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ByShweta Dhotar (C022) Harish Gopal (C027) Kushal Modi (C041) Sahil Shah (C046) Ravi Thakkar (C0)

Set up by Contemporary Healthcare Pvt Ltd. with an aim to provide world-class cardiac care in India Mission: To operate as a world class heart hospital, incorporating the latest technological advances and ethical practices to provide quality heart care at reasonable cost." It prides itself on quality in terms of design, patient care, medical, paramedical and general staff and infrastructure facilities. The hospital has been designed as per guidelines from Cleveland Heart Clinic, USA to ensure International Standards. It is a Patient-centric design with stress on safety and comfort of Patients.

Framework that defines formal reporting relationships between different levels of management of an organization. In the context of a hospital, organizational structure refers to the levels of management within the hospital. It also defines the chain of command of the hospital. Each hospital is composed of a set of units, individually specialized for the execution of special activities and the delivery of particular services; all units of the hospital, however, must mutually interact consistently for the effective working of the global structure.

VICE CHAIR PERSON HOSPITAL CHIEF EXECUTIVE General Manager General Manager General Manager General Manager Corporate service Hospital Planning Patient & Community Quality Department Department Department Department Finance Infrastructure Human Resources Nursing Banking Dcor Safety Clinical work IT Kitchen Medical Records Pharmacy Procurement Library Counseling Linen Supplies Training Event Reporting Ethics To execute and maintain these departments and the sub departments within these departments, there are Chiefs of Services, who on the orders of their respective General Managers regulate these departments.

VICE CHAIR PERSON

HOSPITAL CHIEF EXECUTIVE

General Manager: Dept Corporate service

General Manager: Dept Hospital Planning

General Manager: Dept Patient and community

General Manager: Dept Quality

Different ways by which, the structure of this hospital can be understood and analysed

This aspect is very important in any organisation. Hospitals cannot take chances of giving any work to anyone who is free. In case of the ASIAN CHILDRENS HEART CENTRE, when they are treating the babies, they do it efficiently with the help of at least 4 people operating on 1 baby. o 1st person - very good and efficient in keeping the children clean and safe, does the washing of the baby with specific medicines and harmless solutions. o 2nd person - doctor who operates on that baby. o 3rd person is the assistant/ nurse of the doctor. o 4th person - place back all the equipments in the way they were and wrap the baby back after the 1st person washes the baby. Hospital has been able to operate at least 18 babies per day. The division of small tasks has helped the hospital increase its efficiency

Each department has the same level of authority and in each department the design of chain of command is the same. Hospital Chief Executive General Manager Manager Executive Officer Team Leader Supervisor Officers Operation Assistants Reduces the potential confusion that can occur in situations of questionable patient care by establishing a formalized procedure to follow in reporting concerns. Helped the officials of this hospital to take actions against those doctors who do not give correct orders or when the doctor has not responded in timely action.

Very narrow span of control. There are more departments and hence more levels of management. Vice Chairperson Hospital Chief Executive General Manager General Manager General Manager General Manager 2 Managers 2 Executive Officers 2 Team Leaders 2 Supervisors 2 Officers

One cannot say whether there is centralization or decentralization in the hospital. The Hospital Chief Executive takes decisions regarding the working of the hospital and everyone is expected to obey his decisions. However in case of loopholes, the General Managers under him are given the right to point of his mistakes and change the decisions. The General Managers are given all freedom to take the decisions regarding their departments The Chain of Command is much formalized in the hospital and everyone must follow it. Hence there is no flexibility in the authority and decision making level. But at the same time, there are certain cases wherein the rules can be changed according to the situation.

With a high level of department segregation and certain degree of centralization, one is bound to find formalization in that organisation. The procedures are fixed. Eg: o The number of beds to be in a room o The number of people required during an operation. o Particular design or pattern in which even the equipment are to be used and by whom for what o Number of bookings are fixed per month. o The job descriptions are fixed o Structured trainings for freshers. o In case of using scissors, they have to use specific scissors for specific operations.

Thus with high level of formalization, work specialization and certain level of centralization, it is right to say that there is BUREAUCRACY in the hospital. Everything is standardized and every task has to be done within the frame work of the rules and regulations of the hospital.

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