Organization for health professions: Design process
Organization redesign process
Organization for health professions: Design process 2
The hospital as a health authority
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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.
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Organization for health professions: Design process
The divisional model
Organization for health professions: Design process
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The «divisional» hospital
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The Department
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Organization for health professions: Design process
The Department
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Organization for health professions: Design process
The Department: an organizational innovation
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The Department: an organizational innovation
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Organization for health professions: Design process
The Department in the testing of organizational and management models
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The purposes of the Department
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Organization for health professions: Design process
Setting the Department up
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for health professions: Design process
Organization
How to complete a Department?
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The Department: a focal point
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Obstacles to the setting up of Departments
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Criticalities in operators’involvement
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Organization for health professions: Design process
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
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Organization for health professions: Design process
Criticalities in the setting up of Departments: consequences
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The Department in the development of healthcare facilities
To achieve the organizational modernization and the sustainable development of the healthcare facility:
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Organization for health professions: Design process
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.
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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
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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
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Objectives of the care policy of Departments
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for health professions: Design process
Organization
The tasks of the Department
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Department activities
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Organization for health professions: Design process
Possible aggregations of Operating Units within a Department
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Organization for health professions: Design process
Aggregation assessment criteria
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Organization for health professions: Design process
Most common types of aggregation
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• • • • •
Most common types of aggregation
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Most common types of aggregation
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Most common types of aggregation
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Coordination and integration
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• • • •
Types of Department
Goal:
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Organization for health professions: Design process :
Types of Department
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Organization for health professions: Design process
Types of Department
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Organization for health professions: Design process
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
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Organization for health professions: Design process
Allocation of resources
Facilities,
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for health
Design process Operating Units resources Department common resources Resources for the functioning of the Department
technologies and staff Organization
professions:
Structural Department
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Organization for health professions: Design process Operating Units resources Operating Units resources Operating Units resources
Management operating system
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The right organizational climate
Encourage integration:
Physically:
Organizationally:
Clinically:
Culturally:
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Organization for health professions: Design process
The Department
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Organization for health professions: Design process
The key actors of the Department
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Organization for health professions: Design process
Department organization
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Organization for health professions: Design process
Regulation andAnnual Plan
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Organization for health professions: Design process
Organization of the Department
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Organization for health professions: Design process
Distribution of spaces
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Organization for health professions: Design process
Staff organization
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Organization for health professions: Design process
Organization of work
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Organization for health professions: Design process
Departments’organization
Operating Units
Organizational Module
Functional Module
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The organization today
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Organization for health professions: Design process
The Head of Department
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Organization for health professions: Design process
The Head of Department
Professional credibility and organizational skills
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Actors and relationships in the Department
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Medical Director of the Hospital
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The Head of complex Operating Unit
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The Head of simple Unit
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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
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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:
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The Nurses
Increased shareability:
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The Nurses
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Levels of nursing coordination
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The Department Chief Nursing Officer
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The integrated nursing
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Organization for health professions: Design process
The modular nursing
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Organization for health professions: Design process
Modular nursing goals
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Organization for health professions: Design process
