Healthcare Institutions and Organizational Dynamics Essay

874 Words 4 Pages
Main Discussion Post:
The purpose of this week’s discussion is to reflect on our own organizations and describe it organizational structure including location, size, degree of integration, type of care provided, health needs in communities served, availability of providers, and managed care penetration. Next I will identify an element of organizational development from which my organization would benefit. Finally I will describe what actions I would take to implement the organizational element and anticipated results.
The organizational structure of our healthcare organization would be described as a large organization involving four other healthcare institutions in the Tampa Bay area. Our health care facility is the largest of the four
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Many healthcare organizations face all kinds of unpredictable challenges. As stated by Karl E. Weick, most business management advises keeping it simple and streamline, however he challenges us to complicate ourselves; organizing imagination and creativity (Coutu, 2003).
An element I would like to develop within our organization is the idea of a shared governess. Approximately ten years ago we began the process of shared governess within our department of surgical services. It was our nurses who were the ones who presented this concept to administration. At that time the CNO was excited about the idea and fully supported the idea. She was instrumental in expanding this idea from one department throughout the organization. With the departure of the CNO, change in organizational structure (due to the economy), and the recent merger with another healthcare organization the idea of a shared governess slowly fell apart. I would like to bring back shared governess within our department of surgical service, in hopes of being a pilot department to revitalize this idea. Giving the autonomy and decision making power back to the clinical nurses. When clinical staff becomes owners of their environment rather than renters, they are more productive, higher job satisfaction, improved accountability and decision making, improved communication, and over all higher quality of work. Therefore decrease in turnover, decrease waste, and improved

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