PAYYANUR COOPERATIVE HOSPITAL

SOCIETY LTD (PCHSL)

A SUMMER INTERN REPORT

Submitted by
Jusaila MTP
MCT22MBA24

in partial fulfillment of summer internship for the award of degree of

MASTER OF BUSINESS ADMINISTRATION

APJ Abdul Kalam Technological University

MOHANDAS INSTITUTE OF MANAGEMENT

MOHANDAS COLLEGE OF ENGINEERING AND
TECHNOLOGY
JUNE 2023
 DECLARATION

I, JUSAILA MTP hereby declare that the internship report title “AN INTERNSHIP AT
PAYYANUR COOPERATIVE HOSPITAL SOCIETY LTD, KANNUR” submitted to the
APJ Abdul Kalam Technological University is a record of the original work done by me and no
part of it has been submitted earlier for any Degree, Post-Graduation or similar title of any
other University or Institution. This submission presents the details that I have collected and
perceived through the internship done. I declare that I have adhered to ethics of academic
honesty and integrity.

Place: Kannur JUSAILA MTP

Date: 23-06-2023
MCT22MBA24
 DEPARTMENT OF MASTER OF BUSINESS ADMINISTRATION
MOHANDAS INSTITUTE OF MANAGEMENT
MOHANDAS COLLEGE OF ENGINEERING AND TECHNOLOGY
ANAD, NEDUMANGAD, THIRUVANANTHAPURAM – 695544

CERTIFICATE

Certified that this is a bonafide record entitled on internship done at “Payyanur

Cooperative Hospital Society Ltd.” by JUSAILA MTP (Reg.No: MCET22MBA24) 2022-
2024 batch MBA student, in the third semester in partial fulfilment for the award of
MASTER OF BUSINESS ADMINISTRATION under APJ Abdul Kalam Technological
University, Thiruvananthapuram.

INTERNSHIP GUIDE HEAD OF TH

DEPARTMENT
Dr. SHIBULAL A.L Dr. SHIBULAL
A.L
Associate Professor Dept. of
MBA
Dept. of MBA MCET,
Trivandrum
MCET, Trivandrum
 EXTERNAL EXAMINER

ACKNOWLEDGEMENT

I take this opportunity to express my deep sense of gratitude and sincere thanks to all who
helped me to complete the internship successfully. With great regard, I express my thanks to
Dr. Ashalatha Thampuran, Director, Mohandas College of Engineering and Technology, and
Dr. S Sheela, Principal, Mohandas College of Engineering and Technology, Anad.

I am deeply indebted and extend my heartfelt thanks to Dr. Shibulal A L, Head of Department
of Master of Business Administration for providing me with valuable time and effort for the
completion of the report, and also like to thank him for guiding me throughout my internship.

I would like to thank Mr. Santhosh K.V, , Secretary of Payyanur Cooperative Hospital Society
Ltd. for giving me the opportunity to do an internship within the organization. I would also like
to thank Ms. Chandini and Mr. Unnikrishnan, HR department of Payyanur Cooperative
Hospital Society Ltd. for the support to complete the internship in this organization and I
would also thank all other staff of the organization for the kindly support and effort to complete
our internship successfully.

I express my deep gratitude to all the faculties and staff members of the Department of Master
of Business Administration for their unflinching support and encouragement throughout the
course of work.

Above all, I praise and thank Almighty God for support and guidance throughout the internship
and eternal gratitude to my parents, family and friends for their words of support throughout
the venture

JUSAILA MTP
MCT22MBA24
 EXECUTIVE SUMMARY

During my internship at PAYYANUR COOPERATIVE HOSPITAL SOCIETY

LTD (PCHSL), I had the privilege of being part of a leading healthcare institution dedicated to
delivering exceptional medical services and compassionate patient care. Throughout my
internship, I actively participated in diverse departments, gaining valuable hands-on experience
and deepening my understanding of hospital operations and healthcare management.

I embarked on an enriching internship journey, where my focus was to integrate with

healthcare management. The opportunity allowed me to apply theoretical knowledge to real-
world scenarios, fostering a dynamic learning environment. Working closely with medical
professionals, I had the opportunity to assist during medical rounds, observe various clinical
procedures, and contribute to patient support services.

Additionally, I was actively involved in managing patient records and ensuring their accuracy
and confidentiality and provided a collaborative and supportive environment, allowing me to
learn from experienced healthcare professionals and understand the importance of teamwork
in providing comprehensive patient care.

As an intern, I had the chance to engage with patients and their families, which reinforced the
significance of empathy and effective communication in healthcare settings. This internship
provided a holistic understanding of the interplay between healthcare and management.

Overall, my internship has been a transformative experience, shaping my career aspirations and
providing me with a strong foundation for a future in the healthcare sector. I am immensely
grateful for the opportunity to contribute to the hospital’s mission and make a positive impact
on the lives of patients and their families.
 LIST OF CONTENTS

Chapter Title Page No.

I Introduction
1.1 Objectives

1.2 Industry Analysis

II Organisational Analysis
2.1 Organisational Structure

2.2 PCHSL Departments

2.3 Competitors of PCHSL
2.4 PCHSL Specialisation

2.5 PCHSL Vision and Mission

2.6 Product range and service of PCHSL
2.7 Financials

2.8 Roles and Responsibilities

2.9 SWOC Analysis
III Position of the Intern
IV Internship Overview
4.1 Weekly Activity Report
4.2 Knowledge gained from Internship
4.3 Contribution of Intern to the Organisation
4.4 Work Sample
V Conclusion
Reference
Annexures
 LIST OF TABLES

Table No. Title Page No.

3.1 Internship Schedule

4.1 Weekly Reports

 LIST OF FIGURES

Figure No. Title Page No.

2.1 PCHSL logo

2.1.1 Organisational structure

4.4.1 Work sample 1

4.4.2 Work sample 2

4.4.3 Work sample 3

4.4.4 Work sample 4

 CHAPTER 1

INTRODUCTION
I.Introduction

Internship at Payyanur Cooperative Hospital Society Ltd (PCHSL)

The following report provides an insightful overview of my internship experience at PCHSL

(Payyanur Cooperative Hospital Society Ltd), where I had the opportunity to delve into the
inner workings of one of the leading healthcare organizations in the region. This report aims
to outline the objectives, activities, and key learnings from my internship, shedding light on
the significance of the healthcare industry and the valuable skills acquired during my time at
PCHSL.

PCHSL holds a prominent position in the healthcare sector, known for its commitment to
quality patient care, medical innovation, and sustainable practices. Throughout the duration
of my internship, I actively engaged in various departments, gaining firsthand exposure to
hospital operations, patient care, administrative processes, and healthcare marketing
strategies. The internship programs provided me with a holistic understanding of the
healthcare industry's intricacies and the vital role played by PCHSL in the market.

In this report, I will discuss the objectives that guided my internship experience, including
enhancing my knowledge of healthcare operations, understanding the challenges faced by the
industry, and acquiring practical skills in areas such as patient care, administrative
management, and healthcare marketing. I will elaborate on the activities I undertook,
highlighting the hands-on experience that deepened my understanding of the day-to-day
operations at PCHSL.

Furthermore, this report will outline the valuable lessons and skills I gained during my
internship. These include teamwork, effective communication, problem-solving, attention to
detail, and adaptability in a fast-paced healthcare environment. By reflecting on these
learnings, I will emphasize how they contribute to my personal and professional growth,
preparing me for future endeavors in the healthcare sector or related industries.

Ultimately, this report serves as a comprehensive account of my internship experience at

PCHSL, encapsulating the significance of the healthcare industry and the valuable insights
gained during my internship with the organization. It highlights the practical knowledge
acquired, the challenges encountered, and the skills developed, all of which contributed to a
well-rounded and enriching internship experience.
1.1 OBJECTIVES

The objective of my internship at PCHSL is to gain practical experience and develop

essential skills through hands-on work and observation within a professional healthcare
setting. By actively participating in day-to-day tasks and fostering team collaboration within
the cooperative hospital environment, I aim to achieve the following goals:

1. Apply theoretical knowledge: Apply theoretical concepts and principles learned in

academics studies to real-world situations and challenges, bridging the gap between
classroom learning and practical applications

2. Develop professional competencies: Strengthen and develop key professional

competencies, including communication, teamwork, problem-solving, time management,
adaptability and critical thinking, by collaborating with colleagues, supervisors and clients

3. Deepen Understanding of Cooperative Healthcare Model:Explore the dynamics of

hospital, understanding how collaborative efforts within PCHSL contribute to effective
healthcare delivery.

4. Refine Communication Skills: Enhance my ability to communicate effectively with

healthcare professionals, patients, and administrative staff to ensure seamless teamwork.

5. Learn from Medical Professionals: Observe and learn from experienced healthcare
professionals at hospital to broaden my knowledge base and gain insights into various
medical specialties.

6. Contribute to Patient-Centered Care: Actively engage in tasks that contribute to

maintaining a patient-centered focus, ensuring a positive and compassionate healthcare
experience.

7. Understand Regulatory Compliance:Familiarize myself with healthcare regulations and

compliance standards relevant to hospital setting

By achieving these goals during my internship at PCHSL, I aim to not only gain valuable
experience and skills but also contribute meaningfully to the hospital's commitment to quality
patient care and community well-being.

1.2 ORGANISATION ANALYSIS

The internship at PCHSL aimed to provide a comprehensive understanding of the healthcare

industry within which it operates. It examines various aspects such as market dynamics,
competitive landscape, and emerging trends that impact the hospital’s performance and
strategic positioning.

1. Overview:PCHSL operate on a community-owned model, ensuring local residents have a

stake in decision-making and fostering a community-centric healthcare approach.
2. Key Features:The hospital emphasize profit-sharing among members, reinvesting
surpluses into local health initiatives. Governance structures are democratic, with community
input guiding decision-making processes.

3. Challenges and Opportunities: PCHSL face challenges in raising capital for large-scale
upgrades but can leverage community support for health education and preventive care
programs. Opportunities lie in building collaborative networks with local businesses and
healthcare organizations to enhance resources and services.

4. Operational Aspects: Decision-making involves active participation from members,

contributing to a transparent and democratic approach. Financial sustainability is achieved
through profit-sharing mechanisms that align financial interests with community well-being.

5. Regulatory Environment: Hospital navigate healthcare regulations while adhering to

cooperative governance frameworks to ensure compliance and ethical practices.

6. Technological Integration:Integration of technologies like Electronic Health Records

(EHR) and telehealth services enhances patient care and operational efficiency

7. Future Outlook: Adaptability to emerging healthcare trends, technological advancements,

and strategic collaborations with other healthcare providers are crucial for the future success
of hospital

8. Community Engagement Strategies: PCHSL can develop effective community

engagement strategies to ensure ongoing support and participation in health initiatives,
fostering a sense of ownership and commitment among local residents.

9.Preventive Healthcare Initiatives: Investing in preventive healthcare programs allows to

address community health needs proactively, reducing the burden of illness and contributing
to long-term well-being.

This concise analysis provides an overview of hospital industry, emphasizing key features,
operational aspects, challenges, opportunities, regulatory considerations, technological
integration, and the future outlook.
 CHAPTER II

ORGANIZATIONAL ANALYSIS
II. Organisational Analysis

Fig 2.1 PCHSL Logo

(Source https://images.app.goo.gl/d3kZN5pS2NvFKoeG7 )

Payyanur Cooperative Hospital Society Limited (PCHSL) is a renowned healthcare

institution committed to providing high-quality medical services to the community. The
hospital has a longstanding reputation for its state-of-the-art facilities, skilled medical
professionals, and compassionate patient care. It serves as a hub of medical excellence,
offering a wide range of specialized treatments and services.

PCHSL is a specific cooperative hospital located in Payyanur, a town in the Kannur district of
Kerala, India. As a cooperative hospital, it operates based on the principles of cooperation,
shared ownership, and democratic decision-making.

The organization dedicated to providing quality healthcare services to its members. With a
cooperative model, the society aims to ensure that medical care is accessible and affordable for
everyone involved. The society operates under the principle of mutual assistance, where
members contribute towards a common fund that is utilized to cover healthcare expenses.

Through this cooperative approach, PCHSL enables its members to avail themselves of a wide
range of medical services, including consultations, diagnostic tests, surgeries, and treatments.
The society maintains a network of healthcare providers, such as hospitals, clinics, and
specialist doctors, who have partnered with them to deliver comprehensive and reliable
healthcare.

The society also emphasizes preventive care and health education to promote overall well-
being among its members. Regular health check-ups, awareness campaigns, and informative
sessions are organized to empower individuals to make informed choices about their health.

By pooling resources and leveraging collective bargaining power, Cooperative Hospital

Society Limited negotiates favorable rates and discounts for its members, making
healthcare more affordable. The society strives to ensure that financial constraints do not
hinder individuals from accessing timely and necessary medical care.
Key activities and Operations

1. Administrative Collaboration: Actively collaborated with hospital departments to

streamline administrative processes.

2. Resource Optimization: Contributed to project focused on optimizing resource allocation

for improved efficiency in daily operations.

3. Communication Enhancement: Worked on improving communication channels within

the hospital to ensure seamless information flow.

4. Strategic Planning: Engaged in strategic planning initiatives, gaining insights into the
intersection of healthcare and effective management.

5. Patient-Centric Projects: Participated in projects aimed at enhancing patient care

processes, emphasizing a patient-centric approach.

6. Team Coordination: Supported the coordination of team efforts, fostering collaboration to

achieve organizational goals.

7. Inter-Departmental Facilitation: Facilitated communication between hospital

departments to enhance overall coordination.

8. . Holistic Healthcare Understanding: Gained a comprehensive understanding of the

collaborative and multifaceted nature of healthcare operations.

Key Success Factors

1. Team Collaboration: Success was achieved through effective collaboration with diverse
teams, fostering a culture of shared goals and mutual support.

2. Adaptability: The ability to adapt to dynamic healthcare scenarios and evolving priorities
played a crucial role in accomplishing key objectives.

3. Strategic Thinking: Applying strategic thinking to projects and daily tasks ensured
alignment with the hospital's overarching goals and mission.

4. Effective Communication: Clear and concise communication was a key factor in

facilitating inter-departmental coordination and ensuring seamless information flow.
5. Problem Solving: Success was often attributed to the ability to identify challenges,
analyze root causes, and implement practical solutions to enhance operational efficiency.

6. Patient-Centric Approach: Projects focused on improving patient care processes were

successful due to a commitment to maintaining a patient-centric perspective.

7. Leadership Support: Having supportive leadership provided a conducive environment for

innovation, growth, and the successful execution of strategic initiatives.

8. Continuous Learning: Embracing a mindset of continuous learning and staying updated

with industry trends contributed to staying ahead in a rapidly evolving healthcare landscape.

9..Result-Oriented Focus: The ability to stay focused on achieving measurable results

ensured that efforts aligned with the hospital's overall success and contributed to positive
outcomes.

2.1 ORGANISATIONAL STRUCTURE

Organisation
(PCHSL)

Fig 2.1.1 Organisational structure

The organizational structure of PCHSL was designed to ensure efficient management and
seamless coordination across various functions. Here is an overview:

1. Executive Leadership: At the top of the hierarchy is the leadership team comprising the
Chief Executive Officer (CEO) and other top executives responsible for overall strategic
direction and decision-making.

2. Finance Department: This team includes accountants, financial analysts, and billing
specialists, ensuring the hospital's financial stability through effective financial management
and revenue oversight.

3. Development Division: This division focuses on fundraising and grants, working closely
with the strategic planning team to foster growth, innovation, and long-term sustainability.

4. Public Relations and Communication:Under its leader, manages communication

strategies, community outreach, and public relations initiatives to maintain positive
relationships with the broader community.

5. Hospital Administration: Hospital Administration encompasses various services,

including Clinical Service, Administrative Service,, Ambulatory Servic, Nursing Service, and
Pharmacy Service.etc…

2.2 PCHSL DEPARTMENTS

1.Patient Care Services:

The Clinical Service within Patient Care Services is pivotal for delivering medical care. It
encompasses Medical Directors and Specialists who lead the provision of specialized
healthcare. The Nursing Staff plays a crucial role in patient care, ensuring a high standard of
nursing services. The Clinical Support Team collaborates to provide additional support,
ensuring seamless coordination and efficiency in clinical operations.

2.Administration:
The Administrative Service is the backbone of PCHSL, managing day-to-day operations.
Administrative Managers oversee various administrative tasks, ensuring smooth functioning.
Support Staff in this department assist in routine operations, contributing to the overall
efficiency of administrative processes. Together, they maintain the organizational
infrastructure and facilitate the functioning of other departments.

3.Finance:
The Finance Department is essential for the financial health of the hospital. Headed by the
Finance Head, this team includes Accountants and Financial Analysts who manage financial
transactions and analyze data. The Billing and Revenue Management Team plays a critical
role in ensuring accurate billing, managing revenue streams, and contributing to the financial
sustainability of PCHSL.

4.Development:
The Development Department focuses on the growth and sustainability of PCHSL. Led by
the Development Head, this team engages in fundraising activities and seeks grant
opportunities to support the hospital’s initiatives. The Strategic Planning Team is instrumental
in developing plans that guide the hospital’s long-term growth, ensuring alignment with its
mission and vision

5.Public Relations and Communication:

The Public Relations Department manages communication strategies and public relations
initiatives. Communication Specialists handle internal and external communication, ensuring
clarity and consistency in messaging. Community Outreach Coordinators play a vital role in
engaging with the community, organizing outreach programs, and maintaining positive
relationships, fostering a favorable public image for PCHSL.

6.Hospital Administration:

1.Clinical Service:The Clinical Service component of Hospital Administration is responsible

for the medical aspects of patient care. It involves Medical Directors and Specialists who lead
and oversee clinical operations. This includes decision-making on medical treatments,
procedures, and maintaining high standards of healthcare delivery.

2.Administrative Service:The Administrative Service within Hospital Administration deals

with the day-to-day administrative functions of the hospital. Administrative Managers play a
key role in coordinating administrative tasks, ranging from scheduling to resource
management. This ensures the smooth functioning of non-clinical aspects, contributing to
overall operational efficiency.

3.Ambulatory Service:Under Hospital Administration, the Ambulatory Service focuses on

outpatient care. The Head of Ambulatory Services oversees outpatient clinic managers and
staff, ensuring effective coordination and delivery of ambulatory healthcare services. This
includes managing appointments, outpatient procedures, and patient interactions.

4.Nursing Service:The Nursing Service, under the leadership of the Chief Nursing Officer
(CNO), is integral to patient care. Nurse Managers within this service oversee various
nursing units, ensuring that registered nurses and support staff provide high-quality care. This
includes patient monitoring, medication administration, and maintaining nursing standards.

5.Pharmacy Service:Pharmacy Service, directed by the Head Pharmacist, operates within

Hospital Administration to manage medication-related aspects. This includes overseeing
pharmacy staff and technicians, ensuring the safe and efficient dispensing of medications, and
collaborating with other healthcare professionals to optimize patient outcomes.

The Hospital Administration department at PCHSL plays a pivotal role in harmonizing

clinical and non-clinical functions, guaranteeing the delivery of quality healthcare services to
 the community. It involves coordination across various services, emphasizing patient-centric
care, and ensuring the hospital operates efficiently on all fronts.

2.3 COMPETITORS OF PCHSL

1.Pariyaram Medical College Hospital

•Located in Pariyaram, Kannur district.
•Attached to the prestigious Pariyaram Medical College.
•Provides various medical services, including general medicine,surgery pediatrics, gynecology,
and more
•Serves as a teaching hospital, offering medical education and training to students

2.Kannur Medical College Hospital:

•Situated in the vicinity of Anjarakandy, Kannur district.
•Affiliated with Kannur Medical College.
•Offers a wide range of medical specialties and services, including advanced treatments
•Functions as a teaching hospital, contributing to medical education and research

3.Baby Memorial Hospital:

•Although not in Kannur district, it is a well-known hospital located in Kozhikode.
•Recognized as one of the leading healthcare institutions in Kerala.
•Provides state-of-the-art medical facilities, advanced treatments, and specialized care.
•Offers a broad spectrum of medical and surgical specialties.

4.MVR Cancer Centre and Research Institute:

•Located in Thalassery, Kannur district.
•Specializes in cancer treatment, research, and support services for cancer patients.
•Equipped with modern facilities and trained oncologists.
•Committed to providing comprehensive cancer care to patients.

5.Malabar Hospital:
•Situated in Kannur town.
•Offers a range of medical services and specialties, including general medicine and surgery.
•Known for its quality healthcare services and dedicated medical professionals

6.Ashoka Hospital:
•Located in Kannur town.
•A multispecialty hospital providing medical and surgical services.
•Offers treatments in various disciplines, including cardiology, orthopedics, and more

7.Anjarakandy Integrated Campus:

•Located in Anjarakandy, Kannur district.
•Includes a medical college, dental college, and hospital facilities.
•Provides medical education and healthcare services to the community.

8.District Hospital, Kannur:

•A government-run hospital in Kannur district.
•Provides general medical and surgical services to the public.
•Offers healthcare facilities under government healthcare schemes.

9.Indira Gandhi Cooperative Hospital:

•Located in Thalassery, Kannur district.
•Operated by the Indira Gandhi Co-operative Hospital Society Ltd.
•Offers medical care and treatment services to the community.

10.Koyili Hospital:
•Situated in Kannur town.
•A private hospital providing medical services and treatments in various specialties.

Cooperative hospitals in Kerala follow the cooperative model, where healthcare professionals,
employees, and even patients participate in the ownership and governance of the
hospital. These hospitals aim to provide quality medical services in a collaborative and
democratic manner, prioritizing patient-centered care and community well-being.

2.4 PCHSL SPECIALISATIONS

PCHSL has specialization in the field of;

1. Critical Care: Specialized care for critically ill patients, emphasizing intensive medical
intervention and monitoring.

2. Robotic Surgery:Utilization of advanced robotic technology to enhance precision and

effectiveness in surgical procedures.

3. General Surgery:Comprehensive surgical interventions addressing a broad range of

medical conditions.

4. Plastic Surgery:Specialized procedures focusing on reconstructive and cosmetic

enhancements.

5. Best Cancer Care:Comprehensive and advanced care for cancer patients, incorporating
various treatment modalities.

6. Best Heart Care: Specialized cardiac care, encompassing diagnostics, interventions, and
post-operative management.
7. Liver Transplant: Expertise in liver transplantation procedures, providing a lifeline for
patients with liver diseases.

8. Orthopedic Surgery:Specialized interventions for musculoskeletal conditions and

injuries.

9. Neurosurgery:Advanced surgical procedures addressing conditions related to the nervous

system.

10. Kidney Transplant: Specialized care for patients undergoing kidney transplantation
procedures.

11. Bariatric Surgery:Surgical interventions for weight management and obesity-related

conditions.

12. Bone Marrow Transplant: Specialized procedures for patients requiring bone marrow
transplantation.

13. Hip Replacement: Surgical interventions addressing hip joint issues, enhancing mobility
and quality of life.

14. Plastic & Cosmetic Surgery:Specialized procedures for both reconstructive and
cosmetic purposes.

15. Psychiatric Care:Comprehensive mental health services, including diagnostics and

therapeutic interventions.

16. Pediatric Surgery: Specialized surgical care for infants, children, and adolescents.

17. Laparoscopic Surgery:Minimally invasive surgical techniques for various medical

conditions, reducing recovery times.

This extensive range of specialisation at Payyanur Co-operative Hospital reflects a

commitment to offering high-quality healthcare across a diverse array of medical disciplines.
It positions the hospital as a comprehensive healthcare provider catering to a wide spectrum
of patient needs.

2.5 PCHSL VISION AND MISSION

Vision: Vision is to be the leading cooperative hospital that provides exceptional healthcare
services, fosters a culture of collaboration and ownership, and actively contributes to the
health and wellness of our community. The vision of PCHSLis to be a trusted and leading
healthcare institution that provides comprehensive, accessible, and high-quality care to
individuals and communities.
Mission: The mission of this hospital reflects its core purpose as a member-driven healthcare
institution. While the specific mission can vary from one cooperative hospital to another
based on their unique values and community needs.

2.6 PRODUCT RANGE AND SERVICE

Medical Services:

1.Inpatient Care: Comprehensive care for patients requiring hospitalization.

2.Outpatient Care: Consultations, diagnostics, and treatments for non-emergency cases.

3.Emergency Services: Immediate medical attention for critical conditions and emergencies.

4.Specialized Departments: Departments focusing on various medical specialties such as

cardiology, orthopedics, neurology, etc.

Surgical Services:

1.General Surgery: Broad range of surgical interventions.

2.Specialized Surgeries: Procedures in areas like plastic surgery, neurosurgery, orthopedic

surgery, and more.

3.Minimally Invasive Surgery: Procedures using techniques like laparoscopy for reduced
recovery times.

Diagnostic and Imaging Services:

1.Laboratory Services: Blood tests, pathology, and other diagnostic procedures.

2.Imaging Services: X-rays, MRIs, CT scans, and other imaging diagnostics.

Rehabilitation Services:

1.Physical Therapy: Rehabilitation for musculoskeletal conditions and injuries.

2.Occupational Therapy: Assistance in restoring daily living skills after illness or injury.

Maternity and Pediatric Services:

1.Obstetrics and Gynecology: Prenatal care, childbirth services, and women’s health.

2.Pediatric Care: Specialized care for infants, children, and adolescents.

Specialized Centers:
1.Cancer Center: Comprehensive care for cancer patients, including chemotherapy and
radiation.

2.Cardiac Center: Specialized care for heart-related conditions, including diagnostics and
interventions.

3.Transplant Services: Organ transplant procedures such as kidney and liver transplants.

Supportive Services:

1.Pharmacy: Dispensing of medications and pharmaceutical services.

2.Nutrition Services: Dietary counseling and nutritional support.

3.Psychiatric Services: Mental health services and counseling.

2.7 FINANCIAL OF PCHSL

The financial aspects including the size of the hospital, its services, and the specific financial
structure established by the cooperative members.

•Cooperative Member Contributions:

PCHSL rely on financial contributions from their members, which may include healthcare
professionals, staff, and potentially patients. Members may make initial investments to
establish the hospital and contribute regular fees or dues to support ongoing operations.

•Revenue Generation:
It generate revenue through various sources, including patient fees for services rendered,
insurance reimbursements, government funding, grants, and donations. The revenue generated
is used to cover operating expenses, such as staff salaries, medical supplies, facility
maintenance, and administrative costs.

•Profit Allocation:
In some cases, generate profits from their operations. The allocation of profits among
members vary based on the cooperative’s bylaws and regulations. Some cooperatives
distribute profits equitably among members, while others may allocate them based on factors
like member contributions or use them to support community healthcare initiatives.

•Financial Sustainability:
It strive for financial sustainability to ensure their long-term viability. This involves effective
financial planning, budgeting, and cost management to maintain a balance between revenues
and expenses. Financial sustainability is crucial for providing quality healthcare services,
investing in infrastructure, and meeting future needs of the cooperative and the community it
serves.

•Financial Governance:
Hospital have financial governance structures in place to ensure transparency, accountability,
and responsible financial management. This involve financial committees, audits, financial
reporting, and oversight to monitor and manage the financial health of the hospital.
•Financial Reporting and Analysis:
PCHSL maintain accurate financial records and produce regular financial reports. These
reports provide insights into the hospital’s financial position, revenue and expense trends,
profitability, and cash flow. Financial analysis helps identify areas of improvement, assess the
hospital’s financial health, and support decision-making

2.8 ROLES AND RESPONSIBILITIES

1.Chief Executive Officer (CEO):

•Provide overall leadership and strategic direction for the hospital.

•Develop and implement policies to achieve organizational goals.

•Ensure efficient and effective operation of all hospital departments.

2.Chief Operating Officer (COO):

•Oversee daily operations and coordinate various departments.

•Implement strategies to improve efficiency and quality of services.

•Collaborate with other executives to achieve organizational objectives.

3.Chief Medical Officer (CMO):

•Provide medical leadership and guidance to the hospital.

•Oversee medical staff and ensure the quality of patient care.

•Develop and implement medical policies and protocols.

4.Chief Nursing Officer (CNO):

•Lead and manage nursing staff and operations.

•Ensure the delivery of high-quality patient care.

•Develop and implement nursing policies and procedures.

5.Chief Financial Officer (CFO):

•Manage the financial aspects of the hospital.

•Oversee budgeting, financial reporting, and resource allocation.

•Develop financial strategies to ensure fiscal responsibility.

6 Human Resources Manager:

•Oversee recruitment, training, and employee relations.

•Develop and implement HR policies and procedures.

•Ensure compliance with labor laws and regulations.

7.Department Heads (Medical, Nursing, Administration, etc.):

•Lead and manage specific departments within the hospital.

•Develop departmental goals and ensure their achievement.

•Coordinate with other departments for integrated patient care.

8.Medical Directors and Specialists:

•Provide specialized medical care in their respective fields.

•Collaborate with other healthcare professionals for comprehensive patient care.

•Stay updated with medical advancements and best practices.

9.Administrative Managers:

•Manage day-to-day administrative operations.

•Coordinate administrative functions such as scheduling and facilities management.

•Ensure compliance with organizational policies.

10.Patient Services Coordinator:

•Oversee patient services and ensure a positive patient experience.

•Handle patient inquiries and concerns.

•Collaborate with various departments to improve patient care processes.

2.9 SWOC ANALYSIS

Strengths
1. Patient-Centered Care: It often prioritize patient satisfaction, personalized care, and patient
advocacy, resulting in improved patient experiences

2. Teamwork: The cooperative model encourages collaboration and teamwork among

healthcare providers and staff, enhancing interdisciplinary care and communication.

3. Community Engagement: It had the potential to establish strong community connections

and actively engage in community outreach and health education initiatives.

4. Financial Accessibility: PCHSL strive to provide affordable healthcare services and

implement flexible payment options. This commitment to financial accessibility ensures
that healthcare is available to a wider range of individuals, regardless of their
socioeconomic status.

5. Flexibility and Adaptability: The cooperative structure allows for more flexibility in
decision-making, enabling the hospital to quickly adapt to changes in the healthcare
landscape

Weakness

1. Limited Resources: It face financial limitations and constraints due to fewer resources
compared to larger corporate entities or nonprofit organizations.

2. Decision-Making Challenges: The democratic decision-making process may sometimes

lead to delays or difficulties in reaching consensus on important organizational matters.

3. Operational Efficiency: Managing a hospital requires effective coordination and

operational efficiency to maximize resources and provide timely care, which can be
challenging

4. Limited Specialization: It face limitations in offering specialized services due to resource

constraints or a smaller pool of specialists within the cooperative.

5. Leadership training: Ensuring effective leadership within a cooperative structure can be a

challenge, requiring ongoing training and development of leaders.

Opportunities

1. Medical Tourism:Opportunities to attract patients from other areas or countries,

especially the hospital excels

2. Specialized Clinics or Services:Identifying and establishing specialized clinics or

services can create new opportunities..

3. Technological Advancements: Embracing technology, such as electronic health

records, telemedicine, and digital health solutions, can improve patient care, efficiency,
and accessibility.
 4. Government Support: Cooperatives may be eligible for government grants, funding,
or incentives that support community-based healthcare initiatives and expansion.

5. Innovation and Research: It can foster a culture of innovation and participate in

research projects, contributing to advancements in healthcare practices.

Challenges

1. Infrastructure and Facility Limitations: PCHSL face challenges in maintaining and

upgrading their infrastructure. Aging facilities and inadequate space can hinder the
delivery of modern healthcare services.

2. Economic Instability:Economic changes in community demographics can impact the

financial stability of the hospital. The ability to adapt to economic challenges and
fluctuations in the local economy is crucial for sustainability.

3. Financial Sustainability: Ensuring long-term financial stability and viability is a

challenge, as hospital need to balance expenses, revenue generation, and adapt to
evolving reimbursement models.
4. Recruitment and Retention: Attracting and retaining skilled healthcare professionals
can be challenging, particularly in specialized areas where larger institutions may offer
more lucrative opportunities.

5. Technology Adoption: Keeping up with rapidly advancing healthcare technologies and

integrating them effectively into the operations can be a challenge due to limited
resources and expertise.
 CHAPTER III

POSITION OF THE INTERN

III. Schedule of Internship

Date Role of the Intern

-Got an idea about the organization

Week 1 -Understanding the activities in each department
15-05-23 o 19-05-23 -Observed patient and customer interactions at Pharmacy
-Understanding product selling and distribution at Pharmacy

-Answering queries from patients

Week 2 -Answering and forwarding phone calls and booking appointments
--Handling emergencies and sending emails.
22-05-23 o 26-05-23
-Assisting patients with insurance related inquiries at insurance
Week 3 -Accurate and timely billing
29-05-23 o 02-06-23 -Maintenance of patient records

Week 4 -Preparation of patient details at Radiology

05-06-23 o 09-06-23 -Patient/Customer enquiries and sending mails

Week 5 -Understanding activities in each department

-Collaboration with healthcare teams
12-06-23 o 16-06-23 -Answering and forwarding calls

-Collection of data from patients

Week 6 -Maintenance of patient records
19-06-23 o 23-06-23 -Understanding selling and distribution at Pharmacy

Table 3.1

My internship began on 15 May 2023, In this organization, each department played a crucial
role in ensuring a healthcare experience. The Pharmacy department focused on patient
interactions, product selling, and efficient distribution. Responsibilities included answering
patient queries, managing phone calls, and handling emergencies. At the Insurance
department, staff assisted patients with insurance inquiries, ensures accurate billing, and
maintains meticulous patient records. Meanwhile, the Radiology department emphasized the
preparation of patient details, handling inquiries, collaborating with healthcare teams, and
managing communication channels. Across departments, there is a common thread of
maintaining patient records, answering calls, and fostering effective collaboration to deliver
comprehensive and patient-centric healthcare services.
 CHAPTER IV

INTERNSHIP OVERVIEW
IV. Internship Overview

4.1 WEEKLY ACTIVITY REPORT

Title of Summer Internship: Intern at PCHSL

From: 15-05-23
To: 23-06-23

Task Task
Date Time Observation
assigned completed

15-05-23 Got a brief idea about

10.30 am Front office Completed organization

16-05-23 Got a detailed note on

10.30 am Front office Completed organization

Understanding
17-05-23 Visit all
the activities in
10.30 am departments Completed
each department

Observed Patients
18-05-23
/customer
10.30 am Pharmacy Completed
interaction

19-05-23 Understanding product selling

10.30 am Pharmacy Completed and distribution

Answering queries from

22-05-23
10.30 am Reception Completed patients

10.30 am Reception Completed Answering and

23-05-23 forwarding phone
calls
 Answering and
24-05-23 forwarding phone
10.30 am Reception Completed
calls

Booking appointments by
25-05-23 10.30 am Reception Completed phone

Observed patient enquiries,

handling emergencies,
26-05-23 10.30 am Reception Completed
sending mails, etc.

-
29-05-23 10.30 am - -
Assisting patients with
insurance
30-05-23 10.30 am Insurance Completed
related inquiries

Accurate and
31-05-23 10.30 am Insurance Completed timely billing

Answering calls
01-06-23 10.30 am Reception Completed and forwarding

Maintenance of
02-06-23 10.30 am Reception Completed patients record

Maintenance of
05-06-23 10.30 am Reception Completed patient records

Understanding selling and

06-06-23 10.30 am Pharmacy Completed distribution

Preparing patient details

07-06-23 10.30 am Radiology Completed
Patient/Customer enquiries
08-06-23 10.30 am Laboratory Completed
Handling emergencies and
09-06 23 10.30 am Reception Completed sending mails

Understanding activities in
Visit all each
12-06-23 10.30 am Completed
departments department
 Answering and
forwarding phone
13-06-23 10.30 am Reception Completed
calls

-
14-06-23 10.30 am - -

Selling and distribution of

15-06-23 10.30 am Pharmacy Completed medicines

Collaboration with healthcare

16-06-23 10.30 am Pharmacy Completed teams

Collecting data’s
19-06-23 10.30 am Data Analysis Completed
from patients

Assisting patients with

insurance
20-06-23 10.30 am Insurance Completed
enquiries

Maintenance of
21-06-23 10.30 am Reception Completed patient records

Answering queries from

22-06-23 10.30 am Reception Completed patients

Visit all Understanding

23-06-23 10.30 am Completed
departments the activities

Table 4.1.2
4.2 KNOWLEDGE GAINED FROM THE INTERNSHIP

As part of my professional development, the internship served as a platform to strengthen and

cultivate key competencies essential in the healthcare domain. Through collaborative
engagements with colleagues, supervisors, and clients, I honed communication, teamwork,
problem-solving, time management, adaptability, and critical thinking skills. This immersive
experience not only enhanced my professional toolkit but also prepared me to navigate the
complexities of a dynamic healthcare environment.

Exploring the cooperative healthcare model at PCHSL provided a unique lens into the
intricate dynamics of hospital operations. Witnessing firsthand the collaborative efforts
within the organization deepened my understanding of how such synergy contributes
significantly to effective healthcare delivery. This insight allowed me to appreciate the
cooperative ethos that underpins PCHSL's commitment to community well-being.

A central aspect of my internship involved refining communication skills. This extended

beyond theoretical understanding to practical application, as I engaged with healthcare
professionals, patients, and administrative staff. The emphasis on effective communication
was crucial in fostering seamless teamwork, a vital element in the healthcare context.

Learning from seasoned medical professionals at PCHSL became a cornerstone of my

internship experience. Observing their expertise broadened my knowledge base and provided
valuable insights into various medical specialties. This exposure not only enriched my
understanding of healthcare practices but also inspired a deeper appreciation for the
complexities inherent in delivering quality patient care.

Actively contributing to patient-centered care emerged as a meaningful aspect of my

internship. Engaging in tasks aimed at maintaining a patient-centered focus allowed me to
actively contribute to ensuring a positive and compassionate healthcare experience. This
hands-on involvement reinforced the significance of patient well-being in the broader context
of healthcare delivery.

In achieving these goals during my internship at PCHSL, I not only gained valuable
experience and skills but also contributed meaningfully to the hospital's unwavering
commitment to quality patient care and community well-being. This transformative
experience has positioned me to navigate the complexities of the healthcare sector with
enhanced expertise and a profound understanding of cooperative healthcare dynamics.
4.3 CONTRIBUTIONS OF INTERN TO THE ORGANISATION

I have been designated in all the following departments of the organization. The organization
has helped me in different ways in evaluating myself.

1. Active Participation in Team Meetings: Engaged in regular team meetings, facilitating

effective communication and fostering collaboration among diverse hospital departments.
This involvement allowed me to grasp the interconnectedness of various functions within the
organization.

2. Receptionist Role:Operated at the reception desk, managing tasks such as call forwarding
and addressing inquiries. This hands-on experience contributed to ensuring a seamless and
positive experience for patients, highlighting the importance of front-line operations in
healthcare service delivery.

3. Patient Records Management:Took charge of managing patient records, playing a

pivotal role in enhancing the organization and accessibility of critical healthcare information.
This exposure provided valuable insights into the significance of record-keeping for efficient
medical practices.

4. Pharmacy Operations Understanding:Delved into pharmacy, gaining insights into the

marketing, sales, and distribution aspects of medical equipment. This exposure broadened my
understanding of the broader healthcare supply chain.

5. Administrative Contributions with Computer Systems:Utilized computer systems to

record patient information, particularly those with insurance. This contribution streamlined
administrative processes, emphasizing the integration of technology in healthcare

6. Direct Patient Interaction:Engaged directly with patients, effective communication skills

and providing support to enhance their overall experience. This interaction underscored the
human aspect of healthcare delivery and the importance of empathy in patient care.

7. Versatility in Hospital Operations: Assumed diverse responsibilities, showcasing

adaptability and versatility in contributing to various aspects of hospital operations. This
experience highlighted the need for a multifaceted skill set in addressing the dynamic
challenges within a healthcare environment.

8. HR Coordination: Collected attendance registers from various departments and submitted

them to the HR office. This administrative task reinforced the importance of organizational
coordination and contributed to maintaining accurate employee records.
4.4 WORK SAMPLE

Fig 4.4.1 Data collection from patients

Fig 4.4.2 List of patients with insurance related enquiries

 Fig 4.4.3 Records of patients

Fig 4.4.4 Insurances Department

CHAPTER V

CONCLUSION
 V. Conclusion

Payyanur Cooperative Hospital Society Limited (PCHSL) is a well-known hospital located in

Payyanur, a town in the Kannur district of Kerala, India. The hospital is managed by a
cooperative society and provides medical services to the local community. It offers various
healthcare facilities, including outpatient services, inpatient care, diagnostics, surgeries, and
specialized medical treatments.

Through this experience, I have gained practical knowledge and skills that bridge the gap
between theory and practice. It contributed to the hospital’s strategic planning initiatives,
process improvement endeavors, and financial analysis, fostering innovation, efficiency, and
sustainability
.
Internship at PCHSL also offered valuable organisation insights, exposing us to the intricacies
of the healthcare sector and enabling us to make informed decisions about their future careers.
Moreover, it facilitates the development of professional communication, teamwork, and
collaboration skills, preparing for the dynamic and interdisciplinary nature of the healthcare
field

By undertaking internship at PCHSL, we can embark on a transformative learning journey that

not only enhances our academic and professional growth but also contributes to the betterment
of healthcare delivery within the cooperative hospital and the broader community it serves.

As my internship at the PCHSL, I am overwhelmed with a sense of fulfilment and gratitude

for the enriching experience I’ve had over the two months. This internship has been a
transformative journey, one that has not only deepened my medical knowledge but also shaped
me as a compassionate and patient-centered healthcare professional
.
I am grateful for the opportunity to have rotated through various medical specialties, as it
allowed me to explore different fields. This exposure has been eye-opening, and I am now
more confident in my career path as I move forward in the medical field.
In conclusion, my internship at the PCHSL has been a remarkable and transformative
experience. It has not only expanded my knowledge but also shaped me. I am excited about
the future and look forward to making it meaningful..
 REFERENCES

1. https://g.co/kgs/bnpJCv
2. https://in.linkedin.com/company/payyanur-co-operative-hospital-society-ltd
3. https://m.facebook.com/payyanurcooperativehospital.payyanur
4. https://www.justdial.com/Kannur/Payyanur-Co-Operative-Hospital-Near-SBI-
Payyanur/9999PMULBLRSTD2091651_BZDET/amp5. https://
www.google.co.in/search?q=payyanur+co-
operative+hospital+society+ltd+photos&ie/
6. https://www.ambitionbox.com/salaries/payyanur-co-operative-hospital-society-
salaries
7. https://www.lybrate.com/amp/kannur/clinic/co-operative-hospital-payyanur
8. https://www.medindia.net/directories/blood-bank-services/the-payyannur-co-
operative-hospital-society-limited-payyannur-4146.htm
9. https://indiapl.com/kerala/payyanur-co-operative-hospital-society-ltd-330056
10. http://payyanurhospital.com.bitverzo.com/
 ANNEXURES

ANNEX 1: PCHSL ( Source: Picture taken by Intern)

ANNEX 2: Administration block (Source: Picture taken by Intern)

 ANNEX 3 : Reception (Source: Picture taken by intern)

ANNEX 4: New building (Source: Picture taken by intern)

ANNEX 5: Weekly Report 1

Source: Internship document verified by the secretary

ANNEX 6: Weekly Report 3

Source: Internship document verified by the secretary of PCHSL