Award Category: Single-Specialty Hospital of the Year

  1. What is the ownership structure of your hospital?

Government

Partnership

Co-operative

Trust

Corporate

Proprietorship

Armed Forces

Others

  1. In which of the below mentioned specialties does your hospital demonstrate excellence?

Oncology

Ophthalmology

Cardiac

Orthopaedics

Neurology

Maternity

Urology

Others

  1. What was the typical patient to nurse ratio in your hospital last year?
  1. Please indicate the average time taken by the hospital for admission and discharge of the patient?
  1. Which all imaging facilities are provided by your hospital?

CT Scan

MRI

X-ray facility

Sonography

ECG

Ultrasound

Mammography

Endoscopy

Other Imaging Facilities

  1. Which of the following amenities are provided by your hospital?

Histopathology laboratory

Radio-immunoassay tests

Blood Bank

Documented Infection Control Policies

Computerized Billing

Integrated Hospital Information System

Insurance Desk

Pharmacy Inside the Hospital

  1. Which of the following support services are provided by your hospital?

Ambulance

Catering

Laundry Management

Management of Bio-Medical Waste

Mortuary Services

24 Hours Security Systems

Supply Chain Management System

  1. Does your hospital have a dedicated research center?

Yes

No

  1. How many research papers were published by your hospital last year?Please provide details? (Please explain within 100 words)
  1. Does your hospital provide training to doctors to ensure correct handling of medical equipment, learn new techniques and medical procedures?

Yes

No

If yes, provide the details about the same (Please explain within 200 words)

  1. Does your hospital provide training to nurses and paramedical staff to ensure specialized patient care and safety,and reduce chances of errors?

Yes

No

If yes, provide the details about the same (Please explain within 200 words)

  1. Does your hospital perform organ transplantation services?

Yes

No

a. Does your hospital have organ transplantation coordinator?

Yes

No

  1. Whatmeasures are taken by your hospital toprevent hospital-acquired infections? (Please explain within 300 words)
  1. Is your hospital equipped with proper disease surveillance and reporting systems to ensure safety of workers?

Yes

No

If yes, provide the details about the same (Please explain within 100 words) and furnish proof for the same

  1. Are there any national or international guidelines followed by your hospital to ensure safety of healthcare workers in the hospital?

Yes

No

If Yes, provide the details about various guidelinesfollowed by the hospital? (Please explain within 300 words)

  1. Does your hospital haveprovisionsto handle anepidemic outbreak?

Yes

No

If Yes, provide the details about the same (maximum words: 200)

  1. Is adverse event reporting system available in your hospital?

Yes

No

If yes, how many adverse event occurrences were reported in your hospital last year?

  1. Does your hospital hold NABH accreditation?

Yes

No

If yes, please furnish proof for the same. If No, which other quality rating accreditation does your hospital hold?

  1. Does your hospital hold any ISO certification for Quality Management System?

Yes

No

If yes, please provide the details of the same and attach a copy of certificate as proof

  1. What steps are taken by your hospital for effective waste management? (Please explain within 100 words)

a)Are there any national or international guidelines that are followed by your hospital for waste disposal?

Yes

No

If Yes, please provide details for the same

  1. Please indicate the working hours offered by your hospital for outpatient services on Sundays and public holidays.
  1. Please mention the method used by your hospital for maintaining medical records of patients? Also throw light on the ease of billing and clinical data retrievability across departments and to the patients (Please explain within 200 words)
  1. Does your hospital conduct CMEs for doctors?

Yes

No

If yes,

  1. Please indicate the number of CMEs conducted by your hospital in last year?
  1. What measures has your hospitalundertaken in impartingCMEs in the medical parlance? (Please explain within 200 words)
  1. Does your hospital have any specific diagnostic or treatment technology or any other exceptional facility which makes you different from other hospitals?

Yes

No

If yes, please provide the details of the same (Please explain within 100 words)

  1. Would you like to give any other relevant information apart from the above points in the questionnaire to be considered for“Single-Specialty Hospital of the Year Award”by the jury? (Maximum 300 words)