Neeti Jan-Mar 22

“Department of Hospital Administration strives to impart the highest quality Projects & Works 1 education, training and research in the field of healthcare administration and 2 health facility planning. The department also endeavours to be the nodal point TURNKEY PROJECTS for healthcare quality and accreditation in Armed Forces Medical Services”  Deal Safe INVENTORY CONTROL Message from Editor-in-Chief  Management Tool 3 4 “It is with immense joy that the department of Hospital Administration presents this quarterly edition of its Hospital Dashboard 4 newsletter ‘Neeti’. It has always been our endavour to promote & disburse knowledge. This issue deals with the  Legal Bugle burning topics of the moment such as mental health, gives a cue about Turnkey projects, suggests the advantages MENTAL HEALTH ACT 2017 of proper inventory control , sensitizes on using Dashboard as a management tool and informs us of the latest  Latest Update health budget. - Brig Prerak Mittal T u r n k e y P r o j e c t s — r e a d y f o r Health Budget 2022 immediate use A turnkey project/contract as described by Duncan Wallace (1984) is- a contract where the essential design emanates from, or is supplied by, the Contractor and not the owner, so that the legal responsibility for the design, suitability and performance of the work after completion will be made to rest with the contractor. User just needs to turn the ignition key to make it operational, or that the key just needs to be turned over to the customer. Up-gradation/ modernisation of existing assets including setting up of requisite specialised technical infrastructure may be carried out on Turnkey Basis. The sequence of procurement procedure in turnkey cases would be:- (DPP-2020) (a) Making of a Detailed Project Report Once the turnkey project is implemented, it is handed over to MES for mainte- (DPR). nance as per letter No 35328/AMWP/21-22/Wks (Plg & Budget) ) dt 21 Jun 2021, mentioning - (b) Acceptance of Necessity (AoN). 1. Only the following assets be taken on charge by the MES which have been (c) Selection of Vendors. built/ provided by OEM (Turnkey Projects) for Defence Services :- (d) Issue of RFP (i) B&R assets to include Buildings, Roads and Fur- EDITORIAL BOARD niture (less specialized structures/ assets). (e) Technical Evaluations to shortlist the Patron : prospective vendors. (ii) E&M assets to include external services (water Lt Gen R Ramasethu supply, electrical supply and sewage), less spe- (f) Price Negotiations. cialized utilities. (g) CFA Approval and Contract conclusion. (iii) DG Sets, ACs and Lifts. Vice Patron : AVM Rajesh Vaidya, VSM (h) Establishment of Test Bed. 2. The convening order of BOO for taking over Turn- key Project will be issued by Q Br of Comd HQ on- Editor-in-Chief : ly. The bd will incl suitable reps of GE and Zonal CE. Brig Prerak Mittal 3. The bd proceedings will also incl SOC specifying the Editors : details of the Turnkey Proj, Sanctioning auth of Col Saroj Kumar Patnaik the proj, funding and other details of the project Col Neeraj Garg and also the assets to be tfr for maint. Lt Col Shashikant Sharma Maj Neelesh Patel 4. The CE of Comd will also give a No Objection Certif- Assoc Editors : icate to tfr of assets to MES for maint. Surg Cdr Sarbjot Kaur Maj Nikita Srivastava 5. Q Br Comd HQ will also certify that funds for maint Maj Akshay Jain will be allocated to GE, once demanded, as per auth Maj Balpreet Kaur maint funds based on plinth Dr Ananya Singh area/eqpt/rds/furniture taken over. “He that cannot obey, cannot command - Henry Ford”

While calculating safety stock, consider: Desired Service Level Forecasting Accuracy Lead time (or delivery variation)

HOSPITAL DASHBOARD A performance dashboard is a business management Clinical: Have a high impact on outcome tool that provide 360-degree snapshot of the hospital’s performance and take proactive decisions. Hospital incidents: No of Patient Satisfaction: Quality  Hospitals are complex organizations patients acquiring infections, of meals, nursing care, house- transfusion reactions, bed keeping score, admission pro-  COOs need real– time actionable information at their sores, etc. Provides insight on cess score, etc. It provides in- finger tips to take informed decisions factors needing immediate sights in areas which need corrective actions attention.  Need of hour is to have an IT solution which can fetch data from all disparate data sources and present it in an actionable form to a COO, all in a real time. Death Rate: Post operative, KEY KPIs post procedural, Hosp death rate. COO can benchmark the Medication Errors: Wrong performance of hospital and medication, wrong see how it has performed patient, wrong dosage against national and state averages Operational: high impact on productivity, employee morale, Characteristics of good tool  KPI’s need to be represented by facility, specialty and department  Trends must be highlighted against benchmark targets  Decision support section must be available to predict likely events based on trends & history  Suggest adjustments needed to meet benchmark targets  All KPI’s must have clear ownership Management is an art !!

Mental Health Act 2017 The Mental Health Care Act 2017, passed on 7 April 2017 in parliament and came into force on 29 May 2018. The new act defines “mental illness” as a substantial disorder of thinking, mood, perception, orientation, or memory that grossly impairs judgment or ability to meet the ordinary demands of life, mental conditions associated with the abuse of alcohol and drugs. ”This act revokes the existing Mental Healthcare Act 1987 which had been widely criticized for not recognizing the rights of a mentally ill person and paving the way for isolating such dangerous patients. This act has overturned 309 IPC which criminalizes attempted suicide by mentally ill person. Another highlight of this Act is to protect the rights of a person with mental illness, and thereby facilitating his/her access to treatment and by an advance directive; how he /she wants to be treated. Advance Directive: This empowers a mentally ill person to have the right to make an advance di- rective toward the way she/he wants to be treated for the requisite illness and who her/his nominated representative shall be. This directive has to be vet- ted by a medical practitioner. Mental Health Establishments: The government has to set up the Central Mental Health Authority at national level and State Mental Health Authority in every state. All mental health practitioners (clinical psychologists, mental health nurses, and psychiatric social workers) and every mental health institute will have to be registered with this authority. This act states the right to live life with dignity and no discrimination on basis of sex, religion, culture, and caste. Every person shall have a right to confidentiality in respect of his/her illness and treatment. As per new provisions, ECT is not to be performed without anaesthesia, and there is no ECT for the minor. Sterilization shall not be performed in such patients neither they will be put into solitary confinement nor isolation. This act empowers accessibility to mental health services for all. It also mandates the provision of mental health services be established and available in every district of the country. Health Budget of 2022 by GoI Rs 86,200 Crore has been allocated to the health PM Swasthya Suraksh budget this year which amounts to 2.1% of the total budget. The focus this year is access to quality Yojana establishes mental health counselling and care services and AIIMS like institutions and upgrades certain district includes a network of 23 tele-mental health centres of excellence, with NIMHANS being the nodal centre govt hospitals. and International Institute of Information Technology -Bangalore (IITB) providing technology support To increase availability of specialist doctors additional 800 PG and 2225 UG seats will be added Through Ayushman Bharat Digital Mission citizens with the establishment of 15 new medical colleges by will now get a digital health ID and their health upgrading existing district hospitals record will be digitally protected. It consists of digital registries of health providers and health facilities, ABPMJAY aims to achieve universal health coverage. unique health identity and universal access to health It is being implemented by National Health Authority facilities in partnership with state govts to provide cash less and paper less benefit of 5 lakh per annum per family National Health Mission aims to strengthen the public on floater basis at empanelled hospitals across the health system and care delivery by implementing country. NQAS standards, ensuring kayakalp score >70%, NCD clinics to be set up in district hospitals/CHCs + 550 Construction of 1000 sub health centres as Health & LaQshya labour rooms + Provision of primary and Wellness centres at 7 high focus states to cover secondary geriatric health care services at district beneficiaries of 30 Cr of which 25000 will have hosp and below teleconsultation facilities along with setting up 40 integrated public health laboratories. Readers interested in contributing articles may contact us at: Dept of Hospital Administration, Armed Forces Medical College, Wanowrie, Pune 411040 Tele: 6046 (Mil) ; Email id: [email protected]