demand and supply in healthcare. 13. Mention the methods of pricing the hospital services. 14. Explain the mechanics of Cost benefit analysis. 15. Discuss the content of Indian healthcare economy and brief the implications of medical tourism or Indian health economy. 12 2

3 DE 2569 M.B.A. (HM) DEGREE EXAMINATION, DECEMBER First Semester HEALTH POLICY AND HEALTH CARE SYSTEM PART A (5 8 = 40 marks) 1. Explain the world population trends. 2. Discuss the significance of health policy. 3. Describe the salient features of national health policy. 4. What are all the roles of corporate hospitals in health care? 5. Explain the impact of life style in health. 6. Trace out the natural history of diseases. 7. Write short note on PAI. 8. Explain the role of WHO? PART B (4 15 = 60 marks) 9. Write an essay on India Demographic structure. 10. What do you mean by health planning? Explain planning under recent five year plan. 11. Briefly explain the various levels of health care in India. 12. Describe the determinants of health. 13. Explain the changing patten by diseases and its mode of intervention. 14. Write short note on voluntary health agencies in India. 15. Briefly explain on : (a) (b) (c) UNDP. Tuberculosis association of India. UNICEF. 13 3

4 DE 2570 M.B.A. (HM) DEGREE EXAMINATION, DECEMBER First Semester HOSPITAL PLANNING AND DESIGNING 1. Define Hospital. Brief on Hospital as a Social system. 2. Write notes on construction and commissioning. 3. List down the steps in hospital planning. 4. Enumerate the guidelines for selecting an architect. 5. Discuss the factors influencing the hospital utilisation. 6. What do you mean by hospital zone? Explain. 7. Define communication. Discuss the functions of front office information desk in relation to customer care. 8. Write some standards for centralised medical gas system in a hospital. 9. Brief the responsibilities of Hospital Administrator. 10. Describe the various processes in planning. 11. Sketch an outline on the layout of diagnostic zone of a 350 bedded multispeciality hospital. 12. What is hospital interior designing? Explain the importance of sign boards in patient education. 13. Detail the electrical and mechanical standards of surgical theatre. 14. Discuss in detail on the emerging concepts as hospital facilities planning. 15. Bio Medical Waste management Discuss in detail. 14 4

5 DE 2571 M.B.A. (HM) DEGREE EXAMINATION, DECEMBER First Semester ORGANISATIONAL BEHAVIOUR PART A (5 8 = 40 marks) 1. Explain the models of organisational behaviuor. 2. Describe various theories of personality. 3. How does operant conditioning work in learning? 4. Explain the concept of group cohesiveness. 5. Describe the different styles of leadership. 6. How is the term stress defined? Is it always bad for people? Discuss. 7. Discuss the techniques for improving the organisational climate. 8. Explain the role of change agent. PART B (4 15 = 60 marks) 9. Discuss the sources and characteristics of power. 10. What is the relevance of perception in understanding the organisational behaviour? 11. Explain the managerial actions for encouraging group cohesiveness in an organisation. 12. Discuss the principles of an effective communication system. 13. What are the major factors that influence the organisational politics? 14. Describe the process of organisational change in detail. 15. Why resistance to change arise and how it can be overcome? 15 5

6 DE 2572 M.B.A. (Hospital Management) DEGREE EXAMINATION, DECEMBER Second Semester HOSPITAL CORE SERVICES 1. Write a brief note on Hospital services. 2. What are the functions of Nephrology? 3. Brief about Nuclear Media Unit. 4. Write a note on Radiotheraphy. 5. What are the common problems faced in out patient Department? 6. What is the role of Housekeeping department in maintaining the premises? 7. What are the objectives of Nursing Administration? 8. Write a note on transport service department. 9. Explain the importance and utility support required for Gasteroenterology in an Hospital Lay out. 10. Write brief note: (a) plastic surgery (b) physiotheraphy (c) urology 11. Brief the safety procedure that should be followed in the laboratory. 12. Mention the various types of ambulance services. 13. Enumerate the function of blood bank in Hospitals. 14. Explain the role of Hospital Administration for a 500 bedded hospital. 15. Write down the job description at different Hierarchical level of Nursing Services. 21 6

7 DE 2573 M.B.A. (HM) DEGREE EXAMINATION, DECEMBER Second Semester HOSPITAL SUPPORT SERVICES PART A (5 8 = 40 marks) 1. What are the principles of organising? Explain. 2. Explain the functions of any two supportive department in managing a hospital. 3. What are the duties of nursing department? 4. Explain the importance of records management in hospitals. 5. How will ensure safety in the laboratory of a hospital? Explain. 6. Highlight the importance of managing blood back in a hospital. 7. Briefly explain the different working arrangement made in hospitals. 8. Explain the significance of stores management. PART B (4 15 = 60 marks) 9. Discuss in detail the role played by the various departments in a hospital. 10. What is ward management? Explain the importance of it managing a hospital. 11. What are emergency services? Highlight their role in hospital management. 12. Discuss in detail the rules and conduct of laboratories inhoused in a hospital. 13. Critically examine the general rules of safety in all the departments of a hospital. 14. Discuss in detail the different services provided in lenin and laundry department of a hospital. 15. Explain the functions of dietary services in a hospital. 22 7

8 DE 2574 M.B.A. (HM) DEGREE EXAMINATION, DECEMBER Second Semester HUMAN RESOURCE MANAGEMENT IN HOSPITALS PART A (5 8 = 40 marks) 1. What do you understand by the term Human Resources? Describe the nature of human resources. 2. Discuss the importance of psychological tests and interviews in employee selection for hospitals. 3. Explain the causes and objectives of transfers. 4. Describe the various types of fringe benefits offered to employees. 5. What are the major factors that determine individual behaviour? 6. How does organizational culture differ from social culture? 7. Discuss the significance of providing welfare facilities to workers. 8. Describe the cause of industrial fatigue. PART B (4 15 = 60 marks) 9. What are the objectives of manpower planning? Illustrate with examples the process of manpower planning at the enterprise level. 10. Describe the advantages and disadvantages of internal and external sources of recruitment. 11. Discuss the importance of training in the fast changing environment. How can training needs of employees in an organisation be identified? 12. What measures can be taken to ensure industrial safety? Explain. 13. Discuss how an understanding of attitudes is useful for study of organizational behaviour in hospital management. 14. Describe in detail the characteristics of change agents in hospital management. 15. Differentiate between demotion, discharge and promotion. Explain the ingredients of a scientific promotion policy. 23 8

9 DE M.B.A. (HM) DEGREE EXAMINATION, DECEMBER Second Semester MATERIALS MANAGEMENT IN HOSPITALS 1. Explain Materials Management and write the objectives of Material Management. 2. Write the significance of purchasing policy. 3. What are the procedures of purchasing? 4. Write the importance of Material Handling. 5. What are the functions of stores management? 6. Explain the techniques of inventory management. 7. Write brief notes on import duty exemptions. 8. Explain the principles of scientific purchasing. 9. Briefly explain the advantages of Integrater Materials Management. 10. Explain the major factors of purchasing. 11. Briefly explain the documents regarding imports of equipments and medicines for hospitals. 12. Explain the selection of materials handling equipments. 13. Briefly explain the stores accounting records. 14. Write the importance of Inventory Management. 15. Write the essentials of sound purchasing policy. 9

10 DE 2576 M.B.A. (HM) DEGREE EXAMINATION, DECEMBER Second Semester ACCOUNTING AND FINANCIAL MANAGEMENT PART A (5 8 = 40 marks) 1. Define accounting and give main objectives of accounting. 2. Explain the main functions of accounting. 3. Distinguish between Receipts and Payments Account and Income and Expenditure Account. 4. Why are final accounts prepared? 5. What are the various income that are taxable under the head income from business or profession? 6. Explain the various sources of finance available to the hospital management. 7. What is social cost-benefit analysis? 8. Why expenditure management is important in hospital administration? PART B (4 15 = 60 marks) 9. Discuss the advantages of double entry system of book keeping. 10. Moon and Star Co., Ltd., is a company with an authorised capital of Rs. 5,00,000 divided into 5,000 equity shares of Rs. 100 each on of which 2,500 shares were fully called up. The following are the balances extracted from the ledgers as on Trial balance of Moon & Star Co., Ltd., Debit Rs. Credit Rs. Opening stock 50,000 Sales 3,25,000 Purchases 2,00,000 Discount received 3,150 Wages 70,000 Profit & loss a/c 6,220 Discount allowed 4,200 Creditors 35,200 Insurance (upto ) 6,720 Reserves 25,000 Salaries 18,500 Loan from Rent 6,000 managing director 15,700 General expenses 8,950 Share capital 2,50,000 Printing 2,400 Advertisements 3,800 Bonus 10,500 Debtors 38,700 Plant 1,80,500 Furniture 17,100 Bank 34,700 Bad debts 3,200 Calls-in-arrears 5,000 6,60,270 6,60,270 You are required to prepare profit and loss a/c for the year ended and a balance sheet as on that date. The following further information is given. (a) Closing stock was valued at Rs. 1,91,

11 (b) Depreciation on plant at 15% and on furniture at 10% should be provided (c) A tax provision of Rs. 8,000 is considered necessary (d) The directors declared an interim dividend on for 6 months ending June 30, 6%. 11. The U Hospital gives you its receipts and payments a/c for Prepare income and expenditure account. Receipts and Payment a/c Rs. Rs. To balance b/d 1,200 By sport equipment 3,500 To subscription 15,300 By rent 1,000 To sale of newspapers 300 By cost of To donations for entertainment 10,100 buildings 10,100 By miscellaneous To sale of Expenses 800 furniture 600 By investments 10,000 By balance c/d 2,100 27,500 27,500 Investment considered of 4% Govt. loan and were purchased on Subscription included Rs. 700 for 1996 and Rs. 200 for Subscription for 1997 still receivable were Rs. 1,500 but of these Rs. 200 were considered doubtful. 12. Explain the expenses expressly allowed and disallowed while computing income chargeable under the head profits and gains of business or profession. 13. Discuss in detail the applicability of service tax for hospitals. 14. Describe the various types of budgets. 15. Give a detailed account of hospital expenditure management. 11

12 DE 2577 M.B.A. (HM) DEGREE EXAMINATION, DECEMBER Third Semester MANAGEMENT INFORMATION SYSTEM 1. Explain system testing and its implementation. 2. Describe the components of information systems. 3. Briefly define the organization structure and its activities? 4. What are the five types of information system resources? Explain. 5. Explain Executive information and decision support system. 6. Briefly define the MIS concept with an example. 7. Explain the following : (a) (b) Chat. (c) Voice conferencing. (d) Telephone networking. 8. Explain the concept of client/server computing with an example. 9. Explain the system development life cycle process in detail. 10. Describe the components of computer system in detail. 11. Describe the recent developments in information technology. 12. Explain the technique of value added network in data transmission. 13. Illustrate the different types of network with example. 14. Describe the benefits of Electronic commerce to organizations in detail. 15. Describe the applications of internet and website management in detail

13 DE 2578 M.B.A. (Hospital Management) DEGREE EXAMINATION, DECEMBER Third Semester RESEARCH METHODS 1. Distinguish between Research methods and Research Methodology. 2. What is the necessity of defining a research problem? Explain. 3. Give your understanding of a good research design. Is single research design suitable in all research studies? If not, why? 4. Discuss the relative merits and demerits of Rating Vs. Ranking scale. 5. Clearly explain the difference between collection of data through questionnaires and schedules. 6. What do you mean by multivariate analysis? Explain how it differs from bivariate analysis. 7. Distinguish between field editing and central editing. 8. Describe the precautions that the researcher should take while interpreting his findings. 9. Describe in brief, the layout of a research report, covering all relevant points. 10. Discuss the procedure of testing Hypothesis. 11. Describe briefly the commonly used sampling distributions. 12. Processing of data implies editing, coding, classification and tabulation Describe in brief these four operations pointing out the significance of each in context of research study. 13. Distinguish between an experiment and survey. Explain fully the survey method of research. 14. Explain the meaning and significance of a Research design. 15. Briefly describe the different steps involved in a research process

14 DE 2579 M.B.A. (Hospital Management) DEGREE EXAMINATION, DECEMBER Third Semester HOSPITAL RECORDS MANAGEMENT 1. Describe the history of medical records. 2. Discuss the functions of medical records department. 3. What is deficiency check? Explain it. 4. How will you maintain the admission records? 5. Explain the importance in standardizing the medical forms. 6. State the significance of computerization of medical records. 7. Give short note on medical audit. 8. Explain law of evidence under legal aspects of medical records. 9. Briefly Explain the advancement in medical records. 10. Write short note on: (a) Filing system (b) Indexing (c) Storage. 11. Explain the process involved in pharmacy record maintenance. 12. Explain in detail on hospital administrative records. 13. Write a note on records in infection control. 14. Critically examine the legal aspects of medical records. 15. Explain the significance of Medical Records

15 DE 2580 M.B.A. (Hospital Management) DEGREE EXAMINATION, DECEMBER Third Semester HOSPITAL RELATED LAWS 1. Explain in brief about Medical Termination of Pregnancy Act. 2. Mention the objectives of Pharmacy Act. 3. Detail the content of Shop and Establishment Act. 4. Discuss in detail about payment of wages act. 5. Detail the applicability of Workmen's compensation Act for Hospitals. 6. Explain in brief about Factories Act. 7. Brief in detail about Medical Negligence. 8. Explain in detail about the medico legal cases. 9. Explain the importance of Central Births and Death registration act. 10. Explain the process for a hospital to get approval of organ transplantation under Transplantation of Human Organs act. 11. Brief in detail about the legislation for tobacco control. 12. Mention in detail about drugs and cosmetics act, Write brief notes on Payment of Bonus act and Payment of Gratuity act. 14. Brief in detail about the Industrial disputes act, What are the leaves to which a woman is entitled in case of miscarriage or illness arising out of pregnancy? 34 15

16 DE 2581 M.B.A. (Hospital Management) DEGREE EXAMINATION, DECEMBER Third Semester OPERATIONS RESEARCH 1. Explain in brief about the principles and assumptions of operation research. 2. Solve the following LPP graphically. Maximize z = 120 x + 100y Subject to the constraints : 10x + 5y 6x + 6y 4x + 8y 5x + 6y x 0, y Solve the following assignment problem for minimization with cost (in rupees) matrix as : Machine Jobs A B C D E What is Monte-Carlo simulation? Explain its applications. 5. In a bank where there is a single server, the arrival rate of customers is 5 per hour and service rate is 8 per hour. Assuming the conditions for the single channel queuing model, find out : (a) The probability that the serve is idle. (b) The probability that there are at least two customers in the system. 6. Write brief notes on degeneracy and pivot value. 7. Write brief notes on North West corner rule and least cost method. 8. Explain the applications of network techniques in health sciences. 9. Brief the queuing models in detail. 10. Solve the following L.P.P. by using Simplex method : Max z = 3x1 + 5x2 + 4x3 Subject to the constraints : x1 + x2 + x3 < 10 5x + 3x + 2x x, x 1 2, x

17 11. A project designed to refurbish a hospital operating theatre consists of the following Activity activities, with estimated times and precedence relationship shown. Using this information draw a network diagram, determine the expected time and variance for each activity, and estimate the probability of completing the project within sixty days. Immediate predecessors Optimistic Time Most likely Time Optimistic Time A B C A D B E B, C F D List and define operation research models. Define the steps of modeling. 13. A self-service grocery store employs one cashier at its counter. Eight customers arrive (a) (b) (c) (d) on an average every 5 minutes while the cashier can serve 10 customers in 5 minutes. Assuming Poisson distribution for arrival and exponential distribution for service rate, find Average number of customers in the system Average number of customers in queue. Average time a customer spends in the system Average time a customer waits before being served. 14. Obtain an initial basic feasible solution to the following transportation problem using Vogels approximation method. I II III IV A B C D A bakery keeps stock of a popular brand of cake. Previous experience shows the daily demand pattern for the item with associated probabilities, as given below : Daily demand : Probability : Use following random numbers to simulate the demand for next 10 days. Random Nos : Also estimate the daily average demand for the cakes on the basis of simulated data. 17

18 DE 2582 M.B.A. (HM) DEGREE EXAMINATION, DECEMBER Third Semester MARKETING OF HOSPITAL SERVICES 1. Explain the significance of service marketing. 2. Give short notes on Service mix. 3. Explain the diversification strategy and elimination of services. 4. Bring out the importance of branding of hospital services. 5. Describe the role of Medical Camps in suburban centres. 6. Write short notes on logistic management. 7. Illustrate the advertising strategies of corporate hospitals. 8. What is internal marketing? 9. Enumerate the market segmentation in hospital services with illustration. 10. Explain the elements of services product mix. 11. Discuss the factors affecting pricing of hospital services. 12. Explain in detail the promotion mix of hospital services. 13. Explain the process involved in the delivery of hospital services. 14. Explain the importance of physical evidence to hospital services. 15. Examine the relevance in franchise of hospital services

19 DE 2583 M.B.A.(HM) DEGREE EXAMINATION, DECEMBER Fourth Semester QUALITY MANAGEMENT IN HOSPITALS 1. What is quality? Explain its significance in managing a hospital. 2. What are the contents of ISO manual? 3. Explain the purpose of quality assurance. 4. Briefly explain the significance of quality circles. 5. How will you standardise the various functions of a hospital? Explain. 6. Explain the significance of carrying out self-assessment process by a hospital. 7. Explain the importance of quality strategy. 8. What are the components of a training plan? Explain 9. Discuss in detail the concept of TQM. 10. Briefly explain the characteristics and benefits of ISO Explain the different methods used for quality assurance in hospital. 12. Briefly explain the process of quality system assessment. 13. Discuss in detail the purpose and method of evaluating hospital performance. 14. Write short notes on: (a) Brain storming (b) Cause and effect analysis (c) Scatter diagram. 15. Write short notes on: (a) Business process analysis (b) Bench marking (c) Problem solving

20 DE 2584 M.B.A. (HM) DEGREE EXAMINATION, DECEMBER Fourth Semester HOSPITAL HAZARDS MANAGEMENT 1. Write note on biological hazards. 2. What is hospital hazards management? Explain. 3. What is deep burial? Explain. 4. Discuss the schedules of TNPCB. 5. How biomedical waste products regregated? 6. Write brief notes on sewage disposal. 7. What is the role of TPA is medical insurance? 8. What is third party insurance? 9. What are the impact of hospital hazards on employees? 10. Write the principles of hospital hazards management. 11. Explain the various types of infections. 12. What are the various standards used for biomedical waste disposal? 13. What are the drawbacks of improper disposal of wastages? 14. Explain the modem sewage treatment with diagram. 15. Discuss the role of ICICI Lombard Insurance Company

21 DE 2585 M.B.A. (HM) DEGREE EXAMINATION, DECEMBER Fourth Semester DISASTER MANAGEMENT (2005 Onwards) PART A (5 8 = 40 marks) 1. Why disaster management is considered as a crucial subject in Hospital management? 2. Describe any one famine and its effects caused due to drought. 3. What are hazardous materials? Give examples. 4. What are the principles of transport management? 5. What are the precautions to be taken to avoid plague? 6. What is an out break of a disease? How does it happen? 7. Explain the role of community centers in disaster management. 8. What are the modern aids used in disaster management? PART B (4 15 = 60 marks) 9. Explain the nature and classification of disasters. 10. Explain the process of managing landslides in hilly areas. 11. Analyze the reasons for train accidents and elucidate the methods of disaster management in Train accidents. 12. Describe the process involved in organizing a medical camp in a remote rural village. 13. Analyze the reasons and remedies for control of swine flue (H1N1) and cholera. 14. Explain the nature of voluntary organizations and their functions in disaster management. 15. Enumerate the effects of technology development in disaster management

22 DE 2586 M.B.A.(HM) DEGREE EXAMINATION, DECEMBER Fourth Semester COUNSELLING PART A (5 8 = 40 marks) All question carry equal marks. 1. What is counselling? What is the need for counselling? 2. What are the various models in counselling and Guidance? 3. What are the responsibilities of a good Counsellor? 4. List the various agencies involved in prevention of HIV in India and what kind of counselling do they offer? 5. How does counselling influences nutritional habits of people? 6. What are the socio economic impacts of counselling? 7. How does a counsellor understand the problems of a patient? 8. What are the principles of Guidance? PART B (4 15 = 60 marks) All question carry equal marks. 9. Explain the patient and counsellor centered counselling in detail. 10. Explain the process of achieving integrated understanding in counselling. 11. What are realistic levels of aspiration? How a counsellor can use this to achieve maximum efficiency in counselling? 12. Explain issues involved in prevention of suicides. 13. Explain the various styles of Management in Counselling and Guidance. 14. Describe the various technological changes in the process of Guidance and Counselling. 15. Explain the process, scope and importance of counselling various cancer patients

23 DE 2587 M.B.A.(HM) DEGREE EXAMINATION, DECEMBER Fourth Semester COMPUTER APPLICATIONS IN HOSPITAL MANAGEMENT 1. How Computers are classified. 2. Give the importance of data processing. 3. Explain the techniques of selecting fonts in MS Word. 4. Mention the salient features of MS PowerPoint. 5. How Intranet differs from Internet? 6. How to perform word analysis in Medical Language? 7. Give the importance of grammar in medical phrases. 8. How to improve the facilities for the patients through Hospital Information System? 9. How printer and monitor acts as good output device? 10. Briefly discuss on High level programming languages. 11. Explain the techniques of drawing charts through Excel sheet. 12. Mention the History of the Internet. 13. Discuss on Cavities, plantes and positions in medical language. 14. Describe the formats for medical report. 15. Briefly discuss on the structure of Hospital Information System