Overview of Hospital Infrastructure and Equipment Needs
This presentation outlines the current situation of a hospital's infrastructure and equipment needs. It covers various aspects such as hospital land, building design, staff quarters, operational beds, equipment requirements, and financial information. The slides provide detailed information on different departments, equipment necessity, functional status, and procurement needs. Additionally, it sheds light on the number of sanctioned beds, types of equipment needed, and financial details for better understanding and planning.
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Presentation Transcript
/ / Hospital Own Land (area) Hospital Own Building Hospital Standard Design Hospital Room Doctor quarter Nurses quarter Paramedics quarter Other Staff quarter CEONC Infrastructure Maternity Waiting Room Post-Mortem Room
Description 2079/80 2080/81 Sanctioned Beds (Government) Sanctioned Beds (Development committee) Total operational Beds Total inpatient beds Maternity beds ICU beds NICU beds Emergency Department Geriatric Isolation Bed Other
Quantities Name of equipment (Based on Minimum Service Standard) Need Department Non-functional Functional Procurement Emergency Bipolar Defibrillator ECG machine ER trolley USG machine Dental X-ray machine OPD Hospital Others O2 cylinder 40L/Oxygen concentrator CPAP machine Patient trolley Medicine trolley Suction machine Nebulizer CR X-ray machine (400 MA/100MA) Cardiac monitor Wheel chair
Quantities Name of equipment (Based on Minimum Service Standard) Department Non- Need Functional functional Procurement Labor Room Delivery bed Vaccum/Forceps set Postnatal Ward Baby warmer Phototherapy KMC chair OT Department OT table/light LSCS set Cautery Blood and fluid warmer Ventilator
Quantities Non- functional Name of equipment (Based on Minimum Service Standard) Department Need Functional procurement Laboratory Auto bio-chemistry analyzer Hematology analyzer Electrolyte machine Microscopes PT INR machine Colorimeter IUCD insertion & removal set Implants insertion & removal set (Centrifuge, CLIA, Hot air oven, Incubator, Water bathe) MCH-FP Clinic Hospital Support Service (CSSD, Waste Management, Power Supply, Store etc.) Autoclave machine Washing machine Vacuum cleaner Generator (62.5 KVA), Solar, Inverter
Description Details 1. Number of meetings held in FY 2080/81 2. Financial Information Amount (NPR) 2.1. Balance at the end of Ashad 2080 2.2. Income from service fees, rent, etc. 2.3. Income from donation, grant etc. 2.4. Total expenses 2.5. Balance at the end of Falgun 2080
. / Budget Budget Allocated Budget Released Budget Expenditure Irregularities (BERUJU) Amount Clearances % Clearances Capital Recurrent Total
DHIS2 . / Reporting Rate and On-time Reporting rate 58.3 Laboratory services dataset 100 56.6 Outpatient morbidity page 4 100 50 GESI dataset 100 41.7 Family planning program 100 50 Safe motherhood program 100 66.7 IMNCI dataset 100 58.3 Hospital indoor services dataset 100 50 Hospital summary dataset 100 0 20 40 60 80 100 120 Reporting rate on time Reporting Rate
Trend of Minimum Service Standards Governance and Management Standards 120 100 100 94 93 93 93 93 88 85 82 79 80 74 65 60 40 20 0 Governance Organizational Managament Human resource management and development Financial management Medical records and Quality management information management FY 2079/80 (First Round) FY 2080/81 (First round) 12
Trend of Minimum Service Standards Clinical Management Standards 100 94 94 91 91 88 88 87 87 85 85 90 82 82 75 75 75 75 80 71 71 67 67 70 55 55 60 51 51 46 46 50 40 30 20 10 0 FY 2079/80 (first round) FY 2080/81 (first round) 13
Trend of Minimum Service Standards Hospital Support Services 100 100 92 92 89 88 90 84 79 80 75 71 71 71 68 70 62 60 59 60 56 53 50 47 47 47 50 38 40 30 20 10 0 CSSD Laundry Housekeeping Repair, Maintenance and power system Water suppply Hospital waste Safety and security Transportation and communication Store Hospital Canteen Social Service Unit management FY 2079/80 (first round) FY 2080/81 (first round) 14
Key Performance Service Indicators S N Key Service Rational Standards 2079/80 2080/81 Yes No Yes No Separate Medical wards with assigned staffs Separate Surgical wards with assigned staffs IPD services 1 Separate Maternity ward with trained staffs Separate paediatric word with assigned staffs Separate ER Deparment with 24 hour service Disaster Management Plan Triage: Regular and disaster management Triage Equipment: Defibrillator/ DC shock/ Patient monitor HR- Trained HR 24 hour coverage/ ER incharge- MO/ MDGP Emergency Procedure room in ER Emergency Plan /Protocol in place ER services 2
Key Performance Service Indicators- 2079/80 2080/81 Rational Key Service SN Standards Yes No Yes No Separate OT for regular and emergency surgery HR: MDGP/ Ob Gyn/Surgeon/ Ortho Surgical services 3 Separate assigned Post operative ward Types of procedures : CS/Laparotomy/ general Surgery/ ortho/ all emergency life saving surgery HR- AA/ Anesthesiologist GA machine HR- # Pharmacist / other HR 24 Hours service OPD Hours + on call 4 Anesthesia OPD Pharmacy 5
Key Performance Service Indicators- FY 2080/81 SN Key Service Standards Yes No Rational 24-hour services Hematology HR- Technologist/Technician/ Assistant Biochemestry ( Sugar/ LFT/RFT/lipid profile) Microbiology with Culture T3, T4, TSH Equipment's ( Auto/ Semi Auto Analyzer) Storage Walking Blood Bank HR-Radiologist/ Radiographer/ Darkroom assistant/ other Functioning (300 MA or above) Digital/ CR X-ray Portable X-ray available and functioning Available and well functioning 6 Laboratory 7 Blood bank X-ray service 8A USG service
Key Performance Service Indicators- FY 2080/81 SN 8B Key Service CT/MRI Standards Yes No Rational Availability of CT/ MRI and functioning Separate Dental Department HR- Dental doctor/ hygienist Separate CSSD department with assigned HR, enough equipment and supply as per hospital need Separate Laundry department with assigned HR with enough supplies 24 hour coverage (Either Police or security Guard) Expanded hospital service available after regular hour Enough to run huspital regular services Lab and X-ray, OT services 9 Dental Services 10 CSSD Services 11 Laundry Services 12 13 Security EHS Electricity backup 14
Key Performance Service Indicators- FY 2080/81 SN Key Service Standards Yes No Rational Separate area for waste management Health Care waste management 15 Autoclaving of contaminated waste Waste management plant Central billing system 16 E billing system E billing separatly Electronic Health Record (EHR) Available and well functioning in all departments of the hospital 17 Central supply of O2 by Oxygen plant 18 Oxygen Supply O2 concentrator O2 Cylinder Separate Units 19 Special Care Units Separate ICU/ SNCU/NICU, CCU OCMC 20 Any other Services Separate area for Medico legal services Nutrition Rehabilitation Centre
Trend of Key Hospital Indicators 2078/079 2079/080 2080/081 Indicators Bed occupancy rate Number of maternity beds Average length of stay Throughput Bed turnover interval Infection rate among surgical cases Surgery related death rate Average number of radiographic images per day Average number of laboratory tests per day
Trend of Key Hospital Indicators Indicators FY 2078/079 FY 2079/80 FY 2080/81 Total Surgery Cases % of major surgery among total surgery cases Proportion of In-patient among total patient Proportion of Non-Communicable disease among In-patients Doctor: In-patient ratio Doctor: Out-patient ratio Nurse: In-patient Ratio Death within 48 hrs. of admission Death after 48hrs. of admission
(INPATIENT), . / Number % Age Group Female Male Total Female Male Total Up to 14 Yrs 15 to 49 Yrs 50-59 Yrs 60+Yrs Total
FY 2078/079 FY 2079/80 FY 2080/81 Indicators Number of Out-patients Proportion of out-patients among total patients % of population utilizing outpatients services Outpatients sex ratio
(Top 10 causes of morbidity) ( ) Causes of Morbidity- 2080/81 % among total OPD Visits Rank Causes of Morbidity- 2079/80 1 2 3 4 5 6 7 8 9 10 Total OPD
Indicators FY 2078/79 FY 2079/80 FY 2080/81 Total new users (of all FP methods) Number of pregnant women who had first ANC visit (any time) Number of pregnant women who had 180 iron tablets Number of pregnant women who had eight ANC visit as per protocol Number of health facility delivery Number of SBA assisted delivery Number of C/S delivery Number of newborns who received CHX immediately after birth Number of low birth and very low birth weight babies Number of children immunized with DPT-HepB-Hib3 Number of children immunized with Measles/Rubella2 Number of Under 5 children with diarrhoea treated with ORS and Zinc Number of Under 5 children with Pneumonia treated with antibiotics
MPDSR, . / Particular Number of Maternal Deaths at Hospital Number of Neonatal Death at Hospital Number of Perinatal Deaths in hospital Number of still births Number of early neonatal deaths MPDSR Implementation (Yes/No) Number of hospital maternal deaths reviewed (MPDSR) Number of hospital perinatal deaths reviewed (MPDSR) Major responses taken to prevent similar maternal and perinatal deaths in future : Number
2078/079 2079/080 2080/081 Indicators Number of blood collected for Malaria test Number of slides positive Number of imported malaria cases Number of Plasmodium Falciparum Malaria cases Total Tuberculosis cases (all form) TB treatment success rate Total new cases of Leprosy Total cases of Grade2 disability Total HIV +ve patients on ART Total COVID 19 positive cases
. . / / / Master Plan / Continue Medical Education , Instruction: Please add specific activities as per AWPB- FY 2080/81 above
. . . / 8/ / / , Instruction: Please add specific activities as per AWPB- FY 2080/81 above
Hospital Based One Stop Crisis Management Center (OCMC) FY 2078/079 FY 2079/080 FY 2080/81 Number of new reported case by service Physical examination Injury Safe abortions Treatment of mental illness Psychosocial counseling Medico-legal service HIV testing/counseling Pregnancy test Emergency contraceptive STI Treatment
Medico Legal Cases Cases 2079/80 2080/81 Autopsy Sexual Assault Physical Injury Drunkenness Total
Non-Communicable Diseases 2080/81 Mental Health Cases on Treatment (OPD/Emergency) Number of new cases Male NCD cases on Treatment (OPD/Emergency) Number of new cases Male Female Number of deaths Female Depression Suicide Attempt Epilepsy Psychosis Anxiety Alcohol Use Disorder Dementia Emotional and Behavioral Disorder of Children and Adolescents Conversion Bipolar Disorder Other Mental Disorder Total Cardiovascular Disease Cancer COPD Diabetes Asthma Hypertension Stroke Heart attack CKD RHD Congenital heart disease Obesity Total 32
Total Patients Served by Social Service in FY 2080/81 Target Group Number HI Enrollment Enrolled New Follow-up Not Enrolled SSU implemented (Yes) Ultra Poor and Poor Helpless Person with Disability Amount of total expenses and exempted GBV Survivors Expenses (NRS) Exempted (NRS) Senior Citizen Deprived emergency patients Disaster survivors Total expenses: Marginalized/endangered group FCHV Malnourish children Prisoners Others Total 33
Minimum Service Standards: MSS Score Trend Section Name Number of standards Maximum score FY 2078/079 FY 2079/080 FY 2080/081 Second Second Second round round round round round First First round First Governance Organizational Management Human Resources Management Financial Management Information Management Quality Management Clinical Management Hospital Support Services Total Score 36
Action step to be taken to fulfill the Gap Person Responsible Managerial/ Budgetary Support S.N Prioritized Gap Time Frame Remarks 38
