Proposed Hospital "Organization Chart"

What follows is obviously hopelessly bureaucratic—hence, tongue mostly in cheek. The idea is to demonstrate the mostly missing elements at senior levels in the typical hospital, as suggested by yesterday's Post, "The Healthcare14: U.S. Healthcare Trauma in 2008." However, the post of "Deputy CEO/Patient Safety & Quality" is not bureaucratic—it is a non-negotiable "must-do-now" in "my" hospital, regardless of size.

CEO, CMO/CHIEF MEDICAL OFFICER, CNO/CHIEF NURSING OFFICER, CFO, ETC. [traditional jobs]
DEPUTY CEO/PATIENT SAFETY & QUALITY
   Director "Hands Clean" Mandate
   Director Error-free Medications Program
   Director Simple-Tools-That-Save-Lives Programs
   Director Over-treatment Evaluation & Management
CHIEF CLINICAL EVALUATIONS OFFICER
   Director Evidence-based Medicine Initiatives
   Director Best-practices Program
   Director Error Reporting & Evaluation Initiative
CISO/CHIEF INFORMATION SYSTEMS OFFICER
   Director Electronic Medical Records
   Director Cross-functional IS Engagement &
      Implementation Teams
DEPUTY CEO/HEALTH & HEALING & COMMUNITY OUTREACH
   Director Wellness & Prevention Programs
   Director Follow-up Patient Behaviors Program
   Director Public Health Initiatives
   Director Wellness Programs
   Director Kids' Education Programs
CPCCO/CHIEF PATIENT-CENTRIC CARE OFFICER
   Director Patient Experience Programs
   Director Planetree Practices Programs
   Director Patient "Home Port" & Self- & Family-
      Management Programs
DEPUTY CEO/PEOPLE
   Director Teams-based Organization
CCCO/CHIEF CHRONIC-CARE OFFICER

DEPUTY CEO CROSS-FUNCTIONAL COORDINATION OFFICER
   Director Patient-Treatment Teams Implementation
   Director Cross-functional Communications Initiatives

[See Tom's Healthcare Master (PPT) posted 9 April 2008.—CM]