2. Let’s take a look… Children’s hospital Cancer hospital Acute rehab
Senior living

3. Hospitals Acute care facilities Inpatient vs. outpatient
Provide care for:
Severely ill or injured
Those needing surgery
Women delivering babies
Trend: decrease in average length of stay
Public vs. private, for-profit vs. nonprofit

4. Types of hospitals
General Hospitals shorter length of stay, acute care, wide range of services
Specialty Hospitals for specific illnesses or disorders, longer length of stay
Government Hospitals provide care through government funding ex: Public Hospitals, State Hospitals, VA Hospitals
University or college medical centers additionally provide research and educational services

5. Subacute Care Facilities
Fill the gap between hospitalization & rehabilitation
Provide:
Extensive monitoring & IV therapy
Around-the-clock supervision
Typically 20% to 50% less expensive than
Often an area within an extended care facility
less aggressive rehab, nursing care needs, intent for patient to return home

6. Extended Care Facilities
Provide:
Health care
Help with activities of daily living
Basic physical and emotional care to individuals who can no longer care for themselves
Social interactions in a safe & secure environment
Types
Nursing homes
Independent-living facilities
Residential institutions for mentally or physically disabled
Assisted living facilities
Senior day care

7. Rehabilitation Centers
Provide:
Physical or emotional rehabilitation
Treatment of chemical dependency
Goal: return healthy patients to community
Acute physical rehab requires patients to participate in a minimum of 3 hours / day of therapy

8. Home Health Care Agencies
Provide care in a patient’s home
Care managed by:
Community health departments
Hospital case managers
Home health agencies
Increasing in popularity due to:
Increase in early discharge from hospital
Elderly living longer with chronic diseases
Technology

9. other
other
Ambulatory or Outpatient Care Centers several physicians w/different specialties combine practices, same day care Elderly living longer with chronic diseases
Urgent or Emergency Care Clinics
Municipal Health Departments
Outpatient or specialty clinics (ex. Diabetes education, Dialysis center)

10. Expanded list here
other
Laboratories
Mental Health Facilities
School Health Facilities
Hospice Care inpatient or in home care… for patients no longer pursuing curative treatment for their conditions Watch TED talk: What Really Matters at the End of Life min

11. OUTPATIENT – discharged within 23 hours, but may require ongoing care of some kind
INPATIENT – remains in facility for more than 24 hours

12. Organizational Structure of a Hospital

13. Organizational Structure refers to levels of management within a hospital.
Levels allow efficient management of hospital departments.
The structure helps one understand the hospital’s chain of command.
Hospital departments are grouped in order to promote efficiency of facility and is generally done according to similarity of duties.

14. Common Categorical Grouping:
Administrative Services
Informational Services
Therapeutic Services
Diagnostic Services
Support Services

15. Administrative Services
Those who “run the hospital”
Oversee budgeting and finance
Establish hospital policies and procedures
Often perform public relation duties
Hospital Administrators CEO, CFO, COO, Vice President(s), Directors, Executive Assistants, Department Heads

16. Informational Services
Document and process information:
Admissions
Billing & Collection
Medical Records
Computer Information Systems
Health Education
Human Resources

17. THERAPEUTIC Services Provide treatment to patients:
Physical Therapy - treatment to improve large muscle mobility
Occupational Therapy - treatment goal is to help patient regain fine motor skills
Speech/Language Pathology - identify, evaluate, treat speech/language disorders

18. Medical Psychology - concerned with mental well-being of patients
Social Services – counsels, connect patients with community resources (financial aid, etc.)
Pharmacy - dispense medications
Respiratory Therapy - treat patients with heart & lung disease
Sports Medicine - provide rehabilitative services to athletes
Nursing - provide care for patients
Dietary - maintain nutritionally sound diets for patients

19. Diagnostic Services Determines the cause(s) of illness or injury:
Medical Laboratory - studies body tissues
Medical Imaging - radiology, MRI, CT, Ultra Sound
Emergency Medicine -provides emergency diagnoses & treatment

20. Support Services Provide support for entire hospital:
Central Supply - orders, receives, stocks & distributes equipment & supplies
Biomedical Technology - design, build repair, medical equipment
Housekeeping & Maintenance - maintain safe, clean environment

21. Board Administration Information Services Therapeutic Services
Traditional Organizational Chart
Board
Administration
Information
Services
Therapeutic
Services
Diagnostic
Services
Support
Services
Admissions Billing, etc. Med. Records Computer Info. Health Ed. Human Resour.
PT, OT Speech/Lang. Resp. Therapy Pharmacy Nursing Dietary
Med. Lab Radiology Nuclear Med ER Cardiology Neurology
Central Supply Biomedical Housekeeping Maintenance Dietary Transportation

22. Joint Commission
Vision: All people always experience the safest, highest quality, best-value health care across all settings.
Functions: Accredits health care facilities
Supports performance improvement
Established standards of care related to ethics
website

23. Pyramid demonstrates a symbolic organizational structure of hospital.
Board
Admin. Services
Information Services
Therapeutic Services
This is a simplistic organizational structure of a hospital. It allows the student to see the structure in a less abstract fashion. Explain that the line between Diagnostic and Therapeutic services is sometimes blurred due to new technological advances. (Example is interventional radiology.) Provide additional information on the role of physicians in acute care facilities. Point out that “Support Services” is at the bottom of the pyramid and thus supports the entire structure. Have the students note that the pyramid forms a hierarchy (in terms of levels of services). Food for thought might be: “Do you believe that these service levels could represent monetary compensation and occupational status?”
Diagnostic Services
Support Services

24. It’s about team
Pink Glove Dance
Footloose – Nursing school

26. Optional Mini GROUP Project: Create an example of “symbolic representation” of organizational structure

27. Head: ADMINISTRATIVE SERVICES - runs everything
Earpieces: THERAPEUTIC SERVICES - hears/interprets and decides course of treatment
Tubing: SUPPORT SERVICES - supports structure of stethoscope (thus hospital departments)
This is the “symbolic” organizational structure of a hospital as planned and drawn by a team of my HSTE I students. After each group completes their drawing, they present it to the class and explain the symbolism as depicted in their picture. The drawing up above was rationalized as such:
1. Steth. diaphragm: DIAGNOSTIC SERVICES - diaphragm determines cause of illness
2. Earpieces: THERAPEUTIC SERVICES - hears/interprets and decides course of treatment
3. Tubing: SUPPORT SERVICES - supports structure of stethoscope (thus hospital departments)
4. Head: ADMINISTRATIVE SERVICES - runs everything
Encourage students to be as creative (but logical) as possible. This activity not only helps them remember the levels of management in a hospital, but is an excellent way to promote camaraderie and teamwork. In the past my students have drawn: roller coaster, totem pole, hamburger, tennis shoe, ice cream cone, etc. Remember: Organizal Structure of a Hospital can be fun! (yes, even for the teacher…)
Stethoscope : DIAGNOSTIC SERVICES - diaphragm determines cause of illness

28. 4. Head: ADMINISTRATIVE SERVICES - runs everything
This is a “symbolic” organizational structure of a hospital as planned After each group completes their drawing, they present it to the class and explain the symbolism as depicted in their picture. This drawing was rationalized as such:
Stethoscope : DIAGNOSTIC SERVICES - diaphragm determines cause of illness
2. Earpieces: THERAPEUTIC SERVICES - hears/interprets and decides course of treatment
3. Tubing: SUPPORT SERVICES - supports structure of stethoscope (thus hospital departments)
4. Head: ADMINISTRATIVE SERVICES - runs everything
Be as creative (but logical) as possible.
Other examples : roller coaster, totem pole, hamburger, tennis shoe, ice cream cone, etc.