Master's degree in hospital management (mhm) detailed course structure and examination schedule




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Syllabus for


Master in Hospital Management (M.H.M.) course


under


West Bengal University of Health Sciences

(WBUHS)


MASTER'S DEGREE IN HOSPITAL MANAGEMENT (MHM) DETAILED COURSE STRUCTURE AND EXAMINATION SCHEDULE


SEMESTER I (6 subjects + Computer & IT for Hospitals)









scheme of instruction

scheme of examination

Code

Subject

Lectures/ week

Practical

Duration in hours

Internal marks

External marks

Total

101

Hospital organization and management theory

4




3

20

80

100

102

Hospital Financial Management

4




3

20

80

100

103

Hospital Accounting System

4




3

20

80

100

104

Bio Statistics

4




3

20

80

100

105

Legal & Medical Issues in Hospital

4




3

20

80

100

106

Human Resource Management(HRM)

4




3

20

80

100

107

Computer & IT for Hospitals

1

1




Grades

-

Grades




TOTAL

25

1




120

480

600



SEMESTER II (6 Subjects + K.Y.H. + Internship - 1)









scheme of instruction

scheme of examination

Code

Subject

Lectures/ week

Practical

Duration in hours

Internal marks

External marks

Total

201

Health economics

4




3

20

80

100

202

Principles of Marketing

4




3

20

80

100

203

Operations Research and Research Methodology in Hospitals

4




3

20

80

100

204

Strategic Management in Healthcare

4




3

20

80

100

205

Inventory Control and Purchase Management(ICPM) in Healthcare

4




3

20

80

100

206

Management of Hospital Services

4




3

20

80

100

207

Know your Hospital













Grading

System







TOTAL

24







120

480

600



**Everyday in the afternoon the student is expected to spend two hours a day and a total of 120 to 160 hours in hospital during semester.


SEMESTER III (6 Subjects + Commencement of Dissertation)









scheme of instruction

scheme of examination

Code

Subject

Lectures/ week

practical

Duration in hours

Internal marks

External marks

Total

301

Patient Care Management

4




3

20

80

100

302

Total Quality Management

4




3

20

80

100

303

Management of Healthcare Services

4




3

20

80

100

304

Hospital Planning

4




3

20

80

100

305

Biomedical Instrumentation

4




3

20

80

100

306

Hospital Information Systems

4




3

20

80

100




TOTAL

24







120

480

600




  • Commencement of Dissertation


Total time frame for dissertation should not be more than eight (8) weeks.


SEMESTER IV (6 subjects + Dissertation + Internship)








scheme of instruction

scheme of examination

Code

Subject

Lectures/ week

practical

Duration in hours

Internal marks

External marks

Total

401


Biomedical Waste Management and Hazards in Hospital


4





3


20


80


100

402


Entrepreneurship and Consultancy Management



4






3


20


80


100

403

Health Insurance and Medical Tourism


4













100

404


Special Paper


4





3


20


80


100

405

Dissertation
















50

406

Internship







2 Months







100

407

GRAND VIVA
















50




TOTAL

16







60

240

600



*Student will commence dissertation work from the beginning of the 3rd semester and will appear for viva voce at the end of the 4th semester.


**Student will be posted for a period of Three months in a hospital for the completion of internship. During this period, his or her performance will be evaluated by the host administrator in a standard format under well defined parameters.


SPECIAL PAPERS


  1. Marketing of Hospital Services

  2. Medical Records Management

  3. Hospitality Management

  4. Drug Management

  5. Healthcare Quality Management

  6. Nutrition and Dietetics


** For any special paper there should be minimum 25 % students of the total strength.


SEMESTER - I


SEMESTER-I


101: Hospital Organization & Management Theory


Objective: This subject focuses on acquainting the student with the principles and practices essential for managing a hospital organization. With an objective of imbibing a professional approach amongst students towards hospital management, the subject encompasses management principles, functions and processes, discussing their significance and role in effective and efficient management of health care organizations.


Contents:


Unit I


Unique features of hospital management:


Growing significance of management in organizations, characteristics of a modern hospital, hospital as an organization, resource management.

Evolution of management thought:

Frederic W.Taylor's scientific management, Henry Fayol's principles of management, concept of bureaucracy, human relations approach, Behavioral approach, systems theory of organization, information processing view of organization, contingency theory of organization, management by objectives (MBO).


Unit II


Management functions:

Management process and functions, nature of management process and managerial functions - planning, organizing, staffing, directing, coordinating and controlling.

Application of managerial functions to health care organizations.


Unit III


Organization concepts and processes:

Nature and structure of organization, types of organizations-functional, divisional, departmental and matrix forms, Formal and informal organizations, Line and staff relationships. Setting priorities for planning and decision-making, guidelines for improved decision-making, modern approach to decision making. Significance of leadership, traits of leaders, functions of leadership.


Unit IV


Behavioral concepts and theories:

Cognitive process, perception process and it’s stages, creativity and problem solving. Motivation process, different types of motives, selected theories of motivation- Mc Gregor's theory X and theory Y, Maslow’s theory, Herzberg's two-factor theory of motivation, Vroom’ Expectancy theory. Motivating medical and paramedical professionals. Leadership, conflict management, team building, concepts of organization Behavior, Major components of OB – personality development, transactional analysis.


Unit V


Social responsibilities of management:


Management and society, culture and management, management ethics, social objectives and responsibilities of management, corporate social responsibility- hospitals and social responsibility


References:

Syed Amin Tabish, Hospital and Health services administration ~ principles and practice, oxford university press, New Delhi, 2001.

Graw Hill, New Delhi, 1998

James A.F.Stoner, R.Edward Freeman and Denier R. Gilbert Jr., Management, Prentice Hall India, New Delhi, 1997.

Kountz Harold, Heinz Weihrich, Management - A global perspective, 19th edition, Mc Graw Hill International, New Delhi, 2005.

Srinivasan A.V. Japanese management - The Indian context, Tata Me Oraw Hill, New Delhi, 2000.

Koontz Harold, Heinz Weihrich, Essentials of management, Mc Oraw Hill Intenational, New Delhi, 2004.

L.M.Prasad, Principles and practice of Management, 6th edition, Sultan Chand Pilblisher, New Delhi, 2001.


------------------------------------------------------------------------------------------------------------


102: Hospital Financial Management


Objective:


The objective of this subject is to expose the students to decision making by corporate board in the areas of finance function. It will equip the student with concepts, technical and analytical tools for optimal management of financial resources of a business enterprise.


Contents:


Unit I


Financial Management – an overview, Nature, scope, functions, goals, sources of finance-an overview


Unit II


Fundamentals of valuation concepts.


  • Time value of money

  • Risk & Return-trade off


Unit III


Working Capital Management including


  • Cash Management

  • Receivables Management

  • Inventory Management

.


Unit IV


Investment decisions


  • Capital Budgeting- NPV, IRR, PI, ARR.

  • Cost of Capital-overall vs. specific cost of capital

  • Risk Analysis –nature of risk, conventional techniques of risk analysis



Unit V


Dividend decisions-dividend theory, dividend policy


Unit VI


Long term financing- issue of shares, debentures, other modes of financing.


References:

Khan and Jain, Financial management, fourth edition, Tata Mc Graw Hill, New Delhi, 2004.

Pandey I.M., cases in Financial management, Tata Mc Graw Hill, second edition, New Delhi, 2003. .

William N. Zelman, Michael J. McCue, Alan R. Millikan, Alan R. Milikan, Financial Management of Health Care Organizations: An Introduction to Fundamental Tools, Concepts, and Applications, Blackwell Publishers; January 1998.

Bruce R. M.W. John, Fundamentals of financial management, Prentice Hall India

New Delhi, 1995

James C. V. and M.W. John, Fundamentals of financial management, Prentice Hall India.


---------------------------------------------------------------------------------------------------


103: Hospital Accounting System


Objective


To provide an understanding of the basic principles and processes involved in the accounting system of a hospital. The course will help and develop skills in analyzing accounting statements for decision-making in a hospital setting and practice the preparation of final accounts.

.

Contents:


Unit-I


Financial Accounting

  • Nature & scope

  • Accounting principles

  • Journal, Ledger & Trial Balance

  • Preparation of Final Accounts & Balance Sheet

  • Receipts & Payments Account

  • Income & Expenditure Account


Unit – II


Cost Accounting

  • Nature & scope

  • Cost classification & their concepts

  • Cost control & Cost reduction


UNIT – III


Management Accounting

  • Nature & scope

  • Cost-Volume-Profit (CVP) Analysis

  • Cash Flow Analysis

  • Fund Flow Analysis

  • Ratio Analysis

  • Budgeting & Budgetary control



References


Maheswari, S.N., An Introduction to accounting, Vikas Publications, New Delhi, 1994, Horngren, C.T., Gary L. Sundem, Introduction to Management Accounting, Prentice Hall India, New Delhi, 1986.

Grewal, T.S., Introduction to Accountancy , S.Chand & S. Chand & Sons, New Delhi 1994.

Jain, S.P., K.L. Narang, Advanced Accountancy, Kalyani Publishers, Ludhiana, 1995. Boynton C.D.,Robert M.S., Paul.A.C.,Hamden C. Forkner, Accounting, South Western Publishing Co., Cinnicinnati 1972.

Rickettsdon, Jackgrey, Managerial Accounting, Houghton Mifflin Company, Boston, 1991.

------------------------------------------------------------------------------------------------------------


104: Biostatistics


Objective


This subject intends to familiarize the student with basic statistical tools and techniques and the use of inferential statistics in analyzing quantitative data in the Hospital System.


Content


Unit-I


Statistical Measures and Presentation of Data - Basic concepts of statistics – utility and limitations of Statistics

Measures of central tendency-Arithmetic Mean, Weighted Arithmetic Mean, Median, Mode, Quartiles; Measures of Variation, Standard Deviation, Coefficient of Variation, Presentation of data-Bar Diagram, Histogram, Frequency Polygon, Frequency Distribution Curves, Ogives.


Unit – II


Probability

Concepts and definitions of probability, Additive and Multiplicative laws, Conditional probability.

Probability distributions: Discrete – Binomial and Poisson; Continuous-Normal, Applications to hospital environment.


Unit – III


Simple Correlation and Simple Regression.

Time Series – components, fitting a trend line by least squares method.


Unit – IV


Testing of Hypothesis: Null and alternative hypotheses, Chi-Square and t-tests.

Analysis of Variance: One-way and two-way classification


References:

Gupta S.P., Stastical methods, Sultan Chand, New Delhi, 1993.

Levin, R.I. and Rubin. D.S., Statistics for management, Prentice Hall, New Delhi, 1988.

Sunder Rao, P.N.S. and Richard, J., An introduction to biostatistics: A manual for students in health sciences, Prentice Hall, New Delhi, 1996.

Milton S.J., Statistical methods in the biological and health sciences, McGrew Hill, Singapore, 1992.

Hill B.A., Medical statistics, Hodder & Stoughton, London, 1984.

John T. Mentzer, Sales Forecasting Management, Response Books, New Delhi, 1998.

Periodicals:

Health Information of India, Government of India;

Hospital Information Review.

------------------------------------------------------------------------------------------------------------


105: Legal and Medical Issues in Hospitals


Objective:


To acquaint the students with various legal aspects concerning type and character of the health care organizations and its duties towards patients and its employees. To familiarize the students in matters of liability of hospital medical negligence and medical malpractice in diagnosis, administration of drugs, surgery etc.


Contents:


Unit I


Law and establishment of hospitals-private / public hospitals, legal requirements under medical council Acts. West Bengal Clinical establishment Act and rules (as amended till date)


Unit II


Basic concepts of labour laws in India. Hospitals as an 'industry' - application of labour enactments - discipline in hospitals-' disciplinary action - a study of valid requirements of domestic enquiry. Trade union act


Unit III


Essentials of contract Act. Contractual obligations in hospital services - requisites of a valid contract - hospital as ' bailer' - sale and purchase of" goods- duties towards patients - code of ethics - violation legal consequences.


Unit IV


Legal aspects relating to organ transplantation, MTP Act, 1971, Basics of Drugs and Cosmetic Acts, anesthesia. ESI Act, PNDT Act, Human experimentation, clinical trials, industrial dispute act


Unit V


Legal liability of hospitals - criminal, civil and tortuous; liability for negligence, consumer protection law, absolute liability and vicarious liability, legal remedies available to patients: remedies under contract law, tort, criminal law and consumer protection' Act. Medical Jurisprudence.


Unit VI


Medical ethics – basic issues, importance, process of developing and implementing ethics and values in an institution – codes of conduct: Hippocrates oath and declaration of Geneva – MCI regulation – professional conduct, etiquette and ethics


References:


Anoop Kaushal K, Medical negligence and legal remedies, 3rd edition, universal law Pllblishcr.5. New Delhi, 2004.

Avtar singh, company law, 13th edition, Taxmann publishers, Lucknow, 2001.

Consumer Protection Act 1986

Francis D., Government and Business, Himalaya publishing House, 1988

Gupta D and Gupta, S. Government and business, Vikas Publishing House, 1987 Varma, D.P.S, Monopolies. Trade Regulations and Consumer Protection, T-ata McGraw Hill, New Delhi, 1985.

R.K. Chaube, consumer protection and the Medical profession, Jaypee Publishing, New Delhi, 2000.

Steven, D. Edwards, Nursing Ethics, A principle Based Approach, Macmillan Press Ltd., London, 1996.

Indian Penal code, Indian Evidence Act, Criminal Procedure code

Industrial Disputes Act, Indian Companies Act

Indian Medical council act.

Goswami, Labor law.

Commercial Laws – N.D.Kapoor.

----------------------------------------------------------------------------------------------------


106: Human Resource Management (HRM)


Objective:


In today's competitive world, organizations can only thrive on human resources as their cutting edge. Good people management helps the organizations to leverage their strengths and attain a sustainable growth. Any HR intervention taken up, as such should be in line with the long term and short term goals and strategies of the organization.

This subject acquaints the students with major functions of HRM aligned with the business strategy, as HR is the function that can link people and strategy to achieve organizational performance


Contents:


Unit I


Introduction to HRM

Managing human resources - the cutting edge of HRD, weaving HRM in the fabric of business strategy, organizational- business strategy and HRM -linkages between HR planning and strategy, management policy and strategy, strategic HR, qualities and competency requirements of HRD managers.


Unit II


Designing Human Resources,

HR planning - understanding the business context, definition of future requirements, establishing future commitments. Human Resource Information Systems


Unit III


Human Resource Development (HRD)

Performance appraisal- the purpose and importance, essentials of a good performance appraisal system, the benefits of a successful appraisal system. Appraisal process and methods, performance management cycle.: Evaluating HR interventions, HRD instruments and interventions,potential appraisal,People development,Training for activity Vs training for impact, a diagnostic model of the training process.


Unit IV:


Disputes & grievance handling

Framework for employer-employee relations ,grievance procedure, principles and guidelines for grievance handling-impact of trade unions on industrial relations.

Causes of industrial disputes, remedial measures –collective bargaining-industrial disputes and settlement machinery.


Unit V


Productivity and work measurement

Introduction work standards, techniques of work measurement, time and motion study, standard time, PMT, work sampling, calibration of hospital equipments.

Productivity measures value addition capacity utilization, productivity - capital, operations, HR-incentives calculation, applications in hospital.


References:


S.Sadri, SJayashree, M.Ajgaonkar, Geometry of HR, Himalaya Publishing house, Mumbai,

Anthony P.William Strategic Human Resource Management, Dryden publishers, 1993

Robbins, P.Stephen, David A.Decemzo, Personnel/Human Resource Management, Prentice hall, New Delhi, 1996.

Subba Rao, P., Essentials or lluman Resource Management and Industrial Relations, Himalaya Publishing House, 1997.

Dessler Gary, Human Resource Management, Prentice Hall, New Delhi, 2000.

Debi S.Saini, Human Resources Management perspectives for the New era, Response books, New Delhi, 2000.

Bohlander, shell, Sherman, managing Human resources, Thomson -south western publishing

Syed Amin Tabish, Hospital and Health Services administration- principles and practice, Oxford University press, New Delhi, 2001


------------------------------------------------------------------------------------------------------------


107: Computer and IT for Hospitals


Objective:


Familiarize the student with: PC environment, software and hardware, advanced SW packages of corporate utility, IT use for presentation with focus to activities related to hospital management.


Contents:


Unit I


Introduction to computers

Definition, characters, hardware, software, generations of computers, Operating system.


Unit II


Networks and database

Importance of network, types of network, network software and hardware, database languages, Backup features, data recovery security features.


Practices

Windows and MS Office

MS Word: Templates and Wizards, formatting text, , editing, tables and graphics, spell check, printing, macro commands


MS Excel: Data entry, formatting, data handling, functions, formula, goal seek, scenario solver, filter, graphs, charts and mapping, statistical applications;

MS PowerPoint: Converting Word into PP, formatting, templates, slide show, animation, art and sound, file management, handout printing.

MS Access: Data in tables, using forms, queries, reports.


References:


Gordon B. Davis and M. H. Ols'on, Management Information System, McGraw Hill Publishing Company, New Delhi, 1998.

William S.Davis, Systems Analysis and Design-A Structured Approach, Addison Wesley Publishing Company, New Delhi, 1998.

Elias M. Awad, System Analysis and Design, Galgotia Publications, New Delhi, 1998. V. Rajaraman, Fundamentals of Computers Prentice Hall India, New Delhi 1996. Lonnie


-----------------------------------------------------------------------------------------------------------


SEMESTER - II


SEMESTER-II


201: Health Economics


Objective:


The primary aim of this subject is to provide a clear, concise introduction to micro economic concepts, health economics as applied to hospital and health care sector.


Contents:
  1   2   3   4   5   6

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