A Report on ORGANIZATIONAL STUDY done at NIMS HOSPITAL Submitted in partial fulfillment of the requirements for the award of the Degree of Master of Business Administration
University of Kerala By
ANOOP G.P

Under the guidance of
Ms. AMBILI ASHOK
Faculty Lmcst, trivandrum

DEPARTMENT OF MANAGEMENT STUDIES
LOURDES MATHA COLLEGE OF SCIENCE & TECHNOLOGY
LOURDES HILLS, KUTTICHAL P.O, THIRUVANANTHAPURAM-695574
2010-2012

DEPARTMENT OF MANAGEMENT STUDIES
LOURDES MATHA COLLEGE OF SCIENCE AND TECHNOLOGY
KUTTICHAL, THIRUVANANTHAPURAM – 695574

CERTIFICATE

This is to certify that this report titled A Report On Organizational Study done at NIMS HOSPITAL., NEYYATTINKARA, submitted by ANOOP G.P is a bonafide record of the done by him during the year 2011 under my guidance in partial fulfillment of the requirements for the award of Degree of Master of Business Administration of University of Kerala.

Ms. Ambili Ashok Prof.B.AjayKumar. Faculty Guide Head of the Department

DECLARATION.

I ANOOP.GP hereby declare that this internship report titled “An ORGANIZATION STUDY at NIMS HOSPITAL NEYYATTINKARA”, is an original work done by me in partial fulfillment of the requirements for the degree of Master of Business Administration under the University of Kerala. I further declare that this work is not partly or wholly submitted for any other purpose and that the data included in the report, were collected from various sources, and are true to the best of my knowledge.

Place: Trivandrum. ANOOP G.P
Date:

ACKNOWLEDGEMENT

First of all I would like to thank the Almighty whose blessing have made this project work a success. I would like to express my profound gratitude to Prof.B.Ajay Kumar, Head of Department, Department of Management Studies, LMCST who have been a constant source of inspiration and have encouraged me with his innovative ideas. I am very much obliged to
Ms.Ambili Ashok Asst. prof, Department of Management Studies, LMCST who was kind enough to guide and support me throughout my work and helped me in completing my Organization Study successfully.
I have great pleasure in extending whole hearted thanks to authority of NIMS HOSPITAL, who had been kind enough to permit me to pursue this study in their esteemed organization. I also express my sincere gratitude to the management, staff and employees of NIMS HOSPITAL for providing valuable information and guidance. A special word of thanks to Ms.Litty Raj(PRO) and Ms.Anoja( Personnel & Public Relations officer)for their guidance and tremendous support extended to me during the course of my project work.

ANOOP G.P

ABSTRACT

This organizational study, undertaken as a part of the curriculum, was done at NIMS HOSPITAL. The organizational study was done with the aim of getting acquainted with the functions and activities of NIMS HOSPITAL. The study also looks into different departments in the organization and their functions. One of the major objectives of the study was to get an exposure into the working environment of the organization. The study helped me to correlate theory with practice.

TABLE OF CONTENTS

Chapter | CONTENT | PAGE No: | I | INTRODUCTION | | 1 | Introduction | 10 | 1.1 | Objectives of the Study | 10 | 1.2 | Methodology | 10 | 1.3 | Limitations of the study | 11 | II | INDUSTRY & COMPANY PROFILE | | 2.1 | Industry Profile | 13 | 2.2 | Company Profile | 15 | 2.3 | Vision and mission | 17 | 2.4 | Organisation chart | 18 | III | FUNCTIONAL DEPARTMENTS | | 3.1.1 | Finance Department | 20 | 3.1.2 | H R Department | 22 | 3.1.3 | Marketing deparment | 25 | 3.1.4 | Engineering department | 26 | 3.1.5 | House keeping department | 27 | 3.1.6 | Security department | 28 | 3.2 | Clinical departments | 30 | IV | ANALYSIS | | 4.1 | SWOT Analysis | 34 | 4.2 | Social responsibility analysis | 35 | V | FINDINGS & SUGGESTIONS | | 5.1 | Findings | 37 | 5.2 | Suggestions | 38 | VI | CONCLUSIONS | | 6.1 | Conclusions | 40 | | ABBREVATIONS | 41 | | BIBILIOGRAPHY | 42 |

LIST OF CHARTS

Fig. no | Name | Page No | 1 | Organizational chart | 18 | 2 | Structure of finance department | 20 | 3 | Structure of HR department | 22 | 4 | Structure of marketing department | 25 | 5 | Structure of engineering department | 26 | 6 | Structure of house keeping department | 27 | 7 | Structure of security department | 28 |

CHAPTER – I

INTRODUCTION

INTRODUCTION The study was done at NIMS Hospital. This study was conducted to know the overall performance of the hospital and how they work. This is a detailed study about the organizational structure of the hospital and social responsibility that maintained by the organization. The NIMS HOSPITAL was established in the year 2005. The hospital is proud to have a separate well equipped cardiology wing styled Heart foundation. The Dental and Nursing College are situated in the premises of NIMS medicity. The hospital is sponsored and funded by a private body and is managed by the Board Of Directors. It is basically not a teaching hospital but it is recognized for training to nurses. They are active in Service Education Program.

1.1 OBJECTIVES OF THE STUDY * To study the functions of each department * To study the social responsibility of the organization . * To identify strength, weakness, opportunities & threats (SWOT analysis) of organization. 1.2 METHODOLOGY Primary Data: * Collected through interviews and interactions with personnel at various departments. * Discussion with various departmental heads and employees. Secondary Data * The main sources of secondary data were from the references from made to the manuals maintained by the department. * Another sources are news paper published by the hospital, books, websites, library reference etc. 1.3 LIMITATIONS OF THE STUDY. * Critical analysis was not possible due to the non-availability of certain information like financial details, procedure etc. * The detailed study is not possible as most of the employees in different departments were busy with their works.

CHAPTER – II INDUSTRY AND COMPANY PROFILE

2.1 INDUSTRY PROFILE A hospital, in the modern sense, is an institution for health care providing patient treatment by specialized staff and equipment, and often, but not always providing for inpatient care or longer-term patient stays. Its historical meaning, until relatively recent times, was "a place of hospitality", for example the Chelsea Royal Hospital, established in 1681 to house veteran soldiers.
Today, hospitals are usually funded by the public sector, by health organizations (for profit or non profit), health insurance companies or charities, including by direct charitable donations. Historically, however, hospitals were often founded and funded by religious orders or charitable individuals and leaders. Conversely, modern-day hospitals are largely staffed by professional physicians, surgeons, and nurses, whereas in history, this work was usually performed by the founding religious orders or by volunteers. Today, there are various Catholic religious orders, such as the Alexians and the Bon Secours Sisters which still focus on hospital ministry.
History
In ancient cultures, religion and medicine were linked. The earliest documented institutions aiming to provide cures were ancient Egyptian temples. In ancient Greece, temples dedicated to the healer-god Asclepius, known as Asclepieia , functioned as centers of medical advice, prognosis, and healing. At these shrines, patients would enter a dream-like state of induced sleep known as "enkoimesis" not unlike anesthesia, in which they either received guidance from the deity in a dream or were cured by surgery. Asclepeia provided carefully controlled spaces conducive to healing and fulfilled several of the requirements of institutions created for healing. In the Asclepieion of Epidaurus, three large marble boards dated to 350 BC preserve the names, case histories, complaints, and cures of about 70 patients who came to the temple with a problem and shed it there. Some of the surgical cures listed, such as the opening of an abdominal abscess or the removal of traumatic foreign material, are realistic enough to have taken place, but with the patient in a state of enkoimesis induced with the help of soporific substances such as opium. The worship of Asclepius was adopted by the Romans. Under his Roman name Æsculapius, he was provided with a temple (291 BC) on an island in the Tiber in Rome, where similar rites were performed.

Current scenario Hospital industry is an important component of the value chain in Indian Healthcare industry rendering services and recognized as healthcare delivery segment of the health care industry, which is growing at an annual rate of 14%. The size of the Indian healthcare industry is estimated at Rs. 1,717 billion in 2007. It is estimated to grow by 2012 to Rs. 3,163 billion at 13% CAGR. The private sector accounts for nearly 80% of the healthcare market, while public expenditure accounts for 20%. The country had 15,393 (2005) hospitals, which had 8.75 lakh hospital beds. According to the WHO report, India needs to add 80,000 hospital beds each year for the next five years to meet the demands of its growing population. Newfound prosperity of many Indian households is spurring demand for high-quality medical care, transforming the healthcare delivery sector into a profitable industry. Medial tourism is changing the face of traditional healthcare industry in India. India’s excellence in the field of modern medicine and its ancient methods of physical and spiritual well being make it the most favorable destination for good health and peaceful living. Environmental policies based upon comprehensive analysis of air, water, and land pollution (such as economic factors and community-based approaches) are becoming an important supplement to traditional single-media approaches to environmental protection. Environmental regulatory agencies are beginning to embrace comprehensive, multi-statute solutions to facility permitting, compliance assurance, education/outreach, research, and regulatory development issues. The central concepts driving this policy are that pollutant releases to each environmental medium (air, water, and land) affect each other, and that environmental strategies must actively identify and address these interrelationships by designing policies for the whole facility. One way to achieve a whole-facility focus is to design environmental policies for similar industrial facilities. By doing so, environmental concerns that are common to the manufacturing of similar products can be addressed in a comprehensive manner. Recognition of the need to develop the industrial sector-based approach within EPA’s Office of Compliance led to the creation of this document. India’s cost advantage and explosive growth of private hospitals, equipped with latest technology and skilled healthcare professionals has made it a preferred destination for medical tourism. According to Ministry of Commerce and Industry, Indian medical tourism that was valued at US$350 million in 2006, is estimated to grow into a US$2 billion industry by 2012.The above background initiated need for a comprehensive Industry Insight on Hospital industry. Overview of the hospital industry in India with a brief preamble of global healthcare and hospital industry is discussed in the beginning along with its classification according to its objective, ownership and system of medicine.

2.2 COMPANY PROFILE NIMS MEDICITY is the first venture of Noorul Islam Trust in the health service sector. Nooral Islam Trust founded by Dr.A.P Majeed Khan in the year of 1954.From in the initial start now NI trust holds 13 institutions spread over four campus in its fold. Various reputed Engineering colleges, Arts, and science colleges, Community college, Dental College, Polytechnic are some to mention. From the very beginning the motto of NIMS medicity had been “health care to all irrespective of wealth”. With this vision NIMS medicity under the guidance of NI trust has been introducing various projects and schemes to make treatments like heart surgeries and the like accessible even to those who suffer in the black alleys of society. NIMS medicity is situated at Aralumoodu, Neyyattinkara on highway side. It has an extend of 24 acres of land ,clothed with modern building and facilities. NIMS medicity nests 28 specialty departments headed by eminent doctors from the respective fields. Altogether NIMS medicity enjoys the service Of 140 efficient and trained doctors. Cardiology, Nephrology, Gynecology, Pediatric, ENT, Ophthalmology, Urology, Pain and Palliative, Gneral medicine, Orthopedic, General Surgery, Keyhole Surgery, Pediatric Surgery, Radiology, Gastroenterology, Diabetology, Neuro surgery, Anesthesia, Dermatology, Cardio vascular Surgery are some of the main departments. The dental college and Nursing College are situated in the premises of NIMS medicity. Both these institutions are a relief to the patients and place of wisdom for students. Dental college provides good service and treatment to the patients. The students get practical training from the lectures and tutors who are academically brilliant and have proved excellence in their field. NIMS Dental college students could bag 96% result in the last academic year. NIMS medicity proud to have a separate well equipped cardiology wing styled Heart Foundation the only one of its kind in Kerala , constructed under Freeman White company, California headed by Dr. Madhu Sridharan. The heart foundation is rich in ultra modern life saving equipments and is intended to save life at any humanly possible condition. The quality of treatment offered is un compromised. To make heart treatments more accessible even to those who belong to financially backsword class, the expenses that may be incurred for the cardiac checkups and surgeries have been reduced than that of the government rates. NIMS heart foundation has done 4000 angiograms , 1003 angioplasty and also 490 open heart surgeries in short span of time. This is probably the highest rate of surgeries in short span of time. NIMS Heart foundation has biggest number of heart surgeries in kerala after Ernakulam Dist. This achievement is because of the team work of Dr. Madhu Sridharan and Dr. Rameshwara along with their well trained, experienced team. Apart from this a special project named Heart to Heart has been introduced. Padmashree Barath Mammothy is the project ambassador to the project Heart to Heart. With the association of Mammootty fans association hospital providing free heart surgeries to those who are under the poverty line. Under Heart to Heart project 23 open heart surgeries were done successfully. All those 23 families have gone back to normal life with new hopes and aspirations. Under the Heart to Heart project various rural areas of Trivandrum and kollam districts were conducted. In those campus 12000 patients were given free heart check ups and treatments. The selected were given free Angiograms and angioplasty. NIMS Hospital established on 2005. Started with 4 doctors, the growth
Of the organization is in high rate with in two year it grown as the biggest Hospital in Trivandrum. Now the Hospital have 140 with excellent experience and 400 paramedical staff. All the functions of Hospital controlled by Chairman Dr. A.P. Majeed Khan and his son Mr. Faizal Khan. The Dental college, NIMS Nursing college, Dental super speciality Hospital, NIMS Hospital, NIMS Heart foundation and Research Centre are situated in NIMS Medicity Campus at Aralumood. Almost all insurance schemes from different companies are accepted by NIMS. Some of them are given below * BSNL * MILMA * VSSC * HLL * TRAVENCORE TITANIUM * SBI * CANARA BANK

The functional department of NIMS may be divided into two category they are clinical and non clinical.
Non Clinical 1. Finance 2. HR 3. Marketing 4. Engineering 5. House keeping 6. Security Clinical 1. Pharmacy 2. Blood bank 3. Radiology 4. Nursing 5. Medical record 6. Endoscopy 7. Laboratory 8. Physical therapy

2.3 VISION AND MISSION OF NIMS HOSPITAL
Mission:
* Provide holistic, patient focused care by qualified and experiences clinical personal in an environment that values the family unit and contributes to the health of population that we serve. * Provide opportunity for professional development of all staff to ensure job satisfaction and professional growth.
Vision:
* To be recognized as a institution of choice for health care service and employment of India. Committed to provide international standard treatment facilities at lost cost.

2.4 ENGINEERING CHAIRMAN ORGANISATION CHART
ACCOUNTANT
SENIOR ACCOUNTS MANAGER\
CO-ODINATOR
MEDICAL RECORDS ENDOSCOPY RADIOLOGY BLOODBANK PHARMACY
WORKERS
SUPER VISOR
WORKERS
SUPER VISOR
ASST ENGINEER
CHIEF ENGINEER
MARKETING EXECUTIVES
MARKETING MANAGER
ASST MANAGER
ATTENDERS
PHARMASIST
STORE ASST
PURCHASE MANAGER
AUDITOR
HOSPITAL SUPERVISOR PRO
SECURITY
HOUSE KEEPING
MARKETING
HR
FINANACE
ADMINISTRATIVE OFFICER NON CLINICAL
(ADMINISTRATION)
CLINICAL M.D

NURSING

`

LABORATORY

PHYSIO THERAPY

CHAPTER – III

FUNCTIONAL DEPARTMENTS

3.1 NON CLINICAL DEPARTMENTS 3.1.1 Finance department The mission of the finance department is to effect without error, authorized financial transactions with the public and with employees in a courteous fashion in accordance with an agreed time schedule and prepare interpret and present accurate timely and comprehensible information to management in order to assist in providing a cost effective and administrative service to clients Department structure: Finance controller

Asst manager

Accountant

Functions : In the accounts section the bank details are updated and tailed with the hospitals finance department bank account numbers. Any deductions if any which are forwarded by personnel department such as train tickets, courier, transport, charges, if staff clinic refers to any outside clinic and any increase in salary are adjusted here. The purchase and theater emergencies are also given taxi fare reimbursement. The train fare allowance and acting up allowance (when an employee takes up other duties). And other type of payments done by the finance departments are Payment in advance:- These are cancelled from payroll. This has to be checked with the employees and the personnel department such as arising when the date of joining is such that the staff comes in between. Salary in advance:- The personnel department is by the finance department not to include the salary given in advance with the employee salary. And it is added in the payroll in leave salary and transportation cost. Overtime allowance:- Overtime allowance is being provided under certain cases such as 1.5% of basic salary for working on Fridays, Saturdays and public holidays. 1.25% of basic salary will be provided for normal days. Termination:- Resignation in cases when the services is not needed. Memos are given from the personnel department on the various terminations and later of all the various departments. Payment in the case of non permanent employees they get charged in the hospitals from where they actually work for. petty cash settlements:- the expenses from all the departments are dealt here, to be included prior approval of administrator. Accounts payable section:- Invoice from 1. Supplies 2. Pharmacies 3. Purchases 4. Administration 5. laboratory

3.1.2 Human resource department : The aims of human resource department are: * Recruit and retain hospital staff at least the minimum level required by the management contract. * Ensure that professional staff with a patient interface is appropriately qualified as required under the terms of the management contract. * Lease with recruitment agencies as required. * Process the appropriate paperwork to ensure that the staffs are paid at the rate agreed in their employment contract. * Preparation of client approval documentation in the approval format for all staff. * Maintain a close relationship with the medical director of nursing and other heads of departments on recruitments and HR manager . * Preparation of documents for all staff government bodies, banks etc within 3 working days. * Maintain confidentiality all times. * Preparation of job description. * The HR department mainly deals with staffing, leaves, recruitment.

Department structure Managing director

Asst general manager

HR executives

Functions of the department Probation:- The employees appointed, unless specified in the order will be on probation for a period of 6 months. The duration can be extended if seemed necessary but has to be communicated to the workmen in writing not later than 30 days from the expiry of initial probation. Promotion:- No employee can claim promotion as a right. It is management’s discretion to decide as the vacancy should be filled by the promotion or by fresh outside recruitment. If promotion is decided, the criteria for promotion will be suitably for the post, efficiency, skill, conduct, seniority etc. of the employees in the lower post. Record of service:- The management maintains a record of employees. Separate recorders are maintained for permanent and temporary employee, staff and executives. The organization maintains their record of service till employee is terminated or leaves the job. Every worker is entitled to a service certificate at the time of leaving his service by retirement, resignation, retrenchment, termination, discharge or dismissal after obtaining\a clearance certificate for the concerned department head. Termination of employees:- An employee may be discharged or terminated from work at any time by the management if he is found physically or mentally unfit for the job he is engaged in. As per the Act management may terminate any permanent worker from services after issuing a notice one month prior to the procedure stating the reason thereof. However if the termination is a measure of punishment for misconduct that management need not issue notice of one month prior to the procedure. Termination can be done with immediate effect. Attendance and leave:- Employee is eligible for 2 days earned leave. Those who have attended 240 days of duty are eligible for paid leave in the succeeding year. Those who have worked overtime will get the double payment. Grievance handling:- If the employees have any complaints about the top and middle level employees they can report directly to the HR manager. If they have any job related complaints they can report it to the HR manager. Discipline and code of conduct:- Any employee or executive is responsible for maintain the basic level of decency within the organization premises. Any sort of misconduct within the company may lead to termination of employment. Also the employee will be answerable for his action. As far as discipline is considered workers are expected to be punctual in arrival at the premises but also in the completion of the assigned job. Resposibility of job:- Employees should carry out the assigned job with full sincerity and to best of their capability. Each workman is responsible for and should take care of all machines, files, documents, records furniture and other property entrusted to him by the company. Performance appraisal:- Performance appraisal is the core area of Human Resource Management, which is conducted on yearly basis. First the self-appraisal by the employee is domain self-assessment form, which is allowed in the performance appraisal, by his authority in a prescribed form. The Head of the Department of each individual does the performance against the set goals.

3.1.3 Marketing department: Functions and responsibilities * Development and implementation of business plans. * Marketing Head along with the finance board fixes the target budget for advertisement. * Ensure handling customer grievances. * Implementing of marketing strategy of organisation. * Controlling and guiding the marketing team. * Development of marketing strategies leading to better patient satisfaction. * Overview to achieve the vision of the organization. Department structure Senior manager

Asst manager

Marketing manager

Marketing executives

Heart foundation:- NIMS Heart foundation has biggest number of heart surgeries in kerala after Ernakulam Dist. This achievement is because of the team work of Dr. Madhu Sridharan and Dr.Rameshwara along with their well trained, experienced team. Apart from this a special project named Heart to Heart has been introduced. Padmashree Bharath Mammothy is the project ambassador to the project Heart to Heart. With the association of Mammootty fans association hospital providing free heart surgeries to those who are under the poverty line. Under Heart to Heart project 23 open heart surgeries were done successfully. All those 23 families have gone back to normal life with new hopes and aspirations. Under the Heart to Heart project various rural areas of Trivandrum and kollam districts were conducted. Under this campus 12000 patients were given free heart checkups and treatments. The selected were given free Angiograms and angioplasty Promotion techniques :- The sources of advertising are high quality printed wall posters, flux boards providing sponsorships. The organization has also their own website for trade enquiries. They are also conducting seminars, medical camp, blood donation camp. 3.1.4 Engineering department: Introduction :- NIMS maintaining an active engineering department for constructions and maintenance works. There is a group of people working for maintaining the natural beauty of NIMS. The chief engineer in consultation with chief finance manager prepare the estimate for the development for the engineering department. They have good tie up with major builders and construction companies. Department structure Chief engineer

Asst engineer

Supervisor

Workers

Responsibility:- The prime responsibility of the engineering department is to maintain the fabric and structure of hospital building together with the mechanical and electrical services with in such services include heating, lighting, power, water, medical gases , drainage and lights . It encompasses all the necessary services needed to provide a suitable hospital environment for patients ,staff and visitors. The department runs a formal on call services contact with this service may be through front hall.

Maintenance:- Maintenance of NIMS done by engineering department. The engineering department have experienced workers for building maintenance and for lift repair, plumbing works etc

construction :- NIMS have well defined team for construction works. The works are designed and controlled by the chief engineer. Along with the asst engineer and supervisor chief engineer make this works perfect. The constructions which already done are perfect and it providing more perfections to the NIMS medicity.

3.1.5 House keeping department: Introduction:- Housekeeping plays major role in hospitality sector because the customers have predetermined expectation regarding their service. NIMS gives primary importance to housekeeping since it is a full time working organization. 12 hour working is maintenance for day and night supervisor. Close monitoring is being maintained in order to monitor service quality. Around 82 employees are being maintained for delivering the service. Modern equipments and safety measures are maintained for the better performance. Adequate wage payment method is adopted here in order to provide service of desired staff. Weekend staffs meeting are being conducted in order to check the activities of staff.

Department structure Administrative officer

House keeping in charge

House keeping supervisors

Night supervisor Day supervisor

Importance and functions :- Housekeeping is the department that deals essentially with cleanliness and all ancillary service attached to that.
The standard plays an important role in the reputation of the hospitals. One feels comfortable only in the environment which is clean and well ordered, so cleanliness is important for health .Hospitals aims to make environment comfortable and offer specialized for the patients.Hospitals try to make the ambiance as pleasant as possible by nice colour scheme, attractive furnishing and a well kept efficient staff. House keeping is the department determine to a large extent whether patients are satisfies during admitting days .Housekeeping has high importance in service industry.
The hospital housekeeping services :- * Pest control * Floor cleaning * Cleaning of rooms * Replacement of used clothes. * Maintaining garden. * Disposal of plastic wastes.

3.1.6 Security department: Introduction:- The company’s security department is headed by security superintendent and who is directly reporting to the Managing Director. He is employed on deputation for one year. He is followed by security officer, an assistant security officer, Head Security guard and other security guards. The security department is responsible for the safety and security of all personal and property and ultimately responsible for safeguarding the company’s functions as a whole. They will not allow any unauthorized person in and around their duty place and shall discourage them from gossiping. They shall strictly monitor the movements of personnel, materials and vehicles either attached to the company or connected with the company’s business. The main areas of operation of this department are main gate, inner gate and reception. vehicles should be allowed in to the organization. All the movements both check in and checkout is done through the main gate. Function and duties - NIMS has mainly 7 blocks one security is allotted in front of each block. And in each department having one security. In front gate there are 3 securities. There duties to check the people coming in and out to the hospital. In the parking are there were 2 securities to control arrange the vehicles in the parking area. In wards the management has practicing time limitations .the visitors are allowed to visit the patients in morning 6-8 and afternoon 12-2 ,evening 4-8. Security department is responsible for keeping the time. Responsibilities:- The main responsibility of securities to keep the values and behave responsibly to the people those who come to organization. Give correct information about organization. Give guidance to the people who come first to the hospital. Department structure
Managing Director

Security Superintendent

Security Officer

Assistant Security Officer

Head Security Guard

Others

3.2 CLINICAL DEPARTMENTS 3.2.1 Pharmacy department : The pharmacy in the NIMS hospital had most of the medicines that are necessary for the patients admitted there and patients who are under treatment. It is really useful because they people can get medicines demanded by the doctors on time rather than going outside and getting the same. The department is well defined. For the patients who have insurance they have separate pharmacy facility. Department structure Medical superdinant

Chief pharmacist

Senior pharmacist

Pharmacist

Trainees

3.2.2 Blood bank department: The blood bank existing in this hospital makes provision for all groups of blood that being required. They have tie up with other hospitals for emergence situation the department seek service from them. NIMS conducting blood donation camps . Those who are participating blood donation the department gives certificate this certificate will help the donner in future. When the person need blood in future for him or for his relatives NIMS will provide free blood to them . The blood bank department have one medical officer and technicians , staff nurse, attenders. The blood donation camps are conducting in every year mainly on august 15 .

Department structure Medical officer

Senior technician

Junior technician

Staff nurse

Attenders and trainees

3.2.3 Radiology: NIMS maintaining well equipped radiology department. Experienced technician are available in radiology department. In radiology department several sections are there such us x-ray radiography, ultrasound, computed tomography. Each section contain 2 technicians and two staff nurse. Interventional radiology is the performance of (usually minimally invasive) medical procedures with the guidance of imaging technologies. 3.2.4 Medical records: medical records regarding every patients admitted there and also those are discharged are maintained and the patients can get information by referring to the same but after completing some procedures. In this department two employees are there for record maintenance. The data sheets which containing patients details are maintained with in files which having serial number. This will help in future references. 3.2.5 Endoscopy: . In this department only three employees are working one is senior technician and second one is junior technician then the third one is a staff nurse. An instrument used to examine the interior of a hollow organ or cavity of the body. Unlike most other medical imaging devices, endoscopes are inserted directly into the organ. Endoscopy can also refer to using a bore scope in technical situations where direct line of-sight observation is not feasible. 3.2.6 Physio therapy: NIMS marinating separate section for this department. Packages are available for this treatments. Physio therapy is concerned with identifying and maximizing quality of life and movement potential within the spheres of promotion, prevention, treatment/intervention, habilitation and rehabilitation. This encompasses physical, psychological, emotional, and social well being. Physical therapy involves the interaction between physical therapist, patients/clients, other health professionals, families, care givers, and communities in a process where movement potential is assessed and goals are agreed upon, using knowledge and skills unique to physical therapists 3.2.7 Laboratory: NIMS laboratory is are well equipped and experienced technicians are available .The management give more importance for laboratories. The results are available with in one hour. For the emergency causes the result will get from the laboratory with in few time. Because the diseses can be analyzed from the laboratory results. A Scientific research, experiments &measurement may be performed. The title of laboratory is also used for certain other facilities where the processes or equipment used are similar to those in scientific laboratories. In laboratory more than 7 technicians and 3 staff nurse one senior technician are working.

3.2.8 Nursing: The nursing in the NIMS is of high quality and the persons appointed are also well versed. Nursing department is the largest department in NIMS there around 225 nurses are in this department. Nursing department is well defined. Quality service that provided by the nursing department make the NIMS in high position in service sector. Department structure Nursing superdinant

Nursing supervisor

Day nursing supervisor Day nursing supervisor

Senior nurse Senior nurse

Nursing assistant Nursing assistant

Observer Observer

CHAPTER – IV ANALYSIS

4.1 SWOT ANALYSIS
Strengths
* Special team for heart operations. * Well experience doctors and administrative staff. * Ultramodern facilities * Strong basis * Enough area for further development. * Well equipped ambulance services. * Modern technology based services. * Easy accessibility. * High public image. * Well equipped operation theatre. * Sincere and dedicated services of qualified staff. * Foreign collaboration.

Weakness

* Bed availability is not enough according to the patient admitting ratio. * Some non clinical departments are not well defined. * Corporate publicity lacking. * Lack of high standard food court. * Delay in getting insurance claims.

Opportunities * Mobile clinics * Integral health package * Most modern facilities may install in all department. * High quality food court may implemented

Threats * Competition from near hospitals. * Contract workers lack dedication. * Mentality of staff as well as patients.

4.2 SOCIAL RESPONSIBILITY ANALYSIS NIMS medicity, as in the field of health services ,is an unavoidable presence in other activities regarding social welfare. NIMS medicity has adopted two villages in rural areas, Thiruvananthapuram and ooruttamabalam. The health and living standards of the people in these villages are monitored by NIMS medicity. To the students in these areas NIMS medicity provide educational accessories and allied facilities. Students who are studying in higher secondary are being sponsored by NIMS medicity. Apart from the campus mentioned earlier which are conducted under Heart to heart project various other projects are conducted by NIMS medicity, in association with kudumbasree units, various Govt. agencies, municipalities, grama panchayats etc. through which a lot of people enjoy, free checkups and treatments. NIMS have conducted 180 camps styled as “NIMS Arogymela” where drugs were distributed freely and awareness seminar were conducted. NIMS medicity is celebrating the world heart day for whole month of September and various programmes and projects have been initiated to be launched on the occasion. NIMS medicity has joined hands with varkkala municipality to conduct a survey to collect data regarding the chronic degenerative diseases like cardiac problems , nephro problems, diabetic etc. this is the first initiative of NIMS in adopting municipalities. The social activities are 1. Water supply project 2. NIMS Harithakam 3. Free heart surgeries 4. Hridaya surekhsha paddhathy 5. Hridaya sahaya paddhathy 6. Heart care centers 7. Health tourism

CHAPTER V
FINDINGS & RECOMMENDATIONS

5.1 FINDINGS * Lack of motivation: Even though the staff performs well they are not provided any motivation for their performance. * Space provided for the different department is limited: The space prevailing for each of the department in the organization is comparatively less. * Lack of well defined communication channel: The communication channel is not up to the standard and this leads to lack of vital information * Improper performance appraisal: The performance of the staff are not well appraised and it leads to the problem that they cannot improve themselves * Inventory management is good: The inventory that is the stock of different materials in the hospital is maintained well. * Using modern technology for heart surgeries: The use of modern technologies in heart surgery makes it top among the hospitals specializing in cardiology. * Absenteeism is increasing: Due to the lack of motivation and other promotional activities absenteeism is increasing at a higher rate * Lack of unity of superiors : The lack of unity in the decisions take by the superiors in the organization is another problem it leads to confusion

5.2 SUGGESTIONS * Biometric punching machine can be implemented for attendance maintenance. * Effective training could be introduced: The training methods adopted in the current scenario could be improved and thereby it could be made more effective * Billing for x-ray, scanning etc are should be done in respective place itself: It is done in different places therefore it is difficult for the patients and the others to attain the service required on time. * Every department should be given equal importance: All the departments in the organization must be given equal importance it should not be discriminated according to the functions performed * The employees attrition could be bring down by giving them incentives: The employees must be provided with reasonable incentives according to their performance. * Absenteeism should be decreased by giving motivation for the employee to work: It can be decreased by motivating the employees by giving bonus, prizes, awards etc, for their effective work performance. * High standard food court should be maintained: The quality of the food should be concentrated more and also the food court should also be made with good facilities.

CHAPTER VI CONCLUSION

CONCLUSION

An overall study of organization has been done. This study includes the study about various departments under each functional division. It has been a great experience for me to do the organizational study in NIMS hospital.

The changes and introduction of new strategies and policies and implementation of new schemes and projects will enable the efficient working of NIMS and this in turn will compensate the present problems that are prevailing in the organization.

NIMS ventured into the service sector in the year 2005 with just a handful of doctors and employees. Backed by a team of dedicated professionals, they made NIMS as a highly reputed organization. Customer satisfaction and goodwill enhancement has always been at the heart of everything we do, providing core values to sustain a well balanced relationship and meet all client requirements and expectations.

ABBREVATIONS Asst. Assistant BSNL Bharat Sanchar Nigam Ltd ENT Ear Nose Throat HR Human Resource HLL Hindusthan Lifecare Limited LMCST Lourdes Matha College Of Science And Technology MILMA Milacca Mammatra NIMS Noorul Islam Institute Of Medical Science Prof. Professor PRO Public Relation Officer VSSC Vikram Sarabai Space Center WHO World Health Organization

BIBLIOGRAPHY

BOOKS * K Aswathappa, “Human Resource & Personnal Management” 3rd Edition,Tata MC Graw – Hill. * Philip Kotler and Kevin Lane Keller, 2007,“Marketing Management” 12th Edition Person Education. * Richard Chase 11th edition Operations Management JOURNELS AND REPORTS * Organization Brochures WEBSITES http://www.ninshospital.com/ http://projectsforyou.com/