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Out patient services
The document discusses the organization and management of outpatient (OPD) services, emphasizing the importance of OPD as a primary contact point between patients and hospital staff. Key functions include providing quality care, health education, training medical professionals, and preventive services, all while addressing challenges like overcrowding and resource management. It also details physical layout considerations and administrative structures necessary for effective OPD operation.
In this document
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Introduction to outpatient services by Dr. N.C. Das, highlighting the shift from inpatient focus.
Outpatient services address rising costs and bed shortages, serving as a focal point for community care.
Detailed overview of OPD functions, including diagnosis, referrals, treatment, and health education.
Highlighting specific preventive services including clinics, communicable disease control, and health education.
Emphasis on quality care, patient satisfaction, and effective public relations in outpatient services.
Roles including referrals, consultation, training, and preventive services crucial to OPD operations.
Focus on physical layout and facilities for OPD usage, including design considerations for efficiency.
Specific design layouts and physical entries necessary for effective outpatient service delivery.
Overview of administrative areas, staff roles, and organization structure to ensure efficient OPD operations.
Infrastructure including wide ramps, reception areas, and circulation zones to enhance patient access.
Equipment and auxiliary services like pharmacy, physiotherapy, and dietary counseling important for OPD.
Focus on management guidelines aimed at maintaining quality of care and patient satisfaction.
Emphasis on quality management, highlighting technical, human, and conceptual skills required.
Importance of public relations factors and patient comfort in ensuring effective outpatient services.
Strategies to manage overcrowding and enhance patient flow through systemic improvements in OPD.
Closure of the presentation with a thank you note and emphasis on hospital administration guidance.
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- 1. ORGANISATION AND MANAGEMENTOFOUT PATIENT SERVICES By:DR.N.C.DAS
- 2. INTRODUCTIONReasons for Shiftingof focus from IP to OP:- -Rising cost of hospital care -Shortage of hospital beds -Economic importanceType of OPD Services : – Ambulatory Care CentrePolyclinic Health Centre Walk-in Clinic Day hospital Dispensary etc.
- 3. OPDOPD is avery important wing of hospital serving as mirror.OPD is visited by large section of communityFirst point of contact between patient and hospital staffThe human relation skill/ Public relation functions are of utmost importanceOPD staff should be polite, cheerful, cooperative & efficient
- 4. FUNCTIONS OF OPDToprovide 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 OPDTo promote health of the individuals under care in the Outpatient Department by means of health education.
- 5. FUNCTIONS OF OPDTocarry 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 SERVICESWellbaby clinic, marriage counseling & planned parenthoodControl of communicable diseases by early diagnosis & providing specific protectionEarly diagnosis and detection of non communicable diseaseEpidemiological surveillance and reportingSentinel centre for vaccine preventable diseasesHealth education & nutrition/ diet advice
- 7. OUT PATIENT SERVICESAmbulatoryPatient 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 FUNCTIONSMODERNINVES.FACILITY &TREATMENTREFFERAL FORADMISSION SPECIALISTSCONSULTATION FOLLOW UP CARE AND REHABILITATIONOPDMEDICALSTATISTICS TRAINING OF MED. STUDENTSPREVENTIVE & PROMOTIVE SERVICES HEALTH EDUCATION
- 9. ORGANISATION OF OPDLAYOUT &PHYSICAL FACILITYADMN. AREAOPDPATIENT COMFORT PUBLIC RELATION
- 10. LAY OUT PLANDECENTRALIZED(AT DIFFERENT DEPARTMENTS)CENTRALIZED(ALL SERVICES UNDER ONE ROOF)LAY OUT SIZE(ONE Sqft PER PT VISIT/ 60 Sqmt/ BED)2 sqmt/ bed Entrance Zone10 sqmt/ bed Ambulatory Zone 6 Sqmt/ bed Diagnostic ZoneDESIGNING(DOUBLE LOADED SINGLE CORRIDOOR)(SINGLE LOADED DOUBLE CORRODOOR )LOCATION (NEAR TO MAINGATE IN & OUT GATES)
- 11. OPD LAY OUTDESIGNDOUBLE LOADED SINGLE CORRIDOORSINGLE LOADED DOUBLE CORRIDOORDOUBLE LOADED TRIPLE CORRIDOOR
- 12. PHYSICAL FACILITIESPUBLIC AREA(ENTRANCE ZONE)CLINICAL AREA (AMBULATORY ZONE)PHYSICAL FACILITIES ANCILLARY AREAAUXILLARY AREACIRCULATION AREAADMINISTRATIVE AREA
- 13. ADMINISTRATION AREAADMINISTATION DEPT.SECURITYSTAFFINGADMINISTATION STORAGE RECORDS ®ISTRATION HOUSE KEEPING
- 14. ADMINSTRATION STRUCTUREMEDICAL SUPERINTENDENTADDL.MEDICALSUPERINTENDENTCMO I/C OPDREGISTRATIONCLINICIANSTECH. STAFFNURSING SUPT.HELPING STAFFPUBLIC RELATIONPHARMACYN/O REG. CLERK/RECORD CLERKRADIOLOGY VARIOUS CLINICAL SERVICES DNS BEARERSPHARMACIST PATHOLOGYANSSECURITY STAFF NURSESANITATION
- 15. ENTRANCE WIDE RAMPS&STEPS RECEPTION &INFORMATIONREGISTRATION COUNTER 100 cm x 60 cmOne disk/ 20 pt /hrDRINKING WATERPUBLIC AREASNACK BARTOILETS &WASH WAITING AREA (0.1 Sqmt/ patient Visited)PORTER SERVICE
- 16. DIFFERENT OPDsSUB WAITINGAREA CLINICAL AREA SPECIALIST ROOMSPECIAL EXAM ROOM CONSULTATION ROOM
- 17. INJECTION ROOM DRESSINGROOMANCILLARY AREA FAMILY PLANNING IMMUNIZATION PAC PHARMACY
- 18. CENTRAL COLLECTIONX-RAY/ULTRASOUND PHYSIOTHERAPYAUXILLARY AREAECG ROOM MEDICAL SOCIAL WORKERHEALTH EDUCATION & COUNSELLING DIET COUNSELLING NUTRITION
- 19. STAIRS, LIFTS,RAMPS CORRIDORS1.8M WIDE CIRCULATION AREA 30% OF ALL AREA TELEPHONE SECURITY GUARD
- 20. TROLLEYS &WHEEL CHAIRSPA SYSTEMPORTORSEQUIPMENTS EXAMINATION EQUIPMENTS FURNISHED CONSULTATION ROOM WALL CLOCKT.V
- 21. MANAGERIAL CONSIDERATIONS POLICY&GUIDELINES OVER CROWDING QUALITY OF CARE PROPER MANAGEMENTSTRUCTURE MANAGERIAL CONSIDERATIONS STAFF TRAINING MOTIVATIONMONITORING EVALUATION DIRECTION SIGN/ INFORMATION GRAPHIC APPOINTMENT SYSTEM GOOD PUBLIC RELATION
- 22. Sustained and continuityof 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 CARETECHNICAL SKILLS HUMAN SKILLSQUALITY MANAGEMENT CONCEPTUAL SKILLS
- 24. PUBLIC RELATION PATIENCEHEARING RESPECT WARMTH GOOD CLINICAL CAREPATIENT COMFORTMINIMUM WAITING CANTEEN TOILET, VENTILATION WATER SUPPLYGOOD AMBIENCECLEANLINESS
- 25. OVER CROWDING ANDLONG WAITING SPLIT OPDCENTRAL REGISTRATION SYSTEM OVER CROWDINGSCREENING CENTRESQUEING THEORY MORE CONSULTATION ROOMS MORE REGN. COUNTER APPOINTMENT SYSTEM
- 26. hospiadTHANK YOUHospital AdministrationMade Easy http//hospiad.blogspot.comAn effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator.DR. N. C. DAS