A REPORT ON

INTERNSHIP PROGRAM

AT

ASTER MIMS KANNUR

BY

Mr. VIPIN MOHAN P

Register No: 203091361277

During: 20th of September to 19th of October, 2021

(NAME OF THE EXTERNAL GUIDE) Mr.NAGARAJ NAYAK

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DESIGNATION ASST PROFESSOR

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EXTERNAL SUPERVISOR INTERNAL SUPERVISOR

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Page 2: Certificate (company)

 ACKNOWLEDGEMENT
I sincerely thank god almighty for his shower of blessing, which has enabled me to attain in the
endeavour.

I express my gratitude to Dr. T. JAYAPRAKASH RAO, Director, A J INSTISTUTE OF MANAGEMENT,

Mangalore for his valuable advice and encouragement. I would like to express my gratitude to Dr
.VIJAYA KUMAR , Dean, A J INSTITUTE OF MANAGEMENT, Mangalore.

I indebted to my mentor Mrs. NAGARAJA NAYAK , Assistant Professor, A J INSTITUTE OF MANAGEMENT,

Mangalore who has provided me all sort of advices, support and encouragement to complete the
internship work successfully.

I am extremely thankful to my external guides Mr. VIVIN GEORGE,Senior Operation Manager, ASTER
MIMS HOSPITAL,MR.SURESH G NAIR, HR MANAGER ASTER MIMS HOSPITAL who had provided me all
valuable advices, support and information about the organization.

I would also like to thank all other lectures and friends for their suggestions while developing the
internship work. My sincere thanks to all my family for helping me in presenting my internship work.

Finally, I thank all people who have helped me in one way or the other in completing my internship work
successfully in final.
 SUMMARY
ASTER MIMS Hospital, Chala East, Chala, Kannur, Kerala was one of the finest hospital in
the city offering excellent patient care and good service. The hospital is located in, Chala East.
There is more public modes of transport to reach the hospital from all the major areas of the
city. ASTER MIMS hospital has a well equipped hospital with all the modern equipment. The
hospital has separate waiting and consultation area which allow enough space for patients to
wait conveniently at the hospital. The doctors provide a number of medical services also. Aster
MIMS is linked to Aster Foundation, an independent charitable non - governmental
organization, engaged in providing free medical assistance to financially compromised patients.

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CHAPTER 1
INDUSTRY PROFILE

HEALTH CARE INDUSTRY

The health care sector is the sector of the economy made up of companies that specialize in
products and services related to health and medical care. The health care sector includes
publicly–traded companies that power all dimensions of the health care industry. Examples of
these companies include, but are not limited to, biotechnology companies, health insurance
companies, pharmaceutical companies and companies that manage clinics and hospitals.
Companies that produce professional and home health products are all so included in this sector.
It comprises of providers of diagnostic, preventive, remedial and therapeutic services such as
doctors, nurses, hospitals and other private, public and voluntary organizations. It all so include
es medical equipment and pharmaceutical manufacturers, health insurance firms. The modern
health care industry is one of the world’s largest and fastest growing industries. Consuming over
10 per cent of Gross Domestic Product (GDP) of the most develop donations, health care can
form an enormous part of a country’s economy. The health care industry is typically divided into
several areas.
The sector comprises hospitals and allied sectors that include:
a) Medical care providers that includes physician, specialist clinics, nursing homes and hospitals
b) Diagnostic service centre and pathology laboratories
c) Medical equipment manufacturers
d) Contract research organizations and pharmaceutical manufacturers
e) Third-party support service providers This third-party involves activities of or under the
supervision of nurses, midwives, physiotherapists, scientific or diagnostic laboratories,
pathology clinics, residential health facilities or other allied health professionals eg; In the field
of optometry, hydrotherapy, Medical massage, yoga therapy, music therapy, occupational
therapy, speech therapy, chiropody, homeopathy, chiropractic, acupuncture etc.

HEALTH CARE INDUSTRY IN INDIA

Health care in India features a universal health care system run by the constituent states and
territories of India. The constitution charges every state with “rising of the level of nutrition and
the standard of living of its people and the improvement of public health as among its primary
duties”.
The national Health Policy was endorsed by the Parliament of Indian 1983 and updated in 2002.
However, the government sector is under rated and under financed; poor services at state-run
hospitals force many people to visit private medical practitioners, Government hospitals, some of
which are among the best hospitals in India, provide treatment at tax payer expense. Most
essential drugs are offered free of charge in these hospitals.
Government hospitals provide treatment either free or at minimal charges. For example, an
outpatient card at AIIMS costs a one- time fee of rupees10 and thereafter out -patient medical
advice is free. In-hospital treatment costs depend on financial condition of the patient and
facilities utilized by him but are usually much less than the private sector.
For instance, a patient is waived treatment costs if he is below poverty line. Another patient may
seek for an air- conditioned room if he is willing to pay extra for it. The charges for basic in
hospital treatment and investigation are much less compared to the private sector. The cost for
these subsidies comes from annual allocations from the central and state governments.
Primary Health Care is provided by city and district hospitals and rural Primary Health Centres
(PHCs). These hospitals provide treatment free of cost.
Primary care is focused on Immunization, prevention of malnutrition, pregnancy, childbirth,
post- natal care and treatment of common illnesses.
CURRENT SCENARIO
The health care ecosystem in India is at an inflection point. While the outlook for the health care
industry is optimistic, there is a need to move towards an integrated Health care delivery system,
which leverages technology and has the patient at its centre.
Growing population, increasing affordability, comparative cheaper treatment costs as opposed
to the west and medical tourism thereof, increased health insurance penetration, increased patient
awareness, out-of-the-box unconventional thinking by the healthcare players for better
operations, Government opening up its arms to PPP and even providing tax holidays will be the
key factor to look out for which would drive the future of Health care in India. Customers are
growing more aware of their health needs, demand quick response, less waiting times and above
all–demand nearness of the health care unit to them.
Recent spurt in Public Private Partnership (PPP) project and thrust on quality by the government
sector and its demand on National Accreditation Board for Hospitals (NABH) and ISO, a lot of
consultancy businesses is a buzz with the projects galore in the accreditation and Quality
Management System (QMS) field. India to its credit ready has one government hospital NABH
accredited and many are in the pipeline.
This trend is on a step rise, and it is just a matter of time when the government launches patient
awareness on NABH quality in full swing. This would make the patient demand at least an
ISOQMS certified hospital if not NABH.
CHAPTER 2
COMPANY PROFILE

Hospital Name: Aster Mims

Type of Hospital: Super Speciality Hospital
Address: ChalaEast,Chala,Kannur,Kerala,Pin:670621
District: Kannur
State: Kerala
 ORIGIN OF THE ORGANIZATION
Aster DM Healthcare was founded in 1987 in Dubai, United Arab Emirates by Azad Moopen, a
doctor turned entrepreneur. The company is a private sector healthcare provider in the Middle
East. The India registered healthcare conglomerate covers an array of healthcare verticals, from
hospitals, clinics, pharmacies and healthcare consultancy service.
Sprawled across 1.5 acres of vast space in the beautiful coastal city of Kannur, the crown of
Kerala, lies Aster MIMS Hospital. The 300-bedded multi-speciality hospital is first of its kind in
the healthcare landscape of the culturally rich city. The tertiary care hospital has 7 OTs, 121
single rooms, 7 suite rooms & 88 ICU beds.
Aster MIMS Kannur is complemented by medical experts, Medical practitioners, nurses,
technologists & support staff who bring in professionalism that has no parallel. The newly built
hospital is set to move forward with its commitment to strengthening the health care system of
the city.

DEPARTMENTS
CARDIOLOGY
Dr. Prasad Surendran
Dr. placid Sebastian
Dr. Anil Kumar
Dr. Umesan
Dr. Vinu
PEDIATRIC CARDIOLOGY
Dr. Renu P Kurup
Dr. Rema Devi K S
Clinical psychology
Dr. Nimmy Michel
DENTAL
Dr.Rajani
Dr.Hasimali
DERMATOLOGY
Dr. Jisy
Dr. Radhika
ENT
Dr. Ramakrishnan
Dr. Vijin Ravindran
Head & Neck and Facio-Plastic Surgery
Dr. Sajith BABU T P
Dr. Manu S
GASTRO
Dr. Sabu
Dr. Kavitha
Dr. shabeer ahameed
Dr. vivek kumar
GENERAL MEDICINE
Dr. Haneef
Dr. Murali Gopal
Dr. Sabna
Dr. Lulu
ENDOCIRNOLOGY
Dr. Vinod U
Dr. Arjun R
FAMILY MEDICINE
Dr. Riswan
Gen Surgery
Dr. Jimmy C John
Dr. Sreenivas
Dr. Shyam
Dr. Devaraj
Dr. Midhun
Maxillofacial Dental Surgeon
Dr. Ajoy Vijayan
Medical ONCOLOGY
Dr. Vishnu Gobal
NEONATOLOGY
Dr. Sreekanth C Nayanar
Dr. Gokuldas PK
Nephrology
Dr. Bijoy Antony
Dr. Pradeep VR
Dr. Sarang Vijayan
NEURO SURGERY
Dr. Ramesh
Dr. Mahesh Bhat
Dr. Premlal
NUEROLOGY
Dr. Sreejith Peediackal
Dr. Soumya
OBG
Dr. Jubairath
Dr.Hariprasad
Dr.Sreedevi Binu
Dr. Aysha
Dr. bhavya
Dr. kaushik
Dr.Sagarika Babu
OPHTHALMOLOGY
DR. Pooja Vijayan
ORTHO
Dr. Narayana Prasad
Dr. Sreehari
Dr. Imthiyas
Dr. Nishanth
Dr. Muhammed Siraj
Dr. Sandeep
Orthopedic Spine Surgeon
Dr. Pramod Sudharsan
ORTHOPEDIC ONCOLOGY
Dr. Sreerag Rajan
Dr. Nanda Kumar
Dr. Veena Kumari
PAEDIATRICS
Dr. Maya
Dr. Amritha
PAEDIATRIC SURGERY
Dr. Jinos Babu
MEDICAL GENETICS
Dr. Divya Pachat
PAEDIATRIC NEPHRON
DR. Rehna K Rahman
PAEDIATRIC GASTRO
Dr. vijitha Vijayaraghavan
PAEDIATRIC HEMATOLOGY
Dr. Kesavan MR
PAEDIATRIC NEUROLOGY
Dr. Smilu
PLASTIC SURGERY
Dr. Krishna Kumar
Dr. Ajith KumarPati
Dr. Manoj Sanap
Dr. Swaroop Venugobal
Dr. Kamal Raj R
PSYCHIATRIST
Dr. Sajeev Kumar
PULMONOLOGY
Dr. Sreejith M.O
Dr. Avinash Murugan
Dr. Vishnu G Krishnan
Dr. Amith
RHEUMATOLOGY
Dr. Aabu Alex
UROLOGY
Dr. Sathiyendran Nambiar

CHAPTER 3
ORGANIZATION FUNCTION

DEPARTMENTAL STUDY

In order to function efficiently and effectively every organization has a functional

department. It’s important to divide departments so that the work is divided into units and
departments. This division of work is helping in bringing specialization in various activities
of concern and helps in putting right men on right job which can be done by selecting people
for various departments according to their qualification, skill, and experience. This is helping
in defining the jobs properly which clarifies the role of every person.
ASTER MIMS Hospitals has the following departments:

DEPARTMENTS

 Operations Department
 HR Department
 Finance Department
 Purchase Department
 Quality Department
 Business Development
 Laboratory
 Radiology
 Pharmacy
 Stores
 IT Department
 Biomedical Engineering
 Projects and Maintenance
 Nursing
OPERATIONS DEPARTMENT

Operations management team is responsible for managing all operational process of the hospital
which includes all clinical & non-clinical departments to have a smooth working environment.
The goal of operations management is to more efficiently provide the health care services.

DEPARTMENT STRUCTURE

OPERATIONS MANAGER

ASSISTANT OPERATIONS
MANAGER

EXECUTIVES EXECUTIVES EXECUTIVES

 FINANCE DEPARTMENT

Finance is regarded as the life blood of a business enterprise. This is because in the modern
money oriented economy finance is the one of the basic foundation of all kind of activity. It is
the master key which provides access to the entire source for being employed in
manufacturing and merchandizing activities. It has rightly been said that the business needs
money to make more money. However it is true that money begets more money, only when it
is properly managed. Hence, efficient management of every business enterprise is closely
linked with efficient management of its finance.

DEPARTMENT STRUCTURE

Deputy General Manager

In Charge

Executive Executive Executive

Finance function at ASTER MIMS

There exists an inseparable relationship between finance and other functional departments
such as marketing, HR, IT etc. Almost all kinds of business activities directly or indirectly
involve the acquisition and use of funds. The finance function of raising and using money
although has a significant effect on other functions, yet it needs not necessarily limit or
constraint the general running of the business.
The functions are:

 Proper use and allocation of funds

 Taking sound financial decisions

 Improving profitability through proper financial controls

Business they need skillful planning, control, and execution.

Hospital Information System

In ASTER MIMS financial control is carried out by the back on the monthly and year
basis. Accounting Revenue, Purchase Bills, etc.
Billing:
The billing department has three different sections:

1. Inpatient Billing

2. Outpatient Billing (Consultation)

3. Outpatient Billing (X-rays, tests etc.)

1. Inpatient Billing
At the time of discharge the patient activity chart is sent to inpatient pharmacy, food and
dietary departments to note the medicine and food expenses. There are two ways of
paying
the bill that is, in the form of cash or credit. If the patient doesn’t have health insurance then,
the bill is paid on cash basis. If the patient has health insurance, the bill is faxed or sent to the
insurance company for the necessary approval. Approval of medical expenses incurred by
the patient and the same is collected with the credit period of 30 days.

2. Outpatient Billing (Consultation)

Any outpatient has to pay the fixed amount of consultation charges every time they consult
doctors. The billing is done for the same.

3. Outpatient Billing (X-rays, tests)

This section of billing prepares a final bill based on different tests such as X-rays, scanning
etc. The patient has undergone and the amount is collected in cash for the same.
The Performance statement containing various heads under which transactions takes place in

ASTER MIMS HOSPITAL are shown below in the table.

Expenditure Income
Purchase Account Direct Incomes
Direct Expenses Inpatient income
Indirect Expenses Outpatient Income
Employee Cost Lab Income
Finance Charges Consultation Income
Sales and Marketing Cost Other Incomes
Pharmacy
Rent Income
Canteen
National Insurance
Total Expenses Total Income
 Expenses under Purchase Accounts include Consumables of various departments, this
expense includes

 Ambulance Charges

 Bio-medical waste and Corporation tax

 Food and Beverages

 Lab test Charges, etc.

Employee Cost include

 Boarding and Lodging

 Hostel Charges, PF contributions

 Training Expenses, salaries and wages, etc.

Finance charges include bank charges, credit charges, Interest on loans, Administration cost
includes Electricity charges, internet charges, legal expenses, office expenses, sales and
marketing, advertisements, publicity- Camp, sales promotion, etc

NURSING DEPARTMENT
Nurses do more care for individuals. They have always been at the forefront of change
in health care and public health.
Nurses advocate for health promotion, educate patients and the public on the prevention
of illness and injury, provide care and assist in cure, participate in rehabilitation, and
provide support.

Nursing care at ASTER MIMS:

At ASTER MIMS Hospital, the responsibilities of staff nurses reach out far and wide
across the medical discipline.
Structure of Nursing Department

Nursing Superintendent

Charge Nurses

Staff Nurses

20 nurses are working in this department. There are shifts from 8 to 5.30 pm, 5 pm to 8am.
Night shift nurses will get a break of one hour in the middle of their schedule and 6 days in a
month will get night duty.

HUMAN RESOURCE DEPARTMENT

ASTER MIMS Hospital is a vibrant company with over 50 employees. ASTER MIMS
hospital’s “People Philosophy” is driven by the hospital’s Human Resource General Manager
which says:

 Attract good people

 Retain the better people

 Advance the best people

Structure of the department

Deputy General Manager

In Charge

Executive Executive Executive

ASTER MIMS Hospital offers

 Career growth based on performance

 Attractive market-based pay that is linked to performance

 Structured career leadership program for high performance to manage their career

 Need base and value-added training program to prepare employees for future growth

ASTER MIMS Hospital recruits personnel mainly in the areas

 Doctors (all specialists)

 Nurses

 Security guards, helpers, receptionists

 Billing manager

 Front office staffs, Maintenance Department

 No discrimination policy
ASTER MIMS hospital is an equal opportunity employer which employs personnel
irrespective of class, creed, family background, religion and sex.

Recruitment
“It is the process of searching for and obtaining application for job among them the right
people can be selected “.The process of recruitment is as follows:

1. Pre-recruitment process
In pre-recruitment process, HR manager brings indents from all other department and
analysis it. If a vacancy is filled up by giving additional responsibility to the co-worker of the
department, than there is need of recruiting procedures.

2. Planning Recruitment
ASTER MIMS hospital has decided a job specification & job description for each position in
the organization. Different qualification & experience is required for each job. If any vacancy
generates among one of the department, than it should be fulfilled with regard to job
specification & job description, which is being formulated by organization.

3. Searching

Human resource manager verified that there is any vacancy exist or will exist , but here no
actual recruiting take place until manager gives permission.

4. Screening

The purpose of screening is to remove from the recruitment process at an early stage, those
applicants who are unqualified for the jobs. The screening can save a great deal of time and
money. The HR executives scrutinize and short list all application and shortlist applicant list
is sent to HR manager. Then only eligible application is called for interview.
5. Evaluation and control
Evaluation and control is necessary to carry out recruitment process at low cost.
ASTER MIMS hospital controls its cost by way of:
 By avoiding recruiting unsuitable candidate for the selection process

 The organization has a systematic and well planned recruiting procedure so there is
no overtime cost

Recruitment in ASTER MIMS hospital can take place in any of the following ways:

 Advertisement

 Walk-ins

 Casually called

 Recommendation of managers and executives

6. Selection

ASTER MIMS hospital uses the below procedure for selection.

 Preliminary interview

 Application form: detail about age ,education

 Employment test and interview

 Physical fitness

 Final selection

7. Performance appraisal:
The management will appraise and maintain performance record of employees
periodically and or as and when required.
 Normally, performance appraisal is before conformation and thereafter before
granting annual increments.
 The method used for performance appraisal is solely decided by the management
presently ASTER MIMS hospital is using 1800 appraisal. And the conclusion
of such appraisal will be final and will be binding upon concerned.
 Leave
Official permission to be absent from work or duty , as that granted to corporate personnel or
any other employees is called leave and the period of time granted by such permission is called
leave or absence. To ensure smooth uninterrupted operations of the organization regular
attendance for work is a valid factor. This requires that employee plan their leave.
Leave rules will be different for different employees.

Types of leave
Casual leave, Sick leave, Earned leave, Maternity leave, other leave.

In ASTER MIMS hospital leave application should be submitted to the administrator at

least a day before approval.
CHAPTER 4

LEARNING EXPERIENCE

MY LEARNING EXPERIENCE

 Regarding Getting Permission From The Hospital.

As one of my friend told that in ASTER MIMS Hospitals they are giving permission for
internship so I visited the ASTER MIMS Hospital, Chala East, Chala, Kannur, Kerala
and met the Human Resource Manager and I have given an application letter and
permission letter from the college to him. Then they have contacted me and allow me to
join for the internship.

 About Working In The Organization

• I had memorable experience from joining the internship programme at ASTER MIMS
Hospitals. In addition to daily work I had great opportunity to meet different people
working over there.
• Besides I made lots of friends during the course of internship. They were all
professionals, sincere and taught me patiently. I would never forget our pleasant
time.
• In these four weeks, I have established a good relationship with the employees in the
organization through the programme.
• I broadened my views and improved my communication skills. Besides I found that
having flexible mind and attitude which is very important in the business world. It was
much different from the study. As part of my study I visited different departments in the
organization to make a detailed study. Finally I would like to give sincere thanks to
everyone in the organization who extended their support in training me to complete this
programme. I believe that such experiences and skills are valuable to my future career.
 About Co-Operations Extended By Management And Employees

The management and the employees at ASTER MIMS Hospital were very co-operative
and helpful. They provided each and every details required by me for preparing my
internship report.
The trainers in each of the department helped me with getting the required information ad
also explained me the working of each of the department in details and they also helped
me to know how the theoretical concepts that I have learnt in my academics was useful in
implementing with the practical situations in the organization.

 About I What I Learnt In Their Internship Training

It helped me to know the overall functioning of departments in the organization. How the
employees are motivated and trained in the organization towards achieving their goals set
by the organization.
It also helped me to know the co-ordination between the different levels in the
organization, and also helped me to know the leadership skills and to be as an initiator
during the different situation it gave me a practical exposure to the various functional
areas of which I only had theoretical knowledge so far.

 About My Plan For Future

Through this internship programme I had good experience in ASTER MIMS hospitals
this helped me gain self-confidence and improve my skill. I would be able to implement
my skill and knowledge in the organization where I would get a chance to be an
employee of the organization.
CONCLUSION

ASTER MIMS Hospital, Chala East, Chala, Kannur, Kerala was one of the finest hospital in
the city offering excellent patient care and good service. The hospital is located in, Chala East.
There is more public modes of transport to reach the hospital from all the major areas of the city.
ASTER MIMS hospital has a well equipped hospital with all the modern equipment. The
hospital has separate waiting and consultation area which allow enough space for patients to wait
conveniently at the hospital. The doctors provide a number of medical services also. Aster
MIMS is linked to Aster Foundation, an independent charitable non - governmental organization,
engaged in providing free medical assistance to financially compromised patients.
 CONCLUSION
FINDINGS

 The hospital maintain clean and hygienic environment in the hospital premises.

 The hospital uses accelerated hydrogen peroxide on daily basis to clean the floor.

 It improves emergency facilities and services to the patients 24*7.

 All the employees of the hospital work as a team.

 There is a good patient input and organization maintains a very good relationship with
their clients which indirectly contribute the growth of the company.

 Hospital is equipped with fully automated machineries and techniques for various
treatments.

 The hospital has good ambience with hygienic work environment.

 The organization offers tremendous opportunity for growth spanning multiple

functions, business and also international exposure.

 The hospital should collect the customer feedback for improving their performance
and rectifying their mistakes.

 The hospital provides 24*7 telephonic services for customers for admission and
enquiry.

 The hospital provides high qualified and experienced doctors and other staffs.

SUGGESTIONS

 As the customer input is high in the organization needs to increase its internal
capacity, mainly bed capacity.

 Staff shortage in hospitals is one of the most critical issues therefore the organization
should maintain its staff level by providing various welfare schemes.

 The organization should provide more facility and keep sufficient staff in the
pharmacy.

 The organization should make the sitting arrangements in cafeteria and keep more
hygiene.
CONCLUSIONS

 ASTER MIMS hospital is well known for providing best quality service in the
health care sector.

 The quality in service indicates the growth of the organization.

 The hospital management is expected to keep more care to ensure that the quality
in treatment is maintained at appropriate level and the customers are satisfied at
every level of the organization.

 Further it is highlighted that the organization has to be responsible to the changing

technical, economical and financial scenario. However certain regions need
measures to a greater extent to increase profitability.

28