A hospital is composite organization of various specialities. The governing body has total accountability
within the organization.
Hence governing body has its own internal organization consisting of a president or chairman, vicechairman, secretary and the treasurer.
Their main motto is to take overall responsibilities for proper functioning of hospitals to provide
adequate services to the patients at low cost with maximum efficiency.
On many boards the chief executive officer (CEO) of hospital serves as secretary i.e. he must produce a
two way channel of communication between the board, hospital staff and the personnel.
He takes overall responsibility assigned by governing board and depending on the size of hospital there
may be one or more administrations reporting to CEO
1. MAIN SERVICES
a) THE MEDICAL STAFF: All hospitals should have medical staff responsible for medical care of the patients. These are again divided into
b) RESIDENT MEDICAL OFFICER ( RMO): He should be available on 24 hrs basis and takes care of the needs of both patients and hospital.
c) CONSULTANTS: These are medical practioners that are expertise in specific areas of medicine. They are pertained to hospital.
d) VISITING CONSULTANTS: They practice outside hospital and hospitals call them to attend specific areas to get options and services.
e) HORMONY STAFF: They are normally senior or retired medical staff. They visit hospital regularly.
f) DEPARTMENTAL HOD’S: They are competent expert medical staff. Their work is to send
a) Maintain quality services b) Send monthly reports of their division to Dean. c) Preparing budget of their divisions. d) Recruitment of the staff.
2) THE SUPPORTING SERVICES:
a) ANAESTHESIA SERVICES: Here service is provided by Anaesthesiologist. b) BLOOD BANK: A licence of Form 28c is required under supervision of licensed physician. Storage facilitates shall be specified as per D&C rules. 2
c) CENTRAL STERILE SUPPLY:
All necessary requirements are supplied in sterile conditions to nursing and surgical units that
include needles, syringes, Lenin, and other surgical supplies.
This department of hospital is necessary for diagnostic and therapeutic purposes. The department
is under supervision of Radiologist.
e) MEDICAL RECORD SERVICE:
All patient records with specific separate code and all records must include detailed clinical
information to enable another practioners effective consulting care of the patient.
f) NURSING SERVICES:
It encompasses health promotion, care and prevention of disease rehabilitation, counselling and
emotional support. It is an integral part of health care system.
g) DIETARY SERVICES:
Diet plays an important role in proper absorption of drugs. The department runs under
supervision of a Dietician. Their staff contributes up to 12% of the total staff.
h) HOUSE KEEPING SERVICES:
Hospitals must require this department for maintaining proper sanitation, hygiene and sterile
environment in hospital by mopping, waxing, linen service, sterilization of the rooms etc.
Proper disposal of waste is a must for every disciplinary like
a) Solid waste disposal.
b) Carcinogenic waste disposal.
c) Effluent disposal etc.
3) PHARMACY SERVICES:
It is extensively used therapeutic arm of any hospital. They provide dispensing services to
inpatient wards, outpatient departments.
The function of hospital pharmacy begins with the procurement of drugs and ends with their
4) ADMINISTRATION: This includes
a) ACCOUNTS & FINANCES: This department looks over financial setting up to the hospital. They look after capital requirement for purchase of required materials and even look for expansion of the hospital.
b) BIO MEDICAL ENGINEERING: This department is responsible for maintaining all the equipments that are needed for the hospital.
c) CENTRAL TRANSPORTATION: They take care of both internal and external transportations. The internal transportations include conveyor belts, trolleys, elevators etc. The external transportation include Ambulance services etc.
5) HR & MARKETTING DEPARTMENTS: This involves planning, organizing, staffing, directing, controlling, communicating, cocoordinating and decision making. They are also held responsible for on duty work schedule, job introductions, training and supervision of staff welfare.
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