This document discusses the changing role of hospitals over time. Originally focused solely on curative care, hospitals now provide a broader range of services including preventive care, health promotion, rehabilitation, health education, training, research, and community outreach. The role of hospitals has expanded from solely focusing on inpatient care to also providing outpatient, ambulatory, and community-based services. Hospital administration has also evolved to balance internal management with external community relations and feedback between clinical and administrative departments. The changing healthcare landscape requires hospitals to effectively manage costs while continuing to meet diverse patient and community needs.

1. CHANGING ROLE OF HOSPITAL DR.N.C.DAS

4. The industry has reached a point of where it need to decide what services to be provided and how cost effectively.

7. CHANGING ROLE OF HOSPITAL HOSPITAL PRIMERY ROLE CHANGING ROLE Curative Services INTERNAL FUNCTION EXTERNAL FUNCTION Health education Attending Referrals Specialist Support Out Reach Services Curative Services 2.Preventive Care Disease prevention Disability prevention 3. Health Promotion 4. Rehabilitation

8. CHANGING ROLE OF HOSPITALS Modern hospitals has to strike a balance between internal and external functions By balancing between internal management and outside community in one side and developing feed back system between the clinical departments and administration. INTERNAL MANAGEMENT COMMUNITY RELATION FUNCTIONS HOSPITAL ROLE BALANCE HOSPITAL ADMINISTRATION CLINICAL DIVISIONS FEEDBACK

10. Polyclinic,

11. Health centre,

12. Walk-in clinic,

14. COMMUNICABLE DISEASES VECTOR BORN DISEASES MALARIA, DENGU, FILARIA KALAZAR, J. ENCEPHALITIS CHIKEN GUINEA TUBERCULOSIS PREVENTION LEPROSY HIV AND AIDS

15. NON-COMMUNICABLE DISEASES CARDIACDISEASE CANCER PREVENTION BLINDNESS DIABETES GOITORE

16. MATERNAL HEALTH ANC ANAEMIA PREVENTION IMMUNISATION STD AND HIV

17. CHILD HEALTH ANAEMIIA IMMUNISATION PROTECTION MAL NUTRITION DIARROHEA AND RTI

18. DISABILITY PREVENT DISABILITY DISABILITY LIMITATION ( PHISIO THERAPY) PRIMERY PREVENTION 1. REHABILITATION (PHYSICAL, MENTAL SOCIAL, OCCUPATIONAL) SECONDARYPREVENTION 2. TERTIARY PREVENTION 3.

19. HEALTH EDUCATION PERSONAL HYGINE ANDPROTECTION FAMILYWELFARE ENVIRONMENTALSANITATION HEALTHEDUCATION BALANCEDIET HANDWASHING HEALTHANDMENTAL COUNSELLING

20. HEALTH PROMOTIVE SERVICES WELL BABY CLINIC GROWTHMONITORING IMMUNISATION HEALTHPROMOTION OCCUPATIONALHEALTH HEALTHSCREENING MARRIAGE COUNSELLING DIET COUNSELLING ANTI-SMOKING MENTAL COUNSELLING

22. Preventive health care and Family planning

23. Education & training of health workers

24. Curative health care

25. Physical rehabilitation

26. Integrated hospital/community care Training

27. Administrative support

28. Research/surveys/studies

29. Health education

30. Referral system

33. ADMINISTRATIVE SET-UP DR. RML HOSPITAL MEDICAL SUPERINTENDENT ADDLMS(1) ADDLMS (4) ADDLMS (2) ADDLMS (3) DD(A) Nursing Services CPWD, BMW Laundry CMO (ACADEMICS) STATE MATTERS AO (1) AO (2) HA-II (SR/ JR/ INTERNS) MED. BOARD CMO I/C OS (HA-I) OS (TECH) HC (VIG) OS (GR-D) OS (NURSING) HC (RR)

34. D.D. (A) | _______________________________________________________________________ | | AO(1) AO(2) | | __________________________________ __________________________________ | | | | | | OS OS HC OS OS HC HA-I TECHNICAL RR (VIG.) NURSING E-II RR CELL ______ ____________ _______ _____________ ______ __________ CHS DRS. TECHNICAL STAFF VIGILANCE NURSING PERSONNEL GR’D’ STAFF RRs. FOR ALL MINISTRIAL STAFF MATTERS POSTS PARLIAMENT QUEST. TRAINING PROG. COMPLAINTS & GRIEV. CENTRAL DIARY & DISPATCH ALL OTHER ADMN & MISC. MATTERS NOT DEALT WITH BY OTHER ADMN. SECTIONS

36. SECONDARY-

37. Preventive care:

38. Health education

39. Referral system

41. Planning & Coordination

42. Surveillance

43. PHC Support

44. Marketing of health care.

45. Disease Prevention

46. Disability Prevention

47. Promotive care

48. Rehabilitative care

49. Teaching

50. Research