GLOSSARY
Given below are a few frequently used terms
pertaining to medical insurance that you need to be familiar
with.
• Cashless Access:
A special benefit extended by an insurer or by the assigned
TPA for availing medical treatment as an inpatient without
the necessarily to pay the treatment costs up front to the
hospital. Under this procedure the payment due to the hospital
will be met out either by the insurer / TPA, (subject to insurance
policy and conditions) for reimbursement by the hospital.
The hospital cam claim in accordance to the pre-authorized
limit and additional cost as envisaged by the enhancement
In any case the upper limit of this facility cannot exceed
the sum insured under the contract of insurance.
• Denial: Repudiation
of a Pre-Authorization request / Admission liability / cashless
facility and or settlement of a claim under the insurance
contract.
• Discrepancies: Any
difference between the amount claimed and admissible amount
and also any violation of terms & conditions of the insurance
policy or agreement.
• Domiciliary Hospitalization:
Medical treatment for period exceeding 3 days for such illness
/ diseases / injury which in the normal course would require
care and treatment at a hospital but is actually taken whilst
confined at home under certain circumstance (where the patient
cannot be moved to the hospital or due to lack of accommodation
– as per the definition of insurance policy)
• Enhancement: Situation
when insurer seeks to increase the limit of the authorized
claim amount resulting from extension of hospitalization.
• Exclusions: The
items that are specifically and expressly removed from the
scope of the insurance contract and hence are not payable.
• Hospitalization:
Medical treatment after getting admitted in a hospital.
• Insured / Policy Holder: Individual
who by paying a premium, secures himself to receive medical
treatment up to a fixed sum of money in the even of injury,
loss or damage to his body.
• Insurer: A corporate
body licensed by IRDA for underwriting various insurable risks
against any or all insurable perils with an assurance to make
good the loss in an unforeseen eventually
• IRDA: Insurance
Regulatory & development Authority, a body constituted
under the ministry of Finance to deal with licensing, regulating
and monitoring all activities relating to the insurers, brokers,
agent, corporate agents and the TPA’s.
• Limitations: Restrictions
in the operative clause of the insurance contract to the limit
of benefits use etc.
• Mediclaim Card:
A card issued by your TPA with a primary purpose of identification.
This contains the policy number, name and validity period.
Many of the TPA’s prefer to place insured’s photograph
& signature to improve its authenticity. Though it is
being popularized as a cashless card, it serves only as a
means to avail cashless benefit subject to the terms &
conditions of the policy.
• Mediclaim Policy:
An insurance policy that covers hospitalization expenses incurred
during an inpatient hospitalization. Please check terms and
conditions of the policy to understand the nature and the
scope of risk covered.
• Medico Legal Case:
A situation arising out of treatment at the hospital for any
bodily injuries sustained in an accident or an attempt of
suicide, which needs to be intimated to the police and other
concerned authorities for any investigations and procedures.
(Burns, Suicide, RTA, Assault)
• Network Hospital:
An hospital which has entered into an agreement / MOU with
an insurer or a TPA to request preauthorization, extend cashless
facility and accept payment at a later date on submission
of bill complying to the policy requirements. Those hospitals
who do not have a prior agreement for cashless hospitalization
with your insurer / TPA are called non-network hospitals.
• Planned Hospitalization: Taking advantage
of the medical condition where one does not require immediate
hospitalization (as it would not effect his quality of life
in any way), the insured seeks pre-authorization sufficiently
in advance of actual admission in the hospital for treatment
on cashless basis.
• Policy Terms & Conditions:
Terms and conditions outlining the details and the limitations
of the insurance contract indicating the requirements for
fulfilling or adhering to the contract of the insurance.
• Query: Clarifications
requested to dispel any doubt pertaining to the line of treatment
and the contract of insurance.
• Reimbursement: A
facility under which the insured can claim the expenses borne
by him during hospitalization, which is otherwise claimable
under his insurance contract.
• Toll Free Number:
A telephone number (calls to which are not charged) provided
by your insurer / TPA to get in touch with them for any clarification.
• TPA: A corporate
body licensed by IRDA for processing and setting on their
behalf, claims arising under medical insurance policies and
to co-ordinate with hospitals for all relevant and related
processes.
This is for public knowledge. It should in no way be constructed as legally binding on M.S.Ramaiah Memorial Hospital.
PATIENT HANDBOOK
Welcome to M.S.Ramaiah Memorial Hospital
On behalf of the entire team at M.S.Ramaiah Memorial Hospital we wish you a pleasant stay and speedy recovery.
Your doctor will have complete charge of your care while you are with us. A competent team including nurses, technicians, technologist and administrative personnel supports our doctors.
The staff will do their best to provide an efficient service so as to aid your speedy recovery.
This booklet provides you with information on our admission procedures, facilities and services that will make your stay with us a pleasant and comfortable one. Please feel free to ask any questions that this booklet does not cover. Our staff will be delighted to be of assistance.
On behalf of the team at M.S.Ramaiah Memorial Hospital,
We wish you a “Better Health For A Better World”
Dr.Naresh Shetty
Medical Director
ADMISSION TO THE HOSPITAL
Your doctor has arranged for you to be admitted in M.S.Ramaiah Memorial Hospital to undergo medical treatment. To begin the process you or a member of you family will need to meet a member of the reception to complete the admission formalities at the admission counter.
Here you need to handover to the reception personnel the admit card given to you by the doctor and also fill in the admission form. You also need to pay a certain amount as deposit at the time of admission. You will also be handed one attendant pass, which the attendant has to carry at all times.
ROOMS At M.S.Ramaiah Memorial Hospital you have a choice of the following accommodation.
- Suite (A/C)
- Deluxe (A/C)
- Private (A/C) / Spl
- Semi Spl
- Semi Private
- General Ward / Economy Ward
All attempts will be made to provide you with the type of accommodation that you choose. However, at times, a particular room of your choice may not be available. This may be because all the rooms are occupied or booked. In such cases the hospital will allot you the best alternative room. Request for room change can be made to the Admission office at 3061 / 3081 that will attempt to meet your request as soon as possible.
When the hospital is running full, you may leave your nane and telephone no.& choice of room the admission desk will call you as soon as your accommodation is available.
DEPOSIT
A deposit should be made at the time of admission, which will vary according to the choice of accommodation. Please enquire for the sum payable. Subsequent deposits will be intimated to you depending on your treatment. Please ensure that the deposits are paid within 24 hrs.
INSURANCE
If you have a health insurance cover, kindly contact the admission counter / Insurance helpdesk for the necessary details.
PERSONAL BELONGINGS
Pack light when you are coming to the hospital for admission. You can bring your personal articles of use like toiletries, nightdress and slippers for a more comfortable stay.
Please do not carry sums of money or valuables with you. Kindly ask your relatives to take care of your valuables for you, as the hospital will not take responsibility if they are lost.
ROOM SERVICE
DIETARY SERVICES
Your diet is an important part of your treatment. Therefore food from outside is not permitted. All diet will be supplied as per the dietician’s instructions, which will visit each patient and it is important that you follow this during your stay in the hospital.
The hospital offers only a choice of vegetarian diet. Inform the dietician of your choice of food. This service is also available for the patient attendant at an additional cost.
Our service timings are:
- Morning Beverage : 6-30 a.m.
- Breakfast Timings : 8-00 a.m.
- Lunch : 12-00 noon
- Evening Tea : 4-00 p.m
- Dinner : 7-30 p.m
- Milk : 8-30 p.m
- You can contact the dietician at: Extn.3028
HOUSE KEEPING
The housekeeping department is incharge of maintaing the cleanliness of your room.
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Your rooms will be cleaned 4 times a day by the housekeeping staff.
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Hot water is supplied between 6.A.M to 9 A.M in all rooms
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Newspaper will be provided.
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The housekeeping department can be contacted for drinking water, change of linen, etc.
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Linen will be provided by the hospital for the patient. Patient attendants may however bring their own linen if needed.
STAY FOR ATTENDANTS
One attendant per patient is allowed in the private and deluxe wards. The attendant must carry the pass with then at all times.
No attendant will be allowed after 8 P.M in the general and semi special ward.
ROOM AMENITIES
All rooms have been designed keeping in mind your comfort. Private and deluxe wards are provided with air- conditioning. Rooms above general wards have their own bathroom facility. Nurse call systems have been provided in each room.
TELEVISION
Private / Deluxe / Suite rooms are provided television with cable facilities. Television is set to receive various satellite channels. Kindly do not change the tunings. If you need assistance regarding television you can contact the maintenance personnel.
TELEPHONES Telephone facility is available in private / deluxe / suite rooms. Please dial operator for making local calls (Dial 9) and Rs.5/- pulse is charged. Kindly ensure that the receiver is replaced properly after the call. PCO’s are also available
PHARMACY The pharmacy at M.S.R.M.H provides you with all kinds of medication. A online prescription is made by the nurse or the resident doctor on all medication ordered by the consultant. These medicines will be billed to your account. In cases of emergency, drugs will be provided which should then be replaced by you.
BLOOD BANK The hospital has an approved and licensed blood bank that maintains blood and blood products. The hospital obtains its supplies only from replacement and voluntary donors. If you are to undergo a surgery that required blood / blood products, you may be asked to arrange for replacement donors. In case you may contact any of your known friends / relatives and direct them to the blood bank. To allow time for appropriate testing and receipt of these blood units, donations must be made prior to planned surgery or transfusion. For any further clarification regarding blood donations you can contact the blood bank at Extn: 3100.
AMBULANCE SERVICES Ambulance service is available for transportation of the patient. If ambulance service is needed please notify the front office at Extension 3081.
HEALTH CHECK UP PLANS The M.S.Ramaiah Memorial Hospital offers a variety of health packages
- Pre Employment Health Check Up
- Executive Health Check Up (Regular)
- Executive Health Check Up (Master)
- Cardiac Health Check Up
- Diabetic Health Check Up (Regular)
- Comprehensive Diabetic Health Check Up
- Well Child Screening
- Teen Health Check Up
- Pre-Marital Health Check Up (Women)
- Pre-Martial Health Check Up (Men)
- Well Women Health Check Up
- Ante Natal Screening
- Senior Citizen Health Check (Women)
- Senior Citizen Health Check (Men)
- Cancer Detection Health Check (Women)
- Cancer Detection Health Check (Men)
OTHER AMENITIES
- Counseling to patient attendants at MICU – 12 to 1 PM.
- ICU patient view in TV - 5 P.M to 6.P.M
- Waiting area for ICU patient attendants
- Cafeteria at the basement
- Travel Agent at the basement
- Foreign Exchange Counter at the basement
GENERAL INSTRUCTIONS To ensure that you and your neighbour’s stay is pleasant in the hospital we would appreciate your co-operation in the following
SMOKING Smoking is not permitted in the hospital premises.
SILENCE Silence is to be maintained in the hospital premises. Patient relatives are requested not to crowd in the patient’s room. Keep children supervised and their noise to a minimum. Patients are requested to keep the volume of their television sets to a minimum.
VISITING HOURS Visiting hours is from 5.P.M to 7 P.M children below the age of 10 years are not allowed at all. Only 2 visitors at a time are permitted. Such visitors may visit the patient only when the security hands over the pass to them. These passes should be returned at the end of visiting hours.
BILLING Your bill will be a comprehensive one, with all charges included, and no payments should be made outside of what is specified in your bill. Details of patient bill will be clarified there & then. & showed on your bill also. In case you have any queries, you are requested to contact the billing department located in the fourth floor or ward secretaries. All outstanding bills must be cleared promptly. Every two days, you will receive a statement of charges accrued to your account. Your attendant should review these bills so that you can make payment on time. Prompt clearance of your bills will help facilitate your discharge. Entire billing process will takes 2 to 3 hours.
Please contact the billing department for any help you require in this regard. Your admission / security deposit will be adjusted only against your final bill at the time of discharge. Payment can be made either by cash, credit card or debit card. Cheques are not accepted.
SPONSORED ACCOUNT If your account is to be paid by your company or insurance agency please ensure that you provide the required letter of authorization. The hospital will provide you with all facilities and services that have been specified by your company. In case off any deviation the extra amount will be billed directly to the patient. (Telephones, Diet, Registration, Ambulance, Etc)
DISCHARGE INFORMATION When your doctor approves your discharge and indicates it in the file your discharge process begins. Allow 2 to 3 hours for processing your bills after which a family member will be intimated in your ward & you may pay the bill in cash counter in second floor 9:00am to 8:00pm. The patient discharged after 8:00 pm payment can be made in Emergency cash counter near A & E will be opened (8:00 pm to 9:00 am). The billing receipt must be shown to the ward nurse, who will then hand over your discharge summary and reports. Discharges patients are advised not to stay in the hospital after discharge formalities are over.
CHECKLIST
- Going home is a happy time for you, so remember
- Have you checked the wardrobe, beside furniture and bathroom, for personal items?
- Have you received prescriptions from your doctor and do you understand the instructions?
- Have you booked a follow up appointment with your doctor surgeon?
- If authorization is obtained discharge becomes easy. In case of queries there may be some delay. In case of enhancements also there may be a delay. Kindly be prepared for a 4 to 6 hours wait.
- If you are in a hurry and cannot wait you may pay and go. If authorization is obtained you will be intimated to collect your refund.
- Have you returned the attendant pass to the admission counter?
- Have you returned your feedback form with suggestions to the ward secretary?
FEEDBACK We would appreciate if you would take time to complete our feedback questionnaire. Your feedback is important to us, as it will help us to serve you better. If your child is a patient please reply for him or her.
GRATUITIES It is our aim to provide you with the highest standard of care and our employees are pleased to provide you their services. Our policy refrains staff from accepting gifts or cash from patient. We request you to help us in implementing this policy.
KNOW YOUR HOSPITAL M.S.Ramaiah Memorial Hospital is a multi specialty, state of the art one stop center, for all medical disorders. The hospital offers the patient the services of highly qualified expert doctors, trained paramedical staff and avant-grade in-patient and out patient facilities.
The hospital consists of 6 floors in total. The patient rooms are from third to the sixth floor. The layout of the hospital as follows:
BASEMENT
- Auditorium
- ICU Attendant waiting area
- Yatrik Travels
- Lotus (Foreign Exchange)
- C.S.S.D
GROUND FLOOR
- Accident & Emergency Care
- Registration & Enquiry
- Executive Health Check Up
- Public Relations
- Cardiology OPD
- Nephro Urology OPD
- Cardio Thoracic and vascular Surgery
- Physiotherapy
- Dialysis
- Radiology & Imaging
- Vascular Surgery OPD
- OBG OPD
- Pediatric Surgery OPD
- Orthopedics OPD
- Medicine OPD
- Chest Medicine OPD
- Pediatric OPD
- Surgery OPD
- Plastic Surgery OPD
- Pharmacy
FIRST FLOOR
- Blood Bank
- Neuro OPD
- Gastroenterology OPD
- Endocrinology OPD
- Foot Care Clinic
- Dietician
- Clinical Immunology
- ENT OPD
- Ophthalmology OPD
- Dermatology
- Dental OPD
- O.T Complex
- Cardiac ICU
- Cath Lab
- General ICU (MICU)
- Neonatal ICU
- PICU
SECOND FLOOR
- Administrative Block
- Accounts
- Offices of the Medical Director, Joint Medical Director
- Telephone exchange
- Medical Record Section
- Computer Section (IT Dept)
THIRD FLOOR
- 301 – 328
- Step Down ICU
- Labour Room
FOURTH FLOOR
- 401 – 428
- Step Down ICU
- Billing
- Customer Relations
FIFTH FLOOR
SIXTH FLOOR – (Cardiology)
- 601 - 628
- VIP Suite
- Cash Counter
- Administrative Block
GUIDELINES
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PLEASE CONTACT THE WARD INCHARGE FOR ALL YOUR REQUIREMENTS.
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PAY ADEQUATE ADVANCE AND OBTAIN RECEIPT, TO AVIOD INCONVENIENCES.
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BILLING AND DISCHARGE FORMAILITIES TAKE TIME SINCE ALL DETAILS HAVE TO BE OBTAINED. WE REALIZE YOUR ANXEITY AND WILL TRY TO CLEAR ALL FORMALITIES AS EARLY AS POSSIBLE.
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NO ELECTRICALS GADGETS ARE PERMITTED.
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SWITCH OFF OR PUT IN SILENT MODE & PLEASE AVIOD TALKING LOUDLY ON MOBILE PHONES.
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CHECK THE VISITING HOURS. AVIOD TOO MANY VISIYORS. IT WILL HELP THE PATIENT AVIOD CROSS INFECTION.
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PCO’S ARE PROVIDED FOR ATTENDANTS AND VISITORS.
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MANAGEMENT WILL NOT BE RESPONSIBLE FOR LOSS OF CASH OR VALUABLES.
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NO PETS ARE ALLOWED INTO THE HOSPITAL
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TENDER COCONUTS ARE NOT ALLOWED IN TO THE HOSPITAL.
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PLEASE DO NOT PAY TIPS TO ANY STAFF
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THIS IS A NO SMOKING ZONE. AVIOD SPITTING
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USE THE DUSTBIN FOR DISPOSING WASTE.
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MAINTAIN SILENCE. AVOID USING MOBILE PHONES IN THE PATIENT CARE AREAS.
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DO NOT USE THE LIFT MEANT FOR PATIENTS.
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IN CASE YOU NEED ANY HELP PLEASE CONTACT THE P.R.O (EXTN: 3060.OR CUSTOMER RELATIONS (EXTN: 3494 / 3493)
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NO OUTSIDE FOOD IS ALLOWED.
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DO NOT BRING INFANTS & CHILDREN TO HOSPITAL THEY ARE DELICATE AND PRONE TO PATIENTS INFECTION.
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HELP US TO SERVE YOU BETTER.
VISITING HOURS
(ETIQUETTE & PROTOCOL)
Visiting Hospital is not a happy situation.
There is an art to visit the hospital. You can offer support to a patient at a time when she / he feels the most vulnerable. Here’s what best during a hospital visit.
Call ahead to familiarize with the visiting hours. There is a reason for posting these timings. The non-visiting hours are the hospital’s time when there is abuzz of activity: right from the visit of doctors to cleaning, tidying and changing, moreover, the patients tire easily and that is also one of the reasons why the visiting hours are restricted. If your hospital insists on strictly implementing the visiting hours, don’t argue next time. Complaining that your trip is wasted, or that you don’t have time to come later is hardly relevant. Think back are you there for yourself, or to wish a speedy recovery to someone you care about?
Do knock on the room door before entering or even if the door is open. Once you are there, keep the visit short. Long visit can tire a patient, even when she / he seems to relish a long chat.
When you greet the patient, take his / her hands gently, never hug. Most people when they are sick do not like to be touched, especially if they have had surgery.
Talk audibly, not too soft or too loud.
Be polite and stand if there are not enough chairs. You are only going to be there a short time, anyway. Never, sit on the bed: it cramps the patient.
Avoid using strong perfume or cologne. It can gag even healthy people.
Don’t take little children, especially babies for these for these visits. They can get boisterous or querulous, getting on everyone’s nerves.
Be upbeat and talk only about happy situations not about bad news. Don’t go into your past illness or your not so satisfactory experiences.
If there are family members or other relatives visiting, say a quick hello, wish the patient a speedy recovery and leave. The same goes, if either the nurse or doctor comes into check patient: be polite and leave the room.
Above all, remember that patients are in the hospital because they are sick. Never express negative feelings during your visit. If you have nothing pleasant to say, keep quiet and just smile. Keep in mind that the whole point of visiting patients in the hospital is to cheer them up.
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