hospital administration role in quality patient care

WELCOME

INTRODUCTION

Capt Shaharul

Hospital Administration Role To Uplift Quality Patient Care

AIM

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

SCOPEHospital & Its OrganizationHospital AdministrationElements of Hospital AdministrationQuality Patient CareManagement Policy & ConsiderationAdministrative Responsibility

HOSPITALHospital 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 careto the physician it is a place to treat patientsto the employees it is a place to workand to the hospital manager it is a multifaceted organization.

ORGANIZATIONA hospital is a multifaceted organization

comprising many committees, departments, types of personnel, and services.

It requires highly trained employees, efficient systems and controls, necessary supplies, adequate equipment and facilities, and of course, physicians and patients.

HOSPITAL ADMINISTRATIONSound 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 CAREThe 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

Centrallevel

Intermediatelevel

Local Level

Ministry of Health

Directorates of Health

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

PlanningOrganizationStaffingDirectingCoordinating

ReportingBudgetingSupervising Evaluation

ADMINISTRATIVE ELEMENTS

CONT..Planning needs knowledge, experience,

foresight, reasoning and the mastering of special skills and techniques. Its must be :

The Organizational process is classified into:Structural organizationFunctional organization

-Futuristic-Decision Making Process-Dynamic-Flexible

& 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 STRUCTURECEO

THE MEDICAL STAFFThe 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 SERVICEThe 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 SERVICEEmergency services

Diagnosis & treatment of illness of an urgent nature & injuries from accidents

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

In-patient services (Wards)

CONT..Intensive care unit

Those who need Acute, multidisciplinary and intensive observation and treatment

Operation theatresShould have a pre-anaesthesia room and sterilization room and a scrub room for doctors and nurses

PhysicalFacilities Axillary Area

Clinical Area(Ambulatory

Zone)

Administrative Area

Public Area(Entrance

Zone)

AncillaryArea

Circulation Area

Management is the operational part of administration.

“Hospital Management is a continuing and dynamic application of managerial functions for providing comprehensive health care to the community ”

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 GUIDELINESHealthcare 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. e-hospital 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 servicesRecruitment, promotion and development of

nursing staff

CONT..Staff meetings, monitoring & evaluation of

serviceMaintenance 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.