PLANING_and_MGT_OF_OUT_PATIENT_DEPT.pptx
- 1. PHYSICAl facilities and management OF outPATIENT DEPARTMENT
- 2. OUTPATIENT Any person who is given general or emergency diagnostic, therapeutic or preventive health care and who at that time is not registered as an in-patient in the hospital.
- 3. TYPES OF OUTPATIENTS General Out patient All the patients other than emergencies who report directly to the OPD Emergency Out patient A person given emergency medical care for condition which is real or perceived emergency. Referred Out patient A person referred to an OPD by his attending medical/ dental practitioner for specific diagnostic/treatment procedure.
- 4. OutPATIENT DEPARTMENT OPD is a very important wing of hospital serving as mirror. It is the first point of contact between patient and hospital staff. A part of the hospital with allotted physical facilities and medical and other staff in sufficient number, with regularly scheduled hours , to provide care for patients who are not registered as in-patients.
- 5. Types of OUTPATIENT department Centralized All the OPDs of clinical departments of the hospital are grouped together in the form of OPD complex. Decentralized The outpatient care is provided in the respective departments of the hospital.
- 6. IMPORTANCE OF OUTPATIENT DEPARTMENT The OPD contributes towards reducing the mortality & morbidity , by providing health promotion and disease prevention. It also reduces the number of admissions to a hospital to raise the threshold of admission. It ensures that only those patients are admitted who really need inpatient care.
- 7. FUNCTIONS of outpatient department To provide specialist diagnostic, medical opinion to outpatients. To treat patients on ambulatory basis. Follow up treatment of discharged patients.
- 8. Provide primary health care, by means of : - health education - immunization clinics - voluntary counseling & testing centre for HIV/AIDS. -Training & education of medical, paramedical & nursing staff - collection, compilation, and analysis of MR. - Epidemiological study of diseases.
- 10. LOCATION It should have direct access from the entrance of the hospital. There should be sufficient space for parking of the vehicles: areas should be dust free, noise free and comfortable. Movement of patients should be in one direction.
- 11. It should share with IPD, diagnostic & therapeutic facilities. OPD should be adjacent to casualty Amenable for future expansion Preferable to have OPD of all specialties in same building to facilitate cross – reference between various specialties.
- 12. Size of OPD Type & number of specialist clinics Timings of OPD Number of daily OPD patient. Recommendations A/c to BIS (Bureau of Indian Standards): - Entrance Zone : 2 sq.meter/bed. - Ambulatory Zone : 10 sq.meter/bed. - Diagnostic Zone : 6 sq.meter/bed
- 13. 1. PATIENT’S AREA Entrance : Should be Easily accessible, with wide door and have ramps and steps. Reception : Reception counters, sufficient numbers with a side room for Front office executive, Public Relation officer etc. Registration : Should be located near the entrance. counters for new and follow up cases. Separate counter for billing as per need.
- 14. Record room : separate room should be planned for record room and record desk, depending upon the type of hospital & its policy for records maintenance. Desks : desks for filling up the requisite forms by the patients/attendants. Waiting Area : A common waiting area for patients and their attendants should be available. In addition separate sub-waiting area is also provided in respective clinical departments where the patients wait for their turn.
- 15. Public utility service : Public toilets and wash rooms, separate for male and female. The toilets should be at a scale of one for 200 patients. Snack bar : Separate snack bar for OPD is very much needed. It Should be located near the main waiting area. Facilities for internet, printers, photocopiers etc can satisfy the needs of people.
- 16. Audio visual facility : It is desirable to have few TV sets with cable connection in the waiting area. ATM counters
- 17. 2. CLINICAL AREAS Sub-waiting area : This is outside the doctor’s consultation chamber. It should not have more than 1/3rd of total patients visiting the clinic in a day. Consultation room : Space for doctor’s chair with table, visitor’s chair, patient’s stool, ,wash basin, examination couch, equipment for examination. It should be 15-17 Sq.meter & each clinic should be able to handle 100 cases /day. Special examination room : Provisions for keeping equipments like ultrasonography machine, endoscope etc required only for certain departments.
- 18. Injection room : It should be separate sub waiting area for 10-20 patients. Treatment & dressing room : separate room for dressing of wounds. Minor OT : In surgical OPD various procedures are done in minor OT. Pharmacy : It should accommodate 5% of total clinical visits to OPD in one session.
- 19. Laboratory : Should be able to serve IP&OP Patients with 2 (male & female) washrooms & toilets, attached Bleeding room with two or more examining tables. Radiology : Should serve both IP & OP patients. Physiotherapy department. Medical and social facilities.
- 20. 3. ADMINISTRATIVE AREAS Administrative Office Business Office : office for personnel section requisition, making reports etc. House keeping Storage Facility - General store - Drug store - linen store
- 21. 4. CIRCULATION AREA This includes corridors, stairs, lifts etc. Corridor should be 1.8 meter wide. Occupies about 30% of total building area, easy accessibility of elevator specially for obstetrics and cardiac pt Security at each strategic location.
- 22. EQUIPMENT Equipment related to specialty examination should be available in concerned room. All OPD should have wheelchair, stretchers, physician’s desk, wall mounted cabinets, X-ray view box, revolving stool, chairs, examination couch, wash basin, resuscitation equipments, ECG machine, ultrasonography machine All equipments and instruments as per the clinical needs and type of cases and procedures done in OPD.
- 23. STAFFING Medical Staff : the staff from respective departments come to the OPD by rotation on their OPD days from the level of chief consultant to interns. Nursing staff : they are posted to the OPD on rotational basis. Paramedical staff technician, security staff, clinical staff, housekeeping staff depending upon work load.
- 24. PROBLEMS IN OPD PATIENT COMPLAINTS Patients overcrowding Long waiting time Dissatisfaction with quality of service Dissatisfaction with amenities. Queue jumping DOCTORS’ COMPLAINTS Heavy workload Non availability of medical record Complaints about OPD nurse.
- 25. PROBABLE REASONS Wrong planning of departments. Absence of appointment system. Insufficient seating arrangement. Shortage of staff. Misplacement of medical records & improper filing.
- 26. SOLUTIONS FOR EFFECTIVE FUNCTIONING OF OPD Good Public Relations OPD time management Proper seat arrangement in front of OPD Appointment system Computerization of Medical Records. Quality management.
- 27. Thank You