Hospital Administration

Hospitals, Functions, aspects/components of hospital system, Types of hospitals, Hospital organizations.

1. HOSPITAL HOSPITAL
ADMINISTRATIONADMINISTRATION
FASEELA JALEELFASEELA JALEEL
MSW 114MSW 114

2. HOSPITALSHOSPITALS
•Formal institutions developed by the society for
patient care
•Intended to meet the complex health needs of its
members
•Individual-sick or injured has access to centralized
medical knowledge & technology
•Society-it protects the family from many of the
disruptive effects of caring for the ill in the home
and making the problems less disruptive for the
society as a whole

3. At Present….At Present….
•Hospital is a place for the diagnosis and
treatment of human ills and restoration of
health and well-beings of those
temporarily deprived of these.
•Professionally & technically skilled people
apply their knowledge and skill with the
help of complicated equipment and
appliances - to provide quality care for the
patient

4. Training
Medical
Research
Health
Education
Patient care
HOSPITAL
FUNCTIONS

5. HOSPITAL ORGANIZATIONHOSPITAL ORGANIZATION
•A hospital is a multifaceted organization
comprising many committees, departments,
types of personnel, and services.
•It requires highly trained employees, efficient
systems and controls, necessary supplies,
adequate equipment and facilities, and, of
course, physicians and patients.
•It is a business as well as a caring, people-
oriented institution and it has a similar structure
and hierarchy of authority as any large business.

6. Board of Trustees.Board of Trustees.
•The "board of trustees," or governing board,
operates the hospital in trust for the community
and has a fiduciary duty to protect the assets of
the hospital through efficient operation.
•The trustees are responsible for establishing the
hospital's mission and establishing its bylaws
and strategic policies.
•Trustees select the administrative leader of the
hospital and delegate the hospital's daily
operations and budgeting to the appointed
executive.

7. Executive AdministrationExecutive Administration
•The chief executive officer (CEO) reports to the
governing board and provides leadership in
implementing the strategic goals and decisions
set by the Board.
•The CEO also represents the hospital to the
external environment and the community.
•In these tasks, the CEO must coordinate the
collective effort of the hospital's personnel.

8. The Medical StaffThe Medical Staff
•The physician is the leader of the clinical team
and the major agent working on behalf of the
patient.
•The physician's responsibility is to diagnose the
patient's condition accurately and to prescribe
the best and most cost-effective treatment plan.
•The medical staff is a formally organized self-
governing unit within the hospital, primarily
comprised of physicians, but may also include
other doctoral level health care professionals
such as dentists or psychologists.

9. Nursing ServicesNursing Services
•Nursing services employees are
responsible for carrying out the treatment
plan developed by the physician.
•Nursing services, also called patient care
services, is the largest component of the
hospital.

10. Allied Health ServicesAllied Health Services
•A number of departments perform support
functions that help with diagnosis and
treatment.
•The clinical laboratory is a diagnostic
center that performs a variety of functions,
including autopsy, clinical cytology, and
clinical pathology
•Also medical technologists, radiology
department and rehabilitation services

11. Clinical Support ServicesClinical Support Services
•The hospital pharmacy purchases and
dispenses all the medications used to treat
patients in the hospital.
•The pharmacist works directly with the
medical staff in establishing a formulary,
the listing of drugs chosen to be included
in the pharmacy.

12. Administrative Support ServicesAdministrative Support Services
•Non-medical administrative services are necessary to
the hospital's business and physical plant management.
•The CEO leads these administrative services and is
directly responsible for the day-to-day operations of the
facility.
•Business services manages the hospital's admitting and
discharge functions, records charges to a patient's
account, and handles accounts receivables with third-
party payers such as insurance companies.
•The finance department advises the CEO on financial
policy and long-range planning, establishes procedures
for accounting functions, receives and deposits all
monies received by the hospital, and approves the
payments of salaries and other expenditures.

13. Cont……Cont……
•Accounting is central to the hospital's financial business.
Detailed and sound accounting practices are fundamental
to maintaining important organizational statistics for
administrative decision-making
•Admitting services is often where the patient first has
contact with the hospital. The sensitivity and efficiency of
this department can greatly influence the patient's
perception of the quality of care received.
•Information services and medical record maintenance
are core functions of hospital management
•The human resources department interacts with all
departments in the hospital to ensure the quality and
motivation of personnel working at the hospital.
•Other important administrative and business functions
may include marketing and planning, public relations,
plant and materials management, fund-raising,
housekeeping, and security.

14. CLASSIFICATION OF HOSPITALSCLASSIFICATION OF HOSPITALS

15. Acc to OBJECTIVESAcc to OBJECTIVES
1.Teaching-cum-Research Hospitals Eg:
AIIMS
2.General Hospitals – To provide medical
care. Eg. District, Taluk, PHCs
3.Special Hospitals – Concentrate on a
particular aspect or organ of the body
and provide medical care. Eg. Cancer,
Dental, Psychiatry, T.B etc.

16. On the basis of OWNERSHIPOn the basis of OWNERSHIP
Government hospitals
Semi-Government hospitals
Voluntary Agencies’ hospitals
Private / Charitable hospitals

17. Acc to System of MedicineAcc to System of Medicine
Allopathic hospitals
Ayurvedic hospitals
Homeopathic hospitals
Unani hospitals
Hospitals of other systems of medicine

18. Acc to SizeAcc to Size
Teaching Hospitals:- 500 beds
District Hospitals:- 200 beds
Taluk Hospitals:- 50 beds
PHCs:- 6 beds

19. Components of Hospital systemComponents of Hospital system
Line
Services
Staff
Services
Auxiliary
Services
ASPECTS OF HOSPITAL SERVICES

20. Line ServicesLine Services
•Emergency services
Diagnosis & treatment of illness of an
urgent nature & injuries from accidents
•Out-Patient services
Provision of diagnostic, curative,
preventive and rehabilitative services
•In-patient services (Wards)

21. Cont…Cont…
•Intensive care unit
Those who need Acute, multidisciplinary
and intensive observation and treatment
•Operation theatres
Should have a pre-anaesthesia room and
sterilisation room and a scrub room for
doctors and nurses

22. Supportive (staff) servicesSupportive (staff) services
•Central sterile Supply Services
Management
•Diet Management (Catering dept.)
•Pharmacy Services Management
•Laundry
•Laboratory facilities
•Radiology
•Nursing services

23. Elements for Organization of Elements for Organization of
nursing servicesnursing services
•Provision of effective centralized facilities
to permit top-grade monitoring of all
patients
•Providing adequate nursing staff levels to
meet the demands of clinical activities
normally encountered
•Making adjustments to provide for
specialized nursing requirements, which
might be needed

24. Auxiliary ServicesAuxiliary Services
•Registration and indoor case records
•Stores
•Transport
•Mortuary
•Dietary services
•Engineering and maintenance services
•Hospital security