...Impact Of Stress On Employee Productivity, Performance And Turnover; An Important Managerial Issue Subha Imtiaz* and Shakil Ahmad** Stress is a universal element and persons from nearly every walk of life have to face stress. Employers today are critically analyzing the stress management issues that contribute to lower job performance of employee originating from dissatisfaction &high turnover ultimately affecting organizational goals and objectives. How stress affects employee performance, managerial responsibility, & consequences high stress are basic aims of the study. The universe of the study is Rawalpindi/Islamabad; the target population is employees (medical officers and house officers) in main health/medical organizations of the universe. Field study was conducted with questionnaire as the primary data collection instrument. Data was analyzed using statistical techniques with SPSS Version 16. The factors affecting stress were identified; personal issues, lack of administrator support, lack of acceptance for work done, low span over work environment, unpredictability in work environment &inadequate monetary reward. Analysis showed immense support for negative relationship between stress and job performance; greatly affected career change over (-.323**) and job satisfaction (.285**), errors in treatment (-.332**), knowledge (-.787**). The results showed that with every unit; increase in personal dilemmas, decrease in financial reward, decrease in influence over work environment...
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...A Hospital information system is a comprehensive, integrated information system designed to manage all the aspects of a hospital operation, such as medical, administrative, financial, legal and the corresponding service processing. Traditional approaches encompass paper-based information processing as well as resident work position and mobile data acquisition and presentation. One of the most important issues is health services. Hospitals provide a medical assistance to people. The best introduction for hospital information systems has been made in 2011 International Conference on Social Science and Humanity Hospital Information Systems can be defined as massive, integrated systems that support the comprehensive information requirements of hospitals, including patient, clinical, ancillary and financial management. Hospitals are extremely complex institutions with large departments and units coordinate care for patients. Hospitals are becoming more reliant on the ability of hospital information system (HIS) to assist in the diagnosis, management and education for better and improved services and practices Hospitals are convenient settings for deployment of ubiquitous computing technology. Not only are they technology-rich environments, but their workers experience a high level of mobility resulting in information infrastructures with artifacts distributed throughout the premises. Hospital information systems (HISs) that provide access to electronic patient records are a step...
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...pediatric hospital that is located on Duke University Hospital’s fifth floor. DCH is a 134-bed facility with 800 employees who care for patients in neonatal ICU, pediatric ICU, pediatric emergency room, intermediate care unit, bone-marrow transplant unit, subspecialty clinic, and outreach clinic (Meliones, 2000). The annual operating loss of DCH grew from a high $4 million in 1992 to a staggering $11 million in 1996, forcing hospital administrators to cut-down resources. This move made some caregivers feel that the clinical care quality at DCH had deteriorated. Complaints from parents were on the rise, dissatisfied doctors considered sending their patients to other hospitals, and some frustrated staff members eventually quit. As important as DCH’s institutional mission was to promote the community’s health, so important it was to not lose focus from the big picture during a difficult time. The specific goal of clinicians is to restore the health of their patients; however, cost is not something that they want on their minds. Hospital administrators on the other hand have their specific goal to control the rapidly growing healthcare costs. Cost-cutting in such testing conditions traumatized patients, frustrated clinicians, and crippled the mission of DCH. The decision to remove a respirator therapist who worked in the night shift, for instance, affected not only the patient and her parents, but also the insurance company, which ended up paying additional charges for the ventilator...
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...Software Requirements Specification for Hospital Management Version 1.0 approved Lakshmi Niranjan LIBA Maveric 11-a 11-07-2014 Software Requirements Specification Table of Contents 1. Introduction 1.1 Purpose 1.2 Scope 1.3 Definitions, Acronyms, and Abbreviations 1.4 References 5. Overview 2. General Description 2.1 Product Perspective 2.2 Product Functions 2.3 User Characteristics 3. Specific Requirements 3.1 Functional Requirements 3.2 Performance Requirements 3.3 Non-Functional Requirements 3.4 Design Constraints Appendix A. 1 Hospital Management Process Diagram 1. Introduction 1. Purpose Basic Description of Problem The Administrator and staff of a hospital have been experiencing major headaches in organising and managing patients, beds, and nurses. There have been reports of missing patient information, lack of security and privacy on patient medical history, and confusion in bed allocations. Nurses have complained about mistakes in nurse allocation to patients, and bed management for waiting patients. The manual systems can not handle current demands on hospital staff. 2. Scope The purpose of this specification is to document requirements for a system to manage the hospital. The specification identifies what such a system is required to do. The specification is written in a format...
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...HR plan- Aastha Healthcare – “bringing healthcare of international standards to you’’ HR management in a hospital is of utmost importance as all operations in a hospital revolve around people and patients. Before we begin with the HR plan we need to know the size and holding capacity of the hospital. We assume that ‘Aastha Healthcare, has 100 beds , including 10 ICU beds . This is a small private hospital and expansion is at foresight. ------------------------------------------------- Doctors to Bed Ratio ------------------------------------------------- ------------------------------------------------- 1: 5 (Indian Medical Council) ------------------------------------------------- Nurses to Bed Ratio ------------------------------------------------- ------------------------------------------------- 1:3 Bed Recruitment and Selection Procedure Manpower planning calls for the integration of information, formulation of policies and forecasting of future requirements of human resources so that the right personnel are available for the right job at the right time. Planning job requirements and job description Manpower planning consists of studying job requirements and preparing job description. The requirements of each and every job must be thoroughly studied through job analysis. Job Analysis Job analysis is the process of examine a job to identify its component parts and the circumstances in which it is performed. It is necessary to be...
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...in TN may travel to TX to receive treatment from a specific specialist and/or a highly recommended facility. Since the dynamics of the physician-patient and hospital-patient has changed, the relationship has changed but its importance has not. Therefore, it is essential that both the physician and the hospital facility itself have a good rapport with the patient in an effort to continuously build the relationship. A poor relationship between the patient and the hospital and/or physician could compromise the ability of the patient to trust the physician’s assessment and possibly lead to misdiagnosis and improper treatment. (Goold, 1999) Since the physician-patient is entered to with the consent of both parties, there are some cases where doctors can refuse to provide services to clients. This is could be due to several factors. For example, a gynecologist may refuse to accept male clients. The hospital-patient...
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...Invasion of a Patient’s Privacy and a Physician’s Loss HCS/335 October 21, 2013 Linda Hagler-Reid, MBA Introduction Physicians take an oath to do no harm and to place the welfare of their patients above all else; they vow to act with integrity, in accordance with the law, and within ethical guidelines. While individuals can perceive human behavior differently, there is no excuse for misconduct, degradation, or violation of a patient’s human rights. Ethically, it is not immoral to disagree about what is right and what is wrong, in some societies this is viewed as normal behavior. Despite differences in opinion, most will agree that there are certain standards of conduct that must be upheld, especially when it involves the human rights of others. Violation of a patient’s privacy is an act punishable by law, violation of a patient’s dignity is outright reprehensible, and what is considered to be unbecoming behavior of a medical professional. Although freedom to act as one pleases is a human right that is afforded us; to act without regard for others is morally wrong. Health care practitioners are often privileged to extremely personal information regarding their patients whether that information is health related or personal. All to frequently, physicians, nurses, and other health care professionals are witness to events that can be disturbing in nature. At times, these events can be unnerving and sometimes entertaining, but nevertheless should be kept confidential...
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...illness, past visits along with the doctor who had been consulted. 2. The RF reader installed will scan the tag. It will then validate the student against the existing profiles in the system. 3. If a suitable match is not found then the receptionist guides the student to SmartComet Card Issuing Office. The student provides identifying details and these will be entered only after the student has swiped his ID card .This swipe will be used to tie the student's ID with the new profile he creates .This process is called profiling or tagging. 4. Upon arrival of student at the student health center on the appointment day, the appointment will be confirmed. 5. Once the information has been verified by the receptionist at the health Centre, the receptionist forward’s this information to the doctor that will currently be diagnosing the patient. 6. Once the patient enters the doctor's room the RFID reader automatically reads the list of existing patient profiles which the doctor has and returns the information of the current patient .The doctor can have several patient’s profile, however a student's profile can be part of only a single doctor's list. 7. The doctor diagnosis the patient either using previous medical history or a new diagnosis. In either of the cases this information is entered and stored in the patient's profile. The doctor will then update the diagnosis details...
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...imposed by article 2176 is demandable not only for one’s own acts or omissions, but also for those of persons for whom one is responsible. * Teachers or heads of establishments of arts and trades shall be liable for damages caused by their pupils and students or apprentices, so long as they remain in their custody. Article 2176 (Philippine Civil Code) * “Whoever, by act or omission causes damage to another, there being fault or negligence, is obliged to pay for the damage done. Such fault or negligence, if there is no pre-existing contractual relations between the parties, is called a quasi-delict and is governed by the provisions of this Chapter.” En Loco Parentis provides for 1. Liability by Teachers and School Administrators * Negligence is not necessarily implied whenever someone is injured. The questions to be considered are:...
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...parties at odds are the CEO Mike Hammer and his administrative staff, representing the business side of health care, and the Director of Medicine Dr. Mark Williams, who represents the medical staff. The conflict at General Hospital stemmed from the fact that the hospital was losing money and was having a hard time competing with a nearby hospital. Mr. Hammer, who believed physicians were primarily responsible for cost overruns at hospitals, was unable to convince Dr. Williams, nor the Board of Trustees, to adhere to any cost containment measures or solutions. Frustrated at the doctors’ refusal to engage in responsible fiscal measures, he decided to take an authoritative approach and delegated total authority to Marge Harding, his Chief Operating Officer, to engage in cost cutting measures directed at physician tasks. The two administrators adopted a “good cop-bad cop” strategy against the doctors where Ms. Harding would rather ruthlessly effect budgetary cuts without informing Mr. Hammer so as to give him plausible deniability. The ever ambitious Ms....
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...facility such as this was unsuccessful due to Canadian regulations prohibiting private-sector MRI. MRI had become increasingly popular, by 2001 there were 18 million MRI procedures performed in the United States. Dr. Syed Haider have appointed David Wright and Kevin Saskiw to address this problem pertaining to the MRI facility and only gave them two days to make recommendations and provide a detailed action plan. As David Wright and Kevin Saskiw, I propose making the necessary adjustments to address the backlog of MRI scans and better manage the bottleneck of the process. The MRI clinic is experiencing problems; the relationship between BCMC and Quinte MRI is in trouble because promised expectations of 2 scans per hour is not met, performance is reduced , productivity is declining and they are at risk of losing their competitive edge. Balancing the process flow will make the operation more effective and manageable. With the process the way it is there are a lot of variability and uncertainties that I will have to contend with. By better managing the scheduling process I will definitely reduce wait times and increase productivity to meet set expectations of two per hour, which gives an output rate of 16 per an 8 hour shift. KEY ASSUMPTIONS • Backlog/ wait time for an appointment is always 14 days per patient. • Receptionist has idle time during an 8 hour shift • The MRI clinic is in operation for 250 days per year. • Scheduled time for any given procedure...
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...CONSOLIDATED DOCTORS A COMPERHENSIVE NETWORK DEVELOPMENT PROJECT SUBMITTED TO THE IT/COMPUTER NETWORK SYSTEMS PROGRAM IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE ASSOCIATE DEGREE By: The Pin Heads: Bobbi Haynes Beau Driscoll Peter Hsu Advisor - Bill Pool and Tracy Martin ITT TECHNICAL INSTITUTE SPOKANE, WASHINGTON NOVEMBER, 2011 Table of Contents Scope Document and Project Charter 4 Purpose 4 Goals and Objectives 5 Success Criteria 5 Project Context 5 Project Deliverables 6 Scope Specifications 6 Out-of-Scope Specifications 6 Assumptions 7 Constraints 7 Risks 7 Stakeholders 7 Recommended Project Approach 7 Cost Matrix 8 Security/Maintenance Plan 9 Introduction and Background 9 Budget 10 Roles and Responsibilities 10 System Administrator 10 Help Desk IT 11 Office Manager 11 Financial manager 11 Supervisors 12 Receptionist 12 Performance Measures and Reporting 12 Printers 12 Phones 13 Work stations and laptops 13 Serves 13 Routers and Switches 13 Software 14 Card Access System 14 Governance and Management/Security Approach 14 Customer/Business Owner Management and security 14 Standard Operations and Business Practices 14 Security 14 Data Sharing 15 Data Storage 16 Tools used for change control management 16 Problem reporting 16 Risk identification 16 Disaster Recovery 16 Documentation Strategies 16 Training 16 Security 17 Roles and Responsibilities 17 Network...
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...Monitoring and Accreditation 05/20/2013 If you recently saw a doctor at the hospital, you might subsequently receive a survey in the mail asking whether your physician was friendly, spent enough time with you, or showed the appropriate level of concern for your medical issues. Reliability is a must have in the hospital setting in order for patients to trust the person giving care, “reliability is defined as the performance of a dependable and accurate service” (Mowen, Licata, & McPhail, 1993). Patient satisfaction surveys are being increasingly used in hospitals nationwide. A leading organization measuring patient satisfaction, counts more than 10,000 medical institutions in the U.S., and over 40% of hospitals, among its clients. Happy patients are obviously important, but doctors often have little idea of how patients perceive them. Gauging patient sentiment with satisfaction scores is a useful way to point out deficiencies and improve the patient experience. In fact, doctors who consciously try to improve their patient interactions are sued less often. Now it is recommended that doctors spend more time with their patients so the patient has the opportunity to ask any questions necessary without feeling like they are being limited or rushed. At the VA hospital the doctors are on the job 24 hours a day and the patient charts are updated every shift so that if there is a problem with a patient the doctor will have the most accurate information to handle the problem with...
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...Is psychology of any relevance to business administrators or managers? If yes justify your answer and if no justify your answer. Yes, psychology is of relevance to business administrators or managers. Psychology was coined in the 16th century from 2 Greek words. Psukhe/psyche which means “breath” or “soul” and logos which means “word” or “reason” and its initial meaning was “study of the soul”. Later the definition changed to “science of mental life” when it became a science in 1879. Also in the 1920s it was commonly defined as “the scientific study of behavior”. From the 1960s till date it has taken a broader definition “the science of behavior and mental processes. Psychology also refers to the application or usage of understanding knowledge and skills to a number of areas of human activity, involving issues concerning with daily activities such as education, events, people and their task, employment, association, relationship as well as the treatment of mental-health problems. Importance of psychology Psychology is important as it is concerned with the study of behavior and mental processes and at the same time, it is also applied to many different areas of human life. Everything we do is very much related to psychology. Psychology primarily studies who and what we are, why we are like that, why we act and think like that and finally how we can improve ourselves. Psychology is important in many different ways. For example, there have been...
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...In 1996, Clive Meanwell formed the Medicines Company whose corporate objective was to “acquire, develop and commercialize pharmaceutical products in late stages of development”. The company looked for abandoned drugs that met four specific criteria: 1) Required less than four years to get to the market 2) Required less than $60 Million to get to the market 3) Had at least a 65% chance of getting to market 4) Had the potential to generate at least $100 Million per year in sales In March 1997, the company got control of the rights to an anticoagulant called Angiomax which has been developed by Biogen but abandoned after test results showed it to be no more effective than the cheaper, entrenched alternative, Heparin. In December 2000, the Medicines Company received FDA approval for the use of Angiomax to prevent blood clots during angioplasties and by early 2001 had taken the drug to the market. The Value of Angiomax to hospitals Angiomax is a blood thinning drug, or anticoagulant which achieved Phase III clinical trials with Biogen, its pharmaceutical creator, in 1994. Upon trial III completion, further investment and trials for the drug were abandoned due to what was understood as marginal results and the forecast of high production costs. Its rights were later purchased by The Medicine Company who continued clinical trials, securing FDA approval and introducing Angiomax to the U.S. market in 2001. Heparin, is the most widely used prescribed drug for acute coronary treatment...
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