Organizational Structure : Nursing Department

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.

Organizational Structure Organization structure is the differentiation; that is the way the organisation is differentiated into tasks, responsibilities, departments and hierarchies and the integration (the way the organisation is coordinated to form a unitary whole). It defines how activities in the organization are directed toward the achievement of organizational aims. The structure provides the foundation on which standard operating procedures and routines rest, determines which individuals get to participate in which decision making processes and thus to what extent their view shape the organization’s actions (Stephen, 1987) United Parcel Services Organization Chart United Parcel Service, Inc. (UPS) is the world’s largest package delivery

Equating status with authority can be misleading or misconstrued by other nurses who have the same status as to the authority figure. For an organization or department to work harmoniously, timely, and chaos free, there should be a clear understanding of who is the authority figure even when the nurses have the same status. “Essentially, in the formal organization, the emphasis is on organizational positions and formal power. Through departmentalization and work division, provides a framework for defining managerial authority, responsibility, and accountability. In a well-defined formal structure, roles and functions are defined and systematically arranged, different people have differing roles, and rank and hierarchy are evident.” (Marquis

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 company is geographically located in most major united states locations. It employs a hierarchal organizational design. One of the contributing factors to its success is the company’s success in providing a dining experience for its customers that excel in choices, price, customer service, and serving size. The company is known world-wide for its delicious cheesecakes with the key factor being the variety.

          An organization, in its simplest form, is comprised of people brought together to achieve a common goal whether it be solving a problem, selling a product or providing a service. The existence of the organization is wholly dependent on the collective body of individuals involved and it is these individuals that are the driving force behind the success or failure of a company. The relationships that connect the people within the organization dictate how the culture is developed and perceived.

The natural and the rational perspectives ignored the element of the external environment with the assumption that organizations existed as closed systems. On the contrary, the Open systems approach incorporates the aspect of the external factors that have an effect on the organization (Hardy, 1983, p. 341). The open systems perspective depict that organizations exist as a jumbled collection of interrelated systems linked by activities of the participants that are brought together by various institutional environments (Scott, 2003).

Since the hospital is a community based acute care hospital, there are numerous subunits. Under the president of Hospital AB and Health Center, the total organization is divided into seven major units which are controlled by seven senior vice presidents. Each unit under the senior vice president is further subdivided into sub units according to the services being provided. The hospital has a distinct subunit configuration for the nursing departments. Each unit is under either a vice president or a director. The major subunits are perioperative services, nursing practice and education, behavior health services, heart center, out patient women services and perinatal clinic, inpatient women services and pharmacy. Each of these major subunits is further subdivided based on the services being provided. The senior vice president for all these units also oversees the programs for patient safety, patient satisfaction and joint commission accreditation. The departments of imaging services, rehabilitation services, cancer center, breast center and quality management comes under another senior vice president (unknown author, 2005).

Organisations must organise a structure so that their objectives can be achieved. A company will have different departments and procedures with each one having a special function. All of these organised departments and procedures are linked so the company can run efficiently. For many organisation this can be very complex has they will have offices in international countries around the world.

According to Miles et al. (1978, p. 547), an organization is both its purpose and the mechanism constructed to achieve the purpose. It means that the concept of organization is embracing both goals and all the elements that represent unique combination. Miles et al. (1978, p. 553) draws the conclusion that structure and the processes taking place inside the organization are closely aligned; it is hard to speak about one without mentioning the other. It is important to understand the conclusion drawn by Miles et al. (1978). It illustrates how the

Organizations are social entities that are goal directed, are designed as deliberately structured and coordinated activity systems, and are linked to the external environment (Kirst-Ashman, 2011). The four main parts of that definition are social entity, goal directed, deliberately structured, and link to external

When it comes to business as any organizations it requires a structure, based on the resources and demands organization can changed or modify their structure. The most common two structures are vertical and horizontal structure which we see every business organization in global market (Bateman & Snell, 2011). In today’s any business organization theirs and important trait is not only the structure, it is the functions within the organization. An organizing function in management highlights the practices individuals use to interact and work with each other. There are many business organizations that are very successful in their own

1. Administration – He or she carries full administrative responsibility and authority for the entire nursing service of the hospital. The policies and procedures as well as objectives of each unit is always verified by the nursing director so that it will be congruent with the whole organization’s reason for existence.

The organization is a social or business unit of people working together to achieve the common goals and the organization managed through the