1. Health Care Facilities  Health care facilities are places that provide care or make it possible for some type of care to be delivered to clients.  Care provided ranges from short appointments to long-term residential care.

2. Types of Facilities  Long-Term Care  Practitioners’ Offices  Clinics  Laboratories  Emergency Medical Services  Home Health Care  Rehabilitation  Hospice  Hospitals

3. Long Term Care  Residents may be frail, elderly, handicapped, or disabled.  Some residents are able to perform many of their own activities of daily living (ADL).

4. Practitioners’ Offices  Many offer testing and minor surgery.  Dentists and dental hygienists are included in this group.  May be an individual or a group practice

5. Clinics  Practitioners have separate clients, but share billing, reception, and record- keeping staff.  Clinic may specialize or offer a wide variety of services.  “Clinic” may refer to a type of care provided on a specific day and may move from location to location.

6. Laboratories  May perform tests on blood or body tissues.  Can be part of a clinic or hospital.  Some are supported by public money.

7. Emergency Medical Services  Developed to provide care to ill and injured as quickly as possible.  May be part of the 911 phone system.

8. Home Health Care  Care is provided in the home for short-term periods after hospitalizations or longer periods for clients who have chronic diseases or disabilities

9. Rehabilitation  Designed to help clients regain physical or mental abilities or to help them live with disabilities.  May be part of a hospital, clinic, or privately owned.

10. Hospice  Services are provided to the terminally ill.  Includes treatment from doctors, nurses, therapists, dieticians, social workers, clergy, and volunteers

11. HOSPITALS Hospitals vary in ownership and operation:  Operated by a religious organization  Private  Nonprofit  Operated by government organizations  Specialized

12. Hospitals Run by Religious Organizations  Many churches or religious groups set up hospitals that provide care to the public.  A person need not be a member of that religion to receive care.

13. Private Hospitals  A private hospital has shareholders – people who invest money and expect a profit or return on their investment.  Often a group of physicians or business professionals own stock in a private hospital

14. Nonprofit Hospitals Nonprofit hospitals do not have shareholders.  Any profit is returned to the institution to pay for improvements, equipment updates, or expansion of services

15. Government Hospitals  Provide care for military personnel and their dependents as well as for veterans  Military hospitals are funded by federal taxes.  State or county hospitals are funded by state and county taxes – they serve clients who have little or no money and receive health care free or at a reduced cost.

16. Organizational Structure of a Hospital

17.  Levels allow efficient management of hospital departments.  The structure helps one understand the hospital’s chain of command.  Organizational Structure refers to levels of management within a hospital.

18.  Large hospitals have complex organizational structures.  Smaller hospitals tend to have much simpler organizational structures. Organizational structure varies from hospital to hospital.

19. Grouping of Hospital Departments Within the Structure:  Hospital departments are grouped in order to promote efficiency of facility.  Grouping is generally done according to similarity of duties.

20. Common Categorical Grouping:  Administrative Services  Informational Services  Therapeutic Services  Diagnostic Services  Support Services

21. Administrative Services  Hospital Administrators CEO, Vice President(s), Executive Assistants, Department Heads  Business people who “run the hospital”  Oversee budgeting and finance  Establish hospital policies and procedures  Often perform public relation duties

22. Informational Services  Document and process information Includes: 1. Admissions 2. Billing & Collection 3. Medical Records 4. Computer Information Systems 5. Health Education 6. Human Resources

23.  Provides treatment to patients Includes following departments: 1. Physical Therapy - treatment to improve large muscle mobility 2. Occupational Therapy - treatment goal is to help patient regain fine motor skills 3. Speech/Language Pathology - identify, evaluate, treat speech/language disorders

24. 5. Medical Psychology - concerned with mental well-being of patients 6. Social Services - connect patients with community resources (financial aid, etc.) 7. Pharmacy - dispense medications 4. Respiratory Therapy - treat patients with heart & lung disease

25. 9. Sports Medicine - provide rehabilitative services to athletes 10. Nursing - provide care for patients 8. Dietary - maintain nutritionally sound diets for patients diets for patients

26. Diagnostic Services  Determines the cause(s) of illness or injury Includes: 1. Medical Laboratory - studies body tissues 2. Medical Imaging - radiology, MRI, CT, Ultra Sound 3. Emergency Medicine -provides emergency diagnoses & treatment

27. Support Services  Provides support for entire hospital Includes: 1. Central Supply - orders, receives, stocks & distributes equipment & supplies 2. Biomedical Technology - design, build repair, medical equipment 3. Housekeeping & Maintenance - maintain safe, clean environment

28. Traditional Organizational Chart

29. Board Administration Therapeutic Services Information 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

30. Pyramid demonstrates a symbolic organizational structure of a hospital.

31. Admin. Services Information Services Therapeutic Services Diagnostic Services Support Services Board

32. Example of “symbolic representation” of organizational structure