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Malar Hospital Organization Structure & Design Prepared By: Group 5 DoMS, IIT Madras, Batch of 2010 Cotnact:  [email_address]
Introduction to Fortis –  Malar Hospital ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
Organizational Life Cycle Formation Growth Maturity Decline Malar Hospital ,[object Object],[object Object],[object Object],[object Object],06/07/09
Effectiveness 06/07/09
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Malar Hospital - Effectiveness 06/07/09
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
Applying strategic – constituencies approach ,[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
Competing Values Approach Flexibility Organization People Control 06/07/09
Structure 06/07/09
Malar Hospital - Structure ,[object Object],[object Object],[object Object],[object Object],06/07/09
Complexity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
06/07/09
Formalization   ,[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
Doctor writes ARF to initiate the process  Patient registers the ARF at the reception Admission confirmed after two forms filled Patient/Family counseled about the estimated expenditure/ hospital rules & guidelines Patient informed about interim bills on a daily basis. Bills settlement at the time of discharge The doctor/nurse hands over the signed discharge summary and other relevant documents. Patient discharged after paying the bills in cash, debit/credit card or demand draft ,[object Object],[object Object],Patient expected to bring previous consultation & investigation records Bills prepared at billing office (Admin) Patient Cycle at Malar – A formalized procedure Treatment carried out. Follows the consulting cycle (next slide) 06/07/09
DMO allotted a patient, based on availability DMO provides initial consultation. Refers to a specialist unit, if needed Nurses divided into geographical zones, but are flexible on availability Observations by DMO/subsequent departments are recorded on a chart Diagnosis and treatment under a nurse, DMO/visiting consultant Nurse/DMO confirms completion of treatment, based on expertise Divided floor-wise & then department wise These include diagnosis, tests, subjective tests, objective & subjective comments Consultation Cycle at Malar –  A formalized procedure 06/07/09
Centralization ,[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
Size 06/07/09
Malar Hospital - Size ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
2 – MR co-ordination 2- Marketing initiatives Nurses Ward Boys Trainees 67 visiting consultants 31 DMOs External Contractors 06/07/09
Impact on Structure ,[object Object],[object Object],[object Object],[object Object],06/07/09
Strategy 06/07/09
External Threats and Strategy Implemented 06/07/09 External factors Strategy Increasing cost of funds Cost effective business model Availability of funds from Financial institutions Focus on improvement in revenues, improvement of occupancy rate Stiff competition from other players Addition of departments, quality health care, improvement in infrastructure facilities, focus on high end health care services Unexpected eventualities  Improvement in infrastructure and increase in buffer capacity Change in regulatory framework Constant interaction with the market Changes in parent company Company will try to increase its own brand value
Different types of strategies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
[object Object],[object Object],[object Object],[object Object],06/07/09
Strategy - Structure Relationship (Chandler’s Theory) Time Multi specialty Structure Simple Functional Divisional Low High t t + 2 t + 1 06/07/09
[object Object],06/07/09 Strategy type Description Structure Analyzer ,[object Object],[object Object],[object Object],[object Object]
Porter’s Competitive Strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
Industry analyses Capital requirements Product-innovation rates High High Low low 06/07/09 ,[object Object],[object Object],[object Object]
Environment 06/07/09
Specific Environment 06/07/09
Environmental Uncertainty 06/07/09
Burns & Stalker Model 06/07/09 Characteristic Structure Rigid Task Definition Mechanistic Lateral Communication Organic High Formalization Mechanistic Expertise Influence Organic Centralized Control Mechanistic
Lawrence and Lorsch Theory ,[object Object],[object Object],[object Object],[object Object],06/07/09
Environment – Structure Relationship 06/07/09
Technology 06/07/09
Technology @ Malar Hospital ,[object Object],[object Object],[object Object],[object Object],06/07/09
Perrow’s Model Malar Hospital ,[object Object],[object Object],[object Object],[object Object],06/07/09 Few exceptions  Many exceptions Ill Defined Task Variability Problem Analyzability CRAFT NON-ROUTINE ENGINEERING ROUTINE Well Defined
Thompson’s Model 06/07/09 Transformational  Process  Resources A B C D E Feedback Output Inputs
Intensive Technology Model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
Culture 06/07/09
Value system  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
Major Culture changes at Malar ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/07/09
[object Object],06/07/09

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Organizational Structure and Design - A case for a mid-sized Hospital

  • 1. Malar Hospital Organization Structure & Design Prepared By: Group 5 DoMS, IIT Madras, Batch of 2010 Cotnact: [email_address]
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  • 9. Competing Values Approach Flexibility Organization People Control 06/07/09
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  • 16. DMO allotted a patient, based on availability DMO provides initial consultation. Refers to a specialist unit, if needed Nurses divided into geographical zones, but are flexible on availability Observations by DMO/subsequent departments are recorded on a chart Diagnosis and treatment under a nurse, DMO/visiting consultant Nurse/DMO confirms completion of treatment, based on expertise Divided floor-wise & then department wise These include diagnosis, tests, subjective tests, objective & subjective comments Consultation Cycle at Malar – A formalized procedure 06/07/09
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  • 20. 2 – MR co-ordination 2- Marketing initiatives Nurses Ward Boys Trainees 67 visiting consultants 31 DMOs External Contractors 06/07/09
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  • 23. External Threats and Strategy Implemented 06/07/09 External factors Strategy Increasing cost of funds Cost effective business model Availability of funds from Financial institutions Focus on improvement in revenues, improvement of occupancy rate Stiff competition from other players Addition of departments, quality health care, improvement in infrastructure facilities, focus on high end health care services Unexpected eventualities Improvement in infrastructure and increase in buffer capacity Change in regulatory framework Constant interaction with the market Changes in parent company Company will try to increase its own brand value
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  • 26. Strategy - Structure Relationship (Chandler’s Theory) Time Multi specialty Structure Simple Functional Divisional Low High t t + 2 t + 1 06/07/09
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  • 33. Burns & Stalker Model 06/07/09 Characteristic Structure Rigid Task Definition Mechanistic Lateral Communication Organic High Formalization Mechanistic Expertise Influence Organic Centralized Control Mechanistic
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  • 35. Environment – Structure Relationship 06/07/09
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  • 39. Thompson’s Model 06/07/09 Transformational Process Resources A B C D E Feedback Output Inputs
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