Authority, decision-making, and communication at Texas General Hospital

Organizational/Leadership Analysis

Texas General Hospital

Authority

The authority within the Texas General Hospital rests with the Chief Executive Officer of the organization. The Chief Executive Officer ensures that all employees and other crucial officials within the organization perform their duties and expectations in relation to the job descriptions and responsibilities (Bullough, 2000). The authorityflows from the top to the bottom through the hierarchy as illustrated in the organizational structure (see appendix). At each level, the officer in charge of the department holds the authority to ensure that the employees at this stage follow the rules and obligations towards the achievement of the organization. The authority of the organization is legitimate in that it available through qualification and positional rank within the organization. The Chief Executive Officer reports to the board of directors who hold the final authority of the healthcare organization. The board of directors adopts authority the selection and qualification for the position at the supreme organ of the institution.

Communication Patterns

The organization adopts different communication patterns in order to pass the crucial aspects of decision in relation to managing and controlling the healthcare system. One of the prevalent patterns of communication is vertical communication pattern. This involves passing or transmission of information from the top authority to the junior officials with reference to the hierarchy level. The board of directors makes vital decisions passed to the departments through the Chief Executive Officer. This is through written memo or organized meetings with the department heads. The other mode of communication is through the horizontal aspect of communication patterns. There is effective and efficient communication between departments at equal levels in relation to the organizational structure. The most prevalent mode of communication within the organization is through posting memos on the notice board and sending mails to the employees. This is from the top to bottom. The junior officials also have the opportunity to communicate their seniors through organized meetings and written communication methods (Baligh, 2006).

Source of Power

The activities of the organization are in line with the mission of maximizing welfare to the community. This indicates that the main source of power within the Texas General Hospital is the mission. The employees and other crucial professionals within the organization are aware of the mission through the written copy hanging in every office to remind the stakeholders on the commitment towards the achievement of the goals and objectives. The mission of the organization stress on the commitment towards the provision of quality services to the community with the aim of obtaining and ensuring improved health condition.

Culture of the Organization

The organization benefits on the punctuality of the employees. New employees are aware of this culture through extensive orientation to make them concerned on the regulations, rules, and the need to reach the offices on time. This makes the organization unique among other institutions thus effective towards the achievement of the goals and objectives.

Profit or Non-Profit Organization

The organization is a non-profit entity in that the mission focuses on the collective gain or well-being of the society. The organization is exempted from taxation system with the aim of enhancing the welfare of the community. The organization has the ability to make profits directed towards the achievement of the goals and objectives of the institution. Some part of the profits is also directed towards financing of foundations and non-profit activities within the society.

Healthcare Policies

The development of the policies is the duty of the board of directors in collaboration with the departmental heads. These policies guide daily execution of expectations and roles by the medical practitioners. The policies are available to employees and officials through the charts in every office. The policies are in line with the mission of the organization thus promoting the philosophy of the institution. The policies are communicated through the charts thus an effective approach. The organization has the ability to change or transform the policies that are ineffective towards the achievement of the goals and objectives though the board of directors.

Leadership Style

The organization adopts and implements hierarchical leadership style with the Chief Executive Officer on top to ensure effective running of the institution on a daily basis. The prevailing leadership style is the authority and decision-making to the top organs. The organizational chart (appendix 1) illustrates on the level of authority in relation to the position within the chart. It is ideal for the organization to focus on the mission and culture in order to meet its objectives and goals with reference to enhancing the welfare of the society.

Role of the Nurse Executive/Manager

Nurse manager/executive ensures and facilitates effective and efficient engagement in relation to care within different levels or departments within the organization (Mackoff, 2011). The manager is also vital in the adoption and implementation of an effective information system and technology to foster quality communication within and outside the organization premises. Nurse Manager participates in ensuring daily care coordination and collaboration in order to meet the goals and objectives thus enhancing the welfare of the community. The Nurse Manager also plays a critical role in ensuring that all care levels come together in the achievement of the mission. This is through effective and efficient integration of different care levels. The Nurse Manager is also vital towards the adoption and implementation of quality communication patterns essential for interaction among patients, staff, and medical practitioners (Roussel, 2009).