Healthcare Organization Management Structure Discussion Reply.

Many changes are occurring in health care due to the economy and stricter government guidelines. According to Marquis and Huston (2017), successful leadership and organization is critical to health care organizations and organizing is the second phase of the management process. Organizational structures can be broken down into formal and informal structures. A formal structure is framed by departments and units. Each section has its own managerial authority and responsibility. An informal structure is more of social network of leaders, and communication is often spread by word of mouth called the Grapevine. (Marquis & Huston, 2017). An informal leader is someone who is worthy of following or paying attention to (Padula & Makic, 2017).

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There are several structural patterns: bureaucratic, ad hoc, flat, matrix, or a combination (Marquis & Huston, 2017). Structural patterns are known to affect healthcare relationships, communication, and authority (Marquis & Huston, 2017). Bureaucratic pattern is the most common because it provides a clear division of labor, and provides management that is fair and predictable (Marquis & Huston, 2017). In ad hoc structural pattern, bureaucratic structure that is often used on a temporary basis and disbanded when it is no longer needed. Matrix is a vertical and horizontal chain of command while flat design removes layers of commands I believe my department is a bureaucratic pattern because it has clear division of units (Marquis & Huston, 2017).

I would define my hospital organization as a formal structure. Each unit has its own manager and each unit has its own responsibilities. There is a clear chain of command and going outside of the chain of command is frowned upon. I also believe in a bureaucratic pattern best fits my organization. It is one of the most common structures known, and is fair. Although, when the company is in the lean process of cost savings, I feel like they are more in flattening structure.

Reference

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th Ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Padula, W., & Makic, M.B. (2017). View from here: Formal and informal leadership translating evidence-based practices for pressure injury prevention in the hospital setting. Journal of Wound, Ostomy and Continence Nursing, (2), 153. https://doi-org.ezp.waldenulibrary.org/10.1097/WON…