You have been hired as a consultant for a large healthcare organization. In your role, you have been tasked with examining the current organizational structure at the micro, meso, and macro levels, including the impact on healthcare delivery. As you develop your plans, you will reflect on how these roles individually and collectively influence the ability of the organization to deliver high-quality client services. NUR 4590 - Deliverable 2 - Organizational Chart NUR 4590 – Deliverable 2 – Organizational Chart The roles and titles of people working in the three levels of systems may vary. A brief definition of each is offered to clarify the contributions of leaders at each level. Micro system: This is the point of contact with the client or customer. In the health care setting the micro level may be a specific unit. Roles of those in the microsystem include all that come in contact with the client and the manager of the unit or department. Meso system: This level reflects a collecti

NUR 4590 – Deliverable 2 – Organizational Chart

An organogram or organizational chart is a diagram that visually conveys an organization’s internal structure, entailing its roles, relationships, and responsibilities. An organizational chart illustrates the reporting relationships and also the chain of command within an organization. Moreover, the organization charts make people quickly understand various assigned specific roles that, when combined with other levels, advance patient outcomes and the quality of care. This assignment will explore the organization; John Hopkins Hospital to illustrate an organizational chart.

The John Hopkins Hospital (JHH) is among the best hospitals in America due to the high-quality health services provided in the facility. It is a biomedical research and teaching facility of the John Hopkins School of Medicine located in Baltimore, Maryland. Modern

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American medicine is considered to be founded on this facility and has numerous famous medical traditions (Dang & Dearholt, 2018). The continuous success of John Hopkins Hospital can be closely associated with good leadership that ensures that each member of the facility fulfills their roles and responsibilities.

• Mission: To improve the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care.
• Vision: to push the medical boundaries of discovery, transform health care, advance medical education, and create hope for humanity.
• Core values: excellence & discovery, leadership, diversity & inclusion, and respect & collegiality.

Every healthcare organization must collaboratively work together to achieve the goals of enhancing healthcare outcomes. In doing so, the organization’s mission, vision, and core values are met and adhered to. John Hopkins Hospital is composed of various levels of the organization. These levels include macro, meso, and micro levels. At the macro level, which is a highly-ranked organization, it is composed of the board of trustees, the president, presidents of various departments, vice presidents of various units, and the chief executive officers (Dang & Dearholt, 2018). Their primary role is to ensure that organizational goals are met and that the facility is operating normally. They also direct and coordinate all the departments and facilitate change to achieve better health services. Therefore, leaders’ expectations at this level are greatly influenced because they are responsible for ensuring organizational goals are met. Moreover, they must also ensure that care is provided ethically to improve patient satisfaction and healthcare scores.

The meso and micro levels, composed of department heads and vice presidents of nursing services expectations, are also influenced by the mission, vision, and philosophy. At

John Hopkins Hospitals, these leaders are expected to illustrate good leadership skills with collegiality and respect, inclusion and diversity, and excellence. Moreover, they must advance patient care by directing their unit members, especially at the micro-level, directly contacting patients. When all three levels collaborate, they influence patient care positively, which has enabled the facility to be among the best facilities in America.

At Johns Hopkins Hospital, leaders at each level address care goals by actively managing their levels of member engagement. Stress management, communication, recognition, and measures to enhance the quality of care help achieve healthcare delivery goals. The macro-level leaders discuss the organization’s development and best care delivery goals with other leaders who take steps to initiate measures to achieve delivery goals (Dang & Dearholt, 2018). The interaction leads to better client outcomes since, in the meeting, these leaders inspire them to provide guidance to provide quality care in their respective units. The meso level ensures that the micro-level actions are well-matched to meet the organization’s goals and improve patient outcomes. Lastly, the macro-level nursing levels operations to address healthcare delivery goals include educating the level health care providers on how they can improve patient outcomes and quality of care. It will be made possible to emphasize good communication, enhance nurse-patient relationships, utilize EBPs, etc.

Nurse leaders at the meso, micro, and macro levels of the organization have various roles and are responsible for improving outcomes. At the micro-level, nurse leaders direct and guide nurses who are in contact with patients. They delegate duties to unit members and address the day-to-day