introduction to hospitals

• Term is derived from French word HOSPES. • Hospes means HOST. • The latin word “hospitals” means GUEST. • All hospital employees are HOSTS OR HOSTESS. • Patients are GUESTS.

• Patients are paying guests via a. cash b. insurance (ppo) preferred provider organizations. (HMOs) Health maintenance organizations c. government (Medicare/Medicaid) • If patients are unable to pay or do not have insurance a. The public or community finances the hospital stay. (Service vs private patients) • Private donations

• Patients are to receive dignified, considerate, respectful, and competent professional care. • Education of personnel • Education of patients • Research • Prevention of disease

• Non-Government Hospitals: a. Proprietary Hospitals: For-Profit Those owned and operated by a PRIVATE GROUP (Usually owned by a group of doctors). Examples: 1.Day-op Center of Long Island 2.NYU Langone Ambulatory b. Private Voluntary Non-For-Profit hospitals: Usually, community or church affiliated Examples: • Northwell Health • Catholic Health Mercy Hospital • Mount Sinai South Nassau

Are public hospitals controlled by: 1. Federal Government – Northport VA Medical Center 2. State - New York State Psychiatric Institute 3. County - Nassau University Medical Center 4. City - NYC Health + Hospitals/Bellevue

a. General Hospitals: All types of services are usually offered. b. Psychiatric: Government or private hospitals for the treatment of the mentally ill. c. Specialized: Some hospitals specialize in the treatment of Patients. Example: Orthopedic Eye Ear, Nose and Throat Children Maternity d. Long Term: Such hospitals are usually rehabilitation centers. e. Hospices: These facilities are concerned with terminally ill patients.

is concerned with the management and efficient operation of the hospital. This section includes:

J.C.), sets standards that hospitals and health care facilities must conform to. This group governs inspection of health facilities, whereby it might grant accreditation to a hospital, place it on probation or deny

Also known as the Governing Board or the Board of Directors, it represents leadership and ownership of the hospital. its members might be volunteers from the community, and it acts as a bridge between the institution and the community. It formulates policies, review changes, and have overall control of the hospital. The character and standards of the hospital will depend upon the Board of Trustees.

Director)(CEO) Responsible for efficient operation of individual departments, activity coordination, procedure development and planning. The director manages and conducts the business of the hospital and is responsible to the Board of Trustees.

Assists the administrator in managing the hospital. A hospital might have one or many assistant administrators, depending upon the size of the hospital.

Professionals, they volunteer services to fulfill religious needs of the patient

Unpaid volunteers perform multiple functions within the hospital such as working in the coffee shop, reading to patients, feeding patients when necessary and enabling patients to participate in various crafts.

Its functions may vary from hospital to hospital, but it is primarily concerned with taking a non-medical history of the patient, room and bed assignments, patient identification and a daily hospital census and obtaining information regarding patients’ health insurance.

is concerned with purchasing, finances, maintenance, and operation of the physical plant, including employee’s correspondence and recording.

It includes the hospital controller, the personal department/human resources, public relations, purchasing department, pay roll accounting, maintenance, linen service, housekeeping, information, secretarial, medical records/ health information management , medical library, medical audiovisual, hospital attorney and security.

Also known as the hospital budgetarian, he or she is the business manager of the hospital and is responsible for day-to-day finances.

Concerned with various personnel policies, such as benefits, sick times, vacations, transfers, leave of absence and promotions. Its responsibilities also include recruitment and hiring of new employees.

Handles publicity (press, media, etc.) and keeps the public informed of scientific events and services. In many instances, patient booklets are prepared by this department.

Maintains hospital supplies by keeping an accurate inventory of equipment and ongoing communication with the various hospital departments, as well as outside medical sales representatives.

Concerned with patient billing and accounts. Also involved with employee salaries.

Maintenance: Maintains the physical structure by directing engineers, firemen, electricians, carpenters, painters, plumbers and mechanics. Maintains equipment with the use of biomedical engineering technicians. (BMET)

Responsible for the laundry services of the hospital, may also include a sewing room.

Responsible for hospital sanitation.