Hospital Classification and Organization Structure

D. Pharm
II year
Subject code: DP- 206, Hospital and clinical
Pharmacy
 
Hospital and it’s
Organisation
 
 
1
(Dr.) Anupriya Kapoor
Assistant Professor
School of Pharmaceutical
Sciences, CSJMU , Kanpur
Learning objective
 
1.
What is Hospital?
2.
How to classify hospitals?
3.
What could be the organisation structure of
Hospital?
4.
What are the functions and services offered
by Hospital?
 
2
Outcomes
 
After going through these slides, the learner
would be able to understand following points
1.
Definition of Hospital
2.
Classification of Hospital on various basis
3.
Organisation structure of Hospital
4.
Services provided by Hospital
 
3
Hospital
 
Hospital:
It is a health care organisation that has a team
of well 
qualified trained staff 
and all 
technical
equipments
 that are required for the treatment
of specific disease in patient.
 
4
 
Hospital can be called a“
City inside a city
” that
has all required facilities like building,
equipments, team of qualified personals,
fooding, laundry, transportation facility,
communication facility, electric and water
supply etc. That work in collaboration for
treatment of patient.
 
5
Classification of Hospitals
 
Hospitals can be classified on various basis
1.
Clinical basis: on basis of therapy provided by
Hospital
a.
Maternity Hospitals
b.
Surgical Hospitals
c.
Medicinal Hospitals
 
6
 
2. On basis of ownership
a.
Government Hospitals
I.
Public health services (AIIMS, PGI)
II.
Military Hospitals
b. Non government Hospitals
I.
Private Hospitals
II.
Charitable Hospitals
 
7
 
3. On the basis of system of medicine
a. Allopathic Hospitals
b. Ayurvedic Hospitals
c. Homeopathic Hospitals
d. Unani Hospitals
e. Rehabilitation centres
4. On basis of medical staff
a.
Closed staff
b.
Open staff
 
8
 
5. On basis of number of beds
a.
Small Hospitals ( beds up to 100 )
b.
Medium Hospitals ( beds 101 to 499 )
c.
Large Hospitals ( beds above 500 )
6. On basis of teaching activities
a.
Teaching Hospitals
b.
Non teaching Hospitals
7. As per WHO
a.
Regional Hospitals
b.
District Hospitals
c.
Rural Hospitals
 
9
 
8. On basis of cost
a.
Elite Hospitals
b.
Low budget Hospitals
9. On basis of level of Health care
a.
Primary
b.
Secondary
c.
Tertiary
 
10
Functions of Hospital
 
Functions of hospital can be bifurcated in two
manners
1.
Primary function 
(Curative function)
2.
Secondary function 
( Preventive, Research,
Training)
 
11
Curative function
 
It is the basic function of the hospital and is
associated with providing care to patient.
It depicts any type of care that is provided to
the patients by health care providers e.g.
physicians, nurses, dieticians.
Also includes health education to patients
 
12
Preventive function
 
It is popping up function of the hospital and
concerned with health promotion
It is concerned with providing the preventive
services through a community health centre
 It has an active role to improve the health of
the population
 
13
Research function
 
It is a secondary function of hospital and is
concerned with managing the health related
researches that emphasis on the betterment
of the health and/or prevention of diseases.
 
14
Training function
 
It is a secondary function and is connected
with providing training and educational
courses for the professional and technical
personnel who provides health services (e.g.
physicians, nurses, dentists, therapist)
 
15
Organisation structure of Hospital
 
16
Importance of Organisation structure
 
Facilitates the understanding of the hospital’s chain.
The complexity of organizational structure depends
on size of healthcare facility.
 hospitals with big acute facilities have complicated
structures, on contrary the smaller institutions have
a basic organizational structure.
Each hospital department performs specific
functions, departments are generally grouped
according to analogy of duties in order to promote
efficiency of the healthcare facility.
 
17
 
Organisation categories of Hospital
 
18
Roles of Hospital Administration
 
To supervise the the operation of departments
To control budgeting and finance
To design hospital policies and procedures.
To perform public relation duties
Members of administration include: Hospital
President, Vice Presidents, Executive
Assistants, Department Heads
 
19
Roles of Information services
 
1.
Admissions personnel
-are usually the public’s
first contact with in the hospital,check
patients into hospital and obtain
demographics of each patient
2.
 They assign patients their hospital room and
their hospital identification number
 
20
 
2. Billing and Collection- 
concerned with billing
patients for services used by them
3. Health Information Management 
- maintains
copies of all patient records
4. Information Services-
associated with
computers and hospital network
5. Health Education-
responsible for staff and
patient health-related education
6. Human Resources-
responsible for recruiting
employees and making policies for their
benifits
 
21
Roles of Therapeutic services
 
22
Roles of Diagnostic services
 
To determine the cause(s) of illness or injury
It has different departments like
a. Medical Laboratory (MT) – it is concerned with
studies related to body tissues, to determine
abnormalities
b. Imaging studies- images of body parts to
determine lesions and abnormalities. Includes
Diagnostic Radiology, MRI, CT, Ultra Sound.
c. Emergency Medicine – to  provide emergency
diagnoses and treatment
 
23
Roles of Supportive services
 
Provides support to entire hospital.
1. Central Supply-
has responsibility of ordering,
receiving, stocking and distributing all equipment
and supplies used by healthcare facility, sterilizes
instruments and supplies, cleans and maintains
hospital linen and patient gowns.
2.Biomedical Technology-designs 
and build
biomedical equipment (engineers) by diagnosing
and repairing defective equipment (biomedical
technicians) and also provides preventative
maintenance to all hospital equipment.
 
24
 
3. Housekeeping and Maintenance- 
the
department is responsible to maintain a safe
clean environment by cleaners, electricians,
carpenters, and gardeners.
 
25
References
 
1.
Dr Ramesh k Goyal et al a Text Book of Hospital
Pharmacy, B.S. Shah Prakashan.
2.
Dr. Ramesh K. Goyal; Dr. R.K.Parikh, Dr. Mayur M.
Patel; Merchant & Goyal’s; A Textbook of Hospital
Pharmacy; Edition- 13
th
.
3.
http://www.srmuniv.ac.in/sites/default/files/files/H
ospital.pdf
 
26
THANKYOU
 
27
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Hospitals play a crucial role in providing healthcare services. This content delves into the definition of hospitals, classification based on therapy, ownership, system of medicine, and medical staff. It also explores the organization structure and services offered by hospitals, aiding learners in gaining a comprehensive understanding of hospital operations.

  • Hospital classification
  • Organization structure
  • Healthcare services
  • Medical staff
  • System of medicine

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  1. D. Pharm II year Subject code: DP- 206, Hospital and clinical Pharmacy Hospital and it s Organisation (Dr.) Anupriya Kapoor Assistant Professor School of Pharmaceutical Sciences, CSJMU , Kanpur 1

  2. Learning objective 1. What is Hospital? 2. How to classify hospitals? 3. What could be the organisation structure of Hospital? 4. What are the functions and services offered by Hospital? 2

  3. Outcomes After going through these slides, the learner would be able to understand following points 1. Definition of Hospital 2. Classification of Hospital on various basis 3. Organisation structure of Hospital 4. Services provided by Hospital 3

  4. Hospital Hospital: It is a health care organisation that has a team of well qualified trained staff and all technical equipments that are required for the treatment of specific disease in patient. 4

  5. Hospital can be called aCity inside a city that has all required facilities like building, equipments, team of qualified personals, fooding, laundry, transportation communication facility, electric and water supply etc. That work in collaboration for treatment of patient. facility, 5

  6. Classification of Hospitals Hospitals can be classified on various basis 1. Clinical basis: on basis of therapy provided by Hospital a. Maternity Hospitals b. Surgical Hospitals c. Medicinal Hospitals 6

  7. 2. On basis of ownership a. Government Hospitals I. Public health services (AIIMS, PGI) II. Military Hospitals b. Non government Hospitals I. Private Hospitals II. Charitable Hospitals 7

  8. 3. On the basis of system of medicine a. Allopathic Hospitals b. Ayurvedic Hospitals c. Homeopathic Hospitals d. Unani Hospitals e. Rehabilitation centres 4. On basis of medical staff a. Closed staff b. Open staff 8

  9. 5. On basis of number of beds a. Small Hospitals ( beds up to 100 ) b. Medium Hospitals ( beds 101 to 499 ) c. Large Hospitals ( beds above 500 ) 6. On basis of teaching activities a. Teaching Hospitals b. Non teaching Hospitals 7. As per WHO a. Regional Hospitals b. District Hospitals c. Rural Hospitals 9

  10. 8. On basis of cost a. Elite Hospitals b. Low budget Hospitals 9. On basis of level of Health care a. Primary b. Secondary c. Tertiary 10

  11. Functions of Hospital Functions of hospital can be bifurcated in two manners 1. Primary function (Curative function) 2. Secondary function ( Preventive, Research, Training) 11

  12. Curative function It is the basic function of the hospital and is associated with providing care to patient. It depicts any type of care that is provided to the patients by health care providers e.g. physicians, nurses, dieticians. Also includes health education to patients 12

  13. Preventive function It is popping up function of the hospital and concerned with health promotion It is concerned with providing the preventive services through a community health centre It has an active role to improve the health of the population 13

  14. Research function It is a secondary function of hospital and is concerned with managing the health related researches that emphasis on the betterment of the health and/or prevention of diseases. 14

  15. Training function It is a secondary function and is connected with providing training and educational courses for the professional and technical personnel who provides health services (e.g. physicians, nurses, dentists, therapist) 15

  16. Organisation structure of Hospital Board Administration Informative services Supportive services Therapeutic services Diagnostic services Admission Central supply, Biomedical ,Housekeeping, transportation, gardening etc. PT/ OT, Speech and Language therapy, Pharmacy, Nursing, Sports medicine, Dietary Billing Med. Lab, Radiology, CT, MRI , X ray etc. Medical record documentation, Health education, Human resource etc 16

  17. Importance of Organisation structure Facilitates the understanding of the hospital s chain. The complexity of organizational structure depends on size of healthcare facility. hospitals with big acute facilities have complicated structures, on contrary the smaller institutions have a basic organizational structure. Each hospital department functions, departments are generally grouped according to analogy of duties in order to promote efficiency of the healthcare facility. performs specific 17

  18. Organisation categories of Hospital Hospital organisation categories Administration Services Information Services Diagnostic Services Therapeutic Services Support Services 18

  19. Roles of Hospital Administration To supervise the the operation of departments To control budgeting and finance To design hospital policies and procedures. To perform public relation duties Members of administration include: Hospital President, Vice Presidents, Assistants, Department Heads Executive 19

  20. Roles of Information services 1. Admissions personnel-are usually the public s first contact with in the hospital,check patients into hospital demographics of each patient 2. They assign patients their hospital room and their hospital identification number and obtain 20

  21. 2. Billing and Collection- concerned with billing patients for services used by them 3. Health Information Management - maintains copies of all patient records 4. Information Services-associated computers and hospital network 5. Health Education-responsible for staff and patient health-related education 6. Human Resources-responsible for recruiting employees and making policies for their benifits with 21

  22. Roles of Therapeutic services Provides treatment to patients Physical therapy Occupational therapy Speech/ language therapy Pathology Medical Psychology Respiratory Therapy (RT) Pharmacy Dietary Sports Medicine Nursing 22

  23. Roles of Diagnostic services To determine the cause(s) of illness or injury It has different departments like a. Medical Laboratory (MT) it is concerned with studies related to body tissues, to determine abnormalities b. Imaging studies- images of body parts to determine lesions and abnormalities. Includes Diagnostic Radiology, MRI, CT, Ultra Sound. c. Emergency Medicine to provide emergency diagnoses and treatment 23

  24. Roles of Supportive services Provides support to entire hospital. 1. Central Supply-has responsibility of ordering, receiving, stocking and distributing all equipment and supplies used by healthcare facility, sterilizes instruments and supplies, cleans and maintains hospital linen and patient gowns. 2.Biomedical Technology-designs biomedical equipment (engineers) by diagnosing and repairing defective equipment (biomedical technicians) and also provides preventative maintenance to all hospital equipment. and build 24

  25. 3. Housekeeping department is responsible to maintain a safe clean environment by cleaners, electricians, carpenters, and gardeners. and Maintenance- the 25

  26. References 1. Dr Ramesh k Goyal et al a Text Book of Hospital Pharmacy, B.S. Shah Prakashan. 2. Dr. Ramesh K. Goyal; Dr. R.K.Parikh, Dr. Mayur M. Patel; Merchant & Goyal s; A Textbook of Hospital Pharmacy; Edition- 13th. 3. http://www.srmuniv.ac.in/sites/default/files/files/H ospital.pdf 26

  27. THANKYOU 27

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