Module 1: STRUCTURE

OF SERVICES
Uniqueness of Hospital Services-Differences with Non-
Hospital Forms of Healthcare, Services - Classification of
Hospital Services based on Ownership, Extent of
specialization and Nature – Hospitals in India today, hospital
as a system.

Faculty: Dr. Shalini H S

 Hospital
Home Of Sick People In Treatment And Life
• A Hospital is an integral part of a Social and
Medical organization
• The function of which is to provide for the
population complete health care, both curative
and preventive, and
• Whose outpatient services reach out to the
family and its home environment;
• The hospital is also a center for the training of
health workers and biosocial research.
-WHO Definition on Hospital
 Different Departments in Hospital
• Outpatient department (OPD)
• Surgical department
• Inpatient service (IP)
• Nursing department
• Physical medicine
• Paramedical department, and
• Rehabilitation department
• Dietary department
• Pharmacy department
• Operation theater complex (OT)
• Radiology department (X-ray), and
• Non-professional services
 HOSPITAL SERVICES
• Hospital Services refers to the
clinical services provided by the
Hospital, as well as the
operational activities that
support those clinical services,
which are funded in whole or in
part by the Local Health
Integration Network (LHIN), and
includes the type, volume,
frequency, and availability of
Hospital Services
 HOSPITAL SERVICES
• Emergency room services
• Short-term hospitalization
• X-ray/radiology services
• General and specialty surgical services
• Blood services
• Laboratory services
 HOSPITAL SERVICES
• Pediatric specialty care
• Prescription services
• Good access to surgical specialists
• Rehabilitation services and physical therapy
• Home nursing services
• Mental health care
• Nutritional counseling
• Genetic testing and counseling
• Family support services
• Financial services
• Case management or social work services
 Distinction between a Hospital
and an Industrial Organization
• The product of a hospital is service to
people provided by its personnel with a
variety of skills.
• The decision is made for the patient; he
is ill and requires services which cannot
be provided at home.
• The patient leaves home, family, friends,
his work-place, his way of life for a new
environment.
• In home, they has a definite role. In the
hospital, the role is similar to 30 or 40
others in the ward or unit in which they
are a patient.
 Distinction between a Hospital and an
Industrial Organization
• In their new environment, they meet many
new people and they are expected to relate
and communicate with them.
• On occasions, patients encounter more than
30 different hospital personnel in the room
in one day, each performing different
functions.
• A hospital deals daily with the life, suffering,
recovery and death of human beings.
• For the direction and running of such an
institution, its administrative personnel
need a particular combination of knowledge,
understanding, abilities and skills.
 Uniqueness of Hospital Services
• Personalized and specialized Care for
patients
• Ultra modern technologies
• Quality Healthcare Services
 Other factors include
• Providing Effective and Timely
Communication to Patients
• Sharing Steps they Can Take to Expedite
the Discharge Process
• Enable Nurses to Focus on Clinical Care
• Allowing Patients the Ability to Self
Care
• Feedback/Grievance Redressal
Mechanism
 Functions of Hospital
• Treatment and management of
patients by a team of doctors
• Patient Support
• Administrative responsibilities
• Hospital's financial activities
• Keep track of cash receipts and
disbursements
• To manage personnel development
plans, procedures, and standards
• Framing policies
• Hospital operation
 Non-Hospital Forms of Healthcare
• Ambulatory surgical centers
• Birth centers
• Blood banks
• Clinics and medical offices
• Diabetes education centers
• Dialysis Centers
• Hospice homes
• Hospitals
• Imaging and radiology centers
• Mental health and addiction treatment
centers
Non-Hospital Forms of Healthcare
• Nursing homes
• Orthopedic and other rehabilitation
centers
• Urgent care
• Telehealth
Classification of hospitals
 Hospitals in India today
• Refer PDF
Hospital as a system
elements of a system
Types of system
Hospital viewed as a system
End of module 1