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Hospital administration role in quality patient care

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Hospital administration role in quality patient care

  1. 1. WELCOME
  2. 2. INTRODUCTION Capt Shaharul Hospital Administration Role To Uplift Quality Patient Care
  3. 3. AIM To discuss the Administration of a ideal Hospital & its role to provide Quality Patient Care
  4. 4. SCOPE  Hospital & Its Organization  Hospital Administration  Elements of Hospital Administration  Quality Patient Care  Management  Policy & Consideration  Administrative Responsibility
  5. 5. HOSPITAL  Hospital is a place for the diagnosis and treatment of human ills and restoration of health and well-beings of those temporarily deprived of these. 
  6. 6. Hospital is a combination of many processes. To the community it is a place to receive medical care to the physician it is a place to treat patients to the employees it is a place to work and to the hospital manager it is a multifaceted organization.
  7. 7. ORGANIZATION  A hospital is a multifaceted organization comprising many committees, departments, types of personnel, and services.  It requires highly trained employees, efficient systems and controls, necessary supplies, adequate equipment and facilities, and of course, physicians and patients.
  8. 8. HOSPITAL ADMINISTRATION Sound administration is essential for the success of any public health program whether on the national, intermediate or the local level.
  9. 9. SOUND ADMINISTRATION “ The process of achieving defined goals at a defined time through the guidance, leadership, and control of the efforts of a group of individuals and the efficient utilization of non- human resources bearing in mind adequacy, speed, and economy to the utmost possible level.”
  10. 10. Another definition “Administration is the art and science of guidance, leadership, and control of the efforts of a group of individuals towards some common goal.” -A common goal to “Quality Patient Care”
  11. 11. QUALITY PATIENT CARE  The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.”
  12. 12. Some of the issues that need to be addressed to improve patient care are listed below.  Access. Accessibility and availability of both the hospital and the physician  Waiting. Waiting times for all services should be minimized  Information. Patient information and instruction about all procedures, both medical and administrative, should be made very clear
  13. 13. CONT..  Administration. Check-in and check-out procedures should be ‘patient friendly’  Communication. Communicating with the patient and the family about possible delays is a factor that can avoid a lot of frustration and anxiety.  Ancillary Services. Other services such as communication, food, etc. should be accessible both to patients and to attending families
  14. 14. LEVELS OF ADMINISTRATION Central level Intermediate level Local Level Ministry of Health Directorates of Health e.g. Health office, Hospital, Health care unit
  15. 15.  Planning  Organization  Staffing  Directing  Coordinating Reporting Budgeting Supervising Evaluation ADMINISTRATIVE ELEMENTS
  16. 16. CONT..  Planning needs knowledge, experience, foresight, reasoning and the mastering of special skills and techniques. Its must be :  The Organizational process is classified into:  Structural organization  Functional organization -Futuristic -Decision Making Process -Dynamic -Flexible & there must be a good co-ordination.
  17. 17. CONT..  Staffing is the process of “personalizing” the organization, by hiring the right type and adequate number of workers to each unit for the time required through the following steps: • Budgeting is the financial administration. About 60 percent of total budget is spent in wages & salaries of the staff in a hospital.
  18. 18. CONT.. To ensure adequate care & treatment there must be:  Regular Auditing  Purchasing of modern equipments and maitainance  Supervision of both work & workers by the Executive  Evaluation of activities, characteristics, outcome of the health care process to improve effectiveness & make decision for efficient planning.
  20. 20. THE MEDICAL STAFF  The physician is the leader of the clinical team and the major agent working on behalf of the patient.  The physician's responsibility is to diagnose the patient's condition accurately and to prescribe the best and most cost-effective treatment plan
  21. 21. NURSING SERVICE  Nurses are one of the few blessings of being ill.  Nursing services employees are responsible for carrying out the treatment plan developed by the physician.  Nursing services, also called patient care services, is the largest component of the hospital.
  22. 22. ALLIED HEALTH SERVICES  The clinical laboratory is a diagnostic center that performs a variety of functions, including autopsy, clinical cytology, and clinical pathology.  Also medical technologists, radiology department and rehabilitation services.
  23. 23. CLINICAL SUPPORT SERVICE  The hospital pharmacy purchases and dispenses all the medications used to treat patients in the hospital.  The pharmacist works directly with the medical staff in establishing a formulary, the listing of drugs chosen to be included in the pharmacy
  24. 24. LINE SERVICE  Emergency services Diagnosis & treatment of illness of an urgent nature & injuries from accidents  Out-Patient services Provision of diagnostic, curative, preventive and rehabilitative services  In-patient services (Wards)
  25. 25. CONT..  Intensive care unit Those who need Acute, multidisciplinary and intensive observation and treatment  Operation theatres Should have a pre- anaesthesia room and sterilization room and a scrub room for doctors and nurses
  26. 26. Physical Facilities Axillary Area Clinical Area (Ambulatory Zone) Administrative Area Public Area (Entrance Zone) Ancillary Area Circulation Area
  27. 27.  Management is the operational part of administration.  “Hospital Management is a continuing and dynamic application of managerial functions for providing comprehensive health care to the community ”
  28. 28. CONT..  In countries with large population to ensure the most cost-effective means of improving delivery of service hospital management system should be up to date and managers are functioning efficiently & effective.
  29. 29. POLICY AND GUIDELINES  Healthcare managers of all levels and specializations are critical to guarantee a hospital functions in a competitive, effective, profitable and satisfactory manner.
  30. 30. CONT..  Modern well equipped technology and methods  Obtain total patient satisfaction  Sustained and continuity of high standard patient care
  31. 31. CONT..  Highly motivated and trained, skilled hospital staff  Manual of procedures for hospital staff
  32. 32. CONT..  Periodic training and review system  Morning and afternoon clinics
  33. 33.  Modern System of appointment. e.g. e- hospital management • Proper singe system
  34. 34. ADMINISTRATIVE RESPONSIBILITIES  Procedure manual of patient care at various areas of health care  Advisory responsibility, planning and budgeting
  35. 35. CONT..  Nursing training and research in services  Recruitment, promotion and development of nursing staff
  36. 36. CONT..  Staff meetings, monitoring & evaluation of service  Maintenance of discipline, reward and punishment
  37. 37. CONT..  Welfare measures, residential accommodation, health promotion, recreation and other utility service like canteen, pharmacy, bank etc
  38. 38. Regardless of the position or the tasks involved, the role of the hospital administration is vital to the growth and success of a hospital to provide a quality health care.