The document discusses the role of hospital administration in providing quality patient care, outlining key aspects of hospital organization and management including planning, staffing, directing, coordinating, reporting, budgeting, and supervision. Effective administration requires establishing policies, training staff, maintaining facilities and technology, and ensuring patient satisfaction through accessible, efficient services. The overall goal of hospital administration is to guide a multifaceted organization in delivering comprehensive healthcare through sound leadership and control.
As a hospital administrator has to carry out management functions of planning, organizing, staffing, directing, controlling and coordinating.
Health care management is usually studied through healthcare administration[6] or healthcare management[7] programs in a business school or, in some institutions, in a school of public health
As a hospital administrator has to carry out management functions of planning, organizing, staffing, directing, controlling and coordinating.
Health care management is usually studied through healthcare administration[6] or healthcare management[7] programs in a business school or, in some institutions, in a school of public health
Human resource management in hospital and community servicesKULDEEP VYAS
HRM is the function within an organization that focuses on recruitment ,managing and providing direction for the people working in that organization.
*It is the organizational function dealing with issues related to people such as hiring, compensation, performance management ,safety, organization development, wellness, benefits, employee motivation, communication, administration and training.
Human resource management in hospital and community servicesKULDEEP VYAS
HRM is the function within an organization that focuses on recruitment ,managing and providing direction for the people working in that organization.
*It is the organizational function dealing with issues related to people such as hiring, compensation, performance management ,safety, organization development, wellness, benefits, employee motivation, communication, administration and training.
This Presentation focuses on the healthcare administration profession. The presentation covers several topics including job responsibilities and qualifications for healthcare administrators.
Learning Hospital Administration is different from other medical specialties. there are no tangibles. It is nebulous, subtle... but in the end it is transformational.
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If you’ve ever spent time in a hospital — either as a patient, staff member, or visitor — then you know that institutional health care is extremely complicated by nature.
The objective of this presentation is to make you aware of issues which are generally confronted during medical practice.
SOURCES OF LAWS:
PRIMARY SOURCES
Laws passed by the Parliament or the State Legislative
Ordinances passed by the President and the Governor
Subordinate legislation: Rules and regulations made by the executive through the power delegated to them by the Acts.
SECONDARY SOURCES:
Judgments of the Supreme Court, High Court and Tribunals (The ratio decedendi is a binding precedent)
Judicial legislation
Judgment of Foreign Courts
International Treaty
In the presentation efforts have been made to guide the medical professionals how to deal with a MLC case in a step by step manner and certain issues relating to medical case records.
Quality and safety, Vision 2025, Specific challenges of Nursing on quality, Quality improvement division, Fish bone technique,QI model, PDCA, Role of Nurse, Empowerment, Nursing positioning and policies,
Hospital Committees are regular standing committees prescribed by regulatory agencies and deemed necessary by hospital administration in formulating policies, coordinating and monitoring hospital-wide activities that are considered critical in the delivery of quality health care services.
These are in contrast to ad hoc committees, department and unit committees.
ISSUES IN HEALTH MANAGEMENT AND ITS CURRENT NEEDSrithi12
The Indian healthcare scenario presents a spectrum of contrasting landscapes. At one end of the spectrum are the glitzy steel and glass structures delivering high tech medicare to the well-heeled, mostly urban Indian. At the other end are the ramshackle outposts in the remote reaches of the “other India” trying desperately to live up to their identity as health subcenters, waiting to be transformed to shrines of health and wellness, a story which we will wait to see unfold. With the rapid pace of change currently being witnessed, this spectrum is likely to widen further, presenting even more complexity in the future.
Hospital marketing -Multi specilality hospital By Dr Kavita Soni Dr.Kavita Soni
Hospital Marketing has been viewed from a different perspective these days.It has become a major tool for business development in health care sector.The only challenge to incorporate and customize the core marketing concept to go well with hospital setting
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
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.
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
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
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.
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.