XIBMS – Referral System in Health Services

XIBMS – Referral System in Health Services

XIBMS – Referral System in Health Services

Punjab is one of the vital states of Indian Union consisting of 17 districts. Punjab has a vast network of public health care facilities comprising of 217 hospitals excluding three tertiary level hospitals, 104 community health centres, 484 primary health centres and 1462 subsidiary health centres, dispensaries. The teritary care facilities in Punjab consists of three Govt. Medical Colleges, two private medical colleges and a prestigious Post-Graduate Institute of Medical Education and Research (PGIMER), Chandigarh under the Ministry of Health and Family Welfare, Government of India.

Punjab Health Systems Corporation established under the world bank project aims to develop secondary health care. It has taken up 151 health institutions including all district hospitals. 42 Sub-divisional hospitals and 87 Community, Health Centre,  6 Area hospitals. Under the World Bank project, Punjab Health Systems Corporations is responsible for:

1. Renovation of hospital buildings to provide appropriate space for services.
2. Upgrading and updating of clinical skills of Medical Officers and staff nurses through an effective training programme.
3. Provision of ambulances for transporting critical patients.
4. Installations of phone, fax in hospitals.
5. Strengthening of Secondary level health care shall support the primary health care and thus there is need to formulate and implement an ideal and effective referral system. This is the right time and situation for Referral System to work and is the rationale for this system to develop.

 

THE REFERRAL SYSTEM IN PUNJAB

The Punjab Health Systems Corporation has initiated to strengthen the functioning of the hospitals for referral system through the following measures:

• Renovating and upgrading hospital buildings to provide appropriate space for services.
• Upgrading and updating clinical skills of medical officers and staff nurses through an effective training programme.
• Providing ambulances for transporting critical patients.
• Installing phone, fax and paging systems in hospitals.
• Financial powers to Senior Medical Officers in charge of the hospitals to accord necessary single sanction up to Rs. 5,000 (Rs. Five thousand only) and Deputy Medical Commissioners, Civil Surgeon, Medical Superintendent up to Rs, 10,000 (Rs. Ten thousand only) to meet the emergency.
• The user’s charges are to he retained at the site of collection. These are to be used by the Senior Medical Officer In charge of the hospital. Norms of services have been designed for each level of faculty.

 

FEATURES OF REFERRAL SYSTEM

1. Referral Network and Zoning

To identify the various referral levels, the whole district is divided into several zones and the referral levels are indicated for each zone. To facilitate and for convenience of patients, certain number of Primary Health Centres are grouped and linked to community health centre (C.H C.) /Tehsil Hospital/Area Hospita ls / District Hospitals depending upon the distance, availability of services, facilities of transportation, etc. But adopting a grouping system, uniform referral pattern has been developed. In this system the patient will know the course of further treatment, in case one is referred for some special procedure at appropriate level of care. Similarly, a good rapport and faith in the referral system will be developed. This is called zoning.

It helps in evolving a chain for the health units beginning at the primary level moving up through the middle tier and finally reaching the tertiary hospitals. Let us explain it with the help of Kiratpur Sahib.

After dividing the district into zones, the same is to be depicted on the map. The map should reflect all the health institutions, roads, river, bridges, Bus Stand, Railway route, Railway station, Police station, Post offices, etc.

These maps will have to be displayed at the reception counter in each of the health institutions.

 

 

1. Transportation Facilities

lo build up an effective Referral System, a dependable transportation arrangement has been provided where the health personnel shall be able to send the patients to the next appropriate level of care at the earliest, as the flow of patients is expected to be from primary health centres to the tertiary level.

 

1. Referral-cum-Feed-back Card 

Referral system is a two way process. The patient referred will be given the referral-cum-feed card. The colour coding has been done. The patient referred from CHC shall get blue cards. The patients referred from Tehsil hospital/Area hospital shall get green card. The patients referred from Distt. hospital shall get white card. The patient referred from P.H.C. or Subsidiary Health Centres shall have pink card.

The referral card contains—General information about the patients such as name, age, gender, address, Chief complaints, clinical findings, vital signs. Investigations done, Treatment given, procedure done where referred, and purpose of referral, i.e. for admission, Investigation or expert opinion.

At the referred hospital, patients could report directly to the unit or department to   which he or she has been referred through a special counter for referred patients.

 

1. Referral Procedure

In the referral procedure, there are two types of referral— (i) Emergency, (ii) Routine referral. In routine referral the patient will have to make his own transportation arrangement, however proper counseling needs to be done. The patient shall be given referral card. The regular hospital   hours   8.00 a.m. to   2.00   p.m. In  summer and 9.00 am to 3.00 p.m. in winter with half an hour break L30 p.m. to 2.00 p.m. For investigations, the best suitable time 9.00 AM. to 11.30 A.M. However emergency patients who are to be attended round the clock.

 

1. Receiving of Referred Patients 

Referral units should receive the patients directly at a place identified in each hospital without waiting in general outdoor patient department (OPD).

 

The receiving hospital must ensure that a referred patient enjoys the following privileges.

(i) Queue Jump: The referred patient will not stand in queue for general out-patients. He/She directly goes to the doctor referred on priority through a special counter of referred patients on routine.

(ii) No need of new OPD ticket. The referral card itself to he used as OPD ticket. The entry is to be made in the referral registers at the reception counter.

(iii) No purchee fee for referred patient with referral card.

(iv) Feed-back——After dealing with patient and at the time of discharge in case of admission, the doctor should fill up referral-cum-feed-back card. This will help the referring doctor to know whether the patient that he had referred, had got the relief. The specialist may send the feed back on slip (from slip pad) through S.M.O. 1/C of the health institution.

(v) Provision of low cost transportation—in emergency patients, it is clear that the actual fuel charges are to he paid by the patient. In poor patients (unknown, yellow card holders, natural Calamities, Disaster), this can be exempted.

(vi) From jail Hospitals, the patients are referred through the Police    guard.

1. Norms of Service

Norms of Services have been worked out for institutions at various levels in terms of facilities, staffing, equipment, services, etc.

 

1. Maintenance of Register

Two registers both by referring institutions and referred institutions are to be maintained to keep a proper records. Besides, there are large number of details which have been drawn to make the system functional. However, the systems has not taken roots and is still in its infancy.

For making referral system successful, Punjab Health System Corporation has taken the following steps:

1. Intensive Training ro all personnel from top to bottom to make them aware of the potentialities and limitations of referral systems.
2. Equipping the health institutions with the prescribed norms of services.
3. Making the people aware through maps of zoning and also through a video cassette “Know your Hospital”.
4. Arranging transport facilities.
5. Delegation and decentralisation of administrative and financial powers.
6. Overseeing the implementation.
7. Conducting research to diagnose the problems which stand in the way of efficient functioning of referral system.

By now, referral system has been introduced in all districts of Punjab. It is hoped that this would bring a revolution in health services in Punjab.

Issues to be discussed

1. Facts of the case.
2. Analyse the Referral System based on the case and taking out of case examples as well.
3. Based on the analysis do you perceive increased effectiveness in the health services? Justify your view.

XIBMS – Referral System in Health Services

XIBMS Institute

XIBMS Answer sheets, academic support

XIBMS assignment help, student assistance

XIBMS Institute solutions

Xavier mba answer sheets

Xibms mba case study answers

Xibms case study answers

Xavier emba answer sheets

Xavier emba case study papers

Xibms gms answer sheets

Xavier gms case study papers

Xavier advance diploma answer sheets

Xibms advance diploma case study answer sheets

Xibms dms case study answers

Xavier dms case study papers

At Global Study Solutions, we take immense pride in our ability to offer specialized support to students pursuing various programs at XIBMS Institute (Xavier Institute of Business Management Studies). Our dedicated team comprises experienced professionals who excel in crafting precise and well-researched solutions for assignments and case studies across different disciplines and courses.

Our commitment to aiding students in achieving academic success aligns perfectly with the educational standards upheld by XIBMS Institute (Xavier Institute of Business Management Studies). We understand the importance of delivering high-quality, customized solutions that meet the unique requirements of assignments and case studies within the institute\’s curriculum.

Whether in MBA, EMBA, GMS, DMS, or any other programs offered at XIBMS Institute (Xavier Institute of Business Management Studies), our team is equipped to provide expert guidance and meticulously crafted solutions. We prioritize accuracy, originality, and timely delivery, ensuring students receive the necessary assistance to excel academically.

We are dedicated to fostering an environment of academic excellence and providing dependable support to the esteemed students of XIBMS Institute (Xavier Institute of Business Management Studies).

XIBMS Answer Sheets

Customized Answer Solutions

MBA Assignment Solutions

EMBA Case Study Solutions

GMS Answer Sheets

DMS Assignment Help

Professional Writing Assistance

Tailored Academic Solutions

Specialized XIBMS Support

Academic Writing Services

Reliable XIBMS Assistance

Get expert assistance with your XIBMS Institute (Xavier Institute of Business Management Studies) assignments and answer sheets from our professional academic writing services.

Our team specializes in supporting students with XIBMS Institute (Xavier Institute of Business Management Studies) coursework, ensuring top-notch answer sheets and comprehensive solutions.

Ace, with our tailored assistance, your XIBMS Institute exams, offering precise guidance and accurate answer sheet preparation.

Seeking reliable help for your XIBMS Institute studies? Trust our academic writing services for meticulously crafted answer sheets and exceptional support.

Score high in your XIBMS Institute (Xavier Institute of Business Management Studies) assessments by availing our expert aid in preparing comprehensive and well-structured answer sheets.

 

XIBMS Project Report Writing Services

XAVIER Customized Project Reports

XIBMS Institute Project Support

XIBMS Professional Project Report Assistance

Quality Project Documentation

XIBMS Expert Project Report Writers

Comprehensive Project Analysis

Structured Project Report Services

XAVIER Detailed Project Documentation

XIBMS Project Evaluation Support

Custom Project Report Formats

XAVIER Project Research and Analysis

MBA/EMBA/GMS/DMS Project Reports

 

XIBMS Institute (Xavier Institute of Business Management Studies) assignments, solved papers, and study materials are available through our academic writing services.

Seeking assistance with XIBMS Institute coursework? Our professional team delivers accurate and timely solutions for all your academic needs.

Our specialized academic writing support simplifies access to XIBMS Institute (Xavier Institute of Business Management Studies) question papers and model answers.

Need expert guidance for your XIBMS Institute assessments? Our service offers comprehensive solutions for students seeking assistance.

Our academic writing services ensure precise and high-quality answers for XIBMS Institute assignments, aiding students in their educational journey.

 

Academic writing professionals play a crucial role in assisting students with their university assignments, striving to achieve several key goals:

Quality Assurance: Their primary aim is to deliver high-quality content that meets academic standards and fulfills the requirements of the university assignments. This involves thorough research, proper structuring, and adherence to guidelines provided by the educational institution.

Originality and Plagiarism-Free Content: Professionals in this field emphasize originality by creating authentic content free from plagiarism. To maintain academic integrity, they ensure that all information is appropriately cited and referenced.

Meeting Deadlines: Timely submission is a significant goal for academic writing professionals. They work within specified deadlines to provide students with completed assignments, enabling them to submit their work punctually.

Clear and Coherent Communication: Professionals strive to convey complex ideas in a clear, coherent, and academically appropriate manner. They focus on effective communication to ensure the content is easily understandable to the target audience.

Supporting Learning and Comprehension: Beyond completing assignments, academic writing professionals aim to support students\’ learning by providing explanations, analysis, and additional resources that help students grasp the subject matter more comprehensively.

Customization and Client Satisfaction: They tailor their services to individual student needs, providing personalized assistance and ensuring client satisfaction by addressing specific requirements and preferences.

Continuous Improvement: Academic writing professionals continuously update their knowledge base, research techniques, and writing skills to adapt to evolving academic standards and deliver the best possible support to students.