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Unit 1 Hospital by Ravinandan A P 2024.pptx

Unit-1 Hospital and it’s organization: Definition Classification of hospital- Primary, Secondary and Tertiary hospitals Classification based on clinical and non-clinical basis Organization Structure of a Hospital Medical staffs involved in the hospital and their functions.

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Unit-1 Hospital and
it’s organization
Ravinandan A P
Assistant Professor
Siddaganga College of Pharmacy
Tumkur-02
Presentation outlines.
1. Definition
2. Classification of hospital- Primary, Secondary and Tertiary
hospitals
3. Classification based on clinical and non- clinical basis
4. Organization Structure of a Hospital
5. Medical staffs involved in the hospital and their functions.
Learning Objectives
Upon completion of the chapter, the student shall be able to –
Write the definition of hospital
Describe the various classifications of hospitals and functions
Explain the Structure of a Hospital
List out the medical staffs involved in the hospital
Describe the functions of medical staffs in the hospital
Introduction
• Serving as a place for the treatment for sick and injured
• Research laboratory
• Education institution – Teaching & Training
• Major employer with in the community
• City with in the city- OT, Hotel, Dormitory, Dieticians, technicians, pharmacy,
laboratories, laundry, delivery services, post office, bank, blood bank, Public
relationship office, HR department. Security and reception.
Definition - HOSPITAL
• The hospital is a complex organization and an institute which
provides total healthcare to people through complicated and
sophisticated but specialized scientific equipment's, and a
team of trained, qualified staff and their supportive staff
educated in the problems of modern medical science.
•A hospital can be defined as “a complex
organization or an institution which offers health
and wellbeing of the people through diagnosis,
treatment, prevention, rehabilitation, and cure
by a team of qualified staff and provides the
facilities for education and research”.
Goal of Hospital
• The common goal is to restore and maintained good
health of the people who comes in hospital for their
relief from pain, sufferings and diseases
Functions of Hospital
1. To uplift of law and general standards of medical practice
2. To provide facilities and guidance, by which persons can work in group, with the intention
of hospital department, patient and community.
3. To reduce disease occurrence by early diagnosis and treatment
4. To estimate needs for facilities, supplies and equipment's, and their utilization for
evaluation, control and maintenance
5. To estimate departmental necessities.
6. To increase the quality & standards of medical practices
7. To provide facilities for education & research.
Functions of Hospital
• Diagnosis and testing
• Treatment and therapy
• Patient processing
• Public health and wellness
• Preventive health initiatives
• Training health care professionals
• Conducting research
•Preventive
•Curative
•Training
•Research
Classifications of hospitals
• Hospitals can be classified in number of ways
I. On clinical basis-
1. Maternity hospital: Obstetrics and Gynaecology, Antenatal and Postnatal
2. Surgical Hospital:
• Gynaecological – related to female reproductive system
• Orthopaedic – surgery related to bone fracture
• Oto laryngology – related to ear, nose and throat
• Cardiothoracic – related to heart and lung
• General surgery – surgery of any kind
• Neurological – surgery related to brain and spinal cord
3. Medicine: these are general purpose hospitals that provide treatment than mentioned
above.
• General hospital: Ex: General Hospital – Madhugiri, Koratagere, Kunigal etc.
• Paediatric hospital : Ex: Vignesh Children Hospital- Tumkur, Rainbow Children’s Hospital-
Bangalore
• Communicable disease hospital: ExSDS Tuberculosis Research Center & Rajiv Gandhi
Institute of Chest Diseases - Bangalore
• Mental hospital or Psychiatric hospital Ex: National Institute of Mental Health and Neuro-
Sciences - Bengaluru
• Drug – addiction and de- addiction hospital : Ex: Art of Living De-Addiction Center -
Bengaluru, ACHRD Integrated Drug Rehabilitation Centre - Tumkur
• Dental hospital : Ex: Shree Siddartha Dental College Hospital in Agala Kote, Tumkur
• Cancer hospital Ex: Kidwai Memorial Institute of Oncology – Bangalore, HCG Cancer
Hospital- Bangalore
• Kidney hospital Ex: CG Kidney Care and Dialysis Centre – Tumkur, Hitech Kidney Stone
Hospital - Bangalore
• Eye hospital Ex: Akshara Eye Foundation - Tumkur, Narayana Nethralaya Eye Hospital
– Bangalore
II . Based on Length of Stay
• Short-term or short-stay hospitals (Stay less than 30 days) : (acute)
• Long-term or long-stay hospitals: (Stay more than 30 days) : ( Chronic)
III. Depending on Type of Medical Staff
• Open Staff Hospital: Open medical staff, which means any physician can
request to practice at the facility, regardless of their hospital affiliation.
• Close Staff Hospital: A closed hospital system is one in which all doctors
are on staff, and also doctors that aren't on staff may not have admission
or freedoms at said hospital.
IV. Based on Objective
a. General hospitals: ex: District Hospital -Tumkur
b. Special hospitals: Ex: Sparsh Hospital – Bangalore,
c. Teaching cum Research Hospital: KIMS - Bangalore, Siddaganga Hospital, Tumkur,
Shredevi Hospital – Tumkur, Sree Siddhartha Hospital - Tumkur
V. Accreditation Basis:
• Accredited Hospital: Apollo, BGS Global Hospital, Vikram Hospital- Bangalore, Siddaganga
Hospital, Tumkur.
• Non- Accredited Hospital: Aruna Hospital Tumkur.
VI. System of Medicine
• Allopathic system of medicine: Siddaganga Hospital, Adithya Hospital
• Ayurvedic system of medicine: Ex: Ashwini Ayurvedic Hospital – Tumkur
• Homeopathic system of medicine: Ex: HMS Homeopathic Hospital - Tumkur
• Unani system of medicine: Ex: HMS Unani Medical College & Hospital, Tumkur
• Naturopathy system of medicine: Jindal Nature cure Institute, Bangalore
VII. Based on Administration, ownership, control or
financial income
• Governmental or public: District Hospital -Tumkur Public Health Hospital, civil
hospital, Military hospital, District Hospital, Taluk Hospital, KG General Hospital
• Non-governmental or private: Adithya Hospital, Aruna Hospital - Tumkur
• Semi Govt Hospital: Hospitals run both by the govt and private entity.
Ex: Jayanagar General Hospital and Bowring and Lady Curzon Hospital - Bangalore
• Voluntary Agency Hospitals:
VIII. Teaching Basis
• Teaching Hospital: AIIMS, Siddhartha Hospital- Tumkur,
Shredevi Hospital - Tumkur, Adhichunchanagiri Hospital- BG
Nagar, MS Ramaiah Hospital -Bangalore
• Non- teaching Hospital: Adithya Hospital - Tumkur, THS
Hospital- Tumkur
IX. Level of care
• Primary care hospital: Primary health centre (PHC) PHC Sira Gate,
PHC – Kothithoppu, Tumkur
• Secondary care hospital: District hospital, Tumkur, community
health centres
• Tertiary care hospital: Teaching conducted for Medical, Nursing,
Pharmacy and other health care professional students
Ex: KIMS, VIMS, KR Hospital
• Quaternary care hospital: Super speciality Hospital
Ex: Apollo, BGS Global Hospital
Comparison of primary, secondary & tertiary healthcare
Primary Healthcare Secondary Healthcare Tertiary Healthcare
• Common health problems
• Health promotion
• Care & rehabilitation
• Patients having various
abnormalities
• Requires special clinical
expertise for care of
patients
• Patients having complex
disorders and its
management
• Requires more advanced
curative facilities for
patients
Ex: Sore throat, hypertension,
vaccination
Ex: Acute renal failure Ex: Open heart surgery
X. Based on size
1. Very small hospital: less than 100 bedded ex: Adithya, Aruna hospital Tumkur
2. Small Hospital : 100-500 bedded ex: District hospital – Tumkur, Siddaganga Hospital-
Tumkur
3. Medium sized hospital: more than 500 bedded Ex: Shredevi Hospital - Tumkur,
Adhichunchanagiri Hospital- BG Nagar
4. Large hospital : more than 1000 bedded hospital Ex: JSS Hospital-Mysore, AIMS- Delhi,
Siddhartha Hospital- Tumkur,
XI Based on Costs
1. High cost or elite hospitals
2. Low cost / budget hospitals
3. Free hospitals
XII. Based on regionality
• Regional
• District
• Sub district Health Complex
• Union Health and Family Welfare Centers
• Community Clinics
XIII. As per WHO Classification:
• Regional Hospital
• Intermediate/ District Hospital
• Rural Hospital
• General hospitals: meant to provide wide-range of many types
of healthcare, but with limited capacity.
• They care for patients with various-disease conditions for both
sexes to all ages, medical, surgical, pediatrics, obstetrics, eye
and ear etc.
• Usually, General hospitals are lacking of super-specialist
medical care.
• Special hospitals: They limit their service to a particular
condition, orthopedics, maternity, pediatrics, geriatrics,
oncology etc.
• Teaching cum Research Hospital: Medical College is attached
for medical/ nursing/ dental/ pharmacy education. Main
objective is to provide medical care, teaching and research is
secondary
Organization Structure of a Hospital
• ORGANIZATION is defined as “A DYNAMIC PROCESS, in which
various MANAGERIAL ACTIVITIES bring & bind people together, for
the ACHIEVEMENT of COMMON GOALS & OBJECTIVES”
• Most important BODY of a hospital is the GOVERNING BODY/
BOARD OF DIRECTORS/ BOARD OF TRUSTEES
• GOVERNING BODY consists of various eminent personalities in the
field of : a. MEDICAL EDUCATION b. ADMINISTRATION c. RESEARCH
d. POLITICS (optional)
• Function of GOVERNING BODY is to FRAME all major POLICIES,
PLANS & PROGRAMMES of hospital
• A hospital is a controlled organization with several
departments.
• Like any other organization, it is necessary to define a
structure of operations at a hospital.
• The organizational model defines the framework, line
of duty, communication roles and resource allocation.
• It also reflects the philosophy of the organization.
Unit 1 Hospital by Ravinandan A P 2024.pptx
Unit 1 Hospital by Ravinandan A P 2024.pptx
Unit 1 Hospital by Ravinandan A P 2024.pptx

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Unit 1 Hospital by Ravinandan A P 2024.pptx

  • 1. Unit-1 Hospital and it’s organization Ravinandan A P Assistant Professor Siddaganga College of Pharmacy Tumkur-02
  • 2. Presentation outlines. 1. Definition 2. Classification of hospital- Primary, Secondary and Tertiary hospitals 3. Classification based on clinical and non- clinical basis 4. Organization Structure of a Hospital 5. Medical staffs involved in the hospital and their functions.
  • 3. Learning Objectives Upon completion of the chapter, the student shall be able to – Write the definition of hospital Describe the various classifications of hospitals and functions Explain the Structure of a Hospital List out the medical staffs involved in the hospital Describe the functions of medical staffs in the hospital
  • 4. Introduction • Serving as a place for the treatment for sick and injured • Research laboratory • Education institution – Teaching & Training • Major employer with in the community • City with in the city- OT, Hotel, Dormitory, Dieticians, technicians, pharmacy, laboratories, laundry, delivery services, post office, bank, blood bank, Public relationship office, HR department. Security and reception.
  • 5. Definition - HOSPITAL • The hospital is a complex organization and an institute which provides total healthcare to people through complicated and sophisticated but specialized scientific equipment's, and a team of trained, qualified staff and their supportive staff educated in the problems of modern medical science.
  • 6. •A hospital can be defined as “a complex organization or an institution which offers health and wellbeing of the people through diagnosis, treatment, prevention, rehabilitation, and cure by a team of qualified staff and provides the facilities for education and research”.
  • 7. Goal of Hospital • The common goal is to restore and maintained good health of the people who comes in hospital for their relief from pain, sufferings and diseases
  • 8. Functions of Hospital 1. To uplift of law and general standards of medical practice 2. To provide facilities and guidance, by which persons can work in group, with the intention of hospital department, patient and community. 3. To reduce disease occurrence by early diagnosis and treatment 4. To estimate needs for facilities, supplies and equipment's, and their utilization for evaluation, control and maintenance 5. To estimate departmental necessities. 6. To increase the quality & standards of medical practices 7. To provide facilities for education & research.
  • 9. Functions of Hospital • Diagnosis and testing • Treatment and therapy • Patient processing • Public health and wellness • Preventive health initiatives • Training health care professionals • Conducting research •Preventive •Curative •Training •Research
  • 10. Classifications of hospitals • Hospitals can be classified in number of ways I. On clinical basis- 1. Maternity hospital: Obstetrics and Gynaecology, Antenatal and Postnatal 2. Surgical Hospital: • Gynaecological – related to female reproductive system • Orthopaedic – surgery related to bone fracture • Oto laryngology – related to ear, nose and throat • Cardiothoracic – related to heart and lung • General surgery – surgery of any kind • Neurological – surgery related to brain and spinal cord
  • 11. 3. Medicine: these are general purpose hospitals that provide treatment than mentioned above. • General hospital: Ex: General Hospital – Madhugiri, Koratagere, Kunigal etc. • Paediatric hospital : Ex: Vignesh Children Hospital- Tumkur, Rainbow Children’s Hospital- Bangalore • Communicable disease hospital: ExSDS Tuberculosis Research Center & Rajiv Gandhi Institute of Chest Diseases - Bangalore • Mental hospital or Psychiatric hospital Ex: National Institute of Mental Health and Neuro- Sciences - Bengaluru • Drug – addiction and de- addiction hospital : Ex: Art of Living De-Addiction Center - Bengaluru, ACHRD Integrated Drug Rehabilitation Centre - Tumkur • Dental hospital : Ex: Shree Siddartha Dental College Hospital in Agala Kote, Tumkur • Cancer hospital Ex: Kidwai Memorial Institute of Oncology – Bangalore, HCG Cancer Hospital- Bangalore • Kidney hospital Ex: CG Kidney Care and Dialysis Centre – Tumkur, Hitech Kidney Stone Hospital - Bangalore • Eye hospital Ex: Akshara Eye Foundation - Tumkur, Narayana Nethralaya Eye Hospital – Bangalore
  • 12. II . Based on Length of Stay • Short-term or short-stay hospitals (Stay less than 30 days) : (acute) • Long-term or long-stay hospitals: (Stay more than 30 days) : ( Chronic) III. Depending on Type of Medical Staff • Open Staff Hospital: Open medical staff, which means any physician can request to practice at the facility, regardless of their hospital affiliation. • Close Staff Hospital: A closed hospital system is one in which all doctors are on staff, and also doctors that aren't on staff may not have admission or freedoms at said hospital.
  • 13. IV. Based on Objective a. General hospitals: ex: District Hospital -Tumkur b. Special hospitals: Ex: Sparsh Hospital – Bangalore, c. Teaching cum Research Hospital: KIMS - Bangalore, Siddaganga Hospital, Tumkur, Shredevi Hospital – Tumkur, Sree Siddhartha Hospital - Tumkur V. Accreditation Basis: • Accredited Hospital: Apollo, BGS Global Hospital, Vikram Hospital- Bangalore, Siddaganga Hospital, Tumkur. • Non- Accredited Hospital: Aruna Hospital Tumkur.
  • 14. VI. System of Medicine • Allopathic system of medicine: Siddaganga Hospital, Adithya Hospital • Ayurvedic system of medicine: Ex: Ashwini Ayurvedic Hospital – Tumkur • Homeopathic system of medicine: Ex: HMS Homeopathic Hospital - Tumkur • Unani system of medicine: Ex: HMS Unani Medical College & Hospital, Tumkur • Naturopathy system of medicine: Jindal Nature cure Institute, Bangalore
  • 15. VII. Based on Administration, ownership, control or financial income • Governmental or public: District Hospital -Tumkur Public Health Hospital, civil hospital, Military hospital, District Hospital, Taluk Hospital, KG General Hospital • Non-governmental or private: Adithya Hospital, Aruna Hospital - Tumkur • Semi Govt Hospital: Hospitals run both by the govt and private entity. Ex: Jayanagar General Hospital and Bowring and Lady Curzon Hospital - Bangalore • Voluntary Agency Hospitals:
  • 16. VIII. Teaching Basis • Teaching Hospital: AIIMS, Siddhartha Hospital- Tumkur, Shredevi Hospital - Tumkur, Adhichunchanagiri Hospital- BG Nagar, MS Ramaiah Hospital -Bangalore • Non- teaching Hospital: Adithya Hospital - Tumkur, THS Hospital- Tumkur
  • 17. IX. Level of care • Primary care hospital: Primary health centre (PHC) PHC Sira Gate, PHC – Kothithoppu, Tumkur • Secondary care hospital: District hospital, Tumkur, community health centres • Tertiary care hospital: Teaching conducted for Medical, Nursing, Pharmacy and other health care professional students Ex: KIMS, VIMS, KR Hospital • Quaternary care hospital: Super speciality Hospital Ex: Apollo, BGS Global Hospital
  • 18. Comparison of primary, secondary & tertiary healthcare Primary Healthcare Secondary Healthcare Tertiary Healthcare • Common health problems • Health promotion • Care & rehabilitation • Patients having various abnormalities • Requires special clinical expertise for care of patients • Patients having complex disorders and its management • Requires more advanced curative facilities for patients Ex: Sore throat, hypertension, vaccination Ex: Acute renal failure Ex: Open heart surgery
  • 19. X. Based on size 1. Very small hospital: less than 100 bedded ex: Adithya, Aruna hospital Tumkur 2. Small Hospital : 100-500 bedded ex: District hospital – Tumkur, Siddaganga Hospital- Tumkur 3. Medium sized hospital: more than 500 bedded Ex: Shredevi Hospital - Tumkur, Adhichunchanagiri Hospital- BG Nagar 4. Large hospital : more than 1000 bedded hospital Ex: JSS Hospital-Mysore, AIMS- Delhi, Siddhartha Hospital- Tumkur, XI Based on Costs 1. High cost or elite hospitals 2. Low cost / budget hospitals 3. Free hospitals
  • 20. XII. Based on regionality • Regional • District • Sub district Health Complex • Union Health and Family Welfare Centers • Community Clinics XIII. As per WHO Classification: • Regional Hospital • Intermediate/ District Hospital • Rural Hospital
  • 21. • General hospitals: meant to provide wide-range of many types of healthcare, but with limited capacity. • They care for patients with various-disease conditions for both sexes to all ages, medical, surgical, pediatrics, obstetrics, eye and ear etc. • Usually, General hospitals are lacking of super-specialist medical care. • Special hospitals: They limit their service to a particular condition, orthopedics, maternity, pediatrics, geriatrics, oncology etc. • Teaching cum Research Hospital: Medical College is attached for medical/ nursing/ dental/ pharmacy education. Main objective is to provide medical care, teaching and research is secondary
  • 22. Organization Structure of a Hospital • ORGANIZATION is defined as “A DYNAMIC PROCESS, in which various MANAGERIAL ACTIVITIES bring & bind people together, for the ACHIEVEMENT of COMMON GOALS & OBJECTIVES” • Most important BODY of a hospital is the GOVERNING BODY/ BOARD OF DIRECTORS/ BOARD OF TRUSTEES • GOVERNING BODY consists of various eminent personalities in the field of : a. MEDICAL EDUCATION b. ADMINISTRATION c. RESEARCH d. POLITICS (optional) • Function of GOVERNING BODY is to FRAME all major POLICIES, PLANS & PROGRAMMES of hospital
  • 23. • A hospital is a controlled organization with several departments. • Like any other organization, it is necessary to define a structure of operations at a hospital. • The organizational model defines the framework, line of duty, communication roles and resource allocation. • It also reflects the philosophy of the organization.