Student Dissertation

Agency : CGHS Health Packages; Financial Feasibility; Health Services;

Objective : To carry out financial feasibility of proposed health packages under CGHS across two departments of the hospital.

Background : A concern of most private hospitals is the sources of finance for delivering health services, the ability to maintain funding levels, pattern of resource allocation, and the efficiency of services delivered. In a country like India, getting funding for establishing a hospital or a health care facility is an easy task. Once the source of finance is determined, hospital can be commissioned and ran smoothly. But the actual concern is the utilization of resources of the hospital. Despite the level of resources devoted by a hospital, there is a growing gap between available resources and their efficient utilization. As the competition between private hospitals is very high, the patient load of the hospital is quite low. Thus, the management came up with a proposal of starting few procedures under CGHS. Before getting empaneled for any such schemes, it is essential to check whether starting these procedures will be profitable to the organization or not. For this, financial feasibility has to be evaluated.

Methodology : The dissertation has been conducted for a medium scale hospital, so as to find the financial feasibility of few procedures to be started under CGHS. The study involved collecting data from various departments to find the direct cost attributable to the procedures. Based on this data recommendations were made on their financial feasibility.

Findings : S.No. CGHS Procedures 2002 2014 1 Laparoscopic Cholecystectomy 17.10% 23.60% 2 Laparoscopic Inguinal Hernia - 5.79% 3 Laparoscopic Appendectomy 9.04% 17.50% 4 PCNL 8.43% 16.90% 5 ESWL 32.44% 47.52% 6 URSL 14.90% - Green: Highly recommendable procedures (Margin more than 15%) Yellow: Decision up to the management (Margin between 5-15%)

Recommendations : Laparoscopic Cholecystectomy, Laparoscopic Inguinal Hernia (2014), PCNL (2014), ESWL procedures are found to be profitable and are recommended to be started under the scheme. Laparoscopic Inguinal Hernia, Laparoscopic Appendectomy (2004), PCNL (2004), ESWL & URSL are marginally profitable and the decision is up to the management to decide its viability.