Nursing
N4455 Nursing Leadership and Management
©2015 University of Texas at Arlington
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Module 3 Assignment 2: Organizational Analysis – The Organization
Name: Destini Smith Date: 3/16/17
Overview: Organizational Analysis – The Organization
The major assignment for this course is analysis of your organization. In this assignment, you will report the organization’s mission, philosophy, and administrative structure. You will compare and contrast what you find with the characteristics of organizations you have learned about in the lectures and presentations and in your own investigative reading.
Complete this assignment to demonstrate your analysis of the big picture of your organization.
Objectives
Explain how organizations function.
Compare and contrast characteristics of leadership and management.
Apply trends, issues, theories, and evidence as guidelines for management decisions.
Evaluate effectiveness of communication patterns using specific management situations.
Expected elements for scholarly writing:
Ensure correct grammar and spelling
Assignment should be submitted as an APA Paper, including title page and references.
Title page is required for this Assignment and the UTACON version is expected format.
1-inch margins, 12 size Times New Roman font.
Please provide all references used to support your opinions and clarify positions in the paper.
The reference list begins on a separate page from the content.
Headings are expected and must be connected to the assignment criteria following APA style.
An introduction is expected providing a brief look at what is planned within the body of the paper. However, no heading is used over the introduction in APA format. A Summary is used and should have a heading over it.
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N4455 Nursing Leadership and Management
©2015 University of Texas at Arlington
Page 2 of 4
For all other style questions refer to the American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.) Washington, DC: Author.
Rubric
Use this rubric to guide your work on the Week 2 Organizational Analysis – The Organization.
Tasks Target Acceptable Unacceptable
Use correct grammar, punctuation, and American Psychological Association (APA) format in writing professional papers.
(9-10 points) APA format and style are correct and clear. Areas of focus include syntax, appearance, organization, and grammatical correctness.
(5-8 points) APA format and style are mostly correct. Areas of focus include syntax, appearance, organization, and grammatical correctness.
(0-4 points) APA format and style are minimally correct. Areas of focus include syntax, appearance, organization, and grammatical correctness. Introduction
of the Organization (max 10 points)
Concise description including: (9-10 points)
Type of agency, size, geographic location
Services
provided
Target
One or more components missing in description
(5-8 points)
One or more components missing in description (0-4 points)
Examination of the Organization (max 20 points)
(15-20 points)
Mission stated with source reference (4 points)
Philosophy stated with source reference (4 points)
Administrative structure clearly described and connected to structure type with at least two examples (12 points)
(9-14 points) Mission stated (2 point)
Philosophy stated (2 points)
Administrative structure described and identified by structure type with at least one example (10 points)
(0-8 points)
Missing mission statement (0 points)
Missing philosophy statement (0 points)
Description of administrative structure and/or identification of structure type is vague or missing (0-3 points)
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Strength s and Limitatio ns (max 20 points)
(17-20 points) Detailed description of major strengths with examples
(13-16 points) General description of major strengths with at least one example
(0-12 points) Vague description of major strengths (0-6 points)
Detailed description of major weaknesses with examples
General description of major weaknesses with at least one example
Vague description of major weaknesses (0-6 points)
Care Delivery System (max 20 points)
Detailed description of delivery system(s), including clear explanations of delegation examples on all
General description of delivery system(s) with a description of at least two delegation examples (11-16 points)
Unclear description of delivery system(s) with little or no mention of delegation
Outcomes and Measure ments (max 20 points)
(17-20 points) Robust description of specific system- wide outcome, including measurements and monitoring (10 points) Robust description of specific nurse- sensitive clinical outcome,
(9-16 points) General description of specific system- wide outcome with statement of measurements and/or monitoring (8 points) General description of specific nurse- sensitive clinical outcome with statement of measurements
(0-8 points) Nonspecific description of system outcome (0-4 points) Nonspecific description of nurse- sensitive clinical outcome (0-4 points)
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Organizational Analysis – The Organization
Destini Smith
University of Texas at Arlington College of Nursing and Health Innovation
In partial fulfillment of the requirements of
N4455 Nursing Leadership and Management
Susan Norman, MS, RN, CCRN
March 18, 2017
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Introduction of the Organization
Memorial Hermann is all about redefining healthcare. They integrate care delivery, top notch
physicians, and health solutions, a full-service healthcare provider. Memorial Hermann has 5,500
physicians, and 24,000 employees that practice evidence based medicine with a focus on patient safety
and satisfaction. Memorial Hermann is the largest not-for-profit healthcare system in all of southeast
Texas. This includes 16 hospitals, conveniently located throughout the greater Houston area that are
accredited by Joint Commission. Memorial Hermann offers leading-edge diagnostic technologies and
treatment techniques to the many different communities that it serves. They have served the community
of Greater Houston for more than 105 years, and contribute $451 million annually through school based
health centers and other programs (About Us, 2017). Memorial Hermann is ranked among the nation’s
top 15 healthcare systems by Truven Health. U.S. News & World Report for 2016-2017 ranked several of
the Memorial Hermann hospitals as among best in Houston and considered “high-performing” in many
different specialties (Awards and Recognition, 2017).
Examination of the Organization
Memorial Hermann is devoted to providing quality, cost-efficient, and compassionate care.
We strive to improve the health and well-being, of our people who live and work in the community
that we serve them in. Memorial Hermann’s mission and philosophy is a not‐for‐profit,
community‐owned, health care system with spiritual values, dedicated to providing high quality
health services in order to improve the health of the people in Southeast Texas (About Us, 2017).
The mission is achieved for each individual patient by collaborating with our patients, families,
physicians, employees, volunteers, vendors, and communities. We take pride in caring for the
whole patient. Memorial Hermann is a Medicare Accountable Care Organization, a type of joint
practice. “ACOs are groups of doctors and other health care providers who voluntarily work
together with Medicare to give you high quality service and care at the right time in the right
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setting” (About Us, 2017). This means that your doctor has agreed to participate in a Medicare
shared savings ACO and to work thoroughly with other doctors to coordinate the care that is best
for you. This benefits our patient’s because all of their healthcare providers will be a part of a better
synchronized team, not so much duplicated paperwork, and every MD will know of the medical
treatment that and issues that you have had.
Strengths and Limitations
As in every organization there are major strengths and limitations as well. One limitation is
availability and access to healthcare services. While Memorial Hermann offers some of the best
healthcare services, access still remains a top issue. Another limitation is the minimal access to the
behavioral health services. The community identified this as being an unmet need. They plan to
expand these types of services to their surrounding communities. “Stakeholders highlighted
multiple unmet needs for mental health and substance abuse services in the communities served by
MH Texas Medical Center, particularly the burden of mental health needs in the youth and
incarcerated populations and unmet demands for mental health treatment” (Ganelin, p. 6). These
findings illustrated the importance of pursuing solutions to close this gap in healthcare. On the
other hand, Memorial Hermann as an organization possesses strengths as well. We have high
quality medical care. A high quality of care is exemplified by the wide availability of health care
services and the high quality of those services. Memorial Hermann also provides economic
opportunity. Being that a Memorial Hermann facility is not too far from any community in the
Greater Houston area it creates economic opportunities for residents and the businesses that
surround it.
Care Delivery System
Memorial Hermann prides themselves on providing patient-centered care. “The care delivery
system clarifies the authority, accountability and autonomy for clinical decision making and nursing
outcomes” (About Us, 2017). Memorial Hermann facilities follow The Nursing Professional
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Practice Model. “The Nursing Professional Practice Model is an integral step in the journey to
Magnet designation, and by better defining the components of nursing practice, professional nurses
are able to provide better care for their patients” (King, p. 4). The Nursing Professional Practice
Model includes nurses as clinicians, advocates for their patients and their families, leaders,
innovators, collaborators, and well educated teachers. Delegation goes in order of manager, charge
nurse, licensed staff to unlicensed staff. Manager can delegate to the coordinating of staffing
assignments to the charge nurse. The charge nurse is able to delegate patient assignments to the
licensed personal. While the licensed personal are able to delegate tasks such as, ADLs, turning,
and aiding in care with licensed personal. The system is consistent, and organized and it works.
The Nursing Care Delivery System at Memorial Hermann defines the registered nurse as being
accountable for the coordination of patient care and the bridge to connect the physician's treatment
to the patient's goals treatment plan for the whole patient.
Outcomes and Measurements
Memorial Hermann was named one of the nation’s top 15 health systems in January of 2012.
The performance showed lower mortality, better survival, and fewer complications (About Us, 2017).
This award is based on criteria such as clinical outcomes, patient safety, patient satisfaction and
operational efficiency. This award is a direct reward of the outstanding care that Memorial Hermann
provides to its patients. Nursing-sensitive clinical indicators are elements of patient care directly
affected by the nursing services provided. The DAISY award is an award presented to exemplify
boundless nursing care to the nursing staff. The DAISY Award recognizes one nurse each month for
going above and beyond to deliver extraordinary patient care. Last month on our unit was a nurse by
the name of Amy. Amy always provides compassion and wide array of clinical skills provided to
patients and families.
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Resources
About Us. (2017). Retrieved from http://www.memorialhermann.org/about-us/
Awards and Recognition. (2017). Retrieved from http://www.memorialhermann.org/about-us/awards-
and-recognition/
Ganelin, D. (2016). Memorial Hermann Health System Memorial Hermann Texas Medical Center
Community Health Needs Assessment 2016. Health Resources in Action: Advancing Public
Health and Medical Research. Retrieved from
http://www.memorialhermann.org/uploadedFiles/_Library/Memorial_Hermann/MH_TMC_CH
NA_060916_finalfinal.pdf
King, V. (2012). Special Edition: The Memorial Hermann-Texas Medical Center Campus’ Journey to
Magnet. Clinical Notes: a publication for nurses and allied healthcare professionals. Retrieved
from http://www.memorialhermann.org/uploadedFiles/Blog-TMC/CLIN%20-%20Sept
%202012.pdf
Sullivan, E. (2012). Effective leadership and management in nursing. New Jersey: Pearson Prentice-
Hall.8th ed.
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