Hospital and its organization

• Hospital is a complex organization which uses the

specialized equipments and functions through a large
number of trained personals for the purpose of
restoration and maintenance of good health.
OR
• The hospital is a complex organization and an institute
which provides total healthcare to people through
complicated and sophisticated but specialized scientific
equipments, and a team of trained, qualified staff and
their supportive staff educated in the problems of
modern medical science
 GOAL OF HOSPITAL
• The common goal is to restore and maintained
good health of the people who comes in
hospital for their relief from pain, sufferings
and diseases
 Classification of Hospitals
Hospitals may be classified in many different ways. Following is
the classification of majority of hospitals;
Clinical Ownership & Control

•General Medical and Surgical Specialty •Governmental

•MEDICINE •Army, Navy, Veterans Administration
•Internal medicine •Public Health Service State
•Psychiatric & Nervous diseases •County
•Tuberculosis •City
•Communicable diseases •Non- Governmental
•Pediatrics •Private for profit
•SURGERY •Non profit
•Orthopedic •Church
•Gynecologic •Fraternal order
•Otolaryngology •Community
•MATERNITY •Non profit private
•Length of Stay •BY ACREDITATION
•Short term •Accredited
•Long term (chronic) •Non-Accredited
•Custodial (Long term)
•Joint Commission on Accreditation of hospitals
Classification of Hospitals
 Organizational pattern
• Same as that of industrial plant but differ in
their nomenclature of positions
• Smaller the hospital, more the administrative
positions and vice versa
• The corporation and board of trustees
segment is standard for all hospitals.
• Government hospitals have board of trustees
but no corporate body
Organizational chart of smaller hospitals
Corporation

Board Of Trustees
Executive committee of the
staff Director •Grants and Contracts
•Public relations
Personal

Associate director Associate Director Associate Director

Assistant Director
Clinical services Administrative services Ambulatory services

•Blood bank •Admitting •Credit

•Clinical laboratory
•Out Patient clinics
•Information •Purchasing and
•Research laboratory •Escort and
•Emergency services
store
•Dietary services messenger service •Telephone service
•Nursing service & •Record room •Housekeeping
School •Social services •Maintenance
•Central sterile and
•volunteers •Laundry
supply
•Pharmacy
•Anesthesia
•Pathology
•Radiology
•Physical Medicine
 Large hospital administrative organization
Corporation
Personal
Board of trustee Chief of Services
__________
Administrative __________
Assistant Director __________

Associate Director Associate Director Associate Director Associate Director Director of

Professional services Professional services Nursing Finance development

•Blood bank •Nursing service •Accounting •Chaplaincy service

•Ambulatory Service •Data processing •Ambulatory •Credit collection •Public relations
•Administration •Communication •Specialty unit •Admitting •Volunteers
•Dialysis transplant unit •Pharmacy •Operating room •Grants and contract •Secretory of the
•Dietary service & school •Central sterile supply •Pavilions •Treasure’s office corporation
•Employee health clinic •Laboratory control •Staff education •Purchasing & store
•House staff •Laboratories clinical •Unit management •Insurance
•Medical records •Research •School of nursing •Audit
•Physiotherapy •Radiology
•Social service •Radiation therapy Assist. Director plant Assist. Director community Assist. Director med
•Respiratory therapy •Pathology services medical service ambulatory servic
•Safety engineer
•System engineering Ambulatory care
administration
Assist. Director ambulatory Assist. Director surgical
service administration ambulatory service

Ambulatory care Emergency ward

administration Surgical clinics
 Classification Medical Staff

• Residential Basis

• Residential medical staff.

• Associate medical staff.

• Consulting medical staff.

• Honorary medical staff

Classification of Medical Staff
ORGANIZATION/ADMINISTRATION
 Associate Director or Head Clinical
Services

• Medicine
• Surgery
• Radiology
• Pathology
• Clinical Biochemistry services
• Blood Bank
• Research Laboratory
Associate Director Or Head Specialized
Services Nursing services
• Dietary Services
• Physiotherapy
• Medico-social & Medico legal Services
• Central Sterile Service
• Anesthesia Services
 Associate Director or Head Pharmacy
Services
• Manufacturing Units
• Drug Purchase & Distribution
• Drug Information Services
• Therapeutics Monitoring Services
• Medical Records Services
– The data for the identity of patient and “admission chart or
sheet”.
– The clinical history sheet
– The physical examination sheet
– Laboratory sheets
– Follow-up and medical treatment sheet
– Discharge summary sheet
 Associate Director Or Head
Administrative Services
•
• Grants & Contracts
• Credit Services
• Telephone Services
• House keeping
• Laundry Services etc.
 HOSPITAL MANAGEMENT
• Patient
• Health insurance scheme
• Medical College
• Research Work
• Clinical Trial
• Property of Hospital i.e funds
• Gifts & Contribution
– Industries
– Charitable foundations
– Local community fund