National Hospital of Sri Lanka: Organizational Analysis Report

This report provides a detailed analysis of the National Hospital of Sri Lanka, a government hospital in Colombo. It covers the hospital's history, vision, mission, size, and scope, including its extensive staff, bed capacity, and specialized units. The report outlines the services offered, such as clinic services, OPD services, and specialist care, along with the hospital's legal and organizational structure, emphasizing its functional structure and departmental divisions. Stakeholders are identified, and an organizational chart is presented to illustrate the hierarchy. The report further examines the interrelationships between various functional departments, such as HR, medical, pharmacy, nursing, information, radiology, pathology, and operations, highlighting the advantages and disadvantages of their coordination. It discusses how effective coordination between departments is crucial for efficient patient care and overall hospital performance, emphasizing the importance of clear communication and collaboration.

Introduction to National hospital of Sri Lanka
National hospital of Sri Lanka is a government hospital which is situated in Colombo. And I was
founded in 1864. This is controlled by ministry of health. In 1870 Colombo medical school was
founded Robinson in Colombo. It was a monumental asset of the national hospital because it
brought health wealth to Sri Lanka. First president of this medical school is Dr.E.L.Koch.
The national hospital in Colombo was the first hospital to employ women as nurses who are
well educated. So the nursing college was opened in the General hospital in 1878. Now the
national hospital of Sri Lanka is functioning as training center also to provide training to under
graduates and postgraduates trainees of the faculty of medicine. The school of nursing training,
Colombo, PPS, and the school of radiography, pharmacy, cardiology, physiotherapy and
occupational therapy are also connected with the national hospital (nhsl,2019).
Vision and mission of the organization
Vision
To be the center of excellence in health care.
Mission
To elevate the status of the hospital to a modern, leading health care facility and training center
by developing and sustaining the infrastructure and human resources and by creating a patient
friendly environment where patient care (nhsl,2019).
Size and scope of the organization
National hospital of Sri Lanka is a huge size hospital which situated on 36-acre site.
Staffs- over 7000 (doctors, nurses, health professional, other hospital staffs)
Total number of beds- over 3500
They do major and minor surgeries more than 5000 in a month.
Incentives care units- 18 well equipped incentives care units.
17 high dependency units located in each major care providing departments such as surgery
department and medicine department.

Surgical theatres- 19, some operation theatres are designed for particular special surgeries.
Scope of the organization is providing excellence health care to people through their special
medical services.
(nhsl,2019).
Services of national hospital
 Clinic services
 OPD services
 Other services- orthopedic workshop, physiotherapy
 Specialist care services
(nhsl,2019).
Legal and organizational structure of the organization
National hospital of Srilanka is a public sector organization which is owned and operated by
government to provide medical services for our citizens. National hospital of the Sri Lanka is
controlled by the ministry of health. The ministry of the health is the central government of
Srilanka which responsible for health. Function of ministry of health is formulating and
implementing national policy regarding health, nutrition, domestic medicine.
NHS is doing many functions under their services. Therefore, organizational structure can be
described as functional structure. Hospital services are divided according to their functions.
Different departments of NHS based on their functions medical department, nursing
department, rehabilitation department, orthopedic department, operation theatre
department, pharmacy department, radiology department, HR department, finance
department, information department etc.
(nhls,2019)
Stake holders of National hospital of Sri Lanka

Government- public health department, interest government departments, board of medicine
pharmacy and nursing dentistry, governor’s office, local authority health and social care
services, department of regulations and licensing.
Industry reps- pharmaceutical companies, medical equipment companies
Other- health care administrators, facilities staffs, academics, health educators, medias,
business and finance professionals, law enforcement
Organizations- charities, NGOs, professional associations, hospitals, care providers
Health care providers- doctors, nurses, ambulance services, pharmacists, physical therapists,
laboratory technicians.
(stakeholdermap,n.d)

Organizational chart of national hospital of Sri Lanka
Ministry of health
Department of health services
NHS is having many functions. As mentioned earlier they are following functional structure.
Each department has different heads.
Minister of Health
Deputy minister of health
Secretary of health
Additional secretaries
Director general of health services
Deputy director generals
Public health
services
Laboratory
services
Medical
service
planning
Management
and research
Education
training
administration
finance
National hospital of Sri lanka
Medical
department
Nursing
department
pathology
department
Orthopedic
department
Rehabilitation
department
Operation
theatre
department
department
Pharmacy
department
Radiology
department
Information
department
HR
department
Finance
department

For example, if we take medical department, that is headed by a doctor who is highly talented
and has long experience in the medical field. So he supervises and advises other doctors.
Then if we take nursing department, this department id headed by a nurse who is talented and
has long experience in nursing field. So he supervises and advices other nurses who are working
under this department.
If we take pharmacy department, this department is headed by a pharmacist who is highly
skilled and has long experience in pharmacy field. So he supervises and advises staffs who is
working under that department. Likewise, each department is heads by a head.
However, NHS is fully owned by government and controlled by health of ministry. So NHS
should work under health ministry rules and regulations. Each department heads also can’t
make decisions on their own. They can implement decisions only after get permission from
health ministry and should work according to their instructions.
Interrelationship between national hospital of Sri Lanka functional departments and there
advantages and disadvantages
1. HR department coordination with other departments
As mentioned earlier NHS provides training for under graduates and post graduates trainees of
the faculty of medicine. So HR department gets highly talented doctors through it. At the same
time HR department recruits nurses for nursing department from the school of nurse training.
And then HR department recruits staffs for other departments also based on health of ministry
rules and regulations.
Examples for NHS HR department functions
Hiring, nurse recruitment, employee orientation, personal management, benefits and
compensation management, counselling, claims handling, training and monitoring, professional
development programs, ministry of health regulations education, ensure work place safety,
employee meetings etc.
Advantage and disadvantage
HR department coordination with other departments leads to hire talented staffs for all
departments according to the regulations of ministry of health. This will help to do each
department of activities effectively. Because NHS provides health services to public so each and
every employee should have proper knowledge to handle patients. therefore, HR department

of NHS highly concerns about recruiting staffs for medical departments, nursing department,
pharmacy department, radiology department and pathology department.
If HR department doesn’t have proper coordination with other departments, then HR
department can’t recruit suitable staffs for each department. And they can’t make the all staffs
working towards with the vision and mission of the hospital.
2. Medical department and pharmacy department coordination
Medical department’s doctors check the patients and write down the suitable drugs
which can cure certain diseases examine patients and prescribe appropriate
medications to treat a specific disease (doctor prescription). Then doctors give that
prescription to directly to pharmacy department or patients. Then patients can collect
those prescribed drugs from pharmacy department.
If medical department and pharmacy department has good relationship, pharmacy
department can give the drugs to patients without any issues. patients also can get
the drugs as per the doctor’s prescription. So health issues of the patients will recover
soon.
If medical department and pharmacy department fails to maintain good relationship,
then errors may occur. E.g. pharmacy department gives the wrong drugs that are not
mentioned in the doctor’s prescription. Then it will effect patients’ health badly. These
kind of errors will be considered as punishable offence. so it will make bad impression
on hospital services.
3. Medical department and nursing department
Nursing department guides the patients as per the doctors informations. Nurses helps
doctors to do the checkups on patients. Then if there are any further checkups have to
be conducted on patients, nurses do those tests according to the doctors’ orders. E.g.
taking bold samples, checking the pressure and sugar level etc. And if patients are
admitted in the hospital nursing department should take care of those patients. Daily
they check the admitted patients pressure level, sugar level, temperature and give
medicines according to the medical department information.
If medical and nursing department has good coordination nurses can take care of
patients well and patients health issues also will be cured soon.

If it is not, then nurses won’t be having any ideas about how to take care of patients
because they do their works according to the doctors’ orders only. These kind of
issues will make bad impression on medical department and nurses department
services.
4. Information department and medical department
Patients make appointments to consult doctor in information department.
Information department give details regarding medical department doctor’s
visiting hours for consultations. So here medical department informs information
department about their visiting hours to meet patients.
If information department and medical department has good coordination, The
Department of Information can provide patients with accurate information about the
times that doctors visit to the hospital. So patients don’t need to wait for a long time
to consult doctors. they can come to the hospitals in accurate time according to
information department details.
If those two departments don’t have proper coordination, patients can’t get accurate
details about doctors visiting hours. This will affect the reputation of the hospital
negatively.
5. Medical department radiology department and nursing department coordination
If patients need to take ex rays, medical department send the patients to radiology
department. And medical department give those informations to nursing department
also so nurses take the patients to radiology department. Once radiology department
took ex rays, radiology department and medical department discuss about certain
patient ex trays to find out the health issue.
If medical department and radiology department has good relationship, doctors can
find out the issues of patients through ex trays and discussing with radiology
department experts. Therefore, patients’ health problem will be recovered soon.
If it is not medical department can’t understand the patients issue exactly. When
patients’ health condition is serious ex tray department should give ex trays report to
medical department as soon as possible. Otherwise medical department can’t start
any treatments on patients. So patients might think radiology and medical department
functions are not effective.

6. Medical department and pathology department
If medical department wants to identifies patients’ health situations further, doctors
will ask patients to take some tests like urine tests, blood tests, biopsy tests etc. These
kid of tests are one by pathology department can be called as laboratory service. So
medical department send the patients to pathology department to do those tests.
Sometimes doctors take sample from patients’ body and send it to pathology
department. E.g. biopsy testing.
If those departments have good coordination, pathology department can identify
exactly that what kind of test medical department wants to do on patients’ blood,
urine, or biopsy sample and can give correct report to medical department.
If it is not, pathology department doesn’t know exactly what kind of tests has to do on
the patients’ samples. So it will make unnecessary delays in find out the problems.
7. Medical department and operations department
Sometimes doctors have to do surgeries on patients to recover their issues or to take
samples (biopsy), medical department contacts with operations department and sets
the set time as well to conduct operations. Then operations department brings the
patients to operation theatre and do the rest of arrangements according to the
doctors’ information.
If medical department informs clearly about the type of operation and operation time,
operation department can arrange the all needed things to do the operations
perfectly as planned time. So operations will be done successfully without any issues.
If it is not, operational department won’t be having enough time to prepare the
operation theatre. so operations can’t be carried out in planned time. Patients body
conditions also may get worse.
8. Finance and other departments
Finance department of NHS allocates enough funds for each departments to do their
functions. National hospital is a government owned public organization therefore it
gives free medical services to people. Ministry of health give funds to finance
department to allocate needed money to each departments.

If finance department allocates enough money for each department, then all
department can do their activities effectively. If it is not each department can’t carry
out their functions effectively so patients also can’t get proper treatments.
How the functions of organizations are linked to the objectives of the organization
Medical department
The medical department doctors of NHS are highly talented. They give proper treatment for
each and every patients health issues. They ensure the patients healthy life through giving
proper treatments, medicines, conducting operations etc.
Nursing department
NHS recruits highly talented nurses from nursing training school. They are able to act as doctors
in case of any emergency situations. And they take care of the patients according to doctors
instructions. So they ensure the safety and care of patients all the time.
Pathology department
Pathology department responsible for conducts patients medical test like urine, blood and
biopsy test. So they conduct many kind of medical tests according to the doctors’ information.
This department do medical tests very carefully and give those report to doctors at correct
time. Then doctors can exactly identify the health issues of patients and give suitable
treatments to them.
Operations department
Operations department responsible for arranging the operations theatre with needed
equipment to conduct operations in planned time according to doctors information. this
department ensures that the patients operations are conducted successfully in planned time.
Orthopedic department
Orthopedic department deals with the treatment of bones and muscles. Orthopedic
department doctors do many orthopedic surgeries to recover patients’ problem of diseases,
injuries and conditions of the musculoskeletal system relating to the body’s muscles and
skeleton and including the joints, ligaments, tendons and nerves so orthopedic department
ensures these kind of issues recoveries (urmc.rochester,n.d).
Pharmacy department

This department has excellent knowledge about drugs. They provide drugs to the patients
according to the doctors’ prescription. So this department ensures the providing of quality and
safe drugs for patients’ health issues.
Radiology department
This department do their activities according to doctors’ information. Radiology department of
NHS is diagnosing and treating diseases and injuries, using medical imaging techniques such as x
rays, CT scan, MRI scan, Ultra sound etc. So radiology department offering support for doctors
in providing specific treatments to patients.
HR department
They ensure the proper work of all staffs who are working within the hospital. And they make
all the staffs working towards with the vision and mission of the hospital. HR department
ensures the all staffs safety as well.
Finance department
Finance department allocates funds for each department to conduct their activities effectively.
For that ministry of health give funds to finance department because NHS is a public
organization so they provide free medical services to people. so they can’t earn profits like
private hospitals. Therefore, enough financial resources are important to conduct their
activities effectively. Finance department of NHS ensures adequate funding is available for the
activities of each department.
How organizational structure of organization links with objectives
NHS is having many functions. As mentioned earlier they are following functional structure.
Each department are headed by a head. Staffs of the organizations are divided by their
professions, knowledge and skills. These staffs within the same skills and knowledge allows
them to share knowledge and skills each other therefore, they can make good solutions and
ideas. For example, if we take medical department, a doctor can share the patients’ health
issues with other specialized doctors and can start the proper treatments. This will help to
achieve company objectives effectively.
NHS is fully owned by government and controlled by health of ministry. So NHS should work
under health ministry rules and regulations. Each department heads also can’t make decisions
on their own. They can implement decisions only after get permission from health ministry and

should work according to their instructions. This ensures the safety of all patients. So putting
the best talented staffs in different positions and working together with the mindset of
providing excellence health care, leads to achieve company vision and mission.
How size and scope of the organization links to objectives
The size of the hospital is main thing that links to objectives. NHS situated in 36-acre size. Due
to the huge size, hospital can treat many patients at a time. And having over 7000 staffs helps
to treat each patient carefully. Moreover, having many facilities to admit many patients at a
time and treat them. E.g. having over 5000 beds, advanced medical instrument etc. therefore,
NHS can provide many services because of the size of the hospital.
Scope of the NHS is providing excellence health care to people. therefore, hospital is giving
proper advanced treatment to people through highly talented doctors. Health ministry is
proving many facilities like advanced medical equipment, lab facilities etc. So this ensures
proper advanced treatments are given by the hospital.
How products and services of organization links to the objectives
NHS is providing many public health services to achieve their vision and mission. They are
providing Clinic services, OPD services, orthopedic workshop, physiotherapy specialist care
services. It helps to providing suitable treatments according to patients’ health issues. Hospital
ensures the proper and advanced treatments through their different medical services.
Hospital is having advanced medical equipments to exactly find out the patients’ health issues.
E.g. x rays, CT scan, MRI scan, Ultra sound, surgical machines, laboratory equipment etc.
Apart from the medical services all staffs treat the patients in a friendly manner (moral support
to patients). it makes patients feel satisfied with hospital services.