HOSPITAL is an organization that provides a special facility and working for the care of patients through the physicians, surgeons, and team of technical staff. It also provides facilities for diagnosis, therapy, prevention, education, and research.

1. Hospital Pharmacy
Prepared by:
Ms. Shivanee Vyas
Assistant Professor
SVKM’s NMIMS, School of Pharmacy and Technology
Management 1

2. HOSPITAL
HOSPITAL is an organization which provides a special facility and working for care of patient
through the physicians, surgeons, and team of technical staff. It also provides facilities for
diagnosis, therapy, prevention, education and research.
FUNCTIONS OF A MODERN HOSPITAL
1. To take a care of sick and injured patients.
2. To promote good services to patient for getting relief from disease and pains.
3. To lower the incidences of disease through early detection and treatment.
4. To make trained and skilled physicians and nurses.
5. To promote research in medical, pharmaceutical and other related fields.
6. To take care of patient by using advanced knowledge and instruments.
7. To contribute in prevention of spreading of disease in the community.
8. To run the programs like public education and vaccination.
9. To serves as a link between community and official health agencies to improve
community health.
10. To provide facility for continuing education of all the persons.
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3. CLASSIFICATION OF HOSPITAL
On Clinical Basis On the Basis of size On the basis of system
of medicine
On the basis of cost
Clinical Basis Non-Clinical Basis
1. Type of Disease
• TB hospital
• Mental hospital
• Leprosy hospital
• Cancer hospital
3. Type of Organ
• General hospital
• Eye hospital
• Orthopedic hospital
• Kidney hospital
2. Type of Patient
• Gynecological
hospital
• Maternity hospital
• Pediatric hospital
Government
• Army hospital
• Navy hospital
• City hospital
• Civil hospital
Non- Government
• Private hospital for
profit
• Non- Profit
• Church hospital
• Charitable hospital
• Large Hospital (Bed 1000 and above)
• Medium hospital (500-1000)
• Small hospital (100-500)
• Very small (Less then 100)
Elite
Hospital
Budget
Hospital
• Allopathic Hospital
• Ayurvedic hospital
• Homeopathic Hospital
• Unani
• Physiotherapy center
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4. ORGANIZATION OF HOSPITAL
The organization and management of a hospital differs based on the type of hospital and on the
ownership and control of hospital.
In case of smaller hospital there are fewer administrative positions of associate or assistant directors
whereas in large hospitals, the general areas of clinical and administrative services may be further
subdivided in units. A representative organizational chart of a hospital is shown as:
Hospital organization
Governing Body
Hospital Administrative
Executive committee
Other committee
Sub committee
Head of Non clinical department
Head of Clinical Department
• Nursing
• Pharmacy
• Laundry
• Maintenance
• Gynecological
• Surgery
• Pediatrics
• Orthopedics
Assistant Head
Supporting staff
Assistant Head
Supporting staff
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5. • The governing body members are having experience, knowledge, and qualification from several
fields.
• For smooth functioning of the hospital, governing body appoints the qualified and experienced
person as the head of particular institution of the hospital.
• Head of the hospital is called hospital administrator/director/dean of the hospital. He is an
experienced and qualified person from clinical field. Mainly he/she should be having a master
degree from the medical field and a minimum of 6 to 10 years experience.
• The heads of all departments are the assistants of the administrator.
• The departments are classified as clinical and non-clinical departments. Clinical departments:
Gynecological, pediatric, ophthalmic, surgery department. Non-clinical departments: Pharmacy,
nursing, laundry, radiology, maintenance, etc.
• For the nursing department, the staff pattern is large. The head of the nursing department is
assisted by concerned assistant heads or nursing head. Generally, one nurse should be made
available for a maximum of 3 patients only. Therefore, on the basis of bed capacity of department,
staff pattern of the nursing department, pharmacy department is to be decided.
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6. Management is today a process of planning, organizing, staffing, and controlling any
organization. Hospital is a very complex organization.
The emphasis should be given to material management, Financial management,
human resource management, marketing management, and computer application are
the other aspects.
Objectives of Material Management
1. To develop a system of supplies whereby there will be adequate stock of items
required.
2. It should not be too much in quantity to avoid wastage. It should be stored in a
manner that an item can be easily traceable or obtainable and distributed easily
according to the use.
3. To ensure that the drugs for stores should be purchased at the most economical
price.
MANAGEMENT OF A HOSPITAL
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7. • Store Management
It is the function of receiving, storing, and issuing materials. Hospital materials require huge
investment. It is, therefore, necessary to ensure accuracy, preservation, and safety of
materials at all stages of store management. Basic essentials of purchase management are the
right quality, the right price, the right quantity, and the right delivery.
• Functions of Stores
A store branch is generally responsible for the following functions:
I. Receipt of stores: To receive, check and inspect all the supplies.
II. Storage: To store all the materials properly to avoid damage and pilferage.
III.Issue of materials: To issue materials against their requisitions.
IV.Documentation: To maintain accurate records of materials received, issued, and stored.
• Objectives of Stock Control Management
I. To reduce the investment in inventories that are not required.
II. To minimize the wastage of time by avoiding "out of stock“ situation.
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8. Management and Health delivery system in India
Health delivery system in India is managed by government agencies and private agencies. In central or
state government run hospital, the controlling is under health ministry headed by central or state
minister.
At district level, there is a chief medical officer (CMO), assistant district medical officer (AMO), primary
health center officer (PHC), in charge medical officer.
At hospital level itself, a dean or director or medical officer is the controlling authority.
Union Ministry of Health Welfare
Union Ministry of Health Welfare
Ministry of state for health
Secretary
• Medical care
• Public health
• General administration
Deputy Secretary
Two directors general
of health services
Joint Secretary
Secretary
Commissioner
Two deputy Commissioner
Deputy Secretary
Regional directors
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9. HEALTH DELIVERY SYSTEM AT STATE LEVEL
Health Minister
Deputy Minister
Health secretary in charge
Deputy secretary
Director of health services
Deputy director of health services
Eight assistant director of health services
1. Medical education
2. Nursing
3. Mother/ child health
4. Family welfare
5. Nutrition
6. School health
7. Primary health centers
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