D.

Pharm
II year
Subject code: DP- 206, Hospital and clinical
Pharmacy

Hospital and it’s

Organisation
(Dr.) Anupriya Kapoor
Assistant Professor
School of Pharmaceutical
Sciences, CSJMU , Kanpur
1
 Learning objective
1. What is Hospital?
2. How to classify hospitals?
3. What could be the organisation structure of
Hospital?
4. What are the functions and services offered
by Hospital?

2
 Outcomes
• After going through these slides, the learner
would be able to understand following points
1. Definition of Hospital
2. Classification of Hospital on various basis
3. Organisation structure of Hospital
4. Services provided by Hospital

3
 Hospital
Hospital:
It is a health care organisation that has a team
of well qualified trained staff and all technical
equipments that are required for the treatment
of specific disease in patient.

4
• Hospital can be called a“City inside a city” that
has all required facilities like building,
equipments, team of qualified personals,
fooding, laundry, transportation facility,
communication facility, electric and water
supply etc. That work in collaboration for
treatment of patient.

5
 Classification of Hospitals
Hospitals can be classified on various basis
1. Clinical basis: on basis of therapy provided by
Hospital
a. Maternity Hospitals
b. Surgical Hospitals
c. Medicinal Hospitals

6
2. On basis of ownership
a. Government Hospitals
I. Public health services (AIIMS, PGI)
II. Military Hospitals
b. Non government Hospitals
III. Private Hospitals
IV. Charitable Hospitals

7
3. On the basis of system of medicine
a. Allopathic Hospitals
b. Ayurvedic Hospitals
c. Homeopathic Hospitals
d. Unani Hospitals
e. Rehabilitation centres
4. On basis of medical staff
a. Closed staff
b. Open staff

8
5. On basis of number of beds
a. Small Hospitals ( beds up to 100 )
b. Medium Hospitals ( beds 101 to 499 )
c. Large Hospitals ( beds above 500 )
6. On basis of teaching activities
d. Teaching Hospitals
e. Non teaching Hospitals
7. As per WHO
f. Regional Hospitals
g. District Hospitals
h. Rural Hospitals
9
8. On basis of cost
a. Elite Hospitals
b. Low budget Hospitals
9. On basis of level of Health care
c. Primary
d. Secondary
e. Tertiary

10
 Functions of Hospital
Functions of hospital can be bifurcated in two
manners
1. Primary function (Curative function)
2. Secondary function ( Preventive, Research,
Training)

11
 Curative function
• It is the basic function of the hospital and is
associated with providing care to patient.
• It depicts any type of care that is provided to
the patients by health care providers e.g.
physicians, nurses, dieticians.
• Also includes health education to patients

12
 Preventive function
• It is popping up function of the hospital and
concerned with health promotion
• It is concerned with providing the preventive
services through a community health centre
• It has an active role to improve the health of
the population

13
 Research function
• It is a secondary function of hospital and is
concerned with managing the health related
researches that emphasis on the betterment
of the health and/or prevention of diseases.

14
 Training function
• It is a secondary function and is connected
with providing training and educational
courses for the professional and technical
personnel who provides health services (e.g.
physicians, nurses, dentists, therapist)

15
Organisation structure of Hospital
Board

Administration

Therapeu Diagnosti Supportiv

Informativ
Admissi
e services tic c services e services
on services
Billing
Medical
record
docume
PT/ OT, Speech
and Language Med. Lab, Central supply,
therapy, Radiology Biomedical ,Ho
ntation, Pharmacy,
Nursing, Sports , CT, MRI ,
usekeeping,
transportation,
Health medicine,
Dietary X ray etc. gardening etc.
educati
on,
Human
resourc
e etc

16
 Importance of Organisation structure
• Facilitates the understanding of the hospital’s chain.
• The complexity of organizational structure depends
on size of healthcare facility.
• hospitals with big acute facilities have complicated
structures, on contrary the smaller institutions have a
basic organizational structure.
• Each hospital department performs specific
functions, departments are generally grouped
according to analogy of duties in order to promote
efficiency of the healthcare facility.
17
Organisation categories of Hospital
Hospital organisation categories

Adminis Informa Diagnos Therap

Support
tration tion tic eutic Services
Services Services Services Services

18
 Roles of Hospital Administration
• To supervise the the operation of departments
• To control budgeting and finance
• To design hospital policies and procedures.
• To perform public relation duties
• Members of administration include: Hospital
President, Vice Presidents, Executive
Assistants, Department Heads

19
 Roles of Information services
1. Admissions personnel-are usually the public’s
first contact with in the hospital,check
patients into hospital and obtain
demographics of each patient
2. They assign patients their hospital room and
their hospital identification number

20
2. Billing and Collection- concerned with billing
patients for services used by them
3. Health Information Management - maintains
copies of all patient records
4. Information Services-associated with
computers and hospital network
5. Health Education-responsible for staff and
patient health-related education
6. Human Resources-responsible for recruiting
employees and making policies for their
benifits
21
 Roles of Therapeutic services
Provides treatment to patients

Physical therapy

Occupational therapy

Speech/ language therapy

Pathology

Medical Psychology

Respiratory Therapy (RT)

Pharmacy

Dietary

Sports Medicine

Nursing
22
 Roles of Diagnostic services
• To determine the cause(s) of illness or injury
• It has different departments like
a. Medical Laboratory (MT) – it is concerned with
studies related to body tissues, to determine
abnormalities
b. Imaging studies- images of body parts to determine
lesions and abnormalities. Includes Diagnostic
Radiology, MRI, CT, Ultra Sound.
c. Emergency Medicine – to provide emergency
diagnoses and treatment
23
 Roles of Supportive services
Provides support to entire hospital.
1. Central Supply-has responsibility of ordering, receiving,
stocking and distributing all equipment and supplies
used by healthcare facility, sterilizes instruments and
supplies, cleans and maintains hospital linen and patient
gowns.
2.Biomedical Technology-designs and build biomedical
equipment (engineers) by diagnosing and repairing
defective equipment (biomedical technicians) and also
provides preventative maintenance to all hospital
equipment.
24
3. Housekeeping and Maintenance- the
department is responsible to maintain a safe
clean environment by cleaners, electricians,
carpenters, and gardeners.

25
 References
1. Dr Ramesh k Goyal et al a Text Book of Hospital
Pharmacy, B.S. Shah Prakashan.
2. Dr. Ramesh K. Goyal; Dr. R.K.Parikh, Dr. Mayur M.
Patel; Merchant & Goyal’s; A Textbook of Hospital
Pharmacy; Edition- 13th.
3. http://www.srmuniv.ac.in/sites/default/files/files/
Hospital.pdf

26
THANKYOU

27