The Organizational Structure Of Kem Hospital Mumbai

A bureaucracy is a way of administratively organizing large numbers of people who need to work

Each organization must have a structure of the authority defined and distributed to help in the organization of the tasks and functions with the aim of achieving the objectives of the organization. An organization structure offers details of the formal structure of the authority in the organization. It is essential to study the organization structure of the organization in order to understand the functioning of the organization. This paper examines the organization structure of the nursing department in Kingston Centre hospital. The paper will look at the nursing and the nursing service management department in the hospital (Burke, 2013). The hospital is selected because I have been able to interact with the facility many times. I have been able to work in this department hence I understand the organization structure and the services offered in the department.

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 text describes a bureaucracy as a large, complex organization composed of appointed officials. The departments and agencies of the US government make up the federal bureaucracy. The federal bureaucracy has 15 federal cabinet departments with about 2 million full-time employees. (Wilson et al, 290)

What is a bureaucracy? Tolbert and Hall (2009) describe in the text, a large formal organization with the characteristics of having, a division of labor, a hierarchy of authority, a set of written rules, resources that are clearly separated from home and the organization, and group of members who are appointed according to qualifications (P. 22). These were the key elements Max Weber, a German scholar described for an ideal type of bureaucracy.

The top-down organizational structure of Coastal Surgical Institute further models that of a professional bureaucracy as CSI employs roughly 40 full-time employees and as Bolman and Deal explain, in a professional bureaucracy the operating core is “large relative to its other structural

The strengths are associated to its mode of operations; working within its goals and objectives. One of the Hospital main goals is to maintain high standards of quality and ensure it can provide cost effective services that everyone can afford. Cost effective services ensures that low income households have easy access to good medical health (Bowling, 2013). Patient focus care is a major priority as it has worked well in the past for the hospital. The hospital is located in an urban center that is quite busy. This ensures easy accessibility. The hospital has a very hard working and friendly staff that alternate effectively to ensure that the hospital is functioning 24/7. This ensures that anyone can access medical care any time. Electronic Health care ensures easy tracking of patient health data. A strong informal communication channel among hospital department ensures easy flow of communication. Such conditions have led to a proactive environment with good and elaborate management style (Kerr & Hiltz, 2013). Considerable strengths are likely to make the Hospital the most preferred and sought medical care institution in the

India does have major health care hurdles. The biggest issues that affect healthcare in India stem from poverty and sanitation. Multiple complications arise when 638 million people open defecate and 122 million have no access to toilets (Indian Child, 1995). India’s social economic gaps are profound and 85% of healthcare is private sector, which makes it unreachable by the majority of the public (Indian Child, 1995). With a rapidly emerging economy India is trying to catch up to it’s healthcare needs and may be attained with a healthy economy developing. India is assessing their needs and understanding the importance of investing into social fabric. India has some good advantages for tackling healthcare 1. Utilizing models from other nations. 2. Learning to avoid costly mistakes from other countries. 3. Has the financial power to do so. Family A’s current health maintenance, protection and restoration since wife’s pilgrimage at age nine has been greatly influenced by western medicine yet some aspects are still strong within her eastern influence. Such things as preparing Khichdi, this is a lentil and rice soup with cumin, and garmmasala. It is a common comfort food for Indian culture. Dal another comfort food which usually consists of turmeric, cumin, ginger, red chili and red lentils is also prepared by the family during cold season. Family A also goes to temple to learn the

Bureaucracy involves non-elected agents that are often seen as the “worker bees” of government such as those in civil service. They execute the law through an organized structure that maintains specific functions, rules, and procedures. They must not be taken for granted. One example of the use of regulations would be the FDA’s role to ensure American health through appropriate regulation of new medication. Through the effective hierarchal organization, duties are completed faster and more efficiently. Some also argue that bureaucracy decreases room for favoritism and all have equal opportunity. For example, all students applying for loans will have their application reviewed, thus creating an equal opportunity for all. Similarly, bureaucracy allows for the hiring of expert officials who show merit and gives the opportunity to be promoted. While they are not involved the process of policy

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

An organizations existence is based on its mission statement. The mission statement of an organization identifies the people who it serves and states the standards of practice, ethics, and principles for which it believes in. An organization’s vision statement looks into the future and states goals the organization wishes to accomplish (Marquis & Huston, 2012). The mission and vision statement are important for driving the climate and culture of the organization.

Bureaucracy was one of the most popular theories developed and is used in some modern organisations such as the NHS and the Police. Through the years bureaucracy has developed a bad reputation for de-humanizing jobs (Grey, 30) “In the ideal-type, people are no more than parts in a well-oiled machine –devoid of passion, prejudice and personality”, although some people prefer this structure (Handy, 22) “No one, it seems, approves of bureaucracy except, interestingly, lots of people in organisations who like to know where they stand.”

Bureaucracy is ahierarchical organization which follows strict rules and regulations in achieving desired goals and which has tendency to gain supremacy over other organizations. Famous German sociologist theorized ideal- type of bureaucracy. Max Weber thought bureaucracy is the highest efficient organization which falls under legal rational authority. Soon after the theory came out, like other theory, ideal-type bureaucracy theory encountered severe criticisms.Alvin Gouldner, Robert Merton, Phillip Selznick, Peter Blau are some of them who criticized the ideal-type of bureaucracy.

To improve the Healthcare Clinic’s organizational structure, I will add positions with qualified individuals, as this is a the simple way to “adapt to environmental uncertainty and complexity” (Daft, 2010) .According to Hodge (1996), “organizations that have appropriate structures for effective organizational operations will have clear lines of authority, accountability, effective differentiation, integration and a well developed and clear communication channels” (Hodge, et al., 1996). Taking into consideration the structural design of the Healthcare Clinic in 2012, there was a huge gap for role delegation and inadequate manpower to oversee all 6 clinics and 20 nurse practitioners in the city. As a leader, I would create a subgroup

The word Bureau means office and Kracy means usage. So, bureaucracy refers to a form of social organization which is managed by strict rules and regulation and which has a goal of achieving technical superiority over any social organization. But