December 22, 2012

MH0052 [Hospital Organisation Operations & Planning] Set1 Q2

Q2. Explain hospital administration.

Ans:


Hospital Administration

What is hospital administration?
Hospital administration is the management of the hospital business. Hospital administration is made up of many healthcare managers and executives who take care of individual departments. They are in charge of all the administrative or management functions of their respective departments. These various managers or assistant administrators will report to the Hospital Administrator.

Need for hospital administration:
A hospital like any other business entity may function for purposes of profits too. With the burgeoning numbers of private / corporate hospitals, private nursing homes, the need for specialized managers for hospitals become evident. The stiff competition necessitates specialists to handle difficult situations. Well informed decision makers have become a necessity. Gone are the days when a highly skilled physician would also take care of the administrative functions. With the enormous challenges pressing the healthcare industry people with special and specific education are required. Hence, the presence of hospital Administrators is the need of the hour. The primary function of a hospital administrator would be to manage the resources of the hospital. The resources of a hospital are: people, methods, measurements, materials, machinery and equipment, money, time and information. Some of these resources may be scarce, like the availability of specialist doctors, or nurses, availability of diagnostic equipment, etc.

A hospital organization may seem a lot like any other organization. It has many business features common to that of other businesses; however, there are certain qualities in a hospital that make it unique. These unique characteristics were already discussed in unit 1. You may read that again. Besides being an interdependent entity, a hospital is an organization of high accountability. The community looks up to the hospital for all of its healthcare needs. Hospitals deal with life and death, making it all the more a sensitive place. Hospitals mostly intervene at the time of greatest mental agony. Its clients are a lot sensitive, therefore every service provided must ensure the utmost care. Hospital Administrators are people who have understood this situation very well. They should bear this in mind while taking decisions. 

Who is a Hospital Administrator?
A hospital Administrator is the overall head of the business operation and managerial functions in the hospital. The Hospital Administrator is vested with the responsibility of running the hospital operations. He / she acts as a liaison between the Governing Board, medical staff and other management staff. They play a major role along with the Governing Board in making the hospital policies. They take up human resources function also such as, recruiting, staffing, evaluation, etc. They have an active participation in the hospitals public relations. He / she is also responsible for contributions during budgeting and allocation of resources. They are involved constantly in training programs that would enhance their managerial skills and helps them to know new management trends and techniques enabling them to be on the edge. The Administrators role is very crucial in the effective and efficient running of a hospital. 

Roles and functions of a Hospital Administrator:
Hospital Administrator is the chief executive in the hospital. A hospital may have a number of executives in various departments to handle the administrative or managerial functions. All these executives are accountable to the Hospital Administrator. Figure represents the various major duties of the Hospital Administrator. 

The major functions of the Hospital Administrator are enlisted below: 

Functions of the Hospital Administrator:
1. Acts as a legal representative of the Hospital. The Hospital Administrator is responsible to ensure whether the hospital is complying with the government rules and whether all the statutory requirements are met.
2. Is a part of the Governing Board. He / she has the responsibility of supervising all the activities in the hospital
3. Should ensure that all staff is aware of the hospitals mission, vision and objectives. He /she is instrumental in getting information on mission, vision and objectives down to all the staff.
4. Implements all the management decisions in the hospital
5. Formulates major rules, regulations and procedures and ensures their implementation
6. Ensures that the rules formulated are in line with the hospitals policies
7. Coordinates and participates in devising short term and long term plans for the hospital
8. Submits annual reports to the Governing Body
9. Ensures financial viability of the hospital
10. Acts as a link in between the management and the employees. Therefore participates in deciding the salary structure, benefits, etc.
11. Is responsible for a good employer employee relations
12. Works closely with other important executives in the hospital such as the Medical Superintendent, nursing Superintendent, etc.
13. Ensures that all the departments function smoothly and efficiently.
14. Is responsible for outsourcing services, contracts, hiring, etc.
15. Acts as an official representative of the hospital
16. Maintains contacts with the government, community and media.

Fig.: Duties of a Hospital Administrator

Characteristics of an effective Hospital Administrator: 

An effective Hospital Administrator should possess all the managerial skills. Besides, he or she should also be outstanding in the following qualities:
1. Should show competence at work
2. Should be sensitive to organizations and staffs problems and needs
3. Should possess the ability to analyze, synthesize and integrate various information
4. Has the ability to foresee and plan
5. Has the ability to bring forth new and creative ideas
6. Has the ability to coordinate, organize, control and allocate resources
7. Should be able to delegate work and make efficient use of his or her own time
8. Ability to motivate and develop people
9. Should be able to introspect and evaluate
10. Should be an able communicator

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