Defines the purpose of the hospital's existence and provides guidance in its community service.
Hospital Mission Statement
What the governance of a hospital begins with:
Board of directors (governing board)
Who are hospital divisions and departments accountable to?
Chief Executive Officer (CEO)
Responsible for recruitment, retention, benefits, and compensation of all employees who work in the hospital.
Human resources department
Sub-departments of radiology.
Diagnostic radiography Ultrasound (US) Nuclear medicine (NM) Positron emission tomography (PET) Computed tomography (CT) Magnetic resonance imaging (MRI) Interventional radiology (IR) (special procedures)
Typically reports directly to upper hospital administration, requires strong business management skills, and works closely with the Medical Director of Radiology. Not necessarily a radiologic technologist.
Administrative Director of Radiology
Principle responsibility is for overseeing the quality of patient care, works closely with the Administrative Director, and may also serve as the Department Chair. Typically a physician.
Medical Director
The primary functions of management.
Planning Organizing and facilitating Staffing Directing Controlling Coordinating
Key management traits
Leadership skills "Coaching" staff
Functions of management are evolving from the traditional roles of directing and controlling employees to leading, coaching, and supporting employees. The influence for this change comes from the movement toward __________, __________, or __________.
Continuous Quality Improvement (CQI) Total Quality Management (TQM) Performance Improvement (PI)
Regulates the quality and safety of care provided to patients and the way a health care organization is supervised and operated
The Joint Commission (TJC)
Federal agency that establishes standards for safety in the workplace.
Occupational Safety and Health Administration (OSHA)
Regulate operations in a hospital. Vary from hospital to hospital and are typically committee based.
Internal regulatory agencies
List of internal regulatory groups.
Safety Committee Infection Control Committee Radiation Safety Committee Pharmacy and Therapeutics Committee Risk Management and Corporate Compliance Picture Archive and Communications Systems (PACs