Organizational Structure & Culture Preparation Worksheet.docx
Page 1: Overview of Canada's Health Care System
Canada’s health care system is not a single system; rather, it varies across the provinces and territories.
Each province and territory is responsible for delivering its own health and social care services.
The Canadian Constitution defines the roles and responsibilities between federal and provincial governments.
Provincial and territorial governments predominantly manage health and social services delivery.
The federal government plays a role in:
Setting national principles under the Canadian Health Act.
Financial support for provinces and territories.
Funding services for targeted groups (e.g., First Nations, Canadian Forces, federal penitentiary inmates).
Page 1: Types of Health Care Organizations
Identification of health care organizations:
Government-owned: Public hospitals funded and managed by the government.
Nonprofit: Most hospitals in Canada categorized as private nonprofit, governed by independent boards.
For-profit: Includes private clinics (e.g., physiotherapy) and investor-owned pharmaceutical companies.
Comparison of service delivery:
Public healthcare models (e.g., common in England, Australia, Sweden) vs. Canadian nonprofit models.
Most hospitals are not government employees; they operate with autonomy but are still funded by the government.
Page 1: Levels of Health Services
Primary Services:
First point of contact for routine problems and emergencies.
Usually provided by family practitioners or nurse practitioners (NP).
Focus on health promotion and disease prevention.
Secondary Services:
Involves coordination and referrals to specialized care (hospitals or community).
Addresses ongoing health care needs and continuity of care.
Tertiary Services:
Highly specialized services for acute care and complex patient needs (e.g., consultation, diagnostics).
Involves referrals from primary or secondary care providers.
Page 2: Health Service Characteristics
Primary services emphasize holistic health approaches and individual follow-ups.
Secondary and tertiary care services are more focused on specialized treatment and complex health issues.
Page 3: External Forces Influencing Health Care Organizations
Legal Factors: Regulations and laws governing health care operations.
Economic Factors: Economic status influencing funding and resource allocation.
Sociocultural Factors: Community health needs and population diversity.
Accreditation: Compliance with healthcare standards and regulations.
Technology: Advances impacting efficiencies and treatment options.
Professional Associations & Unions: Roles of CRNNL and RNUNL in shaping health care practices and standards.
Page 4: Faculty of Nursing Vision and Mission
Vision:
To be leaders in nursing education and research with a focus on quality and engagement.
Mission:
Graduates will be skillful, caring, and knowledgeable, promoting health equity and responsiveness.
Values:
Emphasis on accountability, respect, equity, and ethical practice.
Development of these values in classroom, seminar, and lab settings.
Page 5: Decentralized Organizations
Characteristics of Decentralized Organizations:
Decisions are made close to the patient care level, enhancing responsiveness.
Positive Factors:
Empowered staff leading to potentially higher job satisfaction and improved patient care.
Requirements for Efficiency and Effectiveness:
Clear communication channels and defined responsibilities within and across teams.
Page 6: Organizational Structures
Functional Structure:
Departments organized by specialty with a common manager (e.g., VP for nursing).
Flat Structure:
Fewer hierarchical layers, empowering professionals at the action level to make decisions.
Service Line Structure:
Integrated units for specific services managed by a single manager (e.g., cardiology services).
Matrix Structure:
Complex, reflecting both functional and service structures, with dual reporting lines.
Page 7: NLHS Organizational Structure Review
Resemblance: Functional organizational structure.
Characteristics:
Clear division of labor and hierarchy of authority.
Degree of formalization is evident through established roles and responsibilities.