Organizational
Structure of a Hospital
Organizational Structure refers to
levels of management within a hospital.
 Levels allow efficient management of
hospital departments.
 The structure helps one understand
the hospital’s chain of command.
Organizational structure varies
from hospital to hospital.
 Large hospitals have complex
organizational structures.
 Smaller hospitals tend to have much
simpler organizational structures.
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.
Common Categorical
Grouping:
 Administrative Services
 Informational Services
 Therapeutic Services
 Diagnostic Services
 Support Services
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
Informational Services
 Document and process information
Includes:
1.
2.
3.
4.
5.
6.
Admissions
Billing & Collection
Medical Records
Computer Information Systems
Health Education
Human Resources
 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
4. Respiratory Therapy - treat patients with
heart & lung disease
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
8. Dietary - maintain nutritionally sound
diets for patients
9. Sports Medicine - provide rehabilitative
services to athletes
10.Nursing - provide care for patients
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
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
Traditional Organizational
Chart
Board
Administration
Information
Therapeutic
Diagnostic
Support
Services
Services
Services
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
Pyramid demonstrates a
symbolic organizational
structure of a hospital.
Board
Admin. Services
Information Services
Therapeutic Services
Diagnostic Services
Support Services
Example of “symbolic
representation” of
organizational structure
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