MHA New Curriculum
MHA New Curriculum
MHA New Curriculum
Course Structure
First semester
Second semester
Third semester
Fourth semester
Monitoring Learning Progress
Annexure
MISSION
To achieve academic excellence and global competencies among students.
To extend the knowledge acquired and new knowledge generated for the development
of the community.
VISION
To provide access to quality higher education, ensuring equity, to create a vibrant
knowledge capital and to create inspiring leaders of tomorrow who can take this
country take this country to the forefront of the developed nation
EDUCATION
To be one of the premier medical institutions in the country based on our education,
scientific investigation and health care delivery by 2020.
RESEARCH
To advance knowledge about health and behavior and to make discoveries leading to
improved prevention and treatment of clinical disorders, including education of care givers
and the delivery of health services
1
Preamble
1. Regulations Governing MHA course
The University Grants Commission, New Delhi, has directed all Universities in the country to
implement the CBCS, semester scheme in both under graduate and post graduate programmes
to enhance academic standards and quality in higher education through innovation and
improvements in curriculum, teaching-learning process, and examination and evaluation
systems. Choice Based Credit System is a flexible system of learning. It enables the students
choose electives from a wide range of elective courses offered by the other University
Departments, adopt an inter-disciplinary and intra-disciplinary approach in learning, make best
use of the available expertise of the faculty across the departments or disciplines and has an
inbuilt evaluation system to assess the analytical and creativity skills of students in addition to
the conventional domain knowledge assessment pattern.
II. Choice Based Credit System: The CBCS provides choice for students to select
from the prescribed courses (core, elective or minor or soft skill courses).
IV. Credits: Credit defines the quantum of contents/syllabus prescribed for a course and
determines the number of hours of instruction required per week. Thus, normally in each of the
courses, credits will be assigned on the basis of the number of lectures/tutorial laboratory work
and other forms of learning required, to complete the course contents in a 16-20 week
schedule: One credit=1 hour of lecture per week/ two hours of Laboratory or practical/three
hours of clinical rotation, field work/posting. All courses need not carry the same credits.
2
V. Grade Point: It is a numerical weight allotted to each letter grade on a 10-point
scale.
VI. Credit Point: It is the product of grade point and number of credits for a course.
VIII. Letter Grade: It is an index of the performance of students in a said course. Grades
are denoted by letters: A+, A, B+, B, C, P, F.
3
3. REGULATIONS OF COURSE DETAILS
3.2 Eligibility:
Bachelor degree in any one of the following from an institution recognized by respective
council where applicable, and is affiliated to Yenepoya University, MBBS, BDS, B.Sc
Nursing, B.Pharmacy, B.Sc. in Allied Health Sciences, Arts, Commerce, Law, Engineering or
Management from any other university established under law considered equivalent thereto by
Yenepoya University. The candidate shall have obtained permanent registration from the
respective state or central council where ever applicable. The candidate shall have obtained a
minimum of 50% aggregate of marks in all the years of university examination of degree
course. In case of SC/ST/OBC candidates the minimum marks shall be 45%.
English shall be the medium of instruction for the subjects of study as well as for the
examination.
The duration of the course shall be on full time basis for a period of two years consisting of
four semesters
Daily two hours of theory classes and four hours of practical training at the departments for
six week days, every week for twenty weeks.
3.5 Course of study: The course shall be pursued on full time basis. No candidate shall be
permitted to work with any organization and shall not join any other course of study or appear
for any other examination conducted by this university or any other university in India or
abroad during the period of study
3.6 Theory: 12 theory classes in first and second semester per week and 9 theory classes in
third and fourth semester per week.
4
Various hospital departments as per list appended. The duration of the training shall be three
weeks (72 hours) in each department. They will prepare a report at the end of each posting
and is evaluated by the faculty. All candidates shall have completed posting in a minimum
3.7 Hospital / Practical training: The students shall spend four hours per day training per
week. All candidates shall undergo training in of 20 departments during the entire period of
training.
Practical hours may be used also for interactive sessions, seminars and symposia.
3.8 Attendance: Every candidate shall have attended at least 80% of the total number of
theory and hospital/practical training classes conducted from the date of commencement of
the term to the last working day as notified by university in each of the subjects prescribed
for that semester separately, in theory and hospital/practical training. Only such candidates
are eligible to appear for the university examination in their first attempt. A candidate
lacking the prescribed percentage of attendance in any subject either in theory or
hospital/practical training in the first appearance will not be eligible to appear for the
University Examination in that particular subject.
5
4.0 AIMS & OBJECTIVES
2. To help the trainees to develop expertise in the planning, management and evaluation of the
hospital system(s)
3. To utilize the available resources optimally and effectively and ensure maximization of
outcomes.
4. To prepare the candidates to meet the challenges of achieving quality together with cost
containment, maintenance of costly and vital equipment, managing human resource, challenges
arising of chronic and newer diseases, development of cost effective technologies to contain
costs and have a broad understanding of the health and hospital care system and factors
impacting its various components
6. Be able to apply concepts and managerial skills in human resources, strategic planning,
decision-making and finance, marketing, and information systems
7. Be able to take an integrated approach to managing health care professionals and facility
operations.
The semester system accelerates the teaching-learning process. The credit based
semester system provides flexibility in designing curriculum and assigning credits
based on the course content and hours of teaching. The choice based credit system
6
provides a cafeteria ‘type approach in which the students can take courses of their
choice, undergo additional courses and acquire more than the required credits, and
adopt an interdisciplinary approach to learning.
I: Semesters
An academic year shall consist of two semesters;
III: Open Elective: Generally a course which can be chosen from a pool of courses and
which may be very specific or specialized or advanced or supportive to the discipline/
subject of study or which provides an extended scope or which enables an exposure to
some other discipline or subject or domain or nurtures the candidates proficiency skill.
The open elective courses shall be offered in the second and third
semesters only.
The list of open elective courses offered shall be displayed in the website.
A student shall not take the courses offered by the department in which
she/he is enrolled.
Registration for the open elective courses shall be at least one week prior to
the commencement of the course with the CBCS coordinator.
IV: Assigning Credit Hours per Course: While there is flexibility for the departments
in allocation of credits to various courses offered, the general formula shall be:
All core course shall be restricted to a maximum of 4 credits
All open electives shall be restricted to a maximum of 3 credits
Project work shall be of 4 credits
Hospital Training shall be of 4 credits
7
6. Distribution of semester-wise courses, credits & Scheme of Examination
SEMESTER -I
Sl. Type Course Code Title of paper Max Tot Hou Cred
No Marks al rs its
Ma Per
IA SEE rks week
1 Hard MP02HA- Principle of Management 40 60 100 3 3
core 1C1
2 Hard MP02HA- Organizational Behaviour 40 60 100 3 3
core 1C2
3 Soft MP02HA- Statistics, operation research and 40 60 100 3 3
core 1C3 research methodology including
healthcare
4 Hard MP02HA- Accounting in Healthcare 40 60 100 3 3
core 1C4
5 Hard MP02HA- Practical training
core 1C5 Practical –I 20 30 8 4
Practical – II 20 30 150 8 4
Practical -III 20 30 8 4
Practical Training
Practical I:
OPD services
Front Office
Emergency services
8
Practical II:
Medical Social Work
Marketing & TPA
Medical Records Department
Practical III:
Maintenance
Housekeeping ,
Transport Services
6.1 SYLLABUS
Chapter 1:
6 Hours
Chapter 2:
Functions of Management:
Planning: Basics of planning, steps, types of plans - Organization: Meaning and definitions,
steps in organization, theories, organization structure, delegation of authority, centralization
and de-centralization -
20 Hours
9
Chapter 3:
Functions of Management
Staffing: Man power planning, recruitment, selection and training - Direction: Principles,
motivation, leadership and communication. - Control: process, quality, control techniques.
20 Hours
Chapter 4:
Management in Action: developing conceptual, analytical, inter-personal and team work skills.
8 Hours
Chapter5:
Application of Management in Health care: Relevance and application, difference between
health care and other services as regards management.
6 Hours
NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.
1. Heinz Weinrich & Harold Koontz- Management- A global perspective- Tata McGraw
Hill New Delhi.
2. Terry Francicin Principles of Management, AITBS Publishers and Distributors, New
Delhi
3. C B Gupta- Principles of Management.
4. Macgrath E H- Basic Managerial Skills for all- Prentice Hall of India Pvt Ltd, New
Delhi.
5. Rao V S P & Krishna Hari V (2006) – Management- Text & Cases, Excel Books,
New Delhi.
6. Prasad L M – Principles and Practice of Management – Sultan Chand & Sons, New
Delhi.
10
MP02HA-1C2 ORGANISATIONAL BEHAVIOUR
Chapter 1:
3 hours
Chapter 2:
15 hours
Chapter 3:
Nature of groups, types of groups, why people form groups – Dynamics of groups, Group
development determinants of group behaviour, group cohesiveness, group norms – Group
Decision making, styles, strategies & models for decision making – Leadership: Objectives,
Nature & Importance, Styles and their implications – Communication; Roles, uses, types,
process, barriers, overcoming barriers, listening, grapevine, modes of communication, body
language, feedback, Committees, Meetings, Written Communication: basic principles of
business communication- letters
15 hours
11
Chapter 4:
Organisation Theory & Design: importance of organization design, factors, types, managerial
implications- Organisation culture: meaning, dimensions, creation and sustenance of culture,
types – Organisational change- nature, levels, importance, types, implementing change,
resistance to change – Conflict & Negotiation; Nature, process, levels, resolution, conflict
management styles, guidelines for effective negotiation.
15 hours
Chapter5:
Power & Politics; Meaning of power, sources of power, effective use of power, approaches to
power, political implications of power - Emerging challenges, managing diversity,
globalization, trends in international business, individual behaviour in the global perspective-
Organisational Effectiveness.
12 Hours
TOTAL 60 Hours
NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.
Books recommended:
12
MP02HA-1C3 STATISTICS OPERATION RESEARCH AND RESEARCH
METHODOLOGY INCLUDING RESEARCH ETHICS
Chapter1:
Business statistics – significance and scope –application in decision making – data collection –
questionnaire – classification and tabulation of data – graphical representation of data sampling
and its methods
12 hours
Chapter 2:
18 hours
Chapter 3:
10 hours
Chapter 4:
10 hours
13
Chapter 5:
10 Hours
TOTAL 60 Hours
NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.
Recommended Books
OBJECTIVE: To familiarize the students with the concepts, principles and techniques of
financial, cost and management accounting branches and their application in managerial
decision making in hospitals.
Chapter 1: 10 Hours
14
10 Hours
Chapter 2
Chapter 3: 15 Hours
Cost Accounting- classification – overview costing methods and systems –Material, labour and
overheads in service organizations- application of standard costing principles –- activity based
cost systems in service functions- cost of healthcare and health services.
Chapter 4: 10 Hours
Budget and Budgetary Control - Management Accounting and its role- Analysis of financial
statements –Marginal Costing- Cost-Volume – Profit analysis - budget manual and
administration – Mechanics of budget preparation.
Chapter 5: 15 Hours
TOTAL 60 Hours
NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.
15
Recommended books:
WEIGHTAGE
16
MP02HA-1C2 ORGANISATIONAL BEHAVIOUR
WEIGHTAGE
WEIGHTAGE
17
MP02HA-1C4 ACCOUNTING FOR HEALTHCARE
WEIGHTAGE
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SEMESTER –II
Sl. No Type Subject Title of paper Max Marks Total Hours Cred
Code Mark Per its
s week
IA SEE
1 Hard MP02HA- Material Management in 40 60 100 3 3
core 2C1 healthcare
2 Hard MP02HA- Finance management in 40 60 100 3 3
core 2C2 healthcare
3 Hard MP02HA- Health Economics 40 60 100 3 3
core 2C3
4 Soft MP02HA- Epidemiology, public health 40 60 100 3 3
core 2C4 administration
5 Soft MP02HA- Open Elective 40 60 100 3 3
core 2O1
6 Hard MP02HA- Practical training
core 2C5 Practical – I 20 30 150 6 3
Practical – II 20 30 6 3
Practical – III 20 30 6 3
Total 260 390 650 33 24
Practical Training
Practical I:
Diagnostic Laboratory
Radiology & Imaging
19
Practical II:
Pharmacy
Biomedical Engineering department CSSD
Practical III:
Laundry
Dietary services
6.3 SYLLABUS
Chapter 1:
4 hours
Chapter 2:
8 hours
Chapter 3:
Need & demand for healthcare – Role of different healthcare institutions from grass root levels
to specialty levels, Indigenous system of medicine – Role of healthcare institutions, primary
healthcare, healthcare organization – National Health Programmes
8 hours
20
Chapter 4:
Chapter 5:
10 hours
Chapter 6:
Chapter 7:
Medical Ethics- basic issues, importance, process of developing and implementing ethics and
values in an institution – Learning Medical Ethics – Codes of Conduct: Hippocrates Oath &
Declaration of Geneva – MCI Regulations (Professional conduct etiquette and ethics)
05 hours
Chapter 8:
Confidentiality and professional secrecy – Irrational drug therapy – defensive medicine –
Ethics of trust vs ethics of rights- autonomy and informed consent – Understanding of patient
rights – Universal accessibility – Equity and Social justice – human dignity.
05 hours
Chapter 9:
Care of terminally ill: Euthanasia – Distributive justice in health care - Alternate medicine:
Spiritual dimensions of healthcare, Holistic approaches to healthcare –
ethics in organ transplantation, HIV/AIDS, Genetics, Human Experimentation, Clinical Trials.
6 hours
21
TOTAL 60 Hours
NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.
Books recommended:
1. J E Park & K Park – Text Book of Preventive and Social Medicine, Banarisdas Bhanot,
2. J H Helberg – Community Health
3. Stephen E Gray – Community Health
4. Gill Watt – Health Policy
5. Sathe & Sathe Epidemiology & Management for Healthcare for all Popular Books.
6. Francis C M – Medical Ethics – Jaypee Brothers, New Delhi
OBJECTIVE: It is to equip the students with the issues and scope of FM and its utility as an
indispensable part of administration and quality control in healthcare.
Chapter 1:
10 Hours
Chapter 2:
Financial and profit planning- objectives- essentials – cost of capital – Ratio Analysis – Cash
flow – Fund flow – capital structure and Capital Budgeting – Investment Decisions and
Evaluations – Capital budgeting techniques (NPV, IRR, etc.,).
15 Hours
22
Chapter 3: Management of working capital
15 Hours
Short term and long term financing – issue of shares, debentures and bonds – Lease financing –
Other modes of financing like Venture capital financing, Angel financing, International
funding – Financial Information System
10 Hours
Chapter 5:
10 Hours
23
Chapter 2: Demand and Supply Analysis 7 hours
Concept of Demand and Supply- Market equilibrium-- Individual and Market Demand, their
Determinants- Elasticity of Demand, their Types and Usefulness- Demand forecasting-
Elasticity of supply-factors affecting supply.
Revenue Concepts - Total Revenue- Marginal Revenue- Average Revenue and their
relationship
Cost Concepts and Cost Analysis.- Economic Costs- Short Run Cost Analysis –Long run cost
analysis- Fixed, Variable, Total Cost Curves, Average and Marginal Costs.
Economies of scales.
12 hours
Concept of Health policy- Health policy planning, need assessment, prioritization, peoples
participation, decentralization- Formulation and implementation of health policy at the centre
and state governments.
24
Health care expenditure- Equity in health care– Financing of Health care- Allocations under 5
year plants- Health finance indicators-- National rural Health Mission (NRHM) – Human
Development indices- Health Insurance (Types- Scope and growth of health insurance sector)
Total 60 hours
List of References:
OBJECTIVES: To get students acquainted with the principles, policies and procedures for
material management, also to understand the nature & scope of materials management.
Chapter 1:
Introduction to material management & stores management: definition, basic scope and
importance of Materials Management – Materials Planning
8 Hours
25
Chapter 2:
16 Hours
Chapter 3:
Inventory control: meaning, scope & definition, inventory control techniques – EOQ, safety
stock, Lead Time, ABC analysis, VED Analysis - Distribution, codification & classification –
standardization and simplification & variety reduction – Quality Control – Value Analysis
16 Hours
Chapter 4:
Condemnation & Disposal, Condemning board, Stock outs of Hospital stores, pilferage,
preservation of stores – Stores documentation – Role of computers in stores management –
stock verification- perpetual inventory system
10 Hours
Chapter 5:
Hospital equipment planning and selection – purchasing capital equipment – feasibility study –
import of goods and equipments- documentation & clearance – letter of credit – hospital
equipment repair and maintenance- recent trends in hospital stores management.
10 Hours
TOTAL 60 Hours
NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.
26
Books recommended:
1. Gupta Shakti & Kant Sunil, (2004) - Hospital Stores Management- An Integrated
Approach, JP Brothers New Delhi.
2. Nair N K – Purchasing and Materials Management
3. Dutta A K _ Integrated Materials Management
Hyman Stanley- Supplies Management in Healthcare
WEIGHTAGE
27
MP02HA-2C2 FINANCIAL MANAGEMENT IN HEALTHCARE
WEIGHTAGE
WEIGHTAGE
28
MP02HA-2C4 MATERIALS MANAGEMENT IN HEALTHCARE
WEIGHTAGE
29
SEMESTER -III
Practical Training:
Practical I:
Operation Theatres
Intensive Care Units
30
Practical II:
Inpatient wards
Super specialty services
Physiotherapy
Practical III:
6.5 SYLLABUS
Chapter 1:
05 Hours
Chapter 2:
Human Resource Planning: Meaning & definition, importance, factors affecting, barriers,
forecasting – Job Analysis & Design: nature, methods of collecting information, job
description, job specification, factors affecting job design, techniques of job design –
Recruitment & Selection; Meaning, definition, purpose and importance, factors governing,
process, barriers, sources of recruitment, selection techniques, testing and interviews.
10 Hours
31
Chapter 3:
10 Hours
Chapter 4:
15 Hours
Chapter 5:
Employee Welfare: Meanings & Definitions, Merits & demerits, Types of welfare activities,
Approaches – Safety & Health: types of accidents, what causes accidents, how to prevent
accidents, Need for safety, Employee Health (physical & mental) - Problem & Remedies, Job
Stress – Promotions Transfers and Separations.
10 Hours
Chapter 6:
10 Hours
TOTAL 60 Hours
32
NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.
Recommended books:
1. Srivastava S C (2001), Industrial Relations & Labour Laws, Vikas Publishing House Pvt
Ltd., New Delhi.
2. Beardwell. Ian, & Holden. Len (1996) - Human Resource Management, MacMillan
India Ltd, New Delhi.
3. Ashwathappa K.,(2006), Human Resource & Personnel Management, Tata McGraw-
Hill Publishing Company Ltd, New Delhi.
4. Monappa, Arun,(2000), Industrial Relations, Tata McGraw- Hill Publishing Company
Limited, New Delhi.
5. Dessler, Gary(1998) – Human Resource Management, Prentice Hall of India, New Delhi
OBJECTIVE: To introduce marketing and public relations concepts and their relevance to
health administrators and to sensitize health administrators regarding the application of
marketing and public relations.
Chapter 1:
10 Hours
Chapter 2:
Marketing Mix: Meaning and dimensions of product mix, promotion mix, price mix and place
mix - Market Measurement & Forecasting. Marketing Planning and Control - Marketing
strategies - Packaging of Services with comprehensive payment.
20 Hours
33
Chapter 3:
10 Hours
Chapter 4:
Marketing of Services: Characteristics of services, goods and services, service quality and
delivery, expectations management.
15Hours
Chapter 5:
15Hours
NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.
References:
34
MP02HA-3C3 LEGAL ISSUES IN HEALTHCARE & BUSINESS ETHICS
OBJECTIVE: To expose the students to the various legal aspects concerning business, service
and healthcare and create awareness on the relevance and their application
Chapter 1:
8 Hours
Chapter 2:
8 Hours
Chapter 3:
Environment Protection Act: Salient Features Occupational Hazards, Safety and Health
Measures – Food and Drugs Laws – Drugs and Cosmetics Act – Mental Health Act – Birth &
Death Registrations Act – Biomedical Waste Management Act and their applications and
relevance in healthcare.
10 Hours
Chapter 4:
An overview of MCI Act, Pre Natal Diagnostic Test Act, Medical Termination of Pregnancy
Act, Organ Transplantation Act – Medical Negligence – Consumer Protection Act – Patient
Rights –
6 Hours
35
Chapter 5:
Significant provisions from Income Tax Act- Contract Labour and Casual Labour Acts- an
over view of Shops and Establishment Act, Minimum Wages Act, Payment of Wages Act,
Employees State Insurance Act, Provident Fund Act, Payment of Gratuity and Equal
Remuneration Act.
10 hours
Chapter 6:
Introduction to ethics; nature, scope and purpose – Importance of ethics and moral standards -
Values, Norms, Beliefs and Standards – Normative ethics in management – ethics and morals.
3 hours
Chapter 7:
Managing ethics – ethics and the organization – Myths about business ethics – Ethical dilemma
– Ethics and the Environment – Ethical decision making – Moral Reasoning; Psychological
perspectives – Moral Reasoning and Organisation Culture: Cultures based on fear, punishment
and exchange.
7hours
Chapter 8:
8 hours
TOTAL 60 Hours
NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.
36
Recommended Books
1. BiswanathGhosh – Ehtics in Management and the Indian Ethos, Vikas Publishing House
Pvt Ltd, New Delhi.
2. Bhatia S K – Business ethics and Managerial Values, Deep & Deep Publications Pvt Ltd,
New Delhi
3. Saravanavel& Others – Labour laws- Himalaya Publishing House, Bangalore
4. Kuchhal M C( 2001) – Business Laws, Vikas Publishing House Pvt Ltd, New Delhi
5. Goswani V G (1999) – Labour & Industrial Laws, Central Law Agency, Allahabad.
6. Kapur N D,(2005) A Handbook of Industrial Law, Sultan Chand and Sons New Delhi.
7. Rajkumar – Acts applicable to hospitals in India
8. Murthy C S V – Business Ethics: text & cases, Himalaya Publishing House, Bangalore
9. Knight Bernard – Legal Aspects of Medical Practice.
WEIGHTAGE
37
MP02HA-3C2 Marketing Management in Healthcare Industry
WEIGHTAGE
38
SEMESTER –IV
Sl. Type Subject Title of paper Max Marks Total Hours Cre
No Code Mark Per dits
s week
IA Un
Exam
1 Hard MP02H Hospital planning and 40 60 100 3 3
core A-4C1 organisation
2 Hard MP02H Management of hospital services 40 60 100 3 3
core A-4C2
3 Hard MP02H Quality management in 40 60 100 3 3
core A-4C3 healthcare
4 Hard MP02H Dissertation 50 50 100 4
core A-4C4 (D) (Viva)
5 Hard MP02H Practical training
core A-4C5 as administrative trainee in any
two departments 20 30 150 8 4
Practical – I 20 30 8 4
Practical –II 20 30 8 4
Practical - III
39
6.7 SYLLABUS
OBJECTIVES: To give an idea about hospital, its role, the delivery of healthcare system, the
changing requirements of health services vis-a vis hospital design, planning and operational
aspects of Hospital organization.
Chapter 1:
History & development of Hospitals – definition, classification, role & functions – hospitals in
India today – hospital as a system.
4 Hours
Chapter 2:
15 Hours
Chapter 3:
Planning & designing Clinical Services: OPD, Inpatient department, Emergency & Critical
Services, Surgical and Medical Departments, specialty & super specialty services – Planning
and Designing of Supportive Services: Diagnostic Services, Blood Bank, Pharmacy, CSSD ,
Dietary, Laundry, etc – Planning and Designing Utility services: Housekeeping, Hospital
Engineering & maintenance dept, central stores, MRD, Entrance and Lobby area,
Administrative services
18 Hours
40
Chapter 4:
12 Hours
Chapter 5:
5 hours
Chapter 6:
6 hours
TOTAL 60 Hours
NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.
Recommended Books
41
MP02HA-4C2 MANAGEMENT OF HOSPITAL SERVICES
OBJECTIVE: To enable the students gain insights in to various aspects like importance,
functions, policies and procedures, equipping, controlling, co-ordination, communication,
staffing, reporting and documentation of both clinical and non clinical services in a hospital.
Chapter 1:
Outpatient department, Daycare, Accident and emergency services, Physical medicine and
rehabilitation, Occupational therapy unit, Physiotherapy department.
8 hours
Chapter 2:
Inpatient services: ward design (general & Specialised) Critical Care Services- ICU CCU,
NICU- Medical Services- Surgical services- Operation Theater – Nuclear Medicine
Department - Burns Unit- Nursing services and administration.
14 hours
Chapter 3:
Specialty Services: Pediatrics, OBG & GYN, ENT, Ophthalmology, Orthopedic, Psychiatry,
Anesthesia, Dental – Super-specialty: Cardiology, Thoracic Surgery, Neurology,
Neurosurgery, Nephrology- Dialysis Unit, Transplantation Services.
12 hours
Chapter 4:
Supportive services: Diagnostic - Radiology & Imaging services, Hospital Laboratory etc-
Blood bank & Transfusion services, Ambulance services, Pharmacy, CSSD, Oxygen
Manifold/Concentrator, Dietary Service, Hospital Laundry and Linen, Medical Social Worker,
Marketing and Public Relation, Finance and Administrative departments- Outsourcing.
12 hours
42
Chapter 5:
10 Hours
Chapter 6:
Hospital Acquired Infection: source and control, Modern trends in Hospital administration -
Disaster Management - Information systems: Telemedicine
4 Hours
TOTAL 60 Hours
NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.
Recommended Books
43
MP02HA-4C3 QUALITY MANAGEMENT IN HEALTHCARE
OBJECTIVE: To make the student conversant with the importance of total quality in
healthcare, evolution of quality management, strategy for quality management, continuous
quality improvement, co ordination of activities, assessment of quality, quality techniques.
Chapter 1:
Concepts of quality and total quality, Rationale for Quality improvement in health care,
Concepts of quality assurance, Quality Management Philosophies- Deming Philosophy, Steps
for quality improvement, commitment and involvement in service delivery, Taguchi’s
principles, Feigenbaum’s philosophy, Patient focus and
involvement.
6 Hours
Chapter 2:
Quality Control- tools and techniques: TQM Models, Quality standards, ISO and its
implementation, Brainstorming, Benchmarking, Statistical Quality Control, Statistical process
control, Process Charts, Fish Bone Diagram, six sigma concept, Poka Yoke and & Quality
control tools - Continuous Quality Improvement – Quality Circles
12 hours
Chapter 3:
Concurrent, Terminal and Cyclic Evaluation, Audit in health care- Medical audit, Nursing
audit, Pharmacy audit, Antibiotic audit, Tissue Committee, Reviews - Clinical audit; Defining
audit protocol, audit team-duties & responsibilities - Patient Satisfaction Survey -Use of
clinical practice guidelines, Integration of the health care system
15hours
Chapter 4:
Mortality review -Retrospective process review - Concurrent process review – Review of
infection, births, premature, underweight babies – Post operative, post delivery, post anesthesia
review – Discharge status, Leave against Medical advise – Average length of stay, average
waiting time.
15 hour
44
Chapter 5:
Accreditation: Understanding the process of getting started on the road to accreditation ,
National & International Accreditation bodies - Overview of standards, Raising the quality of
care for the patient-, Lessons learned from local
organizations: patient focused standards. Quality improvement and patient safety.
12 Hours
Total 60 Hours
Suggested Readings:
1. Quality Management in Health Care, Principles and Methods, Donald Lighter and
Douglas C Fair, Jones and Bartlett Publishers, 2004
2. Total Quality Management James R Evans- South Western Publishers 2nd edition, 2000
3. Pena, Jesus – Hospital Quality Assurance
4. Hugh C H Koch – Total Quality Management in healthcare.
WEIGHTAGE
45
MP02HA-4C2 MANAGEMENT OF HOSPITAL SERVICES.
WEIGHTAGE
WEIGHTAGE
46
7. Scheme of examination & assessment of a Course
i. Objectives :
Continuous evaluation ,
To Develop skills of literature review & to learn advances in the field of
Hospital Management
To increase the analytical ability , problem solving capacity & writing
/communication skills
ii Area of Evaluation
7.2 Dissertation:
Each candidate is required to carry out dissertation on a selected topic under the
guidance of a recognized post graduate teacher after the submission of the synopsis.
The topic for the Dissertation should be chosen based on an area of interest and should
be done in a hospital. The student should choose the hospital for the dissertation in the place of
study itself under the constant supervision of the guide allotted. The aim of the dissertation is
to enable the student to gain an in-depth insight into a particular department or topic chosen for
study.
The synopsis shall be presented to the Board of Studies for acceptance. If found suitable
shall register the dissertation topic. No change in the dissertation topic or guide shall be made
without prior approval of the University.
Every candidate shall submit the synopsis containing particulars of proposed dissertation
within nine months from the date of commencement of the course.
47
The dissertation shall be written under the following headings:
Introduction
Objectives of study
Review of literature
Materials and Methods
Results
Discussion
Conclusion
Recommendation
Summary
Bibliography
Annexure
The written text of Dissertation should be neatly typed in double line spacing on one side of
paper (A4 size) and should be bound, Spiral binding should be avoided.
A declaration by the candidate that the work was done by him/her shall be included. The co-
guide (where ever applicable), guide, head of the department and head of the institution shall
certify the bonafide of the dissertation.
Two copies of the dissertation shall be submitted to the university through proper channel
along with a soft copy (CD), three months before the final examinations. It shall be assessed by
two examiners appointed by the university, one internal and one external.100 marks shall be
awarded for the Dissertation.
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Guide: The academic qualification and teaching experience required for recognition of guide
shall be as given under:
Qualification:
(All the above degrees should have been granted by a UGC recognized University)
Or
3 years teaching or administrative experience after a post graduate medical degree from an
institution recognized by Medical Council of India.
Student guide ratio: A recognized guide shall supervise dissertation work of not more than five
students per academic year. The age of guide shall not exceed 68 years.
Co-Guide may be included provided the work requires substantial contribution from a sister
department or from another institution recognized for teaching Yenepoya University or any
other State level University.
Change of Guide: In the event of registered guide leaving the Institute/ college due to any
reason or in the event of death of the guide or any other valid reasons, guide may be changed
with prior permission from the university only.
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7.3 Semester End Examination
i. University shall conduct SEE examinations in a year at an interval of not less than
four to six months.
ii. Number of examiners for theory and viva voce shall be, comprising of one internal
and one external examiner appointed by the university.
iii. Qualification and teaching experience required for appointment as an examiner for
viva shall be the same as that prescribed for guide.
iv. Theory papers will be evaluated by subject experts who are on the approved panel of
examiners in Yenepoya University.
v. Eligibility to appear in university examination: A candidate shall be eligible to
appear for first semester university examination at the end of six months from the
commencement of the course and for subsequent semester university examination at
an interval of six months provided he/she has satisfactorily completed the prescribed
course and fulfilled the prescribed attendance at the end of each semester.
.
8. Attendance:
8.1 Every candidate shall have attended at least 80% of the total number of theory and
hospital/practical training classes conducted from the date of commencement of the semester to
the last working day as notified by university in each of the courses prescribed for that
semester separately. Only such candidates are eligible to appear for the university
examination in their first attempt.
8.2 A candidate lacking the prescribed percentage of attendance in any course either in theory
or hospital/practical training in the first appearance will not be eligible to appear for the
University Examination in that particular course.
8.3 A candidate who fails to satisfy the attendance requirements in a particular course of a
semester shall repeat the course in the next semester.
8.4The HOD/course coordinator through the Dean of Faculties shall announce the names of
the students who will not be eligible to take the Semester End-examinations in the various
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courses and send a copy of the same to the COE’s office. Registrations of such students for
those courses shall be treated as cancelled.
Evaluation of a course shall be done on a continuous basis followed by one semester end
university examination (SEE) for each course.
The components of CIA may include, sessional tests, Seminar/ Journal Cub/other related
activities, Review/Assignment/Social involvement and other activities relevant to the course.
i. Each theory examination shall be evaluated by one internal and one external
examiner. There shall be a third evaluation if the difference is more than 15%.
ii. Practical examination shall be jointly conducted and evaluated by one internal
examiner and one external examiner.
i. Dissertation shall be evaluated by two examiners, one external and one internal from
the panel of examiners prepared by the BoS and approved by the University.
ii. The criteria for the evaluation of the dissertation shall be prescribed by the respective
BoS.
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10. Letter Grades and Grade Points
i. The results of successful candidates at the end of each semester shall be declared in
terms of Grade Point Average (GPA) and letter grades as given below shall be
followed:
Grade
Letter Grade Range of marks
Point
A+(Outstanding) 10 95-100
A ( Excellent) 9 85-94
B+ (Very Good) 8 75-84
B (Good) 7 65-74
C (Average) 6 55-64
P (pass) 5 50-54
F (Fail) <5 Less than 50
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11. Carry over
i. A candidate who passes the semester examinations in parts is eligible for only CGPA
and letter Grade but not for ranking.
ii. Carry over shall be allowed for candidate who failed in not more than two courses in a
semester.
iii. The results of the candidates who have passed the fourth semester examination but not
passed the lower semester examinations shall be declared as NCL (Not Completed
Lower semester examinations). Such candidates shall be eligible for the degree only
after completion of all the lower semester examinations.
iv. A Candidate who fails in any of the project work/Project Report/ dissertation shall
reappear for the same within the nearest semester end examination schedule.
v. Re-Entry after Break of the study
a. Students admitted to a program abstaining for more than 3 months must seek
readmission into the appropriate semester.
b. The student shall follow the syllabus in vogue (currently approved/is being
followed) for the program
c. All re admissions of students are subject to the approval of the Vice Chancellor.
It is essential to monitor the learning progress of each candidate through continuous appraisal
and regular assessment. It not only also helps teachers to evaluate students, but also students to
evaluate themselves. The monitoring be done by the staff of the department based on
participation of students in various teaching / learning activities. It may be structured and
assessment be done using checklists that assess various aspects. Model Checklists are given in
this Chapter which may be copied and used.
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Acquisition of Knowledge: The methods used comprise of `Log Book’ which records
participation in various teaching / learning activities by the students. The number of activities
attended and the number in which presentations are made are to be recorded. The log book
should periodically be validated by the supervisors.
Log book: The log book is a record of the important activities of the candidates during his
training; internal assessment should be based on the evaluation of the log book. Collectively,
log books are a tool for the evaluation of the training programme of the institution by external
agencies. The record includes academic activities as well as the presentations and assignments
carried out by the candidate.
Journal Review Meeting (Journal Club): The ability to do literature search, in depth study,
presentation skills, and use of audio- visual aids are to be assessed. The assessment is made by
faculty members and peers attending the meeting using a checklist (refer annexure for the
Checklist – I)
Seminars / Symposia: The topics will be assigned to the student well in advance to facilitate
in depth study. The ability to do literature search, in depth study, presentation skills and use of
audio- visual aids are to be assessed using a checklist (refer annexure for the Checklist-II)
14.1 The Masters in Hospital Administration course shall be conducted only in those
Institutions which are conducting Medical courses recognized by MCI/GOI and
universities recognized by UGC.
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14.3 Minimum staff required:
For an annual intake of 20 students minimum teaching staff required will be five, viz two
Professors or Associate Professor and three Assistant Professors or 1 Assistant professor
and two Lecturers. Four teaching staff out of four shall have requisite qualification and
experience to be recognized as guides i.e. for an annual intake of five students there shall
be one University recognized guide.
14.4 Visiting and part time faculty: Hospital Administration being multi disciplinary
subject, will always need contribution from visiting and part time faculty with post
graduate qualification and five years of teaching experience in a university recognized
Institution. Following are the suggested areas that could be covered by the visiting faculty.
14.5 Hospital: A multi specialty teaching hospital with not less than 200 beds having in
addition to the usual patient care facilities, various supportive departments/facilities like
Medical Records Department, CSSD, Pharmacy, Kitchen, Laundry, Stores, Accounts etc.
Two standard class rooms with a capacity for 25 students. Conference hall for seminars
with a capacity to seat 50 to 100. Seminar room for discussion one and group work
14.8 Library:
A well stocked library with latest edition books and journals on the following subjects.
Hospital Administration
General Management
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Organizational Behavior
Biostatistics, Operations Research and Research Methodology
Epidemiology, Public Health, Medical Ethics and Health Administration in India
Basic Accounting and Cost Accounting
Financial Management in Healthcare
Health Economics, Principles and practice of Economics
Legal Issues in Healthcare & Business Ethics
Human Resources Management in Healthcare
Industrial relations in Healthcare
Marketing Management in Healthcare
Materials Management in Healthcare
Hospital Planning and Organization
Quality Management in Healthcare
14.9 The Digital library provides an access to Internet facilities and online publications
to students for their reference in the library.
Recommended Journals:
Hospital Administration
Health Administrator
Express Healthcare
Modern Medicare
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Healthcare Financial Management
Organizational Dynamics
Global Healthcare
Indian Management
Effective Executive
HRM Review
15.0 ANNEXURES
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Format of Model Checklists
Checklist-I:
1 Items for observation Poor Below average Average Good Very Good
during presentation
0 1 2 3 4
2 Extent of
understanding of scope
& objectives of the
paper by the candidate
3 Whether cross-
references have been
consulted
5 Ability to respond to
questions on the paper
/subject
6 Audio-visuals aids
used
8 Clarity of presentation
Total score
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Checklist-II: CHECK LIST FOR THE EVALUATION OF THE SEMINAR
PRESENTATIONS
2 Extent of understanding
of scope & objectives of
the paper by the
candidate
3 Whether cross-
references have been
consulted
5 Ability to respond to
questions on the paper
/subject
8 Clarity of presentation
Total score
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Checklist - III: CHECK LIST FOR PROJECT WORK PRESENTATIONS
1 Interest shown in
selecting topic
2 Appropriate review
4 Quality of protocol
5 Preparation of
proforma
Total score
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CHECKLIST - IV: CONTINUOUS EVALUATION OF PROJECT WORK BY GUIDE/ CO-GUIDE
Sl Items for observation Poor Below average Average Good Very Good
No. during presentation
0 1 2 3 4
1 Periodic consultation
with guide/ co-guide
2 Depth of Analysis/
Discussion
3 Department presentation
of findings
5 Others
Total score
Date:
A B C D
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