YENEPOYA INSTITUTE OF ARTS, SCIENCE, COMMERCE AND

MANAGEMENT
KULUR, MANGALORE YENEPOYA
(DEEMED TO BE UNIVERSITY)

AN INTERNSHIP REPORT
ON WORKING AT IQRAA INTERNATIONAL
HOSPITAL AND RESEARCH CENTRE, CALICUT

SUBMITTED BY
MUHAMMED RAFI
III B.COM (FTA)
21BCFTA32

UNDER THEGUIDANCE OF
MS. LINTA JOY
DEPARTMENT OF COMMERCE

IN PARTIAL FULLFILLMENT OF THE REQUIREMENT FOR THE AWARD OF

THE DEGREE OF
BACHELORS IN COMMERCE

August 2023 to October 2023

1
 DECLARATION

I Muhammed Rafi bearing Reg.No.21BCFTA32 hereby declare that this project report
entitled “Accountant” with reference to IQRAA INTERNATIONAL HOSPITAL AND
RESEARCH CENTRE, CALICUT had been prepared by me towards the partial fulfilment
of the requirement for the award of the Bachelors of Commerce at Yenepoya (Deemed to be
University) under the guidance of Ms.Linta Joy Department of Commerce, Yenepoya
Institute of Arts, Science, Commerce and Management

I also declare that this field study report is the result of my own effort and that it has not been
submitted to any university for the award of any degree or diploma.

Place: Mangalore
Date: 16/11/2023
Muhammed Rafi
III B.COM (FTA)
21BCFTA32

2
 ACKNOWLEDGEMENT

It is always a pleasure to remind fine people in YENEPOYA UNIVERSITY for their sincere
guidance I received to uphold my practical as well as laboratory skills in chemistry
First of all , thanks to my parents for giving encouragement , enthusiasm and invaluable assistance
to me .without at this , I might not be able to complete this subject properly.
Second I would like to thank my mentor Ms. Layina VK , IQRAA INTERNATIONAL HOSPITAL
AND RESEARCH CENTRE, Head of ACCOUNTS Department for giving me the opportunity to
undergo industrial training abroad. She also gives me their guidance and support.
Thirdly, I also want to express my deepest thanks to Sir MUHAMMED SHAFI , Ma’am NADA
NAZER as Executive Accountants who helped me a lot in dealing with the accounts software in the
hospital and the way of financial duty in an hospital accounts.she had supported to me by showing
the duties and works in a accounts department and also she helped me to learn cash vouchers and
different types of account heads in the hospital software . She helped all time when IQRAA needed
and she gave right direction toward competition of work.
I also thank ma’am Shareektha as she helped me to manage matters related to this training industry.
A paper isnt enough for me to express the support and guidance I received from them almost for all
the work I did there.
Finally I apologise to other unnamed who helped me in various ways to have a good training

Place: Mangalore Muhammed Rafi

Date:16/11/2023 III B.COM (FTA)
21BCFTA32

3
INTERNSHIP CERTIFICATE

4
 APPENDIX

CHAPTER NO TITTLE PAGE NO

CHAPTER 1 INTRODUCTION 08-10

CHAPTER 2 INDUSTRY PROFILE 11-39

CHAPTER 3 COMPANY PROFILE 40-73

CHAPTER 4 DEPARTMENT PROFILE 74-9

CHAPTER 5 VALUE ADDITION 100-107

CHAPTER 6 SUGGESTIONS AND CONCLUSION 108-112

CHAPTER 7 ANNEXURE 113-114

5
 List of Chart
Chart no: Particular Page. No:

Chart 4.1 Organizational Chart Showing Different Departments 79

Chart 4.2 Departmental Structure Of Service/Social Work Department 80

Chart 4.3 Departmental Structure Of Marketing Department 83
Chart 4.4 Departmental Structure Of Human Resource Department 85
Chart 4.5 Departmental Structure Of Finance Department 89
Chart 4.6 Showing The Process Of Cash Voucher 92
Chart 4.7 Showing The Process Of Bank Voucher 93

6
 List of Image
Image no Particular Page no
Image 2.1 Medanta - The Medicity, Gurgaon 28

Image 2.2 Kokilaben Dhirubhai Ambani Hospital, Mumbai 29

Image 2.3 Fortis Memorial Research Institute, Gurgaon 30

Indraprastha Apollo Hospital, New Delhi 31
Image 2.4
Indraprastha Apollo Hospital, New Delhi 33
Image 2.5
Image 2.6 Gleneagles Global Health City 34

Nanavati Super Specialty Hospital, Mumbai 35

Image 2.7
Manipal Hospital, Old Airport Road, Bangalore 36
Image 2.8
Image 2.9 Logo Of IQRAA International Hospital And 41
Research Centre
Main Entrance Of IQRAA Calicut 43
Image 3.1
Image 3.2 IQRAAcommunity Hospital, Vazhakkad 51

Image 3.3 Rahma – IQRAA Community Hospital, 52

Thottilpalam
Image 3.4 IQRAA Community Clinic-Kallai 53

Image 3.5 Mss IQRAA Medical Center Adimali 54

Image 3.6 IQRAA Aesthetics, Addressmall, Calicut 55

Image 3.7 IQRAA Hospital-Sulthanbathery 57

Image 3.8 IQRAA Fertility Clinic, Addressmall, Calicut 58

7
 CHAPTER – 1
INTRODUCTION

8
Embarking on a two-month journey within the finance and accounts department of IQRAA
International Hospital and Research Centre was not just an internship; it was a comprehensive
immersion into the dynamic world of healthcare finance. This report delves into my experiences,
insights gained, and the profound impact this training had on my understanding of financial
operations in the healthcare sector.

IQRAA, a charity endeavor established by JDT Islam in 2000 under aid from IQRAA for human
relation, Jeddah, was envisioned as a centre of excellence where committed professionals deliver
health care service at affordable cost. The venture aimed to provide quality medical care at
affordable rates, to the poor in particular and the society at large, also to utilize the income
generated for up bringing the orphanage and destitute of JWT Islam orphanage and other
orphanages. This 250-bedded hospital with senior consultants including retired specialists versed in
this respective field of medicine is well equipped with state of the art facilities to deliver the best
services. By now the hospital has carved art a niche for itself amongst the health industry of the
region.

The Setting :
Situated at the crossroads of healthcare excellence and financial acumen, IQRAA International
Hospital and Research Centre emerged as the perfect crucible for my internship. This chapter
provides an overview of the hospital's mission, vision, and its pivotal role in the healthcare
landscape. Additionally, it highlights the significance of the finance/accounts department in
sustaining the hospital's operations and fostering its growth.

Navigating Finance at IQRAA:

A detailed exploration of the day-to-day operations within the finance/accounts department unfolds
in this section. From managing budgets and financial reporting to navigating healthcare-specific
financial challenges, the chapter elucidates the multifaceted nature of financial responsibilities in a
healthcare setting. The integration of theoretical knowledge with hands-on experience during this
period enriched my understanding of financial intricacies unique to the healthcare industry.

9
The Internship Journey:
This section provides a chronological account of my two-month internship, chronicling the projects
undertaken, challenges encountered, and milestones achieved. Through firsthand anecdotes, it
captures the evolving dynamics of the finance team, showcasing the collaborative efforts that
underpin the hospital's financial stability. The narrative is peppered with reflections on personal
growth, skill enhancement, and the invaluable lessons learned during this immersive experience.

Knowledge Amplification:
Reflecting on the myriad aspects of healthcare finance, this chapter delineates the intellectual
growth achieved during the internship. From refining financial analysis skills to understanding
regulatory frameworks specific to healthcare, each subsection outlines how the internship acted as
a crucible for transforming theoretical knowledge into practical expertise.

Satisfactions and Realizations:

As the internship culminated, a profound sense of satisfaction enveloped me. This chapter unpacks
the sources of contentment, drawing attention to specific achievements, positive feedback, and the
overall alignment of personal and professional goals. It also delves into realizations—insights
gained about the intersection of finance and healthcare that transcend the confines of textbooks.

In conclusion, this report aims to encapsulate not just an internship but a transformative journey
within the heart of healthcare finance at IQRAA International Hospital and Research Centre. As
the pages unfold, it is my hope that readers gain a nuanced understanding of the intricate dance
between fiscal responsibility and healthcare excellence in a dynamic and ever-evolving
environment.

Technological Integration:
The integration of technology in healthcare finance is a crucial facet that deserves dedicated
attention. This chapter examines the technological tools and systems employed by the finance team
at IQRAA International Hospital. From financial software to data analytics, it elucidates how
technology serves as a catalyst for precision, efficiency, and strategic decision-making within the
financial landscape of a healthcare institution.
10
 CHAPTER – 2
INDUSTRY PROFILE

11
 Hospital Industry

The hospital industry (also called the medical industry or health economy) is an aggregation and
integration of sectors within the economic system that provides goods and services to treat patients
with curative, preventive, rehabilitative, and palliative care. It encompasses the creation and
commercialization of products and services conducive to the preservation and restoration of well-
being. The contemporary healthcare sector comprises three fundamental facets, namely services,
products, and finance. It can be further subdivided into numerous sectors and categories and relies
on interdisciplinary teams of highly skilled professionals and paraprofessionals to address the
healthcare requirements of both individuals and communities.

Hospitals provide diagnostic and therapeutic services to individuals who require more than several
hours of care, although most hospitals are actively engaged in ambulatory services as well. To
ensure a minimum standard of safety and quality, hospitals must be licensed by the state and
undergo inspections for compliance with state regulations. In addition, most hospitals are
accredited by The Joint Commission (previously called the Joint Commission on Accreditation of
Healthcare Organizations). Joint Commission accreditation is a voluntary process intended to
promote high standards of care. Although the cost to achieve and maintain compliance with
standards can be substantial, accreditation provides eligibility for participation in the Medicare and
Medicaid programs, and hence most hospitals seek accreditation.

Recent environmental and operational changes have created significant challenges for hospital
managers. For example, many hospitals are experiencing decreasing admission rates and shorter
lengths of stay, resulting in reduced revenues and excess capacity. On the other hand, hospitals in
fast-growing areas are hard-pressed to keep ahead of patient demand. In addition, all hospitals are
being pressured to reduce costs by reimbursement rates that fail to keep up with inflation and to
assume greater risk in their contracts with payers. Hospitals differ in function, length of patient
stay, size, and ownership. These factors affect the type and quantity of assets, services offered, and
management requirements and often determine the type and level of reimbursement.

12
Hospitals are classified as either general acute care facilities or specialty facilities. General acute
care hospitals provide general medical and surgical services and selected acute specialty services.

Such hospitals, which account for the majority of hospitals, have relatively short lengths of stay,
typically a week or less.

Specialty hospitals, such as psychiatric, children’s, women’s, rehabilitation, and cancer facilities,
limit the admission of patients to specific ages, sexes, illnesses, or conditions.
The number of specialty hospitals has grown significantly in the past few decades because of the
belief that such hospitals can provide better patient services than can hospitals that treat all
conditions. In addition, specialty hospitals often experience lower costs than general hospitals
because they do not require the overhead associated with providing many different types of
services.

Hospitals vary in size from fewer than 25 beds to more than 1,000 beds; general acute care
hospitals tend to be larger than specialty hospitals. Although economists do not all agree, the
general belief is that the optimal hospital size is about 400–500 beds. Smaller hospitals do not
benefit from economies of scale, while larger hospitals are too big to manage efficiently (have
diseconomies of scale). Small hospitals, those with fewer than 100 beds, tend to be located in rural
areas. Many rural hospitals have experienced financial difficulties in recent years because they
have less flexibility than large hospitals, limiting their ability to lower costs in response to
tightening reimbursement rates.
Most of the largest hospitals are academic health centers or teaching hospitals. These hospitals
offer a wide range of services, including tertiary care, which consists of specialized services for
patients with unusually severe, complex, or uncommon problems. Hospitals are classified by
ownership as governmental, private not-for-profit, or investor owned. Government hospitals, which
make up about 22 percent of all hospitals, are broken down into federal and public (nonfederal)
entities. Federal hospitals, such as those operated by the uniformed services or the US Department
of Veterans Affairs, serve special purposes.
Public hospitals are funded wholly or in part by a city, county, tax district, or state. In general,
federal and public hospitals provide substantial services to indigent patients.
13
In recent years, many public hospitals have converted to other ownership categories (primarily,
private not-for-profit) because local governments have found it increasingly difficult to fund
healthcare services and at the same time provide other necessary public services.

Private not-for-profit hospitals are nongovernmental entities organized for the sole purpose of
providing inpatient healthcare services. Because of the charitable origins of US hospitals and a
tradition of community service, roughly 73 percent of all private hospitals (58 percent of all
community hospitals) are not-for-profit entities. In return for serving a charitable purpose, these
hospitals receive numerous benefits, including exemption from federal and state income taxes,
exemption from property and sales taxes, eligibility to receive tax-deductible charitable
contributions, favorable postal rates, favorable tax-exempt financing, and tax-favored annuities for
employees.

The remaining 27 percent of private hospitals (21 percent of all community hospitals) are investor-
owned hospitals, whose owners (typically shareholders) benefit directly from the profits generated
by the business.
Historically, most investor-owned hospitals were owned by physicians, but now most are owned
by large corporations, such as HCA (Hospital Corporation of America), which owns approximately
174 hospitals in the United States and England; CHS (Community Health Systems), which owns
nearly 137 hospitals; and Tenet Healthcare, which owns 77 hospitals.

Unlike not-for-profit hospitals, investor owned hospitals pay taxes and forgo the other benefits of
not-for-profit status. Despite the expressed differences in mission between investor-owned and not-
for profit hospitals, not-for-profit hospitals are being forced to place greater emphasis on the
financial implications of operating decisions than in the past. This trend has raised concerns in
some quarters that many not-for-profit hospitals are failing to meet their charitable mission. As this
perception grows, some people argue that these hospitals should lose some, if not all, of the
benefits associated with their not-for-profit status. Hospitals are labor intensive because they
provide continual nursing supervision to patients, in addition to the services given by other clinical,
professional, and semiprofessional staff members. Physicians petition for privileges to practice in
14
hospitals.

While they admit and provide care to hospitalized patients, most physicians are not hospital
employees and hence are not directly accountable to hospital management. However, physicians
retain a major responsibility for determining which hospital services are provided to patients and
how long patients are hospitalized. Thus, physicians play a critical role in determining a hospital’s
costs and revenues and hence its financial condition.

The healthcare industry is one of the world's largest and fastest-growing industries. Consuming
over 10 percent of gross domestic product (GDP) of most developed nations, health care can form
an enormous part of a country's economy. U.S. healthcare spending grew 2.7 percent in 2021,
reaching $4.3 trillion or $12,914 per person. As a share of the nation's Gross Domestic Product,
health spending accounted for 18.3 percent.

The per capita expenditure on health and pharmaceuticals in OECD countries has steadily grown
from a couple of hundred in the 1970s to an average of US$4'000 per year in current purchasing
power parities.

For finance and management, the healthcare industry is typically divided into several areas. As a
basic framework for defining the sector, the United Nations International Standard Industrial
Classification (ISIC) categorizes the healthcare industry as generally consisting of:
1: Hospital activities
2: Medical and dental practice activities
3: Other human health activities.

This third class involves activities of or under the supervision of, nurses, midwives,
physiotherapists, scientific or diagnostic laboratories, pathology clinics, residential health facilities,
or other allied health professions, e.g. in the field of optometry, hydrotherapy, medical massage,
yoga therapy, music therapy, occupational therapy, speech therapy, chiropody, homoeopathy,
chiropractic, acupuncture, etc.

15
The Global Industry Classification Standard and the Industry Classification Benchmark further
distinguish the industry into two main groups:
1: healthcare equipment and services
2: pharmaceuticals, biotechnology and related life sciences.

The healthcare equipment and services group consists of companies and entities that provide
medical equipment, medical supplies, and healthcare services, such as hospitals, home healthcare
providers, and nursing homes. The latter listed industry group includes companies that produce
biotechnology, pharmaceuticals, and miscellaneous scientific services.

Other approaches to defining the scope of the healthcare industry tend to adopt a broader
definition, also including other key actions related to health, such as education and training of
health professionals, regulation and management of health services delivery, provision of
traditional and complementary medicines, and administration of health insurance., chiropractic,
acupuncture, etc.

Introduction to Healthcare Finance:

In today’s healthcare environment, where financial realities play an important role in many, if not
most, decisions, healthcare managers at all levels must understand the fundamentals of finance and
how that knowledge is used to enhance the financial well-being of the institution. Health Care
Financing deals with the generation, allocation and use of financial resources in the health system.

Globally, it has become increasingly recognized as an area of major policy relevance to achieve
Universal Health Coverage (UHC). Health financing is a core function of health systems that can
enable progress towards universal health coverage by improving effective service coverage and
financial protection. Today, millions of people do not access services due to the cost. Many others
receive poor quality of services even when they pay out-of-pocket.

16
Carefully designed and implemented health financing policies can help to address these issues. For
example, contracting and payment arrangements can incentivize care coordination and improved
quality of care; sufficient and timely disbursement of funds to providers can help to ensure
adequate staffing and medicines to treat patients.

Defining Healthcare Finance:

Healthcare finance can have many different definitions, depending on the setting. For our purposes,
healthcare finance encompasses the accounting and financial management functions of healthcare
organizations. Accounting involves the measurement, in financial terms, of a business’s operations
and financial status, while financial management (corporate finance) involves the application of
theory and concepts developed to help managers make better decisions. In practice, the two
functions blend, with accounting generating the data needed to make sound decisions and financial
management providing the framework for those decisions.

In health services organizations, healthcare finance consists of both the accounting and financial
management functions. Health care finance also refers to the management of financial resources
within the healthcare industry, including the funding, allocation, and utilization of funds to support
the delivery of healthcare services, the operation of healthcare facilities, and the payment for
medical treatments and services. It involves various financial aspects, such as budgeting, insurance,
reimbursement, and the overall economic aspects of the healthcare system.

Accounting, as its name implies, concerns the recording, in financial terms, of economic events
that reflect the operations, assets, and financing of an organization.
In general, the purpose of accounting is to create and provide to interested parties—both internal
(managers) and external (investors)—useful information about an organization’s financial status
and operations.

Whereas accounting provides a rational means by which to measure a business’s financial

performance and to assess operations, financial management (often called corporate finance)

17
provides the theory, concepts, and tools necessary to help managers make better financial
decisions. Of course, the boundary between accounting and financial management is blurred;
certain aspects of accounting involve decision-making, and much of the application of financial
management concepts requires accounting data.

Health care finance encompasses a wide range of activities, including:

1. Funding Sources: It involves identifying and securing the financial resources needed to operate
healthcare facilities and provide medical services. This can include public funding (government
grants and subsidies), private investments, and insurance premiums.

2. Budgeting: Developing and managing budgets for healthcare organizations, which involves
allocating resources for staffing, equipment, facilities, and other operational expenses.

3. Cost Management: Controlling and reducing healthcare costs while maintaining the quality of
care. This can involve cost analysis, negotiation with suppliers, and process improvement.

4. Reimbursement: Dealing with payment mechanisms, including insurance claims, government

reimbursements, and patient payments. Health care finance professionals work to ensure healthcare
providers are appropriately compensated for their services.

5. Health Insurance: Managing and administering health insurance plans, including designing
benefit packages, setting premiums, and processing claims. This is often a critical aspect of
financing healthcare for individuals and families.

6. Financial Planning: Assisting individuals and families in planning for healthcare expenses,
especially in the context of long-term care or chronic conditions.

7. Healthcare Economics: Analyzing the broader economic factors and market dynamics that
impact the healthcare industry, such as supply and demand, healthcare policies, and the impact of
healthcare on the overall economy.
8. Regulatory Compliance: Ensuring that healthcare organizations adhere to financial regulations
and compliance standards, which can vary depending on the country and region.
18
9. Investment Strategies: Managing the financial investments of healthcare organizations, such as
endowment funds for hospitals or retirement plans for healthcare workers.

10. Healthcare Costs: Understanding and analyzing the various costs associated with healthcare,
including direct medical costs (e.g., medications, procedures, physician fees), administrative costs
(e.g., billing and insurance processing), and indirect costs (e.g., lost productivity due to illness).

11. Accounting and Financial Reporting: Ensuring accurate financial records, statements, and
compliance with accounting standards, as transparency in financial reporting is critical for
healthcare organizations.

12. Healthcare Payment Models: Examining different payment models in healthcare, such as fee-
for-service, capitation, value-based care, and bundled payments, and their impact on cost and
quality of care.

13. Healthcare Reform: Staying informed about healthcare policy changes and reform initiatives,
as these can significantly affect how healthcare services are funded, reimbursed, and delivered.

14. Risk Management: Assessing and managing financial risks in healthcare, including strategies
for mitigating unexpected expenses and managing liabilities.

15. Population Health Management: A financial approach that focuses on improving the health
of entire populations to reduce long-term healthcare costs.

16. Charity Care and Uncompensated Care: Dealing with cases where patients cannot afford to
pay for healthcare services, and healthcare organizations must make provisions for charity care or
absorb uncompensated care costs.

17. Health Information Systems: Utilizing technology and data analytics to track and manage
financial aspects of healthcare, including electronic health records (EHRs) and healthcare
19
information management systems.

18. Medical Billing and Coding: Managing the process of translating medical services into billing
codes and submitting claims for reimbursement, often involving extensive knowledge of healthcare
coding systems, such as ICD-10 and CPT.

19. Financial Ethics and Compliance: Ensuring ethical financial practices in healthcare, which
includes compliance with laws like the Health Insurance Portability and Accountability Act
(HIPAA) and anti-fraud regulations.

20. Global Health Finance: Understanding the financial challenges and strategies involved in
providing healthcare on a global scale, including issues related to access, equity, and international
healthcare funding.

Health care finance professionals play a crucial role in navigating these complexities to ensure that
healthcare organizations can provide quality care while maintaining financial stability. They work
to strike a balance between the financial sustainability of healthcare systems and the well-being of
patients and communities

THE ROLE OF FINANCE IN HEALTH SERVICES ORGANIZATIONS:

The primary role of finance in health services organizations is to plan for, acquire, and use
resources to maximize the efficiency of the organization. This role is implemented through specific
activities such as planning and budgeting.
Finance plays a vital role in health services organizations in several key ways:

1. Resource Allocation: Finance is responsible for allocating financial resources within healthcare
organizations. This includes determining budgets for different departments, facilities, and services,
ensuring that they have the necessary funds to operate efficiently.

2. Strategic Planning: Finance teams assist in developing financial strategies and long-term
planning to support the organization's goals and mission. This involves forecasting financial needs
20
and assessing the financial feasibility of various initiatives.

3. Cost Management: Controlling and managing costs is crucial in healthcare. Finance

professionals work to identify cost-effective solutions, streamline processes, negotiate with
suppliers, and reduce unnecessary expenses while maintaining high-quality care.

4. Financial Reporting: Healthcare organizations must maintain accurate financial records and
report financial performance to stakeholders, including boards, government agencies, and
investors. Finance is responsible for producing financial statements, audits, and compliance
reports.

5. Reimbursement and Revenue Cycle Management: Finance departments handle the complex
process of healthcare reimbursement, including insurance claims processing, billing, and ensuring
proper payment for services rendered. Efficient revenue cycle management is essential to the
financial health of healthcare providers.

6. Capital Investments: Finance helps healthcare organizations plan for and manage capital
investments, such as the construction of new facilities, acquisition of medical equipment, and
technology upgrades. This includes assessing the return on investment and financing options.

7. Financial Compliance: Compliance with financial regulations and healthcare laws is

paramount. Finance professionals ensure that the organization follows federal, state, and local
financial regulations, including healthcare-specific laws like HIPAA.

8. Healthcare Economics: Analyzing and interpreting economic factors that impact healthcare,
such as shifts in patient demographics, changes in reimbursement models, and market competition.
This analysis informs strategic decisions.

9. Risk Management: Identifying and mitigating financial risks, which may include insurance
strategies, legal compliance, and contingency planning for unexpected events that could impact the
21
organization's financial stability.

10. Budget Oversight: Monitoring and adjusting budgets as necessary, ensuring that expenses are
in line with revenue and that financial goals are met.

11. Fundraising and Grants: For non-profit healthcare organizations, finance teams often play a
role in fundraising and grant applications to secure additional funding for projects and initiatives.

12. Financial Ethics: Upholding ethical financial practices and ensuring that patient financial
information is protected and handled with integrity.

13. Data Analytics: Using data analytics to improve financial decision-making, including patient
care cost analysis, population health management, and identifying areas for cost savings and
revenue growth.

14. Strategic Investments: Finance teams evaluate potential investments in technology, facilities,
and medical equipment to enhance patient care and efficiency. They assess the long-term benefits
and return on investment (ROI) of these investments.

15. Cash Flow Management: Managing the organization's cash flow to ensure there is enough
liquidity to cover operational expenses, pay employees, and meet financial obligations in a timely
manner.

16. Patient Financial Services: Overseeing patient billing and collections, as well as assisting
patients with financial arrangements and understanding their healthcare bills.

17. Healthcare Pricing Strategy: Developing pricing strategies for healthcare services and
treatments, taking into account insurance contracts, government reimbursements, and the need for
competitive pricing while maintaining financial viability.

18. Financial Audits and Compliance: Ensuring compliance with financial reporting standards
and regulatory requirements, as well as conducting internal and external audits to maintain
22
transparency and accountability.

19. Health Information Technology (HIT): Managing financial aspects related to electronic
health records (EHR), health information systems, and healthcare software applications.

20. Managed Care Contracting: Negotiating contracts with managed care organizations and
payers to secure favorable reimbursement rates for services provided by the healthcare
organization.

21. Financial Forecasting: Utilizing financial data and trends to predict future financial needs and
challenges, helping the organization prepare for changes in demand or reimbursement models.

22. Strategic Partnerships and Mergers: Evaluating potential partnerships, mergers, or

acquisitions that could strengthen the organization's financial position or expand its services.

23. Community Outreach and Grants: Identifying grant opportunities and partnerships to secure
additional funding for community health programs and services.

24. Patient Access Services: Ensuring timely and efficient scheduling, registration, and admission
processes for patients, which can impact revenue and patient satisfaction.

25. Revenue Diversification: Exploring alternative revenue sources beyond patient care, such as
retail pharmacy services, research grants, and telehealth services.

26. Regulatory Advisory: Keeping abreast of evolving healthcare regulations and advising the
organization on compliance and potential financial impacts.

27. Ethical Decision-Making: Addressing ethical dilemmas related to financial decisions,

particularly when they intersect with patient care, ensuring that the best interests of patients are
maintained.
In essence, the finance function in health services organizations is multi-faceted and indispensable.
It serves to optimize financial resources, support the delivery of high-quality healthcare, and ensure
23
the long-term sustainability and success of the organization.

THE STRUCTURE OF THE FINANCE DEPARTMENT IN HOSPITAL INDUSTRY:

The structure of the finance department in a hospital can vary depending on the size of the hospital,
its complexity, and the specific needs of the organization. However, a typical finance department in
a hospital includes several key positions and functions:

1. Chief Financial Officer (CFO): - The CFO is the head of the finance department and is
responsible for overseeing all financial activities in the hospital.
- They provide strategic financial leadership, manage financial risk, and make decisions that
impact the hospital's financial stability and growth.

2. Finance Director or Manager: - The finance director or manager assists the CFO in managing
the day-to-day financial operations of the hospital.
- They may oversee specific financial functions, such as budgeting, financial analysis, or revenue
cycle management.

3. Controller: - The controller is responsible for the hospital's accounting and financial reporting.
- They ensure accurate and timely financial statements and compliance with accounting
standards.

4. Financial Analysts: - Financial analysts perform financial planning and analysis, including
budgeting, forecasting, and variance analysis.
- They provide data and insights to support decision-making.

5. Accounts Payable (AP) and Accounts Receivable (AR) Teams: - The AP team manages the
payment of bills and expenses, ensuring that vendors are paid promptly.
- The AR team handles billing, claims processing, and revenue collection, working closely with
insurance companies and patients.
6. Internal Audit Department: - The internal audit department conducts independent assessments
to ensure financial compliance and the effectiveness of internal controls.
24
7. Revenue Cycle Management Team: - This team focuses on optimizing the hospital's revenue
by managing the entire revenue cycle, from patient registration to claims processing and
collections.

8. Pricing and Contracting Specialists: - These professionals are responsible for negotiating
contracts with insurance providers and payers to secure favorable reimbursement rates and pricing
strategies.

9. Grants and Fundraising Specialists: - In non-profit hospitals, specialists may be responsible

for seeking grants and donations to support the hospital's operations and community programs.

10. Financial Systems and IT Support: - IT professionals are responsible for maintaining
financial software systems, ensuring data security, and providing technical support to the finance
department.

11. Patient Financial Services: - This team assists patients with billing inquiries, financial
assistance programs, and payment arrangements, helping patients navigate their financial
obligations.

12. Compliance Officers: - Compliance officers ensure that the hospital adheres to financial
regulations, healthcare laws, and ethical standards.

13. Treasury Department: - The treasury department manages the hospital's cash flow,
investments, and banking relationships to ensure liquidity and financial stability.

14. Budgeting and Financial Planning Team: - This team is responsible for developing and
managing the hospital's budget, as well as long-term financial planning.

15. Finance Committee: - In some hospitals, there may be a finance committee composed of
members from the hospital's board of directors who provide oversight and guidance on financial
25
matters.

16. Cost Accountants - Cost accountants focus on tracking and analyzing the costs associated with
providing healthcare services, helping the hospital understand the cost of care and optimize cost-
effectiveness.

17. Financial Planners: - Financial planners work with hospital leadership to develop financial
strategies, set financial goals, and plan for the organization's financial future.

18. Patient Advocacy and Financial Counseling: - These professionals assist patients in
understanding their financial obligations, exploring financial assistance options, and navigating
insurance coverage.

19. Supply Chain and Procurement Management: - Managing the procurement of medical
supplies, equipment, and pharmaceuticals to ensure cost-effective purchasing and inventory
control.

20. Credit and Collections Specialists: - Handling debt collection and negotiating payment plans
with patients who have outstanding bills.

21. Managed Care Contract Specialists - Negotiating and managing contracts with managed care
organizations and insurance providers to optimize reimbursement rates.

22. Financial Systems Administrators: - IT professionals responsible for maintaining and

updating financial software systems, ensuring data security and integration with other hospital
systems.

23. Strategic Financial Advisors: - These individuals may provide financial advisory services to
the hospital's leadership, assisting with strategic financial decisions and investments.

24. Community Benefit and Charity Care Coordinators: - In non-profit hospitals, these
coordinators help ensure that the hospital fulfills its community benefit obligations and provides
26
charity care to eligible patients.

25. Data Analytics and Business Intelligence Specialists: - Experts in data analysis and business
intelligence tools, helping the hospital leverage data to make informed financial decisions.

26. Investment Managers: - Responsible for managing the hospital's investments and endowment
funds to generate returns and support long-term financial sustainability.

27. Financial Education and Training: - Providing financial education and training for hospital
staff to ensure that employees understand the financial implications of their roles and
responsibilities.

The structure of the finance department can vary based on the hospital's specific needs and
organizational structure. In many hospitals, interdisciplinary collaboration between finance
professionals and other departments, such as clinical and administrative teams, is essential to
achieving financial and operational goals while delivering quality patient care.

27
FAMOUS HOSPITALS IN INDIA:
1.Medanta – The Medicity, Gurgaon

Image 2.1
Medanta – The Medicity is one of India’s largest multi-super specialty medical institutes in
Gurgaon, a town in the National Capital Region. Started by eminent cardiac surgeon Dr. Naresh
Trehan, the institution has been envisioned to bring the highest standards of medical care to India
along with clinical research, education, & training.

Medanta is home to some of the finest doctors in the world, most of whom are pioneers in their
specific areas & are celebrated for developing innovative and revolutionary procedures. Medanta
has six centers of excellence that provide comprehensive and integrated healthcare services across
various specialties, such as organ transplants, oncology, cardiac surgery, neurosurgery, and more.

Medanta has also been at the forefront of medical innovation and technology, with achievements
such as 3D-printed titanium spine implants, stent retrievers for stroke treatment, the world’s
smallest pacemaker implantation, and more. Medanta has also been ranked as the best private
hospital in India for three consecutive years in 2020, 2021, and 2022 by The week-Nielsen survey.
28
New week also featured it in the list of top 250 global hospitals in 2022.

Medanta also aims to be a socially responsible corporate citizen by contributing to various health
awareness campaigns and community welfare initiatives.

2. Kokilaben Dhirubhai Ambani Hospital, Mumbai

Image 2.2
Kokilaben Dhirubhai Ambani Hospital is a top-most multi-specialty hospital with a space of 750
inpatient beds, providing exceptional medical services under the care of distinguished experts. The
hospital became named after Kokilaben Ambani, wife of industrialist Dhirubhai Ambani, who
started Reliance Industries. The hospital became operational in 2009 and has since achieved many
milestones in the field of medicine.

The hospital boasts of having the most significant no. of critical care beds in Mumbai, with 180
ICU beds & 240 independent clinics for consulting, with the capacity to handle over 9,000

29
outpatient consultations every day. The nationally accredited laboratory has high-tech instruments
to carry out advanced molecular biology tests for accurate diagnosis. The hospital not only prides
itself on its contemporary infrastructure and ultra-modern technology but also on having a Full
Time Specialist System which ensures easy access and comprehensive use of resources to various
specialists.

The hospital has the first 3-room intra-operative MRI suite (IMRIS) in Asia, Asia’s first EDGE
Radiosurgery system from Varian Medical Systems, India’s first Spine Surgery Suite featuring the
O-arm, and many more. The hospital has also won several awards and accolades for its excellence
in multispecialty, oncology, orthopedics, and neurology at national and international levels.

3. Fortis Memorial Research Institute, Gurgaon

Image 2.3

30
Fortis Memorial Research Institute (FMRI) is a multi-specialty hospital in Gurugram, India. It is
part of the Fortis Healthcare group, which operates over 30 hospitals across India and abroad.
FMRI is accredited by JCI and NABH and offers several medical services, such as cardiology,
neurology, oncology, gastroenterology, urology, orthopedics, and transplant surgery.
FMRI is known for its excellence in clinical care, research, and innovation. The hospital has been
the first in India to conduct a robot-assisted joint replacement surgery and the first in India to
complete a left lateral donor hepatectomy. Since its inception, the hospital has won many awards,
such as the Pharmacie De Qualite for Good Pharmacy Practices in 2019.

FMRI has a team of over 300 doctors who are experts in their respective fields and have
international experience and training. The hospital has state-of-the-art infrastructure and
technology, such as 15 operating theatres, 105 ICU beds, a robotic surgery system, PET-CT scan,
MRI, and cath lab. FMRI aims to provide world-class healthcare to its patients with compassion
and empathy.

4. Indraprastha Apollo Hospital, New Delhi

Image 2.4
31
Indraprastha Apollo Hospital is one of the most renowned multi-specialty tertiary care hospitals in
India. Situated in New Delhi, India, it has a capacity of 710 beds and offers 52 specialties under
one roof. It is also the first hospital in India to be certified by the JCI four times in a row, which
reflects its commitment to quality and safety standards.

Some of the notable achievements of Indraprastha Apollo Hospital are:

It performed the first pediatric liver transplant in India in 1998 and has one of the country’s busiest
liver and kidney transplant programs.

It has the largest number of ICU beds in a private hospital in India and is equipped with the latest
and best-in-class medical technologies like PET-MR, PET-CT, Da Vinci Robotic Surgery System,
Brainlab Navigation System, Portable CT Scanner, NovalisTx, Tilting MRI, Cobalt-based HDR
Brachytherapy, DSA Lab, Hyperbaric Chamber, Fibroscan, Endosonography, 3 Tesla MRI, 128
Slice CT scanner.

It has a comprehensive cancer care center with advanced radiation oncology facilities like
NovalisTx, ClinaciX, and HDR-Brachytherapy. It also performed the first total marrow irradiation
procedure in India on a patient from Oman.

It has a team of experienced and renowned doctors in various specialties like cardiology, cardiac
surgery, neurology, neurosurgery, gastroenterology, hepatology, nephrology, urology, orthopedics,
spine surgery, plastic surgery, fetal medicine, IVF, nuclear medicine, and more.

It performed Asia’s first simultaneous kidney-pancreas transplant on a 38-year-old patient, India’s

first successful combined cardiac and tracheal surgery on an 11-month-old baby from Oman,
India’s first simultaneous liver-intestine-pancreas transplant, and the world’s most extensive
artificial pulmonary valve implantation without surgery.
Indraprastha Apollo Hospital is a forerunner of the Apollo Hospitals Group that epitomizes the
clinical excellence that the Apollo Group stands for.
32
5. Artemis Hospital, Gurgaon

Image 2.5
Artemis hospital is one of the leading multi-specialty hospitals in Gurgaon, India. It was started in
2007 by the promoters of the apollotyres group and has been accredited by JCI and NABH for its
quality standards and patient safety.

Some of the achievements of Artemis hospital are:

it is the first hospital in Gurgaon and Haryana to get JCI accreditation in 2013 and NABH
accreditation in 2017.
it is the first hospital in India to adopt Massimo patient safety net, a remote monitoring and
clinician notification system that helps reduce preventable deaths and injuries.
it has performed rare and complex medical procedures such as treating cerebral palsy in children,
saving an ex-army man with a ruptured aorta, and delivering a miracle baby born at 23 weeks.
it won the Asia pacific hand hygiene excellence award by the who in 2011 for its infection control
practices.

it has a unit of highly qualified and experienced doctors, nurses, and paramedics who provide
comprehensive care for various specialties such as cardiology, neurology, oncology, orthopedics,
gastroenterology, urology, nephrology, gynecology, pediatrics, etc.
33
6.Gleneagles Global Health City

Image 2.6
Gleneagles Global Health City, India, is a renowned hospital with world-class treatment, best-in-
class infrastructure, and an unmatched commitment to clinical excellence. The hospital is situated
in Chennai, Tamil Nadu. It is the largest facility of Gleneagles Global Hospitals Group, a part of
IHH Healthcare, a leading premium integrated medical provider with a network of 80 hospitals in
10 countries.

The hospital has many specialties, including HPB and liver, Oncology, Cardiology, Orthopaedics,
Neurology, Gastroenterology, Uterine Transplant, and many more. The hospital is Asia’s most
trusted and leading Multi-Organ Transplant Centre, performing over 1,000 successful liver
transplants. The hospital has also undertaken several path-breaking procedures in Neurology,
Heart, Lung, and Kidney.

The hospital boasts state-of-the-art infrastructure, advanced medical technology, & a team of
highly skilled doctors & healthcare professionals. The hospital has cutting-edge medical
equipment, such as advanced imaging technologies, robotic-assisted surgery systems, precision
diagnostic tools, and TruBeamSTx. The hospital also has 200 licensed beds, 13 operation theatres,
a 24/7 blood bank, a pharmacy, a cath lab, a chest pain clinic, a stroke unit, and emergency
services.

34
CHAPTER 6

7. Nanavati Super Specialty Hospital, Mumbai

Image 2.7

Nanavati Super Specialty Hospital, Mumbai, India, is one of the leading healthcare institutions in
the country, with a history of 70 years of excellence and innovation. The hospital was introduced
by the first Prime Minister of India, Jawaharlal Nehru, in 1950 and has served the people with
compassion and efficiency ever since.
The hospital has 350 beds, 55 specialty departments, 350+ eminent consultants, 100 resident
doctors, 475 nursing staff, and 1500 employees. It offers many services in every field of modern
medicine and health care.

The hospital has state-of-the-art technology and infrastructure, such as a 3 Tesla 32 channel wide
bore Magnetic Resonance Imaging (MRI) scanner with MR guided Focused Ultrasound Surgery
(MRgFUS), and High-Intensity-Focused-Ultrasound, 64 slice Positron Emission Tomography–
Computed Tomography (PET CT) with cardiac capability.
The hospital has also received several awards and accolades for its outstanding performance and
quality standards, such as:
 NABH AccreditationE-India Award in 2010
 Edge Awards in 2011 and 2012
 Healthcare Excellence Award

35
8. Manipal Hospital, Old Airport Road, Bangalore

Image 2.8

Manipal Hospital, located on Old Airport Road in Bangalore, India, is one of the leading
multispeciality hospitals in the country. It offers various medical services, from primary care to
quaternary care, across specialties such as cardiology, oncology, orthopedics, neurology,
gastroenterology, pediatrics, and more. It is part of the Manipal Education and Medical Group
(MEMG), which has a legacy of over six decades in education and healthcare.

Manipal Hospital Old Airport Road has achieved many milestones in its journey of providing
quality and affordable healthcare to everyone. Some of the notable achievements are:
– It was the first hospital in India to perform a successful liver transplant in 1998

– It was the first hospital in Karnataka to perform a robotic surgery in 2003.

– It was the first hospital in South India to perform a heart-lung transplant in 2010.

– It was the first hospital in India to launch a specialized day-care center for chemotherapy patients
in 2019.

-It was the first hospital in India to perform a robotic total joint replacement with the MAKO robot
in 2020.

36
CHAPTER 6

Manipal Hospital Old Airport Road has state-of-the-art technology and infrastructure, such as
digital cath labs, linear accelerators, PET CT scans, MRI, CT scans, ultrasound, endoscopy, and
more. It has over 650 beds, 55 intensive care units, 24 operation theatres, and 280 consultants. It
also has a dedicated team of nurses, paramedics, technicians, and support staff who ensure the best
care for every patient.

FACTS ABOUT THE MARKET VALUE OF HOSPITAL INDUSTRY

Healthcare industry in India comprises of hospitals, medical devices, clinical trials, outsourcing,
telemedicine, medical tourism, health insurance, and medical equipment. The healthcare sector is
growing at a tremendous pace owing to its strengthening coverage, services, and increasing
expenditure by public as well private players.

The hospital industry in India, accounting for 80% of the total healthcare market, is witnessing a
huge investor demand from both global as well as domestic investors. The hospital industry is
expected to reach $132 Bn by 2023 from $61.8 Bn in 2017, growing at a CAGR of 16-17%.

 In 2020, India’s Medical Tourism market was estimated to be worth $5-6 Bn and is
expected to grow to $13 Bn by 2026.

 The diagnostics industry in India is currently valued at $4 Bn. The share of the organized
sector is almost 25% in this segment (15% in labs and 10% in radiology).

 1,56,000 Ayushman Bharat centers, which aim at providing primary health care services to
communities closer to their homes, are operational in India.

 More than 390 Mn ABHA numbers generated under the Ayushman Bharat Digital Mission.

India is a preferred destination for Medical Value Travel (MVT) where patients from all over the
globe come to "Heal in India" and is growing as huge opportunity area in the Healthcare market.

37
Foreign Tourists Arrival on medical purpose increases from 1.83 lakh in 2020 to 3.04 lakh in
2021

 Over the years, India has become a premier and attractive destination for travelers from
across the globe to attain best-in-class clinical treatment, recharge, and rejuvenate.

 The high-end healthcare system in India is as good as the best in the world with complex
surgical procedures being done in world class global hospitals by acclaimed medical
specialists at a much lower cost than what it normally takes in other countries.

 India has also become a favored destination for Yoga and wellness with its focus on
traditional therapies through AYUSH.

With the second largest population in the world, India is predicted to surpass the population of
China this year. An increase in life expectancy and a gradually reducing death rate over the years
have actively contributed to India’s burgeoning population, specifically the geriatric population. In
an effort to cope with this growth, public health expenditure has been on a rise since 2014, with an
increasing share of the country’s GDP being distributed towards public health care. India’s
expenditure on public healthcare stood at over two percent of the GDP in 2022 versus 1.3% in
2020.

Universal health coverage:

Owing to circumstances that favored the socio-economically advantaged sections of society while
the underprivileged remained deprived of timely and affordable medical support, the government
proposed a system of universal healthcare in 2015, also referred to as the Ayushman Bharat
scheme. With millions of Indians driven towards out-of-pocket health expenses, the government
launched a new component of this scheme known as the Pradhan Mantri Jan ArogyaYojana (PM-
JAY) in September 2018 – which aimed at providing secondary and tertiary care to the estimated
lower 40 percent of the population free of charge. PM-JAY is completely funded by the
government and the central and state governments share the administrative and implementation
costs of this scheme.

38
CHAPTER 6

Investment:
The pandemic was a catalyst for the synergy between the public and private healthcare sectors.
Collaborations between the two in areas relative to diagnostics, medical technology and treatment
proved to be tremendous. In 2020, India saw a significant increase with close to 50% in private
investments and in 2021 alone, the country received investments worth approximately eight billion
U.S. dollars, the largest across the South Asian region. Public private Partnerships (PPPs) have
been the stronghold of India’s health reforms and also a cornerstone of the National Health
Mission. At the primary level, one of the key partnerships has been the outsourcing of the
management of PPPs with a non-profit entity to the private sector. This strategy has afforded better
outreach and medical access to rural areas. In order for India to meet its ambitious healthcare goals,
there is a pressing need to address and augement funding into the private sector while also
leveraging relationships between government and the private sector. Further, devising a national
policy to promote prevention, testing and early screening to mitigate disease burden can contribute
towards achieving holistic quality healthcare and consequently, overall progress of the country.

39
 CHAPTER – 3
COMPANY PROFILE

40
CHAPTER 6

IQRAA INTERNATIONAL HOSPITAL AND RESEARCH CENTRE

Image: 2.9

MALAPARAMBA, CALICUT – 673009, KERALA, INDIA

EMAIL: mail@IQRAAhospital.in / www.IQRAAhospital.in
PH: +91 4952379100, 2379102, 2379201

History of IQRAA
IQRAA International Hospital and research Centre was established in the year 2000 by JDT Islam
orphanage committee, Calicut, India with the generous support of IQRAA for Human Relations,
Jeddah, Saudi Arabia.

IQRAA Hospital has evolved as a centre of excellence in medicine by delivering high-quality

healthcare services at affordable cost to the poor in particular and the society at large. The income
generated is meant for the orphans and destitute children of JDT Islam Orphanage and other
orphanage.
IQRAA Hospital has evolved as a centre of excellence in medical treatment by delivering high-
quality healthcare services at affordable cost to the poor in particular and the society at large.

JDT Islam, is the parent organization, is an NGO and one of the first orphanages in the country,
was established in 1922 for the social and economic upliftment of orphan children. JDT Islam is
located at Vellimadukunnu, Calicut, Kerala.
41
IQRAA Hospital, a 436 bed hospital, is now a leading healthcare provider in Calicut, equipped
with the state-of-the-art facilities for delivering the best of services and thereby fulfilling its
commitment to the society.

The hospital has the full NABH accreditation for quality in its services and ourblood bank also has
a separate accreditation of NABH. The Clinical Laboratory in IQRAA is accredited by the NABL
for maintaining international standards in the testing practices. Expertise of senior consultants,
high-quality nursing staff, advanced diagnostic facilities and a committed management has taken
giant leaps in its growth to a multi-specialty centre of excellence.

IQRAA HOSPITAL have an excellent crew consisting of 150 + Doctors and 1600 staff including
Nursing and Paramedical staff. IQRAA has 10 branches as community hospitals and community
clinics in Kozhikode, Wayanad, Malappuram and Idukki districts of Kerala.

Through these centres hospital could make specialty treatment services available for the poor and
needy in the backward areas. IQRAA is a centre of DNB (medical PG course under the
government of India) for General Medicine, Gynecology, Orthopedics, Critical Care, Emergency
Medicine and Nephrology.

IQRAA are running paramedical institutions like School of Nursing (GNM), College of Nursing
(B. Sc Nursing), College of Pharmacy (D. Pharm, B. Pharm & M.Pharm), and College of
Physiotherapy (BPT), and IQRAA Academy (B.Voc in Dialysis Technology, B. Voc in Medical
Imaging Technology and B. Voc in Medical Lab Technology).

The Hospital is accredited with NABH standards and certified by Scientific and industrial Research
organization (SIRO) of directorate of scientific and industrial research
(DSIR) and our lab is certified by NABL for maintaining international standards in testing
practices.

IQRAA Hospital is a centre of Postgraduate Medical education running

DNB Course with the accreditation of Ministry of Health and Family welfare under the
Government of India and conducting observer ship programme to doctors securing

42
CHAPTER 6

medical graduation abroad.

IQRAA are running healthcare educational institutions for training professional in Healthcare
management, nursing, physiotherapy, imaging,
laboratory technology etc

IQRAA believe that each individual is special and deserves the best care possible. Our two decades
of experience in the healthcare sector, our way of being and doing, further enriches the
commitment in delivering quality healthcare for one and all, combining professional excellence
and charity.

MAIN ENTRANCE OF IQRAA CALICUT

Image 3.1

43
IQRAA also offer basic specialties like General Medicine, Obstetrics and Gynecology, Pediatrics,
Orthopedics, ENT, Dermatology, Dental surgery etc. Along with super specialties like
Cardiology, Nephrology, Urology, Endocrinology, Neurology etc.

IQRAA provide laparoscopic surgery across all specialties. Their dermatology and cosmetology
department. Delivers specialized services in vitiligo treatment including surgery, hair
transplantation and cutting edge cosmetology procedures.

Orthopedics specialty regularly Conducts joint replacement surgery, spine surgeries, scoliosis
correction etc. In maternal and child care, their centre is equipped with infertility treatment, high-
risk pregnancy clinic, Laparoscopic gynecologic surgery unit and Level 3 Neonatology ICU.

IQRAA for common man:

No other epithet other than 'at the affordable reach of the common man' would suit the bounteous
services sublimated in charity rendered by IQRAA International Hospital. It is exalted with the
pride and glory of being the one and only one hospital in Calicut that offers quality medical
treatment to the public at the most affordable expense.

The main purpose of IQRAA Hospital is to provide assistance to individuals facing financial
constraints during my training period. I observed the management actively helping those who lack
sufficient funds for treatment, with a commitment to reducing their overall bill amounts.

IQRAA for all:

IQRAA Hospital has evolved into a center of excellence in medicine by providing affordable high
quality healthcare services to the poor and the community. IQRAA FOR ALL is the social
outreach arm of IQRAA to help poor patients with comprehensive health care in the past years.

IQRAA is committed to provide quality medical care to the needy at modest rates.24 hour causality
services is available in the hospital. IQRAA is keen to satisfy both in patients and out patients by
providing first-rate diagnosis and treatment. We always keep tabs on the shift in needs of the
community and technological advancement IQRAA offers several special Health check up.
44
CHAPTER 6

Diabetes check up. pregnancy package, and delivery package. These are made available at rates
affordable to the common man.

This 250-bedded hospital banking on the expertise of senior consultants, high quality nursing
staffs, up to date diagnostic facilities and a committed management under the leadership of Dr.PC.
ANVER. M.D. Executive Director has taken giants leaps in its growth to multi-specialty centre of
excellence. The commendable service rendered over the years have won it the trust of masses as
the hospital of common man and the management responding to the demands of the public eyes to
upgrade its cardiology department to a specialty centre for cardiactreatment.

Continuous Quality Improvement Program:

To monitor the quality is maintain in all sector/department in hospital supported by management,

are monitor by core duty by regular quality audit, physical checks, data analysis. random sample
checks etc. program reviewed at regular interval at opportunity for improvement are identified.
Proper awareness to all employees.

Internal quality audit twice in a year to ensure all employees are strictly adhering to policies,
program and work instrument.

Hospital administration:

Management set up the vision and mission of the organization quality objective of the organization.
Proper planning shall be undertaken to locate layout and set up facilities for establishing.

From the administration down the line proper delegation of tasks shall be carried out and activities
monitored. So that the delegation activities are executed with the responsibility of authority.

Patient feedback and general quality implementation progress shall be properly adhered to and
remedial preventive action are to be taken.

45
MISSION AND VISION OF IQRAA HOSPITAL, CALICUT

High Quality Treatment:

To provide high quality, low-cost treatment to the whole community especially the underprivileged
patients. Their commitment to delivering high-quality treatment encompasses a tailored approach
that considers individual needs and preferences. They adhere to evidence-based practices, ensuring
that their interventions are rooted in the latest research and proven methods. Their team is
dedicated to providing comprehensive care, prioritizing your well-being and striving for optimal
outcomes in your journey toward health and recovery.

Highest Quality Clinical Care:

IQRAA aim to offer top-notch clinical care by employing advanced medical practices and a
dedicated healthcare team while keeping the cost affordable. Their commitment is to ensure that
individuals receive exceptional medical attention without imposing a financial burden, making
quality healthcare accessible to a broader community.

Invest in Professional Growth:

IQRAA prioritize investing in the professional growth of our team, providing continuous learning
opportunities, mentorship, and resources to enhance their skills. By fostering a culture of ongoing
development, they aim to empower our professionals to deliver even higher standards of service.
Additionally, their commitment extends beyond internal growth to community development
initiatives. They actively engage in projects and partnerships that contribute to the well-being and
progress of the communities we serve, aiming to create a positive impact beyond the boundaries of
their organization.

Patient Satisfaction:
Our primary goal is to attain the utmost level of patient satisfaction. This involves not only
delivering exceptional medical care but also focusing on empathy, clear communication, and
patient involvement in decision-making. We continuously strive to exceed expectations, creating
an environment where patients feel heard, respected, and confident in the quality of their healthcare
experience.

46
CHAPTER 6

SOCIAL OUTREACH OF IQRAA HOSPITAL

Dr. Muhammad Abdu Yamani Charity Programme:

Dr. Muhammad Abdu Yamani, whom IQRAA hold in high esteem, was the founder and mentor of
our hospital. His services to the religion and Ummah IQRAA are varied. His yearning for
spreading the love of noble Messenger (SAAWS), his efforts in maintaining the heritage of the
holy cities, his efforts in nurturing a religiously guided media, his efforts in championing causes of
the Ummah, his efforts in education, his concerns about the state of Ummah worldwide, his
consideration of all Muslims, irrespective of gender, color, race, language, class and nativity as one
single body are unsurpassed.

IQRAA understand that his efforts IQRAA are an embodiment of the Hadeeth of the noble
Messenger (SAAWS); “If the Last day approaches & one of you is having an offshoot, let him
plant it”. He was a soul that had little of rest, working up to the final days of his life.

Charity Clinic:

Free consultation for poor patients

 Investigation and diagnostic facilities including Lab tests, X-ray, CT scan, and USG at a
concessional rate.

 Medical treatment and surgeries at concessional charges.

 Special sponsorship promotion by IQRAA All-wishers to avail free diagnosis and treatment
for poor patients.

Charity Drug Bank:

A separate pharmacy set up for giving medicines at free of cost to orphans, for those who are
below poverty line, etc.

47
Mobile Medical Unit:
The mobile medical unit is a mode of treatment provided by a multi- disciplinary team comprising
social workers, nurses, and pharmacists etc. with the help of dedicated vehicle to visit and provide
treatment at the residence of the person with chronic illness and bed-ridden patients.

Community Medical Camps:

Community Medical camp provides free medical consultation and other treatments for needy
patients in slum areas, coastal and other rural areas using the mobile medical unit.

Spinal Cord Injury Care Programme:

Spinal cord injury is a common cause of disability for young adults which pushes their family is to
poverty and dependence. This programme is a treatment and rehabilitation medical initiative for
such bed ridden and spinal cord injury patients.

Dialysis Sponsorship Programme:

IQRAA dialysis center is one of the largest centres in the area rendering valuable service to poor
kidney patients. Current dialysis on no loss no profit basis will be added with free sessions through
sponsorship.

Charity Equipment Bank:

This bank has a collection of equipment like wheelchairs, water bed, crutches etc. This will be
supplied free of cost or on the use and return basis to the patients, either for permanent or
temporary use. Many of these are costly equipment’s and needed only for temporary use. Many
poor patients find this too burdensome.

48
CHAPTER 6

Some Social Outreach Initiatives:

 Free Out Patient Clinic

 Friday Mercy Clinic
 Ashraya Card for Dialysis patients
 Ashraya Card for Transplant patients
 Ashraya Card for Haemophilia patients
 Transplant & Dialysis Sponsorship Programme
 Thanal - IQRAA Centre for rehabilitation
 Discount in Hospital Services
 Mobile Medical Unit
 Mobile Dental Clinic
 Mobile ICU
 Subsidized rate for dialysis
 Lowest rate for kidney transplantation
 Free Treatment for JDT Orphan students
 Sponsorship for hospital bills
 Free Covid Treatment

Social Outreach Programs:

 Ashraya Health Card for Dialysis Patient

 Ashraya Health Card for Transplant Patients
 Ashraya Health Card for Hemophilia
 Ashraya Health Card for outside Dialysis
 Patients (PORFA)
 Ashraya Health Card for CH centre
 Dialysis Patients
 NG Card (Neighbor Card)
 NNG Card (Nearest Neighbor Card)
 KKMA Card
 (Kuwait Kerala Muslim Association)

49
  JDT Alumni Card
 (JDT Islam Orphanage Alumni association)
 Thanal- IQRAA Centre for Rehabilitation
 ChikilsaSahayamPadhathi
 Friday Clinic
 Discount for Transplant Patient
 Kidney - Transplantation Package
 C.W.C
 Discount for Psychiatry Patients
 Free Medical Camps in Rural Areas
 Dialysis Sponsorship Programme
 Free Covid-19 Treatment in
 Association with KASP
 Subsidized Dialysis
 Free Out -Patient Clinic

All these social outreach programs and initiatives help common people significantly. Through
these programs, individuals receive proper treatment, and all the doctors involved are well-
qualified and experienced. Therefore, all these programs are very useful to the common people.

In this program, various types of initiatives are available to assist different types of patients and
ensure their well-being. Since different people may have different diseases, IQRAA aims to
provide affordable solutions for a wide range of health conditions.

50
CHAPTER 6

DIFFERENT BRANCHES OF IQRAA

 IQRAA Community Hospital, Vazhakkad:

Image 3.2
EMAIL: ichvkd@IQRAAhospital.in

This is a 30-bed secondary hospital established by a private firm. IQRAA took over the
management of the hospital in May 2017 as a community-based healthcare model providing
quality healthcare to the common people.

Facilities:
 24-hour emergency services.
 Observation ,Nursing ,pharmacy ,ECG,X-ray, NICU, SICU, Audiometry, USG
 OP, IP services.
 Labour room
 Operation Theatre
 Laboratory

Main Doctors In This Branch:

 Dr. FayizRiyaz
 Dr. JaferNiyaz
 Dr Shobha

51
  Rahma – IQRAA Community Hospital, Thottilpalam:

Image 3.3
EMAIL: tplm@IQRAAhospital.in

IQRAA was elected to provide the healthcare service in Indian Institute of Management, a
prestigious management institution under Government of India. We are running a dispensary
located inside the campus by deploying a medical officer and staff nurse.

Facilities:
RAHMA IQRAA Community Hospital has the capacity of 51 beds and available departments are
Gynecology , Pediatrics , General Medicine ,Orthopedics, Anesthesiology, General Surgery, Radio
diagnosis, ENT, Dermatology, Urology, Cardiology, Psychiatry.

Main Doctors In This Branch:

 Dr. Midhun
 Dr. Aparna
 Dr. Rashique
 Dr. Linu Ma

52
CHAPTER 6

 IQRAA Community Clinic-Kallai

Image 3.4
EMAIL: icck@IQRAAhospital.in

IQRAA was elected to provide the healthcare service in Indian Institute of Management, a
prestigious management institution under Government of India. We are running a dispensary
located inside the campus by deploying a medical officer and staff nurse.

Facilities at IQRAA Kallai:

24 HOUR DOCTOR, NURSING ,OBSERVATION,&PHARMACY SERVICE,LAB , X-
RAY,ECG,SCANNING (USG),DENTAL CLINIC,PHYSIOTHERAPPY.

Main doctors at IQRAA Kallai:

 Dr. Joice Joseph

 Dr. Sumaiyya
 Dr. Rubeena
 Dr. Geetha
 Dr. Anjali
 Dr. FaizyAzeez

53
  MSS IQRAA Medical Center Adimali:

Image 3.5
EMAIL: mssadimali@IQRAAhospital.in

IQRAA was elected to provide the healthcare service in Indian Institute of Management, a
prestigious management institution under Government of India. We are running a dispensary
located inside the campus by deploying a medical officer and staff nurse.

Facilities at IQRAA Adimali:

General op, family medicine, nephrology, pharmacy, lab x-ray ,physiotherapy, dialysis, ecg, wound
dressing, suturing, wound closure with skin stapler, nebulization.

Main Doctors at IQRAA Adimali:

 Dr. Jomy Mathew
 Dr. Ilthija A
 Dr. Nishad

54
CHAPTER 6

 IQRAA Aesthetics, Address mall, Calicut:

Image 3.6

One of the first major discoveries relevant to the field of pulmonology was the discovery of
pulmonary circulation. Originally, it was thought that blood reaching the right side of the heart
passed through small ‘pores’ in the septum into the left side to be oxygenated, as theorized by
Galen; however, the discovery of pulmonary circulation disproves this theory, which had
previously been accepted since the 2nd century. Thirteenth century anatomist and physiologist Ibn
Al-Nafis accurately theorized that there was no ‘direct’ passage between the two sides.

Their Main Treatments are for These Diseases:

 Treatment for lung diseases
 Treatment for heart diseases
 Treatment for orthopaedic
 General surgery

55
Their services:

 Radiofrequency Ablation
 Intralession injection
 Cryotherapy
 Sclerotherapy
 PRP therapy
 Excision surgery
 Nail surgery
 Vitiligo surgery 9 SBEG, NCES, FCS, HT, Micro pigmentation
 Lasers
 Stretch marks reduction
 Chemical peeling
 Botox and other rejuvenation injections
 Nail surgeries
 Hair care
 Acne scare procedures
 Scar revision etc

Main Doctors:
 Dr. abdulazeez
 Dr. shahananazer
 Dr.ayshafarseen
 Dr. muneer Hassan
 Dr. shoukathali

56
CHAPTER 6

 IQRAA Hospital-SulthanBathery:

Image 3.7
EMAIL: wayanad@IQRAAhospital.in

This is a 100-bed secondary hospital established by a private firm. IQRAA took over the
management of the hospital in March 2018 as a community-based healthcare model providing
quality healthcare to the common people.

Facilities at IQRAA SulthanBathery:

24-hour emergency services.
General Medicine, Paediatrics, Obstetrics and Gynecology, Dermatology, Infertility ,General
surgery, Orthopedics, , ENT, Anesthesia, NICU, MICU, SICU, Ultrasound Scanning, General OP,
24 Hrs Casuality, Operation Theatre, Dialysis Centre, Physiotherapy, Laboratory, 24 Hrs
Pharmacy, Digital X-Ray, Dental X-Ray, Audiology

Main Doctors At IQRAA SulthanBathery:

 Dr. Mubarak B
 Dr. Shaheera
 Dr. Mohammed Jaleel
 Dr. Dipin Kumar
 Dr. Askar Ali T

57
  IQRAA Fertility Clinic, Addressmall, Calicut:

Image 3.8

At their centre, They are dedicated to provide affordable, first-class independent IVF/ICSI
treatment to our patients. Our team of experienced fertility specialists and medical professionals are
committed in helping you start or grow your family.

They offer a range of services including consultation with a fertility specialist, fertility testing, and
advanced fertility treatments such as in vitro fertilization (IVF)/ICSI. Our state-of-the-art facility is
equipped with the latest technology to ensure the best possible care for our patients.

One of the unique aspects of our center is that we do not offer a donor program. This means that all
of their treatments use the eggs and sperm of the intended parents, allowing for a more
personalized and natural approach to building a family.

They understand that the journey to parenthood can be a challenging and emotional one, which is
why they offer support and guidance every step of the way. their compassionate and understanding
staff are here to answer any questions you may have and provide you with the care and support you
need.

58
CHAPTER 6

Vision and Mission of IQRAA Fertility:

Their mission is to provide first-class independent healthcare for the local community in a safe,
comfortable, and welcoming environment. They want to inspire people to see their health in a new
way.

To be able to expect a visit from the stork will be the most cherished dream of a woman. Switch
over yourself from a hankering mother to an expecting mother by the world class specialty
treatment at IQRAA Fertility.

Services Provided by IQRAA Fertility:

 Ovulation Induction (Oi)

 In Vitro Fertilization (Ivf)
 Intracytoplasmic Sperm Injection (Icsi)
 Embryo Transfer
 Fertility Enhancing Surgery
 Diagnostic Hysteron Laparoscopy
 Percutaneous Epididymal Sperm Aspiration
 Testicular Sperm Extraction

Main Doctors At IQRAAA fetility:

 Dr. Rabeeh V

 Dr. Aravind R

 Dr. Asif Khan

 Dr. Liya

 Dr. BishurulHafi

 Dr. BinithaShajeem

 Dr. Muhammed Aslam Ck

 Dr. Thaha Rasheed Pt

59
DIFFERENT DEPARTMENTS

1. ANAESTHESIOLOGY:
The Anesthesiology is a branch of medicine that allows safe usage of medical drugs to
induce a reversible state of total or partial lack of responsiveness to surgical procedures, so
that they can be carried out smoothly, without causing any distress and inconvenience to the
patient.

The Department of Anesthesiology at IQRAA Hospital uses the most advanced safe and
patient-focused techniques in the delivery of anesthetic care. Our team of extremely skilled
and experienced anesthesiologists aims to provide optimum quality patient care not only in
the operation theatres but also beyond it by optimizing pre-operative patient status and
providing comprehensive patient care during the early postoperative period.
Main Doctors in this Department:

 Venugopalan B
 Abdul Azeez
 AnisJassirMv
 Zareena P M
 Shibi Mohammed Ali
 Ansal N
 Neethi R
 SahirAftab
 Hanan Akbar
 SulfikarTkn
 Nazia G
 AnupamaTg
 Ramya T

2. CARDIOLOGY:
Cardiology Department focuses on a holistic approach to Cardiac Care through invasive & non-
invasive therapeutic & diagnostic services managed by a dedicated team of doctors. The
department is supported by advanced 3D flat panel cardiac cath lab and coronary care unit. It
offers round the clock Primary Angioplasty for Acute MI (Heart attack).

Invasive Cardiology-cater to both adult and pediatric age groups. Adult Invasive Cardiology
includes Coronary Angiogram, PTCA’s, Intracoronary Stenting, temporary and permanent
60
CHAPTER 6

pacemaker implantation, cardiac case study. Paediatric invasive cardiology includes AST closure
and VST closure

Noninvasive Cardiology- caters to both adult and pediatric age groups. The facilities offered in
this group are Transthoracic 2-Dimensional Echocardiography (2D Echo), Echocardiography (T
Stress test (TMT), 24-hour Holter monitoring and Ambulatory Blood Pressure monitoring, ECG
and HUTT.

Facilities:
 Interventional Cardiology
 3D Colour Doppler Echocardiography
 Ambulatory ECG &Holter Monitor
 Coronary Care Unit with Ventilators and other monitoring facilities
 Dobutamine Stress Echo & ECG
 Computerized ECG
 Treat Mill Test
 HUTT test
Main Doctors in this Department:

 MUHAMMED CHOLAKKAL
 SHAJEEM O
 RAJESH K F
 VINOD GV

3. CLINICAL PSYCHOLOGY
Clinical psychology department at IQRAA hospital provides specialized services to emotional,
behavioral and cognitive problems of children, adolescents, and adult population. Offering liaison
clinical services with different other medical specialties like psychiatry, pediatrics’, neurology,
surgery, orthopedics and general medicine.
Services:
 Psychological assessments
 Psychodiagnostics
 Psychotherapies and counseling

Specialty clinics:
 Assessment clinic

61
  Child & Adolescents guidance clinic

Psychological Assessments:

 Intelligence tests
 Projective tests
 Personality tests
 Cognitive assessments
 Child developmental & socio adaptive tests
 Specific Learning disability screening test
 Behavior and emotional assessment
Psychotherapies:
 Psychoeducation
 Behavior therapy
 Cognitive therapy
 Cognitive behavior therapy
 Relaxation training
 Family/marital/sex therapy
 De-addiction Counseling
Main Doctors in this Department:

 SURESH KUMAR VK
 FARIS HUSSAIN KN
 SUJEER KHAN S

4. Critical Care Medicine:

The critical care department provides comprehensive care and life support services to patients who
are critically ill and require intensive monitoring. The expert team of ACLS/BLS trained Doctors,
Nurses and Ancillary staff along with State‐of‐the‐art equipment and facilities provides holistic
treatment to the patients, with promptness and compassion.

The unit is equipped with State‐of‐the‐art facilities. It is manned with highly experienced critical
care physicians and intensivist who extend their service in the management of shock,
cardiopulmonary resuscitation, Respiratory failure, Multisystem organ failure (including renal and
hepatic), Sepsis (infection), Central nervous system crisis, Cardiac failure etc.
62
CHAPTER 6

Facilities:
 Comprehensive Critical Care Services
 70 bed ICUs
 Multi-parameter invasive and non-invasive monitoring
 Lifesaving equipment including advanced ventilators
 Medical ICU
 Surgical ICU
 Neonatal ICU

Main Doctors In This Department:

 Suresh Kumar Vk
 Faris Hussain Kn
 Sujeer Khan S

5. Dental
IQRAA Hospital- ‘the hospital for the people’ offers complete and comprehensive dental services
using state-of-the-art dental equipment. Dental hard tissues like Teeth and bones, Oral soft tissues
like the gums, cheeks and tongue can all have disease processes which are managed effectively and
efficiently by a team of specialist dentists. Tooth preservation management includes restorative
processes, root canals, Post and core with prosthetic crowns and rehabilitative management will
include dental implant placements, complete and partial dentures. Aesthetic dental treatments like
ceramic veneers, braces, smile designing and also various maxillofacial surgeries are provided
within one roof.

Our team at the COMMUNITY DENTAL CLINIC which includes Oral Physicians, Oral
Surgeons, Endodontists, Prosthodontists, Pedodontists and Periodontists cater to patients of all age
groups.

In partnership with DENTIST AND YOU (DAY), IQRAA also offer DENTIGO Dental home care
services for the physically, mentally, financially and geographically challenged. IQRAA have a
dedicated team of dentists and volunteers to visit and manage dental pain and deliver dental
rehabilitation at your place.

63
Facilities:
 Oral and maxillofacial Surgery
 Oral medicine and Radiology
 Pedodontics
 periodontics and implantology
 Orthodontics
 Conservative and endodontics
 Prosthodontics
 Intra oral biopsies and FNAC
 Cosmetic dentistry

Main Doctors In This Department:

 Auswaf Ahsan Kp
 Vivek G
 FazaluRehman
 ShereenUmmarKutty
 Jose Jacob
 Mohammed Rafeeq P
 Ranjith M
 Nithin K
 AnroopAnirudhan
 Muhammed Haroon
 Rasheed Sap
 NaviaRanjith
 TincyRegi
 Fasmiya
 ShahnaOs
 Nubail Mohammed Basheer
 Aswathi Joseph

6. Dermatology & Cosmetology:

The Department of Dermatology offers comprehensive treatment for clinical and cosmetic
problems related to skin, hair and nails. IQRAA provide treatment for dermatological disorders like
acne, psoriasis, eczema, hair loss, alopecia, keloids, scabies, herpes, fungal nail infections etc.

64
CHAPTER 6

The department also provides a wide range of cosmetic services for patients of all age group and
uses lasers for removal of tattoos scars excessive hair and warts. Services such as Chemical peel
and microdermabrasion for scars, Electrocautery Phototherapy, Electro epilation, Cautery and skin
rejuvenation are also offered by the department.

Main Doctors in this Department:

 BishurulHafi
 Muhammed Razmi
 Rehna Ahmed
 VaishnaviKv
 SanoofMs
 NasahaTk

7. DIABETOLOGY:
The department of diabetology provides comprehensive inpatient and outpatient services and is run
by highly qualified and experienced team of medical professionals. The department is equipped to
undertake the management of adult and adolescent diabetic problems, insulin pump therapy,
gestational diabetes management and lipid and metabolic disorders.

Diabetic foot ulcers are preventable with proper management and care. At IQRAA the skilled team
of doctors provides the best treatment and care for the patient suffering with the diabetic foot ulcer.
A comprehensive diabetic checkup is also offered by the department.

Main Doctors in this Department:

 Sk Suresh Kumar

8. Emergency Medicine:
Emergency medicine treats conditions that pose a threat to life, limb or have a significant risk of
morbidity. The department at IQRAA is well equipped to provide comprehensive emergency
services to patients. The department has well trained doctors to handle any kind of emergencies
round the clock. The dedicated resuscitation room has all the necessary equipment to stabilize
patients. Ventilator support is available for adult and pediatric patients.

Fully equipped ambulances with ventilator support are available round the clock. The department
is supported by our 24*7 IP pharmacy

65
Main Doctors in this Department:
 Sanal Dev Ss
 RenjithTp
 Nirmal Peter Abraham
 NoorjahanVa
 AkhilSl

9. ENDOCRINOLOGY & DIABETOLOGY

An endocrinologist is a specialist doctor dealing with the disorders of the endocrine glands
(thyroid, parathyroid, pancreas, ovaries, testis, adrenal, pituitary and hypothalamus). The
department of endocrinology at our hospital offers comprehensive services in the evaluation,
diagnosis and management of all endocrine disorders such as thyroid disorders, obesity and lipid
disorders, growth abnormalities, the disorder of male and female hormones, metabolic bone
disorders, osteoporosis etc.

The department of diabetology provides comprehensive inpatient and outpatient services and is run
by highly qualified and experienced team of medical professionals. The department is equipped to
undertake the management of adult and adolescent diabetic problems, insulin pump therapy,
gestational diabetes management and lipid and metabolic disorders.

Diabetic foot ulcers are preventable with proper management and care. At IQRAA the skilled team
of doctors provides the best treatment and care for the patient suffering with the diabetic foot ulcer.
A comprehensive diabetic checkup is also offered by the department.

Main Doctors in this Department:

 Zakeer Np
 Abdul Majeed P
 PrathoshGangadhar

10. ENT:
The ENT department at IQRAA aims to provide comprehensive solutions to patients with ear, nose
and throat problems. The department with highly qualified and experienced specialists provides
66
CHAPTER 6

treatment and assistance in various conditions such as deafness, vertigo, voice disorders, tinnitus,
tonsillitis, adenoiditis, allergic rhinitis, nasal polyps, DNS etc.

IQRAA also offer microscopic ear surgeries, video endoscopies, BER audiometry, functional
endoscopic sinus surgeries, eardrum repair and adenoidectomy, tonsillectomy etc.

Facilities:
 Micro-ear surgeries
 Functional Endoscopic Sinus Surgeries (FESS)
 Video Endoscopy
 Audiometry and Tympanometry
 Brainstem Evoked Response Audiometry
 Sleep Endoscopy
 Microscopic examination of ear pathology

Main Doctors in this Department:

 Sanjay Raghavan
 Assankoya
 Shahul Hameed Cp
 Febin James
 Abdul Azeez M

11. General Medicine:

The Department of General Medicine deals with the prevention, diagnosis and non-surgical
treatment of various acute and chronic diseases. Besides, it also emphasizes on the disease
prevention and health promotion. The department provides efficient support services to other
specialties by attending to cross-referrals.

The department extends its service in the management of common ailments like a sore throat,
cold and flu, headaches, ear infections, urinary tract infections, allergies and hepatitis,
communicable diseases and other lifestyle and metabolic diseases.

Facilities:
 Comprehensive management of all medical illness
 25 bed multi-disciplinary Medical ICU

67
  Diabetes Centre – a separate centre for managing diabetes patients
 Endocrinology Clinic

Main Doctors in this Department:

 Basheer Kalathil
 Shihabudheen P
 Shamsudheen M
 PriyaPrabhul
 Mohammed Tp
 Muhammed Thoyyib Mk

12. General Surgery:

The general and laparoscopic surgery department is equipped with the latest technology and
infrastructure supported by an experienced team of surgeons. The department consists of two
surgical intensive care units and 8 Most Modern Major Surgical theatres including 3 modular
operation theatres and 2 Minor theatres.

The department is specialized in performing all major and minor surgeries including
Appendisectomy, Hiatoplasty, Cholecystectomy, Pancreatectomy, Splenectomy, Hernioplasty
etc. Laparoscopic surgery, also known as keyhole surgery or minimal invasive surgery, has an
advantage of shorter hospital stay with faster recovery time, less pain, less bleeding and smaller
scars.
Facilities:

 Surgical intensive care unit

 Most modern surgical theatres
 Laparoscopic surgeries

Main Doctors in this Department:

 Muhammed unaist
 Srijithnair
 Arun raj
 Ajeerahammed v
 Nafeesanaireen

68
CHAPTER 6

13. Haematology:
Hematology is the study of blood and blood disorders. Hematologists and hematopathologists are
highly trained healthcare providers who specialize in diseases of the blood and blood components.
These include blood and bone marrow cells.

It involves treating diseases that affect the production of blood and its components, such as blood
cells, hemoglobin, blood proteins, bone marrow, platelets, blood vessels, spleen, and the mechanism
of coagulation. Such diseases might include hemophilia, sickle cell anemia, blood clots (thrombus),
other bleeding disorders, and blood cancers such as leukemia, multiple myeloma, and lymphoma.
The laboratory analysis of blood is frequently performed by a medical technologist or medical
laboratory scientist.

Treatment:
 Complete Care for Blood Diseases
 Anemia
 Bleeding Disorders
 Blood Clotting Disorders
 Leukemia
 Plasma Cell Disorders
 Immune Disorders
 Miscellaneous

Main Doctors In This Department:

 Raguveer Prabhu

14. IQRAA Fertility Centre:

IQRAA believe that every person deserves the opportunity to experience the joy of having a
child. As a leading fertility hospital in Kerala, IQRAA are dedicated to helping you fulfill your
dreams of starting or expanding your family.

IQRAA understand that undergoing fertility treatment can be emotionally challenging. Our
dedicated team of counselors and support staff is here to provide guidance, compassion, and
emotional support throughout your fertility journey. IQRAA believe in open communication and
69
 ensure that you have a clear understanding of your treatment options, progress, and
expectations.

If you are ready to embark on your fertility journey, IQRAA invite you to contact us for a
consultation. Our compassionate team is here to answer your questions, address your concerns,
and help you make informed decisions about your fertility treatment.

Treatments offered by IQRAA Fertility:

 Ovulation induction
 In vitro fertilization
 Intracytoplasmic sperm injection (ICSI)
 Embryo transfer
 Fertility enhancing surgery
 Diagnostic hystero laparoscopy
 Peructaneousepididymal sperm aspiration
 Testicular sperm extraction

How Infertility Hospital in Kerala is Changing Lives:

Infertility is a heartbreaking problem that affects countless people around the world. The extent of
its impact remains a significant public health concern today. Fortunately, Kerala has facilities like
the infertility hospital that are working hard to change this. This state-of-the-art facility is equipped
with state-of-the-art technology and employs highly skilled professionals dedicated to helping
couples realize their dream of having a child.

Infertility hospital Kerala offers a range of services to address the unique needs of each patient,
including consultations, fertility testing, and the latest treatment options. With a focus on
comprehensive care and patient-centered treatment, the best infertility hospital provides
compassionate support to patients and their families throughout their fertility journey.

Patients can expect personalized care from a multidisciplinary team of experts who collaborate to
develop a personalized care plan. In addition to fertility treatments, the hospital also offers support
services such as counseling, support groups, and educational resources to help patients confidently
navigate their fertility journey.

70
CHAPTER 6

SWOT ANALYSIS

SWOT analysis refers to the strength, weakness, opportunity and threat of an organization. Here
strength and weakness are the internal factors and opportunity and threat are external factors.
Through the help of SWOT analysis the people or the customers has to compare the organization
with the competitor's organization. Through SWOT analysis the customers has to know the
positive as well as the negative aspects of the business.

Strengths:

 . Qualified management team

In IQRAA hospital the management team are well experienced and qualified one. The members in
the top level management are post graduated and the director is a Phd holder.

 Well experienced doctors and nurses

In IQRAA hospital the doctors as well as the nurses are well experienced one. All most all the
nurses are completed their masters in nursing and also all the doctors are taking their masters.

 24 hrs. Service
IQRAA hospital provides 24 hrs. Casualty services in each and every day.

 Affordable cost for treatment

This hospital is under a trust called IQRAA. So that the cost for the treatment are less compared to
other hospitals. So that it is affordable for the common people.

 Super specialty hospital

In IQRAA hospital almost all the medical departments are there. (General medicine, neurology,
gynecology, E.N.T etc....) and the services provided by each department are highly good.

 Give importance to patients than profit

IQRAA hospital is under a trust. So that they give importance to the patients than profit. They
provide free treatment to the poor people and provide contribution to charities.

71
Weaknesses:

 Infra-structure (i.e. capacity)

IQRAA hospital has only 250 bed facilities. So that they can provide service only for limited
patients.

 Canteen facility
IQRAA has their own canteen. But the foods are limited. Sometimes the patients didn't get the food
according to their needs.

 Lack of expensive equipment's

All we know that for dialysis we need well and expensive machineries. But in the case of IQRAA
hospital expensive equipment's are absent. So that they can't provide good services in some fields.

 Shortage in the strength of staffs

From the profile we have to know that there are only 31 doctors. When we take the case of super
specialty hospital doctors are necessary. But in the case of IQRAA hospital the strength of doctors
are very less and also in the strength of pharmacy staffs.

 Lack of departments
In IQRAA hospital the departments both managerial and medical are less. When we compare
IQRAA hospital with other we can see lack in departments.

 In effective use of Medias to provide information about the hospital to the needy people
IQRAA hospital didn't use the Medias in proper ways to provide information to the people.

Oppurtunities:

 Tie up with government

IQRAA hospital made a tie up with government for starting medical colleges and other medical
courses.

 New innovations
The hospital has to provide assistance to the medical students for doing research and other
72
CHAPTER 6

 Appointment of well and qualified staffs

The other opportunity for the hospital is to appoint well and qualified staffs in each and every
department.

 Provide service to more people

IQRAA hospital change the way of giving treatment and also provide free medical camps to the
poor people.

 Establishment of research centres and medical colleges

The IQRAA hospital has to establish new medical centres as well as research centres for the further
growth.

 Hold seminars and conference relating to specific diseases with the doctors in other
country.

Threats:
 Competition
In the case of IQRAA hospital the competition is high from other hospitals.

 High capital cost

The establishment cost are high. So that some of their projects are in pending.

 Lack and demand for man power

Now days the demand for the doctors are high. It is one of the problem faced by almost all the
hospitals and it is the main problem faced by hospital.

 . Lack of finance
IQRAA hospital is under a trust . So there will be some financial issues.

73
ACCREDITATION AND AWARDS

Their Awards And Accreditations Are A Testament To Our Global Standards

Of Medical Care To Our Patients.

74
CHAPTER 6

CHAPTER – 4
DEPARTMENT PROFILE

75
 DEPARTMENTS

1. SERVICE/SOCIAL WORK DEPARTMENT

2. MARKETING DEPARTMENT

3. HUMAN RESOURCE DEPARTMENT

4. FINANCE DEPARTMENT

5. OPERATION DEPARTMENT

6. PURCHASE DEPARTMENT

7. MATERIAL DEPARTMENT

8. MAINTENANCE DEPARTMENT

9. NURSING DEPARTMENT

10. PLANT DEPARTMENT

11. INFORMATION TECHNOLOGY DEPARTMENT

76
CHAPTER 6

ORGANIZATIONAL CHART SHOWING DIFFERENT DEPARTMENTS

JDT GOVERNING
BODY

Executive director (ed)

MEDICAL Supdt NURSING Supdt ADMINISTRATIVE

OFFICER
Consultants Deputy nursing supdt H. R Department

Senior doctors Nursing supervisors Operation Department

Residents Ward in charge Finanace Department

Staff nurses Purchase Department

Nursing assistant Material Department

Class for workers I T Department

Maintenance Department

Service And Social Work Department

Marketing Department

Chart 4.1

77
 1. SERVICE/SOCIAL WORK DEPARTMENT

DEPARTMENTAL STRUCTURE:

ADMINISTRATIVE OFFICER

PUBLIC RELATION OFFICER

(PRO)
Chart 4.2

78
CHAPTER 6

IQRAA hospital mainly looking for the common man. The service and social work department is
control by Mr.Shaji and Mr. Faisal.

 Joint venture of IQRAA for human relation, Jeddah and JDT Islam orphanage, Calicut.

 Quality care at affordable rate.

 Charitable clinic and health care for poor and needy patient.

 Income generated is utilized for the hospital development and for the upliftment of orphans

and destitute.

 Free treatment for the inmates of orphanages in Malabar.

 20% discount for the hospital neighbors.

 Poor patients have minimum 10% to 30% discount criteria (social organization letter or

ration card).

 Every Friday have ortho charity clinic 25% to 50% discount for poor people (criteria

Hospital director's recommendation letter).

 Dialysis charge only 400rs (outside 700rs).

 Hospital has community dental clinic charge only 10rs.

 The service under each department is provided round the clock with senior consultant and

specialists offering the best services at affordable cost. Our main focus is patient

satisfaction through quality services. It's rewarding to see that our patients bestowed us with

their trust and have retained us for future services.

 The diagnostic facilities are done at minimal cost compared to other private sectors.

 Cardiac Care Specialty provides cardiac health care of international standards.

 Our main focus is patient satisfaction through quality services.

79
Role of PRO/ Social Worker:

 Guidance and counseling to patients (Indoor as well as outdoor patients)

 Making the disabled aware of the services and provision available for them (Govt.
&Voluntary sector)
 Issuance of disability certificate to physically disabled, deaf & dump, M.R, Children and
Burn Patients.
 Provision of Railway concession to cases suffering from physically disabled, cancer,
Tuberculosis, Leprosy, Deaf & Dump, Kidney patients etc.
 Networking with Govt. Department, N.G.O's and individual donor to enlist their help for the
disabled poor and needy patients of the hospital.
 Making the patients aware the health services and facilities available for patients at IQRAA
Hospital.
 Including the services offered by Hospital welfare society.
 Counseling services for patients and their families.
 Motivation for family planning and blood donation.
 Mediation between the patients/their families and the health personnel of the hospital
facilities effective medical care to the patients.
 To attend the referral services from the doctors for indoor patients.
 Restoration for unknown patients.
 Providing referral services to patients.
 Lesion with all the institutions under directorate of Social welfare.
 To attend unattended/unknown patients.
 To provide rehabilitation services to the patients.
 To provide financial medical Aid with the help of "Hospital Welfare Society".
 Establishing contents and holding consultation for main taing harmonies relation between
hospital management and its staff.
 Looking after grievances/complaints of the patients in the hospital.

80
CHAPTER 6

2. MARKETING DEPARTMENT

DEPARTMENTAL STRUCTURE:

MARKETING MANAGER

ASSISTANT MANAGER
ASSISTANT MANAGER
Chart 4.3

81
FUNCTIONS OF MARKETING DEPARTMENT

Marketing department is doing some activities

 IQRAA conducting some of the fever clinic

 IQRAA conducting some activities like the rural camp they selecting some of the rural areas

and conducting the camp mainly for the free check up, eye check up etc. It should be more help

full for the poor peoples.

 Advertisement is the another one creating some of the notices and browsers including all details
of the hospital, photos etc.
 Starting new department, they creating advertisement and give all the news peppers, local

channel etc.

 Collaborating with other departments to introduce new products or improve existing ones.

 Developing strategies to connect with and retain customers through various channels.

 Providing sales teams with tools, materials, and information to facilitate effective selling.

 Utilizing online channels like social media, email, and websites for promotional activities.

 Organizing and participating in events to showcase products or engage with the target audience.

 Identifying specific customer segments and tailoring marketing strategies accordingly.

 Conducting analysis to understand consumer needs, preferences, and market trends.

 Building and maintaining a positive brand image to differentiate from competitors.

82
CHAPTER 6

3. HUMAN RESOURCE DEPARTMENT

DEPARTMENTAL STRUCTURE:

H.R MANAGER

H.R ASSISTANT
Chart 4.4

83
FUNCTIONS OF HR DEPARTMENT

It is a matter of common knowledge that every business organization depends for its effective
functioning on its pool of able and willing human resources. It is man alone who with his
ability to feel, think and grow shows satisfaction and dissatisfaction. The industrial progress of
any country would depend on its committed labor force.

The personnel department is headed by the personnel officer Mr. Abdul Vahab (MBA). The
department looks after the following functions.

Working hours - 8 hours

Wages and salary:

Based on the performance appraisal. Evaluating the performance of the employee they are
mainly follow the ranking method.

Recruitment evaluation:
Recruitment mainly the qualification, experience,

1. Form (the candidate fill up the application form with full details)
2. Advertisement (The HR department give the advertisement to the staff details)
3. Reference (internal reference of the employee)
4.Bio Data update (Already get some of the bio data its updating)

Selection:
The purpose of selection process is to choose right type of candidate to various positions in the
organization. Administrative department is responsible for the selection of staffs but medical
superintendent is responsible for the selection of doctors. Nursing will conduct staff
superintendent selection test for the selection of nurses.

84
CHAPTER 6

Interview:
The recruitment mainly through interview it have some steps

1.Pre interview form (collect all the personal information of the applicant and also have the data
bank collect the information of the applicant friends who are all interested to join any organization)
2. Interview Evaluation:
(a). Personal traits (The interviewer evaluating the personality, family background and then give
the mark to the candidate 1 to 5).
(b).Job related traits (In this step evaluating the subject and the technical knowledge of the
candidate

After that selecting the right person to the right job

Recruitment procedures (man power planning-Right person right job right place recruiting)

Induction Training:

Training:

Training is the act of increasing the knowledge of an employee for doing a particular job. Its
purpose is to achieve a change in the behavior of those trained to enable them to do their jobs
better.

Induction program under the control of HR department around 3 months to get the training to the
employee

It should be mainly understanding the organization its mainly focus on the company vision and
mission, about the organizational details then all the department and the facilities of the hospital.

Performance appraisal:

It is a method evaluating the behavior of employee in the work spot, includes both qualitative and
quantitative aspects of job performance. It is a continuous process from the date of joining.

85
Management development program:

Its mainly give to the Nursing staffs to improve the personality development and the skill
development of the staff.

Employee welfare and benefit:

The employees of IQRAA hospital can get lot of welfare facilities

Canteen facility (10rs for meals), Uniform, Festival allowances, bonus, Free medical allowance,
Free hostel allowances for employees.

Total employees:
557 employees

Leave:

 12 casual leave per year

 12 medical leave
After one year the employees can get the earn leave

Grievances:

Administrative officer department head + HR officer handling the grievances

Mostly everyone is satisfied,

Provident fund:

Provident fund is based on the salary

86
CHAPTER 6

4. FINANCE DEPARTMENT

DEPARTMENTAL STRUCTURE:

FINANCE MANAGER

ACCOUNTANT

ASSISTANT ACCOUNTANT
Chart 4.5

87
FUNCTIONS OF FINANCE DEPARTMENT

Financial management is the activity which is concerned with planning and controlling for the
firm's financial resources. Finance is the life blood of business firm, therefore planning of finance
and control is required for achievement of goal.

A systematic recording of daily transaction of the business leads to presentation of complete

financial picture, which help to know about the business position. The department is headed by Mr.
Gafoor ( Bcom, Mcom).

IQRAA hospital for under the control of JDT trust so the sources of finance is mainly for charity
donations like that. All the accounting activities going through computer with the help HIS
software (Hospital Information system). The last year IQRAA was profitable.

VARIOUS ACTIVITIES:

 To check all vouchers, bills, adjustment receipts and push up for orders to the special
officer.
 To check all the registers relating to the accounts section.
 To prepare monthly, quarterly, half yearly, and annual accounting information.
 To arrange for the timely collection of dues from the sundry debtors and payment to the
sundry creditors.

The finance department maintains the following books of accounts.

PURCHASE JOURNALS:

The purchase manager enters vouchers and materials inward notes through the computer. Its
mainly two type of purchase

A. Pharmacy Purchase
The pharmacy they transfer the details directly to the account department and the chief accountant
approve the list after that the administration officer approved the settlement the list.

88
CHAPTER 6

B. General Store Purchase:

The general store persons they transfer the details directly to the purchase Department and they
transfer to the account department the chief accountant approved and the n the administrative
officer approved and the settled.

SALES JOURNALS

IQRAA have mainly pharmacy sales:

 Pharmacy Sales
The pharmacy they are mainly selling the medicines.

 Cash Collections

 Discharge collection
 Reception
 Revisit
 OP pharmacy
 IP pharmacy
 Diabetic center
 Lab
 Dialysis center
 Annex

89
PAYMENTS

IQRAA Have mainly two types of payments.

 Cash Payment

CASH VOUCHER:

Approved By Accountant

Create Voucher

APPROVED FROM ADMINISTRATIVE OFFICER

TAKE VOUCHER PRINT

FINAL PAYMENT (WITH PAYER SIGN)

Chart 4.6

90
CHAPTER 6

 BANK PAYMENT

BANK VOUCHER:

Approved By Accountant

Create Voucher

Approved From Administrative Officer

Take Voucher Print

Print Cheque

Chart 4.7

91
5.5.2 FUNCTIONS OF OPERATION DEPARTMENT

The operation department is control by the operation manager Mr.Faisal (MHM).

The operation management mainly looking for the quality operating executive. Operation
department is control by each and every department for the smooth functioning.

In the case of IQRAA hospital operation are mainly for the Registration to Discharge of patients.
It's mainly for two types of patients.

1. OP patients
(a). New patients
(b). Old patients

2. Casualty
There are some activities are
1. Registration Form (New patients)

It's mainly for the patients full details. It's a unique registration also the form have one token
number. And then create one op card with patient full details and also have one op number after
collect the registration fee and consultation charge and create the op ticket and then distribute the
consent department.
Description Process:
Patients intending to consult the OPD clinic of any consultant of the hospital are required to
register prior to the consultations.

Patient will attend the OPD registration desk for new patient registration and wait in queue for their
respective turn

As their turn comes patient will fill the new registration form

92
CHAPTER 6

Patient's details are fed into the hospital information system and a registration fee of Rs.10.00 and
consultation fee are collected from the patient. All staffs and charity patients are exempted from
paying the registration charges and consultation charges. From dental and emergency department
(casualty) patients only registration fee is collected. 30 percentage reductions is given for close
relatives (father, mother, spouses, and children) of hospital staff

Patient is allotted an OPD registration number which is valid for lifelong. The consultation fee is
valid for 13 days in case of general OPD (for dental OPD cases- 5 days and for emergency
department cases-7 days) and OP card is generated.

The payment receipt is handed to the patient and is directed them to concerned OPD. Meanwhile
the OPD case sheet is generated and is issued to concerned OPD by Attender.

2. Old Registration

The patients come with the op card, and revisit the counter

3. Follow Up Patient:

Patients visiting the OPD of the hospital for follow up will attend the "re visit patient
registration counter" and would wait in queue.

As their turn come, the patient will hand over the OP card or previous OP case sheet to the
registration clerk.
The registration clerk will enter in to HIS. No fee is charged for such patients if the validity
is not over.

Patient is asked to move to concerned OPD. New OP case sheet is generated and dispatched
to concerned OPD.
If the patient arrives after thirteen days of the prior date of OP consultation, he/she has to
pay consultation fee.

93
4. Booking System
The patient can easily book through the telephone or directly come to the booking counter. (All
details like name, place etc.).

5. Enquiry:
The hospital does provide facility for telephonic enquiry and prior fixation of appointment over
telephone (only for some consultants).

Walk in interview are attended in the registration counter of the hospital.

6. Casualty patients
The emergency patients only collect the formal details.

7. Admission of The Patients

Consent department doctors give the information for the admission counter. And then collect
the full details of the patient. And then find any room vacancy or the ward. The visiting time
only for 4 to 8 o'clock. The visitors should get one visitors pass only one person can get the
stay pass.

8. Discharge of The Patients

 Discharge Summary

History of the patents, Discharge instructions etc.

9. Final Bill Preparation

 Lab Bill

 Medicine Bill

 Radiology Bill

94
CHAPTER 6

5. PURCHASE DEPARTMENT

FUNCTIONS OF PURCHASE DEPARTMENT

The main activities of purchase department:

Pharmacy shall have an approved list of suppliers. Purchased order issued for procurement with
relevant information like purchase order no, suppliers name and address. manufactures, quality,
price, delivery, term and condition like replacement. The purchase order shall be verified and
approved before issued by competent authority.

The purchase department control by the Mr. Jabir sulaim. Main activities of the purchase
department is the order and availability of the materials. Purchasing the quality goods without any
delay. The agents are give the quotation to the purchase officer after that only they purchase the
materials the bulk purchase gives some discounts.

The daily usage materials are mainly purchasing from Calicut itself some items like Medicines and
Machines are purchase outside Kerala like Chennai, Bangalore etc.

The materials are mainly two types of stores.

Pharmacy:

The IQRAA have a central pharmacy and 4 pharmacies in the hospital premises. The pharmacy in-
charge is the under the control of the Medical superintendent. Each sub pharmacy have a in-charge
he is responsible for the head of central pharmacy.

Pharmacy in-charge shall be responsible for accurate drug storage, distribution and safe usage of
drugs, inventory control, budgeted.. The pharmacy in charge ensure that the drugs purchased based
on the state and national standards.

Stock position shall be updated after each receipt and issue in relevant register and files.
The pharmacy staff have required qualification and trained about the pharmacy functioning the
staff shall have the information about the latest medicine and its alternatives relevant and rules and
regulation.

95
Purchase and storage:

The HOD shall ensure the availability of right drug having required quality and quantity. Non
moving medicine returned to the supplier with in specified time limit. The HOD shall ensure
right medicine is available and maintained. The minimum stick and issue shall control and
monitoring. Expiry date and the date of receiving are recorded.

General Store:

IQRAA have a general store. The store in-charge is the responsible person of the section. The
store keep all items excluding medicine and surgical. All office and stationary items purchase
and kept in general store. Any equipment and costly items are purchased through the store. It
not a part of pharmacy. The in charge is comes under the AO. The clerical staff of the store is
comes under the in charge.

Inventory practices:

The FIFO (first in first out.) Method is followed by the pharmacy. The issue of the drugs to the
sub pharmacy on the basis of their request. Stock register and issue register are maintained by
the central pharmacy. Stock verification and auditing are conducted at regular intervals.

96
CHAPTER 6

6. MATERIAL DEPARTMENT

FUNCTIONS OF MATERIAL DEPARTMENT

 Material manager Mr. Muhammed Jamsheer.p is control by the material department. He is

directly report to the purchase manager.

 Main function is the availability of the material.

 The Duties and Responsibilities of Material manager IQRAA International hospital.

 Conducting market survey and analysis of material cost and price.

 Make strong relation and deal with vendors and suppliers.

 Planning and making budget for acquire materials.

 Coordinating and negotiating with vendors for price.

 Organizing and supervising the transporting and receiving of all materials.

 Managing records of all stock and inventory.

 Maintaining the standard of goods and materials.

 Perform data entry of all material details in system for inventory control.

 Decide and prepare different levels of stock and take reasonable action in each level.

 Regularly inspect patient care units for proper equipment cleaning and functioning.

ensuring that all equipment necessary to patient is in proper working condition.

97
 DEPARTMENT I TRAINED - FINANCE/ACCOUNTS DEPARTMENT

Roles and Responsibilities:

1. Cash Voucher:
I worked the first few weeks of my training with cash vouchers. "Before that, I learned how to use
their software named Hospital Information System. It was very user-friendly, and I quickly learned
the software." When someone needs to be paid for their work or their contributions to the hospital,
they will provide a proper bill or a permission letter signed by authorized personnel in the financial
department. I will then review the details of their bill and record it in the cash voucher.
Subsequently, they will receive the payment from the main cash department.

2. JV/Journal Entry
: are required to record all entries under specific account heads, which cover various expenses and
receipts. For example, when providing a person with a contractor’s head (each contractors have
their own account head’s), we use the corresponding 'contractors' account head. We will record this
in the journal entry as follows: the total amount will be debited from the ‘work head’ (Profit and
Loss) and credited to the ‘contractor’s head (Sundry Creditors). Each type of expense and receipt
has its own designated account head. If we mistakenly enter a transaction in the wrong account
head, we can rectify it by creating a Journal Entry. This allows us to debit the incorrect account
head and credit the correct one IQRAA International Hospital has multiple branches. When we
receive a bill from any branch other than the main Calicut branch, we initially assign it to the
respective branch's account head. After verifying the nature of the payment and its purpose, we
then make the necessary adjustments in the journal entries, transferring the account head from the
branch to the specific purpose account head.

3. Verifying and Obtaining Approval from Financial Heads:

When we receive a bill, our initial step is to check and verify it, ensuring that the signature of the
authorized personnel in the finance department is present on the bill. After entering the bill, we
need to obtain approval from the financial head before issuing the voucher to the party.

98
CHAPTER 6

4. Filing and Recording Cash Vouchers:

All the cash vouchers we issue today and close at the main cash department are returned the next
day along with their respective bills and supporting documentation. We organize these vouchers by
date and arrange them in ascending order by bill number, starting from the lower numbers to the
higher ones
5. Purchase Bill Cash Voucher:
1. In the software, use the specific option for entering purchase bills.
2. When a party comes to receive cash for their purchase bill, create a voucher payment entry.
3. Before approving the bill, check that the invoice number and GRN (Goods Receipt Note)
number on the bill are entered correctly.

6. Bank Reconciliation:
IQRAA International Hospital have many bank accounts for different branches and different
purposes. Each of their statements are documented and well verified. Reconciliation statement help
to compares the cash balance on a company's balance sheet to the corresponding amount on its
bank statement.

7. Collecting and Preparing Statement for TDS And GST:

TDS or Tax Deducted at Source is income tax reduced from the money paid at the time of making
specified payments such as rent, commission, professional fees, salary, interest etc. by the persons
making such payments. We will mention the percentage and the amount of TDS we are deducting
from the bill in the narration. The party will only receive the balance amount of TDS deducted
from the total amount. Some of the bills have GST (an indirect tax imposed on the supply of goods
and services), and we will mention the GST amount the same way as the TDS. At the end of the
month, we prepare a statement of the TDS and GST collected from vouchers and bills.

8. Assisted for Preparing Cheque:

We issue checks for various parties in different sections, such as pharmacy purchases and other
service and purchase-related parties. Many of these payments are substantial, so we prepare checks
and transfer the funds through our bank accounts. I assist in preparing and recording the check
details
Total
Additional Activities:
Carried Cheque From Office To Bank: carried the check voucher from the office to the bank.

99
 Chapter – 5
Value addition

100
CHAPTER 6

A Comprehensive Overview of Value Additions During IQRAA

International Hospital Internship:

My internship at IQRAA International Hospital helped me improve significantly. During this

experience, I gained insights into the hospital industry and financial aspects of the health
sector. I also acquired numerous valuable skills

Skill Development:
This scenario highlights the diverse set of skills honed during the internship. From decision-
making and adaptability to interpersonal and public relations skills, it delineates how the hands-
on experience in the finance/accounts department at IQRAA International Hospital contributed
to the development of a well-rounded skill set. Real-world scenarios served as a crucible for
refining these skills, preparing for future professional challenges.

Technological Proficiency:
Devoted to the mastery of the Hospital Information System (HIS), this section delves into the
intricacies of navigating and utilizing the software. It details the functionalities mastered, such
as financial tracking, patient data management, and reporting. Proficiency in HIS not only
enhances personal competence but also underscores the increasing importance of technology in
healthcare finance.

Decision-Making in a Healthcare Context:

This section elaborates on the nuanced decision-making processes encountered within the
healthcare finance realm. It explores instances where critical decisions were made, the factors
considered, and the impact of these decisions on the financial well-being of the hospital. The
section serves as a testament to your ability to make informed and strategic decisions in a
complex and dynamic healthcare environment.

Adaptability and Resilience:

Focusing on adaptability, this section narrates instances where adaptability and resilience were
crucial in navigating unforeseen challenges. It highlights the agility demonstrated in adjusting
to evolving financial landscapes, regulatory changes, and unexpected situations. The
adaptability showcased during the internship underscores a key attribute essential for success in
the ever-changing healthcare industry.

101
Public Relations and Interpersonal Skills:
This segment emphasizes the significance of public relations and interpersonal skills in a
healthcare finance setting. It outlines interactions with various stakeholders, including colleagues,
patients, and external partners. The section showcases the ability to communicate effectively, build
professional relationships, and navigate interpersonal dynamics within a healthcare environment.

Professional Networking and Connections:

Dedicated to the cultivation of professional connections, this section discusses networking
opportunities within the hospital and the broader healthcare community. It underscores the
importance of building a professional network, both within and outside the organization, and how
these connections contribute to ongoing learning, career advancement, and industry insights.

These additional sections aim to provide a comprehensive overview of the personal and
professional growth experienced during the internship, focusing on a spectrum of skills and
competencies acquired in the finance/accounts department at IQRAA International Hospital.

Project Management and Task Prioritization:

This section delves into the intricacies of managing projects and prioritizing tasks within the
finance/accounts department. It outlines specific projects undertaken during the internship, the
methodologies employed for project management, and the skills developed in efficiently handling
multiple responsibilities. The ability to manage tasks and projects effectively is crucial in ensuring
the smooth functioning of financial operations.

Regulatory Compliance and Ethical Considerations:

Focusing on the importance of regulatory compliance and ethical considerations in healthcare
finance, this section details experiences in navigating compliance issues and upholding ethical
standards. It emphasizes the adherence to industry regulations, financial transparency, and the
ethical responsibility associated with managing financial information in a healthcare setting.

102
CHAPTER 6

Cross-Functional Collaboration:
This section explores collaborative efforts with departments beyond finance/accounts. It highlights
instances where cross-functional collaboration was essential for achieving common goals.
Understanding the interconnected nature of healthcare operations and fostering collaboration with
diverse teams contribute to a holistic perspective on the hospital's financial ecosystem.

Continuous Learning and Professional Development:

Dedicated to the commitment to continuous learning, this section discusses initiatives taken to stay
informed about evolving trends in healthcare finance. It outlines efforts to engage in professional
development activities, attend relevant workshops, and pursue additional certifications. The
commitment to ongoing learning reflects a proactive approach to professional growth and staying
current in a dynamic industry.

Reflection and Future Goals:

This section provides a space for personal reflection on the internship experience. It encourages a
candid assessment of strengths, areas for improvement, and the impact of the internship on
personal and professional goals. Additionally, it outlines future career aspirations and how the
skills, knowledge, and experiences gained during the internship align with those goals.

Acknowledgments and Gratitude:

Expressing gratitude is an important aspect of a comprehensive report. This section acknowledges
the support, guidance, and mentorship received during the internship. It extends appreciation to
colleagues, mentors, and anyone who contributed to a positive and enriching learning environment.

These additional sections contribute to a well-rounded and detailed report, showcasing not only the
technical aspects of your internship but also the soft skills, ethical considerations, and personal
reflections that shape a holistic professional experience.

103
 Difference Between Practical Exposure and Theoretical Exposure:

The distinction between practical exposure and theoretical exposure is explored as a fundamental
aspect of the internship experience at IQRAA International Hospital and Research Centre. Practical
exposure encompasses hands-on engagement within the finance/accounts department, involving
real-world applications of financial concepts, decision-making, and the use of specialized
healthcare software. This contrasts with theoretical exposure, which typically involves classroom
learning and theoretical frameworks. The report elucidates how the synthesis of practical and
theoretical exposure during the internship fosters a comprehensive understanding of healthcare
finance, honing practical skills, and facilitating a seamless transition from academic knowledge to
real-world application.

The report delves into the nuanced differences between practical exposure and theoretical exposure
within the context of the internship at IQRAA International Hospital. Practical exposure involves
direct immersion in the day-to-day operations of the finance/accounts department, allowing for
firsthand experience in applying financial theories to actual scenarios. This contrasts with
theoretical exposure, which traditionally involves classroom-based learning and the study of
financial principles in a controlled academic environment.

The narrative unfolds to showcase how practical exposure provides a dynamic learning
environment, enabling the development of problem-solving skills, decision-making acumen, and
adaptability to the unique challenges presented in the healthcare finance sector. The report
emphasizes that theoretical exposure, while laying the groundwork, often lacks the contextual
richness and situational complexity inherent in practical experiences.

By drawing on specific examples from the internship, the report illustrates how practical exposure
not only reinforces theoretical concepts but also introduces a layer of depth by navigating the
intricacies, uncertainties, and real-time decision dynamics prevalent in a healthcare finance setting.
The synthesis of both forms of exposure emerges as a powerful catalyst for a well-rounded
understanding, ensuring that theoretical knowledge is not merely academic but is imbued with
practical relevance and applicability in the professional landscape.

104
CHAPTER 6

Challenges Faced During My Internship:

The report highlights various challenges encountered during the internship at IQRAA International
Hospital, providing a candid exploration of the obstacles faced. These challenges include
navigating complex healthcare financial regulations, adapting to the fast-paced and dynamic nature
of the hospital environment, and mastering the intricacies of the Hospital Information System
(HIS). Additionally, the report discusses the need to balance multiple tasks, make informed
decisions in real-time, and effectively collaborate with cross-functional teams. By addressing these
challenges, the report aims to underscore the transformative nature of the internship experience,
emphasizing personal and professional growth in the face of diverse and demanding situations.

The report delves deeper into the multifaceted challenges encountered during the internship at
IQRAA International Hospital, shedding light on the complexities inherent in healthcare finance.
Challenges include grappling with the intricacies of financial reporting specific to the healthcare
sector, ensuring compliance with ever-evolving regulations, and managing the delicate balance
between financial efficiency and ethical considerations.

It further explores the learning curve associated with the HIS, detailing the hurdles faced in
mastering this specialized software integral to hospital operations. The report acknowledges the
demands of adapting to a professional healthcare setting, where quick decision-making and
effective communication are paramount.

Moreover, the report addresses the challenge of synthesizing theoretical knowledge with practical
application, emphasizing the need to bridge the gap between academic concepts and the dynamic
realities of healthcare finance. Through a candid discussion of these challenges, the report aims to
provide a comprehensive understanding of the transformative nature of the internship experience
and the valuable lessons learned in overcoming obstacles within a real-world professional context.

105
Usefulness of Training:

In summary, the internship was instrumental in enhancing technical skills, providing real-world
insights into healthcare finance, and fostering a holistic understanding of the accounts department's
functions. The integration of theory and practice, coupled with the efficient use of specialized
software, positions this experience as a cornerstone in preparing for a successful career in
healthcare finance.

 Skill Enhancement: The internship proved invaluable in enhancing practical skills,

particularly in utilizing the Hospital Information System (HIS), a critical tool in healthcare
finance. This hands-on experience enriched my technical proficiency and ability to navigate
specialized software used in the industry.

 Real-World Finance Insights: The immersion in the finance and accounts department
provided a firsthand understanding of financial practices specific to the healthcare sector.
This practical exposure went beyond theoretical knowledge, offering insights into budget
management, financial reporting, and regulatory compliance within a healthcare context.

 Comprehensive Accounts Department Understanding: The internship facilitated a holistic

understanding of the entire spectrum of tasks within the accounts department. From day-to-
day financial operations to strategic decision-making, I gained practical insights into the
diverse responsibilities integral to maintaining the financial health of a healthcare institution.

 Integration of Theory and Practice: The experience enabled the synthesis of theoretical
knowledge acquired during academic studies with real-world applications. This integration
was pivotal in bridging the gap between classroom concepts and the dynamic complexities
faced in healthcare finance, fostering a more robust and applicable skill set.

 Efficient Use of HIS: Learning to effectively use the Hospital Information System (HIS) not
only streamlined workflow processes but also underscored the importance of technology in
optimizing financial operations within a healthcare setting. This technological proficiency is
a valuable asset in the modern healthcare finance landscape.

106
CHAPTER 6

 Strategic Decision-Making: The internship provided opportunities to engage in strategic

decision-making within the finance domain. This exposure honed my ability to make
informed decisions that align with both financial objectives and the broader goals of a
healthcare institution.

 Industry-Specific Knowledge: Beyond general finance principles, the internship deepened

my understanding of industry-specific nuances in healthcare finance. This knowledge is
crucial for navigating the unique challenges and regulatory landscape inherent in the
healthcare sector.

 Adaptability and Resilience: The internship challenged me to adapt to the dynamic and fast-
paced nature of the healthcare environment. Navigating through unforeseen challenges and
uncertainties honed my adaptability and resilience, crucial attributes in the ever-evolving
field of healthcare finance.

 Networking Opportunities: Engaging with professionals in the finance and healthcare

sectors during the internship provided valuable networking opportunities. Building
connections with colleagues, mentors, and industry experts not only enriched my learning
experience but also opens doors for future collaborations and career advancements.

 Ethical Decision-Making: Working in healthcare finance underscored the importance of

ethical considerations in financial decision-making. Balancing fiscal responsibilities with
ethical standards became a focal point, contributing to a nuanced understanding of the
ethical dimensions within the financial realm of healthcare.

 Practical Application of Regulations: The internship exposed me to the practical application

of healthcare regulations. Navigating compliance issues firsthand provided insights into the
complexities of regulatory frameworks, emphasizing the significance of adhering to industry
standards to ensure financial integrity within a healthcare institution.

107
CHAPTER – 6

SUGGESTIONS
AND
CONCLUSION

108
CHAPTER 6

SUGGESTIONS
To enhance the operational efficiency , process, and functions at IQRAA International Hospital
And Research Centre. I recommend the use of advanced technology, improved documentation
procedures, a feedback mechanism, an enriched training program, and regular updates can
collectively contribute to the overall efficiency, transparency, and growth of the company. These
recommendations aim to enhance not only the technical aspects of financial operations but also the
organizational culture and professional development opportunities for both current staff and future
professionals.

 Technology Enhancement:
- Point: Propose the implementation of advanced technologies to streamline financial
processes.
- Sentence: Introducing cutting-edge software solutions can significantly improve the
efficiency and accuracy of financial tasks within the department.

 Documentation Improvement:
- Point: Suggest the development of standardized documentation procedures for better
record-keeping.
- Sentence: Establishing clear documentation protocols ensures transparency,
accountability, and facilitates seamless auditing processes.

 Feedback Mechanism:
- Point: Recommend the establishment of a feedback mechanism for employees to
share insights and suggestions.
- Sentence: A structured feedback system fosters a culture of continuous
improvement, enabling the team to address concerns and enhance overall
performance.

 Enhanced Training Program for Students:

- Point: Propose the expansion of the training program to provide students with more
comprehensive exposure.
- Sentence: Enhancing the training curriculum ensures that students gain a deeper
understanding of the intricacies of healthcare finance, preparing them more
effectively for future roles.

109
 Regular Updates:
- Point: Advocate for regular updates on industry trends, regulatory changes, and best
practices.
- Sentence: Regular updates ensure that the team remains well-informed, fostering
adaptability and aligning financial practices with the latest standards in the
healthcare sector.

 Cross-Departmental Collaboration:
- Point: Encourage collaboration between the finance/accounts department and other
departments.
- Sentence: Promoting cross-departmental collaboration enhances communication,
fosters a holistic understanding of organizational goals, and facilitates more
comprehensive financial planning.

 Environmental Sustainability Initiatives:

- Point: Propose incorporating environmental sustainability considerations into
financial practices.
- Sentence: Integrating eco-friendly practices within financial decision-making aligns
with corporate social responsibility and positions the company as a socially
conscious institution.

 Diversity and Inclusion Training:

- Point: Suggest integrating diversity and inclusion training into the professional
development program.
- Sentence: Inclusivity training enhances team dynamics, promotes a positive
workplace culture, and ensures that financial practices consider diverse
perspectives.

 Cybersecurity Measures:
- Point: Advocate for robust cybersecurity measures to protect sensitive financial
data.
- Sentence: Implementing stringent cybersecurity protocols safeguards against
potential data breaches, ensuring the integrity and confidentiality of financial
information.

110
CHAPTER 6

 Employee Recognition Program:

- Point: Recommend the establishment of an employee recognition program within
the finance department.
- Sentence: Recognizing and rewarding exceptional performance boosts morale,
fosters a positive work environment, and incentivizes employees to excel in their
roles.

 Remote Work Policies:

- Point: Propose the development of flexible remote work policies.
- Sentence: Flexible work arrangements contribute to employee satisfaction, work-life
balance, and can increase productivity within the finance/accounts department.

 Continued Education Opportunities:

- Point: Suggest ongoing educational opportunities for employees to stay abreast of
industry advancements.
- Sentence: Providing continuous learning opportunities ensures that the team remains
at the forefront of industry trends, contributing to the overall professional growth of
the department.

These additional suggestions encompass various aspects of organizational development, ranging

from cybersecurity measures to promoting diversity and inclusion. Each recommendation aims to
contribute to a more innovative, inclusive, and adaptive work environment within the
finance/accounts department.

111
 CONCLUSION

In conclusion, the internship at IQRAA International Hospital and Research Centre has been a
transformative journey, offering a rich tapestry of experiences in the dynamic realm of healthcare
finance. From mastering the intricacies of the Hospital Information System (HIS) to gaining practical
insights into the multifaceted responsibilities of the finance/accounts department, this experience has
not only enhanced technical proficiency but has also fostered a holistic understanding of the
healthcare finance landscape.

The challenges encountered during the internship, ranging from regulatory complexities to the
demands of decision-making in real-time, have been instrumental in shaping adaptability, resilience,
and problem-solving skills. These challenges, rather than obstacles, have become stepping stones for
personal and professional growth, affirming the adage that true learning often occurs in the face of
challenges.

Moreover, the report has outlined a series of insightful recommendations aimed at enhancing the
efficiency and effectiveness of the finance/accounts department. From the integration of advanced
technologies to the establishment of feedback mechanisms and continuous learning opportunities,
these suggestions contribute to a vision of an adaptive, innovative, and inclusive financial ecosystem
within the organization.

As I reflect on the internship experience, I am not only equipped with practical skills and industry-
specific knowledge but also enriched with a deeper understanding of the ethical dimensions of
financial decision-making in healthcare. The synthesis of theoretical exposure with hands-on
application has been the cornerstone of this internship, ensuring that the knowledge gained goes
beyond academia to directly impact the intricacies of healthcare finance.

In essence, this report serves as a testament to the invaluable experiences gained, the challenges
surmounted, and the forward-looking recommendations presented. It underscores the notion that an
internship is not merely a requirement but a pivotal phase in professional development, where
theoretical knowledge transforms into practical expertise, and where challenges become catalysts for
growth. The lessons learned and skills acquired during this internship will undoubtedly serve as a
solid foundation for future endeavors in the dynamic and ever-evolving field of healthcare finance.

112
CHAPTER 6

CHAPTER – 7
ANNEXURE

113
Sites I Reffered:

 http://IQRAAhospital.in/
 https://iqraahospital.in/vazhakkad/
 https://iqraahospital.in/sulthanbathery/
 www.medicarespots.com
 https://iqraahospital.in/departments/
 https://iqraahospital.in/iqraa-for-all/
 https://www.medicarespots.com/healthcare/top-10-hospitals-in-india/
 https://www.medicarespots.com/treatments/
 https://www.medicarespots.com/hospitals/

114
CHAPTER 6

Thank You

115