Payroll Management In Simhapuri Hospitals

1.2 INDUSTRY PROFILE

INTRODUCTION

India is on the threshold of a remarkable progress and has made great strides in social,
political and economic fields since Independence. This progress has received further fillip
after liberalization, privatization, and globalization, came into effect and India is now
recognized for its all round development and growth by the advanced nations.

Astonishing is the of hospital administration in India when compared to the era of pre
independence. Entrepreneurs and technocrats in the private sector see immense opportunity
for ROI in this sector. There is enough evidence to justify a higher inclination to pay for
medical services out of one’s own savings or through organizational perquisites. The era of
charity, either by a social organization, or by the government, that existed in the pre
independence days is no more relevant and prevalent. Strides made are commendable in the
area of medical science and research.

Unfortunately, Government hospital administration is lagging far behind when compared to

the corporate hospitals. Though half of the Pharmacy colleges in India are not recognized by
PCI, Medicare has immense earning potential.” India Medicare” an exhibition focused
towards medical devices, equipment, hospital industry supplies was held in Bangalore from
7-10 October 2005. The exhibition showcased the latest products, technologies and services
related to the health care industry “Promoting Indian Medicare in South East Asia” The
Hindu August 19th 2004, throws light on the efforts of delegates in Health Care Industry
from Chennai, Madurai, Bangalore, Kolkata, Mumbai leaving to Singapore, Malaysia, and
Indonesia to propagate globally competitive Medicare available in India The delegation
would look for cooperation in the establishment of hospitals and teaching institutions,
including training of nurses. It would also interact with insurance companies and third party
administrators of medical insurance.

Even the most sophisticated and the so-called modem government hospitals in India are still
managed by the traditional and stereotyped system of hospital administration, where a senior

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doctor is appointed as a medical superintendent. He is entrusted with the wholesome

responsibility of the entire administration of the hospital, irrespective of whether or not he
has undergone any formal (or even informal) training in hospital administration.

Changing Indian Hospitals

The present Indian market is an arena of stiff competition for all the latest products, services
and technologies, warranting specialization to the core, which is the order of the day. The
corporate hospitals are embarking upon heavy advertisements to attract the patients,
displaying the physical infrastructure, reputed doctors on consultants list, ambulance facilities
and accident management facilities on par with any hospital in developed nations. It is thus
imminent and imperative to have separate specialists for general, administrative and human
resource functions in government hospitals; secondly, with the tremendous growth in health
services, it is now essential to appoint specialists or experts in other areas of hospital
administration in order to maximize efficiency at minimum cost. Thirdly, the burgeoning
number of patients did not commensurate with adequate expansion of hospitals. This led to a
chaotic like situation in the administration of government hospitals. This has thus led to an
immediate requirement for better planning, as hospital administration can no longer be left to
reel under the hands of an unskilled and untrained people who are expected to deal with
people who are normally under great stress and anxiety while visiting hospitals.

HISTORY OF INDIAN HOSPITALS

The past history of hospitals is replete with ill-treatment, recklessness, corruption, nepotism
and what not, they could then afford the luxury of being totally un-business, nonprofessional
like and resorting to trial and error and hit-and-miss methods of management. The
government hospitals then were partly dependent on huge donations from a number of
philanthropists to meet the ever-rising deficit in hospital budgets. Similarly, in the field of
human resource management, as long as the salary budget was minuscule of the total budget,
hospital administration could afford to neglect the introduction of scientific and progressive
principles of human resource management. But they can no longer afford to do so as salary
and wages now stand at 65 per cent or more of the total hospital budget.

Hospital status As per the report of the Steering Committee on Health for the tenth Five Year
Plan, in India, there were 15,188 hospitals of Modem System of medicine having 6,65,639

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beds, 2,991 hospitals of the Indian System of Medicine and Homoeopathy having 60,803
beds and 23,028 dispensaries of the Indian System of Medicine.

The hospital is one of the most complexes of all administrative organizations. Therefore, it
requires a thorough knowledge not only of the hospital set-up but also of its meaning, history,
classification, peculiar conditions prevailing in hospital administration, etc, before one can
undertake to study the relevance of human resource management.

NATURE AND SCOPE OF HOSPITALS

Human beings make society and Healthy human beings make a healthy society; however,
every society has its share of unhealthy human beings. Illness, disease and invalidity with or
without a remedy is no more considered a bane and is now the duty of the government to take
remedial steps, to control them AIDS control exercise is one example. Patients are the ones
who have already lost their health and are under a great stress and trauma and the hospitals
should be the right place for these kinds of people. Since, they are as much a part of society
as the healthiest of individuals.

In the past, an individual afflicted by a wound or disease was condemned to suffer and fend
for himself. In those primitive days, the healthy never assisted or looked after the afflicted.
The practice was to consider such an afflicted person a spent-force and no longer useful to
society. Thus, complete isolation from society was the tragedy for the ailing. The belief, then,
was that, illness was caused either by evil spirits or was the result of looking after the sick
that were considered victims of a magic spell, by appeasing or scaring away the evil spirits
with a counter-curse. Individuals civilized to civilize their families, tribe, community and
finally to the organized community. Society acknowledged a common responsibility towards
the sick. It was only when civilization progressed that man sought to provide for the welfare
of his fellow beings (other than his own kith and kin)

DEFINITIONS OF HOSPITAL

The word ‘hospital’ is derived from the Latin word hospital, which comes from hopes,
meaning a host. The English word ‘hospital’ comes from the French word hospital, as do the
words ‘hostel’ and ‘hotel’, all originally derived from Latin. The three words, hospital, hostel
and hotel, although derived from the same source, are used with different meanings. The term
‘hospital’ means an establishment for temporary occupation by the sick and the injured.

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Today hospital means an institution in which sick or injured persons are treated. A hospital is
different from a dispensary a hospital being primarily an institution where in patients are
received and treated while the main purpose of a dispensary is distribution of medicine and
administration of outdoor relief.

Dorland’s Illustrated Medical Dictionary defines a hospital as “An institution suitably

located, organized, staffed to supply scientifically, economically, efficiently and unhindered,
all or any recognized part of the complex requirements for the prevention, diagnosis and
treatment of physical, mental and the medical aspect of social ills, with functioning If
facilities for training new worker in many special professional, technical and economical
fields, essential to the discharge of its proper functions, and with adequate contacts with
physicians, other hospitals medical schools and all accredited health agencies engaged in the
better health program.

A hospital in Steadman’s Medical Dictionary is defined as an institution for the care, cure and
treatment of the sick and wounded, for the study of diseases and for the training of doctors
and nurses.

Blackiston’s New Gould Medical Dictionary (Me Graw-Hill, New York, 1956, p.560)
describes a hospital as “An institution for medical treatment facility primarily intended,
appropriately staffed and equipped to provide diagnostic and therapeutic services in
general medicine and surgery or in some circumscribed field or fields of restorative
medical care, together with bed care, nursing care and dietetic service to patients
requiring such care and treatment4”.

According to the Directory of Hospitals in India, 1988 “A hospital is an institution which is

operated for the medical, surgical and/or obstetrical) care of in patients and which is
treated as a hospital by the Central/state government/ local body/ private and licensed
by the appropriate authority5”.

A close analysis of the above definitions reveals that no single definition is perfect in
defining a modem hospital and its multifarious services. Dorland’s definition is
comprehensive but fails to visualize rehabilitative and follow up aspects. Steadman’s
definition is very simple and to a great extent, highlights all the essential services definition
given in the Directory of Hospitals in India. 1988 is also very simple but too short to cover all
the aspects of a hospital.

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On the basis of the above definitions, we can evolve a comprehensive definition of a hospital,
highlighting all the essential services provided by a modern hospital.

A modern hospital is an institution which possesses adequate accommodation and well

qualified and experienced personnel to provide services of curative, restorative and
preventive character of the highest quality possible to all people regardless of race, for the
personnel particularly required for efficacious medical care and hospital service, which
conducts research assisting the advancement of medical service and hospital services and
which conducts programs in health education.

Modem hospitals are open 24 hours a day. Their personnel render services for the cure and
comfort of patients. In the operation theatre, skilled surgeons perform lifesaving surgery. In
the nursery, new born receive the tender care of trained nurses. In the laboratory, expert
technicians conduct urine, stool, and blood tests, vital to the battle against disease. In the
kitchen, cooks and dieticians prepare balanced meals that contribute to the patient’s speedy
recovery

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HISTORY OF INDIAN HOSPITALS

Role of Indians The history of Indian medicine and surgery dates back to the earliest of
ages. But hospitals as institutions to which a sick person could be brought for treatment were
of a much later origin in other countries. In India, hospitals have existed from ancient time.
Even in the 6th century B.C. during the time of Buddha, there were a number of hospitals to
look after the crippled and the poor. More such hospitals were started by Buddha’s devotees
later on in different parts of India as well as outside the country.

The outstanding hospitals in India at that time were those built by King Asoka (279-232 B.C)
Charaka and Sushrutha of ancient India were famous physicians. Medicine based on the
Indian system was taught in the universities of Takshashila and Nalanda, which probably
contributed to the advances in Arabic medicine. The Upakalpa niyam Adhyayam of Charaka
Suthrasthanam gives specification for hospital buildings, labor rooms and children’s wards.
The qualifications for hospital attendants and nurses as well as specifications for hospital
equipment, utensils, instruments, and diets have also been given.

There is evidence to show that there were many hospitals are South India in the olden days,
as observed in the Chota and Malakapuram edicts.

According to historians, the study of the history of the medicine of ancient India was greatly
handicapped for want ofinscriptions, manuscripts or other records as are available for other
ancient systems of medicine. The seals and tablets discovered at Harappa and Mohenjodaro
are yet to be deciphered. But we do find from the books written by Arabian and European
travelers (about A.D. 600) that the study of medicine in India was in its bloom. Every major
city had a medical school. The decline of Indian medicine started with the invasions of
foreigners in the 10th century A.D., which was a period of unrest. The zeal of the native
vaidyas for the investigation ofthe Indian flora slackened for want of encouragement. The
invaders brought with them their own physicians called hakims. Under imperial patronage,
the hakims began to prosper at the expense ofthe vaidyas. The maintenance of hospitals in
India declined during this period.

Role of British European missionaries on their arrival to South India brought the allopathic
system of medicine in the 6th century. It was during the British rule that there was once again
progress in the building of hospitals. The first hospital in Madras was opened in 1664, the

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establishment of a hospital in Bombay was under discussion in 1670 but apparently it was not
actually taken up till 1676, the earliest hospital in Calcutta was built in 1707-1708, and in
Delhi, in 1874.

Role of Portuguese The Portuguese organized hospitals of the European type at Calicut
(Kerala), Goa and Santhoime (Madras) through missionary organizations. They set up
treatment centers and trained local men and women as dresses, nurses, etc. In the early
11stages, missions were financed by foreign sources but later on when the people realized
their value, local support and subsidies were available.

Evolution of Modern Hospitals In the 17th century, the European doctors employed by the
east India Company played an important role in the introduction of modem medicine in India.
The East India Company in Madras established its first hospital in 1664 for its soldiers and
another in 1688 for the civilization population. Moreover, in the 17th century, Sir Thomas
Roe introduced modem medicine in the court ofJahangir, the Moghul emperor when other
princely states also evinced interest, European doctors started becoming popular. Many6
doctors, after discharge from the services of the East India Company, settled down in India as
private practitioners. Quite a few also got employment in the courts of princely states. When
Europeans doctors felt the need for assistants, they trained some local inhabitants as
compounders and dressers. After some training and experience they were termed ‘native
doctors’.

Growth of Modern Hospitals During the 17th and 18th centuries, there was a slow but
steady progress in the growth of the modem system of medical practice in India and the
indigenous system was pushed to the background. In the 19th century, modem medicine took
firm root. Medical care based on this system spread all over India, mainly through the efforts
ofthe missionaries7.

Training Organized medical training was started in the 19th century. The first medical
school (*The Native Medical School) was started in Calcutta, followed by one in madras. In
the Beginning, both the modem system and the Ayurvedic system were taught.

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1.3 COMPANY PROFILE

Simhapuri Hospitals was established in 2014 with a vision to address the healthcare needs of
the people from Coastal Andhra. Understanding the need for a high quality healthcare facility
to serve the people of the area, a group of passionate individuals put together their expertise
and skills to set up this Multi Super Specialty Hospital, the first in the area. Simhapuri
Hospital is all set to bring international standard healthcare technology and services within
the reach of all. Equipped with the best of doctors and surgeons, advanced equipment and
trained support staff, the Hospital aims to help patients smile in good health.

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SIMHAPURI HOSPITALS: FIRST OF ITS KIND IN COASTAL ANDHRA

Going all the way to the metros or bigger cities for quality treatment for various health
problems is now going to change. Presenting Simhapuri Hospitals - established with a vision
to address the healthcare needs of the people from Coastal Andhra.

Understanding the need for a high quality healthcare facility to serve the people of the area, a
group of passionate individuals put together their expertise and skills to set up this multisuper
specialty hospital, the first in the area.

Simhapuri Hospital is all set to bring international standard healthcare technology and
services within the reach of all. Equipped with the best of doctors and surgeons, advanced
equipment and trained support staff, the Hospital aims to help patients smile in good health.

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SIMHAPURI HOSPITAL LOGO

MISSION:

 To bring technology and care of the highest level within everyone’s reach.
 To offer services on the basis of transparency, innovation, responsiveness and efficiency.
 To encourage partnerships and ensure timely, and effective healthcare delivery.
 To impact the lives of the lesser privileged and support them in achieving good health.

VISION:

To be a trusted healthcare provider dedicated to the people of Coastal Andhra, providing

international standard healthcare in an advanced and caring environment.

QUALITY POLICY:

We believe in commitment towards meeting customer expectations and also focus on quality
services and process.

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THE LEADERSHIP TEAM: LEADING FROM THE FRONT

Simhapuri’s leadership team comprises of experienced promoters, from Nellore and

surrounding areas, with very successful backgrounds.

Ravindra Reddy Katama Reddy

Chairman

An engineer by profession, Mr. Ravindra Reddy is from A.S Pet Mandal (Nellore Dist.) and
has handled medium to major infrastructure projects across India. His objective was also to
bring the best of medical facilities to Nellore, so that there is no need for people to travel all
the way to the metros for medical treatment.

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Bramhanand Reddy
Managing Director

A businessman from Nellore region, Mr. Reddy is providing employment opportunities to

around 5000 people directly and indirectly. He was immensely moved by the fact that Nellore
lacks a quality healthcare facility which is leading to loss of human lives. He formed a
partnership with like-minded people to establish Simhapuri Hospital for the people of Nellore
region.

Dr. N.Sudhakar Reddy

Director

Dr. Sudhakar Reddy hails from Ananthasagaram Mandal, Nellore Dist. One of the most
respected and senior most Laparoscopic Surgeons, from Nellore Dist., Dr. Sudhakar Reddy
understood the immense shortage of quality healthcare services in Coastal Andhra and felt

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the need for a full service multi-superspecialty hospital in theregion. Thus, he joined the
Simhapuri leadership team to serve the people of this area.

Dr. Anil Krishna

Executive Director

Dr. Anil Krishna hails from Atmakur Mandal of Nellore Dist. He is a famous interventional
cardiologist in Hyderabad and has started Sunshine Heart Institute in Hyderabad, which is
one of the leading heart centres in AP. As a part of his vision to provide quality healthcare to
his town he joined hands to establish Simhapuri Hospitals as a complete healthcare facility
catering to all sections of the society.

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SIMHAPURI HOSPITAL IS NABH ACCREDITED HOSPITAL IN NELLORE

SIMHAPURI HOSPITAL IS ISO CERTIFIED HOSPITAL IN NELLORE

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MAJOR COMPETITORS FOR SIMHAPURI HOSPITAL

APOLLO HOSPITAL

NARAYANA HOSPITAL

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