Contents, Book Review and other misc pages - Academy of Hospital ...

BOARD OF EXECUTIVE
Patron : Maj. Gen.S.K. Biswas, AVSM, VSM Retd.
Office Bearers
1. President : Shakti Kumar Gupta
2. Vice-President : Rajesh Bhalla
3. Executive Director : N. A. Khan
4. Director Programme : Ashish Kumar Gupta
5. Director Finance : S. K. M. Rao
6. Executive Members : K. S. Bhatnagar, C. D. Gautam, Sunil Kant, Sangeeta Dash, Pawan
Kapoor, Yashpal Sharma, Anoop Daga
AHA-CHAPTERS
* Srinagar : Sher-E-Kashmir Institute of Medical Sciences, Srinagar (J & K).
* Pune : Western Regional Chapter, C/o. Department of Hospital
Administration, AFMC, Pune.
Regional Executive Director : M. Dayananda
Member Secretary : U. B. Misra
Finance Secretary : S. Basu
* Lucknow : C/o. Secretariate, Post Bag No. 8/62, P. O. Dilkusha, Lucknow.
Regional Executive Director : D. S. Pathania
Member Secretary : D. C. Joshi
Finance Secretary : Jagtar Singh
* Jammu : VASUDEVKUTUMBHKUM, H. No 198, Sector-1, Channi Himmat
Housing Colony, Jammu (J & K)
Regional Executive Director : Yashpal Sharma
Member Secretary : Sateesh Sharma
Finance Secretary : Robinder Rattanpal
* Bangalore : MS Ramiah Medical College & Hospital, Bangalore, Karnataka
Regional Executive Director : M Marker
Member Secretary : Ashutosh Sharma
Finance Secretary : Narenderanath V.
* Rajasthan : IIHM, Sanganer Airport Road, Jaipur, Rajasthan
Regional Executive Director : S. K. Puri
Member Secretary : Santosh Kumar
Finance Secretary : Sheenu Jhawar
* Kolkatta : Medica Synergie Pvt Ltd., C-163, Survey Park, Kolkatta - 700075
Communication
ACADEMY OF HOSPITAL ADMINISTRATION
AHA House
Plot No. C-56/43, Institutional Area,
Sector - 62, NOIDA, UP., (INDIA)
Tel : 0120-4233761 to 63 & 2401496
Email : ahaindia@ahaindia.org, ahaindia1987@gmail.com
Website : www.ahaindia.org

Volume 21, No. 1 & 2
Jan-June & July-December 2009
JOURNAL
of the Academy of Hospital Administration
Editor-in-Chief
Shakti Kumar Gupta
Editor
Sidhartha Satpathy
Associate Editors
Sanjay Arya
Anand R.T.
S.D. Behera
Advisory Board
P.K. Dave
S.K. Bisvas
Ashim Chakravarti
R.K. Sarma
A.K. Agarwal
P Satyanarayana
M Dayananda
R.K. Garg
N.K. Khan
P.C. Chaubey
A.K. Gupta
S.K. Gupta
D.K. Sharma
J.K. Das
Journal of the Academy of Hospital Administration
(JAHA) is the official Journal of the Academy of
Hospital Adminitration and is published very six
months.The respnsibility of the Journal lies with
the Executive Director of the Academy of Hospital
Administration. All articles published represent
the opinions of the authors and do not reflect the
official policy of the Academy of Hospital
Administration. The rights are reserved. No part
of the Journal may be reproduced or transmitted
in any form without written permission from the
Editor-in-Chief/Editor.
Editorial Correspondence Address
The Editor
The Journal of the Academy of Hospital Administration
AHA House, C-56/43, Institutional Area
Sector-62, Noida, UP
Ph. : 0120-4233761 to 63 & 2401496
E-mail : ahaindia@ahaindia.org
ahaindia1987@gmail.com
editorjaha@gmail.com
www.ahaindia.org
Subscriptions
Institutional Membership-Rs. 20,000/- (Life long)
Annual Subscription Rs. 400/- (Two lssues)
Other Countries-US $ 75 Per lssue Rate-Rs. 250/-
1995 by AHA : Licence No. 050085/51 al tc /88
Indexed by : NLM (Locator plus) unique ID-9109129
ISSN 0970-9542
Editorial
India is expected to be the most populous country by 2025, and
has to feed a population of over 1.6 billion. At present the Indian
economy is booming at around 8% to 9% growth annually. One of the
strengths considered for such an economic growth is the large pool
of skilled manpower. The rising per-capita income and the need for
health security of the nation, along with the growing investments in
healthcare, the scientific management of healthcare facilities attains
pre-eminence for confident and sustainable growth of health sector.
The role of healthcare managers and administrators increases
tremendously in the near future, in both the public and private sectors,
to ensure effective and efficient healthcare delivery systems, for our
billion plus population to contribute and maintain a sustained economic
growth.
The Indian health and medical services have to be more
economical, so as to make them easily available, accessible and
affordable. This responsibility is partially, if not entirely, with the
healthcare management and administration at the national, as well as
the institutional and the individual level. I hope this journal will be the
beacon for all professionals involved in healthcare delivery for scientific
research and evidence based management of healthcare facilities.
Shakti Kumar Gupta
Journal of the Academy of Hospital Administration, Volume 21, No. 1 & 2 Jan-June & July-December 2009
2

ACADEMY OF
1987
HOSPITAL
ADMINISTRATION
ACADEMY OF HOSPITAL
ADMINISTRATION
Mission Statement Mission Statement Mission Statement Mission Statement Mission Statement Mission Statement Mission Statement
MISSION STATEMENT
‘‘Developing and maintaining
quality training,
consultancy and research
activities in health
and hospital
system through active
involvement of health care
organisers
and providers, to attain a
leading rol in continuously
improving the
performance of health care
system in the
country’’.
Journal of the Academy of Hospital Administration, Volume 21, No. 1 & 2 Jan-June & July-December 2009
3

Volume 21, No. 1 & 2, Jan-June & July-December 2009 ISSN 0970-9542
C O N T E N T S
Editorial
Original Articles
Assessment of Medical Documentation as per Joint Commission International 5
R. K. Sinha, D. Saha, Prathibha N. R.
Comparative Analysis of Outsourced Hospital Dietary Services vis-a-vis in house Dietary Services
for Cost Containment and Quality - A Case Study in a Super Speciality Tertiary Hospital 11
R. K. Sharma, R. Sharma
Violence in Hospitals 16
J. Farooq, A. Mustafa, D. Singh, Yattoo G. H., S. A. Tabish, G. J. Qadiri
A Study on Human Resource Development Environment in a Tartiary Care Teaching Hospital 21
V. Aravind
Medication Errors - A Case Study 28
L. K. V. Reddy, A. G. Modi, B. Chaudhary, V. Modi, M. Patel
Notes, News and Journal Scan 36
S. Satpathy
Book Review
Hospital Administration and Human Resource Management 39
S. Satpathy
AHA Update 40
Long Term Courses 41
New Launch Full Time Courses 42
Membership Form
Journal of the Academy of Hospital Administration, Volume 21, No. 1 & 2 Jan-June & July-December 2009
4

Journal Specification
Name of the Journal : Journal of Academy of Hospital Administration
(ISSN 0970-9542)
Published by : A cademy of Hospital Administration
Frequency of Publication : Bi-Annual (Two issues each year)
Size of Journal : 11’’ . 8½’’
Method of Printing : Offset double colour inside.
Advertisers are requested to send ready material to be printed in kthe above size on paper from which dicect
photograph could be taken for offset plate making. If there is no ready material than the matter be clearly typewritten
in the desired format on plain paper.
Rates of Advertisement
Back Cover (four colours) .................................... Rs. 25,000/-
Back Cover (two colour) ...................................... Rs. 12, 000/-
Full Page .......................................................... Rs. 10,000/-
Half Page .......................................................... Rs. 5, 000/-
For publication in consecutive issues, a discount of 20% will be given.
Sub : Application for Advertisement
Dear Sir,
Date : ________
We intend to give advertisement in your esteemed Journal. Kindly reserve an advertisement for us on page in the
Journal Academy of Hospital Administration.
We are enclosing advertisement material along with the Demand Draft No. ________________________________
dated ____________________ for a sum of Rs. ______________________________________________________
drawn on Bank _____________________________ Branch ____________________________________________
Thanking you
Yours sincerely
Journal of the Academy of Hospital Administration, Volume 21, No. 1 & 2 Jan-June & July-December 2009
5

Long Term Courses
ACADEMY OF HOSPITAL ADMINISTRATION
Plot No. C - 56/43, Institutional Area, Sector - 62, NOIDA, U.P.
TEL : 0120-4233761 to 63 & 2401496
Email : ahaindia@ahaindia.org, ahaindia1987@gmail.com
Website : www.ahaindia.org
[Through Distance Learning]
PG Diploma in Health and law
[PGDHL]
Scope
1 Yr Diploma Programme
[Aug. 2009 batch]
The programme fulfils specific needs
of all categories of service providers
and the administrators at all leavels
ini halth care organizations, who are
keen to learn to avoid legal
complications in discharge of their
duties efficiently with confidencu.
6 Months Certificate Course
[Sept. 2009 batch]
PG Certificate in Quality
Management and Accreditation
of Health Care Organization.
[QM & AHO]
Scope
The programme fulfils specific needs
of middle level administrators and
clinicians in health care
organizations who are keen to
participate in the introduction of
quality management system in their
organization for accreditation. It will
also be of immense benefit to those
clinicians currently appointed as
heads of deparments and engaged
in administrative duties also.
Eligibility criteria for PGDHL &
QM & AHO programmes
● Medical/Dental graduates from
a Medical/Dental Institute of
India or other countries,
recognized by MCI/DCI.
Graduates in alternative
system of medicine [Ayush].
● MBA degree or PG Diploma in
Financial, Material, Marketing
or Personnel Management.
● Graduates in nursing and
pharmacy or having similar
technical skills in other health
sciences.
● Graduates in Engineering and/
or Architecture associated with
hospitals.
Note :
● Preference will be given to
applicants having experience in
hospitals or health care
establishments.
● Law Graduates also eligible to
apply for PGDHL Programme.
The prospectus with application form Electronic version available at www.ahaindia.org. One year-PGDHL and
Six Months Certificate - QM & AHO [Every Year Jan & Sept Batch] Jan Batch-2011-Admission open.
Journal of the Academy of Hospital Administration, Volume 21, No. 1 & 2 Jan-June & July-December 2009
416

AHA Update
ACCREDITATION CONSULTANCY
●
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●
●
●
AHA has been registered as organizational consultant for accreditation of hospital with
NRBPT, QUALITY COUNCIL OF INDIA [QCI], GOVT. OF INDIA. REGISTRATION NO :
NC 0702
AHA is providing consultancy for accreditation to comply with NABH Standards to the
following Hospitals:
Delhi Government
1. Super Speciality Hospital, Janak Puri
2. Maulana Azad Institute of Dental Sciences
3. Institute of Human Behaviour Science Hospital
4. Deen Dayal Hospital Hari Nagar
5. Shri Dadadev Matri Avum Shishu Chikitsalaya, Dabri
Gujarat Government
1. STSH Medical College and Hospital - Bhavnagar
2. GMC and New Civil Hospital - Surat
3. Hospital for Mental Health - Vadodara
5. Dental College and Hospital - Ahmedabad
PHC/CHC NABH PROJECT AT GUJARAT STATE
● 52 PHC/CHCs identified for NABH Project in the first phase only 20 PHC/CHCs are
taken by AHA for NABH consultancy as decided by the Gujarat Govt.
Jammu & Kashmir
3 Medical College
■ SMGS Hospital Jammu (Medical College Jammu)
■
Lal. Dad hospital (Medical College Hospital)
■ GB Pant Cantonment Hospital Srinagar
6 District Hospitals
■ Govt. Hospital Gandhinagar, Jammu
■ District Hospital Kathua,
■ District hospital Udhampur,
■ District Hospital Baramulla
■ JLMN Hospital Srinagar
■ MirzeMohd Afzal Begh Memorial Hospital, Anantnag
2 CHCs
■ Sub District Hospital (CHC) Akhnoor
■ Sub-district Hospital (CHC) Pampore
Journal of the Academy of Hospital Administration, Volume 21, No. 1 & 2 Jan-June & July-December 2009
407

New Launch Full Time Courses
NEW LAUNCH FULL TIME COURSES!
1. MBA HOSPITAL MANAGEMENT [MBA-HMGT] - 2 YEARS
2. PG DIPLOMA IN HOSPITAL MANAGEMENT - 1 YEAR
Key Highlights
AUTHORISED BY UGC RECOGNISED PUNJABTECHNICAL UNIVERSITY
(PTU)
●
●
●
Multi entry/exit permitted. Those enrolled for MBA can quit after one year with PG Diploma and similarly
PG Diploma students can opt to continue for another year and acquire MBA.
Lateral Entry : Students holding PG Diploma of a recognized University can join MBA with one
year’s exemption.
PTUs degrees are globally recognized.
ELIGIBILITY CRITERIA
●
●
●
Medical and non-medical graduates of any stream with 50% marks. Preference will be given to medical
science graduates.
Those appeared for final examination may also apply. Admission will be confirmed on declaration of results.
Healthcare professionals who have passed PG Diploma in Hospital/Health Management from recognized
university may apply for MBA HMGT - Duration one year. They will join directly in 3rd semester programme
of PTU.
TREAINING MODE
●
●
Regular class room programme 4 days a week (Monday to Thursday), for fresh graduates.
Working Medical, Dental graduates could avail facilites either for regular evening classes four days a week
or on distance learning mode. Training schedule shall be organised depending upon the number, location
of the students and their service experience.
For further details visit www.ahaindia.org.
Journal of the Academy of Hospital Administration, Volume 21, No. 1 & 2 Jan-June & July-December 2009
428

PRIVILEGES OF MEMBERS
Every member will be given a membership certificate signifying the type of membership and date of admission.
●
●
●
●
●
●
Every member (except Associate, Student and Institution) will have the right to be elected and be represented
on the executive committee of the Academy on the basis of an election held during the Annual General
Body Meeting.
Every member will be entitled free of charge a copy of the biannual journal of Academy of Hospital
Administration.
All priced publication of AHA will be made available to members at concessional rates.
Every member (except Associate, Student & Institutional and Honorary) has a voting right.
Information regarding various training programmes, workshops, seminars will be disseminated to the
members. Preference will be given to AHA members for participating in these activities at reduced/
concessional rates.
Members will be entitled to use the following titles according to their respective class of membership.
❍ Fellow – FAHA
❍ Honorary Fellow – HFAHA
❍ Life Member – MAHA
❍ Associate Member – AMAHA
❍ Student Member – SAMAHA
The membership fees for the various memberships are as follows :
■ Life Membership (Individual) – Rs. 4,000/-
■ Institutional Membership – Rs. 20,000/-
■ Associate Membership – Rs. 3,500/-
■ Student Membership – Rs. 2,500/-*
* Student members can convert their membership as Life Membership (Individual) on completion of MHA/MD (HA)/
MBA (Healthcare) to pay Rs.1,500/- along with copy of MHA/MD/PGDHHM certificate.
Journal of the Academy of Hospital Administration, Volume 21, No. 1 & 2 Jan-June & July-December 2009 43 9

Membership Form
To
The President,
Academy of Hospital Administration,
AHA House,
C-56/43, Institutional Area, Sector - 62, NOIDA, UP.
Tel : 0120-4233761-62-63 & 2401496.
MEMBERSHIP FORM-AHA
Photo
Self
Attested
Dear Sir,
I wish to become the member of AHA, my particulars are as follows :
Name : _______________________________________________________________________________________
Qualification : _________________________________________________________________________________
Particulars of training in Health / Hospital Administration :______________________________________________
_____________________________________________________________________________________________
Professional Experience : _______________________________________________________________________
_____________________________________________________________________________________________
Address (Residential) Permanent :
_____________________________________________________________
_____________________________________________________________
Present :
_____________________________________________________________
_____________________________________________________________
Address (Office) : _______________________________________________________________________________
______________________________________________________________________________________________
Tel. Res. _________________________ Office _____________________ Residence ________________________
Mobile No. ______________________ Email : _________________________________________________________
Type of Membership applied for :
Life Institutional Associate Student (Mark ‘‘X’’)
Enclosed is Cheque / Draft No. _______________________________ Dated ______________________________
For Rs. _____________________________________ Drawn on _________________________________________
Yours faithfully
NOTE :
1. Draft/Cheque [at par only] to be made in the name of ‘‘Academy of Hospital Administration’’, payable at New
Delhi, Outstation cheques not accepted.
2. A brief Bio-Data may please be attached.
3. Photocopies of certificates (Self attested)
4. Attach separate sheet if needed for qualifications and experience.
Journal of the Academy of Hospital Administration, Volume 21, No. 1 & 2 Jan-June & July-December 2009
44 10

Book Review
HOSPITAL ADMINISTRATION AND HUMAN RESOURCE MANAGEMENT
Reviewer : S. Satpathy*
Authors : D K Sharma, R C Goyal
Publisher : PHI Learning Pvt. Ltd. New Delhi
Publication : 5th Edition
Pages : 557
Price : Rs. 375/-
ISBN No. : 978-81-203-3987-3
It is often said that hospitals are not merely the product
of bricks and mortar, and high technology, but the human
resources which deliver health care to patients. Being
extremely complex matrix organizations, the proper
management of human resources in a modern hospital
is one of the most challenging tasks facing the hospital
administrator today. The practice of medicine has
traditionally banked upon individualistic traits and has
heen essentially physician driven with emphasis on one
to one doctor-patient communication, without much
emphasis on ‘‘teamwork’’ and reliance on ‘‘systems’’.
The authors Dr. D.K. Sharma and Dr. R.C. Goyal bring
their enormous and rich experience spanning both the
public and private sector hospitals for more than 2
decades.
Although there are quite a few books on this discipline,
very few of them address the core area of human resource
management so extensively. Being the fifth edition, the
authors have added two new contemporary chapters viz.
Adiministrative steps required to be taken in establishing
a new hospital (chapter 5) and the statutory issue of
Bio-medical waste management in hospitals (chapter
25) both of which will be extremely useful not only to
administrators, but also to students and academicians.
This edition contains twenty six chapters along with
seven appendices relating to legal issues in
administration of hospitals with case discussions,
judgements which would be very handy to hospital
administrators.
The first four chapters (1-4) provide a glimpse into the
historical aspects of hospitals in India and the journey of
health sector through the years in successive 5 year
plans with an overview of hospital administration.
Chapters 6-21 discuss about the methods of organizing
hospital personnel department, though modern
management techniques in a scientific manner with
model forms. Subsequently, chapters 22-24 deal with
management related issues, and the last chapter focuses
on legal issues. The only weakness of book is lack of
diagrams, flowcharts, tables, figures which would have
helped in breaking the monotony of the text and adding
more appeal to readers.
Overall, the book is written in a lucid manner and is easy
to understand. It will be useful for Health/Hospital
administrators, clinicians/nurses holding administrative
charges and students of hospital management.
* Additional Professor, Department of Hospital Administration, AIIMS, New Delhi
Journal of the Academy of Hospital Administration, Volume 21, No. 1 & 2 Jan-June & July-December 2009
39 11

INSTRUCTIONS FOR CONTRIBUTIONS
The journal of Academy of Hospital Administration
published biannually, publishes original research papers,
reviews and other special category articles in the fields of
Hospital and health Care Administration. Communications
on general editorial matters including manuscripts for
publications, printed matter and books for review should
be sent to the Editor, Academy of Hospital Administration,
C-56/43, Sector-62, Institutional Area, NOIDA, U.P.
Manuscripts : Manuscript should be prepared in
accordance with the ‘‘Uniform requirement for manuscripts
submitted to Biomedical journals’’ compiled by the
International Committee of Medical Journal Editors (The
New England Journal of Medicine 1997; 336(4) : 309-15).
Two high quality copies on A/4 white bond paper should
be submitted (One of them should be the original typescript)
and the author should retain a copy. Article must be typed
on one side of the paper only, double-spaced and with
wide margins (half-inch) and all the pages, must be
numbered sequentially, starting with the title page. It should
generally not exceed 10 typed pages, including references
and tables; and should be arranged in the following format
: Covering Letter, Title Page, Abstract, Introduction, Methods,
Result, Discussion, Conclusion, Reference, Tables,
Legends to figures and figures.
Covering Letter should provide the title and authors of the
papers. Each author should sign the covering letter
accepting the title and full responsibility for the same; and
transferring the copyright ownership to the publisher of
the journal, accompanied by self addressed stamped
envelope of appropriate size. Editorial committee shall be
responsible for unsolicited manuscripts. The Covering
letter should be accompanied by a certificate in the
following format :
(1) Certified that this article has not been published or
submitted or publication in any other journal. The
author accepts any changes made in the article. The
author accepts any changes made in the article, in
conformity with journal style.
(2) Certified that the manuscript contains no matter that
is libelous or otherwise unlawful, invades individual
privacy or infringes on any propriety rights.
(3) The authors certifies that he/they have made
substantive and intellectual contribution the article and
assume public responsibility for its content.
The Title should be brief and to the point. The name of the
author appear on the title page only with their affiliation
and their full address. The name and location of the
department where work was done should be mentioned.
If title is long, (greater than 50 characters) a short running
title, should be mentioned (within 40 characters).
Text Article should be in the standard format including
the following : Introduction, Methods, Results, Discussion,
Conclusion, References, Tables, Legends to figures and
figures. Acknowledgment, if any, should be placed at the
end of the text before references.
References : The journal follows the Vancouver Style of
reference. References should be numbered and listed
consecutive in the order in which they are first cited in the
text, and should be identified in the text, tables and legends
by Arabic numerals in parenthesis. The full list of
references at the end of the paper should include, names
and initials of all authors (if more than 6, only the first 3 are
given followed by et al.); the title of the paper, the journal
title abbreviated according to the style of Index Medicus:
year, those of multiple authorship should also include the
chapter title, first and last page numbers and names and
initials of editors e.g.
1. Mehta MN, Mehta NJ. Mehta, Serum lipids and ABO
blood groups in cord blood of neonates. Indian J
Pediatr 1984.51:39-43.
2. Smith GDL. Chronic ear disease, Edinburgh; Churchill
Livingstone, 1980:78-81.
3. Malhotra KC Medicogenetic problems of Indian tribes.
In Veena IC ed. Medical Genetics in India, Vol. 2.
Pondicherry Auroma enterprises, 1978;51-55.
Auroma enterprises, 1978; :51-55.
Papers accepted but not yet published should be included
in the references followed by ‘‘in press’’ in parenthesis.
For more detailed information about Vancouver system,
authors should consult. ‘‘Uniform requirement for
manuscript to submitted to Biomedical Journal’’
complied by the International Committee of Medical
Journal Editors (The New England Journal of Medicine
1997;336(4) : 309-15)
Tables Each table should be on a separate sheet with an
adequate heading : table and heading together should
be self-explanatory. The desired position of the table
relative to the text should be indicated in the left margin.
Figures : All the comments on tables apply equally to
figures. Figures should glossy photograph, not
photocopies, photographs for reproduction should also
be glossy prints. Illustration should only be used where
necessary to clarify important points.
Reprints : Five reprints of each article will be supplied
free of charge. In case of multiple authorship they will be
sent to the first author.
Brief Communication For prompt publication papers can
be submitted under this section. Manuscript should
contain a maximum 1000 words including maximum of
10 references and not more than one table; figure should
not be used. Papers submitted under this section should
not be sent elsewhere.
Letters to the Editor Letters should not exceed two double
spaced type pages. Letters can be regarding articles
published in this journal or any other significant matter.
Letters will be edited for clarity and conformity with journal
style and may be shortened. There should not be not more
than five reference (tables and figures cannot be used).
Articles that do not meet the above specification will be
returned to the author for revision before being considered
for review by the editorial board.