Rationale of Hospital Administration as a subject for management/ administration of Health Care Organisations / Hospitals

1. RATIONALE OF HOSPITAL
ADMINISTRATION
D R D C J O S H I
MD (CM), DNB(HA), MNAMS(HA), PGDHHM, MAHA, MBA
AUTHOR- “HOSPITAL ADMINISTRATION” BOOK
PUBLISHED BY JAYPEE

2. CHALLANGES OF THE
HOSPITALS

3. HOSPITAL IS A UNIQUE
ORGANIZATION
• DIVERSE GOALS AMONG VARIOUS SUBSYSTEMS OF HOSPITAL
• Patient care
• Medical education, Nursing education, Education of
Paramedics etc
• Training of variety of professionals
• Research activities
• Hotel like accommodation – hospitality services

4. HOSPITAL IS A UNIQUE ORGANIZATION
• DIVERSE GOALS AMONG VARIOUS SUBSYSTEMS OF HOSPITAL
• Tourism – Medical tourism
• Prevention of diseases
• Control of epidemics
• Information technology- e hospital, e HR, eMR,
apps etc
• Robotics and intricate surgeries

5. HOSPITAL IS UNIQUE ORGANIZATION……
The Hospital is a complex organization the
personnel ranging from highly educated
technical professionals to just literate or even
illiterate personnel and surprisingly the
personnel from the ranks and file are part of the
medical care team.

6. HOSPITAL IS UNIQUE ORGANIZATION…….
 The Hospitals operate continuously day and night without a break for a second
, cause personnel and scheduling issues .
The principle of line authority and unity of command are grossly violated due to
specific needs of the hospitals so the strict management principles are difficult to
apply.
The Hospitals deal with life and death situations , the people visiting are
emotionally charged and under stress , they consider doctors as the only answer
to their problems , to the extent that they treat doctors as God.

7. HOSPITAL IS UNIQUE ORGANIZATION…….
• The output of the hospital is service rendered to the patients and which is
difficult to measure
• Increasing role of Information Technology and increased awareness among the
users about their legal rights increases their expectations on continuous basis.
• The resources are limited and the users of services are more and there is
imbalance in demand and supply ratio.
• Quality concerns. Quality Control , Six Sigma, 5 S, Accreditation of Hospitals –
NABH, JCAHO, JCI etc.

8. EMERGING ISSUES

9. EQUIPMENT INTENSIVE
ORGANIZATION
 Planning – Cost effective and cost benefit analysis
 Budgeting and financing
 Technology assessment and selection
 Procurement and logistics
 Installation and commissioning
 Training and skill development
 Operation and safety
 Maintenance and repair
 Decommissioning and disposal

10. ROLE IN DISASTER MANAGEMENT
• Natural Disaster
• Meteorological disasters :- storms ( cyclones, hailstorms, hurricane, tornadoes, typhoons, snow storms, ) , cold
spells, heat waves, droughts.
• Typological disasters :- Avalanches, landslides, floods.
• Telluric and Teutonic disasters : earthquakes, Tsunamis, volcanic eruptions.
• Biological disasters: Epidemics of communicable diseases e.g. COVIDS 19.
• Man made disasters:
• Riots, demonstrations
• Non conventional warfare: Nuclear, chemical , biological terrorism
• Warfare: Bombardment, blockage and siege
• Refugees: forced movement of large number of people across borders.
• Accidents: Rail, Road, Air, Sea transport, collapse of building, dams and mines disaster

11. Manpower
Materials
Finances
Equipment
Methods
Information
Technology
Planning
Organizing
Staffing
Directing
Controlling
Coordinating
COTRACTING IN HOSPITALS
PUBLIC PRIVATE
PARTNERSHIP

12. HEALTHCARE FINANCING
•Financing by Government
•Financing by Private Sectors
•Financing through Insurance Sector-AB PM
JAY
•Financing through donation and charity.

13. QUALITY IN HOSPITALS
Features of Product
Absence of Deficiency
Customers- Internal/ external customers

14. QUALITY……..
Components of quality
Quantum of service
Cost of service
Customer satisfaction
Front line people

15. QUALITY………
TQM
Performance superiority
Delighting customers
Provide value
Doing right things
Right the first time

16. QUALITY IN HOSPITALS ………..
•Development of HIS
• Standard of structure
• Standard of process
• Standard of outcome
•Medical Audit

17. QUALITY………
• Hospital Accreditation
• NABH
• NABL
• 5S technique
• Six Sigma

18. TELEMEDICINE
• Teleconsultation/ Telepathology/Teleradiology/Telesurgery etc
• Diagnosis and reporting
• Accessing health information
• CME
• Advice on self care
• Health promotion and prevention of diseases
• Medical records maintenance
• Hospital administration

19. MEDICAL TOURISM
• Over 200,000 foreigners receive treatment in private sector Indian hospitals.
• This Rs.70,000 crore industry is all set to grow further with investment from the state
and private sectors rising.
• The healthcare sector is currently experiencing a sharp demand for professional
health administrators to manage state-of-the-art hospitals.
• The medical healthcare managers are required for management of systems;
manage institutional finances; maintain buildings, premises, operation theatres,
hospital rooms and wards; devise personnel management systems; purchase
supplies and equipment; and supervise support services such as laundry, catering,
cleaning, and transport.

20. The Indian hospitals and healthcare sectors are in a high growth phase, both in
terms of quantum , quality and sophistication . One of the principal drivers of Indian
hospital sector during the past decade has been corporatisation. As hospitals,
nursing homes, and healthcare centres become more capital intensive, the need for
trained manpower is bound to increase. Therefore the qualified/trained hospital
administrators are in great demand in large corporate hospitals in India.
In nutshell , the Hospitals as such are different sets of organization with their
uniqueness, challenges and commitments , there is need of a separate discipline of
Hospital Administration as subject, a career and position.

21. THANK YOU