Organizational Structure- Apollo

LIVE PROJECT ON ORGANIZATIONAL BEHAVIOR

SUBMITTED TO: MS PRASANTHI

TOPIC: VISIT ANY FIRM AND FIND OUT THEIR ORGANIZATIONAL STRUCTURE AND THEIR ROLES

ORGANIZATION: APOLLO HOSPITAL

CONTENTS

INTRODUCTION TO THE TOPIC OBJECT OF THE STUDY SCOPE OF STUDY LIMITATION DATA COLLECTION INDUSTRIAL ANALYSIS COMPANY ANALYSIS THEORITICAL ASPECTS DATA ANALYSIS DATA INTERPRETATION FINDINGS CONCLUSION SUGGESTION

INTRODUCTION

OBJECT OF THE STUDY • To know the structure of the organization • To study the roles of each department • To know how each department functions SCOPE OF THE STUDY We are asked to pursue the live projects to enhance our learning by applying theoretical concepts to industry situations under the guidance of experienced faculty to ensure proper focus and implementation. It helps to combine the concepts learnt in classroom with the real life situations.

LIMITATIONS Time constraints  Problems faced in collecting information from the concerned center.

DATA COLLECTION Primary data: The roles of few departments and organizational structure are taken from the Apollo clinic. Secondary data: The company profile, sector analysis is taken from the website.

INDUSTRIAL ANALYSIS

In a nation like India, where there is no formal social security system in place, notwithstanding the high tax rates, healthcare and health insurance become that much more crucial. One of the fastest growing and most potent sectors in India is the healthcare sector. India has become a hot medical destination for patients in the Middle East, Africa and even the West. Word is fast-spreading that Indian hospitals can provide world-class care at competitive rates. India today has big names in healthcare like the All India Institute of Medical Sciences (AIIMS), Apollo Hospitals and Shankar Netralaya. A vibrant and dynamic healthcare sector is imperative for the new human resource intensive world. Quality healthcare is vital for the growth of any nation. The key objectives of an effective healthcare system would be to enhance average life expectancy and to improve quality of life and productivity. The sector today has a radical outlook with major emphasis on high skill sets that can leverage technology and medical science, and needs to cater to a critical and inevitable customer need at an affordable cost. It works on the principle of network economics touching innumerable lives. Recent developments India is very well placed to tap the growing potential of the healthcare sector. It has the relevant skill-sets with adequate human resources to become the preferred healthcare player in emerging countries across the globe. Increasing urbanization, superior demographics, better health consciousness and higher life expectancy has enhanced the demand for quality healthcare. Although the Indian government-run public sector has taken lot of initiatives in regards to the development of healthcare facilities, it is unable to do much now, which has brought the private sector into the picture. This in turn, has brought in more capital, better technology etc. The recent Union Budgets too have been favorable to the healthcare sector. There has been reduction of customs tariffs on life saving medical equipment, reduction of excise on certain critical drugs and abolition of duty on drugs and materials imported for clinical trials.

Lower interest on lending for private sector hospitals exceeding 100 beds will improve access to low cost funding for hospitals. But the biggest leap has been the community-based universal health insurance scheme for the poor whereby a cover of Rs 30,000 is available for as low as Rs 2 per day with the Government contributing Rs 100 per annum for families below the poverty line. Competition has proven to be the biggest blessing in the sector. Notwithstanding the healthy competition, several big corporate houses have ventured into the sector. The availability of various equipments has proven to be life saving many times. The formation of many big hospitals is the hint of the boost in this sector. The entry of big pharmaceutical companies into this segment is a clear sign of corporate focus on this sector. Earlier many diseases did not have any cure for them but today such diseases have no longer remained a big threat to mankind. The implementation of newer and better technology in hospitals has helped save many lives. Healthcare is a fast-growing sector which is developing at a very fast pace. People are becoming health conscious and are demanding better quality healthcare measures. Many hospitals have been formed for the purpose of providing quality healthcare to the people. Huge investments are being made in R&D, which has led to development of new and better life saving drugs and equipments. The government has reduced certain duties, which has brought down the cost of various drugs and equipments. There has been a constant focus by the government on the development of the healthcare sector. Even various pharmaceutical companies have contributed to develop and provide better quality drugs. Various steps are being taken to develop the healthcare sector. The future of this sector looks bright and promising. Both, the government and private sector enterprises are joining hands to boost the Indian healthcare sector. Overall, the prospects appear very bright and reflect the old adage 'health is wealth'.

COMPANY ANALYSIS

Apollo Hospital is a major Hospital chain based in Chennai, India. It was founded by Dr. Prathap C.Reddy in 1983. Today, Apollo is the largest private Healthcare provider in Asia and the third largest in the world, with hospital in India, SriLanka, Bangladesh, Ghana, Nigeria, Qatar and Kuwait. Apollo has also spread its wings in the IT city, Garden city of Bangalore, New Delhi, Hyderabad, Kolkata, Chennai and Madurai. Another prestigious venture of the group is Apollo Health Street. A global healthcare services company of the Apollo Group, it offers IT and BPO services to global client etc. It has the ability to deliver quality solutions, which comes from a framework of years of experience in healthcare, built on expertise with a constant focus on customer satisfaction. It operates out of three countries- U.S, U.K and three centers in India- Hyderabad, New Delhi and Chennai. Apollo Hospitals Bangalore is the latest of Apollo’s offerings and is located at one of the most vibrant and dynamic cities in India - Bangalore. Apollo Hospitals Bangalore is the newest addition to the ever-growing network of Apollo Hospitals all over the world. The hospital is equipped with some of the most advanced facilities in the world and some of the most eminent names in several medical specialties and super specialities. Super specialities Cardiology and Cardiac surgery Diagnostic Services ENT Emergency & Trauma Internal Medicine Neurology and neurosurgery Orthopedics Obstetrics & Gynecology Paediatrics & paediatric surgery Plastic surgery and Cosmetic surgery Surgical & Medical Gastroenterology Urology & Nephrology Oncology The doctors at Apollo Hospitals Bangalore have been chosen after an extensive process where their commitment and expertise is assessed in equal measure. Most of them have studied, trained or worked abroad at eminent institutions. The

hospital has over 100 consultants available round the clock. Apollo Hospitals Bangalore is committed to invest in the latest medical technology on par with the latest worldwide developments to ensure that every one of our patients benefit from the latest knowledge. Some of the equipments and technology available at Apollo Hospitals Bangalore include: Thallium Laser-First in India Holmium Laser –First in South India Digital X-Ray –First in Karnataka 64 slice CT angiogram 1.5 Tesla MRI Flat Panel Cath labs Low energy & high energy Linear Accelerators Navigation System for accuracy in surgical procedures 4-D Ultrasound for 4 dimensional sonography Digital Fluoroscopy Gamma Camera HIGHLIGHTS Surgical Infrastructure Attention to surgical infrastructure goes far beyond the obvious. A completely sterile environment during and after surgery is ensured with the help of the latest technologies. From airflow systems to surgical equipment, world standards in surgical protocol are followed to eliminate even minimal chances of infection. Navigation systems with complete orthopedic and neuro modules and on-time cardiac output monitoring system are also available. Catha Lab Cath Lab with 3D CA technology that minimizes the quantity of contrast dye used in a single injection is available for the first time in India. Dialysis Unit 10 State-of-the-art stations with both hi-flux & low-flux transfusion compatibility, advanced round-the-clock renal service for all age groups and one of the best Reverse Osmosis water treatment plants for ultra pure water are some of the unique THEORITICAL ASPECTS

An organizational structure is a mostly hierarchical concept of subordination of entities that collaborate and contribute to serve one common aim.

Organizations are a number of clustered entities. The structure of an organization is usually set up in one of a variety of styles, dependent on their objectives and ambience. The structure of an organization will determine the modes in which it shall operate and will perform.

Organizational structure allows the expressed allocation of responsibilities for different functions and processes to different entities. Ordinary description of such entities is as branch, site, department, work groups and single people. Contracting of individuals in an organizational structure normally is under timely limited work contracts or work orders or under timely unlimited employment contracts or program orders.

The set organizational structure may not coincide with facts, evolving in operational action. Such divergence decreases performance, when growing. E.g. a ‘’wrong’’ organizational structure may hamper cooperation and thus hinder the completion of orders in due time and within limits of resources and budgets.

Organizational structures shall be adaptive to process requirements, aiming to optimize the ratio of effort and input to output. An effective organizational structure shall facilitate working relationships between various entities in the organization and may improve the working efficiency within the organizational units. Organization shall retain a set order and control to enable monitoring the processes. Organization shall support command for coping with a mix of orders and a change of conditions while performing work. Organization shall allow for application of individual skills to enable high flexibility and apply creativity. When a business expands, the chain of command will lengthen and the spans of control will widen. When an organization comes to age, the flexibility will

decrease and the creativity will fatigue. Therefore organizational structures shall be altered from time to time to enable recovery. If such alteration is prevented by internal or external forces, the final escape is to turn down the organization to prepare for a re-launch in an entirely new set up.

Organizations are structured in a variety of ways, dependant on their objectives and culture. The structure of an organization will determine the manner in which it operates and its performance. Structure allows the responsibilities for different functions and processes to be clearly allocated to different departments and employees.

The wrong organization structure will hinder the success of the business. Organizational structures should aim to maximize the efficiency and success of the Organization. An effective organizational structure will facilitate working relationships between various sections of the organization. It will retain order and command whilst promoting flexibility and creativity.

Internal factors such as size, product and skills of the workforce influence the organizational structure. As a business expands the chain of command will lengthen and the spans of control will widen. The higher the level of skill each employee has the more the business will make use of the matrix structure to maximize these skills across the organization.

DATA ANALYSIS

ROLE OF HOSPITAL ADMINISTRATOR

• Hospital administrator plays a vital a role in saving lives, without having to take scalpel in hand. • Hospital administrators manage hospitals, outpatient clinics, hospices, and drug-abuse treatment centers. • In large hospitals, there may be several administrators, one for each department. In smaller facilities, they oversee the day-to-day operations of all departments. • Administrators make sure hospitals operate efficiently and provide adequate medical care to patients. • Their responsibilities are numerous and sometimes require the assistance of the medical and support staff. • They act as liaisons between governing boards, medical staff, and department heads and integrate the activities of all departments so they function as a whole. ROLE OF ADMINISTRATION DEPARTMENT Under the Administration of Apollo Speciality Hospital there are four main which controls the other departments. They are: 1. 2. 3. 4.

HR department. Accounts. Corporate Relations. Operations.

Human Resource Department: Hospital in an input social institution which is highly people oriented and supported by state of the art technology for the delivery of health care. The complexity of the type of personal ranging fro doctors to housekeepers with different socio economic, cultural and educational background working together calls for a unique setup. The HOD’s with the HR department identify the differences between the performances of an individual versus the requirement of a particular job. The gaps are documented in the Performance Appraisal document as

training needs. The feedback from the patients through Guest Relations in another source of information regarding the gaps with reference to service delivery.

Every employee personal record is maintained in the department of HR, which contains details of education, experience training and relevant records are available at respective areas. The HR process includes Recruitment, Induction, Time Office, Wage and salary, Welfare Scheme, Performance Appraisal, Training and Development and Disciplinary. Performance Appraisal: The performance Appraisal of each employee is maintained. Then it is analyzed. If the employee performance is good he is given promotion and given development program. If it is better then he is given training and analyzed. During the training period the employees activities are analyzed and necessary steps are taken.

Disciplinary: If the employees behave in a wrong manner disciplinary action will of notice is given. If he furthers does the same one then retrenchment is given.

Accounts: The accounts department in Apollo handles all the financial matters. It maintains the profit and loss account and expenditure. The main income of the hospital is through outpatient, in-patient, canteen, telephone, tea shop. The expenditure is due to operating cost, Administration cost, employee cost. They do all the money transactions

ROLES OF SUPPORT SERVICE DEPARTMENT

• Insurance carriers are decreasing reimbursement while increasing administrative burdens and costs. •

Now more than ever, it is vital that providers establish a decided advantage in their field through rapid reimbursement, increased income, and reduced administrative costs.

• Healthcare Support Services is here to help you establish that advantage. • Healthcare Support Services understands every practice is unique. So is our approach to solving your billing and administrative problems. We will work with you to find the best solution to meet your practices needs. ROLES OF MEDICAL DEPARTMENT •

Provide preventive, curative, and primitive health services

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individual utilizing the best Technology and

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Manpower to provide services at international standards of quality and effectiveness by developing a comprehensive health policy contributing to the overall development of the hospital.

DATA INTERPRETATION

FINDINGS •

• • • •

The organizational structure shows how the duties and responsibilities are segregated to employees based on their skills and knowledge. Though they have branches in various cities, the job assigned to each department in each branch differs. Each department in a branch will be inter linked to the other. The organization structure of Apollo hospital is vertical in nature. Due to this, the decisions taken will take longer time to be implemented.

SUGGESTIONS • They should have skilled personnel in the paramedical department. • Give another division under the support service department as they play a vital role in the hospital. • Lab services division should have more personnel as the present personnel have heavy workload. CONCLUSION • The roles played by each of the departments are vital in its organization functioning. • Without proper co- ordination between the departments, the organization structure fails. • The study gave a clear picture on the organizational structure and how each department takes up their responsibilities and roles efficiently.