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SIP PRESENTATION.pptx

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SIP PRESENTATION.pptx

  1. 1. SHIV HOSPITAL Cost Accounting strategies under prospective payment system
  2. 2. BOARD OF DIRECTORS DOCTOR’S Presented by:- Raj kumar
  3. 3. TOPIC’S  * company overview  * Staff: Man Power & Shift  * Process of Work  * Documents Kept: Physical & Software Format  * Cash Collection Process  * All Cash Transaction Entry Processes by user physical & software entry  * Cash deposition process by User in each shift 24*7  * Audit of IPD/ACCOUNT  * swot analysis
  4. 4. company overview Mission @. Our mission is to be one of saurashtra’s most advanced orthopaedic and trauma care Hospital. @. It is designed for Complex Trauma, Joint Replacement, Spine Surgeries and Arthroscopy along with an ICU facility. @. Visiting expert faculties for complex injuries and Trauma with emphasis on excellence in Clinical Services, Patient Care, and Health Care facilities. Vision @. We aim to be the best Orthopedic trauma and Super-specialty center that combines the best medical treatment with strong ethical principles and a culture of care, compassion, and commitment. We want to be a state-of-the-art medical center. Value @. Our total healthcare values will be 100% based on commitment and integrity. @. The noble Profession that it is called shall remain to be NOBLE with our vibrant team, and the hospital management will work at its best for inculcating its value- based services.
  5. 5.  Manpower planning  Type of organization :- hospital 1. Number of department:- 11  Marketing  Finance  Human resource  Production  Housekeeping  Radiology  CSSD:- central sterile supply depertment  ICU;- intensive care unit  OT  TMT :- treadmill test  Nursing  Manpower Total number of department . 11 Department 100 employee in the hospital
  6. 6. Shift  Note:- 1. * 8 Hours duty every employee everyday 2. * change the shift Rotation wise 3. * 8hrs X 6Days = 48 Hrs in one week 4. * some employee completed their duty 6 hrs per day, but 2 days in every week 12hrs duty completed by them. 5. * 1 day off in a week 6. Shift 7. 8 Am to 4:30 Pm 8. 4:30 pm to 11:30 pm 9. 11:30 Pm to 8 Am
  7. 7. 1. Registration  New patient Registration  old patient Admission 2. Documentation  Patient Aadhar Card  Patient Detail with Mobile no.  References Note :- @. Prepare fee estimate of the emergency patient according to the Dr. @. Paid advance surgery fee at a time @. Give 2 receipts with stamp & sing. @. Prepare the sticker of the patients details @. Create parents pass ( 1. with patient & 2. meet other family members )
  8. 8. Discharge Process @. Account Settlement @. Fees procedure @. Return Pass from patient & their relatives @. Feedback about hospital facility and Treatment. Note:- In the billing, procedure follow some basic policies:- Remark Procedural Discount Procedural Cash collection method - CASH, - Online Payment, - Debit & Credit card payment Insurance Procedure
  9. 9. PHYSICAL DOCUMENT SOFTWARE DOCUMENT * Patient Admission * Deposit Status - Patient rules & regulation - Patient Details - Pass create for patient - Doctors - Payment receipts - Remarks * Patient Aadhar file - Balance & Advance paid * Estimate fee file * Medical Certificate - Death-related forms - Family detail of patient * Discharge slip file
  10. 10. Document kept PHYSICAL DOCUMENT SOFTWARE DOCUMTN * Patient Appointment * Patient Details (IN or OUT) * Over Book (patient appointment shift forward) - Patient Consultancies * Fish Food Register - Charges * Feedback Form - Remarks * Routine Appointment Register - Shifting Time * Doctors Visit Patient Register * Patient Appointment Detail with month wise.
  11. 11. cash process @. Cash to hand @. Limited Amount on 190000 in hand Credit process @. Organization and Relatives @ . Company insurance Online process @. Upi @. Pos Machine @. Internet Banking @. Cheque @. Dr. card or credit card
  12. 12. 1. Emergency Procedure  According to the situation, which is suffered by patient  Doctors provide cash estimates before treatment of the patients 2. Cheques procedure * This is accepted by Doctors acceptance or advice * From cheques collected below 200,000 and over 200,000 3. Online Payment * POS machine * Demand Draft * Google pay
  13. 13. Cont.….  4. Credit payment (Organization and Relatives only)  * Generate bills through treatment of patients who belong to consultancies organization.  * Collected all balance details.  * Submit the final bill to the organization.  POS machine work  * Swipe or Insert card(patients)  * Input Amount  * After payment is completed received message be patient  * Collect slip from POS machine  1st slip collected by the patient  2nd slips sent to the A/C department for audit of the transaction
  14. 14.  * In the morning shift (8 am to 2 pm), collected cash by employees and after finishing their shift they sent money to the Account department for further procedure.  * After the morning shift (2 pm to 8 pm), collected cash was sent to the emergency billing and the next morning collected cash by the A/C department.  2. EMERGENCY BILLING  * Collected cash sent directly to A/C department on day shift because 24*7 times might be open Emergency billing.  3. ER BILLING  * Cash collect and directly sent to the A/C department.
  15. 15. AUDIT of IPD/ACCOUNT  IPD (Indoor Patient Dept.)  * Collect the IPD records, in which services are given to the patients;  - Diabetes flow Chart  - Details of Procedures  - Consultants visit sheet  NOTE:- IPD records mention some details:- - - Patient details - - Doctors consultant - - Time to be followed - - Diagnosis details - - Visit by Doctors etc.
  16. 16. Process of Audit  IPD audit:- * collect IPD record. * check departmental Services and verify the Records properly. * If any services are not mentioned in the record file, then Add additional services and verify with attested.
  17. 17. Departments Services Other Charge : Consumer Charges, Oxygen, Infusion pump, Cardiac Monitor Charges, RBS, RCC, BCB, CBT etc. Procedure without OT : Dressing Cardiology Investigation : ECG Doctors Visits : Outside Visit Laboratory Reports(Lab) : Pre-up profile Major, PT/INR, Covid-19 report, S. Electro Physiotherapist Visit : …………………………….. CT scan : 2 D Echo etc. Admission Charges : ……………………………. Bed Charges : …………………………… MRD Charges : …………………………….. Pharmacy/ Store : …………………………….
  18. 18. SWOT Analysis  , Strengths include:  a high percentage of success  investments in medical technology,  individualized attention,  a strong reputation, and a prime location.  Weakness  • A shortage of doctors;  a gap in service regions' skills  • Lack of marketing initiatives or a meagre marketing budget 
  19. 19.  Opportunities @. Collaborate with different healthcare organization to knowledge share @. Develop healthcare programs and initiatives to drive more community outreach and engagement @. Increase patient referrals  Threat 1. @. Poor food quality

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