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MHA New Curriculum

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CONTENTS:

 Mission & Vision Statement of the University

 Regulations Governing MHA course

 Aims and Objectives

 Course Structure

 First semester

 Second semester

 Third semester
 Fourth semester
 Monitoring Learning Progress

 Minimum requirement of infrastructure and Teaching staff

 Annexure
MISSION
 To achieve academic excellence and global competencies among students.

 To create an environment for the generation of new knowledge through meaningful


research adopting latest methods of pedagogy and incorporating modern principles of
academics integrated with highest ethical standards.

 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.

 The College strives to produce outstanding medical professionals, teachers, physicians


and scientists.
 This will be done by providing quality education to the students, residents,
postgraduate and doctoral trainees, practicing physicians and the public that integrates
the latest research advances with the best clinical practice

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

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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.

2. Definitions of Key Words


I. Academic Year: Two consecutive (one odd + one even) semesters constitute one
academic year.

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).

III. Course: Usually referred to, as ‘papers‟ is a component of a programme. The


courses shall define learning objectives and learning outcomes.
A course shall comprise lectures/ tutorials/ laboratory work/ field work/ outreach activities/
project work/ vocational training/viva/ seminars/ term papers/assignments/ presentations/ self-
study etc. or a combination of some of these.

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.

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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.

VII. Cumulative Grade Point Average (CGPA): It is a measure of overall cumulative


performance of a student over all semesters. The CGPA is the ratio of total credit points
secured by a student in various courses in all semesters and the sum of the total credits of all
courses in all the semesters. It is expressed up to two decimal places.

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.

IX. Semester Grade Point Average (SGPA): It is a measure of performance of work


done in a semester. It is ratio of total credit points secured by a student in various courses
registered in a semester and the total course credits taken during that semester. It shall be
expressed up to two decimal places.

X. Transcript or Grade Card or Certificate: Based on the grades earned, a grade


certificate shall be issued to all the registered students after every semester. The grade
certificate will display the course details (code, title, number of credits, grade secured) along
with SGPA of that semester. Semester System and Choice Based Credit System.

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3. REGULATIONS OF COURSE DETAILS

3.1 Title of the Course

Masters in Hospital Administration

3.2 Eligibility:

To be eligible for admission a candidate shall have obtained:

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%.

3.3 Medium of Instruction:

English shall be the medium of instruction for the subjects of study as well as for the
examination.

3.4 Duration of study:

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.

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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.

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4.0 AIMS & OBJECTIVES

The program aims at,

1. To prepare a candidate to assume the responsibility of a hospital service manager


irrespective of its ownership status and the location. The training broadly emphasizing on
developing knowledge, skill, attitudes and analytical approach pertain to the specialty of
Hospital Management.

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.

5.0 Course Structure

5.1 Semester System and Choice Based Credit System

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

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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;

Odd Semester 1st& 3rd July/August to December/January

Even semester 2nd& 4th January/February to June/July

II: Core course: a course that should compulsorily be studied by a candidate as a


requirement is termed as a core course this can be hard core or soft core.

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

Total Credits for the programme shall be 100.

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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

Total 22 330 550 34 24


0

IA: Internal Assessment, SEE: Semester End Examination

Total No of theory hours in a week = 12


Total No of practical hours in a week = 24

Practical Training

Practical I:
 OPD services
 Front Office
 Emergency services

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Practical II:
 Medical Social Work
 Marketing & TPA
 Medical Records Department

Practical III:

 Maintenance
 Housekeeping ,
 Transport Services

6.1 SYLLABUS

MP02HA-1C1 PRINCIPLES OF MANAGEMENT

OBJECTIVE: To introduce general principles of management and their relevance to hospital


administrators and to bring awareness about the skills needed for translating management into
action.

Chapter 1:

Introduction to Management: Meaning and Nature of management, development of


management thought, schools of management thought, management process, management in
21st century.

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

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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:

Functional Areas of Management: Meaning and dimensions of finance, marketing, human


resources, production and operational management.

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.

Books for References:

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.

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MP02HA-1C2 ORGANISATIONAL BEHAVIOUR

OBJECTIVE: To familiarize students with interpersonal & intrapersonal relations, their


behavioral inputs in organizational settings in order to help them and understand their
superiors, subordinates, peers, patients/customers better.

Chapter 1:

Foundation of Organizational Behavior - Nature of organizations/ why organizations exist-


Models of Organizational Behavior - Challenges & Opportunities for Organizational Behavior.

3 hours

Chapter 2:

Foundation of Individual behaviour, personal factors, environmental factors, organizational


systems & resources, psychological factors – Values, attitudes, job satisfaction, learning –
Personality: Structure, Determinants, Personality Traits – Perception: Process, factors
influencing, Nature & importance, Errors in perception, Managing Perception – Motivation:
Importance, Meaning, Motivation theories- early, content and process theories – Applied
motivation practices: job design, rewards, job enrichment, behaviour modification,
Organizational Behavior model, Goal setting, Quality of Work Life – Work stress- model,
causes, forms of stress, frustration, stress and job performance.

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

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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:

1. K Ashwathappa; Organisational Behaviour – Himalaya Publishing House.


2. V S P Rao – Organisational Behaviour
3. Fred Luthans: Organisational Behaviour – Mcgraw Hill
4. Stephen Robbins: Organisational Behaviour – Prentice Hall of India
5. John W Newstrom& Keith Davis: Organisational Behaviour – Tata McGraw Hill
6. Johns, Gary – Organisational Behaviour.
7. Reddy, Appannaiah & Kavitha – Organisational Behaviour, Himalaya Publishing House,
New Delhi.

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MP02HA-1C3 STATISTICS OPERATION RESEARCH AND RESEARCH
METHODOLOGY INCLUDING RESEARCH ETHICS

OBJECTIVE: To provide and understanding to the student on basic principles of business


statistics, research methods followed report writing and know their relevance and applications
in healthcare.

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:

Measures of Central Tendency, Measures of Dispersion, Correlation and Regression analysis –


their ascertainment and application in business and healthcare – Probability: its calculation,
distribution and theorems

18 hours

Chapter 3:

An Overview of PERT & CPM Techniques – Queuing Theory – Linear Programming


Problems – Simulation – Decision making theories - Time series analysis – Forecasting
methods – Business forecasting and time series.

10 hours

Chapter 4:

Research Problem formulation – Planning research variables – Parameters – steps in research


process, designing the study, sampling design, scaling techniques, pilot study, data analysis and
interpretation, reporting the results and ethics in research.

10 hours

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Chapter 5:

Formulation and testing of hypothesis, tools of testing–Chi Square – ANOVA, ANOCOVA –


Writing dissertation & research proposal, the steps and the process.

10 Hours

TOTAL 60 Hours

NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.

Recommended Books

1. Hamdy A Taha – Operations Research: An Introduction.


2. Kothari C R.- Research Methodology – Methods and Techniques
3. Cooper R Donald, Schindler S Pamela (2001) – Business Research Methods, Tata
McGraw Hill Publications Ltd, New Delhi
4. Gupta S P (2001) Statistical Methods, Sulthan Chand & Sons New Delhi
5. Golden Biddle, Koren and Karen D Locke (1997) – Composing quantitative Research,
Sage Publications, New Delhi.
6. Mike Luck – Research in Healthcare.

MP02HA-1C4 ACCOUNTING IN HEALTHCARE

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

Financial accounting – introduction- concepts and conventions, Basic records – Classification


of expenditure – capital & Revenue- Trial Balance, Preparation of financial accounts.

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10 Hours

Chapter 2

Disclosure of information – Fixed Assets and equipments, Depreciation Accounting, Inventory


Valuation – Accounting information and its application in healthcare – human resource
accounting – accounting controls – Internal Controls –Accounting systems- computerized
accounting in hospitals- emerging trends in accounting in healthcare.

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

Service costing – Income from Hospital services – dietary services, etc.

Pricing of Hospital services – pricing policy, demand oriented, competition oriented


contribution and backward pricing systems- rate Revision, Hospital Rate setting, taxes- Pricing
in charitable hospital and pricing of new equipment – Transfer pricing.

TOTAL 60 Hours

NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.

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Recommended books:

1. Kulkarni, G. R, (2003) Managerial Accounting for Hospitals, Mumbai


2. Jawaharlal (2002), Accounting for Management, Himalaya Publishing House, Mumbai.
3. Khan & Jain (2001) Cost & Management Accounting, Prentice Hall, New Delhi.
4. Pandey, I. M, (2001) Financial Management, Vikas Publishing House, New Delhi.
5. IGNOU (2005) MS-4 Accounting and Finance for Managers, IGNOU, New Delhi.
6. Bhattacharya, S K & John Deardren( 2001), Accounting for Mangament, Text & Cases,
Vikas Publishing House Pvt Ltd. New Delhi.

6.2 PAPER WISE QUESTIONS:

MP02HA-1C1 PRINCIPLES OF MANAGEMENT

TOPIC PERCENTAGE/ Section

WEIGHTAGE

CHAPTER 1 20% Short Essay

CHAPTER 2 30 % Long & Short Essay

CHAPTER 3 30% Short Essay

CHAPTER 4 10% Short Essay

CHAPTER 5 10% Short Essay

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MP02HA-1C2 ORGANISATIONAL BEHAVIOUR

TOPIC PERCENTAGE/ Section

WEIGHTAGE

CHAPTER 1 10 % Short Essay

CHAPTER 2 30 % Long & Short Essay

CHAPTER 3 30 % Long & Short Essay

CHAPTER 4 20 % Long or Short Essay

CHAPTER 5 10 % Short Essay

MP02HA-1C3 STATISTICS OPERATION RESEARCH AND RESEARCH


METHODOLOGY INCLUDING RESEARCH ETHICS

TOPIC/ NUMBER PERCENTAGE/ Section

WEIGHTAGE

CHAPTER 1 20% Long & Short Essay

CHAPTER 2 30% Long & Short Essay

CHAPTER 3 20% Long & Short Essay

CHAPTER 4 20% Long & Short Essay

CHAPTER 5 10% Short Essay

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MP02HA-1C4 ACCOUNTING FOR HEALTHCARE

TOPIC/ NUMBER PERCENTAGE/ Section

WEIGHTAGE

Chapter 1 15% Short Essay

Chapter 2 15% Short Essay

Chapter 3 30% Long & Short Essay

Chapter 4 25% Long Essay

Chapter 5 15% Long or Short Essay

18
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

IA: Internal Assessment, SEE: Semester End Examination

Total No of theory hours in a week = 15

Total No of practical hours in a week = 18

Practical Training

Practical I:

 Diagnostic Laboratory
 Radiology & Imaging

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Practical II:

 Pharmacy
 Biomedical Engineering department CSSD
Practical III:
 Laundry
 Dietary services

6.3 SYLLABUS

MP02HA-2C1 EPIDEMIOLOGY, PUBLIC HEALTH ADMINISTRATION &


MEDICAL ETHICS

OBJECTIVE: To create understanding about health environment of the country, the


development of health services in India, and other essential health issues faced and their effect
on formation of health policies for the country.

Chapter 1:

Introduction, History of medicine - Modern Medicines - Changing concepts in public health –


Medical evolution – healthcare revolution – Concept of health and disease – Principles of
disease transmission & disease control.

4 hours

Chapter 2:

Vital Statistics – Principles of epidemiological studies and epidemiological methods – Types of


epidemiological studies, interpreting epidemiological data, surveillance, monitoring, notifiable
diseases, International classification of Diseases (ICD), Death certification.

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:

Community involvement & participation, community Health Programmes, Community


diagnosis – Allocation of resources in Five Year Plans and other health programmes –
Maternal & Child Health, Family welfare – Occupational Health – Environmental Health –
Genetics – Geriatric Health – Nutrition and health – Mental Health.
10 hours

Chapter 5:

Health Education – Principles: Methods, Materials – Communication for health education:


Mass Media, Mass Communication – Health Planning and management – Health Policy –
Health Committees.

10 hours

Chapter 6:

Healthcare System – International Health Problems. 04 hours

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

MP02HA-2C2 FINANCIAL MANAGEMENT IN HEALTH CARE

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:

Financial Management- nature, scope, functions, goals – Organizing Finance Functions-Risk


and Return-Trade off – Time Value of Money

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

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Chapter 3: Management of working capital

Management of working capital – Cash Management – Cash forecasting- cash budgets –


investing surplus cash – accounts receivables management – credit policy – credit evaluation –
control of receivables – inventory management – payables management

15 Hours

Chapter 4: Types of financing

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:

Strategic Financing decisions – Management of earnings – Financial Engineering – Investors


selection – financial restructuring – Emerging trends in Health care Finance.

10 Hours

MP02HA-2C3 HEALTH ECONOMICS

OBJECTIVE: to provide understanding of basic economic concepts, theories and its


application to healthcare

Chapter 1: Introduction of Economics 10 hours

Overview- Nature of Economics – Positive and Normative Economics- functioning of


Economic systems – Micro and Macro Economic Principles- Circular flow and
interdependence of Economic activity- Basic Economic concepts - scarcity –Production
Possibility curves and trade offs- Opportunity cost – Discounting principle – Utility approach
to consumer behaviour- utility maximization- indifference curve- Concepts of marginal Utility

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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

Chapter 3: Cost analysis and Market Structures 10 hours

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.

Market Structure- Perfect competition- Monopoly-Duopoly-Oligopol-Monopolistic


Competition- Pricing determination Different Market Structures – Price-Fixation- Price
Discrimination - Degrees of Price Discrimination.

Chapter 4: Concepts of Health Economics 10 hours

Introduction to Health Economics-Unique Nature of Health – Health as a Consumer and


investment Good – Valuation of Health – Externalities in Health care -Aging Population and
Long-term Care- Demand For Healthcare-Supply Of Healthcare-Asymmetric Information-
Imperfect Agency and Supplier Induced Demand
Nature and characteristics of Healthcare Markets.

Chapter 5: National Income, Health policies and Health care Finances

12 hours

Concepts of National Income at factor price and market price-GDP-NNP-GNP-PI. Its


Relationship between economic development, welfare and health.

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.

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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)

Chapter 6: Economic Evaluation and Trends in Healthcare 11 hours

Cost Benefit Analysis (CBA)- Cost-minimization Analysis (CMA)- Cost – Effectiveness


Analysis (CEA), Cost-Utility Analysis (CUA): Utility, value, preference; Quality Adjusted
Life Years (QALY), Disability Adjusted Life Years (DALY) Healthy Years Equivalent (HYE),
C/U Ratio

Trends in Healthcare – Changing demography – Medical Technology and Escalating Health


costs – Public Private Partnership -effects of Globalization.

Total 60 hours

List of References:

1. Public Economics - B P Tyagi


2. Advanced Macro economic Theory - M L Jhingan
3. Principles of Economics - D N Dwivedi
4. A Primer Of Health System Economics - V Raman Kut

MP02HA-2C4 MATERIALS MANAGEMENT IN HEALTHCARE

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:

Procurement Procedure- Registration of firms – Tender System – Vendor analysis -Purchasing


& Purchase Cycle, functions of purchase department, Committee: Purchase, selection and
Audit – Receipt & Inspection of Stores – Asset Accounting.

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

6.4 PAPER WISE QUESTIONS

MP02HA-2C1 EPIDEMIOLOGY, PUBLIC HEALTH ADMINISTRATION &


MEDICAL ETHICS

TOPIC/ NUMBER PERCENTAGE/ Section

WEIGHTAGE

Chapter 1 5% Short Essay

Chapter 2 10% Long Essay

Chapter 3 15% Long or Short Essay

Chapter 4 25% Long & Short Essay

Chapter 5 25% Long & Short Essay

Chapter 6 5% Short Essay

Chapter 7 5% Short Essay

Chapter 8 5% Short Essay

Chapter 9 5% Short Essay

27
MP02HA-2C2 FINANCIAL MANAGEMENT IN HEALTHCARE

TOPIC/ NUMBER PERCENTAGE/ Section

WEIGHTAGE

Chapter 1 30 % Long & Short Essay

Chapter 2 30% Long & Short


Essay

Chapter 3 20% Long or Short


Essay

Chapter 4 10% Short Essay

Chapter 5 10% Short Essay

MP02HA-2C3 HEALTH ECONOMICS

TOPIC/ NUMBER PERCENTAGE/ Section

WEIGHTAGE

Chapter 1 10 % Short Essay

Chapter 2 20% Long Essay

Chapter 3 30% Long & Short Essay

Chapter 4 15% Long Essay

Chapter 5 10% Short Essay

Chapter 6 15% Long or Short Essay

28
MP02HA-2C4 MATERIALS MANAGEMENT IN HEALTHCARE

TOPIC/ NUMBER PERCENTAGE/ Section

WEIGHTAGE

Chapter 1 10 % Short Essay

Chapter 2 30 % Long & Short Essay

Chapter 3 30 % Long & Short Essay

Chapter 4 10 % Short Essay

Chapter 5 20 % Long Essay

29
SEMESTER -III

Sl. Type Subject Title of paper Max Total Hou Cre


N Code Marks Marks rs dits
o Per
IA Un week
Exa
m
1 Hard MP02HA Human Resource management 40 60 100 3 3
core -3C1 in healthcare
2 Hard MP02HA Marketing management in 40 60 100 3 3
core -3C2 healthcare
3 Hard MP02HA Legal issues in healthcare 40 60 100 3 3
core -3C3
4 Soft MP02HA Open Elective 40 60 100 3 3
Core -3O2
5 Soft MP02HA 40 60 100 15 3
core -3C4 Short Study (External Posting)* days
6 Hard MP02HA Practical training
core -3C5
Practical – I 20 30 8 4
Practical – II 20 30 150 8 4
Practical – III 20 30 8 4

Total 26 390 650 34 27


0

IA: Internal Assessment, SEE: Semester End Examination

Total No of theory hours in a week = 12

Total No of practical Hours in a week = 22

* Short study to be completed during the semester break

Practical Training:

Practical I:

 Operation Theatres
 Intensive Care Units

30
Practical II:

 Inpatient wards
 Super specialty services
 Physiotherapy

Practical III:

 Human Resource Department


 Purchase and Stores
 Accounts & Billing

6.5 SYLLABUS

MP02HA-3C1 HUMAN RESOURCE MANAGEMENT IN HEALTHCARE

OBJECTIVE: To provide understanding of the concepts, principles & practices of human


resource management & to appreciate the need for systematic approach to people management.

Chapter 1:

Introduction to Human Resource Management, changing environment of Human Resource


Management – Organization of Human Resource Department, image & qualities of Human
Resource/ Personnel Manager, Personnel Policies & Principles- Human Resource
Development: Interventions- managerial Effectiveness

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:

Orientation: Orientation programme, problems in orientation, need, socialization - Training:


Nature, analyzing training need, Need for Training, Training Process, Impediments to effective
training, evaluating the training effort, training methods, Development.

10 Hours

Chapter 4:

Performance Appraisal: Definition, Importance, Need to appraise, Process, Appraisal


Methods: Past Oriented and Future Oriented, Appraisal Interview, Errors in Appraisal,
Competency Mapping, Job Evaluation – Employee & Executive remuneration &
Compensation: Components of remuneration, Influences on pay determination, Devising a
remuneration plan, challenges affecting remuneration, Wage policy in India- Incentives,
developing effective incentive plans, Types of incentive schemes – Benefits & Services:
Meaning & definition, types, principles of fringe benefits, insurance, medical, retirement
benefits.

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:

Participative Management: Concept, Determinants, schemes – Discipline; Process, issue of


charge sheet, consideration of explanation, Notice of enquiry, Suspension, Enquiry,
Punishment - Collective Bargaining: Concept & Meaning, Prerequisites, Process, Types,
Advantages & Disadvantages – Grievance Settlement: Nature, Process, Causes of Grievance.

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

MP02HA-3C2 Marketing Management in Healthcare Industry

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:

Introduction to Marketing: Meaning, approaches to marketing, functions and concepts –


Components of Marketing

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:

Marketing Management: Meaning, process, customer satisfaction and delight. Customer


Relationship Management (CRM) Health Insurance Schemes and Third Party Administrators
(TPA’s) – Medical Tourism.

10 Hours

Chapter 4:

Marketing of Services: Characteristics of services, goods and services, service quality and
delivery, expectations management.

15Hours

Chapter 5:

Application of Marketing in Health care: Relevance and Application - difference between


health care and other services as regards marketing - Public Relations: Introduction, Definition
of Public Relations, Public- internal & external- theory and concept of Public Relation - Role
of Public Relation staff - Training and development of frontline staff – Public Private
Partnerships.

15Hours

NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.

References:

1. Organisations, Prentice Hall, New Jersey.


2. Ramaswamy V S & Namkumari S – Marketing Management –Planning,
Implementation and Control- Macmillan India Ltd New Delhi
3. Kotler, Phillip & Gary Armstrong – Principles of Marketing Prentice Hall of India
Pvt Ltd, New Delhi.
4. Kotler,Phillip & Clarke Roberta – Marketing for Healthcare
5. Sommers & Barnes – Fundamentals of Marketing.
6. Center, Allan H & Jackson Patrick – Public Relations Practices: Managerial case
Studies & Problems.

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:

Introduction – Overview of laws in business and healthcare – Sources of law – interpretation of


law – impact of Indian Constitution on Law – judicial Decisions by Supreme Courts and High
Courts – Important Provision of Indian Contracts Act – Sale of Goods Act – Trade Union Act –
Trust Act – Societies Registration Act.

8 Hours

Chapter 2:

Medico Legal Procedures – Medical Jurisprudence – Patient confidentiality – Law of Torts –


Law on Communicable diseases – Notifiable diseases – WHO – International Health
Regulations

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:

Ethics in Management – Ethics in HRM – Ethics in Marketing – Ethics in Finance – Corporate


Social responsibility: Pyramid of corporate social responsibility, domains of corporate social
responsibility- Ethical codes of conduct – Protection of employees: guarding against sexual
harassment.

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.

6.6 PAPER WISE QUESTIONS - III SEMESTER

MP02HA-3C1 HUMAN RESOURCE MANAGEMENT IN HEALTHCARE

TOPIC/ NUMBER PERCENTAGE/ Section

WEIGHTAGE

Chapter 1 5% Short Essay

Chapter 2 25% Long & Short Essay

Chapter 3 25% Long & Short Essay

Chapter 4 30% Long & Short Essay

Chapter 5 5% Short Essay

Chapter 6 10% Long or short Essay

37
MP02HA-3C2 Marketing Management in Healthcare Industry

TOPIC/ NUMBER PERCENTAGE/ WEIGHTAGE Section

Chapter 1 10 % Short Essay

Chapter 2 25 % Long & Short Essays

Chapter 3 25% Long & Short Essays

Chapter 4 15 % Long Essay

Chapter 5 25% Long & Short Essays

MP02HA-3C3 LEGAL ISSUES IN HEALTHCARE & BUSINESS ETHICS

TOPIC/ NUMBER PERCENTAGE/ Section

WEIGHTAGE

Chapter 1 10 % Short Essay

Chapter 2 15% Short Essay

Chapter 3 20 % Long & Short Essay

Chapter 4 20% Long & Short Essay

Chapter 5 20% Long & Short Essay

Chapter 6 5% Short Essay

Chapter 7 5% Short Essay

Chapter 8 5% Short Essay

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

Total 240 360 500 33 25

IA: Internal Assessment, SEE: Semester End Examination

39
6.7 SYLLABUS

MP02HA-4C1 HOSPITAL PLANNING & ORGANISATION

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:

Hospital Organisation- Governing board- Hospital Administrator; role and functions –


Architects: role & functions in planning – Architects brief – Choosing a site - Site survey -
Process of hospital planning – Hospital Design- Guiding principles in planning & design –
Long range plans and facility master plan – Circulation pattern - Planning of different types of
hospitals: 50 beds,100 beds, 500 beds and above – Operational and functional planning -
equipment planning – operations planning – hospital building – Space requirement- Hospital
project management.

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:

Standards for designing hospital facilities: General standards, mechanical, electrical,


centralized medical gas system - Safety & security considerations while planning – fire hazard-
disaster management – maintenance department - occupational safety.

12 Hours

Chapter 5:

Biomedical Waste Management; Introduction, Segregation, Collection, Transportation -


Disposal of waste: Methods and benefits of disposal.

5 hours

Chapter 6:

Hospital statistics – hospital management information system (HMIS) – Application of


computer in hospital administration – evaluation of hospital services

6 hours

TOTAL 60 Hours

NOTE: Relevant case studies in healthcare should be taken up for discussion in the class.

Recommended Books

1. Kunders, G D.(2002) - Designing for Total Quality in Healthcare, Prism Books


PvtLtd,Bangalore
2. Kunders, G D (2004) – Facilities Planning and Arrangement in Healthcare, Prism Books
Pvt Ltd, Bangalore.
3. Davies Llewellyn R & Macaulay H M C(1995) – Hospital Planning and Administration,
Jaypee Brothers, New Delhi
4. CharneyWilliam(1999)- Handbook of Modern Hospital Safety -Lewis Publishers Pvt
Ltd, London.
5. Sakharkar B M(1998)- Principles of Hospital Admisnitration& Planning – Jaypee
Publishers New Delhi

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:

Utility Services: Housekeeping, Hospital Engineering and maintenance, Biomedical


Department , Central Stores and purchase department, Medical Records- confidentiality of
records, reception, enquiry, registration and admission, central billing and accounts,
Cafeteria/canteen, Mortuary.

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

1. Davies Llewellyn R & Macaulay H M C(1995) – Hospital Planning and Administration,


Jaypee Brothers, New Delhi
2. Sakharkar B M(1998)- Principles of Hospital Admisnitration& Planning – Jaypee
Publishers New Delhi
3. Kunders, G D.(2002) - Designing for Total Quality in Healthcare, Prism Books
PvtLtd,Bangalore
4. Srinivasan A V(2002) – Managing a modern hospital, Response Books New Delhi
5. Sarma K R, Sharma Yashpal (2003) – A handbook on hospital Administration,Durga
Printers, Jammu.
6. Sharma, Madhuri(2003) – Essentials for Hospital Supportive Services,Jaypee Brothers,
New Delhi Kunders, G D (2004) – Facilities Planning and Arrangement in Healthcare,
Prism Books Pvt Ltd, Bangalore.
7. Goel, S.L,(2001 Vol 1-4) – Healthcare Systems and Management, Deep And Deep
Publications, New Delhi.

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.

6.8 PAPER WISE QUESTIONS

MP02HA-4C1 HOSPITAL PLANNING & ORGANISATION

TOPIC/ NUMBER PERCENTAGE/ Section

WEIGHTAGE

Chapter 1 5% Short Essay

Chapter 2 25 % Long & Short Essays

Chapter 3 35 % Long & Short Essays

Chapter 4 15 % Long or Short Essays

Chapter 5 10 % Long Essay

Chapter 6 10 % Short Essay

45
MP02HA-4C2 MANAGEMENT OF HOSPITAL SERVICES.

TOPIC/ NUMBER PERCENTAGE/ Section

WEIGHTAGE

Chapter 1 10 % Long or Short Essay

Chapter 2 25% Long & Short Essay

Chapter 3 25% Long & Short Essay

Chapter 4 25% Long & Short Essay

Chapter 5 10% Long or Short Essay

Chapter 6 5% Short Essay

MP02HA-4C3 QUALITY MANAGEMENT IN HEALTHCARE

TOPIC/ NUMBER PERCENTAGE/ Section

WEIGHTAGE

Chapter 1 10 % Short Essay

Chapter 2 15% Long Essay

Chapter 3 25% Long & Short Essay

Chapter 4 25 % Long & Short Essay

Chapter 5 25% Long & Short Essay

46
7. Scheme of examination & assessment of a Course

7.1 Internal Assessment:

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

 2 Internal Assessment examination shall be conducted for each course ,


Average shall be computed & shall be reduced to 10 marks
 Journal Club presentation - 10 marks
 Seminars /Assignments – 10 marks
 Development of a case study – 10 marks

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.

Acceptance of the dissertation is a pre-requisite for a candidate to be eligible to appear in the


final examination.

48
Guide: The academic qualification and teaching experience required for recognition of guide
shall be as given under:

Qualification:

Masters in Hospital Administration – MHA

M.Sc. in Hospital Administration / Hospital Management

M.B.A. in Hospital Administration / Hospital Management

(All the above degrees should have been granted by a UGC recognized University)

Experience: 5 years teaching / administrative experience after Masters programme

Or

M.D.in Hospital Administration or equivalent as prescribed by the MCI for recruitment of


teachers for M.D. in Hospital Administration from an institution recognized by Medical
Council of India.

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.

49
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

50
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.

9. Scheme of examination and Assessment of a Course

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. The CIA shall be 40% and SEE shall be 60%.


ii. There shall be no minimum marks for CIA however, the aggregate of CIA and
SEE shall be 50% for qualifying in the examination.
iii. There shall be examinations at the end of each semester ordinarily during
December/January for odd semesters and during June/July for even semesters
iv. The SEE duration shall be three hours.
v. The question paper pattern shall be decided by the respective BOS.

9.1 Valuation of answer scripts

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.

9.2. Evaluation of Dissertation

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.

51
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

10.1. Letter grade for Cumulative Grade point average (CGPA)


The results at the end of the fourth semester shall be classified on the basis of the Cumulative
Grade Point Average (CGPA) obtained in all the four semesters and the corresponding overall
letter grade. The letter grade as described below shall be adopted.

CGPA Range Letter Grade


9.0-10.0 A+(Outstanding)
8.0 – 8.99 A ( Excellent)
7.0 - 7.99 B+ (Very Good)
6.0 - 6.99 B (Good)
5.5 - 5.99 C (Average)
5.0 – 5.49 P (pass)
<5.0 F (Fail)

52
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.

12. Maximum period for completion of the Programme


A candidate shall complete the four semesters (two years) programme within five years
from the date of admission.

13.MONITORING LEARNING PROGRESS

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.

The learning out comes to be assessed should include:

53
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)

Procedure for defaulters: The department of Hospital administration should have a


committee to review such situations. The defaulting candidate is counseled by the guide and
head of the department. In extreme cases of default the departmental committee may
recommend that defaulting candidate be withheld from appearing the examination, if she/he
fails to fulfill the requirements in spite of being given adequate chances to set himself or
herself right.

14.MINIMUM REQUIREMENTS OF INFRASTRUCTURE AND TEACHING


STAFF:

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.

14.2 Minimum Facilities and Staff

54
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.

1. Epidemiology, Medical Ethics and Public Health Administration in India.


2. Business statistics, Operations Research and Research Methodology.
3. Financial Management and Basic Accounting.

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.

14.6 Class Room:

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

14.7 Teaching equipment:

Display board, White Board, Projection board.

Slide projector, Overhead projector and LCD projector

Computers with DVD ROM

14.8 Library:

A well stocked library with latest edition books and journals on the following subjects.

 Hospital Administration
 General Management

55
 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:

WHO Technical series (Health care and hospital Administration related)

Relevant NIHAE and NIHFW Technical series & Publications

Journal of Academy of Hospital Administration JAHA

World Hospitals and Health Services

Hospital Administration

Health Administrator

Indian Journal of Public Health

Express Healthcare

Modern Medicare

Journal of Healthcare Management

Frontiers of Health Services Management

56
Healthcare Financial Management

Healthcare Management Review

Marketing Healthcare Services

Health Estate Journal

Organizational Dynamics

Global Healthcare

Hospital Management International

Indian Management

Indian Journal of Medical Ethics

Medical Law Reporter

Effective Executive

HRM Review

15.0 ANNEXURES

57
Format of Model Checklists
Checklist-I:

CHECKLIST FOR EVALUATION OF JOURNAL REVIEW PRESENTATIONS

Name of the student: Date:

Name of the faculty/ Observer:

1 Items for observation Poor Below average Average Good Very Good
during presentation
0 1 2 3 4

1 Article chosen was

2 Extent of
understanding of scope
& objectives of the
paper by the candidate

3 Whether cross-
references have been
consulted

4 Whether other relevant


references have been
consulted

5 Ability to respond to
questions on the paper
/subject

6 Audio-visuals aids
used

7 Ability to defend the


paper

8 Clarity of presentation

9 Any other observation

Total score

58
Checklist-II: CHECK LIST FOR THE EVALUATION OF THE SEMINAR
PRESENTATIONS

Name of the student: Date:

Name of the faculty/ Observer:


Sl No. Items for observation Poor Below average Average Good Very Good
during presentation
0 1 2 3 4

1 Article chosen was

2 Extent of understanding
of scope & objectives of
the paper by the
candidate

3 Whether cross-
references have been
consulted

4 Whether other relevant


references have been
consulted

5 Ability to respond to
questions on the paper
/subject

6 Audio-visuals aids used

7 Ability to defend the


paper

8 Clarity of presentation

9 Any other observation

Total score

59
Checklist - III: CHECK LIST FOR PROJECT WORK PRESENTATIONS

Name of the student: Date:

Name of the faculty/ Observer:

Sl Points to be Poor Below average Average Good Very Good


No. considered
0 1 2 3 4

1 Interest shown in
selecting topic

2 Appropriate review

3 Discussion with guide


and other faculty

4 Quality of protocol

5 Preparation of
proforma

Total score

60
CHECKLIST - IV: CONTINUOUS EVALUATION OF PROJECT WORK BY GUIDE/ CO-GUIDE

Name of the student: Date:

Name of the faculty/ Observer:

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

4 Quality of final output

5 Others

Total score

CHECKLIST- V: OVERALL ASSESSMENT SHEET

Date:

Check list No. Name of the students

A B C D

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