Questionnaire

1. Identification
1.1 Name of Hospital
1.2 Address of the Institution

1.3 Expected Timeline (Go-live)

2. Facilities
2.1 Number of beds

Facilities Number of beds

General Hospital 360

2.2 Services load per year

Type Numbers
# of Inpatients 4,600
# of Outpatients 270,000
# of Operations 1,900
# of ER visits 31,200
# of Medical records TBA

2.3 Medical Department

Status
Name of Department
Existing Planned
Angiography v
Anaesthesiology v
Audiology v
Cardiac Rehabilitation v
Cardiology v
Central Sterile Supply Department v
Dental v
Dermatology v
Diabetes v
Diagnostic Imaging v
Endoscopy v
ENT v
Ear/Nose/Throat v
Family Medicine v
General Medicine v
General Surgery v
Gynaecology v
Haematology v
Intensive Care Unit (ICU) v
Insomnia Clinic v
Internal Medicine v
Infection Control v
Laboratory v
Neonatology v
Nephrology v
Neurology v
Neurophysiology v
Nursing v
Nutrition and Dietetics v
Obstetrics v
Occupational Therapy v
Oncology v
Operating Theatre v
Ophthalmology v
Optometry v
Oral Surgery v
Orthopaedics v
Out Patients service v
Out Patient Booking v
Paediatrics v
Paediatric v
Pathology v
Pharmacy v
Physiotherapy v
Plastic Surgery v
Psychiatry v
Pulmonology v
Radiology v
Respiratory v
Rheumatology v
Social Services v
Speech/Language Therapy v
Urology v
Vascular Surgery v
Others…(please list all others) v
2.4 Number of Registration/Payment counters 23

2.5 Number of Inpatient/Outpatient pharmacies including satellites 2

3. Human Resources

Type Numbers
Doctors 180
Nursing 426
Administratives 23
Other Services 107
Out Source Employment TBD
IT staff 4
please list all others 83