HITT1345 Health Care Delivery Systems

Prepare or adapt an Organizational Chart of a familiar healthcare delivery system. Describe how the staff and line positions interact and how the financial services interact with others.

Read and analyse the below article:

Porter-O’Grady, T. & Malloch, K. (2018). Chapter 3: Innovation Leadership and Professional Governance: Building the Structure for Transformation. In Quantum leadership – with access (5th ed.). Burlington, MA: Jones & Bartlett Learning.

Organizational Classification Chart:

Source as created by Author

The hierarchy chart (above) shows the organizational classification of XYZ Hospital that clearly states the functioning of the various departments of the hospitals and the services dispensed by each category. The CEO and the Boards of Directors occupy the top positions of the strata and are concerned with the overall maintenance of hospital administration. They necessarily deal with developing managerial policies and strictly supervising the other departments in the hospital. Any decision pertaining to introduction of any new reforms in the organization is carried out in accordance to this department.

The hospital primary functions under five important departments that include Patient service that operates under two sub categories, Emergency outpatient and Medical Report Handling (Dow et al.,2013). The second department includes the nursing personnel who are entrusted with the job responsibility of taking care of the admitted patients and assist the physicians while performing surgery (Taselli,2015). Additional job roles of the nurses include explaining pharmaceutical doses to the patients and providing immediate first aid. The third department incorporates the Ancillary services which deal with services such as Anesthesiology, Radio imaging (MRI and CT Scan) and clinical research laboratories that work for the development of new pharmaceutical drugs and other stem cell and Molecular Biology diagnostic tools. Pharmacy that dispenses pharmaceutical drugs to the patient, Respiratory Care that works for providing immediate relief to Patients with respiratory tract infection and also providing oxygen supply to patients admitted to the Intensive Care Unit as well as Rehabilitation Unit that deals with patients who are victims of drug abuse or mentally challenged patients are also placed under the department of Ancillary services. The fourth department is responsible for carrying out business operations and takes care of the sales and marketing and the human resource recruitment to work in the organization. Sales and marketing deals with ideal marketing of the brand of the hospital through different marketing strategies such as social marketing and brand marketing. The Human Resource category frames employee friendly policies that help in employee retention (Chaudoir et al.,2013). The fifth category forms the department of Customer Support which is entrusted with the responsibility of providing support to the customers and helping the customers by solving their queries related to enquiry or billing confusion (Demirkan,2013).

The XYZ Hospital strictly adheres to the hierarchal structure and the flow of information is smooth in line with the positioning of the department and designation which is prevalent in the healthcare industry (Demirkan,2013). In case of an admittance of an accidental emergency case, the patient is directly placed under the outpatient service where the patient is treated on a priority basis. The Physicians take charge of the necessary medical procedure with the assistance of nurses. The department concerned with the medical report handling takes cares of the diagnostic tests that the patient has to undergo and clearly maintains the medical reports of the concerned patient for further reference. The Business Operation department works under the supervision of the Board of Directors Committee. The Customer Support helpline is 24/7 available for the convenience of the Customers and maintains a close link with the outpatient, report delivery and ancillary department and order to provide quick assistance to the patient concerned.

The financial services dispensed by the hospitals deal with the admittance, treatment, discharge and billing of the patients who are admitted to the hospitals (Fitzgerald et al.,2013). It is extremely important to maintain a constant flow of information and a strong coordination between these segments in order to avoid any ambiguity (O'Grady & T., 2018). Every minute record of the patient is documented with respect to the diagnosis of the illness, prescribed pathological tests, prescribed medicines and treatment dispensed. Each concerned department has assigned employees who help in maintaining the documentation of the concerned patient.  Finally, when the patient is treated successfully and is fit enough to be discharged from the hospital, the document reports of the patient are coded for final billing by the designated employees who take care of billing formalities and the final cheque is verified by the Management Department concerned with Health Information and the final amount that requires clearing is handed over to the concerned patient or the third party who would clear the bill on the behalf of the patient. This is the process how financial services are administered in a health care set up.

References:

Chaudoir, S. R., Dugan, A. G., & Barr, C. H. (2013). Measuring factors affecting implementation of health innovations: a systematic review of structural, organizational, provider, patient, and innovation level measures. Implementation Science, 8(1), 22.

Demirkan, H. (2013). A smart healthcare systems framework. It Professional, 15(5), 38-45.

Dow, A. W., DiazGranados, D., Mazmanian, P. E., & Retchin, S. M. (2013). Applying organizational science to health care: A framework for collaborative practice. Academic medicine: journal of the Association of American Medical Colleges, 88(7), 952.

Fitzgerald, L., Ferlie, E., McGivern, G., & Buchanan, D. (2013). Distributed leadership patterns and service improvement: Evidence and argument from English healthcare. The Leadership Quarterly, 24(1), 227-239.

O'Grady, P., & T., M. (2018). Innovation Leadership and Professional Governance: Building the Structure for Transformation (5th ed., pp. 114-116). Burlington: MA: Jones & Bartlett Learning.

Tasselli, S. (2015). Social networks and inter-professional knowledge transfer: the case of healthcare professionals. Organization Studies, 36(7), 841-872.