Hyderabad is overburden with Migrants .

Unlike the US, India is a rainbow of sub-nationalities and each state has its own cultural heritage, language and food habits,  "Unity can come only when we respect India's cultural diversity. "It's time we honoured the country's pluralistic character." "Tamil Nadu is a nation by itself. Similar is the case with other states from the south. Those who come from other states to hyderabad to make a living should learn to respect hyderabad cultural practices, language and food.  habits,"  an unchecked flow of migrants into hyderabad had put a "tremendous burden" on the city's infrastructure. There is not enough water in hyderabad. The transport service is in a shambles. Those who come to the city for work have to live in sub-human conditions. There should be a full stop to wanton migration into Hyderabad ,"

my osmania diploma in healthcare quality management

JESUS AND ALLAH ARE GREAT PEACE BE ON HUMAN BEINGS AND HUMANITY AMEN 

Fear and Ego the Cancer of Modern Man by Mahboob Ali khan MHA, CPHQ

Fear and Ego the Cancer of Modern Man by Mahboob Ali khan MHA, CPHQ

Why tackling a subject that has been turned upside down in so many books, conferences, etc.? What new things can I possibly say on the matter?

These were two questions that kept me from writing this, and yet, it didn’t give me peace—I went to sleep, and I woke up with the same words going round and round in my head: Fear and Ego. I don’t know if I’m going to say something new, but I’m surely going to put on paper my own thoughts and experience on the matter.

A recent conversation spread a different light on the concept of Fear.

I know and experienced the fact that it is the worst enemy one can ever have since it lurks in the darkness of your soul, it’s faceless, and loves to dismantle every initiative of growing and evolving spiritually, which one may have. It is a clever and observing enemy, and it always succeeds in finding your weak spot. Once found, it will start hammering until you go beyond the pain limit and become as inert as a statue. Is it sunny? Is it rainy? Tornados blow away your house? Who cares? You’re dead! A living dead! Fear stripped you of all your will power.

Yes, I was aware of all that! Yet, it never crossed my mind that a person can start feeling unworthy because of Fear. (S)he goes through a myriad of misfortunes, rejections, mockery, people turning their backs when (s)he mostly needs them by her/his side, until one day, when a thought takes birth, first like a mere whisper, then louder and clearer: “You are unworthy!”, “Do nothing, you have no energy left for one more heartbreak!”. Resignation, too, pays a visit to its friend, Fear, and they throw a party at your funeral, since that’s the moment you’re dead!

Perceiving your inertia as a consciously taken decision is even worse (“I’m better off without investing feelings or acting in any way!”). It won’t keep you from being hurt again. What you’re doing is punishing yourself with continuous suffering, since you’ll still be miserable.

The only question one should ask themselves when realizing that they have a fit of resignation is: “What’s the core of all those misfortunes, rejections, etc.?” The answer is simple: Still Fear! It is the one, which keeps telling you whenever you start a new relationship or business that you’re going to fail. And it is right! When you hold hands with Fear, you start walking on solid ground as if you’re on slippery ice. Sooner or later, you’ll find that spot that will make you fall, and even if it isn’t there, you’ll invent it. You’ll be the one pushing away people and ignoring opportunities, and not the other way around. When people go, business fail, again you’ll blame it all on them, on hubris, or on who knows what ancient, vengeful god who doesn’t consider you worthy as a human being—you don’t deserve love, success, sunny days, and that’s why everything breaks in your house. You’re just a poor, miserable human being at the mercy of uncontrollable forces.

False! Each of us goes through days or even months like living nightmares, but attitude and acknowledging where is Fear talking through you helps a lot and shifts the whole range of events.

You have to ignore Fear's voice! You’ll never be able to fight it to death, since it will always accompany you; ignore it, and give all of yourself to new situations and people, do your best under any circumstance, and that will do.

As Steven Pressfield said in his book, The War of Art:

“Resistance is like a telemarketer; if you so much as say hello, you’re finished. The pro doesn’t even pick up the phone. He stays at work.”

The hardest part is discerning its voice and not mistaking it for your own conscious choices. Inaction has never been a human choice! It’s ok to rest and gather your thoughts for a while, but whenever you get up and hear that voice telling you “Lie back down!” that’s not you, it’s It!

What’s Ego got to do with all these?

Steven Pressfield in The War of Art views Ego as such:

“I think angels make their home in the Self, while Resistance has its seat in the Ego.”

“The instinct that pulls us toward art is the impulse to evolve, to learn,

to heighten and elevate our consciousness. The Ego hates this. Because the more awake we become, the less we need the Ego.”

  So, what relationship is there between Fear and Ego? The author is right: Ego hates change, hates spiritual enlightenment, because it is so caught in the materialistic life that it shuns any glimpse of awakening to our higher self.

I for one see Ego as the defensive answer of Fear. They grow exponentially. The more fear you experience towards a certain course of action, the more Ego will take a hold on you. It is Fear’s best buddy! It comes with intentions of division, trying to separate your Self from all important ideas and impulses; it even separates you from the rest of the world. Thus, it eases Fear’s work.

So, when Fear alone finds it hard at putting you to death, it calls forth its deadly ally:  Ego, which will start to dismantle you presently. These two together trigger all your demons: resentment, hostility, blame, self-importance, victimization, anger, jealousy, complain, etc., and give them the necessary force to reduce you to the size of a fly in agony.

Ego will make you feel superior in your misery and full-of-failure life, and vests everything in martyrdom. It will make you consider all the others as little people incapable of such elevated feelings as yours.

I have no recipes on winning the battle with Fear and Ego! I think that the sooner one reacts the better. As I stated before, acknowledge its presence, discern its voice and words, ignore it!

Fear is afraid, too, and knows it cannot do the job alone: it needs you and your Ego! That’s why it keeps chattering in your ear trying to brainwash you. Fight it when it’s alone, for if Ego kicks in, the fight will be a life and death one.

Fear and Ego—they are the worst enemies you can have. The former is a force living inside you, the latter is part of you literally. It’s hard to fight something you don’t see, and yourself. It is a constant battle, but it is worthwhile since it gives you back to yourself in your full splendour.

You are worthy, you have the necessary energy to start over again, you love to give and receive love, you love change and new things, you love this journey called life! Don’t let that mean voice tell you otherwise! Don’t pick up the phone, when it rings! Fight it! Do it now!

“The most pernicious aspect of procrastination is that

it can become a habit. We don't just put off our lives today;

we put them off till our deathbed.” (Steven Pressfield – The War of Art)

 

The (Only) 5 Fears We All Share

President Franklin Roosevelt famously asserted, "The only thing we have to fear, is fear itself."

I think he was right: Fear of fear probably causes more problems in our lives than fear itself.

That claim needs a bit of explaining, I know.

Fear has gotten a bad rap among most human beings. And it's not nearly as complicated as we try to make it. A simple and useful definition of fear is: An anxious feeling, caused by our anticipation
of some imagined event or experience.

Medical experts tell us that the anxious feeling we get when we're afraid is a standardized biological reaction. It's pretty much the same set of body signals, whether we're afraid of getting bitten by a dog, getting turned down for a date, or getting our taxes audited.

Fear, like all other emotions, is basically information. It offers us knowledge andunderstanding—if we choose to accept it—of our psychobiological status.

And there are only five basic fears, out of which almost all of our other so-called fears are manufactured. These are:

1.    Extinction—the fear of annihilation, of ceasing to exist. This is a more fundamental way to express it than just calling it "fear of death." The idea of no longer being arouses a primary existential anxiety in all normal humans. Consider that panicky feeling you get when you look over the edge of a high building.

2.    Mutilation—the fear of losing any part of our precious bodily structure; the thought of having our body's boundaries invaded, or of losing the integrity of any organ, body part, or natural function. Anxiety about animals, such as bugs, spiders, snakes, and other creepy things arises from fear of mutilation.

3.    Loss of Autonomy—the fear of being immobilized, paralyzed, restricted, enveloped, overwhelmed, entrapped, imprisoned, smothered, or otherwise controlled by circumstances beyond our control. In physical form, it's commonly known as claustrophobia, but it also extends to our social interactions and relationships.

4.    Separation—the fear of abandonment, rejection, and loss of connectedness; ofbecoming a non-person—not wanted, respected, or valued by anyone else. The "silent treatment," when imposed by a group, can have a devastating psychological effect on its target.

5.    Ego-death—the fear of humiliation, shame, or any other mechanism of profound self-disapproval that threatens the loss of integrity of the Self; the fear of the shattering or disintegration of one's constructed sense of lovability, capability, and worthiness.

That's all—just those five. They can be thought of as forming a simple hierarchy, or "feararchy":

 

Think about the various common labels we put on our fears. Start with the easy ones: fear of heights or falling is basically the fear of extinction (possibly accompanied by significant mutilation, but that's sort of secondary). Fear of failure? Read it as fear of ego-death. Fear of rejection? That's fear of separation, and probably also fear of ego-death. The terror many people have at the idea of having to speak in public is basically fear of ego-death. Fear of intimacy, or "fear of commitment," is basically fear of losing one's autonomy.

Some other emotions we know by various popular names are just aliases for these primary fears. If you track them down to their most basic levels, the basic fears show through.Jealousy, for example, is an expression of the fear of separation, or devaluation: "She'll value him more than she values me." At its extreme, it can express the fear of ego-death: "I'll be a worthless person." Envy works the same way.

Shame and guilt express the fear of—or the actual condition of—separation and even ego-death. The same is true for embarrassment and humiliation.

Fear is often the base emotion on which anger floats. Oppressed people rage against their oppressors because they fear—or actually experience—loss of autonomy and even ego-death. The destruction of a culture or a religion by an invading occupier may be experienced as a kind of collective ego-death. Those who make us fearful will also make us angry.

Religious bigotry and intolerance may express the fear of ego-death on a cosmic level, and can even extend to existential anxiety: "If my god isn't the right god, or the best god, then I'll be stuck without a god. Without god on my side, I'll be at the mercy of the impersonal forces of the environment. My ticket could be canceled at any moment, without a reason."

Some of our fears, of course, have basic survival value. Others, however, are learned reflexes that can be weakened or re-learned.

That strange idea of "fearing our fears" becomes less strange when we realize that many of our avoidance reactions—turning down an invitation to a party if we tend to be uncomfortable in groups; putting off a doctor's appointment; or not asking for a raise—are instant reflexes that are reactions to the memories of fear. They happen so quickly that we don't actually experience the full effect of the fear. We experience a "micro-fear"—a reaction that's a kind of shorthand code for the real fear. This reflex reaction has the same effect of causing us to evade and avoid as the real fear. This is why it's fairly accurate to say that many of our so-called fear reactions are actually the fears of fears.

When we let go of our notion of fear as the welling up of evil forces within us—the Freudian motif—and begin to see fear and its companion emotions as basically information, we can think about them consciously. And the more clearly and calmly we can articulate the origins of the fear, the less our fears will frighten us and control us.

Career in Hospital Management and Administration By Mahboob ali khan MHA, CPHQ Healthcare Consultant

Career in Hospital Management and Administration By Mahboob ali khan MHA, CPHQ Healthcare Consultant

 

 

 

 

 

 

 

 

Introduction

Medical establishments such as hospitals, clinics, rehabilitation centers and so on are looked upon as edifices of hope by the diseased and the ill. Like any other business, medical establishments are organized institutions. They follow complex processes and need efficient manpower to manage these processes. 

Hospital management and administration is concerned with the organization, coordination, planning, staffing, evaluating and controlling of health services for the masses. The primary objective is to provide quality healthcare to people and that too in a cost-effective manner. Professional hospital administrators have proven how institutions can be managed proficiently, economically and successfully in a given time period.

There has been seen a remarkable growth in the hospital industry in India, which has lead to a great demand and popularity of the hospital management related courses. The requirement of professional administrators in the hospitals is growing briskly mostly because the nature of work in hospitals is quite different from other organizations. Hospitals are expected to deliver quality service 24 x 7 x 365. 

The urgent nature of its work and the level of efficiency that is expected have increased the need of well-formulated hospital management courses. Further, various educational institutes have started offering hospital administration courses in India. What’s more, a career in hospital management helps you to achieve two goals in life, namely: a good pay package and service to mankind.

Step-by-Step

Every sphere of work demands a specialist and the hospital industry is no different. Earlier senior doctors were responsible to perform the role of a hospital manager apart from their normal medical duties. However, times have changed. Earlier there were just hospitals. Now, hospitals themselves have been categorized as ordinary hospitals, specialty and super specialty hospitals. 

Moreover, there is manifold increase in the complexity and processes that take place in the successful management of a modern day hospital. This in turn has lead to a tremendous demand for efficient professionals who can handle the day-to-day chores of hospital management and administration. Highly trained professionals are needed for the smooth operating of a hospital. 

The first step for a successful career in hospital management and administration is to earn an undergraduate degree in Hospital Administration. For a bachelor’s in Hospital Administration (BHA) you need to complete 10+2 with a total of 50% marks and biology as a compulsory subject. For a postgraduate degree in Hospital Administration (MHA), you have to be a graduate in any stream. This program is available for both medical and non-medical students. 

Some institutes offer certificate and diploma courses in hospital management, you can also pursue short – term, distance learning courses in this regard. The Indian Society of Health Administrators (ISHA) offers a one-year distance learning program in hospital administration and nursing administration. On the other hand, the Tamil Nadu Open University offers a two-year distance learning MBA course in Hospital Administration.

Start Early

10+2 level is the earliest level when you can make a beeline towards this profession. It is desirable to have organizational skills that will help you guide you towards this particular career path later on in life.

Is it the right career for me?

To be a successful professional in this field you should have a service-oriented bent of mind and the capacity to work for long hours. Furthermore, you must have a high emotional quotient to survive the highly charged atmosphere of a hospital.

Other essential traits include skill to take swift decisions, a friendly approach towards work and the ability to handle work pressure and the public at large. Also, if you possess the ability to cope up with deadlines, have excellent communication skills and leadership qualities then this is the right career for you.

What would it Cost Me?

The annual fee for the three-year BHA program is approximately around Rs. 40,000. On the other hand, the cost of pursuing MHA is about Rs. 10,000 per semester with four semesters making up the two-year course duration. 

This is the average cost that you will have to dish out to pursue an undergraduate or a post-graduate program in hospital management and administration. However, the actual expenses may vary from institution to institution.

Funding/Scholarship

Various state governments extend scholarships for SC/ST/BC students. The criteria for fee waivers, scholarships and financial aid is as per the prescribe norms of the respective academies.

Job Prospect

The importance of health care can never shrink and the number of institutes providing health care is only increasing. There are more than two and half lakhs health care institutes that require quality hospital administrators and managers in India 

The growing need of high professionalism would only increase the importance of hospital management courses in India. Along with the government, various private hospitals are today competing with each other to provide first class health care services to the masses across the country. In this respect, the demand of professional hospital administrators is rising tremendously.

Pay Packet

The salary of an administrator working for a medium grade hospital is around Rs.30,000 per month. The annual remuneration of an administrator in a super specialty 1000-bed hospital can easily go into lakhs of rupees.

Demand and Supply

The healthcare concept in India has undergone a tremendous change in recent years. People have become increasingly aware of the importance of healthcare and this has led to higher expectations and an increased demand for a high quality of medical care and facilities.

A large number of private hospitals and clinics have come up all over the country. With increasing emphasis on quality of health care and patient satisfaction, there is a remarkable need for persons with a professional qualification in hospital management.

Market Watch

The government of India is making special and concerted efforts in providing health care in both rural and urban areas of the country. With more and more private players also entering the hospital industry the demand for efficient administrators and managers is bound to go higher and higher.

There is a massive growth especially in super specialty hospitals due to which the demand for hospital managers and administrators have immensely increased. Moreover a professional course in hospital management not only opens door for various big and small hospitals but also in corporate, private and public sectors.

International Focus

The sector also offers prospects of global recognition with medical tourism becoming more widespread. If you’re talented and demonstrate a good work ethic, you can advance quickly. There is no limit to where your dreams and ambitions can take you in the exciting and fascinating world of hospital management and administration.

Positives/Negatives

+ives
•    In the role of a hospital manager or administrator you will get to meet a vast array of people in your line of duty.
•    You will have the satisfaction of running an establishment where people come to regain their health.

-ives
•    It’s a difficult job as keeps you on your toes most of the time. 
•    Intense work pressure is a part and parcel of this job profile.

13.    Different roles, different names

While medical graduates generally take care of the more technical aspects of hospital administration, non-medical graduates handle the operational aspects. The tasks would typically involve managing the staff, health services, technology decisions, IT management and working under a given budget. 
You can work as hospital superintendents, dean or director of medical colleges, medical directors, nursing directors and so on. Other roles include head of departments and as administrators with substantial managerial responsibilities. A hospital manager will be in charge of the overall organization and management of the hospital to ensure its smooth functioning.

Top Companies

1.    Government and private hospitals

2.    Health agencies, laboratories and clinics

3.    National and international healthcare organizations

4.    Health insurance companies

5.    Medical colleges and institutions

6.    Healthcare centers and nursing homes

7.    Mental health organizations

8.    Public health departments and rehabilitation centers

9.    Pharmaceuticals and hospital supply firms

10.    Medical software companies and hospital consulting firms

Tips for getting Hired

1.     For a career in hospital administration, you should possess some unique qualities such as an innovative attitude, responsibility, self motivation and selfless devotion towards humanity.

2.     As health services and medical managers are responsible for hundreds of employees and very expensive equipment and facilities, you should be able to make effective decisions, interpret data and understand information systems and finance.

3.     A post-graduate degree or a MBA in this field is desirable.

4.     Since you will be dealing with people all the time you must have strong communication skills.

Nara Lokesh-Brahmani blessed with son, Baby Boy -I feel very privileged to work for continental hospitals as consultant quality for successful JCI accreditation.One of the best hospitals in India ,and now the most preferred one by the VVIP'S after JCI Gold seal.

NABH ACCREDITATION: Choosing the right hospital

Mahboob ali khan MHA, CPHQ, PHD (Persuing) Gold Medalist JCI Accreditations.

There are a number of hospitals in India that offer a multitude of medical services. In a medical emergency, the nearest hospital is chosen. However, when there is time to choose a hospital, how should one choose?

More important than the infrastructure, it is essential to know if the hospital has a documented process for its healthcare activities. Patient care not only involves the core clinical care, but also other support activities like requisition of tests, medicines, nurse doctor coordination, infection control practices, training, and so on. These need to run seamlessly in the background to provide the best experience to the patient and the relatives.

A quality-conscious hospital should define all such activities internally, document the same, and impart necessary training to the staff. These documented activities include detailed job responsibilities, work instructions, checklists and quality indicators for the staff to follow.

So how will the patient know about these processes? He is not expected to inquire with the hospital whether they have these processes laid down. And how many processes could he check even if allowed to?

Accreditation is the key

Organizations like the Quality Council of India [QCI] and its National Accreditation Board for Hospitals and Healthcare providers [NABH] have designed an exhaustive healthcare standard for hospitals and healthcare providers. This standard consists of stringent 500 plus objective elements for the hospital to achieve in order to get the NABH accreditation.

To comply with these standard elements, the hospital will need to have a process-driven approach in all aspects of hospital activities – from registration, admission, pre-surgery, peri-surgery and post-surgery protocols, discharge from the hospital to follow-up with the hospital after discharge.

NABH accreditation criteria

To give an idea what NABH standard comprises of, some of the 500-plus objective elements are listed here. The requirements have been grouped for easy understanding.

Information to patients

1.     The patients and/or family members are explained about the proposed care.

2.     The patients and/or family members are explained about the expected results.

3.     The patients and/or family members are explained about the possible complications.

4.     The patients and/or family members are explained about the expected costs.

Rights of the patient and family

1.     Respect for personal dignity and privacy during examination, procedures and treatment.

2.     Right to refusal of treatment.

3.     Informed consent before anesthesia, blood and blood product transfusions and any invasive or high-risk procedures.

4.     Information on how to voice a complaint.

5.     Access to his / her clinical records.

Quality in investigations

1.     Adequately qualified and trained personnel perform and/or supervise the lab investigations.

2.     Policies and procedures guide collection, identification, handling, safe transportation and disposal of lab specimens.

3.     Laboratory and imaging results are available within a defined time frame.

4.     Critical results are intimated immediately to the concerned personnel.

5.     The lab and imaging quality programme addresses verification and validation of test methods.

6.     The lab and imaging quality programme includes periodic calibration and maintenance of all equipments.

7.     The lab and imaging programme includes the documentation of corrective and preventive actions.

Surgical services

1.     Surgical patients have a pre-operative assessment and a provisional diagnosis, documented prior to surgery.

2.     Documented policies and procedures exist to prevent adverse events like wrong site, wrong patient and wrong surgery.

3.     The operating surgeon documents the post-operative plan of care.

4.     There is a documented policy and procedure for the administration of anaesthesia.

5.     All patients for anaesthesia have a pre-anaesthesia assessment by a qualified individual.

6.     During anaesthesia, monitoring includes regular and periodic recording of heart rate, cardiac rhythm, respiratory rate, blood pressure, oxygen saturation, airway security and level of anaesthesia.

Medication

1.     Documented policies and procedures exist for prescription of medications.

2.     The organisation defines a list of high-risk medication.

3.     High-risk medication orders are verified prior to dispensing.

Infection control

1.     The hospital has an infection control team.

2.     The hospital has designated and qualified infection control nurse[s] for this activity.

3.     Hand-washing facilities in all patient care areas are accessible to health care providers.

4.     Compliance regarding proper washing of hands is monitored regularly.

5.     Isolation/ barrier nursing facilities are available.

6.     Adequate gloves, masks, soaps, and disinfectants are available and used correctly.

Facility and infrastructure maintenance

1.     The organisation’s environment and facilities operate to ensure safety of patients, staff and visitors

2.     There is a documented operational and maintenance [preventive and breakdown] plan.

3.     Up-to-date drawings are maintained which detail the site layout, floor plans and fire escape routes.

4.     The provision of space shall be in accordance with the available literature on good practices [Indian or International Standards] and directives from government agencies.

5.     There are designated individuals responsible for the maintenance of all the facilities.

6.     Maintenance staff is contactable round the clock for emergency repairs.

7.     Response times are monitored from reporting to inspection and implementation of corrective actions.

Other

1.     Defined procedures for situation of bed shortages are followed.

2.     Ambulance[s] is appropriately equipped.

3.     Ambulance[s] is manned by trained personnel.

4.     There is a checklist of all equipment and emergency medications in the ambulance.

How NABH accreditation helps patients

In an NABH accredited hospital, there is a strong focus on the following:

·         Patient rights and benefits

·         Patient safety

·         Control and prevention of infections

·         Practicing good patient-care protocols e.g. special care for vulnerable groups, critically ill patients

·         Better and controlled clinical outcome.

NABH now is a member of the International Society for Quality in Health Care [ISQua] and thus NABH standard is at the threshold of being recognised globally.

So, if a hospital is NABH accredited, the patient can rest assured that the hospital follows stringent standards as laid down by the accreditation body for providing best in patient care comparable to any international hospital of repute.