WELCOME

INTRODUCTION
Hospital Administration
Role
To U p l i f t
Q u a l i t y Pa t i e n t C a r e

Capt Shaharul

AIM
To discuss the
Administration
of a ideal
Hospital & its
role to provide
Quality Patient
Care

SCOPE
Hospital & Its Organization
Hospital Administration
Elements of Hospital Administration
Quality Patient Care
Management
Policy & Consideration
Administrative Responsibility

HOSPITAL
Hospital is a place for the diagnosis and
treatment of human ills and restoration of
health and well-beings of those
temporarily deprived of these.

Hospital

is a combination of many
processes. To the community it is a place to
receive medical care
to the physician it is a place to treat patients
to the employees it is a place to work
and to the hospital manager it is a
multifaceted organization.

ORGANIZATION
A hospital is a multifaceted organization
comprising many committees,
types of personnel, and services.

departments,

It requires highly trained employees, efficient

systems and controls, necessary supplies,

adequate equipment and facilities, and of
course, physicians and patients.

HOSPITAL ADMINISTRATION
Sound administration is essential for the success of any
public health program whether on the national,
intermediate or the local level.

SOUND ADMINISTRATION
The process of achieving defined goals at
a defined time through the guidance,
leadership, and control of the efforts of a
group of individuals and the efficient
utilization
of
non-human
resources
bearing in mind adequacy, speed, and
economy to the utmost possible level.

Another definition
Administration is the art and science of guidance,
leadership, and control of the efforts of a group of
individuals towards some common goal.
-A common goal to Quality Patient Care

QUALITY PATIENT CARE

The degree to which health services for
individuals and populations increase the
likelihood of desired health outcomes and are
consistent with current professional knowledge.

Some of the issues that need to be

addressed to improve patient care are
listed below.

Access. Accessibility and

availability of both the hospital and
the physician

Waiting. Waiting times for all

services should be minimized

Information. Patient information

and instruction about all procedures,
both medical and administrative,
should be made very clear

CONT..
Administration. Check-in and check-out
procedures should be patient friendly

Communication. Communicating with

the patient and the family about possible
delays is a factor that can avoid a lot of
frustration and anxiety.

Ancillary Services. Other services such

as communication, food, etc. should be
accessible both to patients and to
attending families

LEVELS OF
ADMINISTRATION
Central
level
Intermediate
level
Local Level

Ministry of Health

Directorates of Health
e.g. Health office,
Hospital, Health
care unit

ADMINISTRATIVE ELEMENTS
Planning
Organization
Staffing
Directing
Coordinating

Reporting
Budgeting
Supervising
Evaluation

CONT..
Planning needs knowledge, experience,
foresight, reasoning and the mastering of
special skills and techniques. Its must be :
-Futuristic
-Decision Making Process
-Dynamic
-Flexible

The Organizational process is classified into:

Structural organization
Functional organization
&

there must be a good co-ordination.

CONT..
Staffing is the process of personalizing the

organization, by hiring the right type and

adequate number of workers to each unit for
the time required through the following steps:

Budgeting is the financial administration.

About 60 percent of total budget is spent in
wages & salaries of the staff in a hospital.

CONT..
To ensure adequate care & treatment there must be:

Regular Auditing
Purchasing of modern equipments and maitainance
Supervision of both work & workers by the
Executive

Evaluation of activities, characteristics, outcome of

the health care process to improve effectiveness &
make decision for efficient planning.

ADMINISTRATION STRUCTURE
CEO

THE MEDICAL STAFF

The physician is the
leader of the clinical
team and the major
agent working on behalf
of the patient.

The physician's
responsibility is to
diagnose the patient's
condition accurately and
to prescribe the best
and most cost-effective
treatment plan

NURSING SERVICE
Nurses are one of the few
blessings of being ill.

Nursing services
employees are responsible
for carrying out the
treatment plan
developed by the
physician.

Nursing

services,
also
called
patient
care
services, is the largest
component
of
the
hospital.

ALLIED HEALTH SERVICES

The clinical laboratory is
a diagnostic center that
performs a variety of
functions, including
autopsy, clinical
cytology, and clinical
pathology.

Also medical technologists,

radiology department
and rehabilitation
services.

CLINICAL SUPPORT SERVICE

The hospital pharmacy
purchases and
dispenses all the
medications used to treat
patients in the hospital.

The pharmacist works

directly with the medical
staff in establishing a
formulary, the listing
of drugs chosen to be
included in the pharmacy

LINE SERVICE
Emergency services
Diagnosis & treatment
of illness of an urgent
nature & injuries from
accidents

Out-Patient services
Provision of diagnostic,
curative, preventive and
rehabilitative services

In-patient
(Wards)

services

CONT..
Intensive care unit
Those
who
need
Acute,
multidisciplinary and
intensive observation
and treatment

Operation theatres
Should have a preanaesthesia room and
sterilization room and
a scrub room for
doctors and nurses

Public Area
(Entrance
Zone)

Ancillary
Area

Circulation
Area

Clinical Area
(Ambulatory
Zone)

Physical
Facilities

Axillary Area

Administrativ
e Area

 Management

is

the

operational

part

administration.

Hospital Management is a continuing and

dynamic application of managerial functions for
providing comprehensive health care to the
community

of

CONT..
In countries with

large population
to ensure the most
cost-effective
means of
improving delivery
of service hospital
management
system should
be up to date
and managers are
functioning
efficiently &
effective.

POLICY AND GUIDELINES

Healthcare managers of all levels and specializations
are critical to guarantee a hospital functions in a
competitive, effective, profitable and satisfactory
manner.

CONT..
Modern well
equipped
technology
and methods

Obtain total
patient
satisfaction

Sustained
and
continuity of
high
standard
patient care

CONT..
Highly motivated
and trained,
skilled hospital
staff

Manual of
procedures for
hospital staff

CONT..
Periodic training
and review
system

Morning and
afternoon clinics

Modern System of
appointment. e.g. ehospital
management

Proper singe system

ADMINISTRATIVE
RESPONSIBILITIES
Procedure manual of patient care at various
areas of health care

Advisory responsibility, planning and budgeting

CONT..
Nursing training and research in services
Recruitment, promotion and development of
nursing staff

CONT..
Staff meetings, monitoring & evaluation of
service

Maintenance of discipline, reward and

punishment

CONT..
Welfare measures, residential accommodation,
health promotion, recreation and other utility service
like canteen, pharmacy, bank etc

Regardless of the position or the tasks

involved, the role of the hospital
administration is vital to the growth and
success of a hospital to provide a quality
health care.