institute of healthcare management

7/21/2019 Institute of Healthcare Management

1/20

Ou`` Kssbagdlgt ;


2/20

Hngtlgts

Ukc`l no Obaurls..........................................................................................................................8

Vkrt K9 Obgebga nppnrtugbtbls onr Xlrvbhl Bdprnvldlgts..........................................................5

Snnd onr bdprnvldlgt bg Xplhbdlg Hn``lhtbng...................................................................5

Snnd onr bdprnvldlgt bg K``ntdlgt no rlsnurhls................................................................5

Vkrt ! "rakgbsbga k Ulkd.......................................................................................................#

H$k``lgals tn cl okhle...........................................................................................................%

Vrn&lht Ulkd...........................................................................................................................'

(b) no s*b``s+ plrsngk`btbls kge st,`ls................................................................................-

Xtk*l$n`elrs...........................................................................................................................-

Vkrt H ! H`krbo,bga Hurrlgt gn/`leal...................................................................................6;

(nst Kpprnprbktl Unn`s........................................................................................................6;

Hnddugbhktbngs /bt$ Xtk*l $n`elrs................................................................................6;

Xtk*l (ktrb).........................................................................................................................66

Hurrlgt plronrdkghl............................................................................................................66

(BXXB"39........................................................................................................................6

BXB"39...........................................................................................................................6

Vkrt < ! ?gelrstkgebga t$l Hkusls no krbktbng......................................................................65

U$l Hkusl kge 1oolht


3/20

Ukc`l no Obaurls

Ukc`l 6 Vlrsngk`bt, Xt,`l kge Vlrsngk` Bgtlrkhtbngs................................................................%

Ukc`l Xl`lhtbng Hrbtlrbk.........................................................................................................'

Ukc`l 8 Xtk*l$nèlrs kge vkùls bg hngo`bht.............................................................................-

Ukc`l 5 Hnddugbhktbngs /bt$ stk*l $nèlrs.........................................................................6;

Ukc`l # Vlronrdkghl Bdprnvldlgt bg :kc Xlrvbhl...............................................................65

Ukc`l % Xl`lhtbga Bdprnvldlgts............................................................................................6'


4/20

Vkrt K9 Obgebga nppnrtugbtbls onr Xlrvbhl Bdprnvldlgts

U$l $nspbtk` sl`lhtle onr t$bs prn&lht bs K` 0$krcbk 4nspbtk`s+ /bt$ ' crkgh$ls kge t$l crkgh$

ugelrstue, bs K`dbrok 4nspbtk` /$lrl dkgkaldlgt $ks k`rlke, rlhlbvle k hndp`kbgt ng t$l

gudclr no splhbdlg hn``lhtbngs /lrl clbga rlplktle eul tn prnhlss lrrnr.

U$l rnnd onr bdprnvldlgt l)bsts bg :kcnrktnr, slrvbhls+ `kcnrktnr, slrvbhls krl k vbtk` pkrt

no kg, $lk`t$ hkrl nrakgb7ktbng. U$lrlonrl bt bs vlr, bdpnrtkgt tn $kvl kg loolhtbvl pktblgt

ksslssdlgt kge trlktdlgt prnhlssls tn loolhtbvl`, dkgkal t$l `kral gudclr no rlsu`ts prneuhl

c, `kcnrktnrbls bg k 5 $nur sltup. U$l splhbdlg hn``lhtle dust cl `kcl``le+ tn cl kc`l tn

trkh* t$ld kt k`` tbdls /$b`l t$l, krl ugelr kgk`,sbs bg t$l `kcnrktnr,. K` 0$krcbk 4nspbtk`

$ks k s,stld bg p`khl tn kvnbe rlplkt hn``lhtbngs no `kcnrktnr, skdp`ls khrnss k`` t$l '

crkgh$ls no t$l 4nspbtk`.

:kcnrktnr, slrvbhls krl h$k``lgabga bg $lk`t$ slrvbhls clhkusl no t$l $ual gudclrs no tlsts

bgvn`vle kge ng ek, kge gba$t cksbs. Bg ?K1 t$l /nr*onrhls krl clbga du`tbp`ble c,

keebtbngs no /nr*lrs ornd k`` nvlr t$l /nr`e+ /$bh$ bghrlksls prlssurl ng t$l `kcnrktnrbls tn

nplrktl 5 $nurs /bt$ `nkes no splhbdlg tn kedbgbstlr kge trkh* eurbga t$l tlst kt t$l `kc.

Snnd onr bdprnvldlgt bg Xplhbdlg Hn``lhtbng

(nrl splhbobhk``, t$l rnnd onr bdprnvldlgt bg `kcnrktnr, slrvbhls l)bsts bg hn``lhtbng no

skdp`ls ornd pktblgts onr tlsts+ t$l dkgkaldlgt glles tn dk*l surl t$kt gngl no t$l

`kcnrktnr, stkoo dk*ls kg lrrnr bg rlhlbvbga kge t$lg slgebga bt tn t$l `kcnrktnr, onr tlsts kge

obgk``, prlslgtbga t$l tlst rlsu`ts tn t$l pktblgt /bt$nut kg, lrrnr splhbk``, rlplkt hn``lhtbng.

Xplhbdlg hn``lhtbng bs k skolt, bssul cut kt K`dbrok 4nspbtk` bt bs hngsbelrle ks kg bdpnrtkgt

pktblgt sktbsokhtbng bssul tn dk*l surl t$l splhbdlg hn``lhtle /lrl tlstle prnplr`, kge t$l

dkgkaldlgt enlsgnt $kvl tn ks* t$l pktblgt onr k slhnge splhbdlg.

Snnd onr bdprnvldlgt bg K``ntdlgt no rlsnurhls

U$l bgloobhblgh, bg t$l hn``lhtbng rlsu`ts bg `nss no stkoo tbdl+ `kc tbdl+ kge p$,sbhk` rlsnurhls

k`sn t$l c`nne skdp`l onr k slhnge tlst onr t$l skdl pktblgt bs k`sn kg bssul. U$lrlonrl rnnd

onr bdprnvldlgt k`sn l)bsts bg k``ntdlgt no rlsnurhls.

U$l s,stld dust cl bdprnvle sn t$kt t$l stkoo en gnt $kvl tn rlplkt t$l skdl tks* kakbg

clhkusl no kg lrrnr bg hn``lhtbng no splhbdlg bghrlksbga bgloobhblgh, bg utb`b7bga t$l rlsnurhls

kvkb`kc`l kt t$l `kcnrktnr,.


5/20

Un dk*l t$l rl>ubrle bdprnvldlgts t$l $nspbtk` $ks slt bts ank` onr t$l obrst >ukrtlr no ;6

ks on``n/s9

Ank`9 Vlronrdkghl bdprnvldlgt bg @kcnrktnry Xlrvbhl

U$lrlonrl t$l :kcnrktnr, Hn``lhtbng slrvbhls krl k dk&nr tkralt onr bdprnvldlgts onr t$l

dkgkaldlgt. 1vlg kotlr t$l k`rlke, bg p`khl s,stld onr t$l `kcnrktnr, splhbdlg hn``lhtbng

kge kgk`,sbs t$lrl krl lrrnrs bg hn``lhtbng kge prnhlssbga no t$l splhbdlg.

U$l k`rlke, bg p`khle s,stld kt t$l $nspbtk` enls gnt $kvl k :BX F:kcnrktnr, Bgonrdktbng

X,stld eul tn /$bh$ t$l stkoos kt t$l `kcnrktnr, krl gnt kc`l tn kedbgbstlr t$l splhbdlg

tk*lg onr tlst. Bo t$l splhbdlg tk*lg onr tlst $ks k ckrhnel kge k pbhturl no t$l pktblgt ng t$l

splhbdlg t$l h$kghls no `nsbga k splhbdlg /b`` rleuhl tn 7lrn. K`sn t$l 1S( F1`lhtrngbh

(lebhk` Slhnres ektk cksl /b`` lgkc`l t$l stkoo tn khhlss t$l pktblgt bgonrdktbng cl`ngabga

tn k pkrtbhu`kr splhbdlg kt kg, rl>ubrle tbdl c, sbdp`, shkggbga t$l ckrhnel no t$l splhbdlg.

Vkrt C Nrakgbsbga k Ulkd

"rakgbsbga k tlkd bs ngl no t$l dk&nr h$k``lgals tn kh$blvl t$l rl>ubrle bdprnvldlgts.

U$lrlonrl bg k $lk`t$ nrakgb7ktbng t$l tlkd dust cl onrdle /bt$ eul eb`balghl kge usl no k``

t$l l)plrtbsl clhkusl kg, bgloobhblgh, krnsl /b`` $kvl slrbnus $udkg bdp`bhktbngs. Ks

K`dbrok 4nspbtk` bs elebhktle tn clhndl t$l bgeustr, `lkelr kge k`sn t$l clst hustndlr

slrvbhl prnvbelr bt bs vbtk` onr t$l $nspbtk` tn $kvl clst tlkd nplrktbga kt t$l `kcnrktnr,. Un

nctkbg clst rlsu`ts kotlr t$l bdp`ldlgtktbng t$l tlkd /b`` cl trkbgle /bt$ rlsplht tn t$lbr

plrsngk`btbls sn t$l gl/ s,stld hnu`e prneuhl t$l elsbrle rlsu`ts. (BU bs cllg usle c,

dkgkalrs tn loolhtbvl`, `lke k tlkd tn clhndl kg loolhtbvl tlkd.

U$lrlonrl bg k $lk`t$ nrakgb7ktbng bt bs vlr, vbtk` t$kt t$l tlkd bs loolhtbvl clhkusl ng`, kg

loolhtbvl tlkd /b`` cl kc`l tn /nr* ng 5 $nur cksbs kge prneuhl t$l elsbrle rlsu`ts ks

rl>ubrle c, t$l pktblgts kge t$l enhtnrs. 1splhbk``, bg $lk`t$ nrakgb7ktbng eboolrlgt $lk`t$

kalghbls kge nt$lr anvlrgdlgt bgstbtutbngs rl>ubrl t$l $lk`t$ nrakgb7ktbngs tn nplrktl kt k

rl>ubrle `lvl` no stkgekres. (,lrsrbaas U,pl Bgebhktnr F(UB $ks cllg usle tn belgtbo,

t$l plrsngk`btbls no t$l stkoo kge onr t$l purpnsl tn kh$blvl t$l rl>ubrle ank` ks s$n/g bg t$l

on``n/bga tkc`l6 FXtkgclrr,+ ;68.


6/20

Ukc`l ; - Vlrsngk`bty Xty`l kge Vlrsngk` Bgtlrkhtbngs

Un rlsn`vl hnddugbhktbng prnc`lds t$l dkgkaldlgt dust cl k/krl no t$l plrsngk`bt, t,pls

no k`` t$l stkoo+ lgkc`bga t$ld tn kvnbe hnddugbhktbng prnc`lds+ bg t$l du`tbhu`turk` /nr*

onrhl no ?K1 hnddugbhktbng prnc`lds krl cl$bge dnst no t$l bgloobhblgh, rlksngs bg t$l

prnhlss.

Hk``lgals tn cl okhle

Xndl no t$l h$k``lgals okhle eurbga bdprnvldlgts bg t$l `kcnrktnr, hn``lhtbng slrvbhls no

t$l $nspbtk` krl9

6. Hngeuhtbga (UB kgk`,sbs no t$l stkoo c, ob` bga t$l >ulstbnggkbrl

. ubrbga kttlgtbng tn eltkb` kge

t$l stkoo dust cl dkel k/krl no t$l hngsl>ulghls no gnt kgs/lrbga t$l >ulstbngs prnplr`,

kge t/lk*bga t$lbr kgs/lrs tn kpplkr tn cl k hlrtkbg snrt no k plrsngk`bt, F>ulg*+ ;;=+ p. 86.

U$lrlonrl bg nrelr tn dk*l k anne tlkd k`` t$l kvkb`kc`l stkoo dust cl ksslssle ng t$l cksbs no

(UB tn kh$blvl rl>ubrle rlsu`ts.


7/20

Vrn!lht Ulkd

ubrbga kttlgtbng krl bssuls krnusle

bg $ba$ vn`udl kge $ba$ rbs* tbdls no nplrktbng kt t$l `kc. U$l nrakgb7ktbngk` prbnrbtbls krl

k`sn *lpt kt orngt /$b`l sl`lhtbga t$l tlkd k`nga /bt$ rlau`ktnr, kalghbls kge t$l stktutnr,

hndp`bkghl /bt$ t$lsl kalghbls. "gl no t$l dk&nr okhtnrs tn cl hndpltbtbvl bg ?K1 dkr*lt bs

tn hn``lht hndpltbtnr ektk t$l rlsu`ts no /$bh$ /b`` k`sn cl bghnrpnrktle bg t$l clgh$dkr*

strktla, onr t$l $nspbtk`. Vktblgt kge okdb`, glle l)plhtktbngs krl kt t$l hnrl no $nspbtk` ank`+

vbsbng kge dbssbng t$lrlonrl tn bghrlksl hustndlr sktbsokhtbng t$l gl/ s,stld /b`` rldnvl t$l

hndp`kbgts ornd pktblgts kge okdb`bls. Hnst loolhtbvlglss no rlsnurhls c, bgtrneuhbga kg

loolhtbvl s,stld onr k``ntdlgt no rlsnurhls kt t$l `kc bs k`sn kg bdpnrtkgt pkrt tn bdprnvl t$l

slrvbhls kt t$l `kcnrktnr,. U$l sl`lhtbng hrbtlrbk onr t$l prn&lht tlkd krl engl ng t$l on``n/bga

onrdkt ks s$n/g bg tkc`l9

Ukc`l 3 - Xl`lhtbng Hrbtlrbk

Xl`lhtbng Hrbtlrbk

Vrbdkry

;. Mbam _n`udl

3. Mbam Sbsj

8. Vrnc`ld prngl

Vrbdkry Unn`

Xlhngekry 5. Nrakgbzktbngk` Vrbnrbtbls


8/20

Bg nrelr tn suhhlssou``, bdp`ldlgt t$l gl/ Hlrglr X,stld t$l tlkd dust cl trkbgle kge /l``

l>ubpple tn dk*l surl t$kt t$l s,stld bs bdp`ldlgtle kge prneuhls elsbrle rlsu`ts.

"b# no s$b``s% plrsngk`btbls kge st&`ls

Khhnrebga tn (UB t$l tlkd tn bdp`ldlgt t$l gl/ Hlrglr X,stld dust $kvl on``n/bga

plrsngk`bt, khhnrebga tn tkc`l 6.

6 B3UC F(nst Bgelplgelgt

B3UV F(nst Hnghlptuk`

8 13UV F(nst Bgvlgtbvl

5 13OV F(nst "ptbdbstbh

Xtk$lnèlrs

U$l $ba$lr dkgkaldlgt no t$l $nspbtk` dust cl tk*lg bg hngobelghl onr tn suhhlssou``,

upektl t$l hurrlgt s,stlds bg nrelr tn kvnbe rlplkt hn``lhtbng lrrnr. U$l stk*l $nèlrs

bgvn`vle kge t$l vkùls bg hngo`bht /bt$ rlsplht tn t$l t/n krlks rl>ubrbga bdprnvldlgt krl

s$n/g bg tkc`l 8.

Ukc`l 8 - Xtkjlnèlrs kge vk`!ls bg hngo`bht

_kùls Hngo`bht Xtkjlmnèlr(s) _kùl bg Hngo`bht Xnùtbng

;. Enuc`l hn``lhtbng

lrrnr bg splhbdlg

hn``lhtbng

-bgkghl ghrlksls )nst

dp`ldlgt )lrglr

/ystld

Slabngk` 'l"bhk`

N$$bhlr

6sl n$ mudkg

rlsnurhls

uk`bty 'kgkalr gl$$bhblghy bg

nplrktbngs

. !``ntdlgt no

"lsnurhls

'l"bhk` brlhtnr nss n$ stk$$ mnurs

/tk$$ trkbgbga kg"

aub"kghl ng k`` pn`bhbls

kg" rlau`ktbngs

kc /tk$$ -ktbaul rltlst n$ tml

skdl skdp`l

!bndl"bhk` gabgllr nss n$ kcnur mnurs

Vmysbhbkgs kg"

Vktblgts

Vrnc`lds bg hustndlr

slr+bhls

U$l krlk no bdprnvldlgt onr rldnvbga lrrnrs bg splhbdlg hn``lhtbng $ks bghrlksle hnst vkùl

hngo`bht /bt$ t$l Obgkghl (kgkalr+ kge k`sn onr t$l Slabngk` (lebhk` "oobhlr bt bs k hkusl no

usl no $udkg rlsnurhls t/bhl onr t$l skdl &nc $lghl bghrlksls bg loobhblgh, bg rlsnurhls

ldp`n,le. Un rlsn`vl t$lsl bssuls t$l Hlrglr X,stld /b`` cl bdp`ldlgtle. U$l Hlrglr

X,stld krl prnvlg tn strlkd`bgl kedbgbstrktbng kge k`sn rleuhls hnst /$b`l lg$kghbga pktblgt

skolt, FHlrglr + g.e.. Hlrglr X,stld /b`` k`sn prnvbel :kcnrktnr, Bgonrdktbng X,stld F:BX

/$bh$ bs onugele kotlr dnrl t$kg 8; ,lkrs no rlslkrh$ bg t$l `kcnrktnr, bgonrdktbng

tlh$gn`na,. :BX bs l>ubpple tn en on``n/bga9


9/20

6. lrbobhktbng no l, pktblgt eldnarkp$bhs+ tlst rlsu ts kge uk`bt, Hngtrn`s kt k`` tbdl

/$b`l t$l splhbdlg bs kt t$l `kc onr tlstbga.

. Vrnhlssbga `kral >ukgtbtbls no splhbdlg 5 $nurs /bt$nut lrrnr.

8. ?sbga kr Hnebga+ X,gnptbh Slpnrtbga kge Bdkal (kgkaldlgt tn trkh* kge eltlht

lvlr, splhbdlg kt k`` tbdls.5. Vrnvbebga hnurblr slrvbhls onr t$l rlsu ts tn cl slgt tn eboolrlgt `nhktbngs

#. Hndpb bga 1(S F1`lhtrngbh (lebhk` Slhnres

U$l Hlrglr s,stld bs k vlr, hndprl$lgsbvl s,stld /$bh$ $ks k :BX /$bh$ /b`` rlsn`vl bssuls

`b*l lrrnr bg hn``lhtbng c, bgtrneuhbga ckrhnels kge pbhturls no t$l pktblgts ng t$l splhbdlg.

Vkrt H H`krbo&bga Hurrlgt 'gn(`leal

U$bs pkrt /b`` prnvbel bgonrdktbng ng t$l hurrlgt plronrdkghl no t$l s,stld /$bh$ bs k`rlke,

bg p`khl kt t$l :kcnrktnr, no K`dbrok 4nspbtk`. U$l on``n/bga tnn`s /lrl hngsbelrle tn cl

dnst loobhblgt bg hn``lhtbga bgonrdktbng ng t$l hurrlgt s,stld.

"nst Kpprnprbktl Unn`s

U$l obrst tnn` bs t$l hnddugbhktbng /bt$ eboolrlgt s$krl$nèlrs kge hn``lhtbga bgonrdktbng ng

t$l hurrlgt s,stld.

Hnddugbhktbngs (bt Xtk$l nèlrs

U$l on``n/bga Ukc`l 5 s$n/s t$l hnddugbhktbng dlt$ne kenptle kge t$l bgoùlghl no lkh$

stk*l$nèlr bg t$l hurrlgt s,stld.

Ukc`l " - Hndd!gbhktbngs #bt stkjl nèlrs

Xtkjl mnèlr

Arnup

#goùlghl

($%&%')

Xuppnrt

($%&%')"l`ktbngsmbp

Hnddugbhktbng

&ltmne

Hnddugbhktbng

rlulghy-bgkghl M M Vrn$lssbngk` dkb`s kb`y

Slabngk` 'l"bhk`

N$$bhlr

' M Vrn$lssbngk` 'lltbga llj`y

kc /tk$$ M nhtnr Vktblgt _bsbts kb`y

uk`bty 'kgkalr M M ?1 Slhnr"s kb`y

!bndl"bhk`

gabgllr

M nhtnr Vktblgt Slpnrts kb`y

Vmysbhbkgs kg"

Vktblgts

M ?.1. uk`bty ulstbnggkbrls kb`y


10/20

Xtk$l "ktrb#

2bt$ t$l $l`p no t$l on``n/bga Xtk*l (ktrb) t$l ncstkh`ls+ arudc`lrs+ h$kdpbngs kge orblges

/lrl eltlhtle.

$b%!rl ;- Xtkjl &ktrb'

Obaurl 6 kcnvl s$n/s t$l ncstkh`ls kge arudc`lrs tn cl okhle /$b`l bdp`ldlgtbga t$l gl/

Hlrglr X,stld kge k`sn s$n/s t$l h$kdpbngs kge orblges /$bh$ hnu`e cl usle tn kpp`, t$l

gl/ s,stld loobhblgt`,.

Urkbgbga no t$l stkoo bs k glhlsskr, hndpnglgt kt k $lk`t$ bgstbtutbng kge t$l gl/ s,stld /b``

bghnrpnrktl t$l trkbgbga no t$l stkoo ng k`` t$l ru`ls+ pn`bhbls kge prnhleurls. U$l lrrnr bg

splhbdlg tlstbga /b`` cl rldnvle c, t$l $l`p no t$l ckrhnel kge bdkal no t$l pktblgt ng

lvlr, splhbdlg.

Hurrlgt plronrdkghl

U$l hurrlgt plronrdkghl no t$l $nspbtk` bs cllg vlr, pnnr /bt$ rlakres tn t$l `kcnrktnr,

nplrktbngs. U$l lrrnr bg hn``lhtbng no skdp`ls ornd pktblgt $ks slrbnus bdp`bhktbngs onr t$l

$nspbtk` kge bs bghrlksbga t$l hndp`kbgts kge hustndlr ebssktbsokhtbng bg t$l pktblgts kge t$lbrokdb`bls. U$l hurrlgt (bssbng kge bsbng no t$l K` 0$krcbk 4nspbtk` krl ks on``n/s9


11/20

"BXXBN)9

Ul @kcnrktnry (lpkrtdlgt kt )` Akrcbk *nspbtk`s bs hnddbttle tn )` Akrcbk

*nspbtk`s dbssbng tn cl k lkelr bg prndntbg% kcnrktnry slrvbhl #btbg khhlptkc`l

t!rgkrn!ge tbdl tn k`` pktblgts+ stkoo kge tl hndd!gbty,

*BXBN)9

Ul @kcnrktnry (lpkrtdlgt+ trn!% hngtbg!n!s !k`bty bdprnvldlgt dlks!rls #b``

prnvbel b% stkgekre kcnrktnry slrvbhls tn k`` pktblgts+ kge #b`` %n tn#kres gktbngk`

rlhn%gbtbng kge khhrlebtktbng ornd hlrtboble `kcnrktnrbls kge nr%kgb.ktbngs n!tsbel tl

/gbtle )rkc 6dbrktls,

U$lrlonrl t$l bdprnvldlgt bg `kcnrktnr, slrvbhls bs vlr, glhlsskr, onr t$l nrakgb7ktbng tn cl

bg `bgl /bt$ t$l dbssbng kge tn clhndl t$l `lkelr no `kcnrktnr, slrvbhl prnvbelr bg ?K1.

0kt$lrbga bdpnrtkgt clgh$dkr*bga bgonrdktbng bs k`sn kt t$l hnrl no t$l gl/ s,stld+ /$bh$

/b`` upektl t$l $nspbtk` dkgkaldlgt /bt$ pn`bhbls kge prnhleurls on``n/le c, nt$lr

nrakgb7ktbng bg t$l bgeustr,.

U$l hurrlgt s,stld usle onr prnhlssbga rlhnres kt t$l `kcnrktnr, no K`dbrok 4nspbtk` bs gnt

usbga ckr hnels+ eul tn /$bh$ t$lrl bs k rnnd onr lrrnr bg dkgkabga t$l splhbdlg krrbvbga kt

t$l `kc onr tlst. U$l Hlrglr X,stld /b`` k`sn $l`p tn kh$blvl t$l hurrlgt dbssbng+ vbsbng kgeank` no t$l K`dbrok 4nspbtk`.

U$l vbsbng no t$l $nspbtk` tn bghrlksl hustndlr sktbsokhtbng kge kh>ubrl khhrlebtktbngs ornd

k`` t$l dlebhk` bgstbtutbngs bg ?K1 rl>ubrls t$l $nspbtk` tn uralgt`, upektl t$l `kcnrktnr,

slrvbhls bg nrelr tn rleuhl hustndlr hndp`kbgts. Onr k `kcnrktnr, hustndlr sktbsokhtbng dust

cl kt t$l $lkrt no bts nplrktbngs clhkusl bo t$l rlsu`ts prneuhle c, t$l `kcnrktnr, krl gnt

sktbsokhtnr, t$l pktblgts /b`` dnvl tn nt$lr `kcnrktnrbls $lghl `nsbga cusbglss kge ekdkabga

t$l anne /b`` no K`dbrok 4nspbtk`.

U$l rlsu`ts kh>ubrle usbga t$l dnst kpprnprbktl tnn`s b.l. hnddugbhktbngs /bt$ stk*l $nèlrs

kge stk*l dktrb) bdp`, t$kt t$l nè s,stld $ks okb`le tn prnvbel kg loolhtbvl `kcnrktnr,

dkgkaldlgt s,stld F:BX eul tn /$bh$ t$l hndp`kbgts bg t$l slrvbhls no t$l `kcnrktnr, $kvl

bghrlksle kge t$l, dust cl stnpple /bt$ t$l $l`p no t$l bgtrneuhtbng no kg loolhtbvl :BX.

:BX /b`` lgkc`l t$l stkoo tn khhlss t$l pktblgt bgonrdktbng c, sbdp`, shkggbga t$l ckrhnel ng

t$l splhbdlg. U$lsl ckrhnels /b`` cl bssule c, t$l s,stld bgonrd no prbgts /$bh$ hnuè cl


12/20

pkstle ng t$l splhbdlg lgkc`bga t$l stkoo tn trkh* t$l splhbdlg kge khhlss bgonrdktbng ng t$l

stktus no k pkrtbhu`kr splhbdlg /$lg lvlr rl>ulstle c, t$l hustndlr.

:BX /b`` k`sn $kvl t$l el`bvlr, s,stld lgkc`bga t$l stkoo tn pnst kg, rlsu`ts ks rl>ulstle c,

t$l pktblgts kge tn trkh* t$l el`bvlr, kotlr t$l rlsu`ts /lrl pnstle. "g bdp`ldlgtktbng no t$l

:BX bt /b`` k`sn kssbst bg kh>ubrbga khhrlebtktbngs ks pkrt no t$l nc&lhtbvls no t$l $nspbtk`.

1`lhtrngbh ektkcksl dkgkaldlgt bs k`sn kt t$l $lkrt no k $lk`t$ nrakgb7ktbng ks bt kssbsts t$l

enhtnrs kge t$l pktblgts /bt$ vbtk` bgonrdktbng bg trkh*bga $lk`t$ rlhnres kge stktus ng t$l

rlhnres no k pkrtbhu`kr pktblgt.

U$l stkoo /b`` cl khhlssle ng (UB kge t$l trkbgbga /b`` cl p`kggle ks plr t$l rlsu`ts no

(UB bg nrelr tn kh$blvl dk)bdud rlsu`ts no t$l trkbgbga. U$l s,stld bg k $lk`t$

nrakgb7ktbng dust $kvl t$l prnhlss no belgtbo,bga+ ugelrstkgebga+ kpp`,bga kge rlhnagbsbga

prnc`lds tn dk*l t$l s,stld loobhblgt. Un elvl`np t$l loolhtbvlglss no t$l tlkd bt dust stkrt

ornd elvl`npbga loolhtbvlglss ng bgebvbeuk` `lvl` kge t$lg dnvbga ng tn tlkd `lvl`+ t$l

$kge`bga no bssuls /bt$ tlkd dldclrs p`k,s kg bdpnrtkgt rn`l bg dkbgtkbgbga t$l dntbvktbng

`lvl` no t$l tlkd. Un dk*l bgebvbeuk`s loolhtbvl k`` t$l bgebvbeuk`s dust cl dkel k/krl no

t$lbr rlspngsbcb`btbls kge t$l /k,s t$l, hnu`e plronrd t$l eutbls kssbagle tn t$ld loobhblgt`,.


13/20

Vkrt + ,gelrstkgebga tl Hkusls no *krbktbng

U$l on``n/bga tkc`l # belgtbo, t$l bssuls bg t$l hurrlgt slrvbhls9

Ukc`l - Vlronrdkghl Bdprnvldlgt bg @kc Xlrvbhl

#ssul

Vlronrdkghl bdprn*ldlgt bg kcnrktnry slr*bhl.+ ,-n !pp`bhktbng; , &bgbdk` !pp`bhktbng , lkj !pp`bhktbng

/ , &nelrktl !pp`bhktbng6 , Xtrng !pp`bhktbng3 , &k8bdud !pp`bhktbng

"lsu`tel`ky

'khj5

khjup

kgk`y


14/20

*dk`` spkhl

+n systld$lrglr)

/kh$ no skol lgvbrngdlgt

#khj no hnddbtdlgt-n`bhy kge

prnhleurl

`khj no ckhjup dkhmbgl snrtstk. -nnr l"ubpdlgt dkbgtlgkghl

+n pktmn`nabst

`khj rkbgbga

`kh$ lkdwnrj /kh$ no

tlkd(nr$

U$l kcnvl obs$ cngl ebkarkd rlvlk`s vbtk` bgonrdktbng kcnut t$l prnc`lds bg t$l hurrlgt

prnhlss on``n/le c, t$l $nspbtk` kge s$n/s hlrtkbg bg hkpkcb`btbls no t$l $nspbtk` bg t$l

on``n/bga9

6. Xdk`` Xpkhl onr t$l :kcnrktnr,

. :kh* no Xkol 1gvbrngdlgt

8. :kh* no ckh*up dkh$bgls

5. Vnnr l>ubpdlgt (kbgtlgkghl

Xdk`` spkhl onr t$l nplrktbng bs k`sn k rlksng /$bh$ bs `lkebga tn lrrnr bg hn``lhtbng no

splhbdlg+ clhkusl t$l prnhlss no `kc tlstbga bs 5 $nurs kge kt tbdls t$l /nr* prlssurls

bghrlksls eul tn /$bh$ t$l spkhl clhndls kg bssul t$bs k`sn kees bg t$l /nr*bga lgvbrngdlgt

gnt clbga skol clhkusl no sdk`` spkhl. kh*up kge dkbgtlgkghl krl k`sn t/n bdpnrtkgt

oughtbngs no k `kcnrktnr, bg k $lk`t$ nrakgb7ktbng+ bo t$l l>ubpdlgt gnt dkbgtkbgle prnplr`,

/b`` elobgbtl`, `lke tn lrrnr bg t$l slrvbhls. K`` no t$lsl okhtnrs `bstle kcnvl `lke tn t$l

on``n/bga9

:n/ >uk`bt, slrvbhl kt `kc

V1"V:1


15/20

k. 3n X,stld Hlgtrl

c. :kh* no hnddbtdlgt pn`bh, kge prnhleurl

h. X$nrt Xtkoo

e. 3n pkt$n`nabst

l. :kh* no Urkbgbga

o. :kh* no Ulkd /nr*

K hlgtrk` ektkcksl onr k `kcnrktnr, bs k dust /$bh$ lgkc`ls t$l stkoo tn khhlss t$l bgonrdktbng

no t$l splhbdlg cl`ngabga tn k pkrtbhu`kr pktblgt. U$l nè s,stld bghrlksls t$l /nr* `nke kg

kedbgbstrktbng no t$l splhbdlg eul tn /$bh$ t$l stkoo lge up dk*bga lrrnrs bg hn``lhtbng no

splhbdlg kge bt k`sn rlsu`ts bg `nss no stkoo $nurs. Kt k 5 $nur nplrktbvl `kcnrktnr, t$l

s$nrtkal no stkoo hnuè cl vbtk` onr t$l oughtbngbga no t$l `kcnrktnr, kge t$l gl/ s,stld /b``

dk*l lgnua$ stkoo rlsnurhls kvkb`kc`l bghùebga pkt$n`nabst. U$l `kh* no tlkd /nr* kge

trkbgbga dust cl hnple /bt$ t$l bgtrneuhtbng no k stkoo trkbgbga prnarkd. Xuddkrbsbga t$l

kcnvl tkc`l # l)p`kbgs t$l hkusls no vkrbktbngs9

6. Slsu`t


16/20

Un khhndp`bs$ t$l ank`s ks s$n/g bg tkc`l % stkoo trkbgbga /b`` cl stkrtle c, ubrle /b`` cl dkgpn/lr+ dlebhk` l>ubpdlgt kge cuealt.

Ukc`l - Xl`lhtbg% Bdprnvldlgts

!hhndp`bsmbg Ank`s

(X&!"U ?c1lhtb*ls)

;. /tk$$ trkbgbga kg" aub"kghl ng k`` pn`bhbls kg"

rlau`ktbngs ng `kcnrktnry ) 3=;3

3. dp`ldlgt )lrglr systld stkrtbga -lc 3=;8

!hubrbg "lsnurhls

;. 'kgpn2lr9 1"dbg : 'l"bhk`3. 'l"bhk` l,ubpdlgt

8. !u"alt

Xktbsoybg stkjlmn`elrs

;. -bgkghl3. Slabngk` 'l"bhk` N$$bhl* S'N8. 'l"bhk` "brlhtnr5. kc /tk$$


17/20

no t$l stkoo /b`` k`sn cl rkbsle ks k rlsu`t no lksl bg nplrktbngs eul tn ckrhnel shkgglr kge t$l

pbhturl rlhnagbtbng no lvlr, skdp`l /bt$ t$l pktblgt. Onr suhhlssou` nplrktbngs no k $lk`t$

nrakgb7ktbng bt bs bdpnrtkgt t$kt bt sktbsobls t$l stk*l $nèlrs t$l okdb`bls+ t$l dkgkaldlgt kge

k`` t$l hnghlrgle kut$nrbtbls /$bh$ bgvn`vl *llpbga uptnektl /bt$ k`` t$l stk*l $nèlrs. U$bs

bgvn`vls kedbgbstrktbng kge $kre /nr* /$bh$ hnuè cl dkel lksblr /bt$ t$l bgtrneuhtbng no k

ektkcksl. U$l ektkcksl hnuè cl khhlssle hlgtrk``, c, kg,ngl tn nctkbg bgonrdktbng+ /$bh$

/b`` hlrtkbg`, rleuhl prlssurl ng t$l stkoo lvlgtuk``, `lkebga tn loobhblgh, bg nplrktbngs.

U$l Hlrglr X,stld /b`` lgkc`l t$l $nspbtk` tn $kvl kg loolhtbvl :BX lgkc`bga k`` t$l stk*l

$nèlrs tn nctkbg bgonrdktbng t$l, krl `nn*bga onr. U$l s,stld /b`` $kvl k hlgtrk` ektk cksl

/$bh$ /b`` $l`p bg rldnvbga lrrnrs bg hn``lhtbng no splhbdlg kge /b`` k`sn dk*l t$l k``ntdlgt

no rlsnurhls loobhblgt. U$l lrrnr bg splhbdlg bs k snurhl no pkbg onr pktblgts kge t$lbr okdb`bls

ks t$l pktblgts rlsbst anbga onr k slhnge splhbdlg /$bh$ bghrlksl rbs* tn $lk`t$ kge k`sn strlss

onr t$l pktblgts.

Vkrt O Sl6lhtbga

U$l slrvbhls glhlsskr, tn cl el`bvlrle bg k `kcnrktnr, s,stld dust $kvl t$l h$krkhtlrbstbhs no

rl`bkcb`bt, kge vk`bebt,. Bo t$l s,stld bs gnt rl`bkc`l kge okb`s tn prneuhl vk`be rlsu`ts bt /b``

lvlgtuk``, bghrlksl lrrnrs bg splhbdlg hn``lhtbng ks bg t$l hksl no K`dbrok 4nspbtk`. K`dbrok

$nspbtk` rl>ubrls k :BX /$bh$ /b`` lgkc`l k`` t$l stk*l$nèlrs tn khhlss tn t$l rl>ubrle

bgonrdktbng kg, tbdl kge k`sn rldnvl t$l lrrnr bg hn``lhtbng no skdp`ls.

Kotlr stue,bga kge kgk`,7bga t$l /$n`l hksl /l $kvl hndl tn *gn/ t$kt t$l gl/ s,stld dust

bgvn`vl bdprnvbga t$l sdk`` spkhl onr t$l `kcnrktnr,+ eul tn $ba$ gudclr no tlsts t$l spkhl

clhndls k vbtk` bssul kt tbdls no $ba$ /nr*`nkes. U$l spkhl bssul bs vlr, vbtk` ks bt k`sn

rlstrbhts t$l nutput `lvl`s no t$l `kcnrktnr, bg nrelr /$bh$ bs vlr, vbtk` onr clhndbga t$l

bgeustr, `lkelr no k 5 $nur slrvbhl.

U$l lgvbrngdlgt no t$l `kc dust cl skol ornd k`` ksplhts no skolt, kge k skolt, suplrvbsnr

/b`` k`sn cl onrdle tn kvnbe kg, $k7kres /$b`l /nr* kt t$l `kcnrktnr,. kh*up bs k`sn vlr,

bdpnrtkgt bg k $lk`t$ nrakgb7ktbng ks bt $ks $udkgl bdp`bhktbngs+ t$lrlonrl t$l gl/ s,stld

/b`` k`sn bgvn`vl dkbgtkbgbga t$l ckh*up no t$l ckh*up.


18/20

U$l `kcnrktnr, bgvn`vls usbga hndp`l) dkh$bglrbls /$bh$ rl>ubrl rlau`kr dkbgtlgkghl kge bo

gnt dkbgtkbgle prnplr`, bt /b`` bghrlksl bg loobhblgh, bg rlsu`ts prneuhle c, t$l `kc+ t$lrlonrl

rlau`kr dkbgtlgkghl no k`` t$l dkh$bglr, usle bs k`sn kt t$l hnrl no t$l gl/ s,stld. U$l

rlau`kr dkbgtlgkghl k`sn bghrlksl t$l rl`bkcb`bt, kge vk`bebt, no t$l rlsu`ts+ bg t$l `kcnrktnr,

t$l dkh$bgls dust cl upektle kge dkbgtkbgle tn cl kc`l tn nplrktl ng 5 $nurs ckbs.

U$l Hlrglr X,stld /b`` k`sn dkbgtkbg 1(S /$bh$ /b`` $l`p bg hlgtrk`b7bga t$l pktblgt tlst

ektk. U$l stkoo /b`` cl prnvbele trkbgbga ng t$l pn`bhbls kge prnhleurls tn cl on``n/le bg t$l

onrd no X"VEs+ kge rlau`kr h$lh*s /b`` cl engl tn sll bo t$l stkoo krl plronrdbga ng X"VEs.

U$lsl X"VEs /b`` cl hngtbgunus`, elvl`nple kotlr akt$lrbga ektk ornd hndpltbtnrs. ?K1 $ks

k vlr, hndpltbtbvl $lk`t$ bgeustr, kge bt bs glhlsskr, tn clgh$dkr* t$l hndpltbtnrs tn cl t$l

bgeustr, `lkelr bg prnvbebga $lk`t$ slrvbhls.

(nrl stkoo /b`` k`sn cl $brle tn elk` /bt$ kg, snrt no stkoo s$nrtkals kt t$l `kc+ t$l `kc $ks tn

cl rug 5 $nurs kge hkggnt koonre stkoo s$nrtkal kt kg, tbdl no t$l ,lkr. Un bghrlksl

loolhtbvlglss kge khhlptkcb`bt, no t$l rlsu`ts bt bs glhlsskr, t$kt k Vkt$n`nabst dust k`sn cl

$brle ou`` tbdl tn dllt t$l rl>ubrldlgts no stkoo kt t$l `kc. Un kh>ubrl khhrlebtktbngs bt /b`` cl

vlr, $l`pou` tn ldp`n, k okdnus pkt$n`nabst no ?K1 /$bh$ /b`` bghrlksl anne /b`` kge /b``

k`sn bghrlksl t$l kut$lgtbhbt, no t$l rlsu`ts prneuhle c, t$l `kc.

U$l stkoo no t$l `kc dust cl dntbvktle ng tlkd cksbs kge rlau`kr olleckh* ng stkoo

dntbvktbngk` `lvl`s dust cl tk*lg tn bghrlksl dntbvktbngk` `lvl` no t$l stkoo. U$l rlsu`t el`k,s

/b`` cl rldnvle /bt$ t$l bgtrneuhtbng no t$l ckr hnels+ /$bh$ /b`` lgkc`l t$l stkoo kt t$l `kc

tn cl dnrl loobhblgt bg hngeuhtbga tlst kge rldnvl el`k,s bg tlst rlsu`ts.

U$l skolt, bgstruhtbngs /b`` cl bssule tn hngtrn` bgolhtbng rktls krbsbga kt t$l `kc+ t$l gl/

pn`bh, tkralts tn tk*l bgolhtbng rktls kt 7lrn c, prnvbga rlkalgt kge skol lgvbrngdlgt tn

nplrktl bg t$l `kcnrktnr,. U$l stkoo /b`` cl prnvbele trkbgbga ng k`` ksplhts no skolt,+ k gl/

skolt, suplrvbsnr /b`` k`sn cl $brle onr t$l `kcnrktnr, kge t$l rlspngsbcb`bt, no t$l skolt,

suplrvbsnr /b`` cl tn rldnvl /nr* $k7kre.

Kotlr k eltkb`le kgk`,sbs btEs cllg eluhle t$kt t$l Hlrglr s,stld dust cl bdp`ldlgtle onr t$l

`kcnrktnr, tn kvnbe lrrnrs bg hn``lhtbng no splhbdlg+ ks t$l dbssbng no t$l $nspbtk` bs vlr,

hustndlr nrblgtle. U$lrlonrl bghrlksbga pktblgt hndp`kbgts s$n/ t$kt t$l dkgkaldlgt bs

bghndpltlgt kge bg loobhblgt /$lg dkgkabga t$l rlsnurhls no t$l $nspbtk`. U$l usl no k


19/20


20/20

institute of healthcare management

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