Organizational Structure of a Hospital You Know Essay Example for Free

Organizational Structure of a Hospital You Know Essay INTRODUCTION: For this assignment I’m choosing, Fortis Hospital at Noida, India and Krishna Nursing home at Chitradurga, Karnataka India. Fortis hospital at Noida, India is a part of Fortis healthcare group and mainly focuses on orthopaedics and neurosciences. It’s a medium sized hospital with 300 bedded facilities and about 250 full time staff. Its organisational structure has low vertical and high horizontal distribution. THE HORIZONTAL DISTRIBUTION is as follows, 1) 37 medical departments which covers different specialities.2) Other departments such as HR, marketing, finance, engineering and nursing. 3) Social specialisation, example doctors.4) Functional specialisation, example technicians and nurses. VERTICAL STRUCTURE is as follows, 1) Zonal director at the top. 2) 43 departmental heads who work under Zonal director. 3) There is team under each department which report to departmental heads. Organizational structure of fortis hospital ZONAL DIRECTOR United HR medical director Head eng marketing sales Finance head Nursing matron Team Hr Doctors Eng team Marketing team Finance team Nursing team Centralisation: Head of department control all departments and they report to the Zonal director. Each individual in the organisation has limited autonomy and financially it is highly centralised and functionally it is moderately decentralised and it has high level of standardisation of administrative task and the recruitment process is very much formalised, whereas doctors have low level of formalisation and everyone follow standard operating procedure. Hence in summary, Fortis hospital is multi-speciality hospital of medium size and its structure has high horizontal complexity but low vertical complexity and it is moderately formalised and there is not much direct impact on centralisation and has moderately flexible structure and decision making is highly formalised and moderately decentralised at operational level.(http://www.hindubusinessline.com; www.fortishealthcare.com; www.hoovers.com) In contrast to the above mentioned complex structure second mentioned hospital is Krishna Nursing Home which is a small 50 bedded multispecialty hospital with a simple structure with the director at the top who is in charge of everything and there are heads of recruitment, finance and medical director who report to the director. It is mainly a vertical structure with director who has full decision making power, hence the structure has minimum decentralisation. The other staff has no autonomy.This hospital works basically on loyalty and trust and personal relationship and caters to a small population in the village Chitradurga, India. This structure is compatible with small hospitals like this. But disadvantage is that it is highly dependent on the director and is individual centric (www.healthcaremagic.com) If we compare the 2 structure in relation to, 1) Central Peripheral relations: Fortis is much bigger hospital and has separate division for each department and there is decentralisation and semi-autonomy for each department and the purchaser and provider divisions are separate. Whereas Krishna Nursing Home has no decentralisation and no autonomy for the departments and all decisions are taken by the director. 2) Links with other organisational groups: Fortis has links and tie-ups with many other smaller hospitals which refer cases to them and also has link ups with various insurance companies. Whereas Krishna Nursing Home has no tie-ups with any other hospitals and works alone and caters to a small population. 3) Internal structure: Hierarchy, as mentioned above Fortis hospital has minimal vertical but complex horizontal distribution of power so it has a flatter organisational shape which helps in effective communication and decision making and has widened collaborative links between various departments and divisions resulting in internal linking and average spans of control whereas Krishna Nursing Home has vertical structure and is fully hierarchical based and there is no internal linking between departments (Merson et.,al, 2006). CONCLUSION: Both these hospitals has completely different organisational structure but both are successful because the targeted population for both are different. While, Fortis targets higher and wider range of population and focuses on specialised services, hence has complex organisational structure. Whereas Krishna Nursing Home caters to a small population and  provides basic services and hence has a simple vertical hierarchical structure. REFERENCES: ‘Fortis Healthcare signs pact with US hospital’ online. Available at: http://www.thehindubusinessline.com/businessline/2000/10/18/stories/021851e 3.htm. (Accessed on 7 January 2013) Krishna Nursing Home (online). Available at: www.healthcaremagic.com (Accessed on 8 January 2013). Merson et.,al (2006) ‘International Public Health’, 2nd Edition, Jones and Bartlett publishers, pp;558-593. (online) Available at: www. Fortishealthcare.com.(Accessed on: 7 January 2013). (online) Available at: www.hoovers.com (Accessed on: 7 January 2013).

Media Violence Against Women Essay -- Argumentative Persuasive Topics

Media Violence Against Women      Ã‚  Ã‚   In the United States, as well as throughout the majority of the world, people are bombarded with information on a daily basis.   The majority of the information that it seen or heard is a direct result of someone   aiming the information at the masses.   Whether it is a company that would like us to buy it's product, or a newspaper that would have us believe a certain "fact" that they are reporting, someone has decided how the information will be presented.   This notion brings me to the issue of how our society perpetuates violence against women through the use of the media and television shows.   I would argue that, because we are socialized on a daily basis to believe certain ideas, this same process contributes to the violence aimed toward women.   This encompasses the concept that impressionable young men may remain unaware of the impact of this violence by the omission of certain facts from news articles.   It is also important to   see how the medi a contributes to the way in which the abused women see their role in the "creation" of this violence.   Furthermore, I would reason that these media outlets create a certain type of apathy in our society that has caused many people to either blame the victim, or just turn their heads and consider domestic violence a "family" problem, thus ignoring the legal ramifications altogether. This area must be understood in order to determine how the distortion of the ideas that are being expressed, through the use of television and magazines, are directly related to the societal values being represented.      Ã‚  Ã‚   The first issue that I would like to analyze is how we as a society encourage violence against women.   Images flow into our homes everyday th... ...ved from our own lives.   Only then can we decided whether these portrayals are in fact the truth, or just more rhetoric being feed to us from the patriarchal view point of modern media outlets.       Works Cited       Berns, Nancy.   "My Problem and -How I Solved it: Domestic Violence in Women's Magazines". Sociology   Ã‚  Ã‚  Ã‚  Ã‚   Quarterly. 40 (Winter 1999) : 85-109 Carmody, Dianne Cyr.   Entertaining Violence. New York 1998. "Mixed Messages: Images of Domestic Violence   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   on "Reality " Television.  Ã‚   Ed. Mark Fishman and Gray Cavander.   Aldine De Gruyter Lemmey, Dorothy.   "Collective Silence for Collective Violence".   <1999 http//www.Feminista.com/   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   v1n12/lemmey.html : 1-6> Roland, John.   "Additional Amendments to the Constitution". <http://www.constitution.org/cons/afterten.htm>         

Tess of the D’Urbevilles – Hardys View on Industrialisation

Explore Hardy’s attitude towards industrialisation in phase the fourth. Industrialisation became a growing presence amongst the Victorian Era and had an elusive yet undeniable impact on the population. Within the novel Tess Of The d’Urbervilles and in particular phase the fourth, Industrialisation is heavily focused on and explored. However Hardy establishes a balanced and ambivalent viewpoint towards the implications and presence of Industry as there is evidence to suggest both positive and negative aspects to its advancement.This therefore demonstrates that Hardy, especially through his effective use of binary oppositions offers a complex view which evokes a variety of Interpretations. To successfully convey clear comparisons between industrial interventions and rural aspects of pastoral life, Hardy uses binary oppositions to effectively highlight these contrasts. For example, parallel distinctions between light and shade / symbolic colours (Industry vs. Country) are made apparent in chapter xxx.This is shown when a ‘feeble light was beginning to assert its presence’ used to describe the train and this is in contrast to the ‘expanse of shade’ which represents the countryside. The connotations of ‘light’ against what essentially is darkness may that the train of which modern life represents offers optimism, hope and a prosperous future compared to the harsh standstill that is rural life. However this can also be successfully challenged with the argument that the light is superficial and not real which can justify its feebleness, and offer a rather negative and weak view of industrialisation.Another interpretation to this comparison may be that the fact the light of the train ‘asserts’ itself suggests that industrialisation is imposing itself on rural life and the environment in quite a forceful yet inevitable manner. To further support this, the ‘fitful white streak of steam’ which asserted itself on the ‘dark green background’ can be effectively seen as symbolic of the demising taint of which industry inflicts on the rural landscape.Furthermore this conjunction/fusion of industry on the country side again highlights the obvious visible contrast and proposed artificial lights/ colours against the natural and pure landscape. This proposes that Hardy presents quite a negative and tarnishing view of industrialisation and its impact on the countryside. However the negative perception of Industry is counter argued with the inclusion of the celestial and terrestrial comparisons, for example ‘’terrestrial star yet in more importance†¦ to mankind than the celestial ones’.This is of high significance because it directly addresses the view that although nature a creation by god, which is represented by the natural celestial star is grand and majestic, however it is not always useful especially when in contrast to an evolving modern (manmade) industrial world. This can be therefore effectively be argued that this balance hardy creates between the presentations of Industry is way of suggesting that the fusion between nature and industry is symbiotic and thus in affect beneficial to both.This displays Hardy’s effective complexity within his attitude towards industrialisation and this may because it is an accurate response of his believes that despite that industrialisation is inevitable it is both positive and negative and will have a dual symbiotic impact of society, which is made apparent by his balance argument. Hardy also intricately uses the focalised theme of industrialisation in this chapter to again highlight the motif of social development. Tess is potentially used as an instrument by Hardy to distinguish clear opposing comparisons between the two conjunctions that is industry and the countryside.For example while Tess in awe of the train, is described as a ‘motionless’ which is a dir ect opposition to the moving pace of the train. This is effective in the claim that whilst industry is forever evolving and inevitable to progression, the rural life is still, unmoving and highly limited. This is also enforced by Hardy’s representation of Tess (which is symbolic for the countryside as one of ‘ no date or fashion’ which is negative and highlights the contemporary progression made against the ‘unsophisticated’ life of the countryside.Hardy’s structure with the inclusion of industrial elements is also highly interesting. This is because in contrast to the beginning of the novel where Hardy incorporates no use of modern/industrial aspects, as the novel progresses and especially as Tess attains a higher social status due to her peaking relationship with Angel who represents modern thinking and way of life, modernisation becomes apparent.This is symbolic of the fact that industrialisation is representative of higher social status an d economic growth, business and essentially a means of production which is affiliated with the bourgeoisie. This view is further enhanced by Tess’s ignorance of modern life and her reference to the specific section of Londoners ‘noble men and noble woman’ who are at the heart of industry. This again suggests hat modernisation is another form of referring class distinctions within society and particularly the Victorian era. This may suggest that Hardy’s somewhat negative views on industrialisation may be for these implications on society. However it can also be noted that Industry (metaphorically used through the train) is used to connect these two opposing ways of life, therefore is a positive impact on society and this enforces the symbiotic view which was previously made.In conclusion it is clear that Hardy intricately portrays and depicts the implications of industrialisation in various ways. This shows that his balanced and complex is representative of multiple people within both modern urban areas and the rural countryside. Also these balanced views may be that despite the fact that industry had not fully developed in the Victorian era, they were still showing both negative and positive implications of the world and one of which are inevitable,

The Government Should Limit The Public Access - 1315 Words

Today in our society, the United States government has full access to every citizen’s personal information. This information ranges from our names, phone numbers, addresses, and even our Social Security number. While some of our information should be private, a lot of it is accessible to the public. In fact, our personal information is so public that even a complete stranger that lives one hundred miles away can type your name in and find out where we live and contact us via email and by telephone. While the government has the right to have access to this information, they shouldn’t release this type of information to the public. The government should limit the public access to our personal information in order to satisfy and protect our privacy, ourselves, and our piece of mind. In the year 2015 there is no such thing as privacy. All you have to do is type in someone’s name and all of their information is available in plain sight for heavy scrutiny. There are many of websites such as â€Å"peoplesmart.com† and â€Å"ancestry.com† that broadcasts millions of citizens’ information starting from your birth date, your birth certificate, your current address, your past address, and even your death certificate. Next thing you know a person that you’ve never met before comes out of nowhere reciting your whole life story. This much information shouldn’t be made available to the public. It’s understandable that some people might use the website â€Å"Ancestry.com† to find out more about theirShow MoreRelatedEssay Freedom of information indonesia1492 Words   |  6 PagesPROPOSITION ON THE PUBLIC FREEDOM OF INFORMATION OF INDONESIA By: Adistra Kusuma Waligalit, Faculty of Law of Gadjah Mada University This study identified several Legal defects regarding the Act on Public Freedom of Information of Indonesia. These legal defects will be explained along with the reccomendations of remedy as below. 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