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HOSPITAL
Sughosh Vishweshwar Upasani
M. Pharm. (Clinical Pharmacy)
Assistant Professor
R. C. Patel Institute of Pharmacy, Shirpur
 upasanisughosh@gmail.com  9403384014
Definition
Function
Classification
Organization
Management
Health delivery system in India
Contents…..
HOSPITAL
 Hospital is a complex organization using
special scientific equipments and functioning
through a team of trained staff educated to
the problems of modern medical science.
Hospital
COMPLEXITY
Catering
Dormitory
Job / Working
Place
Educational
Institute
Laundry
Practical
Laboratory
Financial
Institute
Society Health
Observer
HOSPITALS
 Formal institutions developed by the society for patient care
 Intended to meet the complex health needs of its members
 Individual-sick or injured has access to centralized medical
knowledge & technology
 Society-it protects the family from many of the disruptive
effects of caring for the ill in the home and making the
problems less disruptive for the society as a whole
At Present….
 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.
 Professionally & technically skilled people apply their
knowledge and skill with the help of complicated
equipment and appliances - to provide quality care for
the patient
Patient
care Public
Health
Medical
Researc
h
Immunizatio
n
HOSPITAL
FUNCTIONS
Patient
Counseling
Re-Habilitation
Training
HOSPITAL FUNCTION…..
 Patient Care
 Patient Counseling
 Public Health
 Medical Research
 Training
 Immunization
 Rehabilitation
HOSPITAL ORGANIZATION
 A hospital is a comprehensive organization involves many
committees, departments, types of personnel, and services.
 It requires highly trained staff, efficient systems and
controls, necessary supplies, adequate equipment and
facilities, and, of course, physicians and patients.
 It is a business as well as a caring, people-oriented
institution and it has a similar structure and hierarchy of
authority as any large business.
Supervision &
Authority
Structure Formalization
Organization
1.Centralised
2.De-centralised
3.Mixed
1.Participation
2.Delegation
3.Job Enrichment
1.Hierarchy
2.Grouping
3.Integration
Organization Principles…
i. Governing body
ii. Team approach
iii. Variety of services
iv. Link between
v. Research and Evaluation
vi. Authority – Responsibility
vii. Talent search
viii. Budgeting – Financing
ix. No stereotype organization chart
= Community oriented good
planning
+ Good design and construction
+ Good administration
Successful Hospital
 Board of Trustees
 Executive Administration
 The Medical Staff
 Nursing Services
 Allied Health Services
 Clinical Support Services
 Administrative Support Services
 Accounting
 Admitting services
 Information services and medical record maintenance
 The human resources department
CLASSIFICATION
OF
HOSPITALS
Clinical Oriented…..
1. Objective
A. Teaching/ Research -Viz.: AIIMS
B. General –. Viz. District, Taluka, PHCs
C. Special – Viz. Dental, Psychiatry, TB, ENT, Cardiac etc.
2. Types of Pathy/ System of Medicines
A. Ayurvedic– Viz. Kerala Ayurvedic
B. Allopathic (Modern Medicine)
C. Naturopathy– Viz. National Institute of Naturopathy, Pune.
D. Homeopathy– Viz. Dr Batra’s Homoepathic
3. Specialized
A. General
B. Pediatric
C. Gynecologist
D. Orthopedics
4. Disease based
A. Cancer - Viz.- Tata Cancer Hospital, Mumbai
B. Diabetes
C. TB/ Leprosy
D. Hair/ beautification
Non- Clinical Oriented…..
1. Ownership basis
A. Government hospitals
i. Central Government-
Viz. Military, Railway (AIIMS, New Delhi)
i. State Government-
Viz. Civil (JJ Hospital, Mumbai), Cottage, PHC
ii. Corporation/ Municipality-
Viz. KEM Hospital, Mumbai
B. Religious Bodies hospitals
Viz. - Hindu Mission, Chennai,
Sai Sansthan, Shirdi,
Christian Mission, Vellore
C. Voluntary Agencies’ hospitals
Viz. - Wockhard, Nashik
Apollo, Chennai
Medinovo, Gujrat
D. Private / Charitable hospitals
Viz. - Bombay Marine line, Hospital
2. Size Based
A. Large No. beds Hospitals (> 1000 beds)
Viz. – JJ Hospital, Mumbai, KEM Hospital, Mumbai
B. Medium No. beds Hospitals (500 - 1000 beds)
Viz. – Jaslok Hospital, Mumbai
C. Small No. beds Hospitals (100 - 500 beds)
Viz. – Brich Candy Hospital, Mumbai
D. Very Small No. beds Hospitals (25 - 100 beds)
Viz. – Muncipal Corporation Hospitals
3. Cost Oriented Hospitals
A. Elite/ Costly Hospitals
Viz. – Brich Candy Hospital, Mumbai
B. Low Budget Hospitals
Viz. – Civil Hospitals, Corporation Hospitals etc
C. Free/ Conventional Hospitals
Viz. – Charity/ Religious Hospitals
(Narayan Seva Sansthan, Jaipur Foot)
Hospital Management
 Planning
 Organizing
 Staffing
 Directing
 Controlling
 Reviewing
 Communicating
 Coordinate
 Decision Making
ASPECTS OF HOSPITAL SERVICES
Staff
Services
Auxiliary
Services
Line
Services
IPD
OPD
ICU
Emergency
Operation Theatre
Registration and
case records
Transport
Dietary services
Stores
Maintenance
Security
Central sterile Supply
Services Management
Pharmacy
Nursing
Diet Management
Laboratory
Radiology
Hygiene/ Cleanliness
INDIA
Cabinet Rank Minister
(Union Minister of Health and Family Welfare)
Minister of State for Health
Secretary
Joint – Secretary
Deputy Secretary
02 Director General of Health Services (DGHS)
Deputy Director of Health Services (DHS)
DHS DHS DHS
Medical Care Public General
and Hospitals Health Administration
Minister of Health and Family Welfare
Secretary
Commissioner
02 Deputy Commissioner
Joint – Secretary
Deputy Secretary
Regional Director
Health Care Delivery System in Sate Level
Minister of State for Health
Deputy Minister
Secretary
Joint – Secretary
Deputy Secretary
Director of Health Services
Deputy Director of Health Services
Additional Deputy Director of Health Services
Medical Health Nursing Family Nutrition School PHC
Education Education Welfare Health
Hospital by Sughosh Upasani

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Hospital by Sughosh Upasani

  • 1. HOSPITAL Sughosh Vishweshwar Upasani M. Pharm. (Clinical Pharmacy) Assistant Professor R. C. Patel Institute of Pharmacy, Shirpur  upasanisughosh@gmail.com  9403384014
  • 3. HOSPITAL  Hospital is a complex organization using special scientific equipments and functioning through a team of trained staff educated to the problems of modern medical science.
  • 5. HOSPITALS  Formal institutions developed by the society for patient care  Intended to meet the complex health needs of its members  Individual-sick or injured has access to centralized medical knowledge & technology  Society-it protects the family from many of the disruptive effects of caring for the ill in the home and making the problems less disruptive for the society as a whole
  • 6. At Present….  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.  Professionally & technically skilled people apply their knowledge and skill with the help of complicated equipment and appliances - to provide quality care for the patient
  • 8. HOSPITAL FUNCTION…..  Patient Care  Patient Counseling  Public Health  Medical Research  Training  Immunization  Rehabilitation
  • 9. HOSPITAL ORGANIZATION  A hospital is a comprehensive organization involves many committees, departments, types of personnel, and services.  It requires highly trained staff, efficient systems and controls, necessary supplies, adequate equipment and facilities, and, of course, physicians and patients.  It is a business as well as a caring, people-oriented institution and it has a similar structure and hierarchy of authority as any large business.
  • 11. Organization Principles… i. Governing body ii. Team approach iii. Variety of services iv. Link between v. Research and Evaluation vi. Authority – Responsibility vii. Talent search viii. Budgeting – Financing ix. No stereotype organization chart
  • 12. = Community oriented good planning + Good design and construction + Good administration Successful Hospital
  • 13.  Board of Trustees  Executive Administration  The Medical Staff  Nursing Services  Allied Health Services  Clinical Support Services  Administrative Support Services  Accounting  Admitting services  Information services and medical record maintenance  The human resources department
  • 15. Clinical Oriented….. 1. Objective A. Teaching/ Research -Viz.: AIIMS B. General –. Viz. District, Taluka, PHCs C. Special – Viz. Dental, Psychiatry, TB, ENT, Cardiac etc. 2. Types of Pathy/ System of Medicines A. Ayurvedic– Viz. Kerala Ayurvedic B. Allopathic (Modern Medicine) C. Naturopathy– Viz. National Institute of Naturopathy, Pune. D. Homeopathy– Viz. Dr Batra’s Homoepathic
  • 16. 3. Specialized A. General B. Pediatric C. Gynecologist D. Orthopedics 4. Disease based A. Cancer - Viz.- Tata Cancer Hospital, Mumbai B. Diabetes C. TB/ Leprosy D. Hair/ beautification
  • 17. Non- Clinical Oriented….. 1. Ownership basis A. Government hospitals i. Central Government- Viz. Military, Railway (AIIMS, New Delhi) i. State Government- Viz. Civil (JJ Hospital, Mumbai), Cottage, PHC ii. Corporation/ Municipality- Viz. KEM Hospital, Mumbai
  • 18. B. Religious Bodies hospitals Viz. - Hindu Mission, Chennai, Sai Sansthan, Shirdi, Christian Mission, Vellore C. Voluntary Agencies’ hospitals Viz. - Wockhard, Nashik Apollo, Chennai Medinovo, Gujrat D. Private / Charitable hospitals Viz. - Bombay Marine line, Hospital
  • 19. 2. Size Based A. Large No. beds Hospitals (> 1000 beds) Viz. – JJ Hospital, Mumbai, KEM Hospital, Mumbai B. Medium No. beds Hospitals (500 - 1000 beds) Viz. – Jaslok Hospital, Mumbai C. Small No. beds Hospitals (100 - 500 beds) Viz. – Brich Candy Hospital, Mumbai D. Very Small No. beds Hospitals (25 - 100 beds) Viz. – Muncipal Corporation Hospitals
  • 20. 3. Cost Oriented Hospitals A. Elite/ Costly Hospitals Viz. – Brich Candy Hospital, Mumbai B. Low Budget Hospitals Viz. – Civil Hospitals, Corporation Hospitals etc C. Free/ Conventional Hospitals Viz. – Charity/ Religious Hospitals (Narayan Seva Sansthan, Jaipur Foot)
  • 21. Hospital Management  Planning  Organizing  Staffing  Directing  Controlling  Reviewing  Communicating  Coordinate  Decision Making
  • 22. ASPECTS OF HOSPITAL SERVICES Staff Services Auxiliary Services Line Services IPD OPD ICU Emergency Operation Theatre Registration and case records Transport Dietary services Stores Maintenance Security Central sterile Supply Services Management Pharmacy Nursing Diet Management Laboratory Radiology Hygiene/ Cleanliness
  • 23. INDIA Cabinet Rank Minister (Union Minister of Health and Family Welfare) Minister of State for Health Secretary Joint – Secretary Deputy Secretary 02 Director General of Health Services (DGHS) Deputy Director of Health Services (DHS) DHS DHS DHS Medical Care Public General and Hospitals Health Administration Minister of Health and Family Welfare Secretary Commissioner 02 Deputy Commissioner Joint – Secretary Deputy Secretary Regional Director
  • 24. Health Care Delivery System in Sate Level Minister of State for Health Deputy Minister Secretary Joint – Secretary Deputy Secretary Director of Health Services Deputy Director of Health Services Additional Deputy Director of Health Services Medical Health Nursing Family Nutrition School PHC Education Education Welfare Health