Discussed in Brief Hospital,Classification of Hospital ,Functions of Hospital,Organization and Management ,Health Delivery system

1. HOSPITAL
Dr.Sowmya spoorthi.M
ASSISTANT PROFESSOR
KLE COLLEGE OF PHARMACY
BELAGAVI

2. Dr.SowmyaSpoorthi
Part-I: Hospital Pharmacy
Hospital
 Definition,
 Function,
 Classifications based on various criteria,
 Organization,
 Management
 Health delivery system in India.

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DEFINITION
Hospital is defined as an institution that
provides community health , where
diagnosis therapy , rehabilitation, training
and social services are provided.

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FUNCTIONS OF MODERN
HOSPITAL
 PATIENT CARE
 IMMUNISATION
 COUNSELLING AND PATIENT ADVICE
 CO-ORDINATION
 REHABILITATION
 RESEARCH
 EDUCATIONAL TRAINING
 WORKSHOPAND SEMINAR

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CONCEPT OF DISTRICT
HOSPITAL
 CLINICAL SERVICE
 CLINICAL SUPPORT
 NON-CLINICAL SUPPORT
 ADMINISTRATIVE SERVICES

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CLASSIFICATION
OF HOSPITALS
CLINICAL – ORIENTED
1. ON the basis of Medicine used to cure the disease
 Allopathic Hospital
 Ayurveda hospital
 Siddha and Unani Hospitals
 Homeopathic Hospitals
 Physiotherapy Centres

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2. On the basis of Anatomy and Physiology
 ENT Hospitals
 Cardiac Centres
 Eye Hospitals
 Kidney Hospitals
 Orthopaedic Hospitals
 Neurological Hospitals

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3. On the basis of type of patients
 General Hospitals
 Gynaecology and Maternity Hospitals
 Paediatric Hospitals
 Accident Hospitals
 Psychiatric Hospitals
 Rehabilitation centres( for drug addicts)

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4. On the basis of disease
 Cancer Hospitals
 T.B Hospitals
 Leprosy Hospitals
 Diabetes Hospitals

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On The Basis of Objectives
 General Hospitals
Example :- PHC’S Municipality
 Special Hospitals
Example :- Cancer , T.B ,Dental
 Teaching and Research Hospitals
Example:- AIIMS –New Delhi

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Non-Clinical Oriented Hospitals
 OWNERSHIP BASIS
 Controlled by the Central Government
 Military Hospitals
 Railway Hospitals
 All India Institute of Medical Sciences ,New Delhi
 JIPMER Hospital, Pondicherry.

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Controlled by State Government
 J.J Hospital –Mumbai
 Sassoon Hospital –PUNE
 Ghati Hospital –Aurangabad
 ESI Hospital –Mumbai
 Victoria Hospital – Bengaluru
 Stanley Hospital – Chennai
 Civil Hospital -Jalgon

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Controlled by
Corporation/Municipality
 BMC Hospital - Mumbai
 KEM Hospital- Mumbai
 Cooper Hospital – Mumbai
 Bhagwati Hospital- Ahmedabad

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Private Trust Hospitals
 Bombay Hospital – Marine lines ,Mumbai
 Jaslok Hospital – Mumbai
 Rajasthan Hospital- Ahmedabad
 Jindal Hospital - Bengaluru

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Run by Religious Bodies
 Hindu Mission Hospital – Chennai
 Al-Ameen Hospital – Bengaluru
 Christian Medical College Hospital – Vellore
 Minakshi Mission Hospital - Madurai

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Public Limited Company Hospitals
 Apollo Hospital –Chennai
 Medinovo Hospital –Gujarat
 HMT Hospital- Hyderabad

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Private Clinics/nursing homes
 Such clinics are owned by an individual doctor or a group of doctors in towns or
big cities and serve for 24hrs.

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On the Basis of cost
 Costly hospitals
Ex – Breach Candy Hospital
Jaslok Hospital
 Low budget hspitals
Ex – Civil and corporation hospitals
 Free/Conventional cost hospitals
Ex – Manilal Kantilal Hospital, Ahmedabad.

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On the basis of Bed size
 Large hositals - The bed size is more than 1000
Ex- J.J and K.E.M Hospitals
 Medium Hospitals -The Bed size is the range of 500- 100
Ex- Jaslok and Bombay Hospital
 Small Hospital -The Bed size lies in the range of 500-100
Ex- Breach Candy Hospital
 Very Small Hospital -The Bed size I less than 100
Ex – Municipal Hospitals and Private Clinics.

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Hospitals attached to medical Colleges
Ex- Bharti Vidyapeeth’s Medical College
Pravra Medical College

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HOSPITAL
ORGANISATION

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23. Dr.SowmyaSpoorthi The Organisational Structure of a medical centre
teaching hospital is shown in the chart below

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Governing Body and Management
 Joint Commission on Accreditation on Hospitals(JCAH)
1. To establish the standards of the hospital
2. To conduct surveys and accreditation programmes for following purposes:
 To promote high Quality care in all aspects
 To apply certain basic principles of physical plant safety and maintenance.
 To maintain the essential services through the coordination effort of the staff.
3.To recognise compliance of standards by issuing certificates of accreditation.
4.To conduct educational and research programme and publish the results thereof

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Functions of the Governing Body
 To select competent personnel including medical staff
 To control the hospital funds and
 To supervise the physical plant

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The governing body in consultation with the
chief administrative officer must establish
 The working hours,conditions,salary ,schedules ,proper check on personnel.
 Schedules of room rates and other charges for hospital inpatients amd ambulatory
care.
 Methods for obtaining grands to supplement income from paying patients and
help to balance the hospital budget
 Methods of investing funds such that the interest can be used for hospital
operations
 The need for additional construction or replacement of the physical plant of
hospital.

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Departments

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Medical Staff of the Hospital
 Honorary staff
 Consulting staff
 Active staff
 Associate staff
 Courtesy staff
 Resident staff

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The Supporting Services
 Anaesthesia Service
 Blood Bank
 Central Sterile Supply
 Dietary Services
 Nursing Services
 Medical Records Services
 Pathology Services
 Radiology

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Hospital Management
 Directing
1. On-duty and work Schedules
2. Job Introduction
3. Training
4. Supervision
 Controlling

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Health Delivery System in
India

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33. Dr.SowmyaSpoorthi
Organization Structure of Health Delivery System
at State Level

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