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Organizational
Structure of a Hospital
Organizational Structure refers to
levels of management within a hospital.

 Levels allow efficient management of
 hospital departments.

 The structure helps one understand
 the hospital’s chain of command.
Organizational structure varies
  from hospital to hospital.

 Large hospitals have complex
 organizational structures.

 Smaller hospitals tend to have much
 simpler organizational structures.
Grouping of Hospital Departments
      Within the Structure:

 Hospital departments are grouped in
 order to promote efficiency of facility.

 Grouping is generally done according
 to similarity of duties.
Common Categorical
    Grouping:

 Administrative Services
 Informational Services
 Therapeutic Services
 Diagnostic Services
 Support Services
Administrative Services
 Hospital Administrators
  CEO, Vice President(s), Executive
  Assistants, Department Heads
 Business people who “run the hospital”
 Oversee budgeting and finance
 Establish hospital policies and
  procedures
 Often perform public relation duties
Informational Services
 Document and process information
  Includes:
3. Admissions
4. Billing & Collection
5. Medical Records
6. Computer Information Systems
7. Health Education
8. Human Resources
 Provides treatment to patients
     Includes following departments:
3.   Physical Therapy - treatment to improve
     large muscle mobility
4.   Occupational Therapy - treatment goal is
     to help patient regain fine motor skills
5.   Speech/Language Pathology - identify,
     evaluate, treat speech/language
     disorders
1. Respiratory Therapy - treat patients with
   heart & lung disease
5. Medical Psychology - concerned with
    mental well-being of patients
6. Social Services - connect patients with
    community resources (financial aid, etc.)
7. Pharmacy - dispense medications
1. Dietary - maintain nutritionally sound
  diets for patients
1. Sports Medicine - provide rehabilitative
   services to athletes
2. Nursing - provide care for patients
Diagnostic Services
 Determines the cause(s) of
   illness or injury
   Includes:
§ Medical Laboratory - studies body
   tissues
§ Medical Imaging - radiology, MRI, CT,
   Ultra Sound
§ Emergency Medicine -provides
   emergency diagnoses & treatment
Support Services
 Provides support for entire hospital
   Includes:
§ Central Supply - orders, receives, stocks &
   distributes equipment & supplies
§ Biomedical Technology - design, build
   repair, medical equipment
§ Housekeeping & Maintenance - maintain
   safe, clean environment
Traditional Organizational
          Chart
Board

                   Administration


Information      Therapeutic      Diagnostic     Support
  Services         Services        Services      Services

 Admissions      PT, OT Speech/    Med. Lab     Central Supply
 Billing, etc.    Lang. Resp.      Radiology     Biomedical
Med. Records        Therapy       Nuclear Med   Housekeeping
Computer Info.     Pharmacy            ER        Maintenance
  Health Ed.        Nursing        Cardiology      Dietary
Human Resour.        Dietary       Neurology    Transportation
Pyramid demonstrates a
symbolic organizational
structure of a hospital.
Board

  Admin. Services

Information Services

Therapeutic Services

 Diagnostic Services

  Support Services
Example of “symbolic
   representation” of
organizational structure
Organizational structure of_a_hospital

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Organizational structure of_a_hospital

  • 2. Organizational Structure refers to levels of management within a hospital.  Levels allow efficient management of hospital departments.  The structure helps one understand the hospital’s chain of command.
  • 3. Organizational structure varies from hospital to hospital.  Large hospitals have complex organizational structures.  Smaller hospitals tend to have much simpler organizational structures.
  • 4. Grouping of Hospital Departments Within the Structure:  Hospital departments are grouped in order to promote efficiency of facility.  Grouping is generally done according to similarity of duties.
  • 5. Common Categorical Grouping:  Administrative Services  Informational Services  Therapeutic Services  Diagnostic Services  Support Services
  • 6. Administrative Services  Hospital Administrators CEO, Vice President(s), Executive Assistants, Department Heads  Business people who “run the hospital”  Oversee budgeting and finance  Establish hospital policies and procedures  Often perform public relation duties
  • 7. Informational Services  Document and process information Includes: 3. Admissions 4. Billing & Collection 5. Medical Records 6. Computer Information Systems 7. Health Education 8. Human Resources
  • 8.  Provides treatment to patients Includes following departments: 3. Physical Therapy - treatment to improve large muscle mobility 4. Occupational Therapy - treatment goal is to help patient regain fine motor skills 5. Speech/Language Pathology - identify, evaluate, treat speech/language disorders
  • 9. 1. Respiratory Therapy - treat patients with heart & lung disease 5. Medical Psychology - concerned with mental well-being of patients 6. Social Services - connect patients with community resources (financial aid, etc.) 7. Pharmacy - dispense medications
  • 10. 1. Dietary - maintain nutritionally sound diets for patients 1. Sports Medicine - provide rehabilitative services to athletes 2. Nursing - provide care for patients
  • 11. Diagnostic Services  Determines the cause(s) of illness or injury Includes: § Medical Laboratory - studies body tissues § Medical Imaging - radiology, MRI, CT, Ultra Sound § Emergency Medicine -provides emergency diagnoses & treatment
  • 12. Support Services  Provides support for entire hospital Includes: § Central Supply - orders, receives, stocks & distributes equipment & supplies § Biomedical Technology - design, build repair, medical equipment § Housekeeping & Maintenance - maintain safe, clean environment
  • 14. Board Administration Information Therapeutic Diagnostic Support Services Services Services Services Admissions PT, OT Speech/ Med. Lab Central Supply Billing, etc. Lang. Resp. Radiology Biomedical Med. Records Therapy Nuclear Med Housekeeping Computer Info. Pharmacy ER Maintenance Health Ed. Nursing Cardiology Dietary Human Resour. Dietary Neurology Transportation
  • 15. Pyramid demonstrates a symbolic organizational structure of a hospital.
  • 16. Board Admin. Services Information Services Therapeutic Services Diagnostic Services Support Services
  • 17. Example of “symbolic representation” of organizational structure

Editor's Notes

  1. This is a simplistic organizational structure of a hospital. It allows the student to see the structure in a less abstract fashion. Explain that the line between Diagnostic and Therapeutic services is sometimes blurred due to new technological advances. (Example is interventional radiology.) Provide additional information on the role of physicians in acute care facilities. Point out that “Support Services” is at the bottom of the pyramid and thus supports the entire structure. Have the students note that the pyramid forms a hierarchy (in terms of levels of services). Food for thought might be: “ Do you believe that these service levels could represent monetary compensation and occupational status?”
  2. This is the “symbolic” organizational structure of a hospital as planned and drawn by a team of my HSTE I students. After each group completes their drawing, they present it to the class and explain the symbolism as depicted in their picture. The drawing up above was rationalized as such: 1. Steth. diaphragm: DIAGNOSTIC SERVICES - diaphragm determines cause of illness 2. Earpieces: THERAPEUTIC SERVICES - hears/interprets and decides course of treatment 3. Tubing: SUPPORT SERVICES - supports structure of stethoscope (thus hospital departments) 4. Head: ADMINISTRATIVE SERVICES - runs everything Encourage students to be as creative (but logical) as possible. This activity not only helps them remember the levels of management in a hospital, but is an excellent way to promote camaraderie and teamwork. In the past my students have drawn: roller coaster, totem pole, hamburger, tennis shoe, ice cream cone, etc. Remember: Organizal Structure of a Hospital can be fun! (yes, even for the teacher…)