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Module 2 Lesson 2

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Module 2 Lesson 2

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MODULE 2: Hospital and its Organization

Lesson 2
Organization of a Hospital, Medical
Staff and Different Supporting
Services
Organizational
Structure
The Standard Hospital Organizational Chart
HOSPITAL ORGANIZATIONAL CATEGORIES

1.Administration Services (often referred to


simply as “administration”)
2.Informational Services / Social Services
3.Therapeutic Services / Clinical Services
4.Diagnostic Services / Ambulatory Services
5.Support Services / Administrator Services
Administration Services
❑These includes business people who “run” the
hospital.
❑Hospital Administrators generally includes the
Hospital President, Vice Presidents, Executive
Assistants, and Department Heads.
❑Oversee budgeting and finance, establish
hospital policies and procedures, and perform
public relation duties
Informational Services
Responsible for the documents and processing of
information.
1. Admissions
2. Billing and Collection Departments
3. Medical Records
4. Information Systems
5. Medical Social Service or Health Education
6. Human Resources
Informational Services
1. Admissions
often the public’s first contact with hospital
personnel that checks patients into hospital
obtaining vital information of the patient
assign in-house patients their hospital room

2. Billing and Collection Departments


responsible for billing patients for services rendered
Informational Services
3. Medical Records
Responsible for maintaining copies of all patient
records
Basis for planning & continuity of patient care
Provide data for use in research education
Serves as basis for review & evaluation of the care

4. Information Systems
responsible for computers and hospital network.
Informational Services
5. Medical Social Service or Health Education
Responsible for staff and patient health-related education.
Very important liaison between the Hospital & patient and his community
Provide information to patients regarding the risks and benefits
related to medical and surgical treatment

6. Human Resources
Responsible for recruiting/ hiring employees and employee
benefits.
Therapeutic Services
1. Physical Therapy (PT) 6. Social Services
2. Occupational Therapy (OT) 7. Pharmacy
3. Speech/Language Pathology 8. Dietary
4. Respiratory Therapy (RT) 9. Sports Medicine
5. Medical Psychology 10. Nursing
Physical Therapy (PT)
They provides treatment to improve large-muscle
mobility and prevent or limit permanent disability.
Treatments may include:
❑exercise,
❑massage,
❑hydrotherapy,
❑ultrasound,
❑electrical stimulation,
❑heat application.
Occupational Therapy (OT)
The goal of treatment is to help patient regain fine
motor skills so that they can function independently
at home and work.
Treatments may include:
❑arts and crafts that help with hand-eye coordination,
❑games and recreation to help patients develop balance and
coordination,
❑social activities to assist patient’s with emotional health.
Speech/Language Pathology

❑They identify, evaluate, and treat patients with


speech and language disorders.
❑They also help patients cope with problems created
by speech impairments.
Respiratory Therapy (RT)
They treat patient’s with heart and lung diseases.
Treatment might include:
❑oxygen,
❑medications,
❑breathing exercises.
Medical Psychology
Concerned with mental well-being of patients.
Treatment might include:
❑talk therapy,
❑behavior modification,
❑muscle relaxation,
❑medications,
❑group therapy,
❑recreational therapies (art, music, dance)
Social Services
They aids patients by referring them to community
resources for living assistance (housing, medical,
mental, financial).
Social worker specialties include:
❑child welfare,
❑geriatrics,
❑family,
❑correctional (jail)
Pharmacy
❑They dispense medications per
written orders of physician,
dentists, etc.
❑They also provides information
on drugs and correct ways to use
them while ensuring drug
compatibility
Dietary
❑Responsible for helping patients maintain
nutritionally sound diets
Sports Medicine
❑Provide rehabilitative services to athletes and
teaches proper nutrition.
❑They prescribe exercises to increase strength
and flexibility or correct weaknesses.
❑They apply tape or padding to protect body
parts and administer first aid for sports injuries
Nursing
❑They provide care for patients as directed by
physicians.
❑Many nursing specialties include:
❑nurse practitioner,
❑labor and delivery nurse,
❑neonatal nurse,
❑emergency room nurse,
❑nurse midwife,
❑surgical nurse,
❑nurse anesthetist.
Diagnostic Services /
Ambulatory Services
Determines cause(s) of illness or injury.
It includes the following departments:
1. Medical Laboratory (MT) and Pathology
2. Radiology or Imaging
3. Emergency Medicine
Medical Laboratory (MT) and
Pathology
❑Studies body tissues to determine
abnormalities.
❑Conducts cytological & gross anatomical
analysis.
❑Here samples of blood, urine, sputum, feces are tested for the
presence of pathogenic infections or abnormality in biochemical
parameters like sugar and urea content
Medical Laboratory (MT) and
Pathology
Blood Bank
❑Generally under the supervision of a licensed
physician who has a basic interest in hematology.
❑It collects, processes and supplies blood and its
product like blood plasma and platelets.
Radiology or Imaging
Image body parts to determine
lesions and abnormalities.
It includes the following:
❑Diagnostic Radiology,
❑MRI,
❑CT,
❑Ultra Sound.
Emergency Medicine

Provides emergency diagnoses


and treatment
Support Services

Provides support to entire hospital.


It includes the following departments:
1. Central Supply
2. Biomedical Technology
3. Housekeeping and Maintenance
Central Supply
❑They are in charge of ordering, receiving,
stocking and distributing all equipment and
supplies used by healthcare facility.
❑Responsible to sterilize instruments or
supplies as well as cleaning and maintaining
hospital linen and patient gowns.
Biomedical Technology
❑They design and build biomedical equipment (engineers).
❑They diagnose and repair defective equipment
(biomedical technicians).
❑They provide preventative maintenance to all hospital
equipment (biomedical technicians).
❑Responsible for pilot use of medical equipment to other
hospital employees (biomedical technicians)
Housekeeping and Maintenance
❑Responsible for maintaining safe
clean environment.
❑These includes cleaners, electricians,
carpenters, and gardeners.
MEDICAL STAFF
TYPES OF MEDICAL STAFF

MAIN TYPES SPECIFIC TYPES


❑Open Staff ❑Honorary
❑Closed Staff ❑Consulting
❑Active/ Attending
❑Associate
❑Courtesy
❑Resident
OPEN STAFF
❑One in which certain physicians, other than those
on the attending or active medical staff, are
allowed to use the private room facilities, providing
they comply with all rules & regulations of the
institution.
❑These physicians are termed members of the
“Courtesy Medical Staff”.
CLOSED STAFF
❑One in which all professional services, private
& charity are only provided & controlled by the
“Attending” or “Active Medical Staff”.
Honorary
❑Has been active and consists of
former staff members, retired or
emeritus, & of other practitioners
whom the medical staff chooses to
honor.
Consulting
❑Recognized specialists who passed the
specialty boards.
❑It consists of practitioners of recognized
professional ability who are not members of the
preceding categories of staff membership.
❑They are consultant to other medical staff.
Active/ Attending
❑Concerned w/ direct patient care & counseling.
❑They are responsible for the delivery of the pre-
ponderance of medical service within the
hospital.
❑They are most involved in the organizational &
administrative duties pertaining to the medical
staff.
Associate
❑They are junior or less experience interns, clinical
clerks.
❑It consists of individuals who are being considered
for advancement to the active medical staff.
❑They were appointed & assigned to the various
services in the same manner as are members of the
active medical staff.
Courtesy
❑Attend to private patient but are not members of the
active medical staff.
❑They consists of practitioners who are eligible for
staff membership, who are given privileges to admit
an occasional patient to the hospital.
❑They may neither vote nor hold office in the medical
staff organization.
Resident
❑Receiving specialized clinical training in a
hospital, usually after completing an
internship.

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