4. SCOPE
Hospital & Its Organization
Hospital Administration
Elements of Hospital Administration
Quality Patient Care
Management
Policy & Consideration
Administrative Responsibility
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. 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. 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.
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. 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. 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. 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. 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
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. 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. 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. 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. 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. 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. 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. 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. 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
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. 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.
30. 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.
36. CONT..
Nursing training and research in services
Recruitment, promotion and development of nursing staff
37. CONT..
Staff meetings, monitoring & evaluation of service
Maintenance of discipline, reward and punishment
38. CONT..
Welfare measures, residential accommodation, health
promotion, recreation and other utility service like canteen,
pharmacy, bank etc
39. 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.
