Definition, Function, Classification, Organization of Hospital

1. HOSPITALS AND ITS ORGANIZATION
Dr. Subhash R. Yende
Asst. Professor,
Gurunanak College of Pharmacy, Nagpur
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2. Definition
 An institution of community health
 The hospital is an integral part of the social and medical
organization, the function of which is to provide for the
population complete health care, both curative and
preventive, and whose outpatient services reach out to
the family and its home environment.
 The hospital is also a centre for training of health workers
and for biosocial research
 The hospital is a complex organization and an institute
which provides health to peoples through complicated but
specialized scientific equipment and a team of trained
staff educated in the problems of modern medical
science.
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3.  Raises the quality of care and general standard of
medical practices
 Contribute to preventive and social medicine
 Lowers the incidences of disease
 Stimulate growth of medical science
 prevention, diagnosis, therapy
 rehabilitation,
 education and research
 Goal of hospitals
Functions of Hospitals
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4.  According to level of care
 Primary care Hospital Eg.PHC and RH
 Secondary care Hospital Eg. Dist Hospital
 Tertiary care Hospital Eg. Medical College Hospital
 According to Directory of Hospital
 General Hospital
 Rural Hospital
 Specialty Hospital
 Teaching and Research Hospital
 Isolation Hospital
Classification of Hospitals
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5.  Clinical based classification
 Base on major disease
TB hospital Mental hospital
Leprosy hospital Cancer hospital
 Based on service
ENT; Eyes; Kidney; Orthopedic;
Pediatric; Gynecological; Maternity
 Based on System of Medicine
Allopathic Ayurvedic Homeopathic
Unani Physiotherapy Naturopathy
Classification of Hospitals…………….
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6.  Non-Clinical based classification
 Based on ownership
Government or Public Hospital
Central Govt. (Railway, Defence, AIIMS hospital)
State Govt. (Civil hospital, JJ Mumbai, Sassoon Pune)
Local self Govt. (BMC, NMC hospital)
Non Government or Private Hospital
Run by Trust/ religious board/ limited company
 Based on size of hospital
 Large Hospital (beds 1000 or more)
 Medium Hospital (beds 500-1000)
 Small Hospital (beds 100-500)
Classification of Hospitals…………….
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7.  A successful hospital is based on
 Good community oriented planning,
 Good design and construction
 Good administration
 Organization is a process of achieving the objective by
grouping people in order to get the work done
 To achieve aim, organization should based on following
principle-
# Team approach # Spectrum of service
# Authority responsibility # Talent search
# Evaluation and research # Budgeting & Finance
# Governing body
Organization Structure of a Hospital
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8. Governing body
(Trustee/Board of
directors)
Administrator/
Director
Head
Clinical services/ Pharmacy/
Nursing/ House keeping/ finance/
Maintenance
Organization ………
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9. Governing Body
 Named as board of trustees, board of governance, board
of directors, commissioners etc
 Assumes complete authority over and responsibility for,
the conduct of hospital staff
 Responsible directly or indirectly to the community or the
beneficiary it serves.
 Delegates daily operations of the hospitals to an
administrator through committees such as, Executive
committee, Joint conference committee, professional
committee, finance and other committee.
 Formation of policy for hospital
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Organization ………

10. Administrator
 Selected by board and member of all committees
 Execution of policy form by GB
 Link between board and clinical services, employees
 Involve in formation of administrative policies, modify internal
organization of hospital as per current condition.
 Ensure the smooth running of outpatients department
 In charge of admission and discharge of all patients
 Overseas the training of interns student, nurse, auxiliary
workers
 Should provide clinical services (facilities, equipments,
assistance) to patients
 Should provide healthy work environment to employees
 Prepare budget and approve it from GB
 Responsible for overall development of Institution
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Organization ………

11. Head – Clinical services or Chief of staff
 High clinical standard is a goal of any hospital
 Success of hospital is depend on its clinical staff or
medical staff, consist of physician or dentist
 Appointed by GB/ elected by staff as chief of staff and
member of executive committee
 Work closely with administrator and other department
head
 Have full control over clinical staff
 Responsible for smooth functioning of clinical services
 Supervise the clinical work done
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Organization ………

12. Departmental Head (Pharmacy/ Nursing/office
administration/ House keeping/ Maintenance)
 Designated in consultation with medical staff
 Responsible for overall running of dept and quality of
services offered
 Member of executive committee and departmental
committee
 Responsible for report of dept to medical staff,
administrator and GB
 Responsible for teaching and educational program in
dept
 Responsible for professional care of patient
 Recommend required qualification of other staff
member of dept.
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Organization ………

13. Medical staff
 Medical staff of a hospital is an organized body of
physician and dentist
 The chief of medical staff is elected representative of
medical staff or nominated by GB
 Medical staff serve patients through clinical services,
which includes
 General medical services,
 Surgical,
 Maternity,
 Pathology and clinical laboratory,
 Radiological,
 Dental services
 Medical records maintenance
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14. Functions of Medical staff
o To advise the GB on medical affairs
o To request, review and act upon reports of medical
staff committees
o To develop, implement and review medical staff
policy
o To provide quality healthcare to patients
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15. Reference
 Merchant S.H. and Dr. J.S.Quadry. A textbook of
hospital pharmacy, 4th ed. Ahmadabad: B.S. Shah
Prakakshan; 2001.
 Paradkar A.R. and Chunawala S.A. Hospital and
clinical pharmacy, Nirali Prakashan
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