Design and Management of Opd
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The document discusses outpatient care and departments (OPDs) in hospitals. It notes that OPDs were originally designed for basic minor services but now provide a wide range of treatments, tests, and minor surgeries. OPDs serve as the first point of contact between hospitals and patients, providing diagnosis, treatment and follow-up care. A well-organized OPD can generate high revenues for hospitals if they utilize the full potential of efficient, quality services and facilities. The document outlines various components, facilities, staff, and organizational structure needed for effective OPD operations.
Design and Management of Opd
- 1. BY : DIVYA KHANDELWAL 16164
- 2. Outpatient care was once on the sidelines, and having being originally designed with a limited scope, it offered only basic, minor services. In a significant move all over the world, outpatient care has changed as a major service encompassing a wide range of treatment, diagnostic tests and minor surgeries, some of which required hospitalization earlier.
- 3. Ambulatory care Primary Healthcare Comprehensive Healthcare OUT PATIENT DEPARTMENT Provides For patients who come for : Diagnosis Treatment Follow-up Care. It is the first point of contact between a Hospital and the patients. An OPD is therefore appropriately called as the ‘Shop Window’ of the hospital.
- 4. Control disease Functions Facilitate screening and investigations Provide effective treatment Provide follow-up care Control and surveillance Facility for training By early diagnosis and timely treatment To confirm whether or not hospitalization is required On ambulatory basis To discharged patients and their rehabilitation Of communicable diseases to prevent an outbreak of epidemic and conduct activities in the field of preventive medicine. For training of medical, para-medical and nursing staff. May also provide avenue for epidemiology and social research
- 5. OBJECTIVES Provide Quality of care Modern Techniques for investigation and treatment Facilities for total patient satisfaction Good Public relation A well-designed and well- organized outpatient department can be high revenue generating area of the hospital. By limiting the no. of outpatient consulting rooms and support services facilities, the hospital promoters fail to realize the full potential in terms of efficient and quality service and revenue generation.
- 6. Close to vital adjuncts Easily accessible Smooth flow of traffic Should be on ground floor preferably/ separate complex LOCATION
- 7. Patient accessibility Centralized polyclinic or decentralized speciality clinic Effective, comprehensible, standard signage should be planned Maintain dignity and privacy of patients Cater for future expansion Educational resource areas to be integrated in main lobby Waiting area and public spaces should be large enough Day care facilities may be planned as support services Should allow natural light and good ventilation.
- 8. Public areas Physical Facilities to be planned Clinical areas Consultation rooms Special examination rooms Administrative area Auxiliary/ additiona l facilities Laboratory Medical imaging services Screening clinics Medico-social services Health education facility Ancillary/subs idiary facilities Circulation area Injection rooms Treatment and dressing rooms Pharmacy Medical records room
- 9. • Main entrance • Foyer • Bays for trolleys and wheelchairs • Public telephone booths • Public conveniences • Value added services • Registration area • Cash counter • Health education facilities Public zone • Consultation and examination rooms-combined consultation examination rooms, shared examination room, common pool of shared rooms. • 12.5 square meter is adequate Joint use zone
- 10. Clinical Laboratory • Centralized sample collection area for urine, stool and blood • Wash room, toilets and a blood collection room should be provided. • In large OPD, routine examination room adjacent to collection station Pharmacy • Located so as to serve both inpatients and OPD patients. Specialised OPD services • Gastrointestinal endoscopy lab, sigmoidoscopy, colonoscopy. • Pulmonary function lab • Cardiac OPD • Staff Zone
- 11. Parking and Entrance • Main entrance-gentle sloping ramps to facilitate movement • Entrance should have a double door with a width of 1500 mm • Wheelchairs should be readily available at the entrance • Staff and patient entrance should be separate • Parking should be close to entrance Enquiry desk, Reception Station • Height of counter should be adapted to need of wheelchair patients • To ensure privacy, reception should have counters Waiting area • Space recommended is 0.8 square meter per patient for one third of average daily patients attending OPD in one session • Sub-waiting areas may be shared between the various consultation rooms. • Distance from waiting area to the consultation room should be short • Toilets should be close
- 12. In large Hospitals, the medical director or the director for professional services or the medical superintendent may be directly in charge of the out patient department. Four major organizational components Medical staff Nursing staff Ancillary staff Clerical staff Central to the organization Registered nurses, ANMs and nursing or hospital aides Radiology, laboratory and ECG technicians Carries out registration, billing, receiving cash, secretarial and medical records function.
- 13. annoying to the patients and bad public relations for the Hospital Large number of patients not the only reason for people waiting. Stages where delay occurs: Registration Preparation of medical record Collection/payment of fees
- 14. Day care clinic : The consumer shift REASONS: Healthcare expenses are rising. The primary driver for this trend is the cost factor. They facilitate quick discharge and faster asset turnaround. With the evolution of medical technology, availability of skilled consultants, trained medical manpower and improved commuting facilities, there is a trend towards establishing day care centres for patients to simply walk in and walk out within hours of completing the procedure.
- 15. OPD TREATMENT Insurance Regulatory and Development Authority (Irda) has defined OPD treatment as the one in which the insured visits a clinic/hospital or associated facility like a consultation room for diagnosis and treatment based on the advice of a medical practitioner. Among the innovations health insurance customers can look forward to in 2014 are products focusing on OPD (Out Patient Department) treatment, that is, treatment that does not require a stay in a hospital.
- 16. A recent report by ICICI Lombard General Insurance company says insurance companies will focus on OPD, in line with changing customer trends and the emergence of shorter treatments. The fact that primary healthcare in India is still largely unorganized is the biggest reason insurers don’t offer or market OPD covers in a big way. That is also why the pricing for such covers tends to be 100 per cent.
- 17. The key to operational efficiency in the outpatient department is the efficient patient flow. If the units are arranged in a manner that facilitates coordination of various procedures, patients need not waste time waiting, and the personnel can handle large number with ease and efficiency.