MHRM FINAL PROJECTREPORT ON CARE MULTI SPECIALITY HOSPITAL Session 2010-2012 Project Advisor SIR ZAMIR Submitted By SANA

NOSHEEN/ANUM FATIMA ASIF Roll No: EP1034041/EP1034004 Department of Public Administration

University of Karachi

Statement of Submission
DATE: 8thMAY 2012

In accordance with the requirements of the degree of Master of Administrative Science in the division of Human Resource Management and under the course PROJECT MANAGEMENT ON MULTI SPECIALITY HOSPITAL Masters Report, I present the following report entitled MULTI SPECIALITY HOSPITAL. This work was performed under the supervision of Sir. ZAMIR.

I declare that all the work submitted with this project is my own, except as acknowledged in the references in this report, and has not been previously submitted for a degree at University of Karachi or any other institution.

SANA NOSHEEN/ANUM Fatima Asif EP1034041/EP1034004

ACKNOWLEDGEMENT

All praises for Almighty Allah who helped me to make things possible it is by his ultimate Benevolence that I am able to accomplish my task and goal. I am intended to many people who helped me to shape and compute this report; this report would not have been possible first of all. I am really thankful to all my friends.

I must also be thankful to my teacher for their valuable suggestions and consultative comments that guided me to make this project report. My thanks are also for my friends who initially provided me the basic support, on the basis of which I prepared the report.

I am also gratifying to my teacher Sir. Zmir who has been by my side throughout this report and has helped me through every thick and thin.

I am also thankful to Sir Zmir who gives me opportunity to prepare this project.

Sana Nosuheen Anum Fatima Asif

PREFACE
THERE IS NOTHING WRONG IN OUR STARS DEAR BRUTUS! BUT IN OURSELVES.

When Shakespeares said that, he certainly meant that sincere attempts bring about sincere results and, we are the one who create miseries for ourselves. When you leave the the things finished, they do the same with you, leading you the way of chaotic distress.

This report on PROJECT REPORT ON MULTI SPECIALITY HOSPITAL is prepared on the intention of our course instructor. Sir Zmir as he rightly thought it will ease in the long run, and we will be able to understand The Methods Of Project in a better way.

The report will help people to get the first hand knowledge about the PROJECT IN SPECIALITY HOSPITAL.

CARE MULTI SPECIALITY HOSPITAL

PROJECT HIGHLIGHTS
NAME OF THE PROJECT NATURE OF HOSPITAL NUMBER OF BEDS PROMOTERS Land PLOT SIZE F.A.R. ALLOWED TOTAL BUILT AREA (Approx.) 1 Phase
st st

CARE MULTISPECIALITY HOSPITAL Multispecialty 222 ( In First Phase-120 Beds ) CARE HOSPITAL 6330 Sq.Yds.(Land has been Purchased) 2.5 45,800 Sq. Ft.

BUILDING COST (Approx.) 1 Phase TOTAL PROJECT COST (1 Phase) Building Cost Hospital Services Hospital Furniture & Fabrication Medical Equipment & Instruments Preliminary & Pre-Operative Contingencies Margin Money TOTAL MEANS OF FINANCING
st st

Rs. 420 Lacs Rs. In Lacs 420.00 80.00 50.00 300.00 30.00 40.00 10.00 930.00 Donations &Contributions = 2 years

IMPLEMENTATION PERIOD 1 Phase of 120 beds

HEALTH CARE An Overview Scope the project

State the problem At a high level the problem list states the most important health problems facing a patient. While the basic structure of the problem list varies widely by healthcare organization, at its core, the problem list includes a patients non transitive diseases. The problem list offers four major benefits to patient care. In the office, the problem list helps practitioners identify the most important health factors for each patient, allowing for customized care. Beyond the patient visit, the problem list can be used to identify disease-specific populations. It is easy to run data analysis and find all patients with a common illness through coded problems in an EHR. This application can be particularly useful for quality improvement programs. For instance, health centers conducting quality improvement efforts can rely on problem lists to identify their disease-specific patient populations, provide follow-up care, and ensure all patients are receiving care that meets best practices in treatment. Define the project objective To make available in Care Hospital a modern, well-equipped and efficient health care facility that provides a much higher standard of patient care than that which was previously available to women and children To make available a model Health Care Institution, which provides not only good health care, but which also provides Training and Research opportunities to Medical and ParaMedical personnel. To serve as an example to others and thus encourage national as well as international initiatives to invest in health services in order to improve the over-all welfare of the nation. To make available to women and children 69 beds for Obstetrical, Neonatal care and general patient care, including Incubators for premature babies. To make available to women Pre-Natal and Post-Natal outpatient services, as well as Immunization for women and children To make available to women and children, diagnostic Laboratory facilities as well as a Blood Bank for emergencies. To make available Ultrasound and visual monitoring facilities.

To make available treatment for Gynecological problems including Management of Infertility, as well as the diagnosis and treatment of Sexually Transmitted Diseases including testing for HIV/AIDS and providing counseling as appropriate.

Establish the project goal Today, the city of Karachi, with a population of over 4 corers has become one of the most crowded cities in Pakistan. There is an exponential increase in environmental pollution and occupational health hazards due to rapid industrialization. The food stuffs are largely adulterated, drinking water supply becoming scare and unsafe for consumption and lastly industries and automobiles have increased the atmospheric air pollution to an alarmingly unsafe levels. This has led to a steep fall in health standards of the people. There is a need for an early accurate diagnosis and proper treatment of diseases, especially after the growing awareness of sound health in the mind of the public. Identify the success criteria Comparison between various developed and developing countries in respect of Hospital Bed to population Ratio, Infant Mortality, Expectancy of Life and Birth Rates etc., bring out the inadequacy of the health care in Pakistan. Better and quality health care is to be made available to one and all by the Government and Private agencies. The ability of Government owned hospitals to render quality medical services to all has decreased because of the population growth. The bed to population ratio in India is 1: 1238 compared to 1:92 in Japan, 1:82 in USSR, 1:150 in USA and 1:350 in Sri Lanka. Joseph Bhore committee appointed by the Government of India to go into the various aspects of medical care in India and to suggest remedies, has recommended agencies in the Government and Private Sector to increase the bed to population ratio to at least 567:1000 Establish the project goal National Health Policy of Pakistan was aiming to attain the goal of Health For All by 2000 AD, which it could not. As the concentration of the Government is on providing primary health care and preventive treatment, the curative care rests mostly with the private sector with all practitioners, consultants, Nursing Homes, and Hospitals. The delivery of advanced health care to the growing population has become the responsibility of the Private Sector, religious institutions / philanthropists

MISSION STATEMENT
We believe that The Multi Specialty Hospital, the nation's first hospital, has a responsibility to: Ensure access to superior quality integrated health care for our community and expand access for underserved populations within the community. Create a supportive team environment for patients, employees, and clinical staff. Foster learning and growth through comprehensive academic and educational relationships. Exhibit stewardship and creativity in the management of all available resources The mission of The Multi Specialty Hospital is to provide quality health services and facilities for the community, to promote wellness, to relieve suffering, and to restore health as swiftly,

safely, and humanely as it can be done, consistent with the best service we can give at the highest value for all concerned.

OUR VISION
To be the regional destination provider of innovative and complex care

Value Statement We at The Multi Specialty Hospital hold these values to be fundamental: People We respect each person as a member of the hospital community. Involvement and teamwork determine our future.

Service Excellence We are committed to our standards of service excellence and dedicated to exceeding the expectations of those we serve. Responsibility Quality Communication Innovation Safety We accept personal accountability for the work we do. We consistently strive to provide the highest quality, safe patient care. We promote open communication that fosters partnership and enhances timely, effective and appropriate responses. We are committed to a supportive environment that encourages new ideas and creativity. We are dedicated to creating the safest hospital for all.

FUTURE PROSPERITY
My effort is to see my Hospital in future like Al Khidmat Medical Center. Extent many charity services for more and more serving of mankind A chain of a hospital in low economy areas

DEVELOP DETAILED PLAN THE PROPOSED PROJECT

Brief profile
NAME LOCATION OF THE PROJECT PROMOTERS REGISTERED OFFICE ADMINISTRATIVE OFFICE CARE MULTI SPECIALTY HOSPITAL FB AREA BL-16 KARACHI CARE HOSPITAL WATER PUMP F.B ARAEA BL-14 KARACHI BL-16 F.B AREA, WATERPUMP,KARACHI TEL: 021 36354781, 34537254 EMAIL: - Carehopital@YAHOO.CO.IN WEB: - WWW.CARE.ORG MULTI SPECIALTY HOSPITAL CAPACITY 222 BEDS PRIVATE REGISTERED CHARITABLE SOCIETY SERVICE

LINE OF ACTIVITY SECTOR CONSTITUTION INDUSTRY

Establish activity duration

As per U.P. Government new directions regarding permissible FAR is 2.5 for Hospitals of 100 beds and above. In such cases, the ground coverage allowed is 30 % of the plot area. Two basements are also allowed which are not included in the total FAR. In 1 phase, the VSS proposes to construct only following areas. SN Block Floor Area in Total area in sq.ft sq.ft
st

Hospital block Tower-1

Basements Lower ground floor Upper ground floor First floor Second floor Third floor

6183 7,500

8949 6301 6301 5355

Fourth floor

4903

Total constructed area in 1st phase

45863

This will accommodate approx. 120 beds to start with and the administrative block / services. Top floor is to be temporarily used as nursing hostel. This will accommodate another 120 beds

Determine resource requirements Departments/ Facilities

Following disciplines / facilities should be accommodated in the OPD 1. Medicine: a. General Medicine b. Chest & TB c. Endocrinology 2. Surgery: a. General Surgery b. Laparoscopic Surgery 3. Obstetric & Gynecology 4. Orthopedics 5. Pediatrics 6. ENT 7. Dermatology 8. Urology 9. Dental 10. Gastroenterology 11. Homeopathy 12. Blood Collection Room Note: - Some special clinics - such as Diabetic Clinic, Blood Pressure Clinic, Thyroid Clinic, Well baby clinic will be run in same rooms at designated time and day.

Support Services
Following Support Services shall be provided: -

1. Operation Theatre Block with 2 ORs 2. Emergency Block with 5 beds and one Minor OT 3. Blood Bank 4. Radiology (Conventional X-Ray & Mobile X-ray, CT will be planned later on 5. Ultrasound 6. Pathology Lab 7. Physiotherapy (Both OT & PT). 8. CSSD (Central Sterile & Supply Department) 9. Central Medical Gases 10. Pharmacy Shop Bulk store 11. General Stores 12. Kitchen / Canteen 13. Mortuary 14. Biomedical Waste Management 15. Generators This will comprise of hospital kitchen for preparation and distribution of general, special and therapeutic diets to the patients and commercial catering for ambulatory patients, their relatives and staff, sterile supply services (C.S.S.D.) for recycling and replenishment of re-usable sterile supplies to various areas of patient care; medical records services for management of hospital informatics including filing and retrieval of outpatient records and statistical evaluation of hospital performance; medical and general store for inventory management of hospital supplies and their distribution to the areas of patient care. Analyse project network diagram The hospital will have the following three major services: a. EMERGENCY SERVICES b. OUTPATIENT SERVICES c. INPATIENT SERVICES a In the EMERGENCY SERVICES (EMR), which will be operating round the clock, there will be qualified medical and paramedical staff to attend to any emergency, including trauma cases, which is increasing in the region everyday. There will be well equipped emergency operation theatre, with the facilities for general / special surgical procedures. Round the clock X-ray and Laboratory services are attached to the emergency services. b In the OUTPATIENT SERVICES (OPD), specialist consultation facility will be available through out the week or on specified days both in the morning and evening. The patient services will be ably supported by diagnostic services and laboratory services.

c In the INPATIENT SERVICES (IPD), facilities will be made available for all Surgical and Medical cases, except in the case of infectious / communicable diseases. The super specialty cases like Cardio-Thoracic Surgery, Micro Neuro-Surgery, Renal Transplant Surgery, etc. will be referred to big hospitals in the city / region. Special equipment will be made available for Pediatric and Neonatology inpatients and also for ICU/CCU.

Project activities
RADIOLOGY DEPARTMENT X-Ray imaging plays an important role among various imaging modalities. We propose to have a well equipped X-ray Department to cater to the needs of Grammatology and other hospital departments. There will be a high powered X-ray system with an image intensifier TV facility to do all the special investigations. This will help to reduce the patient radiation dosage while screening and also carryout various procedures. There will be another Portable X-ray Machine to take care of needs of the critically ill patients in ICU/ICU/OT etc. A mobile C-arm image intensifier is also planned for this department. SONOGRAPHY Ultrasound has become a powerful non-invasive diagnostic modality today. We propose to use a multipurpose ultrasound machine for all medical / surgical and Obs./Gina work of the hospital. LABORATORY SERVICES Clinical laboratory plays an important role in the diagnosis, prognosis and treatment of diseases. At our hospital, laboratory services will function under the head a Pathologist. Biochemistry department will have the latest multi-channel auto-analyzer and electrolyte analyzer. In the

hematology department there will be electronic cell counters, blood coagulometers etc. Pathology and Microbiology will be equipped as per the modern needs of hospitals.

The Engineering Services

Engineering services of the hospital will comprise of a sub-station for maintenance of electric supply to the hospital; public health services for water supply, sanitation and fire protection and fire fighting systems, space heating, ventilation and air-conditioning for environmental management of essential areas in the hospital including intensive care, critical and operative care areas, selected intermediate care areas and laboratories. Solar heater with water boiler for hot water supply during winters along with Rain Water harvesting system will be part of the project. Sewage Treatment is to be done before flushing it to municipal system Diesel Generators and Invertors / UPS will be provided to supply uninterrupted power to all areas especially to critical floor.

Administrative Services
This will consist of accommodation for the Chief Executive, Medical & Nursing administrators; Personnel, financial & materials management, computerized hospital information and ancillary accommodation for transport, security, fire, housekeeping and building maintenance staff.

Launch the plan

Recruit and organize team for project We recruit to both the public and private sectors. We recruit into permanent and fixed-term positions for Nurses, Radiographers, Cardiac Physiologists, Technicians, Physiotherapists, Biomedical Scientists and most other Allied Health Professionals. After many years' of personal experience working in health systems in the Pakistan, we set up Care Hospital Ltd in order to help others negotiate the regulations and complexities of working here. Our well-connected service is designed to smooth the way by identifying the best opportunities for each individual and removing as much organizational hassle as possible to make the transition to the CARE HOSPITAL an exciting and rewarding one. The CARE HOPITAL Advantage

We concentrate only on healthcare recruitment. Our attention is undivided.

We have our own agents/offices in all countries we recruit from, in order to provide a personal one-to-one service at all times. We only deal with Fixed-Term or Permanent positions. We promote a team approach and believe in working closely and co-operatively with our clients and all healthcare organizations.
Key Benefits

Automate the screening, background questions and referencing of potential candidates Develop detailed opportunity presentations to relay to candidates during the first conversation, allowing the candidate to process all of the vital information, while determining interest

Monitor relationships with existing practices and physicians easily, via the business development and physician relations tool

Standardize the entire physician recruitment process across the whole healthcare organization to ensure each opportunity is filled with maximum efficiency

Track specifically where your candidates are being sourced from and determine which sources to keep using and which ones are not producing adequate returns.

Establish operating rules Ambulance Central Air-conditioning Plant Central Oxygen / Vacuum, N2O Piping Sterilizers / Autoclaves Electrical Transformer, Generator & Electrical Fittings Electronic Telephone Exchange fire fighting Equipment Lifts Kitchen, Mortuary equipment

Level project resources X-ray Machines (Conventional & Mobile) & Dark Room Accessories Mobile Image Intensifier (C-Arm Machine) ECG Machines, Defibrillators, Nebulizers etc. Ultrasound Machine Patient Monitoring Equipment Ventilators

Infusion Pumps/Syringe Pumps Blood Chemistry Auto Analyzer Electronic Cell Counter (Hematology Counters) Electrolyte Analyzer Miscellaneous Lab Equipment Theatre Equipment for 2 Theatres (OT Lights, Tables etc.) Anesthesia Machines Operation Microscope Video Endoscopes Hospital Beds & Furniture Physiotherapy Equipment Nursery Equipments (Phototherapy, Radiant warmers etc) Dental Chair, Dental X-ray along with other accessories. ENT Work Station, and Audiometers Physiotherapy Equipments (Ultrasound Therapy, Short wave therapy, TENS, ICT, etc Surgical Instruments & Other Miscellaneous Items.

Office equipment including Computers

Case goods Desks Furniture Computer Nurses stations Tables Seating Stationery

Document work packages Care Mutispecialist Hospitals may have acute services such as an emergency department or specialist trauma centre, burn unit, surgery, or urgent care. These may then be backed up by more specialist units such as cardiology or coronary care unit, intensive care unit, neurology, cancer center, and obstetrics and gynecology.

Architect: NABEEL KAZIM Location: F.B AREAWATER PUMP BL-16 KARACHI. Contractor: PARAGON Construction Company Clinical Planning: NABEEL KAZIM Architecture and Design Landscape Architect: MEHREEN , Inc.

Civil Engineer: S.M FAROUQ, Inc. Structural Engineer: Mohmamd kamran, Inc. Mechanical/Electrical Engineer: PARAGON, Inc. Cost Estimating: Pre-Construction Services, Inc. Laboratory Consultant: Research Facilities Design, Inc. Furniture: TALIWALLA, Inc. Project Area: 110,000 sq ft Project Year: 2013 Photography: MANJIS, Inc.

Monitor /Control project progress

For accountability and control we established supply chain system by Sidat Hayder. And secondly deployed six sigma excellence model.
Establish progress reporting system.

Control tools We first created an interdisciplinary team of clinicians and hospital administrators including experts in system improvement/process improvement to examine the problems of bed availability and patient flow from admission to discharge. We then developed and implemented a new software application to improve coordination and facilitate communication between disciplines, and to establish an efficient bed management process. We piloted the software among the five inpatient medical teams that cover approximately 50% of all patients admitted to the hospital. We finally tested the effectiveness of the software by comparing the number of cancelled surgical procedures during the pre-intervention control group (winter season) before implementation of the software) to the number of cancelled surgical procedures during the postintervention experimental group . We also compared emergency department (ED) LOS and total number of inpatient admissions between the same two periods.

BUILDING PROGRAM
The building programmed of Care Multispecialty Hospital will comprise a modern and aesthetically planned synthesis of functions and services described above. The building program will offer a balanced combination of low and medium rise building character having a simple internal circulation with various functional zones meeting around the central core. It will also offer optimum relationship between and within the departments for economy of physical stress to the patients and hospital staff. The mass of the hospital building will be broken down into smaller modules of human scale to relate it to the regional character. Special emphasis will be given to create a congenital internal environment by providing ample natural lighting and ventilation, aesthetic interior, symbolic signage and landscaped internal courtyards. The external development will include a hierarchical road network with ample parking facilities and a separate access to main hospital, emergency and services. The hospital will have a total built-up area of 1.40 Lac Sq. Ft. in a 1.25 acres plot with a floor area ratio of 2.5 and ground coverage of 30%. This area utilization will meet the requirements of the local by-laws and also provide ample space for future expansion.

SWOT ANALYSIS
STRENGTH
Availability of the hospital infrastructure. Outstanding customer service. Service oriented staff. Quirt place to work. Knowledgeable staff. Availability of job description for all levels Loyal customers/ reputation as faith based organization. Loyal employees/long term

WEAKNESS
High level of current jobs stress among employees. Position in the organizational chart is not good. Lack of resources. High conflict rate. Due to low salary joining other hospital. Exchanging of reports by other patients.

OPPORTUNITIES
Location of hospital serves large population, more available connection. Easy of the public transportation to the hospital. The internet has all the information free. Provide self service. Opportunity to create training program and courses.

THREATS
New competitors. Economic effects. Government policies. A competitor has an innovative product and services. Lack of technology advancement and updated services.

COST OF SOME MEDICAL EQUIPMENT

SN 1A Location OPD 10 7 1 Medical Equipment B.P. Instrument Qty. 10 150 500 350 Approx. Unit Cost Rs. 500 1500 5000 350 Total Cost Rs. 5000

Stethoscope Weighing Machine, Adult Weighing Machine,

Child X-Ray View Box, 8 Single ENT Work Station, 1 Complete, Servo Scientific Audiometer 1 Tympanometer Foetal Doppler, BPL 1 9613 Dental Chair 1 Ultrasonic Scaler 1 1 Light Cure Unit Dental Instruments 1 set Dental X-Ray 1 1B Endoscopy Room Lower GI Video 1 Endoscope, Fuzinon 1C Neurology

1200 2,25,000

9,600 2,25,000

3,00,000 1 12,000 2,50,000 Included Included Included Included 1

3,00,000 Included above 12,000 2,50,000 0 0 0 0 Included 0 below 40,00,000 3,00,000 3,00,000

Upper GI Video Endoscopes

40,00,000 EEG Machine 1 + Sleep Analysis RMS 3,00,000 ECG 1 Machine, BPL 108 1,20,000 3,500 50,000 1,75,000 40,000 47,000 8,000 Operation Table 1 20,000 1,00,000 60,000

EMG Machine / 1 BERA RMS 2 Emergency

3,00,000 24,000 24,000

Defibrillator, BPL 1 2509 Nebuliser, BPL 1 Pulmomist Syringe Pump, BPL - 1 Baxter Patient Monitor, 2 Multipara, BPL Ultima Crash Cart 1 Pulse Oximeter, Hand 1 held, BPL CLEO Suction Electric, 1 Supreme 3 Minor OT Operation Light Anaesthesia Machine, Basic, 1 1

1,20,000 3,500 50,000 3,50,000 40,000 47,000 8,000 60,000 20,000 1,00,000

Medisys Indian Suction, Electric, 1 Supreme Surgical Instruments 1 set 4 Wards, Patients Accommodati on ECG Machine, BPL 1 6108 5 ICU/ICCU Defibrillator, BPL 1 2509 Syringe Pump, BPL2 Baxter Monitors, Multipara, 5 BPL Ultima Ventilator, Drager 1 Sabina Ventilator for 1 Transport, Medisys, Nebuliser, BPL 1 Pulmomist ECG Machine, BPL 1 8408 Suction Electric, 1 Supreme 6 Nursery (NICU) Syringe Pump, BPL Baxter Phototherapy Unit, Overhead, BPL Medicaid Phototherapy Unit, Under Couch, BPL Medicaid Radiant Warmer, BPL Medicaid Weighing Scale, Electric Neonatal Resuscitator (Open Care System), BPL Medicaid CPAP (Ventilator), 2 2

8,000 1,00,000 2

8,000 1,00,000 7,000

Nebulisers, BPL Pulmomist

3,500

32,000 Crash Cart 1 1,20,000 50,000 1,75,000 7,00,000 1,50,000 3,500 95,000 8,000 Monitors, Multipara, BPL Ultima 2 40,000

32000 40,000 1,20,000 1,00,000 7,75,000 7,00,000 1,50,000 3,500 95,000 8,000 1,75,000 3,50,000

50,000 20,000

1,00,000 40,000

25,000

50,000

2 1 1

40,000 20,000 86,000

80,000 20,000 86.000

60,000

65,000

BPL Nidek Ventilator, Neonatal, 1 Dragger Babylon 7 Operation Theatres Operation Table with Ortho Attachments, electric Delivery Table Operation Light Surgical Cautery (ESU), Jahangir Video Laparoscope, Maxer Anesthesia Machine with Ventilator, Medics India Anesthesia Machine Basic, Medics Operation Microscope, Towa Surgical Instruments Cardiotocograph (CTG) Foetal Doppler, BPL 9613 Suction Electric, Supreme Cyst scopes & Resectoscope, Maxer URS, Eagle 1

11,00,000 Operation Table, General 1 1

11,00,000 75,000

1,30,000

1,30,000

1 2 2 1 1

35,000 70,000 70,000 18,00,000 3,00,000

35,000 1,40,000 1,40,000 18,00,000 3,00,000

1 1 2 sets 1 1 1 1 1

1,00,000 5,50,000 2,00,000 1,50,000 12,000 8,000 4,25,000 2,25,000

1,00,000 5,50,000 4,00,000 1,50,000 12,000 8,000 4,25,000 2,25,000

CLOSING OUT THE PROJECT

This form can be used to record the client's sign-off and officially bring the project to a close. Use this form when the project outcome has been measured against its acceptance criteria and has been formally accepted on behalf of the client. It offers a place to record:

additional comments about the project key metrics achieved during the project (success criteria) key metrics to be tracked on an ongoing basis (to judge the long-term effectiveness of the project) and a place to reference or record very high level lessons learned.

What will I get out of this? Using this form will officially bring your project to a close and give you an opportunity to discuss key aspects of the project with your sponsor. In the end it will give you a mutually agreed upon outcome.

COMPLETE PROJECT DOCUMENTATION

All the documentation are designed with the help of all departmental heads and upper management and must follow the supply chain system.

PROJECT CLOSING REPORT

Todays date Project start date 1-5-2012 15-5-2012

Project end date Project manager

31-12-2013 Ali nasir khan

Project name Project sponsor

Care hospital -

The principles of the Action Plan are: Patient Safety and the quality of care are paramount. The use of the knowledge and skills of the multi-disciplinary/multi-professional team will be optimised Develop the Clinicians of the future Maximise educational opportunities for all staff members Use an evidence based model for this transformational change Maximise productivity and provide cost effective solutions

The Action Plan Outcomes will be: Quality and safety of patient care demonstrably consistent over a 24 hour period Quality of clinical education meets all performance standards Reduction in junior doctors working hours to achieve this Role design linked to outcomes/delivery of other projects Design programmes, train and implement new multidisciplinary roles Demonstrable increase in productivity and cost effective solutions Continued staff satisfaction, staff retention.

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