Dear Madam,
Please find my response to your queries as mentioned below:
Is there any guide lines for installation , maintenance and cleaning of Chimneys used in kitchen? (A)
Is it required to list out the Nonformulary drugs that can be purchased locally? (B)
Is it required to list out the Nonformulary drugs that can be purchased locally? (B)
Is it mandatory for Ophthalmic services to have triaging area? (C)
How to carry out validation and authentication of HMIS? (D)
A.
You may refer CWA (CEN Workshop Agreement) 15596 OR NSF standards for kitchen equipment standards.
B.
If you list out the non formulary drug for local purchase, it as well be part of the formulary. The standard requirement(MOM2D) means that there is a process to acquire medicines not in your formulary. WHich may include recent FDA approvals which the doctor may want to try etc. The formulary basically indicates whether you have tied up with vendors to procure the drugs in formulary and that you a system in place to update the list(requests from doctors for new brands, deletion of drugs on adverse reactions etc). You may put a protocol in place on approach of local purchase which may be different for different items (vendor/chemist/etc). You may say Unlisted antibiotics should be procured from vendor X, and unlisted vaccines from Vendor Y. Idea is not to have too many local purchase. It would indicate a non robust system of making your formulary, and that it is not in check. ROL, Lead times, discipline in prescription from managements decided brands etc, is the key.
C. Opthalmic traiging depends on the protocols set by your Opthalmologists. If you have a high volume Opthal centre, it would be prudent to have one to segregate the patients as per triaging to reduce patient waiting time. Its a common practice to have triaging today in Opthalmology. Refraction, pressurechecks etc are done (mandatory initial evalaution) prior to seeing the consultant. The consultant then can further refer the patient to a higher specialist and thus save unnecessary referrals.
D. HMS validation- You can check inventory stock levels in HMS against physical stocks, shelf tallying with system location etc. Check the login/security aspects-whether authorized personnel are only accessing patient records as stipulated in hospital SOP, check billing accuracy of posted services and total, Census reports - whether it tallies with actual, timely generation/computing of data, unique patient identification number-whether it is generated, whether owner of the process-who entered data can be traced back etc. It all depends on what the deliverables are as per hospitals scope.
Sincerely,
Dr Akash S Rajpal,
From: messages-noreply@bounce.linkedin.com [mailto:messages-noreply@bounce.linkedin.com] On Behalf Of Sarmila Periyasamy
Sent: 19 July 2010 01:20
To: Dr.Akash S Rajpal
Subject: Query
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