SUMMER INTERNSHIP PROGRAM

FINAL REPORT

MASTER OF BUSINESS ADMINISTRATION (MBA)

(2017-2019)

Topic: REPORT ON RAMESH HOSPITAL

Submitted By : CH. GOPI REDDY

Regd no : 171FC01049

Faculty Guide Company Guide

K. SRIPATHI K.P.ZAREENA

Asst.Professor Senior IP Coordinator

Department of Management Studies Ramesh Hospital,Guntur.

Department of Management Studies

Vignan’s Foundation for Science, Technology & Research, Vadlamudi

 ACKNOWLEDGEMENT

First of all, I would like to thanks GOD, Who is most beneficial and merciful, Who enable me

to do this job very well and HE has given me confidence, guidance & strength to complete

this hospital internship report. This is an interesting and knowledgeable experience for me.

Completion of this report was not an easy task, but by the support and help of all employees

of hospital, it becomes very simple to me. After this I would like to pay my gratitude to my

Respected Company Guide miss K.P ZAREENA on her cooperation during my internship. I

am especially grateful to my university for expanding my knowledge and experience.

 TABLE OF CONTENTS

CHAPTER I

 Introduction

 History

 Board Of Directors

 Administration

 Mission & Vision

 Core values

 Life Goal

 Customers

 Competition

 Environment

 Technology

 Goals

 Time Line Of Journey

 Services

 CSSD

 Facility Service Department

 Clinical nutrition

 Radiology

 Education Innovation And Research

  SWOT Analysis

CHAPTER II

 Internship Activity

 Learning’s

CHAPTER III

 Summary

 Suggestions & Recommendations

 For New Internees

 REPORT ON RAMESH HOSPITAL – GUNTUR

INTRODUCTION :-

Ramesh Hospitals, established in the year 1988,was the actualisation of its founder

Dr.P.Ramesh Babu’s to make the city of vijayawada and its surrounding regions self

sufficient in cardiac care.

Ramesh Hospitals started its humble journey as a 6-bed start up in 1988 and has now

evolved into a comprehensive healthcare destination. Ramesh Hospitals has established itself

as a multispeciality hospital by expanding its scope of services and has strong presence in

krishna, Guntur and West Godavari Districts. By Consistently practicing scientific medicine

with integrity and dedication, Ramesh Hospitals has gained the trust of patients and health

care professionals from all over the country.

As a hospital known to provide state-of-the-art technology to the common man, the

hospital houses AP’s first iCT 256 Slice CT Scanner, FD10 and FD20 Cath Labs.

Strengthening the medical technology at (First time in AP), 128 slice CT Scanner and 2 Cath

Labs which will be available at the guntur facility.

In 2014 ,Ramesh Hospitals became the first teaching Cardiac institute in new

Andhra Pradesh to achieve NABH Accreditation.

 In india the health system currently operates within an environment period of rapid

social, economical and technological changes. Such changes raise the concern forth

equality of health care. Clinics an integral part the health care system. The shift from the

inpatient to outpatient care is drawing attention to the role off the primary care provider.

On hospital based care is now considered extremely impotent in the health care system.

The focus on health promotion, disease, prevention, treatment and rehabilitation with in the

community is fast gaining higher importance. Which from the delivery arm of primary care

or out of hospital care have received less attention then other elements of health care as far

as quality assurance is concerned. More over, key challenges in attempting to bring in a

level of uniformity, continuity, coordination and standardization are due to the very nature

of the way clinic are positioned. They are mostly interdependent, lack of networks and are

staffed are with very minimal persons. This all the more brings in the necessary introduce

accreditation as away to maintain standards, monitor performance, bring inpatient centered

practices, focus on safety, and have a collective effort across the region to continuously

improve with this mind NABH has developed relevant and accessible quality assurance

methods for primary health care services i.e clinics. these are in natural alignment to the

hospital. standards, but with a community focus . the focus areas are
ABOUT LOGO:-

Blue- Technology and Profession

White- Openness & Honesty

Red- Passion and Dedication towards saving life

HISTORY :-

Ramesh Hospital’s state of the art super specialty center located in Guntur boasts of best

medical practices in a setting comparable to international standards. After having treated

10,00,000 patients over three decades of healthcare journey, the unit at Guntur has been

shaped to deliver quality treatment with patient experience & safety as the prime focus.

Designed and constructed as per JCI standards, the unit has received NABH Re Accreditation

in 2018.

In March 2015, the unit was inaugurated by the Former President of India, Dr. APJ Abdul

Kalam – ‘The Missile Man of India, and the event was presided by Union Minister Sri. M.

Venkaiah Naidu, Hon’ble Minister for Urban Development, Govt. of India; Dr. Kodela Siva

Prasada Rao, Hon’ble Speaker, AP Legislative Assembly & Dr. Kamineni Srinivas, Hon’ble

Minister for Health, Govt. of AP .

Spread over 320,000 sq.ft, the 350-bedded Multi Super speciality center focuses on –

Cardiology, Neurology, Obstetrics & Gynaecology, Trauma & Emergency, Multi Organ

Transplant, Nephrology, Gastroenterology & Orthopedics.

Ramesh Hospitals -Birth n’ Beyond for women and children is a boutique maternity center

with a dedicated dept. of Gynecology, Neonatology & Pediatrics. The comfort and

convenience of prenatal guidance, birthing suits, lactation support, and post-delivery care are

all brought within the reach of people of Andhra Pradesh.

BOARD OF DIRECTORS :-

Chairman - Sri MS Rama Mohan Rao

Managing Director - Dr. Pothineni Ramesh Babu

Whole Time Director & CFO - Ravi Kiran Pothineni

Non-Executive Director - Dr. Azad Moopen

Director - T.J Wilson

Director - Sreenath P. Reddy

Additional Director - Vikram Beniwal

ADMINISTRATION :-

1. P Gopi Krishna- Group Chief Operating Officer

2. Maj Gen (Rtd) Dr S Kumarvelu - Quality Officer & Medical Director – Guntur

3. Dr. Mamatha – COO ( Chief Operations Officer) & Accreditation Coordinator – Guntur

4. Dr. N. Kishore-Medical Administrator (Emergency Medical Services) – Guntur

 MISSION

Provide quality treatment to patients with medical expertise, excellence, and empathy and

state-of-the-art equipment in an amicable and assuring ambiance.

VISION

 Maintain high standards of medical practice

 Provide quality and cost effective medical care to patients in the region and beyond

 Continue developing as an educational and training institute

 Contribute to medical research by participating in national and international study

trial.

CORE VALUES

 Commitment to Profession

 Compassion for Patients

 Care and Concern for Employees

LIFE GOAL

Providing quality healthcare not only to the people living in cities but also to people

living in semi urban and rural areas by making the services of the specialists and state of the

art equipment available to them.

CUSTOMERS

The customers here are patients. Patients here are treated with primary care and with

good quality. The patients are left with a opinion of happy long living after the treatment and

there are various check-ups and scanning facilities wherein every patient is studied heedfully.

For customers hospital provide different health check-ups they are

 Master Health check-up

 Executive Health check-up

 Basic Cardiac Health check-up

 Basic Diabetic Health check-up

 Advanced Diabetic Health check-up

 Senior Citizen Health check-up

And there are various types of scanning’s like

1. Ultra sound scanning

2. MRI SCANNING ( Magnetic resonance scanning)

3. CT SCAN ( Compressed Tomogram)

 4. X Ray

5. ECG , ECHO, TMT ( Electro Cardio Grapy)

6. EEG ( Electro Encephalo Grapy)

Guidelines for health check-ups in Ramesh hospital:-

 Please make a prior appointment, if possible.

 Please ensure that you have been fasting completely for 12hours before the health

checkup, you may take sips of water.

 You need to be registered with us, if not please get registered.

 Please bring your previous medical records.

 Additional tests/investigations/consultations can be provided and will be billed

separately.

 If any of the tests in the package are not conducted due to unforeseen circumstances

they will be carried out before 15 days as per your conveniences/consultants direction,

if not, proportionate amount will not be refunded to you.

 Do not take any medication, alcohol, cigarettes, tobacco or any other liquid (except

water) in the morning.

 Bring a stool sample in a container, if possible. (Containers are available on request at

the reception.)

 Please bring all your medical prescriptions and previous medical records with you.

 Please wear two-piece loose and comfortable clothes and sandals, as far as possible.

Kindly inform the reception, in case you have a history of diabetes or any cardiac

problems.
COMPETITION

There is a huge competition in Guntur for medical services. There are many

hospitals which provide many services for the patients. Hospitals like Lalitha Super specialty

hospital, Sri Rama Hospitals, Guntur Government Hospital and all. There are yoga centers

and Ayurveda centers which are becoming a peril for the hospitals.

ENVIRONMENT

Centrally located in the heart of the city, can be easily accessible from all

corners of the city. It is a one stop centre for excellence with multi-disciplinary interaction

under one roof. Customer Relation Management and Coordinators help reach out patients a

stress free treatment assisting them in admission procedure, consultant visits with required

documentation.

TECHNOLOGY

When it comes to surgical technologies within a hospital, the administration needs to

work in conjunction with its physicians and nurses to determine the best strategy. It may be

instinctive to purchase the latest and greatest technologies that hit the market, but surgical

equipment has high upfront costs, so it must be properly have become reputation.

The intraoperative MRI, ECG, EEG and CT scan machinery are very unique and are the latest

ones because they are used in identifying the problems and defects and there is also ultra

sound scanning. Specifically, the most common types of cases that use this technology are

craniotomies for brain tumours, Trans sphenoidal surgeries of pituitary tumours and
placement of deep brain stimulators for Parkinson's disease and also these are used to know

the brain cycles, Epilepsy cases and also problems related to heart and all.

GOALS

 Double the owned bed capacity to 500 , with a goal of increasing owned and managed

beds to 1200 by 2019.

 Achieve Revenue CAGR of 25% over the next 5 years while improving EBITDA

margins.

 Achieve JCI accreditation and sustain total quality and reliability in all areas of patient

care and employee welfare.

TIMELINE OF JOURNEY FROM ATTEMPT TO EXCELLENCE

1988 – First Cardiac Hospital in Coastal Andhra Pradesh

1996 – First to start Cardiac Surgeries and Digital Cath lab in Coastal India (Kolkata to

Chennai)

1997 – Limca book of world records for highest success rate 99.8%

2008 – First cardiac institute in the east coast to be accredited for DNB

2012 – Dr. K. Sharan Cardiology Excellence Award by Indian Medical Association

2012 – First to start heart and brain stroke unit in Andhra Pradesh

2012 – First to start 256 slice CT scanner and FD20 Cath lab in Andhra Pradesh

2013 – Fellowship conferred by International Institute SCAI

2013 – First Hospital to start BLS training general public in Andhra Pradesh – training over

30,000 people

2014 – First Teaching Institute in Cardiology to achieve NABH accreditation

2014 – First to start Doctor @ Your Home facility for patients in Vijayawada

2015 – First to introduce 3.0 Tesla Digital MRI scanners in Andhra Pradesh

2015 – First PGDCC Training Institute affiliated with Texila American University (WHO

recognized)

2015 – First Hospital in Andhra Pradesh to start Telemedicine centers benefitting 28 lakh

people

99.9% success rate for Cath lab procedures – over 60,000 procedures taken up till date.

Selected as International Cardiac Interventional Training Centre – KREAD FOUNDATION.

2016 - achieved NABH accreditation in September 2016

2017 - Liver and kidney transplant surgeries since july 2017

2018 - Ramesh hospitals acquired sanghamitra hospitals in Ongole with 150 bed facility –

98000 sq.ft built up area; owned land and building

MULTISPECALITY SERVICES :-

The following are the Multispecialty services provided by Ramesh hospitals:

 Anesthesiology

 Cardiology

 Cardiothoracic Surgery

 Neonatology

 Pediatrics

 Pediatric Cardiology

 Nephrology

 Neurology

 Neurosurgery

 General Surgery

 Laparoscopic Surgery

 Bariatric Surgery

 General Medicine

 Orthopedics & Joint Replacement Surgery

 Gynecology & Obstetrics

 Ophthalmology

 Care Ophthalmology

 ENT
  Urology

 Dermatology

 Pulmonology

 Gastroenterology

 Dentistry

 Radiology & Interventional Radiology

 Endocrinology & Diabetes

 Aesthetic & Plastic Surgery

 Psychiatry

 Multi organ Transplant

 Emergency, Trauma & Critical Care

HOME CARE SERVICES :-

 Doctor at Your Home

 Home Care Nursing

 Home Care plans for Pregnancy Management

 Out Patient Packages for Diabetes & Cardiac Problem

 In Patient Packages for Diabetes & Cardiac Problem

 Physiotherapy services.
DEPARTMENTAL STUDY :-

In order to function efficiently and effectively every organization has a functional

department. it’s important to divide departments so that the work is divided into units and

departments. This division of the work is helping in bringing specialization in various

activities of concern and helps in putting right men on right job which can be done by

selecting people for various departments according to their qualifications, skills and

experience. This is helping in defining the jobs properly which clarifies the role of every

person.

Ramesh hospital has the following departments :-

 Finance department

 Hr department

 Marketing department

 It department

 Medical records department

 CSS department
FINANCE DEPARTMENT :-

Finance function at Ramesh hospitals :-

There exits an inseparable relationship between finance and other functional departments

almost all kinds of business activities, directly or indirectly involve the acquisition and use of

funds.

The functions are :

 Proper use and allocation of funds.

 Taking sound financial decisions.

 Improving profitability through proper financial controls.

Billing :-

The billing department has three different sections :-

1. Inpatient billing

2. Outpatient billing

HUMAN RESOURCE :-

A human resources department is a critical component of employee well-being in any

business, no matter how small. HR responsibilities include payroll, benefits, hiring, firing, and

keeping up to date with state and federal tax laws.

CSSD (central sterile supply department) :-

The central sterile supply department (CSSD), also called sterile processing department

(SPD), sterile processing, central service department (CSD), or central supply it is an heart of

the hospital. It is an integrated place in hospitals and other health care facilities that performs

sterilization and other actions on medical devices, equipment and consumables, for

subsequent use by health workers in the operating theatre of the hospital and also for other

aseptic procedures, e.g. catheterization, wound stitching and bandaging.

Sterilization is the process of destroying all living organisms on an item and is the main task

of most Central Service departments. Items to be sterilized must first be cleaned in a separate

decontamination room and inspected for effectiveness, cleanliness and damage. There are

multiple methods of sterilization, and which one is used is dependant on many factors

including: operational cost, potential hazards to workers, efficacy, time, and composition of

the materials being sterilized. In the US, one of the cheapest and easiest methods is steam

sterilization, where instrumentation trays and packages are placed in a chamber which is them

filled with steam (usually 250-270 °F), killing all microorganisms. Sterilization can also be

achieved using Ethylene Oxide(ETO) gas.

Sterile processing departments are typically divided into four major areas to accomplish the

functions of decontamination, assembly and sterile processing, sterile storage, and

distribution.

Decontamination

 Decontaminating used surgical instruments and other medical devices

 Operating and maintaining special decontamination equipment like automatic washers

 Inspecting decontaminated items to make sure they are clean

 Assembly

 Organizing clean items and packaging them into appropriate instrument trays and sets

Sterilization and storage

 Sterilizing assembled trays of instruments

 Precisely operating and monitoring special sterilization equipment like autoclaves

 Keeping detailed records of items that have been cleaned, sterilized, and stored

Distribution

 Stocking crash carts

 Organizing sterilized medical supplies

 Ensuring that sterile supplies don’t become outdated / preventing event related sterility

issues

 Delivering sterile supplies where they are needed and picking up dirty ones

NURSING DEPARTMENT :-

Team of highly skilled and highly trained medical and nursing professionals work in

collaboration with members of the health care team in achieving the best possible outcomes

for our patients. An interdisciplinary team plans and directs the provision of care throughout

the continuum from admission through discharge and facilitates referrals with appropriate

resources and agencies.

 FACILITY SERVICE DEPARTMENT :-

Facility service department consists of these teams that are given below

1. Nursing Assistant boys

2. Sweepers

3. Store boys

4. Security guards

5. Maintenance department

So, these are the some departments which are working under the support service department.

Without support services department hospital can’t survive for few seconds. Basically this

department provides the basic needs to the patients/attendants so that they can have good stay

in hospital.

CLINICAL COORDINATOR :-

Responsible for organizing and overseeing the administrative aspects of health services and

hospital departments. They work in hospitals, clinics, academic medical programs, and other

patient care environments.

CARDIOLOGY :-

The Cardiology Department at Ramesh Hospital offers a full spectrum of specialty services

for patients with conditions that affect their heart and blood vessels. goal is to provide

exceptional care for patients at risk for or with established cardiovascular disease. aim to

educate future leaders in cardiovascular medicine.

Through the combined efforts of the Department of Cardiology and Cardiac Surgery, Ramesh

Hospital is recognized as a national leader in Cardiology. team-based approach to patient care

is complemented by state-of-the-art technologies.

experienced staff is trained to meet the unique needs of heart and vascular patients – and their

families. understand that coping with these types of conditions can be overwhelming. So,

they provide high-quality care in a friendly, caring environment.

 We are equipped to provide emergency angioplasty (Primary Coronary Intervention) in cases

of acute heart attacks. This is a real life saving procedure. This service is available 24/7

throughout the year.

The following conditions and symptoms are commonly seen:

 Coronary heart disease

 Congestive heart failure

 Heart attack and chest pain management

 Structural or congenital heart defects

 Heart valve disease and disorders

 Vascular disease

 Irregular heartbeats or arrhythmias

CLINICAL NUTRITION :-

This specialized nutrition care department in Ramesh Hospital and Medical Center offers

nutrition care counseling to the patients in the best possible way by the experienced Clinical

Nutritionist whose expertise has a foundation on trustworthy, science based nutritional

information as well as vast experience in the pertinent field. The approach is holistic and

personalized, catering to the individualized needs of the patient and the goal is to promote

individualized medical nutrition therapy in a multidisciplinary approach as a means to

optimize patient care.

 RADIOLOGY:-

Doctors Hospital recognizes the importance of offering the most advanced radiology services

available. Imaging procedures are among the most valuable tools our physicians have in the

diagnosis and treatment of illness or injury. That’s why we support our medical staff’s

expertise with state-of-the-art imaging equipment.

 Digital X-Rays
 With our digital x-rays we gain time efficiency through bypassing chemical processing and

the ability to digitally transfer and enhance images. Also, less radiation can be used to produce

an image of similar contrast to conventional radiography

 3D/4D ultrasound.

Like regular ultrasounds, 3D and 4D ultrasounds use sound waves to create an image of your

baby in your womb. What’s different is that 3D ultrasounds create a three-dimensional image

of your baby, while 4D ultrasounds create a live video effect, like a movie — you can watch

your baby smile or yawn.

 Fluoroscopy
 Fluoroscopy is a study of moving body structures–similar to an X-ray “movie.” A

continuous X-ray beam is passed through the body part being examined. The beam is

transmitted to a TV-like monitor so that the body part and its motion can be seen in detail.

Fluoroscopy, as an imaging tool, enables physicians to look at many body systems, including

the skeletal, digestive, urinary, respiratory, and reproductive systems.

 64-slice CT Scanner

A CT scan – or computed tomography scan – uses X-rays to produce images of a patient’s

body. But unlike a traditional two-dimensional X-ray, CT scans create incredibly detailed

cross-sectional images by rotating around the body inside the gantry, which is the machine’s

large doughnut-shaped opening. A CT scanner is also unique because it can display a

combination of soft tissue, bones and blood vessels in a single image.

 4 slice CT

For routine examinations of the brain etc we sometimes use this equipment also as a back
 Two Open-bore MRI machines

The MRI machine with “larger bore” has a larger opening than traditional MRI machines,

making it easier for patients who are claustrophobic to have MRI scans, without sedation. In

contrast to a “completely open” MRI machine it still has a tunnel the patient must pass

through, but the opening (or “bore”) is wider and much shorter. The patient having their spine

or pelvis examined will rest with their head and lower extremities outside the magnet.
GENERAL MEDICINE :-

The department of General Medicine, an integral part of Ramesh Hospitals, provides

comprehensive medical care to patients above 14 years of age. It offers outpatient, inpatient

and 24/7 emergency care services with emphasis on excellent Doctor-Patient communication.

The outpatient department offers a wide range of medical services, has Consultants and

Specialists who render expert care to patients with communicable and non-communicable

diseases like Hypertension, Endocrinological disorders like Diabetes Mellitus, and all kinds of

Fevers & Infection reflexes. The Department strictly promotes the concept of preventive and

proactive healthcare. Inpatients are given specialised medical attention to ensure minimal

hospital stay; and stringent safety measures are observed in the patient care areas to prevent

hospitals-acquired infections. Multi-disciplinary in approach, the department provides

efficient support services to other specialties by attending to cross-referrals and carrying out

procedures like tapping, puncturing and aspiration.

The Outpatient Department functions from 8am- 4.30pm every day, except on Sundays.

The Emergency Department functions 24/7.

NEPHROLOGY AND DIALYSIS :-

Urologists & Nephrologists at Ramesh Hospitals offer specialised nephrology and urology

care to patients of all ages. We offer a wide range of therapeutic technology/ support including

haemodialysis and peritoneal dialysis. What sets us apart is the outstanding team of doctors

comprising of highly experienced nephrologists, urologists, renal transplant surgeons,

anaesthetists and critical care experts. Multidisciplinary in approach, they provide optimal,
evidence-based treatment to patients with the support of an award winning team of nurses,

renal dieticians, rehabilitation experts and qualified technicians.

The Department of Nephrology at Ramesh Hospital provide a complete range of consultative,

diagnostic and treatment services for patients with kidney diseases. The scope of care

encompasses all stages of kidney disease, from earliest detectable changes in kidney function

through End Stage Renal Disease. The division’s goal is to provide the highest quality care

while helping patients manage their condition. Kidney failure is often associated with other

medical issues, such as heart, lung liver diseases, cancer etc and other surgical or obstetrical

disorders. Patients with a history of renal disease who are on dialysis and undergo major

general or cardiac surgery are at high risk for complications. The center for dialysis works

closely with other Doctors Hospital specialties, addressing a patient’s kidney failure prior to

surgery and taking appropriate steps to ensure the best possible outcomes.

GASTROENTEROLOGY :-

Gastroenterology department at Ramesh Hospitals offers highly advanced medical and

surgical gastroenterology services to patients of all ages. The exceptional team of doctors here

comprises of highly experienced, internationally renowned Medical Gastroenterologists and

Surgical Gastroenterologists. Multidisciplinary in approach, they provide optimal, evidence-

based treatment to patients with the support of specialty-trained nurses, rehabilitation

therapists and technicians.

Medical Gastroenterology

Our Gastroenterology Department is ready to provide diagnosis and medical management for

diseases and disorders of the oesophagus, stomach, small intestine, large intestine, liver,
gallbladder, pancreas and rectum. The highly experienced team of doctors comprising medical

gastroenterologists and gastrointestinal radiologists ensures expert care for patients, with the

support of cutting-edge diagnostic and therapeutic technology.

Surgical Gastroenterology

One of the most advanced facilities in the region for surgical management of gastrointestinal

disorders/ diseases, Surgical Gastroenterology at Ramesh Hospitals; has an exceptional team

of highly experienced Surgical Gastroenterologist with international expertise. The

department offers state-of-the-art facilities clinical support/ facilities including a highly

advanced endoscopy suite, ERCPs, GI motility studies and endosonography, high-definition

laparoscopy and intraoperative ultrasound for high-precision procedures.

Endoscopy services

 GastroScopy and Colonoscopy with Narrow Band Imaging (NBI)

 ERCP (Endoscopic Retrograde Cholangio-Pancreatography)

 Endoscopic ultrasound and related interventions

 Endoscopic mucosal resection of polyps and early mucosal tumors

 Capsule endoscopy and Double Balloon Enteroscopy

 Pediatric endoscopy
LATEST EQUIPMENT IN THE HOSPITAL:

ECMO – Extra Corporeal Membrane Oxygenation

 1st ECMO unit in Andhra Pradesh.

It Carries Venous blood from the patient removes CO2 & enrich with O2 ,re-enters patient

circulation.

Indications:

 Respiratory Failure

 Cardiac Failure

 Septic Shock

 ECPR

 Neonatal

Thromboelastography (TEG) : 1st in Andhra Pradesh

 To know the efficiency of blood coagulation

 To know the platelet function –Dengue fevers.

Indications :

 To transfuse appropriate component of blood

 To prescribe appropriate medication

 To give effective treatment for Dengue hemorrhagic fever .

 To monitor coagulation in organ transplantation.

Laser Endo Urology – Litho 30, Cyber TM 200

Litho 30

 Dusting of the stone instead of making bigger pieces

 Can reach any part of urinary tract without having to make incision and puncturing the

kidney (more complex procedure with complications)

Cyber TM 200 1st in Andhra Pradesh

 Can remove even big prostates without open surgery

 Chances of bleeding much less than conventional surgery even in patients on

anticoagulants

Argon Plasma Coagulation (APC )

 To control the intra abdominal bleeding with out open surgery.

  To treat the intra abdominal tumors.

Surgical Microscope -Sanma

 1st in Andhra Pradesh , 1st Made in India Microscope

 Fully Motorized.

 Eye focus Variable lens 200 mm – 500 mm.

 Can be used in –

 Neurosurgery

 ENT surgeries,

 Plastic Surgeries

 Ortho-Spine surgeries.

EXISTING FACILITIES OF RAMESH HOSPITALS

1. Main Hospital & Teaching Cardiac Institute, Vijayawada

 Company’s flagship NABH accredited hospital located in the heart of Vijayawada

 Commenced operations in 1988

 160 bed facility – 75,000 sq. ft. built up area constructed on leasehold land of 27,000

sq. ft.

 FD20 & F10 Cath labs with IVUS & FFR; 4 Operation Theatres

 Primary focus on Cardiology and Pediatric Cardiology

 Also conducts academic programmes in Cardiology – PGDCC and DNB Cardiology

2. MG Road/ Labbipet Hospital, Vijayawada

 Multispecialty hospital located in MG Road, Vijayawada

 Commenced operations in 2011-12

 50 bed facility – 30,000 sq. ft. built up leased area on leasehold land of 9,500 sq. ft.

 256 Slice CT Scanner and 2 Operation Theatres

 Focus specialties include Neurology, Orthopedics and Gastroenterology

 NABH entry level accreditation

3. Multi super specialty Hospital, Guntur

 State of the art super specialty hospital located in Guntur

 Commenced OP operations in Apr 2015 and IP operations in June 2015

 350 bed facility –3,16,000 sq. ft. built up area

 1 Cath lab, 128 Slice CT Scanner, 3 Telsa Digital CX MRI

 Designed and constructed as per JCI standards.

 Achieved NABH Accreditation in September 2016

 Liver & Kidney transplant surgeries since July 2017

4. Ramesh Sangamitra Hospital, Ongole

  Started multi-speciality services in 2011. Acquired by Ramesh Hospitals in April 2018

 150 bed facility – 98,000 sq.ft built up area; owned land and building

 1 Cath lab, Dual Slice Slice CT Scanner, 1.5 Telsa MRI

 Achieved NABH Accreditation in February 2017

EDUCATION INNOVATION AND RESEARCH :-

First Cardiac Institute in the Coastal belt to be accredited by GOI for DNB Cardiology, DNB

Cardiothoracic Surgery .Affiliated with IGNOU for PGDCC Program.

It has been enriching experience since Ramesh Hospitals was granted the

permission by the Central Government to conduct the prestigious DNB ( Cardiology &

CTVS) training program. The hospital takes pride in the students who pass out with flying

colors every year.

The Hospital is also affiliated to Indira Gandhi national Open University (IGNOU)

for conducting PGDCC(Post Graduate Diploma in Clinical Cardiology) program. In fact , the

very first year when the hospital hosted the training program, all the 10 students of the first

batch passed out with distinction

SERVICES & CONTRIBUTIONS

 Highest quality of treatment to Aarogya Sri Beneficiaries (450 consecutive patients of

Aarogya Sri subjected to PCI with 0% mortality rate)

 Over 1500 Medical Camps and Free Clinics in rural areas

  Contribution during Kargil War, Hudhud Toofan, Nepal Earth Quake victims

 Charity Services to the people below poverty line through 6 Trusts

 Water Purifying RO Plant to APSRTC Employees at Vijayawada

CSR (CORPORATE SOCIAL RESPONSIBILITY) INITIATIVES

 Free camps across Andhra Pradesh

 Free daily OPD for people below the poverty line

 Adopted 2 villages Chinnaavtapalli & Peddaavtapalli for health care needs

 Conducting Basic Life Support (BLS) in schools and colleges.

 Neighborhood Camps

 Awareness talks in clubs, schools, and colleges.

SWOT ANAYLYSIS OF THE COMPANY:-

For strategic planning deciding the marketing strategies and analyzing the gaps doing a

SWOT analyzing is very important. SWOT analysis includes a thoughtful listing of one’s

strengths, weakness, opportunities, and threats.

It is advised that companies do this analysis at least once in a year. It is a lengthy exercise that

requires time and one needs to evaluate every aspect thoroughly. Inclusions from the latest

years and the success and failures should also be considered. It can be used by all in the health

care industry like doctors, hospitals, health care or pharmaceutical company’s pharmacies etc.

In SWOT analysis strengths and weaknesses are considered as internal factors which can

be controlled while opportunities and weaknesses are not in control.

STRENGHTS:

 Brand name : Ramesh hospital has a good brand name and is renowned and

familiar hospital in the Guntur & Vijayawada cities.

 Efficient and well known doctors and surgeons are the biggest strengths of the

hospitals.

 Ramesh hospital has good infrastructure and state of art medical equipment which

provide world class services to the patients.

 Best cardiac center with best doctor’s

 A.P’s first cath lab

 High success rates in surgeries with a success rate of 99.8%

 High volume of infrastructure

 Innovation: new areas such as preventive medical services telemedicine and health

insurance.
WEAKNESS:

The weaknesses are very few which detract from its ability to attain the core goal. But now

it’s trying to improve upon by taking various steps like community initiatives to serve the

poor people and also to get government support for their overall development.

 As the cost of the services provide is slightly high. hence it focuses mainly on a

specific class of people. The people with lower income may not be able to afford

quality treatment from the hospital.

 Over lapping duties of nursing staff.

OPPURTUNITIES:

 Location of hospital serves large population, more available connections, and

resources.

 Increased demand for health care services, as the hospital is situated in the

potential location. Located in the people dense residential area of Guntur, collector

office road.

 Booming medical tourism: increasing number of medical camps in different

places.

 People are spending more on health care today. Than ever before un preferring

private services to government one’s.

 Preventive medicine getting popular .

 Easy of the public transportation to the hospital.

THREATS:

 Stiff competition by other hospitals like lalitha super specialty hospital, manipal

hospital, sai bhaskar hospital etc who are the major competitors.

 Foreign competitors enter into the market.

 Rising of hospital industry leads to more competency

 Reduced healthcare reimbursement

CHAPTER TWO: INTERNSHIP ACTIVITIES

These are some activities which I performed during my internship.

I had a memorable experience from joining the internship program at Ramesh hospitals ,

Guntur. In addition to daily work I had great opportunity to meet different people working

over there. Be sides, I made a lot of friends during the course of internship.

I was involved in doing a survey on quality improvement project (QIP) by follow up the

discharge process and collecting patient feedbacks from different departments. It involved

follow up the patient discharge process whether everything was in order or not and entering

the patient details into excel sheet and tracking out the average waiting time of discharging

patients.

In these 3 months, I have established a good relationship with the employees in the

organization through the program, I broadened my views and improved ,my communication

skills. Besides, I found that having flexible mind and attitude which is very important in the

business world. It was much different from the study as part of my study I visited different

departments in the organization to make a detailed study. Finally, I would like to give sincere

thanks to my company guide miss kp. Zareena& every one in the organization who extended

their support in training me to complete this program. I believe that such experience and stills

are valuable to my future carrier.

In my internship I was worked as a floor coordinator in 3rd floor. My work nature is to follow

up discharge process by reducing the patient waiting time .at the same time I was observed the

nursing care & collected the feedbacks from the patients in Daycare, ccu, stroke unit & step

down. In these 3 months of my internship nearly I collected 500 feedbacks from the patients.
In total 500 patients 90% of patients gave positive feedback about their satisfaction on the

hospital services. Remaining 10% of patients gave average satisfaction on hospital services.

TAT:-

By the filling the discharge forms. We calculated the average waiting time of a discharge

patients at the end of every month.

At the end of the month calculating the TAT ( total average waiting time ) in these 3 months

we reduced some waiting time in discharge process.

CASH AVERAGE WAITING TIME

FOR HOUR
4:48:00
4:40:35
4:40:48
4:33:36 4:29:22
CASH AVERAGE
4:26:24 4:21:57 WAITING TIME FOR
HOUR
4:19:12
4:12:00
JUNE JULY AUGUST

Total average waiting time for cash patients june, july and august bar chart was given above

this bar diagram indicates the reduced time in patient waiting in discharge process.

The reduced total average time from JUNE to AUGUST is = 18 MIN 38 SECONDS to the

CASH patients
 CREDIT AVERAGE WAITING
TIME IN HOURS
6:23:44
7:12:00
6:08:32 5:13:34
6:00:00
4:48:00
CREDIT AVERAGE
3:36:00
WAITING TIME IN
2:24:00 HOURS
1:12:00
0:00:00
JUNE JULY AUGUST

The reduced total average time from JUNE to AUGUST is = 1 HOUR 10 MIN 10 SECONDS

to the CREDIT patients

Attended medical camps conducted by Ramesh hospital in Guntur & tenali. They being

responsible and responsive to the society is ingrained into the corporate culture of Ramesh

hospital. Provision of health care facilities for the underprivileged, therefore, is close to our

heart. We empathize with the requirement of quality medical care and serve the community to

the best of their abilities. I am getting so much of knowledge about the medical camps.

I conclude that it is worth working here in Ramesh hospitals operations department where in I

can gain a lot of skills so that it becomes an advantage for further part of my life.

If we continue to further 2 months of internship we can reduce 4 hours to 2 ½ hours patients

waiting time in discharge process.

Chapter Three: Summary

This is an internship report on Hospital & medical center. During internship my primary focus

was to study the overall performance, functions and business operations of the organization.
 ABC Hospital is the great private medical care organization of Pakistan. It provides good

treatment to diseases caused to human body with new technologies and equipment. I have

found that ABC Hospital’s management primary focus should be on resolving the employee’s

issues and building trust between them and employees. I am sure that ABC Hospital is going

to attain more profits in the coming year.

In this hospital internship report I have presented history, services of the organization. In

addition to the organizational policies I have also mentioned my internship experience and

findings about the organization. SWOT analysis is being done and suggestions and

recommendations are being given.

Recommendations for organization

 Assigned supervisor should make a proper schedule for internees regarding their movement

in different departments.

 Employees must be properly trained.

 Managers should keep an eye on works of employees on daily basis.

 Ramesh Hospital should lower their prices for the services so that its perception may be

improved in general public.

 Feedback and proper guidelines should be given to employees by their managers to

encourage them.

 Allow the patient attender to the patient side except icu it causes more patient satisfaction.

 Reduce the nursing paper work it leads to more concentration on patients.

 For The Next Internees

 I found Ramesh Hospital is a good place for new internees in operations side, I strongly

recommend my juniors because in Ramesh Hospital you’ll have an environment where you

can get many opportunities to learn. They don’t treat internee as burden.

 Ramesh Hospital is a big organization, have a wide area of learning, try to remain busy all

the time because if you do work, you’ll get two edges: first you will learn a lot, second there

will be more chances for you to be permanent.

 Internship is a golden opportunity for students to learn a lot because there is a hell of

difference between theory and practice.