2. The word ‘hospital’ is closely related to the
word ‘hospitality’ and is derived from the word
‘hospice’ which means a place for refuse a
house for rest. This is should be the underline
factor in planning a hospital.
MEANING OF HOSPITAL
3. According to steadman’s medical dictionary:
“Hospital is an institution for the care, cure, and
treatment of the sick and wounded, for the study
of the disease and for the training of the doctors
and nurses.”
DEFINITION
4. 1. Provide optimum health service to all
2. Provide care, cure, and preventive
services to all
3. Protect the human rights of clients
while clients taking care in its
jurisdiction/ in all areas of its services.
OBJECTIVES
5. 4. Provide training for professionals, i.e.
doctors, nurses, pharmacists, dentist
other technical staff.
5. Provide in-service and continuing
education.
6. Participate/ conduct research (and
investigation in basic and applied
biomedical, social sciences)
7. Define the role of leadership in
community.
6. Client care
Diagnosed and treatment of disease
Out-patient services
Medical education and training
Medical and nursing research
Prevention of disease and promotion of health
FUNCTIONS OF HOSPITAL
7. 1. Governing body
2. Hospital committee
3. Medical director
4. Medical superintendent
5. Hospital administrator
6. Nursing superintendent
7. Department heads
MANAGEMENT OF THE HOSPITAL
8. The most commonly accepted upon different criteria
for classification of the hospital are according to:
1. Length of stay of patient
2. Clinical basis
3. Ownership/ control basis
4. Objectives
5. Size
6. Management
7. Systems
CLASSIFICATION OF HOSPITALS
9. 1. Length of stay of patient (long term and
short term)
• A patient stays for a short term in a hospital for
treatment of disease that is acute in nature,
such as pneumonia, peptic ulcer, and
gastroenteritis, etc.
• A patient may stay for long- term in a hospital
for treatment of disease that is chronic in
nature such as tuberculosis, leprosy, cancer.
10. 2. Clinical basis
• These are hospital licensed as general
hospital; treat all kinds of disease, but major
focus on treating speed disease or condition
such as heart disease, or cancer
11. 3. OWNERSHIP/ CONTROL BASIS
A. PUBLIC HOSPITAL
Are those run by the central or state government. These
may be general hospital or specialized hospitals or both.
B. VOLUNTARY HOSPITAL
• They are run with public and private funds on a non-
commercial basis.
C. PRIVATE NURSING HOSPITALS/ NURSING HOMES
• Are generally owned by an individual doctor or groups of
doctors. They accept patient suffering from injury, chronic,
disability etc. But do not admit patient suffering from
communicable disease, alcoholism, drug addiction or
mental illness.
12. D. CORPORATE HOSPITAL
• Which are public limited companies formed
under the companies act. They are normally
run on commercial lines. They can be either
general or specialized or both. ( e.g. Hinduja
Hospital)
13. 4. Classification according to
the objectives
A. TEACHING-CUM-RESAERCH HOSPITAL: It is a hospital to
which a college` is attached for medical/ nursing/
dental/pharmacy education. The main objectives of these
hospitals is teaching based on research and the provision
of health care is secondary, e.g. AIIMS, New Delhi,
PGMERI, Chandigarh
B. GENERAL HOSPITAL
• Are those which provide treatment for common disease
and conditions
• The main objectives of this hospital are to provide care to
the people.
14. C. SPECIALISED HOSPITAL
• Are hospital providing medical and nursing
only a particular aspect or organ of the body
.e.g. tuberculosis, ENT, leprosy etc.
D. ISOLATION HOSPITAL
• It is a hospital in which the persons suffering
from infectious/ communicable disease
requiring isolation of the patient.
e.g. Epidemic Disease Hospital, Bangalore.
15. 5. Classification according to the size
Sr. No Type of hospital Beds
1. Small Hospital <100 beds
2. Medium Hospital 101-300 beds
3. Large Hospital 301-1000 beds
4. Teaching hospital 500 beds ( beds to be increased
according to the number of
student )
5. District hospital 200 -300 beds
6. Taluka hospital 50 -200 beds
7. CHC 30-50 beds
8. Primary health center 6 -10 Beds
16. 6. Classification according to the system
a) Allopathic hospitals
b) Ayurvedic hospitals
c) Homeopathic hospitals
17. 1.First level:-
• General hospital & CHC
2. Second level hospital:-
• Urban general hospital
3.Third level:-
• Large hospital/Central hospital
Level of hospital:-
18. Enquiry Registration Waiting hall
Investigation facilities Consultation room
Pharmacy Exit
Flow pattern of client in OPD:-
19. 7. Classification according to the
management
a. Union government/ government of India.
• All hospital administered by the government of India,
e.g. hospital run by the railways, military/deference or
public sector undertaking of the central government.
b. State government.
• All hospital administered by the state union territory.
Government authorities and public sector undertaking
operated by the state/union territories,
c. Local bodies.
• All hospital administered by local bodies, i.e. municipal
corporation, municipality, zila perished, panchayat, e.g.
corporation maternity homes.
20. d. Autonomous bodies.
• All hospital establishment under special act of
parliament or state legislation and founded by the
central/state government/union territory, e.g. AIIMS,
New Delhi, PGI.
e. Private
• All private hospital owned by an individual or by a
private organization, e.g, Manipal hospital, Banglore,
Hinduja hospital, Mumbai.
f. Voluntary agencies
• All hospitals operated by a voluntary body/a
trust/charitable society under central/state
government laws. This includes hospital run by the
missionary bodies and co-operatives. e.g. CMC, Vellore.
21.
22.
23. • OPD
• Emergency/ Casualty
• Inpatient services
• Nursing department
• Paramedical services
Departments of Hospital
The governing body is the highest decision making authority of a hospital. It formulates policies and provides direction to the hospital for effective and efficient function of the hospital.
The governing body should review the status of the hospital services at least once a week with a minimum of 7 members present at each meeting.
Hospital committee:-
The governing body appoints a hospital committee to look after the day to day functioning of the hospital or any particular area.
Medical director:-
In larger hospital the medical director overseas the functioning of the hospital and look after the intake and turnover of staff.
Medical superintendent:-
It ensures that the policies of the governing body are effectively implemented to maintain standards and provide quality patient care. He/she responsible for the overall performance of the medical staff and is helped by the hospital administer, nursing superintendent and department heads.
Hospital administrator:-
The hospital administrator for all administrative and support services in the hospital.
He/she provides leadership and coordinates all support service as finance. Housekeeping, legal matters, human recourses development, marketing.
Nursing superintendent:-
It is responsible for all nursing services. These involve planning patient care, obtaining regular ward/patient reports/data from nurses and reviewing them.
Department heads:-
Heads of various departments are responsible for the smooth and uninterrupted functioning of their areas. They ensure a good working condition of the equipment and project future needs to the hospital administrator.