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Infection Control in Hospitals

The aim of a hospital planner is to achieve a good hospital architectural design for better infection control and an administrator to practice good infection control policies and monitor them to achieve better patient car, informs Dr Rashi Agarwal, Director, PRAXIS

Not only is technology and design important for a hospital to run effectively but processes like infection control which is ignored in the planning stages is equally important. Ignorance towards these soft department leads to high morbidity and mortality rates in the hospital, adversely affecting the patient care, revenues, reputation, etc. Hospital planners, owners, senior administrators and key decision makers pay attention to mainly hospital design and planning but forget that functional departmental planning is as important as physical structural planning and each need to be interlinked for a successful hospital.



Guideline for Quality Accreditation in hospitals

Accredited hospitals offer higher quality of care to their patients.

Hospital accreditation has been defined as “A self-assessment and external peer assessment process used by health care organizations to accurately assess their level of performance in relation to established standards and to implement ways to continuously improve.” Hospital quality assurance systems are operational control systems intended to fulfill specific expectations for treating patients.



Quality shortfall in Middle east

“The cost of poor quality in hospitals and healthcare facilities leads to higher infection rates, medical errors, and sicker patients, which in turn leads to longer length of stay, lower productivity and lower revenues,” says Dr Agarwal.

According to Dr. Rashi Agarwal, Director of Praxis Healthcare Consultancy based in Mumbai, accreditation leads to better patient care and inculcates a culture of patient safety and risk reduction practices. Not only does it improve clinical outcomes, but it also assesses and shows improvement in all aspects of management and business operations leading to an increase in the bottom line.

“Acceptability, accessibility, accountability and allocative efficiency are the biggest challenges in providing quality healthcare, not only in the Middle East, but all over the world. These can be overcome only through correct education and training with involvement of senior management and clinical staff,” she continues.



Conference to discuss healthcare standards

“Acceptability, accessibility, accountability and efficiency are the biggest challenges in providing quality healthcare, not only in the Middle East, but all over the world. These can be overcome only through correct education and training with involvement of senior management and clinical staff,” said Dr Rashi Agarwal, director of Praxis Healthcare Consultancy based in Mumbai, who will participate in the conference.
“Hospital Build has given a good platform to several exhibitors in the past to display their products and services and generate relevant business opportunities. We aim to use our experience and our team of internationally trained experts to collaborate with healthcare facilities in the Middle East to bring about international standards at all levels of hospital planning, technology and management in areas of architectural design, latest equipment, skilled human resource and staffing, efficient operational policies, quality markers” said Dr Agarwal.



Praxis at healthcare world conference Jan 2010

Dr Rashi Agarwal, Director, PRAXIS spoke on salary, attrition and retention of staff in hospitals. "When less productive employees leave the organisation, such attrition can be considered as healthy or good attrition. When your high performers are leaving which has direct impact on your productivity, it can be considered as bad attrition. Strategies for retention of employees are to induce the feeling of 'being looked after' by the organisation. Work environment should foster an environment of teamwork, communicate openly, train your frontline, supervisors and administrators, show your employees that you value them, make room for fun, give people the best equipment and supplies possible," said Dr Agarwal. She also emphasised on giving the employees career advancement opportunities which will include an effective orientation programme, training programmes which will encourage learning, objective performance management systems. "It is also important to evaluate key result areas twice a year and make a place for rewards and recognition," she added.



How to retain your best employees

The cost of employee turnover adds hundreds of thousands of rupees to a company's expenses, says Dr Rashi Agarwal

Now that so much is being done by organisations to retain its employees, why is retention so important? Is it just to reduce the turnover costs? Well, the answer is a definite no. Average attrition rate in hospitals is about 15 to 25 per cent. Apart from turnover costs, there are several other reasons why the process of employee retention will benefit an organization.HR costs are about 30 per cent of the total hospital cost. Salaries increase anything from 12-14 per cent every year. With increasing demand for talent both within the country and internationally, the challenge for any human resource department is attraction and retention of staff. A major challenge for the healthcare industry would be not only to retain the workforce but also to develop an environment which would attract those abroad to return.

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Nursing Job Satisfaction—Directly Proportional To Hospital Savings

Angels in comfortable shoes but uncomfortable emotions- partners at bedside, caregiver, emotional pillar, mother etc.

There can be little doubt that nurses form the fabric of medical care. They not only play the role of caregiver, but must assume a medley of other roles – including but not limited to technician, waitress and mother. They are the front line of surveillance and play the prime element in early detection of potentially life-threatening problems. There are no qualms about the fact that nursing as a profession is truly respected.  Day in and day out, nurses not only take care of a patient's basic needs, they act as the constant pillar of support during difficult times, both physically and emotionally.  But is nursing really understood?

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Healthcare and Marketing or Healthcare Marketing

Consumerism driving a change to result in healthcare marketing.

"Who are the most commanding people in the healthcare industry today?" It's actually the 28-year-old young woman who is contemplating whether to get a cosmetically fitting white ceramic crown versus a silver one for her dental treatment. It's also a 40-year-old man who can get his blood test at the local diagnostic centre or get the phlebotomist to come home and collect his sample while he still unwinds in the comfort of his house on a lazy weekend. These two examples illustrate the emerging trend of healthcare consumerism. Though the healthcare field is characterised by complexity, rapid change, evolving distribution, consumer-purchasing behaviour, and pricing and reimbursement pressure; awareness and technology now empower patients to make their own healthcare choices, rather than simply accepting the options lay down by a traditional health system.

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