Health System Organization Models PDF

Ahfad University for Women HEALTH SYSTEM ORGANIZATION MODELS  HEALTH SYSTEM ORGANIZATION MODELS The New Public Health is an integration or coordination of many participating health care facilities and health promoting programs. It is evolving in various forms in diffe...

Ahfad University for Women HEALTH SYSTEM ORGANIZATION MODELS  HEALTH SYSTEM ORGANIZATION MODELS The New Public Health is an integration or coordination of many participating health care facilities and health promoting programs. It is evolving in various forms in different places as networks with administrative and financial interaction between participating elements. Each organization provides its own specific services or groups of services. How they function internally and how they interact functionally and financially are important aspects of the management and outcomes of health systems. The health system functions as a network with formal and informal relationships; it may be very broad and loosely connected as in a highly decentralized system, with many lines of communication, payment, regulation, standards setting, and levels of authority.  HEALTH SYSTEM ORGANIZATION MODELS The passage outlines three different models of organization within healthcare systems: the Functional Model, the Corporate Model, and the Matrix Model. Here's a summary of each: 1. Functional Model: o Suited for smaller hospitals, it organizes the organization into specific functional departments such as medical, nursing, administration, pharmacy, maintenance, and dietary. o Each department reports through a single chain of command to the CEO. o The governing agency, often a local non-profit board or a national health system, holds overall legal responsibility for the hospital's operation and financial status. o The medical staff may work in private practice or be employed by the hospital, with some serving in administrative roles. o Increasingly, hospitals employ "hospitalers" to provide inpatient and emergency services, especially accommodating female physicians who balance work and family responsibilities.  HEALTH SYSTEM ORGANIZATION MODELS 1. Corporate Model: o Typically employed in larger hospitals or during mergers with other healthcare facilities. o The CEO delegates responsibilities to senior management team members, who have operational control over different sectors of the hospital. o This model may include a divisional structure, where individual service divisions operate as economic units with autonomy over their budgets and decision-making. 1. Matrix Model: o Combines pyramidal and network organization structures. o Suited for public health departments or health maintenance organizations. o Individual staff members report through a hierarchical chain of command but also work in multidisciplinary teams on specific programs or projects. o This model allows for lateral integration, where specialized staff members serve both institutional (hospital) and community health roles. The passage emphasizes that the organizational structure of a hospital should be appropriate to its circumstances and may need to evolve in response to changes in healthcare economics and payment systems.  a comparison table for the Functional, Corporate, and Matrix models of healthcare organization: Aspect Functional Model Corporate Model Matrix Model Suited for smaller hospitals with clear Typically used in larger hospitals or Applicable to public health departments Scope and Size departments healthcare systems undergoing mergers or health maintenance organizations Combines pyramidal and network Clear chain of command with Delegation of responsibilities from CEO structures allowing for both hierarchical Hierarchical Structure departments reporting to CEO to senior management team reporting and multidisciplinary team collaboration Operational control over different Balances centralized decision-making Centralized under CEO; standardized Decision-Making sectors; potential for decentralized with decentralized team-based procedures decision-making within divisions approaches Emphasizes collaboration through Divisional structures may facilitate Integration and Collaboration Limited cross-functional collaboration multidisciplinary teams working on integration within specific areas specific programs or projects May lack flexibility in responding to Can adapt to changes through delegation Offers flexibility to address diverse Flexibility and Adaptability changes and potential divisional reorganization healthcare challenges Well-suited to public health departments Effective in larger hospitals or healthcare or organizations requiring Suitability to Context Best suited for smaller hospitals systems undergoing organizational interdisciplinary collaboration and changes service integration