[PHAR 3] Module 1 and 2 (copy)

hospital

• community institution which is an instrument of society.

• It serves as the focal point for coordination and delivery of patient care to its community.

• While the hospital was once considered only as a place where patients were treated, today it is considered as a viable institution which extends its services to patients wherever they may be located.

Hospital

patient care

hospital is involved with inpatient services, outpatient services, medications and otner relevant services intended directly to patients.

education

hospital can be utilized as training sites or internship for future health care workers and ensuring the continuing education for staff as well.

research

hospital can participate in a review and or documentation of cases. administration of clinical trials.

public health

make the public more aware by conducting information dissemination via posters and other printed media

general hospital

a hospital that provides services for all kinds of illnesses, diseases, injuries or deformities.

shall provide medical and surgical care to the sick and injured, as well as maternity, newborn and child care.

specialty hospital

• hospital that specializes in a particular disease or condition or in one type of patient.

• Treatment of patients suffering from diseases of a particular organ or groups of organs.

• Treatment of patients belonging to a particular group such as children, women, pregnant, elderly, and others.

acute short term

admits patients who have either temporary or acute illnesses that can be treated in a relatively short period of time

chronic long term

provides for patients requiring either permanent or prolonged hospitalization for rehabilitation, or inability to be managed in the ambulatory setting (usually greater than 30 days).

government hospital

non-profit hospital owned by federal, state, or municipal governments (country and city hospitals). This type of hospital generally receives some funding from a branch of the government and are responsible to it.

non government hospital

hospital that is responsible for their own funding. It is typically owned and private operated by religious organizations. nonsectarian organizations, or other corporations, or associated with universities .

• this toe can be identified further based on;

profit

profits or dividends are paid to owners or shareholders whether individual partnership (at least 3, or as corporation (at least 15).

non-profit

there is no profit or dividends involved (church, community, private)

primary care hospital

• this hospital is the starting point for entry into the health care system.

• Primary care patients are typically admitted by a family practitioner, pediatrician or general surgeon

secondary care hospital

type of hospital in which referral services are immediate in intensity (that is, referral to a specialist)

tertiary care hospital

hospital setting where patients are referred for very intensive subspecialty care. It requires the services of a physician and a hospital equipped to treat extremely complex problems less frequently seen or managed in a community hospital setting.

small hospital

less than 100 beds

medium hospital

more than 100 less than 300 beds

large hospital

more than 300 beds

teaching

• hospital that operate residency training programs in medicine, surgery, pediatrics, and other specialty areas.

• Resident physician (the one receiving specialized clinical training in a hospital) provide patient care under supervision of the hospital's medical staff.

teaching affiliated

• a hospital that do not operate their own residency training programs but serve as a training site for residents or students from a nearby university hospital.

non-teaching

offers no residency training programs and no university hospital affiliation

governing body and management

• Has the over-all responsibility for the conduct of the hospital in a manner consonant with the hospital's objective of making available high-quality patient care.

• The management adopts by-laws identifying the management of the hospital and the means of fulfilling them.

• They are considered the policy making and provide the overall mission and goals of the hospital.

administration

• Provides the active management of the hospital.

• This level establishes an organizational structure to carry out the programs of the hospital to meet the needs of patients, implement hospital policies and procedures.

• The administration oversees budgeting and finance.

board of trustees

composed of interested community members who donate their time in the hospital in being responsible for philosophy, personnel, policies and standard of care.

administrator

• appointed by the Board, he/she is responsible for the overall operational of the hospital to see that the policies and standards set for the by the Board are maintained,

medical director

• approved by the Board after careful consideration if each application.

• supervises all the staff members who are responsible for student doctors and rescents.

department directors

responsible or the particular function of the specific department, it also includes hiring and firing personnel, supervising department personnel, and maintaining policies and standards.

medical staff

• Responsible for quality of all medical care provided to patients

• This level is composed of physicians or doctors.

• They are responsible for the delivery of majority of medical services within the hospital.

open staff

• which certain physicians, other than those on the attending or active medical staff, are allowed to use the private room facilities. - These staff comply with all rules and regulations of the institution.

closed staff

• one in which all professional services, private and charity are provided and controlled by attending or active medical staff.

active medical staff

• Responsible for the delivery of majority of medical services within the hospital.

• Most involved in the organizational and administrative duties pertaining to the medical staff.

• Regular patient care, responsible for taking care of patient who has direct involvement with staff organization and administrative duties.

• They are resident Medical staff which are full time employees that provide patient services in exchange for training/experience.

associate medical staff

Individuals who are being considered for advancement to the active medical staff appointed and assigned to the various services in the same manner as the members of the active medical staff.

courtesy medical staff

• May neither vote nor hold office in the medical staff organization.

• They are given privileges to admit an occasional patient to the hospital. They are considered not a member but allowed to attend a private patient.

consulting medical staff

Medical practitioners of recognized professional ability.

honorary medical staff

Former staff members, retired or emeritus, and other practitioners whom the medical staff chooses to honor.

department of medicine

• Medicine is the field of health and healing. It includes nurses, doctors, and various specialists.

• It covers diagnosis, treatment, and prevention of disease, medical research, and many other aspects of health.

internal medicine

apply scientific knowledge and clinical expertise to the diagnosis, treatment and compassionate care of adults across the spectrum from health to complex illness

allergy and immunology

diagnose, treat and manage allergies, asthma and immunologic disorder. including primary immunodeficiency disorders

cardiology

provides medical care to patients who have problems with their heart or circulation.

endocrinology

• concerned with the structure, function, and disorders of the endocrine glands

infectious diseases

• prevent disease, disability, and death caused by a wide range of infectious diseases.

• The center focuses on diseases that have been around for many years, emerging diseases and zoonotic diseases

gastroenterology

• investigates and treats digestive and upper and lower gastrointestinal diseases.

geriatrics

deals with the problems and diseases of old age and the medical care and treatment or aging people

nephrology

monitors and assesses patients with various kidney (renal) problems and conditions

pulmonology

concerned with the anatomy, physiology, and pathology of the lungs

rheumatology

treat patients for musculoskeletal disorders such as: bones, joints, ligaments, tendons, muscles and nerves

neurology

a specialty dealing with disorders of the nervous system. Specifically, it deals with the diagnosis and treatment of all categories of disease involving the central, peripheral, and autonomic nervous systems

pediatrics

dealing with the health and medical care of infants, children, and adolescents from birth up to the age of 18

psychiatry

• deals with mental, emotional, or behavioral disorders

dermatology

dealing with the skin, its structure, functions, and diseases

obstetrics and gynecology

capability in the medical and surgical care of the female reproductive system and associated disorders

department of surgery

The department is mostly involved in preoperative diagnosis of the patient, for performing the operation, and for providing the patient with postoperative surgical care and treatment.

general surgery

• focuses on surgical treatment for gastrointestinal diseases. In particular, it offers hepatectomy for liver cancer (primary, metastasis) and laparoscopic surgery for colonic and rectal cancer and gallstones

orthopedic surgery

concerned with conditions involving the musculoskeletal system

neurologic surgery

deals with cerebrovascular diseases, brain tumors, spinal cord tumors, and - CraniotomY diseases related to the craniospinal nerves such as cranial injuries. It also treats functional disorders such as trigeminal neuralgia and facial spasms

ophthalmology

• involving complex surgical procedures, such as reconstructive surgery or - cataract advanced vision repair

dental and oral

refers to a broad range of medical procedures that involves the gums and teeth

otolaryngology

• medical specialty which is focused on the ears, nose, and throat, it involves

• head and neck surgery because specialists are trained in both medicine and surgery

plastic surgery

special type of surgery that can change a person's appearance and ability to function

proctology

perform corrective colorectal surgeries to repair the colon, rectum or anus

thoracic surgery

• works in close cooperation with the Department of Pulmonary Medicine;

• involves surgery on the lungs, mediastinum, thoracic wall, diaphragm, and trachea/bronchi is conducted by well experienced team consisting of various specialists such as thoracic surgeons, anesthesiologists, OR staffs, and pathologists.

urology

focuses on the urinary tracts and reproductive syster of males and fernales, the integration of surgical activities for the pelvis-the colon, urogenital, and (gynecological organs for the treatment of obstructions, dysfunction, malignancies, and inflammatory diseases-

nursing services

encompasses health promotion, the care and prevention of disease or disability, rehabilitation, teaching, counseling and emotional support as well as the care of the sick

dietitic services

• purchase, plan, and prepare menus, both for patients and employees and maintain nutritionally sound diets for patients.

• Responsible for recording dietary histories of patients such as those with food allergies and those unable to accept a limited diet regimen

medical records department

document medical records, such as patient profiles, that should be readily accessible and can easily be used for retrieving and compiling information

pathology

directed by a qualified physician and include laboratory services such as clinical chemistry, microbiology, clinical microscopy, hematology, and serology

blood bank

under supervision of a licensed physician

radiology

consists of physicians and staff who are trained as radiologists. ohysicists technicians, radiotherapists, isotope pharmacists, and the like.

medical social services

serves as an important liaison between the hospital, the patient and his community

anesthesia service

responsible for the quality of anesthesia care rendered by the anesthetist in the surgical and obstetrical areas.

central service

furnishes all supplies required for the nursing units such as sterile linen, sterile kits, operating room packs, needles, syringes and other medical surgical supplies

central supply

responsible in dispensing items needed for patient comfort, administration of IV fluids and blood, care of wounds, catheters, and trays for special examinations

housekeeping

supplies the units with linen for the patient's needs; responsible for the cleanliness in the hospital they are involved in preparing rooms for new patients

maintenance and engineering

• responsible for maintaining equipment and inspects safety and upkeeps hospital grounds.

rehabilitation areas

designed to facilitate the process of recovery from injury, illness, or disease to as normal a condition as possible.

chronic health facilities

means a facility that provides extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

emergency centers

coordinate the response to an emergency and to deal with some of the problems that arise during the emergency.

communication services

provides information about the departments through incoming call or paging medical staff as requested, makes announcements and announces emergency situations according to hospital policies

primary care custodial care diagnostic facility

level 1, 2 ,3 hospitals

specialized outpatient facility

specialty hospital