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Managing hospital supplies: process reengineering at Gujarat Cancer Research Institute, India.

PURPOSE: Aims to give an overview of the re-engineering of processes and structures at Gujarat Cancer Research Institute (GCRI), Ahmedabad. DESIGN/METHODOLOGY/APPROACH: A general review of the design, development and implementation of reengineered systems in order to address concerns about the existing systems. Findings GCRI is a comprehensive cancer care center with 550 beds and well equipped with modern diagnostic and treatment facilities. It serves about 200,000 outpatients and 16,000 inpatients annually. The approach to a better management of hospital supplies led to the design, development, and implementation of an IT-based reengineered and integrated purchase and inventory management system. The new system has given GCRI a saving of about 8 percent of its annual costs of purchases, and improved the availability of materials to the user departments. ORIGINALITY/VALUE: Shows that the savings obtained are used not only for buying more hospital supplies, but also to buy better quality of hospital supplies, and thereby satisfactorily address the GCRI responsibility towards meeting its social obligations for cancer care.

Cancer Care Facilities↗

The three Rs.

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Health Care Reform↗

The burns unit and theatre integration.

Disbanding the assigned burns theatre team at St John's Hospital had a major impact on perioperative care. Donna O'Boyle describes how, and what was done to rectify the situation, in her 3M/NATN Award commended work.

Burn Units↗

Surviving reengineering: coping in today's health care environment.

Stress reactions during times of organizational change are only to be expected. In the volatile world of health care there are no exceptions. It has been said that the only constant is change. As a result, it is imperative that we develop effective methods to deal with the ever-changing world. The unspoken life-long employment contract no longer exists. Given that change is a constant--and that all change, even good change causes stress--how do we survive? Can we do better than survive? What about "surthriving"? It is possible to actually grow and develop during stressful times of change.

Employment↗

A continuing education program to retrain registered nurses for careers in client-focused community healthcare.

The purpose of the grant-funded program was to address educational needs arising from the changing role of registered nurses in the delivery of healthcare because of shifts occurring from acute hospital-based care to primary care community-based services. The grant contributed the financial resources necessary to provide administrative support, develop the curriculum and teach the content. Taught jointly by nurse educators and community-based practitioners, the program provided 99 hours of classroom/college laboratory instruction and 96 hours of community-based clinical experiences flexibly structured to meet the needs of working nurses. It provided training at two educational sites for over 40 registered nurses who were unemployed, working in acute care and looking to cross over to community-based settings, or already in a community setting yet interested in sharpening their skills. Nurses were able to earn college credit or continuing education units (CEUs) for successful completion of the program.

Community Health Nursing↗

An educational program to prepare acute care nurses for a transition to home health care nursing.

This article describes a continuing education program that prepares nurses with experience in acute care nursing for the transition to home health care nursing. The program is a 12-credit hour, two semester college program consisting of 8 hours of theory and 4 hours of clinical practicum. A coalition of hospitals, home health agencies and an educational institution designed the program to maintain the economic welfare of nurses in an era of hospital layoffs, promote professional development and enhance the transition of nurses to home health nursing.

Acute Disease↗

Who cares for junior medical officers?

Recent changes in the way that some hospitals are run have created particular problems for junior medical staff. Here we describe a new system of managing such staff, under evaluation at a large Sydney teaching hospital, which seems to be working well and which has been positively appraised by the Postgraduate Medical Council and the Australian Council on Healthcare Standards.

Australia↗

Change for the better?

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Attitude of Health Personnel↗

Break point.

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Hospital Restructuring↗