ASSIGNMENT - 1, DEC M.B.A FIRST YEAR DEGREE. HOSPITAL ADMINISTRATION Paper I : MANAGEMENT PROCESS AND ORGANISATION BEHAVIOUR. Maximum : 25 MARKS

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1 (DHAM 01) ASSIGNMENT - 1, DEC Paper I : MANAGEMENT PROCESS AND ORGANISATION BEHAVIOUR 1. Scope of management. 2. Directing 3. Networking 4. Group dynamics 5. Organizational culture 6. Autocratic style. 7. Critically examine McGregor's theory of X and theory of Y. 8. What are the major functions of management?

2 (DHAM 01) ASSIGNMENT - 2, DEC Paper I : MANAGEMENT PROCESS AND ORGANISATION BEHAVIOUR 1. Define Leadership. Discuss various leadership activities in a hospital. 2. Write in detail about group behaviour and group cohensiveness. 3. Explain the implications of organisational climate on organizational behaviour. 4. Discuss in detail about scientific management theory. 5. Case study. MANAGING THE OUTPATIENT CLINIC You are the manager of an outpatient clinic in a large hospital. The hospital s management has always been searching for ways of increasing efficiency. They have recently installed a new computerized record keeping and billing system, but to the surprise of everyone, including yourself, the expected increase in efficiency was not realised. In fact, efficiency and effectiveness have both fallen off, (i.e., lost records, late billings, incorrect charge of) and the extent of employee turnover has risen. You do not believe there is anything wrong with the system. You have had reports from other hospitals who are using it and they confirm this opinion. You have also had representatives from the firm that built and installed the system and machines, go over them and they report that they are operating at peak efficiency.

3 Among your immediate subordinates (three first line supervisors, each in charge of a shift, and your administrative assistant), the drop in production has been variously attributed to poor training of the operators, lack of an adequate system of financial incentives and poor morale. Clearly, this is an issue about which there is no time to lose in rectification. The hospital management would like to know within a week what steps you plan to take to tackle the situation. You share your manager s concern with the falling productivity and know that your subordinates are also concerned. The problem is to decide what steps to take to rectify the situation. Questions (a) (b) Analyse the case and. state the problem involved. What is the best decision method to use in approaching this problem?

4 (DHAM 02) ASSIGNMENT - 1, DEC Paper II : MARKETING MANAGEMENT AND MARKETING SERVICES 1. Service marketing. 2. Odd pricing. 3. Customer loyalty. 4. Market skimming. 5. JCI. 6. Referral doctor system. 7. Explain the need and significance of word of mouth communication. 8. Discuss in detail about marketing mix.

5 (DHAM 02) ASSIGNMENT - 2, DEC Paper II : MARKETING MANAGEMENT AND MARKETING SERVICES 1.. What is pricing? Explain its strategies. 2. Describe the co-pay system and referral systems of health care management. 3. Explain the role of advertising media in promoting service sector in India. 4. Write in detail about marketing segmentation. 5. Case Study. Until recently the health care industry was at the cross roads, still unsure which way to go. Today, it is in for exciting times. Low costs, combined with excellent facilities, have provided the perfect formula for India to become a major player in the $2.8 trillion worldwide healthcare industry. Today the cost of healthcare in India is only one-tenth the cost in the US in cases of major surgeries. With cost of providing healthcare low, and with global standards available, the world cannot compete with US The cost of a heart surgery at Apollo is $2,500 as compared to $ 30,000 in the US. Bone marrow transplants cost $ 50,000 in India as against $ 4,00,000 in US. India s attraction as a low cost, high-quality centre for healthcare may be new but the signs are visible. In , Apollo Hospitals conducted heart surgeries on 91 patients

6 from Tanzania. In Chennai, Apollo treats around 30 Sri Lankans a day. As many as 40 patients from Muscat are registered in Apollo hospitals and clinics in Delhi, Chennai and Hyderabad Healthcare not only brings in direct purchase of health care, but it also encourages a lot of expenditure, on travel, lodging and boarding. Which, translated, means foreign exchange And India has enough Embassies and Tourism Development Corporations to spread the message. However government polices, as they stand, are not conducive to more private participation in healthcare, when compared to neighbouring countries Sri Lanka, offers a 100% customs duty exemption on all equipment for the hospital, medical or otherwise. And if the project cost were to exceed Rs. 100 crore, the hospital would be eligible for a 12-year tax holiday However such elaborate incentives are not necessary, though some basic incentives need to be provided. The government does not provide any money to this sector, and it should not, it should act as a facilitator Lot of foreign investors are keen on investing here, but are shying due to the lack of tax and other incentives. Question : Design effective strategies to make India a low cost Health-care destination.

7 (DHAM 03) ASSIGNMENT - 1, DEC Paper III : INTRODUCTION TO COMPUTERS AND MIS 1. Answer the following. (a) (b) (c) (d) (e) (f) Various kind of RAM Windows Millennium Edition Character spacing Moving and pasting data Structured and unstructured decisions Real time systems. 2. Discuss in detail the working of CPU. Explain the functions of an operating system. How to perform basic file management in windows explorer? 3. Explain the mail merge process. Write steps to create a template based on an existing template. Explain the options in the (a) (b) Page set up dialog box and Print dialog box for printing slides.

8 (DHAM 03) ASSIGNMENT - 2, DEC Paper III : INTRODUCTION TO COMPUTERS AND MIS 1. Explain formatting numbers using menu commands. Write steps to (a) (b) Create a simple select query and Sort on multiple fields. 2. Discuss the growth processes related to MIS function in an organistion. Describe the steps in implementation of projects. 3. Explain the system software required for on - line systems. Discuss the various kinds of switching involved in networks. 4. Explain the stages of database design. Explain (a) (b) Relational data model and Relational operations. Case Study. 5. The city of Denverput the opening of Denver International Airport, the nations first major airport to open since Dalls Fort Worth Airport in 1974, on hold for months as the nations largest airfield struggled to resolve problems with a 20 mile - long computerized baggage -handling system that had mangled its cargo. The airport, which replaced Denver s Stapleton airport, opened behind schedule by many months and each day of delay added another $ 500,000 to the cost of the $ 3 billion project for Denver tax payers.

9 The PC controlled baggage system is outside the purview the airport s IS department, because the entire airport has a decentralized computing environment. Each functional unit of the airport, such as security, neating, ventilation facilities management, and the individual airlines, has its on computer system, operated by sub contractors in most cases. The central Fiber Distributed Data Interface (FDDI) network itself is operated by the airport s IS department, which also supports PC LANS and work stations on the network and maintains the central servers. The airport choose a client - server environment that supports specialized functions such as security and flight management. The automated baggage system is based on PCs, proprietary applications software, and a multitasking operating system thought to be IBM s OS/2. The systems are intended to speed turn a round time by routing bags automatically among airlines. Laser scanners route the baggage carts on underground tracks, directing each piece of baggage by reading its bar - coded label. There is only one piece of luggage per cart; as many as 60 carts per second traverse a single track. The automatic baggage - handling system, which was once touted as the world s best, has become a classic case of project - failure; power fluctuations, mechanical glitenes, and software problems are cited as some of the primary reasons for this debacle. Another reason cited by experts is that Denver has pushed the technology to its limit. The project was too ambitions it involved a number of leading - edge technologies, and integrating these technologies has been a major challenge and a primary course of system failure. Although the baggage system is similar to the company installed in San Francisco s United Airlines terminal, it is 10 times larger, with PC consoles in nine control rooms tracking bags throughout the airport on some 4,000 automated carts. Recently, United Airlines was hired as the systems integrator and given the responsibility of solving the problem. However, negotiations between the city of Denver and BAE automated systems, which built the computerized baggage system, must be completed before the project can begin. Denver is attempting to recover more than $ 80

10 million for BAE failure to deliver a working system. BAE has demanded $ 40 million in payment for additional personnel and equipment it used during the delays. BAE devies that computer problems prevented the baggage system from working; the firm alleges that last - minute changes to the original plans, made by the city caused the delay. Experts at united believe tht the sheer size and complexity of the system is the reason for its catastrophic failure. United wants to simplify the system and reduce the workload ofthe individual computers that track luggage on the 4,000 one - bag carts. Denver International s baggage system was modeled on an integrated system used in Frankfurt. But the Frankfurt system uses conveyors to carry bags instead of the 4,000 PC driven automated carts used at Denver International. United is suggesting additional tracks and fewer carts per track. It s just like adding another lane onto a highway, says a spokes person. (a) (b) Identify some of the problems with the automatic baggage system. What should the city of Denver have done, it anything to avoid some of these problems?

11 (DHAM 04) ASSIGNMENT - 1, DEC Paper IV : HEALTH CARE AND OPERATIONS MANAGEMENT 1. (a) Drug policy (b) (c) (d) (e) (f) Facility location PMT Value addition Waste disposals Health policy 2. Give an overview on health care sector in India. 3. What are the various types of layouts?

12 (DHAM 04) ASSIGNMENT - 2, DEC Paper IV : HEALTH CARE AND OPERATIONS MANAGEMENT 1. Discuss in detail about techniques of work measurement. 2. Explain various HR applications in hospitals. 3. Briefly examine about value management. 4. Describe the maintenance and monitoring of biomedical equipments in hospitals. 5. Case study: Good will Hospital requires 500 units of raw materials per month. If costs Rs. 100 for ordering to supply raw materials on every order. The holding cost is expected to be Rs. 2 per unit of average inventory. (a) Find out EOQ (b) What will be the minimum total cost? (c) What will be the maximum inventory level?

13 (DHAM 05) ASSIGNMENT - 1, DEC Paper V : HOSPITAL PLANNING AND ENGINEERING 1. Answer the following : (a) Non-acceptable hospitals (b) Working drawings (c) Bed ratio (d) Orcology (e) Infection (f) Sourcing finance. 2. What are the determining factors of the size and kinds of hospitals service? 3. Explain the role of architect in planning stage.

14 (DHAM 05) ASSIGNMENT - 2, DEC Paper V : HOSPITAL PLANNING AND ENGINEERING 1. Discuss about various standards for hospital accreditation. 2. State various medical and surgical services provided by hospitals. 3. Explain the significance of front office in maintaining medical records. 4. How do you determine the logical centres for hospital location? 5. Case study : Model Hospital Many changes have been taken place in the establishment of hospitals in AP for the last 25 years. To begin with, no body thought of having testing labs annex to hospitals in the order days and now at has become obvious to have testing labs along with the hospitals. Likewise many changes have been taken place over the period. For example. multi specialty hospitals which are serving at a single place with all facilities. Another new phenomenon is, provision for fire safety which has become more prominent in the recent past. Taking into consideration above developments with regard to hospital planning and establishment, if you are appointed as an architect for planning the establishment of hospital in the city area, design a plan for the establishment by highlighting the factors which you consider to be the most important.

15 (DHAM 06) ASSIGNMENT - 1, DEC Paper VI : HOSPITAL ECONOMICS AND FINANCIAL MANAGEMENT 1. (a) Interdependency income. (b) Duopoly market. (c) Trading on equity. (d) Present value of money. (e) Irrelevance dividend. (f) Cash management. 2. Briefly examine the indifference curve analysis. 3. What is perfect competition market? How the price and output determined under perfect competition?

16 (DHAM 06) ASSIGNMENT - 2, DEC Paper VI : HOSPITAL ECONOMICS AND FINANCIAL MANAGEMENT 1. Define finance function. Discuss its relationship with other functional areas in business. 2. Discuss the effects of new financing on earnings of the existing equity shareholders. 3. Explain in detail about Net present value method with an example. 4. Discuss about working capital with reference to operating cycle. 5. Bright company has to select one of the following two projects : Project X Project Y Rs. Rs. Cost 22,000 20,000 Cash flows : Year 1 12,000 2,000 Year 2 4,000 2,000 Year 3 2,000 4,000 Year 4 10,000 20,000 Using the IRR method, suggest which project is preferable?

17 (DHAM 07) ASSIGNMENT - 1, DEC Paper VII : MEDICAL TERMINOLOGY AND RECORDS 1. (a) Reiki. (b) Casuality. (c) Nursing Records. (d) Fatal Documents. (e) Pharmacopia. (f) Health care management. 2. Explain the significance of Siddha and Homeopathic medicine. 3. Discuss in detail about pediatric services.

18 (DHAM 07) ASSIGNMENT - 2, DEC Paper VII : MEDICAL TERMINOLOGY AND RECORDS 1. What are the coronary care services provided by various hospitals? 2. How do you maintain the operation theatre and Intensive care units records? 3. Explain the significance of House Keeping and Food records maintained in hospitals. 4. Briefly examine the outpatient services of General and Speciality Hospitals. 5. Case study. Records Maintenance is an important function of all the hospitals particularly in Corporate Hospitals. Hospitals are giving top most priority for construction of all the departments in the hospital but unfortunately they are not giving proper weightage for the coust-ruction of separate room for keeping all the records relating to the hospital as well as patients. If has become very significant now a days to maintain the profile and history of patients who are suffering from long diseases. Through they are maintaining the records but they are not technically maintained in order wise. In view of the above, try to advise the corporate hospitals as to the following : (a) Need for having separate room for the maintenance of Records. (b) Suggest how to maintain the records in proper way. (c) Take the help of experts in this regard.

19 (DHAM 08) ASSIGNMENT - 1, DEC Paper VIII : MANAGING HOSPITALS I 1. (a) Drug Management. (b) Security in hospitals. (c) Location of Laundry. (d) Hospital administration (e) Pharmacy Store Management (f) Linen Change 2. Briefly explain the role of pharmacy manager. 3. Explain the functions of Laundry.

20 (DHAM 08) ASSIGNMENT - 2, DEC Paper VIII : MANAGING HOSPITALS I 1. What are the various important areas of House keeping? 2. Explain the various food services provided in Hospitals. 3. Write a note on the various security measures taken in a hospital. 4. What is the significance of analyzer in the Pharmacy industry? 5. Case study: Mr. Rajesh an young and dynamic person graduated from reputed institute and got expertize in House keeping activity. Naturally he was offered to look after Housekeeping Department in a multi speciality Hospital in one of the important cities of Andhra Pradesh. Soon after he joined in the Hospital, he came to know how difficult is the maintenance of Housekeeping Department which has a key role to play for the success of Hospital. Rajesh used to undergo many problems every day regarding Housekeeping activities. He was completely in tension and stress while discharging the duties. He was also not getting full support from his subordinates because he was young. Inview of the work pressure and stress, he wanted to leave House keeping Department and decided to join in some other department. Questions: (a) Is House Keeping Department an important one in the Hospital? (b) Why Rajesh was put into lot of tension and stress? (c) Advise Rajesh not to suit the Housekeeping Department and justify your advice also.