This document provides a summary of key information about hospitals, including their definition, functions, classifications, organization, and the health delivery system in India. It defines a hospital as an organization that takes care of people's health and treats diseases using equipment and trained professionals. Hospitals function to treat patients, prevent diseases, train health professionals, conduct medical research, and support public health. They can be classified based on size, ownership, treatment approach, clinical focus, length of stay, and costs. The document also outlines the organizational structure of hospitals and their departments, as well as India's primary, secondary, and tertiary levels of health care delivery.

1. PART-I
HOSPITAL
1.HOSPITAL
PREPARED BY: Miss.Yannawar P.D.(M.Pharm)
DCOP, Latur

2. CONTENT:
■ Definition of hospital
■ Function of hospital
■ Classification of hospital
■ Organization
■ Health delivery system in India

3. Definition And Function
■ Hospital is organization of public health and an institution which take care of health and disease
of people with the help of sophisticated instrument and equipment, by a group of specially
trained persons
■ Following are function of hospitals
1. Treatment of patients and care of patient
2. Prevention of disease
3. Training of medical and health professional
4. Medical research
5. Public health

4. Classification
1. Size and capacity
2. Ownership
3. System of treatment/medicine
4. Clinical basis
5. Length of stay
6. Cost basis

5. 1.Size / capacity
■ Based on criteria of how many number of beds available to admit and treat patients.
Small hospital Medium H Large H.
Less than 20 beds Between 20 to 100 beds Above 100 beds
primary health center (PHC) Secondary care hospital Tertiary care hospital
1 to 2 general ward available Have few essential wards like
medical, surgical, pediatric
,maternity wards
Highly specialized hospitals with
almost all facilities
Run by private practitioner Open in small towns like taluka
head quarters
Open in district head quarter,
teaching H.
(medical college) ,big private and
corporate H.
Couple of doctor working here 5 to 10 doctors with 1 to 2 specialist More than 50 doctors and 300
paramedical professionals are
working in 3 shift

6. 2.Ownership
■ The group that own or operate the hospital are either government or non government.
A. Non governmental or private:
B. Governmental:
■ Operated by central/state government or political subdivision of government
Government
Central Govt. State G. Others
AIIMS Civil H. Military H.
CGHS Cottage H Corporation H
PHC
■ ( AIIMS: All India Institute of Medical Science and Hospital, delhi)
■ (CGHS: Central Government Health scheme H)

7. 3.System of treatment /medicine
On the basis of system of treatment or medicine
1. Ayurveda Hospital
2. Siddha H
3. Unani H
4. Homeopathy H
5. Allopathic H

8. 4.CLINICAL BASIS
■ Clinical service offered by hospital either specialized and general
■ Most of the government hospital have general hospital services such as surgical internal
medicine, orthopedic etc.
■ Specialized care include the medicine and surgery.

9. 5. Length of stay
Length of stay
Short term: (acute stay ) Long term :( chronic stay)
If patient stay is less then 30 days If patient stay is more than 30 days
6.Cost basis
1. Elite Hospitals:
■ These are symbol of high technology and advances in medical service
■ They have deluxe room equipped with T.V telephones and refrigerator
■ Room rate vary from 100 to 1200 per day
■ They have provision for some poor people for their treatment and stay
2. Budget Hospitals :
■ Have moderate budget and low budget person
■ Ex; Civil H. Charitable H.

10. • Hospital organisation
■ The organisation and management of hospital differ based on type of hospital.
■ The corporation and board of trusty segment of organisation is standard for all private hospitals.
■ Government have board of trustees but no corporate body.

11. • Following is organisational structure of medical centre
teaching hospital

12. • Departments in hospital
■ Hospital board and administrative staff establish a functional department.
■ The number and size of department in any hospital organisation vary with type and
size of hospital
■ The following chart shows hospital organisation and its administration and
professional services for patients.

13. 1. Governing body
■ Function of hospital is to provide different services and provide facilitates at low cost to patients.
■ Most hospitals in US need not just license but also require reorganisation from Joint Commission
on Accreditation on Hospitals (JACH) as an accredited hospital.
■ The purpose of JCAH Is,
1. To establish standard of hospitals
2. To promote high quality care system
3. For high safety and maintenance
4. To maintain essential service though the coordinated efforts of the staff .
5. To recognise compliance of standards by issuing certificate of accreditation.

14.  Functions of the governing body
o To select component personnel including medical staff
o To control hospital funds
■ GOVT along with Chief Administrative Officer must establish
 Working hours and conditions, salary, schedules.
 Schedules of room rate and various charges for inpatients and ambulance care
 Fund investment
 To check need for additional construction or replacement of physical plant

15. 2.Medical staff of the hospital
 Duties,
■ To provide professional care to sick patient
■ Participate in educational program in hospitals
■ Audit there own professional work
■ Advise govt body and administrator regarding medical policies
■ Medical staff consist of the following groups
Sr.no Medical staff
1 Honorary staff Physician active in hospital despite having retired.
2 Associate staff Juniors or less experienced physician
3 Consulting staff Specialists from various faculties they are from Specialists board
member
4 Courtesy staff Physian having privilege of attending their own patients
5 Active staff Most actively involved in hospitals
6 Resident staff Empty of hospitals residing in the campus

16. Other supporting services
1. Anaesthesia service
2. Blood bank
3. Central sterile supply
4. Dietary services
5. Nursing service
6. Medical record service
7. Pathology service
8. Radiology

17. • Hospital management
■ The management process of any business involve followings,
■ Planning
■ Organising
■ Staffing On Duty And Work Schedule
■ Directing Job Introduction
■ Controlling Training
■ Reviewing Supervision
■ Commutating
■ Coordinating
■ Decision making

18. • Health delivery system in India
o It is responsibility of government to provide health service to public.
o They have 2 types care system
1. Health care system
2. Medical care system
 Level of health care system
• Primary health care ; provided by primary heal
• Secondary health care ; district hospital
• Tertiary health care ; medical college district hospital

19. Following chart explains the organisation of health
delivery system

20. Organisational structure of health delivery system at state level

21. .
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