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WELCOME
INTRODUCTION
Capt Shaharul
Hospital Administration Role
To Uplift
Quality Patient Care
AIM
To discuss the
Administration of a
ideal Hospital & its
role to provide
Quality Patient
Care
SCOPE
 Hospital & Its Organization
 Hospital Administration
 Elements of Hospital Administration
 Quality Patient Care
 Management
 Policy & Consideration
 Administrative Responsibility
HOSPITAL
 Hospital is a place for the diagnosis and
treatment of human ills and restoration of
health and well-beings of those temporarily
deprived of these.

Hospital is a combination of many processes. To
the community it is a place to receive medical care
to the physician it is a place to treat patients
to the employees it is a place to work
and to the hospital manager it is a multifaceted
organization.
ORGANIZATION
 A hospital is a multifaceted organization comprising
many committees, departments, types of personnel,
and services.
 It requires highly trained employees, efficient systems
and controls, necessary supplies, adequate equipment
and facilities, and of course, physicians and patients.
HOSPITAL ADMINISTRATION
Sound administration is essential for the success of any public
health program whether on the national, intermediate or the local
level.
SOUND ADMINISTRATION
“ The process of achieving defined goals at a
defined time through the guidance, leadership,
and control of the efforts of a group of
individuals and the efficient utilization of non-
human resources bearing in mind adequacy,
speed, and economy to the utmost possible
level.”
Another definition
“Administration is the art and science of guidance,
leadership, and control of the efforts of a group of
individuals towards some common goal.”
-A common goal to “Quality Patient Care”
QUALITY PATIENT CARE
 The degree to which health services for individuals and
populations increase the likelihood of desired health
outcomes and are consistent with current professional
knowledge.”
Some of the issues that need to be addressed to
improve patient care are listed below.
 Access. Accessibility and availability of
both the hospital and the physician
 Waiting. Waiting times for all services
should be minimized
 Information. Patient information and
instruction about all procedures, both
medical and administrative, should be
made very clear
CONT..
 Administration. Check-in and check-out
procedures should be ‘patient friendly’
 Communication. Communicating with the
patient and the family about possible delays is
a factor that can avoid a lot of frustration and
anxiety.
 Ancillary Services. Other services such as
communication, food, etc. should be accessible
both to patients and to attending families
LEVELS OF
ADMINISTRATION
Central
level
Intermediate
level
Local Level
Ministry of Health
Directorates of Health
e.g. Health office,
Hospital, Health
care unit
 Planning
 Organization
 Staffing
 Directing
 Coordinating
Reporting
Budgeting
Supervising
Evaluation
ADMINISTRATIVE ELEMENTS
CONT..
 Planning needs knowledge, experience, foresight,
reasoning and the mastering of special skills and
techniques. Its must be :
 The Organizational process is classified into:
 Structural organization
 Functional organization
-Futuristic
-Decision Making Process
-Dynamic
-Flexible
& there must be a good co-ordination.
CONT..
 Staffing is the process of “personalizing” the
organization, by hiring the right type and adequate
number of workers to each unit for the time required
through the following steps:
• Budgeting is the financial administration. About 60
percent of total budget is spent in wages &
salaries of the staff in a hospital.
CONT..
To ensure adequate care & treatment there must be:
 Regular Auditing
 Purchasing of modern equipments and maitainance
 Supervision of both work & workers by the Executive
 Evaluation of activities, characteristics, outcome of the
health care process to improve effectiveness & make
decision for efficient planning.
ADMINISTRATION STRUCTURE
CEO
THE MEDICAL STAFF
 The physician is the
leader of the clinical
team and the major agent
working on behalf of the
patient.
 The physician's
responsibility is to
diagnose the patient's
condition accurately and
to prescribe the best and
most cost-effective
treatment plan
NURSING SERVICE
 Nurses are one of the few
blessings of being ill.
 Nursing services
employees are responsible
for carrying out the
treatment plan developed
by the physician.
 Nursing services, also
called patient care
services, is the largest
component of the hospital.
ALLIED HEALTH SERVICES
 The clinical laboratory is a
diagnostic center that performs
a variety of functions, including
autopsy, clinical cytology,
and clinical pathology.
 Also medical technologists,
radiology department and
rehabilitation services.
CLINICAL SUPPORT
SERVICE
 The hospital pharmacy
purchases and
dispenses all the
medications used to treat
patients in the hospital.
 The pharmacist works
directly with the medical
staff in establishing a
formulary, the listing of
drugs chosen to be
included in the pharmacy
LINE SERVICE
 Emergency services
Diagnosis & treatment of
illness of an urgent nature
& injuries from accidents
 Out-Patient services
Provision of diagnostic,
curative, preventive and
rehabilitative services
 In-patient services (Wards)
CONT..
 Intensive care unit
Those who need Acute,
multidisciplinary and
intensive observation and
treatment
 Operation theatres
Should have a pre-
anaesthesia room and
sterilization room and a
scrub room for doctors
and nurses
Physical
Facilities Axillary Area
Clinical Area
(Ambulatory
Zone)
Administrative
Area
Public Area
(Entrance
Zone)
Ancillary
Area
Circulation
Area
 Management is the operational part of administration.
 “Hospital Management is a continuing and dynamic
application of managerial functions for providing
comprehensive health care to the community ”
CONT..
 In countries with
large population
to ensure the most
cost-effective
means of improving
delivery of service
hospital
management
system should be
up to date and
managers are
functioning
efficiently &
effective.
POLICY AND GUIDELINES
 Healthcare managers of all levels and specializations are
critical to guarantee a hospital functions in a competitive,
effective, profitable and satisfactory manner.
CONT..
 Modern well
equipped
technology and
methods
 Obtain total
patient
satisfaction
 Sustained and
continuity of
high standard
patient care
CONT..
 Highly motivated
and trained, skilled
hospital staff
 Manual of
procedures for
hospital staff
CONT..
 Periodic training
and review system
 Morning and
afternoon clinics
 Modern System of
appointment. e.g. e-
hospital management
• Proper singe system
ADMINISTRATIVE
RESPONSIBILITIES
 Procedure manual of patient care at various areas of
health care
 Advisory responsibility, planning and budgeting
CONT..
 Nursing training and research in services
 Recruitment, promotion and development of nursing staff
CONT..
 Staff meetings, monitoring & evaluation of service
 Maintenance of discipline, reward and punishment
CONT..
 Welfare measures, residential accommodation, health
promotion, recreation and other utility service like canteen,
pharmacy, bank etc
Regardless of the position or the tasks
involved, the role of the hospital
administration is vital to the growth and
success of a hospital to provide a quality
health care.
Hospital administration role in quality patient care
Hospital administration role in quality patient care

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Hospital administration role in quality patient care

  • 2. INTRODUCTION Capt Shaharul Hospital Administration Role To Uplift Quality Patient Care
  • 3. AIM To discuss the Administration of a ideal Hospital & its role to provide Quality Patient Care
  • 4. SCOPE  Hospital & Its Organization  Hospital Administration  Elements of Hospital Administration  Quality Patient Care  Management  Policy & Consideration  Administrative Responsibility
  • 5. HOSPITAL  Hospital is a place for the diagnosis and treatment of human ills and restoration of health and well-beings of those temporarily deprived of these. 
  • 6. Hospital is a combination of many processes. To the community it is a place to receive medical care to the physician it is a place to treat patients to the employees it is a place to work and to the hospital manager it is a multifaceted organization.
  • 7. ORGANIZATION  A hospital is a multifaceted organization comprising many committees, departments, types of personnel, and services.  It requires highly trained employees, efficient systems and controls, necessary supplies, adequate equipment and facilities, and of course, physicians and patients.
  • 8. HOSPITAL ADMINISTRATION Sound administration is essential for the success of any public health program whether on the national, intermediate or the local level.
  • 9. SOUND ADMINISTRATION “ The process of achieving defined goals at a defined time through the guidance, leadership, and control of the efforts of a group of individuals and the efficient utilization of non- human resources bearing in mind adequacy, speed, and economy to the utmost possible level.”
  • 10. Another definition “Administration is the art and science of guidance, leadership, and control of the efforts of a group of individuals towards some common goal.” -A common goal to “Quality Patient Care”
  • 11. QUALITY PATIENT CARE  The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.”
  • 12. Some of the issues that need to be addressed to improve patient care are listed below.  Access. Accessibility and availability of both the hospital and the physician  Waiting. Waiting times for all services should be minimized  Information. Patient information and instruction about all procedures, both medical and administrative, should be made very clear
  • 13. CONT..  Administration. Check-in and check-out procedures should be ‘patient friendly’  Communication. Communicating with the patient and the family about possible delays is a factor that can avoid a lot of frustration and anxiety.  Ancillary Services. Other services such as communication, food, etc. should be accessible both to patients and to attending families
  • 14. LEVELS OF ADMINISTRATION Central level Intermediate level Local Level Ministry of Health Directorates of Health e.g. Health office, Hospital, Health care unit
  • 15.  Planning  Organization  Staffing  Directing  Coordinating Reporting Budgeting Supervising Evaluation ADMINISTRATIVE ELEMENTS
  • 16. CONT..  Planning needs knowledge, experience, foresight, reasoning and the mastering of special skills and techniques. Its must be :  The Organizational process is classified into:  Structural organization  Functional organization -Futuristic -Decision Making Process -Dynamic -Flexible & there must be a good co-ordination.
  • 17. CONT..  Staffing is the process of “personalizing” the organization, by hiring the right type and adequate number of workers to each unit for the time required through the following steps: • Budgeting is the financial administration. About 60 percent of total budget is spent in wages & salaries of the staff in a hospital.
  • 18. CONT.. To ensure adequate care & treatment there must be:  Regular Auditing  Purchasing of modern equipments and maitainance  Supervision of both work & workers by the Executive  Evaluation of activities, characteristics, outcome of the health care process to improve effectiveness & make decision for efficient planning.
  • 20. THE MEDICAL STAFF  The physician is the leader of the clinical team and the major agent working on behalf of the patient.  The physician's responsibility is to diagnose the patient's condition accurately and to prescribe the best and most cost-effective treatment plan
  • 21. NURSING SERVICE  Nurses are one of the few blessings of being ill.  Nursing services employees are responsible for carrying out the treatment plan developed by the physician.  Nursing services, also called patient care services, is the largest component of the hospital.
  • 22. ALLIED HEALTH SERVICES  The clinical laboratory is a diagnostic center that performs a variety of functions, including autopsy, clinical cytology, and clinical pathology.  Also medical technologists, radiology department and rehabilitation services.
  • 23. CLINICAL SUPPORT SERVICE  The hospital pharmacy purchases and dispenses all the medications used to treat patients in the hospital.  The pharmacist works directly with the medical staff in establishing a formulary, the listing of drugs chosen to be included in the pharmacy
  • 24. LINE SERVICE  Emergency services Diagnosis & treatment of illness of an urgent nature & injuries from accidents  Out-Patient services Provision of diagnostic, curative, preventive and rehabilitative services  In-patient services (Wards)
  • 25. CONT..  Intensive care unit Those who need Acute, multidisciplinary and intensive observation and treatment  Operation theatres Should have a pre- anaesthesia room and sterilization room and a scrub room for doctors and nurses
  • 26. Physical Facilities Axillary Area Clinical Area (Ambulatory Zone) Administrative Area Public Area (Entrance Zone) Ancillary Area Circulation Area
  • 27.  Management is the operational part of administration.  “Hospital Management is a continuing and dynamic application of managerial functions for providing comprehensive health care to the community ”
  • 28. CONT..  In countries with large population to ensure the most cost-effective means of improving delivery of service hospital management system should be up to date and managers are functioning efficiently & effective.
  • 29.
  • 30. POLICY AND GUIDELINES  Healthcare managers of all levels and specializations are critical to guarantee a hospital functions in a competitive, effective, profitable and satisfactory manner.
  • 31. CONT..  Modern well equipped technology and methods  Obtain total patient satisfaction  Sustained and continuity of high standard patient care
  • 32. CONT..  Highly motivated and trained, skilled hospital staff  Manual of procedures for hospital staff
  • 33. CONT..  Periodic training and review system  Morning and afternoon clinics
  • 34.  Modern System of appointment. e.g. e- hospital management • Proper singe system
  • 35. ADMINISTRATIVE RESPONSIBILITIES  Procedure manual of patient care at various areas of health care  Advisory responsibility, planning and budgeting
  • 36. CONT..  Nursing training and research in services  Recruitment, promotion and development of nursing staff
  • 37. CONT..  Staff meetings, monitoring & evaluation of service  Maintenance of discipline, reward and punishment
  • 38. CONT..  Welfare measures, residential accommodation, health promotion, recreation and other utility service like canteen, pharmacy, bank etc
  • 39. Regardless of the position or the tasks involved, the role of the hospital administration is vital to the growth and success of a hospital to provide a quality health care.