Organization chart is a structure or a diagram that shows report or relationship in hierarchy, which is from top management, middle level and lower level employees in an organization. It also illustrates the kind of work each employer at different level should do and what is expected from him or her at the end of the day. It is used to show work responsibilities and reporting relationships, allow leadership to more effectively manage growth or change, allow employees to better understand how their work fits into the organization’s overall scheme, improve lines of communication, create a visual employee directory, present other types of information, such as business entity structures and data hierarchies. The organization chart differs from one organization to another depending on the number of workers needed and available tasks to be handled (Garvin, D. A., (n.d.).
In healthcare, management organization handles administrative, specialized and customers related duties associated with medical and healthcare services including healthcare facility management, pharmaceuticals distribution, healthcare software development (and implementation/management), analytical services (patient data management, quality of care analysis, etc.), and healthcare-specific consulting services (“Healthcare Management Organization Chart Template”, n.d).
Measures used to assess and compare the quality of healthcare services include structural, process, outcome and patient experience measures (Merz, 1998). The table below shows types of quality measures in healthcare
|Structural||Assesses the characteristics of a care setting, including facilities, personnel, and/or policies related to care delivery||Does health care organization uses electronic medical records or medication order entry systems, does the number or proportion of board-certified physicians and is the ratio of providers to patient?|
|Process||Identified whether the services provided to patients are consistent with routine clinical care.||Does doctor give his/her patient percentage that received preventive services and does the people with diabetes who had their blood sugar tested and controlled?|
|Outcome||Evaluates patient health due to the care received.||What is the percentage of patients died because of surgery?|
|Patient Experience||Provides feedback on patients’ experiences of care||Do patients report that their provider explains their treatment options in ways that are easy to understand?|
From the above table, these measures can be applied at different levels within the healthcare organization for better performance. First measure being structural, this mainly assist in evaluation of infrastructures within the healthcare settings checking if the settings deliver cares. Structure measures are necessary to ensure that all plans, providers, and care settings have the critical tools needed to provide high-quality care. These measures includes; staffing of facilities and the capabilities of these staff, the policy environment in which care is delivered, and the availability of resources within an institution ((Merz, 1998). Health management (Chief Executive Officer (CEO), Chief Operating Officer (COO)) that ensures that staffing facilities and capability of staff to use a given facility is guaranteed, health facility administration that ensures that policy environment and decisions are delivered, pharmaceuticals distribution that ensures availability of resources within the organization, and healthcare-specific consulting services, who ensures proper inventory of the resources to assist in future references.
The second measure is process, this involves what a provider needs to do in maintenance or improvement of health for both healthy and diagnose people (“Types of Quality Measures”, 2011, July 01). It also informs patients on medical care they are yet to receive or diagnosed depending on their conditions or diseases they are suffering from to improve their health. This measure is used by health management like chief medical officer in ensuring proper service offered by their juniors, director of healthcare facility management to ensure that the patient receive proper care, patient data management like data specialist in ensuring patient safety and healthcare-specific consulting services like physician and nurses to provide patient care.
The third measure is the outcome. This evaluates patients’ health with regard to the care given. This measure looks onto effect that given care had on patients’ health, status and functions and can be either intended or unintended. This gives the true picture on whether the goals on care are accomplished or not (Barry, Murcko, & Brubaker, 2002). This measure can be used by health facility management like clinical manager in ensuring that patient received timely and effective care. It can also be used by care manager like patient navigation and service coordinators in ensuring that patients are properly cared for, patient data management like Case Management Data Analyst for proper patient record keeping for future references and use by healthcare consultant services like medical consultant to assist in auditing of activities carried out by staffs.
The forth measure is patient experience; this provides feedback by the patient on their experience during the care process. Patient experience measures should be developed with patient input to ensure that they are representative of their needs, values, and preferences. These measures reveals critical information on whether the service is patient centered or institutional centered. This can be used by patient relation department in ensuring proper feedback to improve the image of the organization attracting more patients. Used by healthcare technology services department in improving service quality by designing and marketing their organization cares based on the patient experiences shared (Manary, M. P., Boulding, W., Staelin, R., & Glickman, S. W., 2013). Used by healthcare consulting services to help them in organizing staffs to various areas based on patient experience survey and can also be used by the healthcare management like the CEO to assist them in knowing whether their services are attracting more consumers or not.
In conclusion, any organization chart shows the roles and responsibility for everyone in the organization and this ensures avoidance of duplication of work and confusion that may be brought about when staffs do not know what they are required to do at the organization. When the organization chart is properly followed and everyone does their delegated work properly, this will improve the success of the company in meeting their goals and objectives. For healthcare sector to be improved some measures like structure, process, outcome and patient experience should be considered for the success of the organization.
Barry, R., Murcko, A., & Brubaker, C. (2002). The six sigma book for healthcare: Improving outcomes by reducing errors. Chicago: Health Administration Press.
Healthcare Management Organization Chart Template. (n.d.). Retrieved from https://opsdog.com/categories/organization-charts/healthcare-management
Manary, M. P., Boulding, W., Staelin, R., & Glickman, S. W. (2013). The Patient Experience and Health Outcomes. New England Journal of Medicine,368(3), 201-203. doi:10.1056/nejmp1211775
Merz, T. (1998). Planning PDF Documents. Web Publishing with Acrobat/PDF, 26-33. doi:10.1007/978-3-642-72032-1_3
Types of Quality Measures. (2011, July 01). Retrieved from https://www.ahrq.gov/professionals/quality-patient-safety/talkingquality/create/types.html