Introduction

The K.L.E.S 1000 bedded hospital (750 beds to start with now) visualizes that at the end of second to third year of its operation it will have an occupancy of 70 to 80%, that means hospital will have at any one time approximately 500 to 600 patients admitted in the wards of hospital. Apart from this there will be approximately 1200 to 1800 new and old patients per day in the OPD. 'there would also be accident and emergency patients approximately 2 to 3% of OPD patients, which would mean about 36 patients per day. The private practitioners would also contribute'; to the admission of patients in die hospital . The patient care services will be executed through the diagnostic and therapeutic services spread over various technical functional are-is of the hospital i.e. OPD, Accident & Emergency department. In-patient Wards, diagnostic service:! like Hospital lab and Medical Imaging, specialized care areas like Operation 'theatre, Trauma Care Unit and I.C.U etc. While these are the 'CURE' aspect of the theme of our hospital. The 'CARE' of the patients will be served adequate nursing services, hospital dietary services, and other supportive services like laundry, CSSD and building; maintenance cell. 'this section of the document would therefore deal with broad policy formulation with respect to all these department and service areas individually.

Out Patient Department

OPD will provide health promotion diagnostic and therapeutic services to patients who need hospital services without; the need to be admitted would include references made from outside doctors, patients coming on their own, references from private clinics investigations recommendations and civil hospital references ' etc. The out patient department services will also attempt to reach the door step of it's beneficiaries through peripheral health centres in the hospital's catchments areas,

Out patients services in the hospital premises will be conducted through various specialized clinics in addition to one general clinic (filter clinic). The OPD consists of 18 specific discipline clinics which would be supplemented by further specialized clinics . Such special clinics run by specific disciplines would be on pre-determined, staggered days and timings using the infrastructural facilities as provided for the parent discipline clinic.

The peripheral health centres would be in the form of augmenting the three PHCs adopted .by J.N.M.C as well establishing dispensaries and medical staffed centres in selected catchment area towns. ,

The OPD will have a medical officer in charge for day to day administration of the department and co-ordination of the department and co-ordination among various clinics and administrative echelon of the hospital. Authority granted to officer in charge of OPD will be given in different section of the document