Coastal Surgical Specialist Incorporated does business as Coastal Surgical Institute (CSI). CSI operates in conjunction with Dignity Health (which runs the hospital in Arroyo Grande) and the governing body or board (comprised of 49% [22-23] physicians who work within CSI and 51% shareholders from Dignity). The Medical Executive Committee (comprised of five board member physicians, among them the Medical Director and Anesthesia Director) answers to the board, and beneath the Medical Executive Committee is the medical staff. Medical Staff includes the Administrator: Director of Nursing, the Pathology Lab, and the Anesthesia Services. The structure of CSI follows Mintzberg’s five-sector model (Bolman & Deal, 2008) in that it is a top-down organization with a clear strategic apex consisting of the governing body of CSI. This administrative component funnels down to the Medical Executive Committee and ultimately the Director of Nursing who is directly in charge of the operating core, which consists of the nursing staff. The technostructure seems to be those specialists such as pathology and anesthesia services, while the support staff is comprised of front office and medical records personnel.
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
Surgical technologists, aka surgical techs, assist in surgical operations alongside the surgeon, surgical nurses, and other assistants. Surgical techs help in the operating room by setting up equipment, assisting surgeons during the operations, counting supplies before a surgery, sterilizing tools and instruments used in operation, and maintaining a clean environment. Surgical techs also prepare patients for surgery by washing and cleaning the incision site and sometimes transporting the patients to and from the operating room. According to the Occupational Outlook Handbook, surgical technologists experience hands-on rolls helping surgeons during procedures. To be a great surgical tech, one must be
One may object that surgical technologist does not perform direct patient care and that they are expected to work under the guidance and responsibility of the perioperative nurse, so there is no need for regulation and need for certification. This is in some extent untrue as every surgery in today's operating rooms is performed in unison by a team of highly skilled and dedicated medical professionals and part of that team is the surgical technologist. The preoperative arena is divided and separated into a multiple area of responsibility that need to be manned and managed physically and mentally at all time. In relation to sports, an effective team is one that all members
If group is deemed a reference group, consider how this group affects or hasaffected your lifepersonally and/or professionally? If you select any organizations for youranalysis, consider Weber’s five characteristics of an ideal bureaucracy and suggest which (if any) of the characteristics are directly applicable to your organization. From personal experience, examine the positive and negative ramifications of operating within a bureaucratic structure.
I. Identify the current formal and informal power structures in the organization. How might the power and political structure of the
For the purpose of this paper Chesapeake Regional Medical Center (CRMC) has been chosen to discuss the organizational structure. CRMC is an independent, community focused organization that has been founded in 1960 by the community members. The mission of CRMC includes the improvement of health and well-being of the citizens it serves. The hospital incorporates the following major core values in the delivery of patient care: service, dignity, excellence, justice, and innovation. The future vision of the hospital
Coastal Surgical Specialist Incorporated operates as an S corporation and does business as Coastal Surgical Institute (CSI). In business there are different types of corporations and an S corporation, which is often referred to as an S Corp, is a unique type of corporation created through an IRS tax election (S Corporation | The U.S. Small Business). This means that the owners (shareholders) of the corporation are protected from liability. Essentially, an S corporation 's shareholder 's personal assets cannot be seized to satisfy business liabilities, and an S corporation can avoid being taxed twice (taxing both the corporation and the shareholders). In addition, S corporation shareholders can be employees of the business and draw salaries as employees. These advantages to shareholders have helped to create a vested interest in CSI, which seems to be one of the structural keys to the organization 's overall success - there are multiple parties involved who want CSI to do well.
More and more surgeons relied on the competency and the ability of the surgical technologist that work beside them, surgical technologist is gaining credibility and trust as a valued member of the surgical team.
The hospital’s formal matrix organizational structure consists of a bureaucratic hierarchy of authority (Appendix A). Dunham-Taylor and Pincszuk (2010) proposes that matrix structures promote originality and inventions; yet, they are problematic to manage due to the confusion in management levels. Moreover, this type of structure requires proficient management skills and communication to foster functionality within the organization. The hospital’s bureaucratic structure delineates a clear chain of command which provide rules and regulations, specialization of work, division of labor, and impersonality of relationships (Marquis & Huston,
As the ASC continued to grow in response to the increasing number of members, the procedures that were internalized not only increased, and were more complex. During that that time of expansion, I help strengthen the collaboration among ASC leadership and personnel to ensure that all surgical initiative is a success. In my role as perioperative educator, I spearheaded the development, implementation and evaluation of training and education via clinical simulation of procedures internalized in the ASC in 2015.
• We hate bureaucracy. We give everyone a license to kill bureaucracy. All officers are in cubicles. The CEO is in a conference room. We have very few layers—a very simple organization.
In the last 2 decides the number of allied health professionals has increased tremulously, along with the number of surgical technologist. The need for surgical technologist in surgery did not arise until World War II and technological advances also created the need for trained personnel that could assist the surgeons. Surgeons have always needed skilled assistants including ones that have knowledge of surgical instrumentation. Today the profession of surgical technology as it is defined today, developed as a result of rapid, monumental developments in technology in general (Boss 2).
Dr. Kristina Tansavatdi is one of the top facial reconstructive and plastic surgeons near the city of Camarillo; in addition, she is the only female plastic surgeon in the areas of Santa Barbara and Westlake Village. Dr. Tansavatdi focuses on providing each of her patients with the most innovative cosmetic care available for the neck and the face. Dr. Tansavatdi uses her expertise as a fellowship-trained facial plastic surgeon to provide each of her patients with a personalized experience.
1. What audit procedures that, if employed by Ernst & Whinney during the 1981 USSC audit, might have detected the overstatement of the leased and loaned assets account that resulted from the improper accounting for asset retirements?
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.”
There are many formal organizations in the world. Two of the major structures is the Japanese system and the bureaucratic system. Both structures have their equal importance in today’s development of the world economy. Bureaucracy is an organizational model rationally designed to perform tasks efficiently. Where as the Japanese work organization model is based on collective spirit to perform the tasks. (Macionis, J. (2012). Society: The basics (12th ed., p. 527). Upper Saddle River, N.J.: PEARSON.) There are various similarities and also differences between these two major formal organizations.