Unit 2 - Organisational Structure of

Hospital
Unit 2 - Organisational Structure of
Hospital
Organizational structure refers to levels of
management within a hospital
Levels allow efficient management of hospital
departments
The structure helps one understand the hospital’s
chain of command
Unit 2 - Organisational Structure of
Hospital
Types of hospitals
Various functional units of hospitals
Functions of hospitals
Organisational structure varies from
hospital to hospital
Large hospital have complex organisational structures.
Smaller hospitals tend to have much simpler organizational
structures.
Grouping of hospital departments within the structure
Hospital departments are grouped in order to promote efficiency
of facility.
Grouping is generally done according to similarity of duties.
Common categorical grouping

Administrative services
Informational services
Clinical Services
Therapeutic services
Diagnostic services
Support services
Administrative services

Hospital administrators
CEO, VICE PRESIDENTS, EXECUTIVE ASSISTANTS, DEPARTMENT HEADS
Business people who “run the hospital”
Oversee budgeting and finance
Establish hospital policies and procedures
Often perform public relation duties
Informational Services

Admission
Billing and collection
Medical records
hospital information system
Health education
Human resources
Therapeutic services

Physical therapy – treatment to improve large

muscle mobility
Occupational therapy – help patient regain fine
motor skills
Speech therapy – Identify, evaluate, treat
speech disorders
Diagnostic Services

Medical laboratory
Medical imaging
Emergency medicine
Support Services

CSSD
Laundry
Housekeeping
Transport
Engineering
Maintenance
Blood bank
 Types of Hospitals
According to Ownership and control

• Public hospitals – Run by central or state governments, local bodies, and public sector
undertakings. The hospitals are purely service organisations and non profit making
hospitals.
• Voluntary Hospitals – registered under the societies act Run by trusts and on non
commercial basis for e.g charitable hospitals.
• Nursing Homes – Owned and managed by individual doctors. Some of the nursing
homes only provide maternity care while some provides some super specialities care
like cardiology , nephrology .
• Corporate Hospitals – These hospitals are run on the basis of profit earning and are
registered under companies act. Eg. Apollo group of hospitals

According to size (bed strength)System

• Small – less than 100 beds
• Medium – 100 to 300 beds (some times 500 beds)
• Large – more than 500 beds
According to system of medicine
• Allopathic
• Ayurvedic
• Unani
• Homeopathy
Based on specialization
• General - routine care for medical, surgical, gynaecological, obstetrical and paediatric
• Speciality – hospital providing particular speciality such as maternity, Ophthalmology, cancer
etc.
• Super speciality – management requiring highly sophisticated diagnostic equipment,
therapeutic equipments, skilled staff e.g Cardiac surgery , neurosurgery
General and speciality services are more often essential and usually coexist in the same hospital
According to teaching facilities
• Teaching hospital
• Non teaching hospital
According to level of care
• Primary health centre (PHC)
• Secondary care (community health centre (CHC) and Distt. Hospital)
• Tertiary care (regional hospital medical college hospital)
According to directory of hospitals
• General hospital – provides medical care more than one broad speciality
and there is no strict departmentation.
• Rural hospitals – the hospitals located in rural areas.
• Speciality hospitals – providing medical care in one or more speciality like
TB Hospital, Eye hospital, heart centres.
• Teaching hospital – hospital attached to medical college
• Isolation hospital – providing patient care to communicable diseases.
• Based upon accreditation
Based upon accreditation
• Accredited hospital
• Non- accredited Hospital
 Various Functional Unit/ departments of Hospital

Essential/ clinical Services Diagnostic and supportive services

• OPD (Out Patient Department) • Laboratory

• IPD (Inpatient Department) • Radiology
• Emergency and casualty services • Central Sterile Supply Department
• Operation theatre • Laundry
General medicine, general surgery, gynaecology, paediatric
unit, cardiology etc.
• Blood Bank
• Mortuary
Utility Services • Medical records
• Pharmacy
• Dietary Services
• Hospital Engineering services Administrative Services
• Transport
• Medical store • Personnel Management
• Public relation • Financial Management
• Communication • Material and Purchase
• Fire and security
• canteen
 Functions of Hospitals

Provide optimum heath services

Provide care, cure, preventive service
Provide training for professionals (Education of physicians, nurses, and
other staff.
Provide in-service/ continuing education in all discipline professional
technical personnel
Participate / conduct research
Waste disposal
Thank you