Hospital and its organisation

1. By
Harshita Jain
Career Point school of pharmacy
Career point university, kota

2. DEFINITION OF HOSPITAL
FUNCTIONS OF HOSPITAL
CLASSIFICATION OF HOSPITAL
ORGANIZATION OF HOSPITAL

3. Hospital isdefined asinstitutions ,which are mainly designed for care for
the sick ,injured and well. It is an integral part of a social and medical
organization ,the functions of which is to provide for the population
complete health care both curative and preventive , and whose
outpatients services reach out to the family and its home environment .
The hospital is also a centre for the training of health worker and for
bio social researches.

4. 1. To upliftquality of law and general standardsof medical practice
2. Toprovidefacilities& guidance ,bywhich persons can workin groups,with
theintention of bettermentof hospitaldepartment, patient& community
3. Toreducediseaseoccurrence byearlydiagnosisand treatment
4. Toestimateneeds for facilities,supplies& equipments, and their utilizationfor
evaluation,control & maintenance
5. Toestimatedepartmental necessities
6. To provide a common link between generalpublic& policymarkers
7. To harness growth of medical science,by propertraining of
doctors & nurses in large training hospitals

7. 1. Based on Objective
a. General hospitals:
General Hospitals are meant to provide wide-range of various types of
healthcare, but with limited capacity. They care for patients with various-disease
conditions for both sexes to all ages, medical, surgical, paediatrics, obstetrics, eye
and ear etc. Usually, General hospitals are devoid of super-specialist medical
care.
b. Special hospitals:
They limit their service to a particular maternity, paediatrics, geriatrics, oncology
etc.
c. Teaching cum Research Hospital:
College is attached for medical/ nursing/ dental/ pharmacy education. Main
objective is to provide medical care, teaching and research is secondary

8. 2. Based on administration
a. Governmental or public hospital:
They are owned, administered and controlled by the government. They provide
free care for patients. The governmental hospitals are owned by:
• The Ministry of Health.
• The University
• Others.
b. Private Hospital:
Privately owned or controlled by an individual or group of physicians or citizens or
by private organization. eg, Square Hospital. Its Purpose is to provide services for
profit making.
c. Semi Govt Hospital:
Hospitals run both by the govt and private entity. eg Cantt Board Hospital.

9. 3. Based on length of stay
a. Short-term or short-stay hospitals:
These are hospitals where over 90% of all patients admitted stay less than 30
days.
b. Long-term or long-stay hospitals:
These are hospitals where over 90% of all patients admitted stay 30 days or
more, i.e. mental hospital.
4. Based on medical staff
a. Closed-staff hospital:
Physicians are held responsible for all medical activities in the hospital
including the diagnosis and treatment of patient fee paying and emergency.
b. Open-staff hospital:
This type of hospital permits other physicians in the community to admit and
treat patients to the hospital' and treat them.

10. 5. Based on size
a. Small size hospital:
This hospital capacity of 100 beds.
b. Medium size hospital:
This hospital capacity is 100-300 beds.
c. Large size Hospital:
This hospital capacity is more than 300 beds.
6. Based on type of care
a. Primary Care Hospital
Primary health care is the tier of the healthcare services that first comes into
contact with a patient. The main services of the primary healthcare sector include
maternal and child care, family planning advice, and facilities
and immunization programs. Primary healthcare sector is responsible for the
carrying out of some of the basic disease screening programs also.

11. b. Secondary Care Hospital:
The patients identified to be having various abnormalities are referred to the
secondary healthcare facilities by the primary healthcare professionals.
These institutes provide the patients with the basic curative healthcare.
Base hospitals and general hospitals belong to this category.
c. Tertiary Care Hospital:
When there are not enough facilities or specialized health care providers for
the management of a particular patient re referred to the higher centers with
state of art facilities and technologies to treat the patient.

12. 7. Based on affiliation
a. Teaching hospital:
Teaching hospitals provide care for the most-complex patients and the urban
underserved population, train the next generation of physicians, and advance
biomedical research
b. Non teaching hospital:
Non-teaching hospitals include community hospitals. Their primary mission
generally involves meeting the primary or essential health and medical needs
of its community
6. Based on system
a. Ayurvedic Hospital
b. Unani Hospital
c. Allopathic hospital
d. Homeopathic Hospital

13. Administrative Services
Informational Services
Therapeutic Services
Diagnostic Services
Support Services

14.  Hospital Administrators
 CEO, Vice President(s), Executive Assistants, Department
Heads
 Business people who “run the hospital”
 Oversee budgeting and finance
 Establish hospital policies and procedures
 Often perform public relation duties

15.  Document and process information
Includes:
1. Admissions
2. Billing & Collection
3. Medical Records
4. Computer Information Systems
5. Health Education
6. Human Resources

16. Provides treatment to patients
Includes following departments:
1. Physical Therapy - treatment to improve large muscle
mobility
2. Occupational Therapy - treatment goal is to help
patient regain fine motor skills
3. Speech/Language Pathology - identify, evaluate,
treat speech/language disorders

17. 4.Respiratory Therapy - treat patients with heart & lung disease
5.Medical Psychology - concerned with mental well-being of
patients
6. Social Services - connect patients with community resources
(financial aid, etc.)
7. Pharmacy - dispense medications

18. Medical Laboratory - studies body tissues
Medical Imaging - radiology, MRI, CT, Ultra Sound
Emergency Medicine -provides emergency
diagnoses & treatment
 Determines the cause(s) of illness or injury
Includes:

19.  Provides support for entire hospital
Includes:
§
Central Supply - orders, receives, stocks & distributes equipment &
supplies
Biomedical Technology - design, build repair, medical equipment
Housekeeping & Maintenance - maintain safe, clean environment

21. 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

22. OUT PATIENT DEPARTMENT SURGICAL UNIT

23. EMERGENCY ONCOLOGY

24. MEDICAL UNIT MATERNITY UNIT

25. PEDIATRIC UNIT DENTAL DEPARTMENT

26. ENTOPTHALMOLOGY

27. RADIOLOGY AND X-RAY PATHOLOGY

28. PSYCHIATRY PHARMACY

29. LAUNDRY DIETAR Y UNIT

30. CSSD NURSING UNIT