HOSPITAL AND ITS

ORGANIZATION

Mr. Mangesh V. Tote

Associate Professor
Anuradha College of Pharmacy, Chikhli
Content
▶

Definition,
▶
 Function,
▶
 Classifications based on various criteria,
▶
 Organization,
▶
 Management
▶
 Health delivery system in India.
DEFINITION
 Hospital is defined as an institution that
provides community health , where diagnosis
therapy , rehabilitation, training and social
services are provided.
FUNCTIONS OF MODERN HOSPITAL

▶

PATIENT CARE
▶
 IMMUNISATION
▶
 COUNSELLING AND PATIENT ADVICE
▶
 CO-ORDINATION
▶
 REHABILITATION
▶
 RESEARCH
▶
 EDUCATIONAL TRAINING
▶
 WORKSHOP AND SEMINAR
CONCEPT OF DISTRICT HOSPITAL

 CLINICAL SERVICE
▶ CLINICAL

SUPPORT
▶ NON-CLINICAL

SUPPORT
▶ ADMINISTRATIVE

SERVICES
CLASSIFICATION OF
HOSPITALS
 CLINICAL – ORIENTED
1.

ON the basis of Medicine used to cure the
disease
 Allopathic Hospital
 Ayurveda hospital
 Siddha and Unani Hospitals
 Homeopathic Hospitals
 Physiotherapy Centres
2. On the basis of Anatomy and Physiology

 ENT Hospitals
 Cardiac Centres
 Eye Hospitals
 Kidney Hospitals
 Orthopaedic Hospitals
 Neurological Hospitals
3.On the basis of type of patients
 General Hospitals
▶ Gynaecology

and Maternity Hospitals
▶ Paediatric

Hospitals
▶ Accident

Hospitals
▶ Psychiatric

Hospitals
▶ Rehabilitation

centres( for drug addicts
4.On the basis of disease
 Cancer Hospitals
▶ T.B

Hospitals
▶ Leprosy

Hospitals
▶ Diabetes

Hospitals
On The Basis of Objectives
 General Hospitals
 Example :- PHC’S Municipality
 Special Hospitals
Example :- Cancer , T.B ,Dental
Teaching and Research Hospitals Example:-
AIIMS –New Delhi
Non-Clinical OrientedHospitals
 OWNERSHIP BASIS
 Controlled by the Central Government
 Military Hospitals
 Railway Hospitals
 All India Institute of Medical Sciences ,New
Delhi
 JIPMER Hospital, Pondicherry.
Controlled by State Government
 J.J Hospital –Mumbai
 Sassoon Hospital –PUNE
 Ghati Hospital –Aurangabad
 ESI Hospital –Mumbai
 Victoria Hospital – Bengaluru
 Stanley Hospital – Chennai
 Civil Hospital -Jalgon
Controlled by Corporation/Municipality

 BMC Hospital - Mumbai

 KEM Hospital- Mumbai
 Cooper Hospital – Mumbai
 Bhagwati Hospital- Ahmedabad
Private Trust Hospitals
 Bombay Hospital – Marine lines ,Mumbai
 Jaslok Hospital – Mumbai
 Rajasthan Hospital- Ahmedabad
 Jindal Hospital - Bengaluru
Run by Religious Bodies
 Hindu Mission Hospital – Chennai
 Al-Ameen Hospital – Bengaluru
 Christian Medical College Hospital – Vellore
 Minakshi Mission Hospital - Madurai
Public Limited Company
Hospitals
 Apollo Hospital –Chennai
 Medinovo Hospital –Gujarat
 HMT Hospital- Hyderabad
Private Clinics/nursing homes

 Such clinics are owned by an individual

doctor or a group of doctors in towns or big
cities and serve for 24hrs.
On the Basis of cost
 Costly hospitals
 Ex – Breach Candy Hospital
 Jaslok Hospital
▶ Low

budget hspitals
 Ex – Civil and corporation hospitals
▶ Free/Conventional

cost hospitals
 Ex – Manilal Kantilal Hospital, Ahmedabad.
On the basis of Bed size

 Large hositals - The bed size is more than 1000

Ex- J.J and K.E.M Hospitals
▶ Medium

Hospitals -The Bed size is the range of
500- 100
 Ex- Jaslok and Bombay Hospital

▶ Small Hospital -The Bed size lies in the range of
500-100 Ex- Breach Candy Hospital

▶ Very Small Hospital -The Bed size I less than 100
 Ex – Municipal Hospitals and Private Clinics.
Hospitals attached to medical Colleges

 Ex- Bharti Vidyapeeth’s Medical College

Pravra Medical College
HOSPITAL ORGANISATION
HOSPITAL ORGANISATION
The Organisational Structure of a medical centre
teaching hospital is shown in the chart below
Governing Body and Management

Joint Commission on Accreditation on Hospitals(JCAH)

1. To establish the standards of the hospital
2. To conduct surveys and accreditation programmes for following
purposes:
 To promote high Quality care in all aspects
 To apply certain basic principles of physical plant safety and
maintenance.
To maintain the essential services through the coordination effort of the
staff. 3.To recognise compliance of standards by issuing certificates of
accreditation. 4.To conduct educational and research programme and
publish the results thereof
Functions of the Governing Body
To select competent personnel including
medical staff
▶ To

control the hospital funds and
▶ To

supervise the physical plant
The governing body in consultation with the chief
administrative officer must establish

The working hours,conditions,salary ,schedules ,proper check

on personnel.

▶ Schedules of room rates and other charges for hospital
inpatients amd ambulatory care.

▶ Methods for obtaining grands to supplement income from
paying patients and help to balance the hospital budget

▶ Methods of investing funds such that the interest can
be used for hospital operations

▶ The need for additional construction or replacement of
the physical plant of hospital.
Department
Medical Staff of the Hospital
 Honorary staff
▶ Consulting

staff
▶ Active

staff
▶ Associate

staff
▶ Courtesy

staff
▶ Resident

staff
The Supporting Services
 Anaesthesia Service
▶ Blood

Bank
▶ Central

Sterile Supply
▶ Dietary

Services
▶ Nursing

Services
▶ Medical

Records Services
▶ Pathology

Services
▶ Radiology

Hospital Management
 Directing
1. On-duty and work Schedules
2. Job Introduction
3. Training
4. Supervision

▶ Controlling
Health Delivery System in India
Organization Structure of Health Delivery System