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Chapter 4Hospital Administration
and Organization
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Health-Care Facilities
Nonprofit Hospitals
Ownership
Revenue Is:
Reinvested
Nontaxable
Goal
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For-Profit (Proprietary) Institutions
Ownership
Revenue
Surgical Facilities
Settings
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Hospital Administration
Mission Statement
Statement of
Overall goal
Ethics
Policies
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Organization of Personnel
Chain of Command
Vertical alignment
Horizontal alignment
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Organizational Chart
Graphic
Importance
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Chief Executive Officer
Vice President
Director of Perioperative Services
Preoperative Operating Room PostanesthesiaCare Manager Manager Care Manager
Example:
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Hospital Management
Board of Directors
Responsibilities
Medical Staff
Delivers patient services
Administration
Responsibilities
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Hospital Policy
Goal
Defines Hospital Policies
Purpose Define Rules
Joint Commission on Accreditationof Healthcare Organizations (JCAHO)Accreditation
Policy Manuals
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Hospital Accreditation
Accreditation
Process
Reimbursement
JCAHO Standards
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Hospital Ancillary Servicesand Departments
Pathology
Tissue Examination
Radiology
Diagnostic X-ray
Infection Control
Prevention and Control
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Sterile Processing
Decontamination and Sterilization
Central Supply
Provides Disposable Items,Equipment, and Linen
Linen Supply
Laundry
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Bioengineering
Equipment Maintenance
Nuclear Medicine andInterventional Radiology
Radioactive Materials
Invasive Testing
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Pharmacy
Provides Medications
Laboratory
Testing and Body FluidAnalysis
Blood Bank Provides Blood Products
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Risk Management
Surveillance/Investigation
Switchboard and Paging Services
Communication Center
Medical Records Records Management
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Maintenance
Environmental System Control
Housekeeping(Environmental Services)
Cleaning and Decontamination
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Operating Room Personnel
Surgeon
Primary Physician
Anesthesia Care Provider
Administers Anesthesia
Operating Room Director
Responsible for Overall Activities
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Nurse Manager
Day to Day Supervision
Operating Room Educator
Development of EducationPrograms
Registered Nurse
Responsibilities
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Physician Assistant
Works Under Supervision of MD
Certified Surgical TechnologistCertified First Assistant
Advanced Training
Licensed Practical/Vocational Nurse Scrub Role
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Unit Secretary
Schedules Surgery
Supports Personnel
Surgical Orderly or Aide
Participates in Limited
Patient-Care Activities