rameshwar patidar

7/31/2019 rameshwar patidar

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PROJECT REPORTON

TIME AND MOTION STUDY

ORGANIGATION NAME: GOMA BAINETRALAYA

(EYE HOSPITAL)

COURSE NAME : M.B.A. (H.A.)2011-2013

UNIVERSITY NAME : NIMS

UNIVERSITY,

JAIPUR (Raj)

SUBMITTED TO: SUBMITTED BY:Mr. M.L. TRIVEDI RAMESHWAR

HOSPITAL SUPDNT. PATIDAR

GOMA BAI NETRALAYA

NEEMUCH (M.P.)


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INDEX TITLE OF PROJECT. ACKNOWLEDGMENT.

CERTIFICATE.

HOSPITAL PROFILE.

HISTORY OF GBN.

LOCATION OF GBN.

STATISTICAL DATA OF GBN. FOUNDER OF GBN.

MILESTONES OF GBN. DEPARTMENT OF GBN.

FACILITIES OF GBN.

OBJECTIVE OF STUDY.

SCOPE AND RATIONALE OF THE

STUDY.

INTRODUCTION OF THE TOPIC.

SAMPLING / OBSERVATION. FINDINGS.

SUGGESTION.

CONCLUSIONS.

BIBLIOGRAPHY.

ACKNOWLEDGMENTIt is my pleasure to be indebted to various people, who directly or indirectly

contributed in the development of this work and who influenced my

thinking, behavior and acts during the course of study.


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I am thankful to Mr. Sandesh Sharma for his support,

cooperation, and motivation provided to me during the training for constant

inspiration, presence and blessings.

I would also thanks to Mr. M.L. Trivedi (HospitalSupdnt.) for allowing me this summer tranning in this hospital.

I also extend my sincere appreciation to Mr. vinod

vyas(Hospital Manager) and hospital staff, who Provided his valuable

suggestion and precious time accomplishing my project report.

Lastly, I would like to thank the almighty god and

my parents for their moral support and my friends with whom I had shared

my day to day experience and received lot of suggestions that improved my

quality of work.

CERTIFICATE

Date:

This is to certify that Mr. Rameshwar Patidar of M.B.A.(H.A.)Final Yearhas successfully completed Summer Training Programme for a period of 45

days with GOMA BAI NETRALAYA (EYE HOSPITAL). As per our

measurements and reporting structure he is hard working and has been

excellent during the training programme.

We wish him all the success for his future.


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Signature

Designation

DECLARATION

I Student of MBA (Hospital

Administration), National Institute of

Management and Science NIMS University,

Jaipur Raj, hereby declare that this project

work has been completed by me as a part ofmy summer training. This report has not been

submitted anywhere else to the best of my

knowledge.


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DATE: RAMESHWAR

PATIDAR

ABOUT GOMA BAI NETRALAYA

(EYE HOSPITAL) Gomabai Netralaya was set up in1992, under the leadership of Mr. G.D.Agrawal at Nimach in Madhya

Pradesh. It is named after shri G. D. Agarwals mother. It has now become one of the leadingophthalmic centres in (North and Central) India. Patients are provided state-of-art services

at affordable rates. Annually the Netralaya performs nearly 10,000 surgeries and has an

OPD of over 100,000 patient. Since the major thrust of the institution is on community

ophthalmology, 55% of surgeries are done on a totally free of patient basis.Nimach is located on the border of M. P. with Rajasthan & Gujarat states. Therefore,

tribal and rural poor from these states constitute 70% of Gomabai Netralayas patientsThe Netralaya is playing vital role in community ophthalmology by conducting

comprehensive screening camp in far flung places in Nimach, Mandsaur and Ratlam

districts of M. P. and Chittorgarh, Pratapgarh, Bhilwara, Kota and Bundi districts ofRajasthan. It has tied up with National and International organization like Helpage India,

International Eye Foundation of USA, Sightsavers International (U.K.) and also with the

District Blindness Control Societies (DBCS) of above district in M.P. and Rajasthan to

carry out these screening camps.Gomabai Netralaya has played a key role in Nimach becoming the eye donation capital of

India. Nimach has the distinction of having the highest per capita rate of eye donation inthe Nation, excellent facilities provided by the institute for performing PenetratingKeratoplasty, (PK) have gone a long way in reducing Corneal Blindness in the region.(As

of September 2011, over Corneal Transplant have been successfully carried out in patient

regarding in the age from 18 month to 90 years.)The National Board, New Delhi, has authorized Gomabai

Netralaya to enroll Doctors to impart training towards DNB (Ophthalmology) course and


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Foundation of Ophthalmic and Optometry Research Education Centre, New Delhi(FOOREC) has authorized to conduct Optometry Courses as well.

Gomabai Netralaya is also involved in a continuous process of educating staff and

conducting innovative research into the cause and cure of blinding eye diseases. A paperon Viral retinitis-role of Intravitreal Ganciclovier + Intravitreal Steroids by Dr. Sumi

Gupta has been accepted at International Ocular inflammation Society ConferenceScheduled in Nov. 2011 and a paper on Evaluation of Macular thickness for Glaucomadetection using "OCT was presented by Dr. Amit Solanki at Ophthalmology Tomorrow

conference at Indore and was awarded as best paper in Glaucoma. Gomabai Netralaya is

also conducting retrospective and prospective, clinical & community based research in the

field of Cornea, Cataract, Glaucoma, and Diabetic Retinopathy.

LOCATION: Madhya Pradesh is a fascinating amalgam of scenicbeauty, history and modern urban planning. Madhya Pradesh is famous forits legendary tourist destinations such as the temples of Khajuraho, the

majestic forts of Gwalior, Buddhist stupas of Sanchi, Pashupatinathe Temple

at Mandsaur and the various wildlife sanctuaries that Madhya Pradesh ispeppered with. Neemuch lies between the parallels of latitude 240.15 -240.35 North, and between the meridians of longitude 740 45 - 750 37 East.During British rule, an army cantonment was established here. Afterindependence, this cantonments have been converted into cantonments of

paramilitary forces by the Govt. of India. Presently it is known asCRPF(Central Reserve Police Force). Neemuch is also known as birth place of

CRPF.

STATI STICAL DATA:

1012358 Patients till date. 84838 Cataract surgery.

6230 Penetration keratoplastic surgery.

9500 Vitreo retinal surgery.

38122 Camp surgery.

FOUNDER:

GOMABAI NETRALAYA was established in 1992 by a great visionary

Mr. Gheesa Lal Darbarilal Agrawal.Mr. G.D.Agrawal's Meteoric rise to fame and fortunehad a humble beginning. He was born in a middle class family from Neemuch. A manwhose youth and ideals were shaped by the freedom movement. He was an active

participant of 'Quit India Movement' under Gandhiji. He made a transition to Mumbai in

1944. Starting with a few tuitions in Andheri, he laid the foundation stone of Agrawalclasses in 1953, and thus he set himself upon the path that would make him an educationist

of national repute; a man whose teachings have shaped the minds of an entire generation of

intellectuals and professionals.Mere material success did not appeal to Mr. G.D.Agrawal


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and with a true philanthropist's view of channeling back into the society the rewards he hadreaped from it, he established a trust after his parents name "Smt. Gomabai Darbarilal

Agrawal Charity Trust" with the motto to serve the poor in the field of education and

health. Several deserving students have been provided scholarships for higher educationthrough this trust.Since Neemuch is the native place of Mr.G. D. Agrawal, he had a strong

feeling to do something for his native place. This gave him an idea of starting a hospital inNeemuch. During those days Neemuch was a fast growing centre for eye donations but thefacility for cornea transplantation was not possible in Neemuch.

Our vision is to light a lamp in the darkness.

We are a response to the silent calls of thousands for whom the world is

just of one colour.black !

We are committed to bring all the colours of this beautiful world of God

to them.

VISION:

Total eye care for all.

To deliver global excellence I total eye care for all.

Develop as a tranning and Research Institute.

Provide comprehensive Quality eye care.

MISSION: We will deliver total eye care to delight all establish world class

facilities and harmess the benefits of technology for informed patient

care. Provide manful patient education for preventive and creative therapy.

Become the most sought after institution in the society we operate.

MILESTONES: 1992 : Inauguration of Gomabai Netralaya.

1994 : Eye Bank Established.

1997 : Started Free Surgical Rural Camps.

2001 : Started Laser Surgeries. 2001 : Diploma in Ophthalmic Techniques Started.

2001 : Inauguration of Pathology Laboratory.

2002 : Construction of One more floor.

2003 : Association with International Eye Foundation of USA.

2004 : Association with Sight Savers International of UK.

2005 : Constructed independent free patient ward.

2006: Started separate Low Vision Department.


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2008: Accreditation granted by National Board of Examination, New Delhi fortraining of D.N.B.

2008: 100,000 Consultation and 10,000 Surgeries Performed up to 2008.

DEPARTMENTS:

CATARACT AND GENERAL OPHTHALMOLOGY .

CORNEA SERVICE.

VITREORETINAL SURGERY.

GLAUCOMA DEPARTMENT.

PEDIATRIC OPHTHALMOLOGY.

OCULOPLASTY.

LOW VISION AID CLINIC.

CONTACT LENS CLINIC.

REFRACTION AND PRELIMINARY EXAM.

ON CALL ANAESTHETIST.

PATHOLOGICAL LABORATORY.

FULL TIME PHYSICIAN.

FULLY EQUIPPED EYE BANK.

INFORMATION & TECHNOLOGY DEPARTMENT (IT). COMMUNICATION DEPARTMENT.

HOUSE KEEPING DEPARTMENT.

MAINTENANCE DEPARTMENT.

MEDICAL RECORDS DEPARTMENT.

COUNSELLING DEAPRTMENT.

NURSING DEPARTMENT.
http://www.gomabainetralaya.org/departments_gbn/catract_dept.htmhttp://www.gomabainetralaya.org/departments_gbn/cornea_dept.htmhttp://www.gomabainetralaya.org/departments_gbn/vitereoretinal_dept.htmhttp://www.gomabainetralaya.org/departments_gbn/glaucoma_dept.htmhttp://www.gomabainetralaya.org/departments_gbn/pediatric_dept.htmhttp://www.gomabainetralaya.org/departments_gbn/oculoplasty_dept.htmhttp://www.gomabainetralaya.org/departments_gbn/low_vision.htmhttp://www.gomabainetralaya.org/departments_gbn/catract_dept.htmhttp://www.gomabainetralaya.org/departments_gbn/cornea_dept.htmhttp://www.gomabainetralaya.org/departments_gbn/vitereoretinal_dept.htmhttp://www.gomabainetralaya.org/departments_gbn/glaucoma_dept.htmhttp://www.gomabainetralaya.org/departments_gbn/pediatric_dept.htmhttp://www.gomabainetralaya.org/departments_gbn/oculoplasty_dept.htmhttp://www.gomabainetralaya.org/departments_gbn/low_vision.htm


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OPTICAL SHOP.

RECEPTION.

FACILITIES:

Gomabai Netralaya has a campus area of 9037 sq.mts withdouble storied hospital building with a total built up area of 2266 sq.mts. Ground floor issituated for OPD purpose. Apart from OPD, Optical shop, Medical shop, Administrative

offices, Laboratory, Counselor office and Operation Theatre is also on the ground floor.

Neatly maintained spacious cafeteria is also there on the ground floor, just adjacent to theNetralaya building. Well equipped Eye Bank, recognised by All India Eye Bank

Association is also functioning on the ground floor. Three Operation Theaters of

international standards are also situated on the ground floor equipped with all necessary

equipments including operating microscopes Leica, Takagi & Carl Zeiss Visu-210operating microscopes. Out of three, one theatre is kept reserved for free patients and one

for infacted patients. First floor of the Netralaya building is utilized as ward with total 81

bed capacity.

ABOUT THE PROJECT TOPIC:Time and Motion study helps management

determine how much is produced by workers in a specific period of time, therefore makingit easier to predict work schedules and output. Motion and Time Study is a scientific

method designed by two different people for the same purpose, to increase productivity

and reduce unit cost. The two methods evaluate work and try to find ways to improveprocesses. Frank B. Gilbreth invented motion study designed to determine the best way to

complete a job. Frederick W. Taylor designed Time Study; it measures how long it takes a

worker to complete a task. Time and Motion Study has become a necessary tool forbusinesses to be successful today. Time and Motion Study is very important in production

control.Time and Motion Study were used separately in the past, but with time have come to be

used hand in hand because the two areas are interrelated. This is a presentation aboutMotion and Time Study, a method used to increase productivity, implemented by many

companies around the world today. Frank and Lillian Gilbreth used cameras to look at

how body motions were used in the process of completing a job. This helped them toimprove the processes and rearrange setups.

Types of Ward No. of Badded

Male Genral ward 25

Female Genral ward 25

Infected ward 15

Private ward 14

VIP ward 02


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Time studies were once used to establish performance-based wage rates. Users of TimeStudy have to establish standards, this works in the service industry, if you work in a car

shop and someone brings a car you need to give him an estimate of how long it is going to

take you to fix the car. After working in many cars you will have come up with a standardtime that takes you fix certain problems with cars.

Jobs are also standardized so that workers will not feel pressured to finish a job and worktoo fast that they will do careless job.

Time and motion study is a work measurementtechnique for recording the timesofperforming a certain specific job or itselements carried out under specifiedconditions.

For analyzing the data so as to obtain the time necessary for an operator to carry it out

at a defined rate of performance.

DEFINITION: Time and Motion study is the systematic study of work systems

with the purposes of developing the preferred system and method usually the one withthe lowest cost; time standardization ; method determining the time required by a qualified

and properly trained person working at a normal place to do a specific task or operation

assisting in training the worker in the preferred method.Procedure of Time and Motion Study

Secure and record information about the operation and operator beingstudied.

Select operators Divide the operation into elements and record a

complete description of the method. (Before you

start study)

Assign particular work to operators

Observe operators performing task: record time taken for eachelement.

Rate the operators performance.ADVANTAGES OF THE STUDY: It helps the hospital management to fix the standard timefor the work for example a technician can perform how many test in a specified time (standard

time). The salary / wages / incentives can be fixed based on the outcome of time and motion

study. It helps the management of understanding the wastage of time, resources. The

management can take necessary steps to control the cost or cost reduction by techniques.It aids

the management to identify the training need for the employees. Time-Motion Study include,

study of the motion followed by each procedure and time taken in performing them.For this methodology includes collection of both primary and secondary data.

AIM & OBJECTIVES

AIM- To measure the time and movement of patients in OPD

OBJECTIVES-


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To find out average time period of patient in OPD.

To provide valuable suggestions in order to improve the quality of service.

To determine a normal or average time for a particular work.

To find out causes of delay.

OPD:

The outpatient department is one of the most important area in hospital, as the most

important area in hospital, as the first impression of the hospital is formed first

impression of the hospital is formed from OPD and this is the area frequented from OPD

and this is the area frequented by a majority of patients .by a majority of patients.The

OPD should be located on the ground floor, preferably with the separate entrance.

Preferably with the separate entrance The diagnostic services should be easily The

diagnostic services should be easily approachable from here. approachable from here.

Reception, waiting area, Doctors chamber, Reception, waiting area, Doctors chamber

,examination room ,minor O.T. and medical examination room, minor O.T. and medical

record Dept. should be easily accessible .record Dept. should be easily accessible.

OPD AT GBN: Ground floor is situated for OPD purpose. Apart from OPD, Optical shop,

Medical shop, Administrative offices, Laboratory, Counselor office and Operation Theatre is also

on the ground floor. Neatly maintained spacious cafeteria is also there on the ground floor, just

adjacent to the Netralaya building.

MOBILE OPD VAN: The Netralaya has a unique mobile OPD van built on a TATA - 1109

chassis with a view to extend our services to remote areas. Through this van screening of the

patients possible at their door steps. After screening, t he patients are transported to the Netralaya

for surgery and back to their destination after surgery.

FLOW CHART OF PATIENTS IN OPD :

RECEPTION

BELOW 40 AGE 40 YEAR & ABOVE

OPTOMETRIST PATHOLOGY

OPHTHALMOLOGISTS OPTOMRTRISTOPHTHALMOLOGISTS


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METHODOLOGY:Methodologycan properly refer to

the theoretical analysis of the methods appropriate to a fieldof study or to the body of methods and principles particular toa branch of knowledge. In this sense, one may speak ofobjections tothe methodology of a geographic survey(that is, objections dealing withthe appropriateness of the methods used) or of the methodology ofmodern cognitive psychology(that is, the principles and practices that

underlie research in the field). In recent years, however, methodologyhas been increasingly used as a pretentious substitute for method inscientific and technical contexts, as in The oil company has not yetdecided on a methodology for restoring the beaches. People may havetaken to this practice by influence of the adjective methodological tomean "pertaining to method

The following methodology was adopted: Time consumed (waiting time, service time) to be

demarcated.

Flow of time - patient - movement.

Sample size was 45 patients.

COLLECTION OF DATA:

In this Methodology collection of data are two

types, these are following below:-

Primary Data.

Secondary Data.

Primary Data:-

MEDICAL OPTICAL COUNSELOR

MEDICAL OPTICALADMIT

IN WARD

EXIT COUNSELOREXIT

ADMIT

IN WARD

EXIT


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Primary Data are which data, these are collected through

Primary levels, and Data which are originally collected by the investigators

are called primary data, while the secondary data are collected through some

other sources.

For example, information collected by an investigator from a. student

regarding his class, caste, family background, etc., is called primary data.

METHOD OF PRIMARY DATA COLLECTION

Observation method.

Interview method.

Secondary Data:-Secondary data is the data that have been

already collected by and readily from other sources. Such data are

cheaper and more quickly than the primary data and also may be

available when primary data can not be obtained at all.

Internet.

Articles.

Hospital Administration Books(Principle of Hospital

Administration and planning ) Other sources.

OBSERVATIONS:

Weekly Data of Fitness Patient:

1st week


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2nd Week

3rd week

Reg./ M.R

No. of

Patient

FITNESS PATIENT TIME ANALYSIS

Counselor Pathology E.C.G Optometrist

Physician

499668 9:04-9:18

15 Mint.

9:22-9:31

9 Mint.

9:34:9:41

5 Mint.

10:00-10:15

15 Mint.

11:46-11-52

7 Mint.

496746 10:45-11:0520 Mint.

11:19-11:25

6 Mint.

11:30-11:37

7 Mint.

11:38-11:46

8 Mint.

1:35-1:47

11 Mint.

496552 11:03-11:16

13 Mint.

11:20-11:25

5 Mint.

11:37:11:45

8 Mint.

11:48-12:03

18 Mint.

1:45-1:55

10 Mint.

7540 1:45-1:5814 Mint.

2:15-2:22

7 Mint.

2:25-2:32

8 Mint.

2:45-2:50

5 Mint.

4:03-4:13

10Mint.

496887 3:31-3:409 Mint.

3:51-3:55

6 Mint.

3:59-4:07

8 Mint.

4:15-4:23

8 Mint.

5:20-5:34

13 Mint.

Reg./ M.R

No. of

Patient



Physician

7769 2:05-2:1510 Mint.

2:30-2:38

8 Mint.

--- 2:40-2:45

5 Mint.

4:05-4:15

10 Mint.

496818 4:30-4:45

15 Mint.

4:50-4:57

7 Mint.

4:59-5:03

5 Mint.

5:05-5:20

15 mint.

5:45-6:02

15 Mint.

24700 9:25-9:3510 Mint.

10:45-11:03

18 Mint.

9:46-9:50

4 Mint.

9:50-10:06

11 Mint.

1:05-1:10

5 Mint.

4373 9:20-9:3313 Mint.

9:35-9:40

5 Mint.

9:45-9:55

5 Mint.

10:03-10:10

10 Mint.

11:40:11:48

8 MINT.

07824 10:15-10-2510 mint.

10:30-10:37

7 Mint.

10:38-10:44

12 Mint.

10:45-11:02

18 Mint.

12:30-12:42

12 Mint.


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4th week

FITNESS PATIENT FLOW CHART

Reg./ M.R

No. of

Patient


Counselor Pathology E.C.G Optometrist Physician

7584 4:08-4:16

8 Mint.

4:25-4:35

10 Mint.

4:50:5:00

9 Mint.

5:05-5:15

15 Mint.

5:45-5:57

12 Mint.

7620 9:00-9:15

15 Mint.

9:17-9:22

5 Mint.

9:25-9:30

5 Mint.

9:32-9:45

13 Mint.

12:05-12:15

10 Mint.

5407 9:03-9:16

13 Mint.

9:17-9:22

5 Mint.

9:20-9:25

5 Mint.

9:26-9:45

20 Mint.

1:06-1:19

12 Mint.

Premlata 10:02-10:10

9 Mint.

10:10-10:15

5 MINT.

10:16-10:30

8 Mint.

10:40-10:55

15 Mint.

12:35-12:45

10 Mint.

Bheru ji 11:02-11:12

10 Mint.

11:25-11:33

9 Mint.

11:35-11:42

7 Mint.

11:45-12:10

25 Mint.

1:15-1:33

18 Mint.Unkarlal ji 11:15-11:20 11:45-11:50 12:03-12:07 12:08-12:35 3:30-3:45

Reg./ M.R

No. of

Patient



Physician

497144 3:20-3:3010 Mint.

3:35-3:42

8 MINT.

3:50-4:00

11 Mnt.

4:15-4:35

20 Mint.

4:35-4:45

10 Mint.

461682 9:45-9:55

10 Mint.

9:57-10:05

8 Mint.

10:06-10:15

11 Mint.

10:17-10:30

15 Mint.

3:20-3:28

8 Mint.


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COUNSELOR (10 to 15 MINUTES)

PATHOLOGY(10 to 15 MINUTES)

E. C. G. (5 to 8

MINUTES) Electrocardiogram

I O P (5 to 9 MINUTES)Intraocular pressure

PHYSICIAN (15 to 17 MINUTES)

COUNSELOR (2 to 5 MINTUES)

ADMIT IN WARD

EXIT
http://www.google.co.in/url?sa=t&rct=j&q=ecg&source=web&cd=7&ved=0CGwQFjAG&url=http%3A%2F%2Fwww.emedicinehealth.com%2Felectrocardiogram_ecg%2Farticle_em.htm&ei=u0npT_TpOsH4rQefxeH7DQ&usg=AFQjCNH_XMJDixzfryzdTQgeKyc0cK8REQhttp://en.wikipedia.org/wiki/Intraocular_pressurehttp://www.google.co.in/url?sa=t&rct=j&q=ecg&source=web&cd=7&ved=0CGwQFjAG&url=http%3A%2F%2Fwww.emedicinehealth.com%2Felectrocardiogram_ecg%2Farticle_em.htm&ei=u0npT_TpOsH4rQefxeH7DQ&usg=AFQjCNH_XMJDixzfryzdTQgeKyc0cK8REQhttp://en.wikipedia.org/wiki/Intraocular_pressure


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NORMAL PATIENT TIME PERIOD:

NORMAL PATIENT FLOW CHAT

Reg./ M.R

No. of

Patient

NORMAL PATIENT TIME ANALYSIS (Below 40 age)

Reception Optometrist Ophtholog. Medical /Optical/Counselor

500935 9:30-9:35 9:37-9:44 9:45-9:57 Optical

500939 9:40-9:45 9:46-9:59 10:02-10:10 Optical

Reg./ M.R

No. of

Patient

NORMAL PATIENT TIME ANALYSIS (Above 40 age)

Reception Pathology Optometrist Ophtholog. Medical /

Optical

496367 11:19-11:235 Mint.

11:24-11:30

6 Mint.

11:40-12:05

30 Mint.

12:40-1:15

35 Mint.

----

496495 12:07-12:103 Mint.

12:12-12:16

4 Mint.

12:20-12:27

7 Mint.

12:40-12:47

8 Mint.

-----


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REGISTRATION (3 to 7MINTUES)

BELO 45 AGE ABOVE 45 AGE

OPTOMRTRIST PATHOLOGY (4 -5 M.)

OPHTHALMOLOGISTS OPTOMRTRIST (7M.)

MEDICAL/ OPTICAL

OPHTHALMOLOGISTS(10M.)

/ COUNSELOR

MEDICAL /

OPTICAL/

COUNSELOR

1. REGISTRATION (5 to 7 M.)

BELOW 40 AGE

1) Patient inter in the hospital.2) Fill the voucher: name, age, address, mobile no. etc.

3) Receptionist make a Patient file. (Patient Profile)

4) Then give Registration no. and M.R. no. to patient.

5) Then, send the file to optometrist.


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2. BELOW 40 AGE (6 to 10 M.)

OPTOMRTRIST

1) File comes to optometrist system.(computer)

2) Then optometrist read the patient summary.

3) Optometrist give the vision and spectacle no. to

the patients.

4) Optometrist fill the data in patient file.

5) Then send the file toophthalmologists.

3. OPHTHALMOLOGISTS (10 to 13M.)

MEDICAL

1) File comes to the ophthalmologist system.

2) Ophthalmologist read the patient summary.

3) Then ophthalmologist cheek the patients.

4) Then ophthalmologist give the prescriptionto patient.

5) Then file is send to counselor.

ABOVE 40 AGE YEAR PATIENT:1.

ABOVE 45 AGE

PATHOLOGY (10to16M.)

1) Above 40 year age patient are sent to

Pathology.


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2) Pathologist are cheek the patient sugar

and blood pressure, blood and urine test.

3) Then go to optometrist.

2. OPTOMRTRIST (5 to 16M.)

OPHTHALMOLOGISTS

1) File comes to optometrist system.

2) Then optometrist read the patient summary.

3) Optometrist give the vision and spectacle no. to

the patients.

4) Optometrist fill the data in patient file.5) Then send the file toophthalmologists .

3. OPHTHALMOLOGISTS (6 to 10M.)

MEDICAL / OPTICAL COUNSELOR

1) File comes to the ophthalmologist system.

2) Ophthalmologist read the patient summary.

3) Then ophthalmologist cheek the patients.

4) Then ophthalmologist give the perception to

patient.

5) And ophthalmologist suggests for spectacles

or medicine / surgery.

6) Then file send to counselor for operation.


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Interview method:In interview method data collected from the

following below:-

Hospital staff.

Patients.

FINDINGS:

SUGGESTIONS :

CONCLUSION:


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To maintain the quality and brand image the hospital is required to

streaming some of its process and standardized services in the central india.

Today Gomabai Netralaya has developed as one of the best eye care

providers in Central India serving all sections of the society with equity

since last 20 years. Gomabai Netralaya has played a key role in Nimachbecoming the Eye Donation Capital of India from population proportion

point of view. Excellent facilities provided by the institute for Penetrating

Keratoplasty have gone a long way in reducing Corneal Blindness in the

region. This Netralaya has performed as many as 844 Keratoplasty surgeries

till May 2012. This Netralaya not only created awareness in its service area

but also illuminated the lives of hundreds of people. This Netralaya is now

providing tertiary level care to the patients in a cost effective way. This

Netralaya has enormous potential to grow & to serve the community

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rameshwar patidar