Introduction to Hospitals

early Definition • An expert committee of WHO defined the – hospital as an integral part of a social system and medical organization – the function of which is to provide for the population complete health care both curative and preventive . – the hospital is also a centre for the training of health workers and for bio-social research.Hospital. ( WHO 1957) .

social and organizational research. 1968) . – ambulatory and domiciliary care and personal preventive service to the community. ( WHO. – education and training of health personnel and medical epidemiological . treatment and rehabilitation of inpatients and outpatients .• Another expert committee of WHO also defined the hospital as an institute that provides – inpatient accommodation for medical and nursing care in addition to the – functions of that it assumes as skilled diagnosis.

100 beds provide general medical and surgical care .20. surgical.provide complete range of services and a range of specialties – District Hospital. Obstetrical treatment primarily – Local Hospital.Types of Hospital Location – Regional Hospital.have hundreds of beds and provide medical.

Types Basis of Service – General Hospital – Single Specialty hospital – Multispecialty hospital Basis of Ownership – Private hospital • For Profit • Not for Profit – Government Hospital • Government run • PPP .

Types Basis of Level of Care – Primary. Homeopathic. Tertiary and now a days Quaternary care hospital Basis of Population served – Rural or Urban Basis of System of Medicine – Allopathic. Basis of Teaching – Teaching or non teaching hospital . Ayurvedic etc. Secondary.

Goals of Hospital • Therapy is the central goal of hospital • Custody and care are the supportive goals • Education and Research are the extended goals Custody Care Therapy Education Research .

groups. • Continuous operations. educated physicians and mangers to unskilled and uneducated employees. subsystem . leads to high standby cost • Many positions have dual line of reporting • Deals with life and death which creates psychological and physical stress • Output product is difficult to determine • Wide diversity of objectives and goals among individuals .Hospital – Complex Organization • Hospital personnel ranges from highly skilled.

Hospital – Distinguished Characteristics • Provides personalized care to individuals and can’t be mass produced or standardized like industry • More dependent and responsive to surrounding community • Work is of emergency in nature and non deferable • Nature of work is diverse and variable in nature • Little control over workload • Coordination of efforts and activities is indispensable to organizational functioning and activities are highly interlocking and interdependent .

CP Lab. Recovery and Day care Labour Room Emergency OPD Wards Diagnostics. CCU. Imaging. Other Diagnostics Blood Bank Pharmacy Physiotherapy Nutrition and Dietetics .Lab.Hospital.Departments • Medical – – – – – – – – – – – – – Medical Services Nursing OT ICU. Cath Lab.

Hospital.Departments • Non-Medical – – – – – – – – – – – – Hospital Management Finance HR Marketing Customer care and Public Relations Facility Management Housekeeping Linen and Laundry Security EDP and IT Materials Food Service .

Facility management.Departments • Another way of classifying the areas is – Clinical Services like Medical. Customer care. – Clinical Support Services e. Pharmacy.g. Housekeeping – Adminstrative Services like Finance. Nursing.g. Physiotherapy – Support Services e. OT . ER etc. . Diagnostics. Marketing etc. HR.Hospital.

Hospital.Organizational Structure – Hospital is a complex organization and has a lot of interdepartmental dependencies – Dual reporting is quite common – varies quite a lot and has been varied from vertical to horizontal organizational structure .

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Zonal Director Unit Head HR Head Admin Materials Head Head Engg Medical Director Head Sales & Marketing Finance Controller Nursing Matron Team HR Materials Team Engg Team Consultation & Doctors Marketing Team Finance Team Nursing Team HK Security PCS F&B 4/17/2012 15 .

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