Organization for health professions: Design process

Organization for health professions: Design process

Organization redesign process

The hospital as a health authority

Organization for health professions: Design process

The Department

An organizational solution superseding the «divisional model», based on the capability to connect the medical knowledge structure (increasingly divided into specialties) to the hierarchical organization of the professional practice.

The divisional model

Organization for health professions: Design process

The «divisional» hospital

Organization for health professions: Design process

The Department

The Department

The Department: an organizational innovation

The Department: an organizational innovation

The Department in the testing of organizational and management models

The purposes of the Department

Setting the Department up

How to complete a Department?

Organization for health professions: Design process

The Department: a focal point

Organization for health professions: Design process

Obstacles to the setting up of Departments

Organization for health professions: Design process

Criticalities in operators’involvement

Criticalities in the setting up of Departments

 retains the clinical responsibility of an Operating Unit belonging to the Department

 retains the relevant organizational responsibility

 bears an undefined share of responsibility in the organization of the Department itself

Criticalities in the setting up of Departments: consequences

The Department in the development of healthcare facilities

To achieve the organizational modernization and the sustainable development of the healthcare facility:

The Department in the development of healthcare facilities

The structure of Departments requires deep changes in terms of organizational culture and operators’behaviours, which

The full implementation of Departments is a complex process of organizational innovation, which is possible only if it goes along with the concrete willingness of all operators, at all levels.

The Department in the development of healthcare facilities

The Operational Units of a Department maintain their independence and responsibilities, while pursuing common objectives and shared goals

The Department in the development of healthcare facilities

Merging of skills and experiences

Interdisciplinarity  Continuity of care  Merging of Operating Units according to efficiency and practical effectiveness criteria

Objectives of the care policy of Departments

The tasks of the Department

Organization for health professions: Design process

Department activities

Possible aggregations of Operating Units within a Department

Aggregation assessment criteria

Most common types of aggregation

Organization for health professions: Design process

Most common types of aggregation

Organization for health professions: Design process

Most common types of aggregation

Organization for health professions: Design process

Most common types of aggregation

Organization for health professions: Design process

Coordination and integration

Organization for health professions: Design process

Types of Department

Goal:

Types of Department

Types of Department

Types of Department

The grouping of hospital functions, aimed at the optimization of the use of resources within a hospital or healthcare authority, must be based on the good planning and proper and careful management of the resources. This happens when:

 the number of resources users is high enough to initiate the dynamics of scale economy

 the resources acquired are ready for sharing and are not allocated exclusively to specific operational contexts

 the resources used by a specific group of operating units (e.g. operating rooms) are significantly homogeneous

Allocation of resources

Facilities,

Structural Department

Management operating system

The right organizational climate

Encourage integration:

Physically:

Organizationally:

Clinically:

Culturally:

The Department

The key actors of the Department

Department organization

Regulation andAnnual Plan

Organization of the Department

Distribution of spaces

Staff organization

Organization of work

Departments’organization

 Operating Units

 Organizational Module

 Functional Module

Organization for health professions: Design process

The organization today

The Head of Department

The Head of Department

Professional credibility and organizational skills

Organization for health professions: Design process

Actors and relationships in the Department

Organization for health professions: Design process

Medical Director of the Hospital

Organization for health professions: Design process

The Head of complex Operating Unit

Organization for health professions: Design process

The Head of simple Unit

Organization for health professions: Design process

The Department’s organizational structure

Head of Department

 Head of complex O.U.

 Head of the intra- or interdepartmental programme

 Head of simple O.U. with departmental value

• Heads of simple O.U.s

• Medical managers with professional positions

• Nursing service

Strong and weak Departments

According to the level of organizational powers, i.e. to their centralization or decentralization within the Departments, it is possible to discriminate:

The Nurses

Increased shareability:

Organization for health professions: Design process

The Nurses

Levels of nursing coordination

Organization for health professions: Design process

The Department Chief Nursing Officer

Organization for health professions: Design process

The integrated nursing

The modular nursing

Modular nursing goals