INSTITUTE OF SCIENCE AND TECHNOLOGY

CA2 for Even Semester-2023

TOPIC NAME:- CLASSIFICATION OF HOSPITALS

NAME : RITTIK SHEE

ROLL NO: 32109322005
SUBJECT NAME: HOSPITAL SUPPORT
SERVICES
SUBJECT CODE: MHA-201
SEMESTER: 2nd
DEPARTMENT: MANAGEMENT(MHA)
 ABSTRACT

The project report entitled- “classification of hospitals” is

completed and submitted in the partial fulfillment of the
requirements for the award of degree in master of hospital
administration.

Under the guidance of our teacher PARTHA KHAMRAI

CLASSIFICATION OF HOSPITAL:

Following are different classifications of hospitals as per their objectives, functions, and service
provides: 

1. Objectives: 

1. General Hospitals
2. Special Hospitals 
3. Teaching cum Research Hospitals 
2. Administration, Ownership, Control, or Financial Income: 

1. Governmental or public Hospitals

2. Non-governmental or private Hospitals 
3. Semi government Hospitals
4. Voluntary Agency Hospitals 

3. Length of Stay: 

1. Short-stay hospitals; also called short-term Hospitals and can accommodate and provide
the services for less than 30 days. 
2. Long-stay hospitals also called long-term Hospitals and can accommodate and provide
the services for more than 30 days.
4. Medical Staff: 

1. Open-staff Hospitals
2. Closed-staff Hospitals 
5. Bed Capacity: 

1. Small Hospitals, which can accommodate and provide the facility up to 100 beds. 
2. Medium Hospitals, which can accommodate and provide the facility for more than 100
while less than 300 beds. 
 3. Large Hospitals, which can accommodate and provide the facility for more than 300
beds.
6. Type of care: 

1. Primary Care Hospitals

2. Secondary Care Hospitals 
3. Tertiary Care Hospitals 
7. Teaching affiliation: 

1. Teaching Hospitals
2. Non-teaching Hospitals 
8. System of Medicine: 

1. Allopathic Hospitals
2. Ayurvedic Hospitals 
3. Homeopathic Hospitals
4. Unani Hospitals 
5. Hospitals of other systems of medicine 
9. Region dependant: 

1. Regional Hospitals
2. Upazilha Health Complex 
3. District Hospitals
4. Union Health and Family Welfare Centers 
5. Community Clinics 
10. Medicine System: 

1. Allopathic Hospitals
2. Ayurvedic Hospitals 
3. Homeopathy Hospitals
4. Unani Hospitals
11. As per WHO Classification: 
 1. Regional Hospitals
2. Intermediate/ District Hospitals 
3. Rural Hospitals 

CLASSIFICATION OF HOSPITAL-BASED ON CLINICAL AND NON-

CLINICAL BASIS 

General Hospitals: The purpose of general hospitals meant to provide a wide range of various
categories of healthcare facilities in limited numbers. The general hospital provides health care
services to various kinds of diseases for both sexes to cover all ages. Such hospitals provide
facilities for general medical, ENT, surgical, pediatrics, obstetrics and gynecology, etc. while
general hospitals are devoid of super-specialty medical care facilities.

Special Hospitals: Special hospitals have limited services to a particular condition such as;
maternity, pediatrics, geriatric, orthopedics, cardiac, diabetic, oncology, etc. 

Teaching cum Research Hospitals: Such type of hospital is attached with research institute
such as; medical college/nursing college/dental college or Pharmacy College. The rationale
behind the attachment of such type of educational institution is to provide medical care education
and research facilities for budding research students. For example;  Christian Medical College
Vellore, PGIMER Chandigarh, AIIMS, Seth G.S. Medical College  Mumbai, etc.

Governmental or Public Hospitals: Such types of hospitals are owned and controlled by the
government. These hospitals provide free-of-cost medical care services to particular patients/ at a
very low cost compared to others. The government hospitals are owned by the  Ministry of
Health, The University, the Municipal Corporation, or other government corporations and
sectors. 
Private Hospitals: Private hospitals are owned and controlled by an individual or group of
physicians or citizens or by a private organization. The medical care facilities which are provided
by such hospitals are comparatively costly. 

Semi-Government Hospitals: Such types of hospitals are run by both the government and
private entities. Example: Cantonment Board Hospital. 

Corporate Hospitals: Such types of hospitals are operated by public limited companies and it
formed under the companies act. Such hospitals are run under commercial lines.  Example:
Apollo Hospital. 

Voluntary Agency Hospitals: Such types of hospitals are run by a voluntary organization or

charitable trust on not profit basis. 

Short-stay Hospitals: Short-stay hospitals are also called short-term hospitals and such types of
hospitals can accommodate and provide the services for less than 30 days.

Long-stay Hospitals: Long-stay hospitals are also called long-term hospitals and such hospitals
can accommodate and provide the services for more than 30 days. 

Closed-staff Hospitals: In such types of hospitals, the physicians are responsible for all medical
activities including the diagnosis and treatment on a fee-paying basis. 

Open-staff Hospitals: In such hospitals, other physicians in the community have permission to
admit the patient to the hospital and provide the treatment to them.

CLASSIFICATION OF HOSPITAL-BASED ON LEVEL OF CARE 

Primary Care Hospital:  Primary care hospitals provide the services of the day-to-day
healthcare facilities by health care practitioners. In such hospitals, the health care provider act as
the principal and main point of contactors for continuing care of the patient and may co-ordinate
other specialists for the care of the patient if need. This type of hospital provides mostly basic
health care facilities and consider as a gateway to receive more specialty care facilities for
example: Upazilha Health Complex.

Secondary Health Care:  This type of hospital provides the first level of recommendation
services which are more complicated and beyond the scope and capacity of the primary level.
This level is allocated to provide some specialist care services mostly in Internal Medicine,
General Surgery, Obstetrics and Gynecology, and Pediatrics. Such level of a hospital usually
provides 50-200 bedded capacity. 

Tertiary Level:  Such a level of hospitals deals to provide highly specialized care services at
regional or central-level hospitals. Like teaching hospitals, super-specialized hospitals like;
Cancer hospitals, Chest hospitals, Infectious Disease hospitals, and Mental Disease hospitals are
also included in this level of care. 

These institutions provide recommendation support to primary and secondary level health care.
This also includes Divisional and National Level Hospitals.

CLASSIFICATION OF HOSPITAL AS PER WHO (EXPERT

COMMITTEE 1957) 

1. Regional Hospitals: Provide a complex range of treatment and highly specialized services.

Serve a larger area than local hospitals. For example: Government Medical  College Hospitals. 

2. Intermediate/District Hospitals: District hospital typically is the major health care facility in

their locality. 

3. Rural Hospitals: These are remote hospitals with a small number of beds and limited service
capacity. It should have 20-100 beds. For example: Upazilha Health  Centre.
ORGANIZATIONAL STRUCTURE OF HOSPITAL 

Every hospital has an organizational structure for efficient management to allow and provide a
different kinds of services. A hospital is a multilayered organization consisting of many
committees, departments, types of staff, and services. 

It is divided as follows:

Fig.1: Organizational Structure of a Hospital

Board of Trustees/Governing Board: 

 The “board of trustees,” controls the hospital in the belief of the community health care
and has obligatory duty to protect the resources of the hospital through efficient
operation.
  The guardians or trustees are accountable for founding the hospital’s mission and
launching its regulations and strategic policies.
 Trustees appoint the administrative leader called Chief Executive Officer (CEO) for the
hospital and delegate the hospital’s daily procedures and budgeting.

Executive Administration: 

 The chief executive officer (CEO) reports to the board of trustees and delivers leadership
services for the implementation of the strategic plan, goals, and decisions established by
the board of trustees.
 The CEO also symbolizes the hospital to the community and the external environment for
its growth.
 The CEO should also coordinate effectively with the hospital’s staff.
 The CEO is also responsible to participate in the establishment of hospital policies and
procedures as well as involves in the performing of public relations duties.

Informational Services: 

There are various departments under informational services to perform the following duties, 
responsibilities and provide the information: 

 Admissions-related information of patients which includes full information and history of

patients.
 Billing and Collection: There is a separate department that provides the responsibilities
for billing the service provided.
 Medical Records: These are responsible for maintaining the medical record of all
patients.
 Computer Information Systems: In this, the personnel is responsible for maintenance of
computer and hospital network.
  Health Education: The personnel involved in these services are responsible for health
education to staff and patients.
 Human Resources: The personnel involved in this service is responsible for recruiting
employees and looking towards to benefits of employees.

Therapeutic Services: 

Provides treatment to patients which include following departments: 

 Physical Therapy: Associated with various treatments to improve large muscle mobility.
 Occupational Therapy: In this, the treatment goal is to help the patient to regain fine
motor skills.
 Speech/ Language Pathology/therapy- It is associated with identifying, evaluating, and
providing treatment for speech/language disorders.
Diagnostic Services 

Determines the cause(s) of illness or injury includes:

 Medical Laboratory – dealing with studies on body tissues.

 Medical Imaging – dealing with providing the services related to radiology, MRI, CT, 
Ultra Sound.
 Emergency Medicine – dealing with providing the services related to emergency
diagnoses and treatment. 

Administrative Support Services: 

 Administrative support services are essential for the business of hospitals and physical
plant management.
 The CEO is responsible for the implantation of various administrative support services
and day-to-day operations activities of the facility.