HOSPITAL HOSPITAL ADMINISTRATIONADMINISTRATION

FASEELA JALEELFASEELA JALEEL

MSW 114MSW 114

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

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

Training

MedicalResearch

HealthEducation

Patient care

HOSPITAL FUNCTIONS

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.

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.

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.

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.

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.

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

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.

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.

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.

CLASSIFICATION OF HOSPITALSCLASSIFICATION OF HOSPITALS

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.

On the basis of OWNERSHIPOn the basis of OWNERSHIP

Government hospitals

Semi-Government hospitals

Voluntary Agencies’ hospitals

Private / Charitable hospitals

Acc to System of MedicineAcc to System of Medicine

Allopathic hospitals

Ayurvedic hospitals

Homeopathic hospitals

Unani hospitals

Hospitals of other systems of medicine

Acc to SizeAcc to Size

Teaching Hospitals:- 500 beds

District Hospitals:- 200 beds

Taluk Hospitals:- 50 beds

PHCs:- 6 beds

Components of Hospital systemComponents of Hospital system

LineServices

StaffServices

AuxiliaryServices

ASPECTS OF HOSPITAL SERVICES

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)

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

Supportive (staff) servicesSupportive (staff) services

• Central sterile Supply Services Management

• Diet Management (Catering dept.)• Pharmacy Services Management• Laundry• Laboratory facilities• Radiology• Nursing services

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

Auxiliary ServicesAuxiliary Services

• Registration and indoor case records

• Stores

• Transport

• Mortuary

• Dietary services

• Engineering and maintenance services

• Hospital security