AAC.1: THE ORGANIZATION DEFINES
AND DISPLAY THE SERVICES THAT IT CAN PROVIDE.
A) THE
SERVICES BEING PROVIDED ARE CLEARLY DEFINED.
The
services provided are clearly defined by the senior management and also are in
consonance with the requirements of the community.
The
scope of services for _______________ Hospital.
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CLINICAL SERVICES
|
SUPPORT SERVICES
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GENERAL
MEDICINE
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HUMAN
RESOURCES
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GENERAL
SURGERY
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CENTRAL
STERILE SUPPLY DEPARTMENT
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PEDIATRICS
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BIOMEDICAL
ENGINEERING SERVICES
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GYNECOLOGY
& OBSTETRICS
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AMBULANCE
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OPHTHALMOLOGY
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MEDICAL
RECORDS DEPT.
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ANESTHESIOLOGY
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PHARMACY
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|
ENT
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HOUSE
KEEPING
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ORTHOPEDICS
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INFORMATION
TECHNOLOGY
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PSYCHIATRY
|
|
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RADIOLOGY
|
|
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DENTAL
|
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EMERGENCY
DEPT.
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LABORATORY
|
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Task and responsibilities:
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NO
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TASK
|
RESPONSIBILITY
|
|
1
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DEFINE THE
GENERAL SCOPE OF SERVICES
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HEAD OF _________ HOSPITAL
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2
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DEFINE THE
DEPARTMENTAL SCOPE OF SERVICE
|
TOP MANAGEMENT IN
CONSULTATION WITH THE SPECIFIC DEPARTMENT HEAD
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3
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DOCUMENT THE
ABOVE INTO A POLICY ON ‘SCOPE OF SERVICES’ AND PLACE THE SAME IN AN SOP MANUAL
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ASSIGNED STAFF
|
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4
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AVAILABILITY OF
THE VALID LICENSE RELATED TO THE SPECIFIC DEPARTMENT
|
ADMINISTRATIVE
DEPT.
|
|
5
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DISPLAY
PROMINENTLY THE SCOPE OF SERVICES IN TWO LANGUAGES
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ADMINISTRATIVE
DEPARTMENT
|
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6
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UPDATE THE SCOPE
OF SERVICE
|
TOP
MANAGEMENT/HEAD OF CONCERNED DEPT.
|
|
7
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STAFF ORIENTATION
TO THE SCOPE OF SERVICES
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QUALITY
TEAM/TRAINING CELL
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AUDIT CHECKLIST
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NO.
|
CHECKPOINT
|
YES
|
NO
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REMARKS
|
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1
|
AVAILABILITY OF
SCOPE OF SERVICE POLICY DOCUMENT INCLUDING LICENSE
|
YES
|
|
|
|
2
|
BILINGUAL DISPLAY
OF SCOPE OF SERVICE IN A PROMINENT AREA
|
YES
|
|
|
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3
|
STAFF TRAINING
RECORDS
|
YES
|
|
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B) THE
DEFINED SERVICES ARE PROMINENTLY DISPLAYED.
·
The
services provided by the hospital are displayed prominently in the language of ENGLISH and HINDI.
·
The
details of services provided are displayed in an area visible to patients and
family members while entering respective facilities/areas.
·
Managing
representative is responsible to identify the requirement of signage boards, to
provide the same and rectify in case of any damage.
·
Tariff
of room and other basic services of hospital are made available at front
office.
·
Pamphlets
for distribution if needed.
C)
THE RELEVANT STAFF ARE ORIENTED
TO THESE SERVICES.
The
staff of help desk, admission counter, billing, outpatient dept., diagnostics
and causality are to be trained on this policy for the following conditions:
joining of new staff, changes/updating of tariff/services/policy.
If
identified, any lack of awareness of staff thorough observation/complaints
The
relevant staff is oriented on the services provided by the hospital either by
in training program or by reading this document, an appropriate, the same to be
recorded in training record form.
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DAY CARE BED TYPE
|
NUMBER OF BEDS
|
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EMERGENCY BEDS
|
3
|
|
DAY CARE BEDS
|
3
|
|
RECOVERY ROOM BEDS
|
3
|
|
LABOUR ROOM BEDS
|
2
|
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DIALYSIS
|
4
|
|
|
|
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NUMBER OF BEDS
|
|
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ICU
|
11
|
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GENERAL WARD
|
15
|
|
PVT WARD
|
20
|
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ISOLATION
|
1
|
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TOTAL
|
47
|