Tuesday, February 26, 2019

Organizational Structure of a Hospital You Know Essay

INTRODUCTION For this assignment Im choosing, Fortis infirmary at Noida, India and Krishna nurse home at Chitradurga, Karnataka India. Fortis hospital at Noida, India is a part of Fortis healthcare group and in the main focuses on orthopaedics and neurosciences. Its a medium sized hospital with 300 bedded facilities and around 250 full time staff. Its organisational body structure has low vertical and high swimming distri providedion. THE HORIZONTAL DISTRIBUTION is as follows, 1) 37 medical departments which covers different specialities.2) early(a) departments such as HR, marketing, finance, engineering and nursing.3) Social specialisation, manakin doctors.4) Functional specialisation, example technicians and nurses. VERTICAL STRUCTURE is as follows, 1) zonal director at the top. 2) 43 departmental heads who work under(a) Zonal director. 3) There is group under severally department which report to departmental heads. Organizational structure of fortis hospital ZONAL DIRE CTOR United HR medical director topic eng marketing & sales Finance head Nursing matron Team Hr Doctors Eng team Marketing team Finance team Nursing teamCentralisation Head of department delay all departments and they report to the Zonal director. Each individual in the organisation has limited autonomy and financially it is highly centralised and functionally it is moderately decentralised and it has high aim of standardisation of administrative task and the recruitment process is very such(prenominal) formalised, whereas doctors have low level of formalisation and everyone follow standard in operation(p) procedure. Hence in summary, Fortis hospital is multi-speciality hospital of medium size and its structure has high horizontal complexity but low vertical complexity and it is moderately formalised and there is not much direct carry on on centralisation and has moderately flexible structure and decision make is highly formalised and moderately decentralised at operational level.(http//www.hindubusinessline.com www.fortishealthcare.com www.hoovers.com)In contrast to the above mentioned complex structure second mentioned hospital is Krishna Nursing Home which is a small 50 bedded multispecialtyhospital with a simple structure with the director at the top who is in air of everything and there are heads of recruitment, finance and medical director who report to the director. It is mainly a vertical structure with director who has full decision reservation power, hence the structure has minimum decentralisation. The other staff has no autonomy.This hospital works basically on loyalty and trust and personal affinity and caters to a small existence in the village Chitradurga, India. This structure is congruous with small hospitals like this. But disadvantage is that it is highly dependent on the director and is individual centric (www.healthcaremagic.com)If we compare the 2 structure in relation to, 1) Central Peripheral relations Fortis is much bigger hospital and has separate division for each department and there is decentralisation and semi-autonomy for each department and the purchaser and provider divisions are separate. Whereas Krishna Nursing Home has no decentralisation and no autonomy for the departments and all decisions are taken by the director. 2) Links with other organisational groups Fortis has links and tie-ups with many other smaller hospitals which observe cases to them and also has link ups with various insurance companies.Whereas Krishna Nursing Home has no tie-ups with any other hospitals and works alone and caters to a small commonwealth. 3) familiar structure Hierarchy, as mentioned above Fortis hospital has minimal vertical but complex horizontal distribution of power so it has a pamper organisational shape which helps in effective communication and decision making and has widened collaborative links between various departments and divisions resulting in internal linking and average spans of control w hereas Krishna Nursing Home has vertical structure and is fully hierarchic found and there is no internal linking between departments (Merson et.,al, 2006).CONCLUSION Both these hospitals has only different organisational structure but both are successful because the targeted population for both are different. While, Fortis targets higher and wider range of population and focuses on specialize services, hence has complex organisational structure. Whereas Krishna Nursing Home caters to a small population andprovides basic services and hence has a simple vertical hierarchical structure.REFERENCESFortis Healthcare signs pact with US hospital online. Available at http//www.thehindubusinessline.com/businessline/2000/10/18/stories/021851e 3.htm. (Accessed on 7 January 2013) Krishna Nursing Home (online). Available at www.healthcaremagic.com (Accessed on 8 January 2013). Merson et.,al (2006) International Public Health, 2nd Edition, Jones and bartlett pear publishers, pp558-593. (onlin e) Available at www. Fortishealthcare.com.(Accessed on 7 January 2013). (online) Available at www.hoovers.com (Accessed on 7 January 2013).

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