MH0051 – Health Administration

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Spring 2013

Master of Business Administration in Health Care Services- MBA (HCS) Semester 3

MH0051 – Health Administration - 4 Credits

(Book ID:B1212)

Assignment Set -1 (60 marks)

Note: Assignment Set -1 must be written within 6-8 pages. Answer all questions.

Q1.Define epidemiology. Discuss investigation of an epidemic in detail .2+8 =10 marks(350-400 words)

Answer : Epidemiology is the study (or the science of the study) of the patterns, causes, and effects of health and disease conditions in defined populations. It is the cornerstone of public health, and informs policy decisions and evidence-based medicine by identifying risk factors for disease and targets for preventive medicine. Epidemiologists help with study design, collection and statistical analysis of data, and interpretation and

Q2.Explain the role of National Rural Health Mission.10 marks(350-400 words)

Answer : National Rural Health Mission (NRHM) is an Indian health program for improving health care delivery across rural India. The mission, initially mooted for 7 years (2005-2012), is run by the Ministry of Health. The scheme proposes a number of new mechanism for healthcare delivery including training local residents as Accredited Social Health Activists (ASHA),[1] and the Janine Surakshay Yolanda (motherhood protection program).

Life expectancy

It’s very notable that there occurs a bridge in

Q3.Enumerate the determinants of health.10 marks(350-400 words)

Answer : 1. Income and Social Status - Health status

improves with prosperity and social standing. High income determines living conditions such as safe housing and ability to buy sufficient good food.

A number of studies show that limited options and poor coping skills for dealing with stress increase vulnerability to a range of diseases through pathways that involve the immune and hormonal systems.

2. Social Support Networks - Support from

Q4.List the occupational diseases most prevalent in work place. Discuss their prevention methods.

2+8 =10 marks(350-400 words)

Answer : Workplace occupational disease refers to repetitive motion injuries suffered by workers who perform the same task over and over as part of their job description. Occupational disease strikes and affects a large number of workers, even though they may not realize it.

The most common workplace occupational diseases include carpal tunnel syndrome and other upper extremity injuries. Caused by repetitive use of the hands and upper extremities, these injuries are most commonly found in the cases of factory workers, construction workers or hospital staff, who constantly tug, pull and pinch using their hands.

Occupational disease can also include the effects

Q5.What do you mean by disaster alertness in hospital? Explain the steps to be followed in disaster management.2+8 =10 marks(350-400 words)

Answer : The price we pay for the failure of hospitals or health facilities due to disasters is too high. In comparison, the cost of making hospitals safe from disasters is tiny. Disaster damage to health systems is a human tragedy, results in huge economic losses, deals devastating blows to development goals, and shakes social confidence. Making hospitals and health facilities safe from disasters is an economic requirement, and also a social, moral and ethical necessity.

1. Contact your insurer immediately. Inform your

Q6.Discuss the communicable disease problem in India.10 marks(350-400 words)

Answer : India faces the challenge of a range of infectious diseases. Every fifth new tuberculosis case in the world lives in the Indian subcontinent according to the Deutsche Lepta-und-Tuberkulosehilfe. Japanese Encephalitis is present in many areas of India and has caused serious epidemics in recent years. India has been less severely affected by the HIV epidemic than many other countries, despite early predictions of disaster, but still has almost three million people living with the virus. Bacterial resistance is a growing threat because of the

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MH0052 – Hospital Organization, Operations and Planning

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Spring 2013

Master of Business Administration in Health Care Services- MBA (HCS) Semester 3

MH0052 – Hospital Organization, Operations and Planning - 4 Credits

(Book ID:B1213)

Assignment Set -1 (60 marks)

Note: Assignment Set -1 must be written within 6-8 pages. Answer all questions.

Q1.Explain hospital as a matrix organization.10 marks(350-400 words)

Answer : An organizational structure that facilitates the horizontal flow of skills and information. It is used mainly in the management of large projects or product development processes, drawing employees from different functional disciplines for assignment to a team without removing them from their respective positions.

Employees in a matrix organization report on day-to-day performance to the project or product manager whose authority flows sideways (horizontally)

Q2.Discuss the various functions of hospitals.10 marks(350-400 words)

Answer : Functions of hospital

There are two types of function that are performed by the hospital-

·         Intramural

·         Extramural

Intramural-

Q3.Write briefly on committees in an organization with emphasis on hospital.10 marks(350-400 words)

Answer : The Function of Hospital-Based Committees

The standard model for a hospital-based ethics committee is a multidisciplinary body that meets periodically to discuss ethical issues in health care. Often, it critiques decisions in which ethical dilemmas were present. Did the physician use sound ethical decision-making procedures? Does the committee agree with the decision? If not, how should it have been handled? How can the committee make decisions known to the facility's

Q4.Discuss the policies and procedures followed in a billing department of a hospital.10 marks(350-400 words)

Answer : Medical billing is quite a long and lengthy process. There are several steps involved from the time a patient receives care to the time the bill is settled with the insurance company. Medical billing technicians must ensure that data is entered correctly so that each step of the billing process can go ahead without incident.

Claims

The first step in the process is to make a claim. The hospital or physician will send a claim to their medical billing team. This might be a team that is on-site, a private company or an independent contractor. As part of a medical procedure, the supporting documentation is also sent. This can include charge sheets, demographics and

Q5.Explain the process of material management in a hospital.10 marks(350-400 words)

Answer : Materials Management Department

The Materials Management Department provides professional support in the areas of price negotiations, procurement, receiving, distribution of supplies and equipment, equipment repair, printing and forms management and inventory control.

Objectives

·         To manage and control the flow of supplies and equipment from acquisition to disposition

·         To apply management methods to the supply process and distribution of products and equipment, i.e., value analysis, cost analysis, and

Q6.Imagine that you are appointed as a consultant for setting up a Dialysis unit in a tertiary care teaching hospital. What are the planning considerations you have to keep in your mind before executing the task?10 marks(350-400 words)

Answer : Step 4: Prepare the execution of the tasks

By writing down and structuring of all your tasks, you have achieved the first 50% to accomplish your tasks. In order to complete your tasks really efficient and on time, you have to do some up-front planning.

4.1 Check task lists weekly and do a rough planning

Every week take a look at your task lists. Ideally do this always on the same day and at the same time, so that this will become a routine action, and thus is a

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MH0053 – Hospital & Healthcare Information Management

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Spring 2013

Master of Business Administration in Health Care Services- MBA (HCS) Semester 3

MH0053 – Hospital & Healthcare Information Management - 4 Credits

(Book ID: B1214)

Assignment Set -1 (60 marks)

Note: Assignment Set -1 must be written within 6-8 pages. Answer all questions.

Q1.Explain the steps in developing health management information system as per WHO.10 marks(350-400 words)

Answer : Steps in Developing a Health Management Information System

(1) Review the existing system

(2) Define the data needs of relevant units within the health system

(3) Determine the most appropriate and effective data flow

(4)Design the data collection and

Q2.What is hospital information system? List the potential benefits of HIS.2+8=10 marks(350-400 words)

Answer : Healthcare is a very important part of our society and it is imperative for healthcare providers to do their jobs in an efficient and effective manner. Each day hundreds of thousands of patients enter healthcare facilities challenging the administration to run the show smoothly. The employees have to manage and integrate clinical, financial and operational information that grows with the practice. Previously, this data was organized manually, which was time consuming and failed to deliver the desired level of efficiency. Most professionally run hospitals and clinics now rely on hospital information systems (

Q3.What is M-Health? Discuss the current scenario of M-Health in India.2+8=10 marks(350-400 words)

Answer : mHealth (also written as m-health or mobile health) is a term used for the practice of medicine and public health, supported by mobile devices. The term is most commonly used in reference to using mobile communication devices, such as mobile phones, tablet computers and PDAs, for health services and information, but also to affect emotional states.[1] The mHealth field has emerged as a sub-segment of eHealth,

Q4.Which are the two important factors essential to maintain good intradepartmental relationship? Explain.2+8=10 marks(350-400 words)

Answer : Trust is key to building and maintaining strong interdepartmental relationships—an area that has not always been IT's strong suit. Find out five techniques for fostering more trust among coworkers.

The more time I spend working in technology, the more I realize that relationships are just as important as hardware and strategic planning. Historically, IT has not been focused on building and maintaining strong interdepartmental relationships, but that trend is definitely changing.

So, the question is: How can we maintain and strengthen these relationships?

The answer: By building trust.

Below are five techniques and principles

Q5.Discuss the applications of hospital information system.10 marks(350-400 words)

Answer : Term: Hopsital Information System

Description: A Hospital Information System encompasses every aspect from administration to its financial department. It also includes everything from patient entry and discharge to laboratory tests. Its purpose is to coordinate and/or regulate information throughout the entire hospital. It helps to keep doctors, nurses, and other

Q6.Discuss the role of health information professionals in EHR project.10 marks(350-400 words)

Answer : The Healthcare Information Technology Revolution

A significant early part of national healthcare reform is focusing on an initiative (being overseen by the Department of Health and Human Services) that will help the nation move toward a truly interoperable health information exchange infrastructure – the goal of which is to move the nation’s predominantly paper-based patient information system into an electronic format that will allow patient health information to be securely exchanged between health enterprises. Consider a future where your entire medical history, from birth

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MH0054 – Finance, Economics and Materials Management in Healthcare Services

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Spring 2013

Master of Business Administration in Health Care Services- MBA (HCS) Semester 3

MH0054 – Finance, Economics and Materials Management in Healthcare Services- 4 Credits

(Book ID: B1215)

Assignment Set -1 (60 marks)

Note: Assignment Set -1 must be written within 6-8 pages. Answer all questions.

Q1.What is financial reporting? Explain the need for financial reporting.2+8=10 marks(350-400 words)

Answer : If “accounting is the language of finance” (Lasher, 2008, p. 9) then financial reporting is the “communication of financial information useful for making investment, credit, and other business decisions” (Wild, Shaw, & Chiappetta, 2009, p. 681) Such communications include general purpose financial statements such as income statements, balance sheets, equity reports, cash flow reports, and notes to these statements. Additionally,

Q2.Define cost accounting? Explain various steps involved in the process of joint products costing.2+8=10 marks(350-400 words)

Answer : Cost accounting is a process of collecting, analyzing, summarizing and evaluating various alternative courses of action. Its goal is to advise the management on the most appropriate course of action based on the cost efficiency and capability. Cost accounting provides the detailed cost information that management needs to control current operations and plan for the future.[1]

Since managers are making decisions

Q3.What are the different types of taxes? Explain the procedure of tax implication.2+8=10 marks(350-400 words)

Answer : 1. Direct Taxes and

2. Indirect Taxes

These two broad categories are governed by two central bodies under Ministry of Finance:

1. Central Board of Direct Taxes (CBDT) and

2. Central Board of Excise and Customs (CBEC)

Q4.Discuss the scope of financial management in hospitals.10 marks(350-400 words)

Answer :  Financial management is an integral part of district health management. It is made up of a

number of distinct processes that happen in a cyclical way. Service and district managers

receive support from their finance sections to manage the finances.

The Healthcare Financial Management Association (HFMA) is a non-profit membership organization for healthcare financial management

Q5.Discuss the role of economics and economists in healthcare industry.10 marks(350-400 words)

Answer : Issues surrounding the availability and affordability of medical care and health insurance have made health economics one of the most significant specialties in economics. As a result, this has created job opportunities in research, teaching and policy analysis for individuals with a background in health economics and related fields. Just as economics examines the allocation of scarce resources, health economics applies the same principles to the provision of health care.

Health Economist

Q6.Explain different methods of evaluation of healthcare services.10 marks(350-400 words)

Answer : It is conventional wisdom that one needs to start with a logic model and indicators when conducting an evaluation. While logic models can be helpful they are not absolutely necessary as long as there is a clear description of the program and its objectives. More troubling is the trend to simplify knowledge development into creating a list of indicators as a first step in an evaluation. This approach has a high probability of

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QM0010 - Foundation of Quality Management

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Spring 2013

Master of Business Administration- MBA Semester 3

QM00 10 - Foundation of Quality Management - 4 Credits

(Book ID: B1240)

Assignment Set - 1 (60 Marks)

Note: Assignment Set -1 must be written within 6-8 pages. Answer all questions.

Q1.a. Describe the main features of Companywide approach on Quality.

Answer : During the 1980s, the concept of "company quality" with the focus on management and people came to the fore[citation needed]. It was realized that, if all departments approached quality with an open mind, success was possible if the management led the quality improvement process.

The company-wide quality approach places an emphasis on four aspects[citation needed] :-

1.       Elements such as controls, job management, adequate processes, performance and integrity criteria and identification of records

b. Write a note on Berry’s dimensions of service quality.5 +5 = 10 marks(200 - 250 words each)

Answer : Service quality can be defined as a customers' perception of how well a service meets or exceeds their expectations. In most cases service quality is judged by customers, and not by organisations. This distinction is critical because it forces service marketers to examine their quality from the customers' viewpoint. For example, a bank may view service quality as having friendly and knowledgeable employees. However, the customers of this bank may be more concerned with waiting time, ATM access and security,

Q2.Write short notes on Quality Function Deployment (QFD) process and describe why it is also called “House of Quality”.10 marks(350-400 words)

Answer : Quality function deployment (QFD) is a “method to transform user demands into design quality, to deploy the functions forming quality, and to deploy methods for achieving the design quality into subsystems and

Q3.a. Discuss main features of Quality Control and Inspection.

Answer : Quality Control

Statistical quality control is one of the tools of scientific management. It has several advantages over 100 per cent inspection. These are:

(I) Reductions in costs: since only a fraction of output is inspected costs of inspection are greatly reduced.

(ii) Greater efficiency: Not only there is reduction in costs but the efficiency also goes up because much of the boredom is avoided, the work of

b. ‘A quality team is a good team of good people’ Substantiate.5 +5 = 10 marks(20 (200 - 250 words each)

Answer : To be a team they have to work together, have respect for each other, and help one another when needed. They must understand each other’s views and respect them.

A good team consists of people who are communicative, cooperative, problem solvers and respectful individuals. Being good listeners help achieve a solution faster, and with less stress! (Being able to respect the thoughts and suggestions of others could perhaps find a new solution that you hadn't thought of.)

Characteristics of a good team :

·         Everyone participates

Q5.What is service quality? What are the internal and external measures of service quality?

10 marks(350-400 words)

Answer : Service quality is a comparison of expectations with performance.

A business with high service quality will meet customer needs whilst remaining economically competitive.[2] Improved service quality may increase economic competitiveness.

This aim may be achieved by understanding and improving operational processes; identifying problems quickly and systematically;

Q6.“Quality is the new buzzword and is dominating business processes and services like never before”, Justify.10 marks(350-400 words)

Answer : Today IT outsourcing to India has become more about high quality rather than reduced cost. Quality is the new buzzword and is dominating business processes and services like never before. Indian companies are now focusing on process reengineering, quality improvement, training and certification level achievements. Many of the ITES-BPO companies in India now have specialized quality departments that are

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QM0011 - Principles & Philosophies of Quality Management

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Spring 2013

Master of Business Administration- MBA Semester 3

QM00 11 - Principles & Philosophies of Quality Management - 4 Credits

(Book ID: B1241)

Assignment Set - 1 (60 Marks)

Note: Assignment Set -1 must be written within 6-8 pages. Answer all questions.

Q1.Discuss the dimensions of Quality. What are the contributions of Kaoru Ishikawa and Genichi Taguchi to Quality Management?10 marks(350-400 words)

Answer : Eight dimensions can be used at a strategic level to analyze quality characteristics. The concept was defined by David Garvin. Some of the dimensions are mutually reinforcing, whereas others are not—improvement in one may be at the expense of others. Understanding the trade-offs desired by customers among these dimensions can help build a competitive advantage. Garvin's eight dimensions can be summarized as follows:

Q2.a. Explain in brief how the ‘Poke-Yoke’ approach towards zero defects helps in achieving cost effective production and customer satisfaction?

Answer : Poke-yoke [poke joke] is a Japanese term that means "fail-sating" or "mistake-proofing". The concept was formalised, and the term adopted, by Shigeo Shingo as part of the Toyota Production System. Poke-yoke (Pooh-Bah yoh-keh) was coined in Japan during the 1960s by Shigeo Shingo who was one of the industrial engineers at Toyota. Shigeo Shingo is also credited with creating and formalizing Zero Quality Control (poke-yoke techniques to correct possible defects + source inspection to prevent defects equals

b. What are the seven wastes identified by Shingo in manufacturing processes?5 +5 = 10 marks(200 - 250 words each)

Answer : The seven wastes

One of the key steps in Lean and TPS is the identification of which steps add value and which do not. By classifying all the process activities into these two categories it is then possible to start actions for improving the former and eliminating the latter. Some of these definitions may seem rather 'idealist' but this tough definition is seen as important to the effectiveness of this key step. Once value-adding work has been separated from waste then waste can be subdivided into 'needs to be done but non-value adding' waste and pure waste. The

Q3.What is Total Productive Maintenance (TPM)? Enumerate the benefits of TPM.10 marks(3((350-400 words)

Answer : Total productive maintenance (TPM) originated in Japan in 1971 as a method for improved machine availability through better utilization of maintenance and production resources.

Whereas in most production settings the operator is not viewed as a member of the maintenance team, in TPM the machine operator is trained to perform many of the day-to-day tasks of simple maintenance and fault-finding. Teams are created that include a technical expert (often an engineer or maintenance technician) as well as operators. In this setting the operators are enabled to understand the machinery and

Q4.Explain the Baldrige model of business excellence. What are the steps involved in achieving organisational excellence?10 marks(350-400 words)

Answer : In his time, Malcolm Baldrige, Secretary of Commerce under President Ronald Reagan, represented business excellence and the principles that make American business great: leadership, innovation, quality.

But his legacy of business excellence lives on, and now a business school in Waterbury, Connecticut, has adopted the Baldrige name to exemplify those same principles.

The Malcolm Baldrige School of Business at Post University is “committed to creating a community of best practices focused on continuous learning and business excellence.” In addition, Post University will annually award two scholarships in

Q5.Discuss the meaning of Six Sigma with examples. What are the Steps involved in Implementing Six Sigma. Marks(350-400 words)

Answer : Six Sigma is a set of tools and strategies for process improvement originally developed by Motorola in 1985. Six Sigma became well known after Jack Welch made it a central focus of his business strategy at General Electric in 1995,and today it is used in different sectors of industry.

Six Sigma seeks to improve the quality of process outputs by identifying and removing the causes of defects (errors) and minimizing variability in manufacturing and business processes. It uses a set of quality management methods, including

Q6.“Business process reengineering is one approach for redesigning the way work is done to better support the organization's mission and reduce costs.” Justify 10 marks(350-400 words)

Answer : Business Process Reengineering (BPR) is a management practice that aims to improve the efficiency of the business process. The key to BPR is for organizations to look at their business processes from a "clean slate" perspective and determine how they can best construct these processes to improve how they conduct business. Reengineering is a fundamental rethinking and radical redesign of business processes to achieve dramatic improvements in cost, quality, speed, and service. BPR combines a strategy of

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QM0012- Statistical Process Control

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Spring 2013

Master of Business Administration- MBA Semester 3

QM 0012- Statistical Process Control - 4 Credits

(Book ID - B1242)

Assignment Set - 1 (60 Marks)

Note: Assignment Set -1 must be written within 6-8 pages. Answer all questions.

Q1.a. Explain the meaning and concept of process with an example.

Answer : The first step of process definition is to identify the boundaries. This is where the process begins and ends. The beginning of a process starts with a trigger that causes a specific action to be taken by a person, another process, or work group. The ending occurs when the results get passed on to another person, process, or work group.

The beginning trigger starts when someone performs an action on an input that they receive from a supplier (another work group, vendor, or person).

b. What is meant by “SIPOC”? Explain.  5 +5 = 10 marks  (200 - 250 words each)

Answer : In process improvement, a SIPOC (sometimes COPIS) is a tool that summarizes the inputs and outputs of one or more processes in table form. The acronym SIPOC stands for suppliers, inputs, process, outputs, and customers which form the columns of the table.[1][2] It was in use at least as early as the Total Quality Management programs of the late

Q2.a. What is Cumulative Sum Control (Cusum) Chart? Explain the construction of Cumulative Sum Control Charts in brief.

Answer : CUSUM charts, while not as intuitive and simple to operate as Shewhart charts, have been shown to be more efficient in detecting small shifts in the mean of a process. In particular, analyzing ARL's for CUSUM control charts shows that they are better than Shewhart control charts when it is desired to detect shifts in the mean that are 2 sigma or less.

CUSUM works as follows: Let us collect m

b. What is a factorial experiment? Explain with an example.5 +5 = 10 marks(200 - 250 words each)

Answer : In statistics, a full factorial experiment is an experiment whose design consists of two or more factors, each with discrete possible values or "levels", and whose experimental units take on all possible combinations of these levels across all such factors. A full factorial design may also be called a fully crossed design. Such an experiment allows studying the effect of each factor on the response variable, as well as the effects of

Q3.Mention the different types of control charts. Explain with an example how to calculate p Chart and np Chart. 10 marks(3((350-400 words)

Answer : The most basic type of control chart, the individuals chart, is often used for all types of data. Yet often more specialized types of control charts can provide more valuable information about process performance, data

Q4.Explain Multivariate Control Charts and multivariate normal distribution.10 marks(350-400 words)

Answer : Multivariate control charts and Hotel ling’s T 2 statistic

It is a fact of life that most data are naturally multivariate. Hostelling in 1947 introduced a statistic which uniquely lends itself to plotting multivariate observations. This statistic, appropriately named Hotel ling’s T 2, is a scalar that combines information from the dispersion and mean of several variables. Due to the fact that computations are laborious and fairly complex and require some knowledge of matrix algebra, acceptance of multivariate control charts by industry was slow and hesitant.

Q5.a. Explain the concept of Process Capability. Give the Significance of Process Capability.

Answer : Process Capability

The capability of a process is some measure of the proportion of in-specification items the process produces when it is in a state of statistical control.

Process Capability vs. Batch Performance

Process capability is different than batch performance. With batch performance, you are interested in what actually was produced. With process capability, you are interested in what the process is capable of producing when in statistical

b. Explain the Quality Indices for Acceptance Sampling Plans.5 +5 = 10 marks(200 - 250 words each)

Answer : Acceptance sampling uses statistical sampling to determine whether to accept or reject a production lot of material. It has been a common quality control technique used in industry and particularly the military for contracts and procurement. It is usually done as products leave the factory, or in some cases even within the factory. Most often a producer supplies a consumer a number of items and decision to accept or reject the lot is made by determining the number of defective items in a sample from the lot. The lot is

Q6.Explain the methodology for SPC implementation.10 marks(350-400 words)Spring 2013

Answer : Current consumer markets experience an ever-increasing demand for high quality products and services at low costs. It is therefore logical that if a company wishes to be competitive in the modern market place, one of its main aims should be to focus upon producing products/processes of a consistently high quality. Total Quality Management (TQM) is a broad management philosophy used within the organizations with the aim o

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