Types of Hospital
Factors:
Location
Urban or small rural setting
Single building or campus complex
Size
Specialization
Types of Hospital
Community Hospital
Most common type
Assorted disease and injury
Provides emergency, In&Out patient,
Intensive care
Specialized Hospital
Particular disease
Specific organ
Specific population
Types of Hospital
Teaching Hospital
Serves patient need AND train future health care
professionals
Associated with medical schools
Ownership
For-profit Hospital corporation, private investors
Non-profit religious order, volunteer, community
Government Hospital
Federal, state, county or government
Classification of Hospitals
Type of Service
General
Special
Rehabilitation and Chronic Disease
Psychiatric
Classification of Hospitals
Length of Stay
Short-term hospital
Less than 30 hospital days
Long-term hospital
30 or more hospital days
Classification of Hospitals
Ownership
Governmental
Federal
State
County
City
City-county
Non-governmental
Non profit
For profit
Individual
Partnership
Corporation
Classification of Hospitals
Bed Capacity
Very Small
Small
Medium
Large
below 100
100-500
501-1,000
above 1,000
Level I
Level II
Level III
Other Health care facilities
Transcribing
Dispensing
Administration
Monitoring
Transcribing
Dispensing
Administration
Manual or Electronic
More common type is _________ but _________
Monitoring
Transcribing
Dispensing
Administration
Monitoring
Transcribing
Dispensing
Administration
Monitoring
Transcribing
Dispensing
Administration
Monitoring
Practice Models
Drug-distribution-centered model
Pharmacist distribute drugs & process new
medication orders.
Pharmacist is __________ only to requests of
physicians and nurses.
Practice Models
Clinical-pharmacist-centered model
Two types:
Clinical
Distributive
Practice Models
Patient-centered integrated model
Both clinical and distributive
2
3
4
5
6
7
8
Key Individuals
Pharmacist Roles
Dispensing vs. Clinical
Clinical Pharmacist
Requires training and
residency program
May be a _________ or
__________.
Integrated pharmacist
Both dispensing and
clinical roles
Pharmacist in
Management
supervisor, director
Pharmacist in:
Informatics
Investigational drug
service
Research
Sterile compounding
Emergency care
Key Individuals
Pharmacy Technicians
Purchasing, stocking, preparation and compounding
of medication under the supervision of a
PHARMACIST.
Must have established training standards
Expansion in automated dispensing & information
technology
Assist Clinical Pharmacist in getting lab values, do
patient interview and medication reconciliation.
Smart pumps
programmable devices that allow the user to
predefine minimum and maximum rates of
administration
General care
Out-patient
Similar to community phar W/O general
merchandise
Caters clinic, discharged and ER patients
Other types: Ambulatory care, home health
care service
Practice standards
Accrediting Body
Assess & improve quality
of patient care
Suggests improvement
Regulatory Body
Public protection
Impose fines and legal
action
ASHP
PSHP
Importance of Pharmacy
Leadership
Primary
Pharmacist
Pharmacy
Manager
Director of
Pharmacy