Download Organizational Structure of a Hospital

Hospitals
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Acute care facilities
Inpatient vs. outpatient
Provide care for:
 Severely ill or injured
 Those needing surgery
 Women delivering babies
Trend: decrease in average length of stay
Public vs. private, for-profit vs. nonprofit
Types of hospitals
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General Hospitals
shorter length of stay, acute care, wide range of services
Specialty Hospitals
for specific illnesses or disorders, longer length of stay
Government Hospitals
provide care for government service personnel and their
families
i.e. VA hospitals
University or college medical centers
additionally provide research and educational services
Subacute Care Facilities
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Fill the gap between hospitalization & rehabilitation
Provide:
 Extensive monitoring & IV therapy
 Around-the-clock supervision
Typically 20% to 50% less expensive than
Often an area within an extended care facility
less aggressive rehab, nursing care needs, intent for
patient to return home
Extended Care Facilities
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Provide:
 Health care
 Help with activities of daily living
 Basic physical and emotional care to individuals who
can no longer care for themselves
 Social interactions in a safe & secure environment
Types
 Nursing homes
 Independent-living facilities
 Residential institutions for mentally or physically
disabled
•Senior Day Care Centers
activities and personal care during day hours only, patient retu
home at night, on weekends
•Assisted Living Facilities
rented or purchased apartment in a facility with services availa
such as housekeeping transportation, laundry, meals, social
events, and minimal medical assistance (example assist with
medications)
Rehabilitation Centers
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Provide:
 Physical or emotional rehabilitation
 Treatment of chemical dependency
Goal: return healthy patients to community
Acute physical rehab requires patients to
participate in a minimum of 3 hours / day
of therapy
Home Health Care Agencies
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Provide care in a patient’s home
Care managed by:
 Community health departments
 Hospital case managers
 Home health agencies
Increasing in popularity due to:
 Increase in early discharge from hospital
 Elderly living longer with chronic diseases
 Technology
other
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other
 Ambulatory or Outpatient Care Centers
several physicians w/different specialties
combine practices, same day care Elderly living
longer with chronic diseases
 Urgent or Emergency Care Clinics
 Municipal Health Departments
 Outpatient or specialty clinics (ex. Diabetes
education, Dialysis center)
Expanded list here
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other
 Laboratories
 Mental Health Facilities
 School Health Facilities
 Hospice Care
inpatient or in home care…
for patients no longer pursuing
curative treatment for their conditions
OUTPATIENT – discharged within 23
hours, but may require ongoing care
of some kind
INPATIENT – remains in facility
for more than 24 hours
ORGANIZATIONAL
STRUCTURE OF A
HOSPITAL
Organizational Structure refers to levels
of management within a hospital.
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Levels allow efficient management of hospital
departments.
The structure helps one understand the hospital’s chain of
command.
Large hospitals have complex organizational structures.
Smaller hospitals tend to have much simpler
organizational structures.
Hospital departments are grouped in order to promote
efficiency of facility.
Grouping is generally done according to similarity of
duties.
COMMON CATEGORICAL GROUPING:
Administrative Services
 Informational Services
 Therapeutic Services
 Diagnostic Services
 Support Services
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ADMINISTRATIVE SERVICES
Those who “run the hospital”
 Oversee budgeting and finance
 Establish hospital policies and procedures
 Often perform public relation duties
 Hospital Administrators
CEO, CFO, COO, Vice President(s), Directors, Executive
Assistants, Department Heads
INFORMATIONAL SERVICES
Document and process information:
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Admissions
Billing & Collection
Medical Records
Computer Information Systems
Health Education
Human Resources
THERAPEUTIC SERVICES
Provide treatment to patients:
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Physical Therapy - treatment to improve large
muscle mobility
Occupational Therapy - treatment goal is to help
patient regain fine motor skills
Speech/Language Pathology - identify, evaluate,
treat speech/language disorders
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Medical Psychology - concerned with mental
well-being of patients
Social Services – counsels, connect patients with
community resources (financial aid, etc.)
Pharmacy - dispense medications
Respiratory Therapy - treat patients with heart &
lung disease
Sports Medicine - provide rehabilitative services
to athletes
Nursing - provide care for patients
Dietary - maintain nutritionally sound diets for
patients
DIAGNOSTIC SERVICES
Determines the cause(s) of illness or injury:
 Medical Laboratory - studies body tissues
 Medical Imaging - radiology, MRI, CT,
Ultra Sound
 Emergency Medicine -provides emergency
diagnoses & treatment
SUPPORT SERVICES
Provide support for entire hospital:
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Central Supply - orders, receives, stocks &
distributes equipment & supplies
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Biomedical Technology - design, build
repair, medical equipment
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Housekeeping & Maintenance - maintain
safe, clean environment
Traditional
Organizati
onal Chart
Board
Administration
Information
Therapeutic
Diagnostic
Support
Services
Services
Services
Services
Admissions
Billing, etc.
Med. Records
Computer Info.
Health Ed.
Human Resour.
PT, OT
Speech/Lang.
Resp. Therapy
Pharmacy
Nursing
Dietary
Med. Lab
Radiology
Nuclear
Med ER
Cardiology
Neurology
Central Supply
Biomedical
Housekeeping
Maintenance
Dietary
Transportation
Pyramid
demonstrates a
Board
symbolic
organizational
Admin. Services
structure of
hospital.
Information Services
Therapeutic Services
Diagnostic Services
Support Services
MINI GROUP PROJECT:
CREATE AN EXAMPLE OF “SYMBOLIC
REPRESENTATION” OF
ORGANIZATIONAL STRUCTURE
Head: ADMINISTRATIVE
SERVICES - runs everything
Earpieces: THERAPEUTIC
SERVICES - hears/interprets and
decides course of treatment
Tubing: SUPPORT SERVICES supports structure of stethoscope
(thus hospital departments)
Stethoscope : DIAGNOSTIC SERVICES diaphragm determines cause of illness
This is a “symbolic” organizational structure of a hospital as planned After each
group completes their drawing, they present it to the class and explain the
symbolism as depicted in their picture. This drawing was rationalized as such:
1. Stethoscope : DIAGNOSTIC SERVICES - diaphragm determines
cause of illness
2. Earpieces: THERAPEUTIC SERVICES - hears/interprets and decides
course of treatment
3. Tubing: SUPPORT SERVICES - supports structure of stethoscope
(thus hospital departments)
4. Head: ADMINISTRATIVE SERVICES - runs everything
Be as creative (but logical) as possible.
Other examples : roller coaster, totem pole, hamburger, tennis shoe, ice cream
cone, etc.