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Background: Life cycle costing (LCC) is an excellent decision-making tool that can assist a hospital administrator in seeking more cost-effective decisions to select the best course of action. LCC can be defined as “an economic assessment of competing design alternatives, considering all significant costs of ownership over the economic life of each alternative, expressed in equivalent rupees. Aim: To determine the LCC of magnetic resonance imaging (MRI) machine at a tertiary care teaching hospital. Settings and Design: A descriptive, observational study in MRI scan center of a tertiary care teaching hospital. Materials and Methods: LCC analysis (LCCA) was performed to ensure total cost visibility for the entire life span of the MRI scan equipment, which was assumed to be 10 years. Statistical Analysis: Data were analyzed using MS Excel. Results and Conclusions: The total cost per MRI scan was calculated to be Rs. 2944. It was estimated that the MRI scan center would reach the break-even point by the end of the third year.

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INTRODUCTION: Medical record enable healthcare professionals to plan, evaluate a patient's treatment and ensures continuity of care. In a health care setting it is very crucial to maintain proper medical records as these documents are prerequisite for planning patient care and have legal ramications. Therefore, medical audit plays an important role in continuous quality improvement. AIM & OBJECTIVE:To carry out the Medical Audit of Inpatient Medical Records in a Tertiary Care Hospital and to identify the deciencies and to propose recommendations. MATERIAL & METHODS: It was a retrospective and descriptive study. The quality assessment was performed using a 54 Parameters tool divided into 9 domains of Protocols & Policies. The sample size of 220 case sheets from all departments was taken. RESULTS:In our study the time in initial notes was missing in (79%) and time in daily notes was missing in (83%).The diet recommended was not mentioned in (75%). In daily notes, specialist notes were missing in (59%). In the daily clinical progress charts, patient particulars were incomplete/ missing in (72%) while weight of the patient was not endorsed in (99%). In discharge slip, the International Classication of Diseases (ICD) is missing in (44%). Recommendations: A standard discharge document check list performa has been designed and to be attached with all case sheets of the hospital. CONCLUSION: Medical records are technically valid health records which provide documentary basis for planning patient care and treatment by the physician and are vital for legal purposes.