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Chaging role of hospital

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Chaging role of hospital

  1. 1. CHANGING ROLE OF HOSPITAL<br />DR.N.C.DAS<br />
  2. 2. CHANGING ROLE OF HOSPITAL<br /><ul><li>Hospitals were started to provide curative care to sick and injured in a homely </li></ul>atmosphere.<br /><ul><li>The age old concept of poor house where people use to leave sick and dying </li></ul>Relations has gone.<br /><ul><li>Early hospitals in India were built by Ashok(273-232B.C.) During that time even </li></ul>the importance of nutritive value of fresh fruit & vegetables were known.<br />gentle care, personal hygiene and herbal medicines were given to the sick.<br /><ul><li>The Allopathic system of medicine was introduced in India in 16th century.</li></ul>Curative care- Health care- Community care<br />
  3. 3. CHANGING ROLE OF HOSPITAL<br /><ul><li>A modern hospital has become highly scientific and complex institution over</li></ul>the years particularly in last three decades.<br /><ul><li>This is due to introduction of diagnostic and therapeutic technologies.
  4. 4. The industry has reached a point of where it need to decide what services to be provided and how cost effectively.
  5. 5. The role of the hospital has been broadened crossing the limits of ‘curative</li></ul>Health’ to health care.<br /><ul><li>Further the health care has crossed the barrier of the hospital to the community care.
  6. 6. The modern hospitals have broadened their role from health care to health education, training, research and disease surveillance.</li></li></ul><li>HOSPITAL ROLE EXPANSION<br />COMMUNITY CARE<br />HEALTHCARE<br />CURATIVE CARE<br />PATIENT<br />
  7. 7. CHANGING ROLE OF HOSPITAL<br />HOSPITAL<br />PRIMERY ROLE<br />CHANGING ROLE<br />Curative <br /> Services<br />INTERNAL<br />FUNCTION<br />EXTERNAL<br />FUNCTION<br />Health education <br />Attending Referrals <br />Specialist Support <br />Out Reach Services <br />Curative <br /> Services<br />2.Preventive Care<br />Disease prevention <br />Disability prevention<br />3. Health Promotion <br />4. Rehabilitation <br />
  8. 8. CHANGING ROLE OF HOSPITALS<br />Modern hospitals has to strike a balance between internal and external functions <br />By balancing between internal management and outside community in one side and <br />developing feed back system between the clinical departments and administration. <br />INTERNAL <br />MANAGEMENT <br />COMMUNITY <br />RELATION <br />FUNCTIONS<br />HOSPITAL ROLE <br />BALANCE <br />HOSPITAL<br />ADMINISTRATION<br />CLINICAL <br />DIVISIONS<br />FEEDBACK<br />
  9. 9. CURATIVE CARE<br />Shifting of focus from Indoor Care to Out Patient care<br />because of:- <br /> -Rising cost of hospital care<br /> -Shortage of hospital beds<br /> -Economic importance<br />OPD care – Ambulatory care centre such as:-<br /><ul><li> Day hospital- MTP, Sterilisation, Cataract operation, Dialysis etc.areprovided as day care facilities
  10. 10. Polyclinic,
  11. 11. Health centre,
  12. 12. Walk-in clinic,
  13. 13. Dispensary .</li></li></ul><li>PREVENTING CARE<br />COMMUNICABLEDISEASE PRVENTION<br />NONCOMMUNICABLE<br />DISEASE PREVENTION<br />MATERNAL HEALTH<br />PREVENTING CARE<br />SENTINEL SURVEILLANCE<br />CHILD HEALTH<br />HEALTH EDUCATION<br />NUTRITION COUNSELLING<br />OCCUPATIONALHEALTH<br />
  14. 14. COMMUNICABLE DISEASES<br />VECTOR BORN DISEASES<br />MALARIA, DENGU, FILARIA<br />KALAZAR, J. ENCEPHALITIS<br />CHIKEN GUINEA<br />TUBERCULOSIS<br />PREVENTION<br />LEPROSY<br />HIV AND AIDS<br />
  15. 15. NON-COMMUNICABLE DISEASES<br />CARDIACDISEASE<br />CANCER<br />PREVENTION<br />BLINDNESS<br />DIABETES<br />GOITORE<br />
  16. 16. MATERNAL HEALTH<br />ANC<br />ANAEMIA<br />PREVENTION<br />IMMUNISATION<br />STD AND HIV<br />
  17. 17. CHILD HEALTH<br />ANAEMIIA<br />IMMUNISATION<br />PROTECTION<br />MAL NUTRITION<br />DIARROHEA<br />AND<br />RTI<br />
  18. 18. DISABILITY<br />PREVENT DISABILITY<br />DISABILITY LIMITATION<br />( PHISIO THERAPY)<br />PRIMERY PREVENTION<br />1.<br />REHABILITATION<br />(PHYSICAL, MENTAL<br />SOCIAL, OCCUPATIONAL)<br />SECONDARYPREVENTION<br />2.<br />TERTIARY PREVENTION<br />3.<br />
  19. 19. HEALTH EDUCATION<br />PERSONAL HYGINE<br />ANDPROTECTION<br />FAMILYWELFARE<br />ENVIRONMENTALSANITATION<br />HEALTHEDUCATION<br />BALANCEDIET<br />HANDWASHING<br />HEALTHANDMENTAL COUNSELLING<br />
  20. 20. HEALTH PROMOTIVE SERVICES<br />WELL BABY CLINIC<br />GROWTHMONITORING<br />IMMUNISATION<br />HEALTHPROMOTION<br />OCCUPATIONALHEALTH<br />HEALTHSCREENING<br />MARRIAGE COUNSELLING<br />DIET COUNSELLING<br />ANTI-SMOKING<br />MENTAL COUNSELLING<br />
  21. 21. ROLE OF HOSPITAL IN PHC<br /><ul><li>Health promotion
  22. 22. Preventive health care and Family planning
  23. 23. Education & training of health workers
  24. 24. Curative health care
  25. 25. Physical rehabilitation
  26. 26. Integrated hospital/community care Training
  27. 27. Administrative support
  28. 28. Research/surveys/studies
  29. 29. Health education
  30. 30. Referral system
  31. 31. Specialty care in the field</li></ul> (out reach services)<br /><ul><li> Technological support
  32. 32. Planning & Coordination</li></li></ul><li>CHANGED ROLE OF ADMINITRATOR<br />Administrators are always under pressure to keep space with changing time.<br />With changing role of the hospital, role of hospital administration also has <br />drastic changes.<br />UNDERSTANDING HEALTH NEEDS<br />UTILIZATION OF<br />TRAINED <br />MANPOWER<br />POWER <br />SHARING <br />ADMINISTRATORS <br />CHANGED<br />VIEW POINTS<br />POSITIVE<br /> ATTITUDE<br />TOWARDS<br />PATIENT CARE <br />RESTRUCTURING <br />OF THE <br />ORGANIZATION <br />PROPER <br />UTILIZATION <br />OF RESOURCES<br /> THOUGH COSTING <br />PARTICIPATORY <br />MANAGEMENT <br />INVOLVEMENT <br />OF PROFESSIONAL<br /> & PUBLIC<br />
  33. 33. ADMINISTRATIVE SET-UP <br />DR. RML HOSPITAL<br />MEDICAL SUPERINTENDENT<br />ADDLMS(1)<br />ADDLMS (4)<br />ADDLMS (2)<br />ADDLMS (3)<br />DD(A)<br />Nursing Services<br />CPWD, BMW<br />Laundry<br />CMO <br />(ACADEMICS)<br />STATE MATTERS<br />AO (1)<br />AO (2)<br />HA-II<br />(SR/ JR/ INTERNS)<br />MED. BOARD<br />CMO I/C<br />OS <br />(HA-I)<br />OS <br />(TECH)<br />HC<br />(VIG)<br />OS<br />(GR-D)<br />OS<br />(NURSING)<br />HC<br />(RR)<br />
  34. 34. D.D. (A)<br /> |<br />_______________________________________________________________________<br />| |<br />AO(1) AO(2)<br /> | |<br />__________________________________ __________________________________<br />| | | | | |<br />OS OS HC OS OS HC<br />HA-I TECHNICAL RR (VIG.) NURSING E-II RR CELL<br />______ ____________ _______ _____________ ______ __________<br />CHS DRS. TECHNICAL STAFF VIGILANCE NURSING PERSONNEL GR’D’ STAFF RRs. FOR ALL<br />MINISTRIAL STAFF MATTERS POSTS<br />PARLIAMENT QUEST.<br />TRAINING PROG.<br />COMPLAINTS & GRIEV.<br />CENTRAL DIARY & DISPATCH<br />ALL OTHER ADMN & MISC.<br />MATTERS NOT DEALT WITH BY<br />OTHER ADMN. SECTIONS<br />
  35. 35. CHANGED FUNCTION OF HOSPITAL<br />INTERNAL<br />EXTERNAL<br /><ul><li>PRIMARY- CURATIVE SERV.
  36. 36. SECONDARY-
  37. 37. Preventive care:
  38. 38. Health education
  39. 39. Referral system
  40. 40. Specialty care in the field</li></ul> (out reach services)<br /><ul><li> Technological support
  41. 41. Planning & Coordination
  42. 42. Surveillance
  43. 43. PHC Support
  44. 44. Marketing of health care.
  45. 45. Disease Prevention
  46. 46. Disability Prevention
  47. 47. Promotive care
  48. 48. Rehabilitative care
  49. 49. Teaching
  50. 50. Research
  51. 51. National health programme</li></li></ul><li>hospiad<br />Hospital Administration Made Easy<br />THANK YOU<br /> http//hospiad.blogspot.com<br />An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator.<br />DR. N. C. DAS<br />

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