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We found out that the people of Baripada are not getting adequate,
appropriate health care. That’s why we are building a hospital to satisfy
their basic needs in a most appropriate way.
LOCATION:
PROJ E
HDF SCHOOL OF MANAGEMENT, CUTTACK PROJECT MANAGEMENT
PAL B
H
AU
IC
RS
T
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SWOT ANALYSIS:-
Strengths:-
HDF SCHOOL OF MANAGEMENT, CUTTACK PROJECT MANAGEMENT
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• Cost advantage
• Innovation
• Strong management team
• Pricing
• 1:4-Nurse-patient ratio
Weaknesses:-
• Cash bond
• New in the market
Opportunities:-
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• Acquisitions
• Financial markets (raise money through debt, etc)
• Innovation
• local and international partnership
• supported by government
Threats:-
• Competition
• Economic slowdown
• Lower cost competitors or imports
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• Government policies
PROBLEM TREE
Spending huge
money but not
satisfied
TARGET GROUPS:-
• Local people
• Undertake
seminars for the
doctors. Daily maintains of Trustworthiness of the
• Routine wise duty records employees.
of doctors and
attendants.
• Maintaining
cleanness internal
as well as external
medical
environment
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• 2002-2003 furniture & fixture and medical equipments increased Rs. 20,000
& Rs. 30,000 respectively in first month.
• Other Loan paid in 2000-2001 and 2001-2002 was Rs. 75,00000 and
remaining respectively.
• Long term loan paid 2002-2003 and 2003-2004 was Rs. 20000000 and
remaining respectively.
BALACE SHEET
1999- 2000- 2001- 2002-
particulars 2000 2001 2002 2003
furniture 5000000 4750000 4500000 4350000
motor
car(ambulance) 5000000 4750000 4500000 4250000
land 10000000 9500000 9000000 8500000
building 50000000 47500000 45000000 42500000
computer 5000000 4750000 4500000 4250000
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medical
equipement 10000000 9500000 9000000 8500000
other assets:-
license 2500000 2500000 2500000 2500000
advertisement 1000000 1000000 1000000 1000000
Miscillenious:-
expenditure 4000000 4000000 4000000 4000000
cash in hand 7500000 25750000 44000000 51600000
10000000 13605000
total asset 0 114000000 128000000 0
Liblities:-
11610000
equity+np 60000000 73500000 91700000 0
long term loan 30000000 33000000 36300000 19950000
N
other loan 10000000 7500000 il
10000000 13605000
total liblities 0 114000000 128000000 0
INCOME STATEMENT
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200000
other testing 1000000 2000000 3000000 0 3000000
6000000 750000 8000000
Total 0 70000000 80000000 00 0
expenditure
200000
electric & water 1000000 1500000 2500000 0 2600000
200000
oil 500000 1000000 1500000 0 2000000
2000000 250000 2600000
doctor salary 0 22000000 23000000 00 0
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0 00 0
6000000 750000 8000000
Total 0 70000000 80000000 00 0
CASH FLOW
2000- 2002- 2003- 2004-
particulars 2001 2001-2002 2003 2004 2005
operating activity
6000000 750000
cash reciept 0 70000000 80000000 00 80000000
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- -
3325000 465450
cash paid 0 -38500000 -42400000 00 -48100000
cash incured before 2675000 284550
tax 0 31500000 37600000 00 31900000
-
- 500000
less-tax 5000000 -5000000 -5000000 0 -5000000
cash generated from 2175000 234550
op act. 0 26500000 32600000 00 26900000
investing activity
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PROJECT BUDGET
1. SOURCE OF BUDGET:- owners fund, bank loan, borrowing money from friend
& relatives, other short-term loan from outsiders
Rs. 26750000
PV RATIO:-
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Cont./ sales=0.4458
PROJECT FINANCING-
Debt: long term loan, other loan
Marketing feasibility
• Operation facility
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Pricing strategy:
Promotional strategy:
Advertisement by
• radio,
• television,
• news paper
• Hoarding on the Bus stand, in the important squares & in the rush Traffic
areas.
Distribution strategy
Direct service provided to the patient, there is no need of any middle man
Competitor analysis:
Industry Analysis:
The hospital industry is growing largely due to the growing diseases due to different
diseases.
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The Technical Feasibility Study assesses the details of how you will deliver a product
or service (i.e., materials, labor, transportation, where your business will be located,
technology needed, etc.). Think of the technical feasibility study as the logistical or
tactical plan of how your business will produce, store, deliver, and track its products
or services.
Process
Legal requirements
There is a set procedure following a death and there are certain legal requirements and
forms to be filled in which have to be complied with, such as registering the death. Today
many people die in hospital, where there will be more people to assist with the formalities
but it may be worth thinking who could help a bereaved person go through the formalities if
they need some support.
• The hospital staff will contact the next of kin (relative or friend)
• The hospital mortuary will keep the body until the executor (personal representative)
makes arrangements to have it taken away
• The next of kin or nearest relative should collect the dead person's belongings
• The Death Certificate will be automatically completed by a doctor
• The health authority may give the Death Certificate to the registrar who attends the
hospital, but someone must still go to the registration office. The one which covers
the area of the hospital may be different to that of the deceased's place of residence.
• If the deceased is to be cremated then the hospital can also arrange the completion
of forms B and C.
If the death occurs in a residential or nursing home, then they may also complete most of
the formalities above. They may also have arrangements with a funeral director to transfer
the body to a mortuary or Chapel of Rest, however you do not have to use this funeral
director for the funeral and they should not press for your business.
• Contact your local GP - in cases of terminal illness, the GP will be well aware of the
situation and may well have been calling at the house regularly.
• The GP will need to certify the cause of death and will issue two forms. A Medical or
Death Certificate showing the cause of death will be addressed to the registrar. A
Formal Notice confirms that the doctor has signed the Medical Certificate and gives
details about registering the death.
• Depending on your religion and immediate wishes about how long you wish the
deceased to stay in the house, you will need to contact a funeral director (unless an
alternative funeral is planned)
• The death certificate will need to be taken to the local registrar (address in your local
telephone directory) so that the death can be registered.
• Deaths must be registered at the Registrar of Births and Deaths normally within five
days of the death.
• Copies of the Death Certificate cost 300 rupees and several copies may be needed
for legal reasons such as grant of probate or letters of administration.
• Register the death as required in the country and obtain a local death certificate.
• Either arrange a burial or cremation in the country of death or repatriate the body to
the INDIA. Advice regarding repatriation can be obtained from funeral directors and
there are a number of firms that specialise in this area.
• Authority to move the body will be required from the country of death, as well as a
translation of the foreign death certificate.
Coroner
• If the death is sudden, other than an obvious accident such as a road traffic accident,
and a doctor has not seen the deceased during the last 14 days, then a Coroner may
need to be involved. The Coroner will decide whether to hold a post mortem
examination or an inquest, although this should not delay the funeral arrangements
and the Coroner's Office will keep the next of kin informed about what to do.
• The Coroner will issue an Order for Burial or cremation.
Registrar
The Registrar of Births and Deaths needs either the Death Certificate or notification from the
Coroner to register the death. They will require the following details;
The Registrar will issue an Order for Burial or cremation, which is a green certificate. This
can be given to the funeral director or sent to the cemetery or crematorium.
As soon as the death has been certified, then plans for the funeral can go ahead and
provisional bookings can be made at either a cemetery or crematorium, once the attendance
of a minister (if required) has been arranged.
• Notice of cremation - gives notice of the cremation and details of the deceased and
information about the service. It forms a binding contract concerning the payment of
fees to the cremation authority.
Hospitals, like many other buildings, have many sources of contaminants. Here is a list of some
of the potential problems:
Mercury. Mercury is a heavy metal used in several products in the hospital, like thermometers,
batteries and fluorescent lamps. The metal can be toxic to the nervous system, and cause
problems with memory, information processing, attention, language, and fine motor skills.
Patients are not very likely to experience a direct exposure to mercury in the hospital. Instead,
mercury is more likely to end up in the medical waste stream and emitted into the air during
incineration of the waste. The airborne mercury can settle into nearby waterways or seep into the
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ground water supply. According to the organization Health Care Without Harm, hospitals
generate up to 50 times more mercury in medical waste than found in municipal waste.
Dioxin. Dioxins are toxic chemical compounds formed during the burning of hospital waste. The
chemicals are also found in products with PVC (polyvinyl chloride, a plastic polymer). Dioxins
don't easily degrade in the environment and eventually increase in concentration. Exposure can
occur through the surrounding air and in the food supply (the compounds are also taken in by
animals used for food). Dioxin has been linked to the development of several kinds of cancer. In
humans, dioxin exposure may cause changes in the immune system and in the levels of some
hormones.
Glutaraldehyde. Glutaraldehyde is a colorless, oily liquid used to cold sterilize some types of
hospital equipment. It is also used in labs and in the processing of X-ray films. Exposure can
irritate the airways and cause breathing problems, nosebleed, burning of the eyes, headache or
nausea. Contact with the skin can lead to a rash or hives.
Building an Environmentally Friendly ("Green") Hospital
Some hospital administrators are taking steps to make their facilities more environmentally
friendly. The Sarkis and Siran Gabrellian Women's and Children's Pavilion at the Hackensack
University Medical Center has won a design award as one of the Top 10 Green Hospitals in the
U.S. During construction of the Pavillion, designers and builders worked to avoid use of
materials containing harmful chemicals. Cabinets are made with wheat board instead of particle-
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board. Toys, floors and wall-coverings are made of PVC-free materials. The hospital instituted a
"Greening the Cleaning®" program to eliminate, when possible, toxic chemicals and replace
them with products containing natural or naturally-derived products.
The hospital also incorporated several other changes that contribute to an overall "green"
building. Flooring is made of rubber rather than vinyl. Instead of fiberglass to insulate the walls,
builders used recycled cotton denim. Whenever possible, left-over building materials that would
normally be discarded were recycled.
The move to a green hospital was an important choice for hospital administrators. Deirdre Imus,
Environmental Center Founder at Hackensack, says hospitals are supposed to be places of
healing. So it doesn't make sense to expose sick patients to potentially harmful chemicals and
gases.
EQUIPEMENT
Other 35,00,000
LAYOUT
BEDS(NO BEDS(A/
OT
N A/C) C)
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CANTEEN
RECEPTIO
N MEDICIN
E STORE
MEDICINE EYE
CARDIOLOGIST ORTHOPEDCISTS
SPECIALIST SPECIALIST
LEGAL REQUIREMENTS
1956 (102 of 1956), the Medical Council of India, with the previous approval of the Central
Government, hereby makes the following regulations relating to the Professional Conduct,
Etiquette and Ethics for registered medical practitioners, namely:-
1. These Regulations may be called the Indian Medical Council (Professional conduct,
Etiquette and Ethics) Regulations, 2002.
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2. They shall come into force on the date of their publication in the Official Gazette.
A. Declaration:
Each applicant, at the time of making an application for registration under the provisions of the
Act, shall be provided a copy of the declaration and shall submit a duly signed Declaration . The
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applicant shall also certify that he/she had read and agreed to abide by the same.
Character of Physician (Doctors with qualification of MBBS or MBBS with post graduate
degree/ diploma or with equivalent qualification in any medical discipline):
The prime object of the medical profession is to render service to humanity; reward or financial
gain is a subordinate consideration. Who- so-ever chooses his profession, assumes the obligation
to conduct him in accordance with its ideals. A physician should be an upright man, instructed in
the art of healings. He shall keep himself pure in character and be diligent in caring for the sick;
he should be modest, sober, patient, prompt in discharging his duty without anxiety; conducting
himself with propriety in his profession and in all the actions of his life.
No person other than a doctor having qualification recognized by Medical Council of India and
registered with Medical Council of India/State Medical Council (s) is allowed to practice Modern
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system of Medicine or Surgery. A person obtaining qualification in any other system of Medicine
is not allowed to practice Modern system of Medicine in any form.
The Principal objective of the medical profession is to render service to humanity with full
respect for the dignity of profession and man. Physicians should merit the confidence of patients
entrusted to their care, rendering to each a full measure of service and devotion. Physicians
should try continuously to improve medical knowledge and skills and should make available to
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their patients and colleagues the benefits of their professional attainments. The physician should
practice methods of healing founded on scientific basis and should not associate professionally
with anyone who violates this principle. The honored ideals of the medical profession imply that
the responsibilities of the physician extend not only to individuals but also to society.
Membership in Medical Society: For the advancement of his profession, a physician should
affiliate with associations and societies of allopathic medical professions and involve actively in
the functioning of such bodies.
Every physician shall maintain the medical records pertaining to his / her indoor patients for a
period of 3 years from the date of commencement of the treatment in a standard reformat laid
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If any request is made for medical records either by the patients / authorised attendant or legal
authorities involved, the same may be duly acknowledged and documents shall be issued within
the period of 72 hours.
A Registered medical practitioner shall maintain a Register of Medical Certificates giving full
details of certificates issued. When issuing a medical certificate he / she shall always enter the
identification marks of the patient and keep a copy of the certificate. He / She shall not omit to
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record the signature and/or thumb mark, address and at least one identification mark of the
patient on the medical certificates or report.
Every physician shall display the registration number accorded to him by the State Medical
Council / Medical Council of India in his clinic and in all his prescriptions, certificates, money
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Physicians shall display as suffix to their names only recognized medical degrees or such
certificates/diplomas and memberships/honors which confer professional knowledge or
recognizes any exemplary qualification/achievements.
Use of Generic names of drugs: Every physician should, as far as possible, prescribe drugs with
generic names and he / she shall ensure that there is a rational prescription and use of drugs.
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Highest Quality Assurance in patient care: Every physician should aid in safeguarding the
profession against admission to it of those who are deficient in moral character or education.
Physician shall not employ in connection with his professional practice any attendant who is
neither registered nor enlisted under the Medical Acts in force and shall not permit such persons
to attend, treat or perform operations upon patients wherever professional discretion or skill is
required.
incompetent or corrupt, dishonest or unethical conduct on the part of members of the profession.
Payment of Professional Services: The physician, engaged in the practice of medicine shall
give priority to the interests of patients. The personal financial interests of a physician should not
conflict with the medical interests of patients. A physician should announce his fees before
rendering service and not after the operation or treatment is under way. Remuneration received
for such services should be in the form and amount specifically announced to the patient at the
time the service is rendered. It is unethical to enter into a contract of "no cure no payment".
Physician rendering service on behalf of the state shall refrain from anticipating or accepting any
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consideration.
Evasion of Legal Restrictions: The physician shall observe the laws of the country in regulating
the practice of medicine and shall also not assist others to evade such laws. He should be
cooperative in observance and enforcement of sanitary laws and regulations in the interest of
public health. A physician should observe the provisions of the State Acts like Drugs and
Cosmetics Act, 1940; Pharmacy Act, 1948; Narcotic Drugs and Psychotropic substances Act,
1985; Medical Termination of Pregnancy Act, 1971; Transplantation of Human Organ Act, 1994;
Mental Health Act, 1987; Environmental Protection Act, 1986; Pre–natal Sex Determination Test
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Act, 1994; Drugs and Magic Remedies (Objectionable Advertisement) Act, 1954; Persons with
Disabilities (Equal Opportunities and Full Participation) Act, 1995 and Bio-Medical Waste
(Management and Handling) Rules, 1998 and such other Acts, Rules, Regulations made by the
Central/State Governments or local Administrative Bodies or any other relevant Act relating to
the protection and promotion of public health.
Informational
Services
Physi
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Measure activity
Lo L1
• Technical feasibility
License
Treatment of patients
Discharge of patients
Risk management
LIST OF RISK DEGREE OF DEGREE OF Mitigation
OCCURENCE EFFECT
ADVANTAGES
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