Abstract of Dissertation

Agency : Medical Equipment, Utilization, Equipment Utilization

Objective : The study was carried out at various hospitals of Wockhardt Group, in different departments and service areas , with an objective of finding out the availability of equipments; to study the usage of each equipment; identifying the optimum number of equipments and to see the possibility of redistribution , re-location of equipments based on their utilization

Methodology : Retrospective analysis The study aims to determine the current availability of the equipments in respective departments /service facilities across the various hospitals of Wockhardt. Equipments are categorized into two broad heads movable and non-movable. The methodology consisted of actual observations of the various service delivery sites/departments. Ten cases were observed for various diagnostic procedures including X-Ray, MRI, CT, USG , ECG,ECHO,PFT and average timings each procedure takes for which a machine is being utilized was considered. Operational hours of working of each department and the standard time TAT for an investigation, tests and different diagnostic, therapeutic and surgical procedures was studied.

Findings : An indepth assessment at Rajkot of the available 596 major equipment in various department/functional area, revealed that 85.2% of them were in working order and the other 88 equipment (14.7%) were not in use, although they were in working condition . similarly, at Goa the condition was that out of total 301 equipments, 82% equipments were in use while, 41 equipments that’s approximately 14% of equipments were not in use and only 8 such equipments were there which were notworking. For Surat, functional equipments percentage was almost 86% as compared to non-functional equipments which is approximately 14%. Similarly, for Vashi functional is to non-functional ratio was – 78% and 22% and for Nasik ,it was around 81% and 19%.).

Recommendations : The reasons found for non utilization of equipments were -non availability of trained personnel, kept as reserve, non installation. The study revealed that new critical care units can be established, noninvasive diagnostics machine of cardiology can be redistributed and a centralised bank for the portable equipments can be created where excess equipments can be kept in reserve and can be given on loan basis.