The CEO’s Day Overview This case examines the multiple duties that the President and CEO of Midvale Community Hospital, Terry Blaze, participated in throughout the day to ensure that the hospital is running effectively. Throughout the day, Blaze attends numerous meetings, which are directed towards improvements, changes, or concerns that will overall affect the hospital. During several of them, he is required to make final decisions however, he often directs other personnel to make that final judgment call. It was evident that Blaze wore many hats as the President and CEO of the hospital, which made it evident that his time was stretched thin. This could result in tasks going unfinished or completed incorrectly. Some mistakes that may be made may have a major negative impact on the hospital therefore it is pertinent for Blaze to ensure that he is using his time wisely. Issues/Solutions One issue that was apparent in this case was the number of meetings that Blaze was required to attend in one day. Although majority of the meetings seemed to be short and strictly He tends to second-guess the situations where he does give authority to an individual to use their best judgement. If he would sit down with the vice-president, department managers, and his executive secretary, to establish an outline for what roles would be performed by whom, it would open up his schedule so that he would be capable of focusing on areas that are more pertinent. This would provide time to focus on the budget reductions, implementing a five-year operations and capital expenditures budget to ensure that the hospitals financial future is stable. It is also pertinent to address how the Medicare and Medicaid changes that will affect the hospital’s revenue which may require Blaze to reevaluate where money can be
SGH has been plagued with patient quality issues, therefore SGH finds itself in a situation which is inherently antithetical to the mission of the hospital. The costs of healthcare continue to rise at an alarming rate, and hospital boards are experiencing increased scrutiny in their ability, and role, in ensuring patient quality (Millar, Freeman, & Mannion, 2015). Many internal actors are involved in patient quality, from the physicians, nurses, pharmacists and IT administrators, creating a complex internal system. When IT projects, such as the CPOE initiative fail, the project team members, and the organization as a whole, may experience negative emotions that impede the ability to learn from the experience (Shepherd, Patzelt, & Wolfe, 2011). The SGH executive management team must refocus the organization on the primary goal of patient
Once chief Robin Richardson was in command she made the decision to change the organizational structure within the police department. MPD chief Richardson made the decision the change the police department 's centralized organization structure to a more decentralized structure that relies on employees to communicate information to make decisions and recommend changes” ( Textbook, Chapter 10). MPD chief Richardson decisions to change the “organizational structure was to accommodate the dramatic shift in performance culture”( Textbook Chapter). MPD chief Richardson felt that the traditional functional organization structure under the vertical hierarchy has lost sight of MPD organization mission. Chief Richardson wanted to create an organizational structure that provides certain levels of autonomy, that allows employees to make decisions based on their individuals discretions. MPD chief Robin Richardson considered a “divisional organization a design structure that groups processes and jobs based on clearly defined market segments or geography”( Textbook Chapter 10). Chief Richardson considered “divisional organization structure that allows decision making to take place at the divisional level by managers, and differences of opinion would be resolved without depending on the chief. Chief Richardson felt that this design was leaning more toward what she visualized for the MPD: a centralized, horizontal organization” (Textbook chapter 10). According to the text, chief Robin Richardson “finally decision was to create a matrix organization, a design structure that facilitates horizontal integration and collaboration. A matrix model combines elements of both the functional and the divisional organizations, has dual lines of authority, and is designed to encourage the sharing of information. Robin felt that by using this model, the reporting line would shift
After analyzing the Coastal Medical Center, it is apparent that the employees and staff have no conception of the mission, vision, and values of this health care facility. In addition to this lack of structure, CMC has many projects in the midst of production that lack support of a common goal, employees are unsatisfied with their jobs, the two boards lack ability to agree on strategic decisions for the organization,, and the medical center has a dismal reputation when it comes to quality care.
Candidate Falgoust provided a basic five-paragraph order to his fire team. However, he failed to properly brief the Friendly sub-paragraph, simply restating what he received in higher's brief. Furthermore, he relied heavily on his skeleton to ensure he covered all paragraphs and sub-paragraphs of his order, but failed to utilize his own analysis to develop a plan for his Administration paragraph. SNC's nervousness was evident throughout the delivery of the order, briefing in a shaky voice and relying heavily on notes to determine what to brief. SNC even went so far as to mumble aloud what he was thinking. These actions instilled little confidence in his fire team of SNC's plan, and overall detracted from reception of pertinent information
Working at the hospital for a little over a year now I have seen a few instances that are a "near miss", some a failure, and as of today a complete failure in patient safety but is being overlooked in some ways. Being the most recent and fresh in my mind this incident included a known drug addict, and an order that read "pt. may go outside with family". During shift report I asked the night shift RN why a known drug addict has outdoor privileges, when it is hard enough to get anyone the order to go outside. The RN giving report agreed with me, but since the ordering physician wasn 't available we could not challenge the order overnight. As my shift continued I go into the patients room to check on them and the bed was empty the wheelchair was gone and the bathroom was empty. I asked my Clinical assistant and she said that she was never told the patient was leaving (strike 1: patients need to tell staff when they leave the unit). After 30 minutes I looked in the room and the patient was still gone, after an hour the patient returned with a family member (strike 2: patients are allowed 15 minutes off the floor). I quickly went into the room and asked the patient that if they would like to leave the unit they need to notify staff before they leave and patients need to come back to
Sheaff, R. West, M. (1997) Marketization, managers and moral strain: Chairman, Directors and public service ethos in the National Health Service, Public Administration Vol. 75 Summer 1997 pp 189-206
A role for Health Care Administration is more like what holds any department together, like nursing, ICU, surgical, etc. HCA spend substantial quantity of time on communication, problem solving and decision making, collaboration with other administrators, and cost containment (Purnell, 1999). Institutional ethics and organizational ethics are familiar phrases with the current health care systems with the current health care system. The tensions created by differences in organizational, individual, and professional values are noticeable when administrators and managers disagree with ways to operationalize organizational goals without violating personal and professional values (Badzek, Mitchell, Marra, Bower, 1998). Administrators have become
The organizing function of the manager consists of developing organizational charts, job descriptions, and statement of work flows ( Liebler and McConnell, 2008, p.53). A healthcare department manager must have knowledge of the job functions, job descriptions, and how those relationships impacts, authority, chain-of-command and communication. As a Wayne County Sheriff Sergeant, the organizational jail chart reveals the decision making process in terms of, (a) major functions,(b) relationship of functions, (c) channels of supervision, and (d) lines of authority and communication and positions( by job titles) within the [jail] units (Liebler & McConnell,2008, p.194).
The Loveland Fire Rescue and Authority (LFRA) is getting ready to go through a change in leadership. Our current Fire Chief, Randy Mirowski, is getting ready to take the next step of his life into retirement. This paper is going to define why this change in leadership could potentially be a problem, provide a background of the culture at LFRA, suggest an alternative solution to the problem and then suggest how LFRA can manage the potential resistance that could be experienced in this change process.
Hardwiring Excellence gives a general map for creating a culture focused on service, leadership, accountability, and employee and patient satisfaction. While Studer provides firm foundations and ideas, at points the reader is left wanting more in-depth explanation. Overall, Studer’s text emphasizes strategies to capitalize on a hospital’s most positive aspects, and how to motivate employees to use these strategies.
The staff, physicians and board members were not ready to fail. They didn’t want to abandon all those who depended on their services, but they also knew closing the hospital's doors would hurt
Due to WellStar being a multi facility health system, its organizational design is constantly being reviewed for simpler and more efficient processes. WellStar’s two smallest hospitals, WellStar Paulding and WellStar Douglas, previously under went reconstruction with regards to their hierarchical structure in Patient Access Services (PAS). WellStar Paulding, the smallest facility of the five hospitals, renovated their managerial chain of command in PAS. WellStar Paulding’s patient volume is less than half in comparison to the 4 additional hospitals. As a result, their staff is smaller and only requires minimal supervision. In the past WellStar Administrators requested supervisors for every department, a manager of the entire department, and a director that managed PAS’ management directly and PAS staff indirectly. Recent cuts ...
In a code or emergency situation it is very important for the nurse leader to be able to make quick decisions. In this case, there would be little time to make a group decision and it would be appropriate for the leader to step up and be an autocratic leader. An autocratic leader exercises gr...
Further, there must have been a number of decisions which drive the direction and initiatives of any staffing strategy. These include, but are not limited to, determining staffing levels and types, current staffing resources, internal/external hiring, understanding current and future supply and demand, hiring or retaining, and short-term or long-term planning. It was important to understand the scope of each category in order to establish a strong and successful staffing
A manager’s leadership style must influence staff and others to take them seriously. A manager sets the tempo for the employees’ work ethic. Effective leadership from healthcare managers is important to the modern healthcare reform (Kumar, 2013). Leadership engagement in healthcare explains how a problem could affect a healthcare organization. Managers that hold leadership roles must adopt a certain style that can be functional for his or her initial organization to be successful. Performance improvement can be a very serious aspect of leadership engagement (Croxton, 2011). Healthcare managers need to have people from all areas involved to work effectively. Without the consistency of getting all staff and physicians involved, the organization may suffer greatly.