Organizational Structure and Culture
Organizational structure can be defined as the establishment of authority and the arrangement of the work group. Classical theorists developed the concept of departmentalization as a means to maintain command, reinforce authority, and provide a formal system for communication (Sullivan & Decker, 2009). Designs of an organization can either be structured vertically or horizontally; subdividing work, specifying tasks, and fitting people into a plan. St. Luke’s Hospital is one of the 18 facilities within the Iasis Healthcare Organization. Iasis Healthcare is a charitable organization that was founded in 1998 in an effort to provide healthcare services, ...view middle of the document...
Luke’s, 2012). Iasis Healthcare and St. Luke’s Hospital, support a paralleled structure within a functional structure. In functional structures, employees are grouped in departments by specialty, with similar tasks being performed by the same group, similar groups operating out of the same department, and similar departments reporting to the same manager (Sullivan & Decker, 2009). Parallel structures are a result of complex relationships that exist between the formal authority of the health care organization and the authority of its medical staff. In parallel structure, the medical staff is separate and autonomous from the organization (Sullivan & Decker, 2009). Iasis Healthcare is a multihospital system with multi-organizational arrangements. With increased competition for resources and public and governmental pressures for better efficiency and effectiveness, organizations have been forced to establish relationships with one another for their continued survival (Sullivan & Decker, 2009). Therefore, St. Luke’s Hospital has also become part of a horizontal integration to sister facilities of other Iasis hospitals.
Environment of Support
Each member of the management team is responsible for setting an example that support’s the hospitals structure in the implementation of client-centered care. This requires the promotion of open communication and simplifies the process of delegation. St. Luke’s uses a team-based model of nursing to create an environment of ownership among the stakeholders. This model supports effective leadership, collaboration, shared goals, and effective communication. It is also a structured system of tasks, workflows, reporting relationships, and communication channels that link together various parts of the organization. A positive environment directly affects better patient outcomes (Aiken et al., 2002).
An important aspect of the Iasis organizational structure is communication. The use of information systems is used to improve the communication between different departments and staff within the facility. An electronic medical record is created for each patient and used for charting, physician ordering, medication administration, and patient education. The electronic record is stored in a database that can be retrieved at a later time, allowing for continuity in patient care. Iasis has defined the roles and responsibilities for creating, handling, managing, and destroying of all Iasis information. These defined roles and responsibilities establish the hierarchy for compliance with policy and proper procedures.
Various communication methods are used within the Iasis organization. Communication can either be vertical or horizontal. Vertical communication follows a chain of command where as horizontal communication occurs between different departments who are on the same level in the organization. E-mail and web conferencing are the most common used methods of...