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Enhancing Hospital Operations through the Annual Operational Plan: A 2-year Comparative Analysis in a Charitable
Vinod Sawantwadkar1, C Anuja2, Satyajit Singh Gill2
1CEO, Jehangir Hospital, Pune, Maharashtra, India.
Annals of African Medicine
|April 21, 2026
Summary
The Annual Operational Plan (AOP) framework improved hospital operational efficiency and accountability by integrating the Plan-Do-Check-Act (PDCA) cycle. This strategic approach enhanced compliance and reduced nonconformance in a charitable hospital setting.
Area of Science:
- Healthcare Management
- Hospital Operations
- Quality Improvement
Background:
- Hospitals face challenges in quality improvement, patient demands, and resource limitations.
- Traditional accreditation often overlooks operational aspects like billing and interdepartmental coordination.
- The Annual Operational Plan (AOP) framework was introduced to enhance compliance and efficiency.
Purpose of the Study:
- To evaluate the effectiveness of the Annual Operational Plan (AOP) framework in improving hospital operational efficiency.
- To assess the impact of AOP on departmental compliance and accountability.
- To address gaps in traditional accreditation by focusing on broader operational aspects.
Main Methods:
- A comparative analysis of AOP compliance across 39 departments over two years.
- Utilized the Plan-Do-Check-Act (PDCA) cycle for iterative monitoring and feedback.
- Employed quarterly audits, feedback sessions, targeted interventions, and statistical evaluations (Chi-square tests).
Main Results:
- Completed AOP items increased from 35.6% to 57.3%, while noncompliance dropped significantly from 12.9% to 1.8% (P < 0.00001).
- Departments like blood bank, biomedical, and A&E showed marked improvements, with blood bank achieving 100% completion.
- Enhanced departmental engagement and structured oversight were linked to these compliance gains.
Conclusions:
- The AOP framework, combined with PDCA, significantly improved operational efficiency and accountability in hospitals.
- This approach effectively addresses limitations in traditional accreditation standards.
- Further research is recommended to explore patient outcomes, financial impacts, and long-term viability.
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