Organizational Organizational
Structure of a HospitalStructure of a Hospital
Levels allow efficient management of Levels allow efficient management of
hospital departments. hospital departments.
The structure helps one understand The structure helps one understand
the hospital’s chain of command.the hospital’s chain of command.
OrganizationalOrganizational StructureStructure refers to refers to
levels of management within a hospital. levels of management within a hospital.
Large hospitals have complex Large hospitals have complex
organizational structures.organizational structures.
Smaller hospitals tend to have much Smaller hospitals tend to have much
simpler organizational structures.simpler organizational structures.
Organizational structure varies Organizational structure varies
from hospital to hospital.from hospital to hospital.
Grouping of Hospital Departments Grouping of Hospital Departments
Within the Structure:Within the Structure:
Hospital departments are grouped in Hospital departments are grouped in
order to promote efficiency of facility.order to promote efficiency of facility.
Grouping is generally done according Grouping is generally done according
to similarity of duties.to similarity of duties.
Common Categorical Common Categorical
Grouping:Grouping:
Administrative ServicesAdministrative Services
Informational ServicesInformational Services
Therapeutic ServicesTherapeutic Services
Diagnostic ServicesDiagnostic Services
Support ServicesSupport Services
Administrative ServicesAdministrative Services
Hospital AdministratorsHospital Administrators
CEO, Vice President(s), Executive CEO, Vice President(s), Executive
Assistants, Department HeadsAssistants, Department Heads
Business people who “run the hospital”Business people who “run the hospital”
Oversee budgeting and financeOversee budgeting and finance
Establish hospital policies and Establish hospital policies and
proceduresprocedures
Often perform public relation dutiesOften perform public relation duties
Informational ServicesInformational Services
Document and process informationDocument and process information
Includes:Includes:
3.3.AdmissionsAdmissions
4.4.Billing & CollectionBilling & Collection
5.5.Medical RecordsMedical Records
6.6.Computer Information SystemsComputer Information Systems
7.7.Health EducationHealth Education
8.8.Human ResourcesHuman Resources
Provides treatment to patientsProvides treatment to patients
Includes following departments:Includes following departments:
3.3.Physical Therapy - treatment to improve Physical Therapy - treatment to improve
large muscle mobilitylarge muscle mobility
4.4.Occupational Therapy - treatment goal is Occupational Therapy - treatment goal is
to help patient regain fine motor skillsto help patient regain fine motor skills
5.5.Speech/Language Pathology - identify, Speech/Language Pathology - identify,
evaluate, treat speech/language evaluate, treat speech/language
disordersdisorders
5. Medical Psychology - concerned with 5. Medical Psychology - concerned with
mental well-being of patientsmental well-being of patients
6. Social Services - connect patients with 6. Social Services - connect patients with
community resources (financial aid, etc.)community resources (financial aid, etc.)
7. Pharmacy - dispense medications7. Pharmacy - dispense medications
1.1.Respiratory Therapy - treat patients with Respiratory Therapy - treat patients with
heart & lung diseaseheart & lung disease
1.1.Sports Medicine - provide rehabilitative Sports Medicine - provide rehabilitative
services to athletesservices to athletes
2.2.Nursing - provide care for patientsNursing - provide care for patients
1.1.Dietary - maintain nutritionally sound Dietary - maintain nutritionally sound
diets for patientsdiets for patients
Diagnostic ServicesDiagnostic Services
Determines the cause(s) of Determines the cause(s) of
illness or injuryillness or injury
Includes:Includes:
§Medical Laboratory Medical Laboratory - studies body - studies body
tissuestissues
§Medical Imaging Medical Imaging - radiology, MRI, CT, - radiology, MRI, CT,
Ultra SoundUltra Sound
§Emergency MedicineEmergency Medicine -provides -provides
emergency diagnoses & treatmentemergency diagnoses & treatment
Support ServicesSupport Services
Provides support for entire hospitalProvides support for entire hospital
IncludesIncludes::
§Central Supply - Central Supply - orders, receives, stocks & orders, receives, stocks &
distributes equipment & suppliesdistributes equipment & supplies
§Biomedical Technology - Biomedical Technology - design, build design, build
repair, medical equipmentrepair, medical equipment
§Housekeeping & Maintenance - Housekeeping & Maintenance - maintain maintain
safe, clean environmentsafe, clean environment
Traditional Organizational Traditional Organizational
ChartChart
Board
Administration
Therapeutic
Services
Information
Services
Diagnostic
Services
Support
Services
Admissions
Billing, etc.
Med. Records
Computer Info.
Health Ed.
Human Resour.
PT, OT Speech/
Lang. Resp.
Therapy
Pharmacy
Nursing
Dietary
Med. Lab
Radiology
Nuclear Med
ER
Cardiology
Neurology
Central Supply
Biomedical
Housekeeping
Maintenance
Dietary
Transportation
Pyramid demonstrates a Pyramid demonstrates a
symbolic organizational symbolic organizational
structure of a hospital.structure of a hospital.
Admin. Services
Information Services
Therapeutic Services
Diagnostic Services
Support Services
Board
Example of “symbolic Example of “symbolic
representation” of representation” of
organizational structureorganizational structure