HOSPITAL ADMINISTRATION

1. HOSPITAL ADMINISTRATION
PREETHA P

2. HISTORY
 An individual afflicted by a wound or disease was condemned to suffer and
fend for himself – the healthy never assisted or looked after the afflicted; an
afflicted person considered ‘a spent-force’ no longer useful to society.
 Belief – illness was caused either by evil spirits or was a punishment for
one’s misdeeds
 As civilization advanced from Individual – family – tribe – organized
community, society acknowledged common responsibility towards the sick.
 The middle of nineteenth century saw the arrival of Florence Nightingale to
revolutionize nursing by supplementing good intentions and humane concern
with scientific approach to nursing through training.

3. HISTORY
 Hospital is a phenomenon of the twentieth
century.
 The first hospitals - the Spanish in Mexico City
(1524)and the French in Canada

4. INTRODUCTION
 ‘hospital’ derived from Latin word hospitalis
which comes from hospes, meaning a host.
 Hospital comes from French word hospitale
(like hostel & hotel) – an establishment for
temporary occupation by the sick and the
injured

5. HOSPITAL
 A hospital is an integral part of a 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
center for the training of health workers and bio-social
research.
- WHO

6. HOSPITAL ADMINISTRATION – THE
CONCEPT
Any institution, which has to achieve a goal
 Has to deliver services within a time
 Using certain infrastructure resources
 Through people
 Specific quality
 At minimal cost
needs administration or management.

7. TRAINING
MEDICAL
RESEARCH
HEALTH
EDUCATION
PATIENT CARE
AIM OF HOSPITAL
ADMINISTRATION
AIM

8. OBJECTIVES
Optimum health services
Protect human rights of individual
Training for professionals
In service/continuing education
Participate/conduct research

9. How to achieve optimum health care
services?
TEAM APPROCH
CONTENT OF SERVICES
COORDINATION
CONTINUITY OF CARE
INTEGRATION
EVALUATION AND RESEARCH

10. HOSPITAL AS A SYSTEM
Process
( Transformation)Input Output
Feedback

11. INPUT
People
A. Staff
• Physician
• Nurses
• Paramedics
• Supportive
B. Patient, their
attendants and
relatives
Material
• Drug and chemicals
• Equipment
• Diet
Money
• To maintain staff,
Facilities and procure
materials
PROCESS- TRANSFORMATION
Communication : Between
•Physicians and patients
•Physicians and nurses
•Physicians/nurses and paramedical staff
•Physicians and administrator
•Administrator and community
•Administrator and nursing/paramedical staff
•Nursing/paramedical staff and patients
Decision making: For
•Cure: Diagnosis, treatment
•Care: Comforts of patients diet
•Procurement of materials in right place at the
right time.
Action
•Putting decisions into practice
Output:
Efficient
Patient care

12. FUCTIONS
PATIENT
CARE
DIAGNOSIS
&
TREATMENT
OF DISEASE
OUT PATIENT
SERVICES
MEDICAL
EDUCATION
AND
SERVICES
MEDICAL &
NURSING
RESEARCH
PREVENTIO
N OF
DISEASE
AND
PROMOTION
OF HEALTH

13. ORGANISATION CHART OF HOSPITAL
BOAR
D

14. SERVICES
INTRAMURAL
EXTRAMURAL

15. INTRAMURAL
PARAMEDI
CAL
/DIAGNOS
TIC
SERVICE
Support
Service
Informatio
n services
INTEGRATE
D /
REHABILITA
TIVE
SERVICES
TEACHING
&
EDUCATION
INSTITUTE
Nursing
Laboratory
services
Blood Bank
Radiology
Radiotherapy
CSSD
Biomedical
Dietary
House-
keeping
Maintenance
Transport
Security
Marketing
HIS
Training
Physiotherapy
Speech Therapy
Aroma Therapy
Panic Healing
Music Therapy
Yoga
Ayurveda
Homoeopathy
EMERGENCY
SERVICES

16. EXTRAMURAL SERVICES OF THE
HOSPITALS
• Outpatient services
• Homecare services
• Outreach services
• Mobile clinics
• Day care center
• Night hospitals
• Medical care camps

17. CLASSIFICATION OF
HOSPITALS

18. LEVELS OF CARE

19. ACCORDING TO NUMBER OF
BEDS
 Teaching Hospitals:- 500 beds
 District Hospitals:- 200 beds
 Taluk Hospitals:- 50 beds
 PHCs:- 6 beds

20. ACCORDING TO SYSTEM OF
MEDICINE
 Allopathic hospitals
 Ayurvedic hospitals
 Homeopathic hospitals
 Unani hospitals
 Hospitals of other systems of medicine

21. DIRECTORY OF HOSPITALS IN
INDIA-1988
TYPES OF MANAGEMENT
1. Central Government/Govt. of India
Railways
Defense
Mining
ESI

22. DIRECTORY OF HOSPITALS IN
INDIA-1988
State Government
State/UT government authorities and
public sector undertakings
Includes Police Jail

23. DIRECTORY OF HOSPITALS IN
INDIA-1988
 LOCAL BODIES
All hospitals administered by the local bodies
the municipal corporation, zila parishad, panchayat
 PRIVATE
All private hospitals owned by an individual or a private
organization

24. DIRECTORY OF HOSPITALS IN INDIA-1988
AUTONOMOUS BODY
All hospitals established under a special Act of
Parliament/state legislation and funded by the
central/state/UT government
AIIMS PGI NIMHANS

25. DIRECTORY OF HOSPITALS IN
INDIA-1988
 VOLUNTARY ORGANIZATION
All hospitals operated by a voluntary body/a
trust/charitable society registered by the
appropriate authority under central/state
government laws
MISSIONARY HOSPITALS CO OPERATIVE
HOSPITALS

26. DIRECTORY OF HOSPITALS
IN INDIA-1988
 CORPORATE BODY
Hospital run by a public limited company. Its
shares can be purchased by the public and
dividend distributed among its shareholders

27. LEGAL AND ETHICAL ASPECTS IN
HEALTH CARE

29. LEGAL ASPECTS
 Medico legal cases
 Admission and discharge of mentally ill patients
 Discharge in special conditions
LAMA
PAROLE
ABSCONDING
 Legal implications for selected cases
EXAMINATION OF FEMALE PATIENT
ADMINISTRATION OF MEDICATION
STERILIZATION AND ABORTION
EUTHANASIA

30. Counting
of sponge
instrument
and
needles
Contracts
&
Documentati
on
consent for
operation and
other
procedures
Good
Samaritan
laws
Licensure
Good
rapport
Standards
of care
standing
orders
SAFE GUARDING
THE NURSE
correct identity

31. HOSPITAL ADMINISTRATION AND ITS
PROBLEMS

32. HOSPITAL ADMINISTRATION AND ITS
PROBLEMS

34. POST TEST

35. 1. What are the aims of Hospital administration ?
Ans. Patient Care
Health Education
Medical Research
Training

36. Q2. Name some intramural services of hospital?
Ans. Emergency services
Diagnostic services
Support bservices
Information services
Rehabilitative services
Teaching and education services

37. Q3. Enlist the extramural services of the hospital?
Ans. Out Patient Services
Homecare Services
Outreach Services
Mobile Clinics
Day Care Centre
Medical Care Camps

38. Q4. Enlist the challenging factors of hospital administration?
Ans. Fixed Organizational Structure
Quality Management
Modern Information Technology
Manpower Management Consumer
Protection Forum

39. ---Thank you.