Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Health Care Settings The Places Where Care is Delivered
Lecture:Departments and services
Interrelationships between health care organizations
Medical data use and impact
Slide content:Organizational Structure by Institution Core functions Size Type 16
Slide notes:All health care organizations have certain core functions required to deliver health caremanagement, medical staff, nursing, clinical support, ancillary support, information, and facilities management. How these functions are manifested have to do with the size and type of the organization. A small community health clinic may be administered by the senior physician and an office manager. The medical staff may consist of only a few providers. Nursing staff may include a single nurse and several medical assistants. The medical assistants also provide limited clinical support and ancillary services (office laboratory tests or simple diagnostic procedures). The office manager and receptionist may provide much of the registration, billing, referral, and medical records. Facilities management may be a combination of the office staff and contracted cleaning and maintenance. In very small organizations, information technology support may be contracted to a consultant or other third party. Facilities management may be conducted by a combination of the office staff and contracted cleaning and maintenance. As facilities grow, these functions tend to require more personnel and personnel with additional training and eventually require whole divisions with multiple departments. Community health clinics do not perform complex diagnostic or treatment procedures. Community hospitals and academic hospitals may have similar organizational structure for clinical care. Academic hospitals add the need for two new functionsteaching and research. These can be substantial undertakings that require divisions and personnel to accomplish these tasks. 16