Nursing Leadership Essay

An organizational analysis is an important tool to become familiar with how medical businesses and organizations are able to meet standards of care, provide services for the community and provide employment to health care providers. There are many different aspects to evaluate in an organizational analysis. This paper will describe these many aspects and apply the categories to the University Medical Center (UMC) as the organization being analyzed.

There are many types of organizations that may provide healthcare to a community. Organizations that provide healthcare services may seem similar however there are different ways a healthcare system may be structured. This paper is going to analyze the organizational structure of Hoag Hospital.

Hospitals have organizational structures that allows them to carry out their duties efficiently and successfully. What separates the organizational structure of a healthcare organization from a business, essentially that the hospital 's organization is chiefly founded on the amalgamation of medical and administrative staff (Carayon, et al., 2014). The organizational structure of the twenty-first century solutions in health care hospitals involves, both divisional and hierarchical structure. In the of the chain of command hierarchy, there are various levels of professional’s that fall under other levels within the facility, and each staff member is organized in regards to departments that are related to their (KSA’s) skills, attributes and job duties (Carayon, et al., 2014). Hospital organization philosophies is based on development of values and ethics, with the understanding on moral principles relating to human conduct. These systems are comprised with the processes in decision making and determining the best actions to consider between the difficult alternatives when pertaining to patient care.

The way we practice healthcare and healthcare organizations are changing due to the pressure to reduce costs, improve the quality of care and to meet rigorous guidelines. This change has forced health care professionals to examine we evaluate our overall performance. Paradise Hospital, Inc. has not had any service improvements since 1995. A physician named Avedis Donabedian (2005) proposed a model for assessing health care quality based on structures, processes, and outcomes. He defined structure as the environment in which health care is provided. This is known as the organizational characteristics such as the measurement of staffing ratios and the number of hospital beds. The process is described as the method by which health care is provided. This represents the communication and interaction seen between doctor and patient. The necessity for the tests and procedures performed. The outcome is defined as the consequence of the health care provided, was there a desirable or undesirable effect.

Healthcare organizations do not contribute to the society’s welfare and impact the society positively therefore the relationship with the stakeholders is poor. With a poor relationship, this causes conflict between the patient and the doctor. Enough financial resources should be allocated to prevent quality of care issues and improve the quality of care to the patients. The moneys allocated can be used to purchase equipments that are beneficial to the care of the patients. There are many issues when it comes to the allocation of resources and should be cost effective to ensure the health benefits of those in the community that are being treated. If the allocations of the resources are not done correctly it can affect the community. Human resources should allocate financial resources to eliminate the shortage of doctors and nurses which has affected the performance and

This paper seeks to look into organizational behavior in health care management and most importantly its impact on health care management and delivery. Organization behavior is crucial in guiding the regulatory activities, the staff activities and the overall culture that directs an organization. Organizational behavior in health care setting is paramount to ensuring patient safety, ethical behavior among the medical practitioners, patient-centered care and effecting change in the facilities which is bound to improve healthcare delivery and patients’ satisfaction. The strategic management of any health

The organizational structure of St. Mary’s Medical Center is hierarchical, tall structure with layers of management hierarchies. It indicates the organization has bureaucratic rules to follow to maintain control and achieve results. In other words, the organization maintain functional hierarchical structure. As indicated by Buchbinder and Thompson (2010) that in functional hierarchical structure, functions are defined with key management positions assigned to those functions. The key reason of this structure of healthcare organization is the size and complexity of organization. It can be ascertained by the fact that the top management of the organization include president, CEO, CFO, and vice presidents of different functional department like

Livanage, Champika, Egbu, and Charles (2005) states that “Donabedian (1980) cited in Long and Harrison (1985) argues that the evaluation of the quality of health service involves the functional relationship of structure inputs, process, and outcomes.” They also stated that the characteristics of structure can potentially affect the care process ultimately affecting the care outcome. In this article it they also revealed that the relationship between structure, process and outcome that quality can’t be achieved by one domain but all of them play a major role in healthcare quality (2005). According to Shi and Singh (2015) structure, process and outcomes are closely linked as stated earlier. In order to have a good process the structure must

Analytically healthcare facilities deal with many adverse limitations when it comes to meeting or exceeding the needs of its constituents. In the process of healthcare there are approximately four different methods that are used to assess the quality of a healthcare organization and they are structure, process, outcome and patient experience. Each one serves a different purpose within the structure of a healthcare organization below I will give a brief overview of each one, but the two main ones that this article will focus on will be structure and process.

Spectrum Healthcare does have task driven positions, but the flexibility of such tasks depends on the job. When looking into the tasks that the organization has, it is evident that the extent to which the positions stick strictly to a set of operations is dependent on the job, and the situations at hand. The mechanistic system seems to fit well with how task driven Spectrum Healthcare is, however, it is not a perfect fit. Using Burns and Stalker’s final insight into mechanisms and organic systems (1961), it appears that the organization is more elastic with its differentiation between the type of system. Matching with the mechanisms system, Spectrum Healthcare is built from a vertical hierarchy, there are formalized rules and procedures and

Structure capital defines the institutional knowledge and experience codified in databases, routines, procedures, and organization structures. Examples of structure capital in healthcare are a vision, mission, values, strategic plan, programs, tools, and information systems, ways of working together, best practices, and routines. This capital refers dimension of culture, access to information, information technology, external environment, and internal processes. For instance, numerous systems represent structure capital such as a certified quality management system and software for evidence-based medicine. According to the intellectual capital in a healthcare industry in Taiwan, organizational capital plays a crucial role to drive organizational performance. Study results illustrate employee recruiting and selection, including healthy and safe working highly relevant to the performance. Also, health and safety environment is related to organizational strategy, structure, and system in the healthcare industry. Furthermore, the result from the knowledge management enabled performance for hospital professionals shows critical process capabilities determine the success of a hospital.

Good organization managements in healthcare are crucial. To justify this statement, I will start by providing an overview regarding organization management in healthcare organization. Organization management in healthcare are intricate and powerful because it requires managers that can furnish leadership among healthcare workers, as well as planning, controlling, directing, organizing and making decision. This statement was supported by previous study conducted by ((Pousette, 2001) & (Harenstam, 2005)), managerial positions in healthcare organizations are complex and require the responsible managers to deal with different objectives, such as rising productivity and quality while reducing the cost, ((Maslachet et al, 2001) & (Pousette, 2001))

The organizational structure is as important as culture for health organizational to provide best care to patients. According to Glickman, Baggett, Krubert, Peterson, and Schulman, (2008) "Organizational design is a formal, guided process for integrating the people, information, and technology of an organization, and serves as a key structural element that allows corporations to maximize value by matching their corporate design to overall strategy." It is really hard for large organizations to provide high quality of care when the organization structure is not set properly. Most large health organization have their work divided into small tasks and each employee is responsible for his or her duties. As I have discussed earlier communication is major problem in health organization that leads to many medical errors. Without clear communication between

Organisation design portrays the arrangement of an organisation’s structure aiming to attain certain goal. Structure has three major aspects: complexity, formalisation and centralisation (Robbins 2006); alteration which has direct impact on the overall performance of an organisation (Csaszar 2012). A well designed healthcare organisation, like other organisations, can provide services in better way with optimum output. Any of the defects in design of an organisation floats in the form of various characteristics and finally as organisation’s performance. Unclear job description, poor coordination between departments, increased costly bad decisions, increase in the healthcare cost, increased dissatisfaction of service recipients are some of

In determining the managerial strategy of Zenith Medical Systems Incorporated, there are six main structural variables that must be analyzed: job design, decision making and leadership responsibilities, control system, reward system, communication and information, and lastly, coordination and departmentation. Having an effective structural organization has the ability to manage employee behaviours and reduce uncertainties within the workplace. It provides employees with the necessary tools to learn and grow in different areas at work.