Admission – Elective

• In the OPD, the doctor explains the treatment plan, all the risks and benefits of the proposed treatment, alternatives available and directs the patient/ family to the admission counter. All admission is authorized by a doctor.
• For foreign patients following documents are mandatory

1. Medical Visa
2. Passport
3. Reference letter by the doctor from home country (Not mandatory)
4. Letter from embassy

• Billing department prepares estimation with the inputs from the doctor. Consent Form for Treatment Cost is used giving details of Chemotherapy Estimation / Surgery Estimation/ Radiotherapy Estimation. (For Radiation therapies the coordinators at the respective facilities provide the details)
• For cash patients, the billing department explains the tariff and the related facilities Tariff Plan
• The documented tariff plan will be available in the billing department. Tariff plan will be provided to the patient on request.
• All the additional costs, if any are explained clearly by the billing staff. The requisite amount of advance payment is informed and collected as part of admission formality.
• The estimation is explained to the patient and a copy of the estimation form handed over to the patient/family.
• Visiting Policy of the hospital is explained and Visitors’, Attendant Passes handed over to the patient/family.
• If a patient availing credit facility desires to upgrade the bed category above the eligibility, the difference of pricing explained and Room Up-gradation Consent is obtained in the billing department.
• In case of non-availability of the preferred bed, patient/family will be requested to wait or move to a different category until the choicest category of bed is available. The financial implications for the up-gradation are detailed in the policy on “Non Availability of Beds”.
• When the desired bed is available or the patient/family agrees to take up the category of bed offered, admission counter proceeds with the admission process.
• For all the patients claiming Medical Insurance, the patient is asked to contact the insurance desk for getting approval.
• After getting approval from the insurance department, the admission counter verifies the same proceeds the admission formalities.
• For all the patients who are under other credit facilities such as an employer, under Govt. Schemes, the front office staff contacts the appropriate department telephonically and checks the necessary documents and after confirmation, admission is done.
• If the patient is under Insurance Coverage/ has any other Credit Facility, Insurance desk converts that admission under TPA / Corporate after further confirmation and complete other details of TPA in HIS.
• The patient details as per the admission form are recorded in the new registration file maintained at the Admission Counters and also in the HIS.
• Front Office Staff take a print of admission details on Admission Form Where required, admission counter staff explains Hospital policies
• Patient/ family is requested to sign on General Consent FORM which is explained.
• Admission is shown in the HIS.
• Patient/family is informed the approximate time it would take to arrange the bed
• Front office staff explains patient/family rights and responsibilities, general rules and regulations and fills up the checklist.
• Admission Process Orientation Checklist is filled up by the Admission Counter Staff after completing each of the activities mentioned.
• IPD file is handed over to the patient/family
• Patient and family escorted to the respective bed by the front office attendant along with the Completed (filled up)
• Admission form with General Consent, Admission Orientation Checklist.
• Once the patient has arrived in the ward, the doctor’s order to admit the patient is checked by the RMO. In the case of Chemotherapy, the doctor checks lab reports to check if chemotherapy drugs can be administered.
• Nurse at the ward receives the patient and escorts to the allotted bed. Orientation to the bed, room and the ward is provided. Nurse call system, telephone extension numbers, etc. are oriented to. Nurse refers to the Admission Process Orientation Checklist FORM and requests the Patient/ family to sign on form.

Admission – Emergency

• All emergency life-threatening cases will be admitted directly from the emergency department to wards/ICU and the admission formalities are done later.
• Once the intervention is started, the nurse guides the patient’s family to the Admission Counter.

Prior booking for admission

• Prior bookings are not considered to be the confirmed reservations. For local patients, confirmation of admission will be given by the Admission Counter staff on the date of admission.
• A unique identification number (Reg. No.) is generated in hospital software at the end of registration of the first interaction that the patent has with the organization.
• This number is used identification of the patient across the hospital and to ensure continuity of care across the hospital. All the patient records will have this number.
• The registration numbers once generated for one patient is permanently valid.