hospital administration role in quality patientcare

8/17/2019 Hospital Administration Role in Quality Patientcare

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WELCOME


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INTRODUCTION

Capt Shaharul

Hospital AdministrationRole To Uplift

Quality Patient Care


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AIM

To discuss theAdministration

of a ideal Hospital & itsrole to provideQuality Patient

Care


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SCOE

Hospital & Its Organization

Hospital Administration

Elements of Hospital Administration

Quality Patient Care

Management

Poliy & Consideration

Administrati!e Responsi"ility


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!OSITAL

Hospital is a place for the dia"#osis a#dtreat$e#t of hu$a# ills a#d restoratio# of

health a#d %ell'ei#"s of thosete$poraril( deprived of these)


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!ospital is a co$'i#atio# of $a#(processes) To the co$$u#it( it is a place toreceive $edical care

to the ph(sicia# it is a place to treat patie#tsto the e$plo(ees it is a place to %or*a#d to the hospital $a#a"er it is a$ultifaceted or"a#i+atio#)


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OR,ANI-ATIONA #ospital is a $ultifaceted or"a#i+atio#

co$prisi#" $a#( co$$ittees. depart$e#ts.t(pes of perso##el. a#d services)

It re$uires hi"hl( trai#ed e$plo(ees. e/cie#ts(ste$s a#d co#trols. #ecessar( supplies.ade0uate e0uip$e#t a#d facilities. a#d ofcourse. ph(sicia#s a#d patie#ts)


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!OSITAL ADMINISTRATION

Sou#d ad$i#istratio# is esse#tial for the success of a#(pu'lic health pro"ra$ %hether o# the #atio#al.

i#ter$ediate or the local level)


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SOUND ADMINISTRATION

“ The proess of achievi#" de1#ed "oals ata de1#ed ti$e throu"h the "uida#ce.leadership. a#d co#trol of the e2orts of a

"roup of i#dividuals a#d the e/cie#tutili+atio# of #o#hu$a# resources'eari#" i# $i#d ade0uac(. speed. a#deco#o$( to the ut$ost possi'le level)”


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A#other de1#itio#

“Ad$i#istratio# is the art a#d scie#ce of "uida#ce.leadership. a#d co#trol of the e2orts of a "roup of

i#dividuals to%ards so$e co$$o# "oal)”

A co$$o# "oal to 3Quality Patient Care4


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5UALIT6 ATIENT CARE

The de"ree to %hich health services fori#dividuals a#d populatio#s i#crease theli*elihood of desired health outco$es a#d areco#siste#t %ith curre#t professio#al *#o%led"e)4


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addressed to i$prove patie#t care are

listed 'elo%)

Aess) Accessi'ilit( a#davaila'ilit( of 'oth the hospital a#dthe ph(sicia#

%aiting) Waiti#" ti$es for allservices should 'e $i#i$i+ed

Information) atie#t i#for$atio#a#d i#structio# a'out all procedures.'oth $edical a#d ad$i#istrative.should 'e $ade ver( clear


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CONT))

Administration) Chec*i# a#d chec*outprocedures should 'e 7patie#t frie#dl(8

Communiation) Co$$u#icati#" %ith

the patie#t a#d the fa$il( a'out possi'ledela(s is a factor that ca# avoid a lot offrustratio# a#d a#9iet()

Anillary er!ies) Other services suchas co$$u#icatio#. food. etc) should 'eaccessi'le 'oth to patie#ts a#d toatte#di#" fa$ilies


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LE:ELS O;ADMINISTRATION

Central

level

Intermediate

level

Local Level

Ministry of Health

Directorates of Health

e.g. Health office,Hospital, Health

care unit


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la##i#"

Or"a#i+atio#

Sta/#"

Directi#"

Coordi#ati#"

Reporti#"


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CONT))

Planning #eeds *#o%led"e. e9perie#ce.foresi"ht. reaso#i#" a#d the $asteri#" ofspecial s*ills a#d tech#i0ues) Its $ust 'e =

The Organizational proess is classi1ed i#to=

Structural or"a#i+atio#

;u#ctio#al or"a#i+atio#

'uturisti

()eision Ma*ing Proess()ynami('le+i"le

& t#ere must "e a good o(ordination,


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CONT))

ta-ng is the process of “perso#ali+i#"” theor"a#i+atio#. '( #iring t#e rig#t type andade$uate num"er of .or*ers to each u#it forthe ti$e re0uired throu"h the follo%i#" steps=

• /udgeting is the 1#a#cial ad$i#istratio#)A'out 01 perent of total 'ud"et is spe#t i#

.ages & salaries of t#e sta2 i# a hospital)


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CONT))

To e#sure ade0uate care & treat$e#t there $ust 'e=

Re"ular Auditing

Pur#asing of $oder# e0uip$e#ts a#d $aitai#a#ce

uper!ision of 'oth %or* & %or*ers '( theE9ecutive

E!aluation of activities. characteristics. outco$e of

the health care process to i$prove e2ective#ess &$a*e decisio# for e/cie#t pla##i#")


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ADMINISTRATION STRUCTURE

CEO


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T!E MEDICAL STA;;

The ph(sicia# is theleader of t#e linialteam a#d the $a>ora"e#t %or*i#" o# 'ehalfof the patie#t)

The ph(sicia#?srespo#si'ilit( is todiagnose the patie#t?sco#ditio# accuratel( a#d

to presri"e the 'esta#d $ost coste2ectivetreatment pla#


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NURSIN, SER:ICE

3urses are o#e of the fe%"lessings of "eing ill,

Nursi#" servicese$plo(ees are respo#si'le

for arrying out t#etreatment plandeveloped '( theph(sicia#)

Nursi#" services. also

called patient areser!ies4 is the largestomponent of thehospital)


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ALLIED !EALT! SER:ICES

The linial la"oratory isa dia"#ostic ce#ter thatperfor$s a variet( offu#ctio#s. i#cludi#"autopsy4 linial

ytology. and linialpat#ology,

Also $edical tech#olo"ists.radiology department a#d re#a"ilitation

services)


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CLINICAL SUORT SER:ICE

The hospital p#armay pur#ases anddispenses all the$edicatio#s used to treat

patie#ts i# the hospital)

The phar$acist %or*sdirectl( %ith the $edicalsta2 i# esta"lis#ing aformulary4 t#e listingof drugs chose# to 'ei#cluded i# the phar$ac(


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LINE SER:ICE

E$er"e#c( services

Dia"#osis & treat$e#tof ill#ess of a# ur"e#t#ature & i#>uries fro$

accide#tsOutatie#t services

rovisio# of dia"#ostic.

curative. preve#tive a#dreha'ilitative services

I#patie#t services@Wards


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CONT))

I#te#sive care u#it

Those %ho #eedAcute.$ultidiscipli#ar( a#d

i#te#sive o'servatio#a#d treat$e#t

Operatio# theatres

Should have a prea#aesthesia roo$ a#dsterili+atio# roo$ a#da scru' roo$ fordoctors a#d #urses


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h(sical;acilities A9illar( Area

Cli#ical Area@A$'ulator(

-o#e

Ad$i#istrative Area

u'lic Area@E#tra#ce

-o#e

A#cillar(Area

Circulatio#Area


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Ma#a"e$e#t is the operational part ofad$i#istratio#)

3!ospital Ma#a"e$e#t is a co#ti#ui#" a#d

d(#a$ic applicatio# of $a#a"erial fu#ctio#s for providi#" co$prehe#sive health care to theco$$u#it( ”


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CONT))

I# cou#tries %ith

lar"e populatio#to e#sure the $ostost(e2eti!e

$ea#s ofi$provi#" deliver(of service hospital$a#a"e$e#tsystem s#ould"e up to date

a#d $a#a"ers arefuntioninge-iently &e2eti!e)


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OLIC6 AND ,UIDELINES

!ealthcare $a#a"ers of all levels a#d speciali+atio#sare critical to "uara#tee a #ospital funtions i# aco$petitive. e2ective. pro1ta'le a#d satisfactor($a##er)


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CONT))

Moder# %elle0uippedtech#olo"( a#d $ethods

O'tai# totalpatie#tsatisfactio#

Sustai#eda#dco#ti#uit( ofhi"hsta#dard

patie#t care


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CONT))

!i"hl( $otivateda#d trai#ed.s*illed hospitalsta2

Ma#ual ofprocedures for

hospital sta2


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CONT))

eriodic trai#i#"a#d revie%s(ste$

Mor#i#" a#dafter#oo# cli#ics


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Moder# S(ste$ of

appoi#t$e#t) e)", e(#ospital$a#a"e$e#t

• roper singe s(ste$

ADMINISTRATI:E


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ADMINISTRATI:ERESONSI


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CONT))

3ursing training a#d research i# servicesRecruit$e#t. pro$otio# a#d develop$e#t of

#ursi#" sta2


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ta2 meetings. $o#itori#" & evaluatio# ofservice

Mai#te#a#ce of disipline. re%ard a#d

pu#ish$e#t


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CONT))

Welfare $easures. reside#tial aommodation.health pro$otio#. recreatio# a#d other utilit( service

li*e ca#tee#. phar$ac(. 'a#* etc


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hospital administration role in quality patientcare

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