Organizational Structure of a Hospital:
Organizational structure is the framework, typically hierarchical, within which an organization arranges its lines of authority and communications, and allocatesrights and duties. Organizationalstructuredecides how and to whom responsibilities are delegated, coordinated and controlled. It also dictates how information is spread between different levels of management. The organization’s goal and strategy provide the structure and framework. Depending on the type of structure, decision making power may concentrated on top level management or among departments or divisions.
In the following paragraphs we will focus our attention on how these structures apply to a hospital. The following will be addressed.
1. Ownership type
2. Governing structure
3. Employee reporting structure
Ownership Type:
Ownership type would be part of a publically held company that deals in healthcare. It (the hospital) would be part of an incorporated, publically traded company that is traded on the NYSE.
Governing Structure:
The governing structure of the hospital would be (besides at the corporate level with the CEO, CFO, Executive Director, and Board of Directors) a board of directors (made up of a combination of doctors (who do not work there)), a general manager and a finance manager (each of the four doctors, and the other two would have equal voting power for local issues), but for the bigger issues the corporation’s CEO has final say (but can be vetoed by the Board of Directors (made up of retired CEOS, politicians and celebrities and other business people, seven total, with majority winning)). Above this group, would be the voting and say of the majority of the corporation’s shareholders.
Employee Reporting Structure:
The employee reporting structure would be like this; the nurses report to the shift supervisor who reports to the head nurse (per department). The physicians report to the lead physician of each department (who reports to the manager of medicine, medical procedures and surgery (a well-established and respected MD)). The nurses and all medical personnel, including Physician Assistants and nurse practitioners also fall under her/him, but the nurse practitioners andPA’s fall under the lead physician first. Also when working, each medical person is a subordinate to the person with the same title but, more seniority then them (unless the other is coded as more of an expert(say the cardio part of emergency medicine), or is otherwise stated as. Lastly, the two pharmacists fall under the manager of medicine and surgery. Non-medical personnel food service, maintenance, and janitorial staff, secretarial/clerical fall under the auspices of theirsupervisor, but they also need to take direction (if needed) by any medical personnel in the department(s) they are assigned to. Lastly, CNAs fall under the head nurse and any and all nurseswho they are working with and for. Of course everyone employed at the corporate hospital, fall under the direction and supervision of the director of medicine, medical procedures and surgery.
References:
Organizational Structure Defined, 2012. Retrieved on July 15, 2012. Retrieved from
https://www.businessdictionary.com/definition/organizational-structure.html#ixzz20jf8Diw7
Organizational Structure of a Hospital, 2012.Retrieved on July 15, 2012. Retrieved from
https://www.ehow.com/facts_6945077_organizational-structure-hospital.html