Healthcare Management: BBA 503 Bba-V Semester Department of Management Studies

HEALTHCARE
MANAGEMENT
BBA 5 0 3
B BA - V S E M E S T E R
DEPARTMENT OF
M A N A G EM E N T S T U D I ES
UNIT-I
National Health Policy 2017,

Healthcare and its relation with Social
Development,
Distribution of Health Services in India,
Output and Performance of health services
initiatives,
Role of Private, Voluntary groups and national
and international agencies.
UNIT II
Healthcare System- Characteristics, goals and

functions.
Health system research- Uses and
Applications.
Healthcare decision making for mega
problems.
Contemporary trends in Healthcare in Indian
Scenario.
UNIT-III
Healthcare Economics and Finance:

Economic appraisal of health services,
needs versus demand versus supply
model, health service financing and
expenditure survey, budgeting,
control,
pricing and efficiency.
UNIT-IV
Hospital functions, organization, classification

and components.
Changing role of hospital
administration(modernization and
professional skill requirement)
Resource utilization and control in hospitals.
communications and awareness programs for
social causes like AlDS awareness, anti-
smoking and anti-tobacco campaign.
National Health Policy,2017
(NHP,2017)
KEY POINTS:-
The Ministry of Health and Family Welfare has
announced the third National Health Policy, 2017 on 15th
March, 2017.
The first National Health Policy of India (NHP) got
formulated in 1983 with its main focus on provision of
primary health care to all by 2000.
The second policy was launched in the 2002.
The National Health Policy, 2017 (NHP, 2017) seeks to
reach everyone in a comprehensive integrated way to
move towards wellness.
It aims at achieving universal health coverage and
delivering quality health care services to all at affordable
cost.
SALIENT FEATURES:
Assurance Based Approach – Policy advocates progressively incremental

Assurance based Approach with focus on preventive and preemptive healthcare
Health Card linked to health facilities – Policy recommends linking the
health card to primary care facility for a defined package of services anywhere in
the country.
Patient-centric Approach – Policy recommends the setting up of a separate,
empowered medical tribunal for speedy resolution to address disputes
/complaints regarding standards of care, prices of services, negligence and unfair
practices. Standard Regulatory framework for laboratories and imaging centers,
specialized emerging services, etc
Micro-nutrient Deficiency – Focus on reducing micro-nutrient
malnourishment and systematic approach to address heterogeneity in micro-
nutrient adequacy across regions.
Quality of Care – Public hospitals and facilities would undergo periodic
measurements and certification of level of quality. Focus on Standard Regulatory
Framework to eliminate risks of inappropriate care by maintaining adequate
standards of diagnosis and treatment.
SALIENT FEATURES
Make in India Initiative – Policy advocates the need to incentivize local

manufacturing to provide customized indigenous products for Indian population in
the long run.
Application of Digital Health – Policy advocates extensive deployment of

digital tools for improving the efficiency and outcome of the healthcare system and
aims at an integrated health information system which serves the needs of all stake-
holders and improves efficiency, transparency, and citizen experience.
Private Sector engagement for strategic purchase for critical gap filling and for
achievement of health goals.
At present, there is no proposal under consideration of the Government to make

health as a fundamental right. However, National Health Policy, 2017 advocates
progressively incremental Assurance based Approach with focus on preventive
and preemptive healthcare.
SALIENT FEATURES
Under a ‘giving back to society’ initiative, the new Health Policy supports

voluntary service in rural and under-served areas on pro-bono basis by recognized
healthcare professionals.
It also advocates extensive deployment of digital tools for improving the efficiency
and outcome of the healthcare system and proposes establishment of National
Digital Health Authority (NDHA) to regulate, develop and deploy digital health
across the continuum of care.
The National Health Policy 2017 imperative is to move away from camp based

services with all its attendant problems of quality, safety and dignity of women, to a
situation where these services are available on any day of the week or at least on
a fixed day.
In order to leverage the pluralistic health care legacy, NHP 2017 recommends
mainstreaming the different health systems: better access to AYUSH remedies
through co-location in public facilities; Yoga would be introduced much more widely
in school and work places as part of promotion of good health.
KEY POLICY PRINCIPLES
Professionalism, Integrity, and Ethics
Equity
Affordability
Universality
Patient-Centered & Quality of Care

KEY POLICY PRINCIPLES
Accountability
Inclusive Partnerships
Pluralism
Decentralization
Dynamism and Adaptiveness

OBJECTIVES
The primary objective of the National Health Policy,

2017, is to strengthen the trust of the common
man in public health care system by making it
patient centric, efficient, effective and
affordable, with a comprehensive package of
services and products that meet immediate
health care needs of most people
Specific Quantitative Goals and
Objectives:
A. Expectancy Health Status and Programme Impact
1. Life and healthy life

Increase Life Expectancy at birth from 67.5 to 70 by 2025.
Establish regular tracking of Disability Adjusted Life Years (DALY) Index as
a measure of burden of disease and its trends by major categories by 2022.
Reduction of TFR to 2.1 at national and sub-national level by 2025.
2. Mortality by Age and/ or cause

Reduce under Five Mortality to 23 by 2025 and MMR from current levels to
100 by 2020.
Reduce infant mortality rate to 28 by 2019.
Reduce neo-natal mortality to 16 and still birth rate to “single digit” by 2025.
ADVANTAGES
The policy seeks to promote universal access to good

quality healthcare services and a wide array of free
drugs and diagnostics.
The proposed steps such as a health card for every
family will certainly help improve health outcomes in
India.
The recommended grading of clinical establishments
and active promotion and adoption of standard
treatment guidelines can also help improve the
quality of healthcare delivery in India.
LIMITATIONS
The policy duplicates portions of the Health section of Finance Minister’s 2017 Budget speech,
reiterates health spend targets set by the erstwhile Planning Commission for the 12th Five Year
Plan.
It failsto make health a justiciable right in the way the Right to Education 2005 did for
school education.
A health cess was a path breaking idea that was proposed in the draft policy but it was dropped.
Whether Health should continue to be in the State List, or in the Concurrent List is not answered
in the policy.
Among the most glaring lacunae in the present context is the lack of capacity to use higher levels
of public funding for health.
Although a major capacity expansion to produce MBBS graduates took place between 2009 and
2015, this is unlikely to meet policy goals since only 11.3% of registered allopathic doctors were
working in the public sector as of 2014.
FUTURE DIRECTIVES
 More health professionals need to be deployed for primary care in rural areas.
 Contracting of health services from the private sector may be inevitable in the
short term.
 No more time should be lost in forming regulatory and accreditation agencies

for healthcare providers at the national and State levels.
 Without oversight, unethical commercial entities would have easy backdoor

access to public funds in the form of state-backed insurance.
 For the new policy to start on a firm footing, the Centre has to get robust
health data.
 To reduce high out-of-pocket spending, early deadlines should be set for

public institutions to offer essential medicines and diagnostic tests free to
everyone.
THANK
YOU!!!

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HEALTHCARE

National Health Policy 2017,

Healthcare System- Characteristics, goals and

Healthcare Economics and Finance:

Hospital functions, organization, classification

Assurance Based Approach – Policy advocates progressively incremental

Make in India Initiative – Policy advocates the need to incentivize local

Application of Digital Health – Policy advocates extensive deployment of

At present, there is no proposal under consideration of the Government to make

Under a ‘giving back to society’ initiative, the new Health Policy supports

The National Health Policy 2017 imperative is to move away from camp based

Professionalism, Integrity, and Ethics

Patient-Centered & Quality of Care

Dynamism and Adaptiveness

The primary objective of the National Health Policy,

1. Life and healthy life

2. Mortality by Age and/ or cause

The policy seeks to promote universal access to good

 No more time should be lost in forming regulatory and accreditation agencies

 Without oversight, unethical commercial entities would have easy backdoor

 To reduce high out-of-pocket spending, early deadlines should be set for

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