Mhm Syllabus Final Sem-i

8/2/2019 Mhm Syllabus Final Sem-i

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MASTEROF

HOSPITALMANA

GEMENT

SYLLABU

S

SEMESTER:I

DE

PARTMENT

OFHOSPITALMANAGE

MENT

HEMCHANDRACHARYA NORTH GUJARAT UNIVERSITY, PATAN 384 265


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SYLLABUS: MASTER OF HOSPITAL MANAGEMENT: H.N.G.UNIVERSITY, GUJARAT

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Course Organization:This course will follow mainly a lecture format. Students are encouraged to ask questions on

the course and to share any personal experiences which are relevant to the topic.

Methodology:Lectures, Presentations, Group Work, Visit to various Healthcare Organizations, Case studies,

Role plays, Quizzes, Workshop & Conferences.

Evaluation Scheme: (Except Hospital Visits)INTERNAL SEMESTER EXAMINATION - 30 %EXTERNAL SEMESTER EXAMINATION - 40 %QUIZZES/ PRESENTATION/ ASSIGNMENTS/CP/PROJECTS/ATTENDANCE - 30 %

The University has a policy of awarding letter grades and the overall performance of a student

is indicated in terms of Cumulative Grade Point Average (CGPA). No class is awarded for thedegree of Master of Hospital Management. Further, attendance through out the semester upto

85% is compulsory with the consideration of 75% of limit.

From the academic stand point, it is neither possible nor desirable to convert Cumulative

Grade Point Average (CGPA) into equivalent percentage marks.

At the end of each semester, the performance of students will be evaluated in terms of letter

grades and reports which have the following equivalent grade points and connotations :

(i) Letter Grades Grade PointsA+ 4.30

AA 44..0000A- 3.70

B+ 3.30B 3.00

B- 2.70C+ 2.30

C 2.00C- 1.70

D+ 1.30D 1.00

D- 0.70

F 0.00

(ii) Reports Connotations

I IncompleteS Satisfactory

U Unsatisfactory


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(a) The student is required to fulfill the following conditions :(i) to maintain an average grade point of 2.00 at the end of each academic

year.(ii) should not obtain more than one ["F"] in an academic year.

(iii) during the academic year, he/she should not have obtained more than 4 ["D"s] =

[(D+), (D), or (D-)] without ["F"] in any course, OR 2 ["D"s]= [(D+),(D), or (D-)]

with ONE ["F"] in any course.

If a student does not fulfill any of the requirements given under (c) (i), (ii), and (iii) above,

he/she will not be promoted to the next year/declared eligible for conferment of the Degree.

In case of failing, he/she will have to repeat the courses in which he/she has obtained [D+] or

lower grades as well as fulfill the requirements given under (c) (i), (ii), and (iii). All the rules

applicable to a regular student shall also be applicable to such a student i.e. payment of full

fees as a repeater student, appearing in mid-sem, end-sem etc. examinations, attendance

requirements, etc.In case, a student obtains ["F"] grade in a course but secures an average grade point of 2.00

during an academic year, he/she will have to obtain at least [D-] grade in the said course in theensuing semester/year.

If a student has not been able to complete any course, he/she will be given ["I"] report

implying incomplete. This grade will have to be removed within a specific time period as

allotted by the Department, failing which he/she will be given ["F"] grade.

(b) Besides a satisfactory performance in various courses during the first year, the student will

also have to complete satisfactorily the summer project in an organisation arranged by the

Department and submit a project report which shall be evaluated for Satisfactory or

Unsatisfactory performance. In case of Unsatisfactory report, he/she will have to repeat the

same at the end of the second year.

(c) After the successful completion of the two-year programme as per the requirements laid

down as above, the University will issue a consolidated transcript of all the semesters and astudent will be awarded Master Degree in Hospital Management (Master of Hospital

Management).


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FIRST YEAR ----- SEMESTER I

Sr.No. Course No. Title Credits

1. HM101 Healthcare Environment & Policies 3

2. HM102 Principles of Management 3

3. HM103 Organizational Behavior 3

4. HM104 Accounting for Hospitals 35. HM105 Health Economics: Managerial Aspects 3

6. HM106 Communication Skills 37. HM107 Computer Applications in Hospital Administration 3

8. HM108 Hospital Visits * 3

Total 24

*Hospital Visits: Students shall be taken on a visit to a minimum of 3 Hospitals of different

category, Govt. Hospital, Trust Hospital, Single specialty Hospital, and Corporate Hospitals.

They have to spend around 50 hours which includes the visit time, the presentation and report

writing time of the visits. Evaluation will be based on the attendance, reports andpresentations by the students. Atleast two of the Hospital should have more than 100 beds. It

will remain compulsory requirement to every students to visit hospitals as per above,

otherwise the student would not be taken to 2nd

Year.


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Subject : Healthcare Environment & Policies [HM101]

1. Objectives :This course will provide an orientation regarding healthcare system of India with reference to pre-independenceand post-independence scenario, various committees and various national and state health programmes. It willfocus on Preventive and curative aspects of Health with special emphasis on Public Health and the changingpattern of diseases. Another important aspect will be the evolution of Healthcare providers/ Hospitals since thelast 50 years. It will help the students to understand the role of government in Healthcare, current Healthcarepolicies and the need for their revision with the ever changing Healthcare environment. Students will be guided

regarding the three tier system in Healthcare (by lectures and field visits) and will be provided a brief overviewabout the comparison of Indian Healthcare system/ Environment with that of other countries.

2. Scope :Unit 1Basic concept of Health: Concept of Health and DiseaseConcept of health & disease and well being, Natural history of disease and role of hospitals to offer various

levels of care, Prevention aspect of diseases, Dynamics of disease transmission, Changing pattern of diseases,Concept of health indicators

Unit 2Healthcare services: Demography & Vital StatisticsDemography its concept, Vital events of life & its impact on demography, Significance and recording of vital

statistics, Census & its impact on health policy, Health scenario of India, Health scenario of India- past, presentand future, National Health Policy & Population policy, National Health Policy & Inter-sectoral Co-ordination,National Population Policy, National Five year plans, National Health Programme, Background objectives,action plan, targets, operations, achievements and constraints in various National Heath Programme, Healthcare

of the Community, Healthcare delivery system in India at Primary, Secondary and Tertiary Care, Indigenoussystem of medicine in India, Community participation in healthcare delivery system, Health system in developedcountries.

Unit 3Hospital based healthcare & its changing scenario: Overview of HospitalConcept of Modern Hospital & Privatization in Health Sector, Public Sector Hospitals and Level of care / offered

facilities, Effects of Globalization in Health care, Concept of Corporate Hospital in developing countries,Infrastructure and lay out of an ideal corporate hospital, Functioning of modern hospitals & changing need of

patients, Hospitality in Hospital Care, Invasive and non-invasive diagnostic facilities in modern hospital, Careoffered in Specialty and Super specialty Hospitals

Unit 4Public health systemNational Health Programmes related to Communicable diseases- Malaria, Filaria, Tuberculosis, Leprosy, AIDSand STD, National Health Programmes related to Non Communicable diseases Cancer, Blindness, Diabetes,

and Mental Health, Reproductive and child health programme (RCH)-Health related national programmes Integrated Child development scheme, Water supply and sanitation, minimum needs programme, Environmentaland Occupational hazards Hazards of environment and work place, Sterilizations Autoclaves, Waste disposal

management (Solids and Liquids) Incinerators, Emergency Epidemic Management System, Safety systems,

Immunization and Isolation systems, Communication systems, Public Health Service Systems, Health andPopulation policy and Strategies, District Health Organization, Regionalization of health care.Text Books:

Foundation of Epidemiology Gilienfeld NFHS Reports Textbook of community medicine: V. K. Mahajan Population studies Asha Bhendre Hospital Management module II- NIHFW, New Delhi Hospital Administration G. D. Kunders Hospital Administration Tabish Textbook of Preventive & Social Medicine- Dr. K. Park Smallpox Eradication in India - Brilliant Lawrence Pre-test Self Assessment and Review - Ronald Gold et.el., Principles of Internal Medicine Harrisons Volume 2 Human Anatomy- Prof. A. K. Dutta Common Pathological Conditions


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Subject : Principles of Management [HM102]

1. Objective :This subject focuses on acquainting the student with the basic concepts and principles of management andorganization, structural mechanisms and processes for power distribution, effective leadership, appropriate

control systems, their evolution, their importance and role in effectively administering health care organizations.

2. Scope :

Unit 1Introduction:Human Behavior

Application of behavioral science concepts to management, uniqueness of hospital organization, differencesbetween hospital and conventional organizations.

Unit 2The Individual:Individual behavior and work situation

Unit 3Organization and Management:Introduction to organization & management

Factors contributing to increasing significance of management in organizations, the uniqueness of hospitalorganization, the special features of management in a hospital.

Evolution of Management thought:Traditional approach, Frederic W Taylors scientific management, Henry Fayols principles of management,concept of bureaucracy, human relations approach, Hawthorne experiments, behavioral approach, systems theoryof organization, management by objectives, and Japanese management.

Unit 4Management Functions:Management Process and Functions:Nature and description of management process and managerial functions planning, organizing, staffing,directing, co-coordinating and controlling.

Unit 5Organization Concepts & Processes :Nature and structure of organization, types of organizations-functional, divisional, departmental and matrix

forms; line and staff relationship, working in team; strategic business unit, consequences of IT revolution,learning organization and unique features of hospital organization.

Decision Making:Nature and content, human judgment in decision-making, rationality principle, optimization and satisfying,techniques of decision-making, stages in decision-making process; role of boards and committees; decision

making style and objectives by medical professionals and hospital administrators.

Unit 6

Influencing others :Authority Power and Influence:Their nature and functions, authority and responsibility relationship, delegation and accountability; formal andinformal organizations, process of centralization and decentralization, empowerment, their interpretation to

hospitals.

Leadership:Leadership related to hospital management, functions of leadership, theories of leadership Managerial grid,Life cycle theory and path goal approach.

Unit 7Social Responsibilities of Management

Management and Society:

Culture and management, Management ethics, Social objectives and responsibilities of management with specialreference to hospital administrators and health care providers.


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Reference :

Srinivasan A.V. (ed), Managing a modern hospital, Chapter 3, Response Books, New Delhi, 2000. Gene Burton and Man. Thakur, Management Today Principles and Practice, Tata McGraw Hill, New

Delhi, 1998.

James A.F. Stoner, R.Edward Freeman and Daniel R.Gilbert Jr., Management, prentice Hall India, NewDelhi, 1996.

Harold Koontz, Heinz Weihrich, Management A global perspective, McGraw Hill International, 1993. Srinivasan A.V., Japanese Management The Indian Context, Tata McGraw Hill, New Delhi, 1990.

Harold Koontz and Heinz Weihrich, Essentials of Management, McGraw Hill International.

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Subject : Organizational Behavior [HM103]

1. Objectives :

The Course is the study of individual and group dynamics within an organization setting.

People with diverse backgrounds and cultural values have to work together effectively and efficiently in a healthcare organization. The course will focus on the students to the framework, that are useful for diagnosingproblems involving human behavior at hospitals. It will increase students understanding of psychological and

sociological phenomenon that regularly occur in different hospitals. It will help them learn how to exerciseleadership to solve problems-from managing the motivation and performance of individuals and teams to leadingat the executive level. It will understand the dynamics of human organizations and organization structure. It willunderstand the concepts at and individual as well as the group level.

2. Scope :

Unit 1Cognitive ProcessesPerception and its Impact, Creativity and problem solving, feed back systems.

Motivational ProcessTypes of Motives, Process of work motivation, Theories of Motivation Theory X and Theory Y, TheoryZ, Maslows Hierarchy of Needs, Herzbergs Two factor theory, Hygiene factors, motivators, Vrooms

Expectancty theory, Techniques, Methods and Incentive plans for motivating Professionals.

Unit 2The Group, Formal and Informal GroupsGroup behavior, functions and working pattern, group cohesiveness, team building, quality circles and naturalgroups in hospitals.

Conflict ManagementSources, Strategies for managing conflicts, Crisis management, Impact on Organizational structure

Unit 3The Organization SystemOrganizational climate in Hospitals, Need for Integration, Organizational culture, Organizational commitment.

Unit 4Organizational Dynamics, Management of changeIndividual, group and International change, Planned organizational change, organizational development andinterventions, problem of resistance to change, techniques, methods, styles and strategies for dealing with

problem of resistance to change, Levins Force Field Analysis.

Unit 5Stress ManagementConcept, Individual and group stress, Physical, Psychological stress, coping strategies among health careprofessionals.

Text Books:

Stephen Robbins Organizational Behaviour - Prentice Hall Robert A. Baron Behaviour in Organizations Prentice Hall Luthans - Organizational Behaviour Mc Graw hill

Pareek Udai, T.V Rao Behavioural process in organizations, Oxford and IBH Publishing. etc


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Subject : Accounting for Hospitals [HM104]

1. Objectives :The course is designed to provide a thorough understanding of the financial accounting and managementaccounting as an essential part of the decision-making process in the total hospital management system. Theobjective of this course is to acquaint students with various concepts of accounting and highlight the decisionmaking and control focus of managerial accounting. The course postulates accounting techniques, analysis with

a special emphasis on investment decision and cost reduction in hospital administration. Cost of health care

delivery is increasing day by day due to a multitude of factors. A managerial emphasis is being laid on costcontainment & fundamental analysis of a corporate hospitals.

2. Scope :Unit 1Hospital Management & Accounting: An Economic Decision:Evolution of Hospitals, Classification of Hospitals & Accounting, Role of Hospital Administration &

Accounting Matters, Hospital & Accounting System, Accounting, Financial & Management Accounting,Generally Accepted Accounting Principles (GAAP) & Concepts, Forms of Business organization, Accounting,

Capital Market & Corporate Governance, Accounting Equation, Financial Statement, Fields of AccountingActivity, Ethical issues in Accounting

Unit 2Accounting Process:Accounting methods, Preparation of supporting documents, Accounting Operation, Accounting cycle, JournalEntries, Ledgers & other Books of Accounts

Unit 3Finalisation of Account:Trail Balance, Rectification entries, Trading Account, Profit & Loss Account, Balance Sheet

Unit 4Fixed Assets:Determining cost of acquisition, Accounting for Depreciation, Depreciation Method, Capital and Revenueexpenditure, Depreciation in income tax Return, Accounting for Natural Resources, Accounting for Intangible

Assets, Financial analysis of Fixed Assets

Unit 5Liabilities:Classification of liabilities, current liabilities, contingent liabilities, Long-term liabilities

Unit 6Shareholders Equity:Share Capital, Reserves, Buy-back of shares and treasury stock, Bonus shares, Stock-based compensation,Earnings per Share

Unit 7Financial Statement Analysis:

Standards of Comparison, Sources of information, Quality of Earnings, Techniques of Financial StatementAnalysis, Financial Ratios, Corporate Disclosure Policy, Efficient Market Hypothesis and Financial StatementAnalysis, Interpreting Financial Reports

BOOK FOR READING : A Handbook for Accounting for Hospital Management, By D. K. Chatterjee, Himalaya Publishing

House Pvt., Ltd.,

Financial Accounting (A Managerial Perspective), By R. NarayanswamyPHI Publication

Financial Management for Hospital Administration, By G R Kulkarni, Jaypee Publicaiton

Accountancy, By R. L. Gupta, Sultan & Chand Publication


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WEBSITES REFERENCE :

www.icai.org, www.ifac.org , www.economictimes.com, www.moneycontrol.com, www.nseindia.com,

www.indiainfoline.com, www.cmie.com, www.capitalmarket.com, www.bseindia.com, www.myiris.com,

www.tally.com

MAGAZINES, JOURNALS & NEWS PAPERS :

TheManagement Accountant, The Economist, ICFAI Reader, The Economic Times, The Business Standard,

Capital Market, Money.


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Subject : Health Economics: Managerial Aspects: [HM105]

1. Objectives :

The provision and production of health care have different characteristics and incentives from other consumergoods; making health related market a unique topic for study. The subject will cover a number of topics

including basic economic concepts important for the study in health economics, why health is different fromother good, aspects of the Indian health care market, as well as discussing the importance of health for

development and some basic economic evaluation techniques.The primary aim of this subject is to provide aclear, concise introduction to micro and macro economics in general and economics applied to hospital andhealth care sector in specific. Further, this course will teach the student to use economic analysis to understandcritical issues in health care and health policy. The student will also be exposed to the concept of healthinsurance and various health insurance models. This will be dealt in specific reference to the Indian context.

2. Scope :

Unit 1IntroductionHealth- Economics- Health Economics- Role of Economics in Healthcare- Key Terms in Healthcare

Economics

Unit 2Role of GovernmentGovernment Intervention in health care- Market imperfections- Market Failure- Redistribution used in kindsubsidies

Unit 3Demand Side Considerations in HealthcareLaw of Demand- Demand for Health- Demand for Medical Care- Determinants of Demand

Unit 4Supply side considerations in HealthcareLaw of Supply- Determinants of Supply- Managed Care- Production Function and Cost Minimization-Competitive Behavior- Market Performance- Production of Health Care- Pricing of Health Care

Unit 5Concept of CostConcept of Cost analysis- Price elasticity- Determinants of cost and utilization- Policies to contain cost- Costof health care- Process of costing in healthcare- Types of cost in healthcare- Cost benefit analysis- Costingfor decision making- Cost effective analysis

Unit 6InsuranceThe market for health insurance- Health insurance in India- Health insurance worldwide- Public Insurance-Private Insurance- Social Insurance- Community health care insurance in India- Life insurance

Unit 7Technology in Healthcare and Its EconomicsThe economics of Technology Change- The levels of technology change- Role of insurance in diffusion of

technology- Brief outline about the pharmaceutical industry

Unit 8Brief Introduction about the fundamentals of economics with reference to HealthcareDALY- QALY- Externalities- Concept of Micro Economics- Concept of Macro Economics- Equilibrium-Population Coverage

Reference Books:

Health Economics and Policy- James W Henderson, South-Western, Thompson Asia Pvt. Ltd. Economic of Healthcare- Paul J. Feldstein, Delmar Publisher Inc.

Health Economics- H.P.S. Rana Health Economics for Developing Countries: A Practical Guide: by S.Witter, T.Ensor,

M.Jowett and R.Thompson


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Subject : Communications for Hospital Managers [HM106]

Objectives:

This unique module is an outcome of innovative thoughts that have been conceptualized in order to prepare the

studentsforthe healthcare challenges, transforming them into future healthcare leaders.

Pedagogy:

Classroom based teaching, field visits, reading materials and online based instruction.

Contents:

Unit I

Core ConceptsMeaning of communication, Components of communication, Types of communication, Directions ofcommunication, Barriers to communication, Communicating in work teams, Nonverbal communication andCommunicating in diverse environments.

Unit II

Psychological Aspects In CommunicationRole of understanding psychology, Personality determinants & traits, Emotional Intelligence & Motivation

Unit III

Basic correspondence, listening and writing skillsLanguage Art Basics, Principles of effective writing, Choosing the right words, Writing effective sentences,

Developing logical paragraphs, Overall tone and readability, Process of writing, Art of listening & Basiccorrespondence: Emails, Letters, Memorandums, Reports, Minutes, Manuals, MOUs & Proposals

Unit IV

Oral communication methods and skillsPrinciples & types of oral communication, Audience analysis, Business presentations, Impromptu remarks,Visual aids for business presentations & Art of Pubic speaking.

Unit V

Information and persuasion techniquesPresenting information effectively: directness, conciseness, organization, clarity, redundancy & multisensorymessages, Persuasive process, Changing existing & adopting new attitudes and behaviour

Contemporary Issues in Health Services ManagementResumes, Interviews, Public relations, Entrepreneurship, Innovative communication technologies, Grant

proposals, Business ethics & Business etiquette,

References:

Ober S. 2004. Contemporary Business Communication. 5th

Ed. Biztantra: New DelhiPenrose J M, Rasberry R W & Myers R J. 2002. Advanced Business Communication. 4

thEd. Thomson South-

Western: SingaporeFruehling R R & Lacombe J M. 2000. Communicating for Results. AITBS Publishers: New Delhi.Pradhan. H & Pradhan N S. 2005. Business communication. 4

thEd. Himalaya publishing house: Mumbai.

Bhal S. 1996. Business communication today. Response books: Sage Publications: New Delhi.Bhatia S K. 2003. Business ethics and managerial values. Deep and Deep Publications Pvt Ltd: New Delhi.


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Subject : Computer Applications in Hospital Administration [HM107

1. Objectives :

With the changing environment and force of Government regulations, technological innovation and qualitycertification has mere importance. Computerized information handling is a part this changing environment andthe course is formulated for the same.Student will get to know and equipped with the ways and techniques of paperless work.

2. Scope :

Unit 1Introducing to ComputingFundamental of Computers, Generation of Computers, Anatomy of Computers, Classification of Computers,Input and Output devices, Memory and operating system, Programming languages, Data processing

Unit 2Introduction to WindowsApplication in Windows Word processing (MS Word), Spreadsheet (MS Excel), Presentation (MS Power

Point), Relational databases (MS Access)

Unit 3Basic concepts about computer Hardware & SoftwareWorking knowledge of commonly used hospital software, Application of Computer in hospitals, Computerprogramme and operating system, Data Based Concept ( ER diagram), Microsoft Office, SQL, ERP system withmodules (theory), Importance of effective Health Information system, Digital maintenance of Medical Records

Unit 4Application of statistical tools in the areas of Health services, asAwareness on the application of IT in Various functions of Hospital, Atleast one software of HospitalManagement Information System with practical exposure at a concerned hospital

Suggested Practical:

Mail Merge using MS Word Functions application using Excel Profit Analysis using Excel Vendor Analysis using Excel Grade Analysis using Excel Budget Consumption using Excel Miscellaneous Exercise

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Subject : Hospital Visits [HM108]

1. Objectives :

To provide comparative understanding of various kinds of hospitals: their method of working, physical layoutsand working conditions.

2. Scope :

Unit 1Introduction to Hospitals and Health care facilities Government Sector, Trust Hospital, Corporate sector Nursing Homes

Unit 2Visit to various hospitals (five Hospitals) guided by concerned Faculty and Hospital professionals:

A brief introduction is given by the host hospital on the medical and administrative functions of the hospital.

Students have to make report of organizational structure and Department Hierarchy with their role at the time ofvisits. Students while visiting the various departments will observe the physical layout, working conditions. Thestudents write notes on the salient features. Students will have to do Functional study of each department and

write a note on the departmental role.

Unit 3A structured report is prepared by the student on each hospital visit.

Unit 4Compilation of the reports into one major report, presentation of the report by the students.

PedagogyStudents have to visit atleast five hospital of different Category; Government hospital, Trust hospital, single

specialty hospital, and corporate hospitals. A Project Report/Journal should contain details of main departments

of Hospitals, along with its location, space requirements, equipment needs, manpower, functions, etc.

EvaluationProject Report/Journal Preparation: 40%Presentation/viva voce: 30%

Classroom performance, visit, attendance & tutorials: 30%

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* The HNGU reserves the right to amend, modify or alter the structure and content of the subject andsyllabus as well as other matters, evaluation scheme, policies and regulations pertaining to the subject

without assigning any reason or prior notice.

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Mhm Syllabus Final Sem-i