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Copyright 2005 by Elsevier Inc. All rights reserved.

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

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