Running a hospital is not just about treating patients—it’s also about managing systems, staff, and resources effectively. If your hospital feels busy but not profitable, or if you’re struggling with delays, errors, or low patient satisfaction, it’s time for an operational audit.

An operational audit helps you check the health of your hospital’s internal systems. It highlights areas where you may be losing time, money, or patient trust—and shows you how to improve.

Here’s a simple checklist to help you get started.

✅ 1. Patient Services

• Is your OPD and IPD workflow smooth, from registration to discharge?
• Are patients waiting too long for lab tests, pharmacy, or radiology reports?
• Is your bed occupancy rate above 70%?
• Do you have a patient feedback system, and are you reviewing it regularly?

✅ 2. Staffing and HR

• Are doctors, nurses, and technicians scheduled optimally?
• Do you follow the ideal staff-to-patient ratio, especially in critical care?
• Is staff training and induction done regularly?
• Are payrolls and attendance cross-verified to avoid errors or fake entries?

✅ 3. Pharmacy and Inventory

• Are you losing money due to expired medicines or overstocking?
• Do you have a proper vendor selection and purchase process?
• Are all medicines and services properly billed to patients?

✅ 4. Billing and Revenue

• Are you billing patients on time?
• How efficient is your TPA/insurance claim process?
• Are there leakages in billing, like unbilled services or undercharging?
• Are discounts or free services properly authorized and documented?

✅ 5. Equipment & Maintenance

• Are all critical machines under AMC (Annual Maintenance Contract)?
• Do you track downtime logs for lab, X-ray, and ICU equipment?
• Are preventive maintenance schedules followed?

✅ 6. Housekeeping & Infection Control

• Is there a daily cleaning checklist?
• Are infection control protocols followed?
• Are you tracking biomedical waste disposal properly?

✅ 7. Safety & Compliance

• Do you have regular fire safety drills and working fire equipment?
• Are you compliant with required licenses, like:
  • Biomedical Waste Authorization
  • Fire NOC
  • AERB License (for radiology)
• Is your emergency setup ready with crash carts, oxygen backup, etc.?

✅ 8. Medical Records & Documentation

• Are admission/discharge summaries complete?
• Are consent forms correctly filled and filed?
• If you use EMR/EHR, is the data complete and accessible?

✅ 9. Leadership & Governance

• Are you regularly reviewing key hospital performance metrics?
• Do all departments follow documented SOPs?
• Are departments working together or operating in silos?

📊 Key Metrics You Should Track

• Bed Occupancy Rate
• OPD to IPD Conversion Rate
• Revenue Per Bed
• Average Length of Stay
• Turnaround Time (TAT) for lab and pharmacy
• Patient Complaint Resolution Time
• Medicine Stock-out Frequency

📣 Want to Streamline Your Hospital Operations?

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✅ Whether you run a small hospital or plan to grow, we’ll guide you step-by-step to build a well-managed, patient-friendly facility.

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