Organizational Structure Roles & Responsibilities November 2004
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Organizational Structure Roles & Responsibilities November 2004 Guiding Principles Support DSM’s Vision Vision - centrally managed, sustainable, state-of-the-art, costeffective, high-quality, excellent customer service Mission scope – Manitoba’s public lab services in rural DI Foster a culture of respect, compassion and cooperation Develop team-orientated attitudes & behaviors Encourage strong relationships with RHAs and local sites Guiding Principles Establish a matrix structure * Programmatic (Discipline Teams) * Site Management Establish Joint Reporting to CMO & COO Clear identification of roles & responsibilities Existing staff will be integrated into the long-term structure Guiding Principles The Medical & Technical Director positions will be filled through an open competition process Existing RHA management positions will be transferred to DSM The long-term organizational structure will reflect a provincially-integrated organization Organization Structure CEO Communications Coordinator CFO COO Purchasing Transport Business Risk Client Services Payroll CMO Regional/Site Manager Regional/Site Manager Finance Project Management Business Risk Quality Utilization Clinical Risk Management Joint Reporting Regional/Site Manager Chemistry Team Medical/ Technical Directors Hematology Team Medical/ Technical Directors Etc. Etc. Research & Innovation SHR DSM Matrix Structure Positions report jointly to CMO & COO 1. Managers – Diagnostic/Site 2. Technical Directors 3. Medical Directors - Site Pathology Medical Managers Diagnostic/Site Managers Report jointly to CMO & COO Expected to work cooperatively with Medical/Technical Directors, other team members and staff Provide direction to the RHA/Site Lab & DI services consistent with DSM Mission, Vision & Values Implement strategies, changes, quality & risk management initiatives in cooperation with Medical/Technical Directors and other team members Managers Roles & Responsibilities Staff Management Hiring technical and support staff Orientation Scheduling Performance review & evaluation Communication with staff Ambassadors/mentors/coaches regarding organization culture Staff report through to the Diagnostic/Site Managers Managers Roles & Responsibilities Financial Management Budget development, monitoring, variance analysis and forecasting Implementation/monitoring of workload measurement system Managers Roles & Responsibilities Standards, Quality & Policies Monitoring & Reporting of Quality Indicators Identifies quality, risk, and utilization issues and works to remove or reduce them Managers Roles & Responsibilities Communication/Liaison DSM Ambassador/liaison within RHA/Sites Two-way communications Participates on RHA/Site committees as appropriate Problem solves between RHA/Site & DSM Technical Directors Report jointly to CMO & COO Provincial in scope Expected to work as a team with the corresponding Medical Director Expected to work cooperatively with Regional/Site Managers, other team members and staff Provide direction within DSM with respect to Lab & DI services consistent with DSM Mission, Vision & Values Technical Directors Roles & Responsibilities Lab and DI Operations Standardization of processes, test menus, equipment selection Provide direction for purchase of equipment & reagents Training for new processes, equipment etc. On-going education in the discipline Monitor workload & performance indicators Ensure provision of clinical portion of technologist training program Technical Directors Roles & Responsibilities Financial Management Review comparative financial/workload/statistical indicators to determine opportunities for efficiencies Technical Directors Roles & Responsibilities Standards, Quality Assurance, Policies Establish standard policies & procedures Develop content for a Methods Manual & Information Manual Establish a quality improvement plan Identify quality, risk and utilization issues & works with managers to remove or reduce Identify & monitor indicators including benchmarking to other jurisdictions Technical Directors Roles & Responsibilities Communication Attends and participates in program/management meetings Communicates with other team members Develops relevant linkages with stakeholders Medical Directors Report jointly to CMO & COO Provincial in scope Expected to work as a team with the corresponding Technical Director Expected to work cooperatively with Diagnostic/Site Managers, other team members and staff Provide direction within DSM with respect to Lab & DI services consistent with DSM Mission, Vision & Values Joint Reporting Report Jointly to CMO COO Chemistry Med. Director Microbiology Med. Director Immunology Med. Director Hematology Med. Director Tranfusion Med. Director DI Med. Director Pathology Med. Director Physicians/ Scientists Physicians/ Scientists Physicians/ Scientists Physicians Physicians Radiologists Pathologists Medical Directors Roles & Responsibilities Medical Staff Management Provides professional leadership Working with CMO hire medical/scientific staff Ensures medical/hospital by-laws are observed Performance review & evaluation Ambassadors/mentors/coaches regarding organization culture Medical Directors Roles & Responsibilities Lab Operations Responsible under College by-law for discipline Develops standardized, integrated processes for all DSM laboratories Develop standards for equipment/reagent purchases Participates in equipment prioritization Training programs for new processes/equipment Medical Directors Roles & Responsibilities Standards, Quality Assurance, Policies Establish standard policies & procedures Develop content for a Methods Manual & Information Manual Establish quality improvement plans Identify quality, risk and utilization issues & work with managers to remove or reduce Identify & monitor indicators including benchmarking to other jurisdictions Technical Directors Roles & Responsibilities Communication Chairs medical/scientific committees Communicates with medical staff on DSM’s policies, program objectives, etc. Attend and participate in program/management meetings Consults with ordering Physicians medical/scientific staff other team members Develops relevant linkages with stakeholders Pathology Medical Director Pathology Medical Director HSC SBGH Grace Concordia SOGH VGH Site Medical Manager Site Medical Manager Site Medical Manager Site Medical Manager Site Medical Manager Site Medical Manager Pathologists Pathologists Pathologists Pathologists Pathologists Pathologists Misericordia/ Riverview etc. Brandon Rural Site Medical Manager Site Medical Manager Site Medical Manager Pathologists Pathologists Pathologists Site Pathology Medical Managers Site Pathology Medical Manager Appointed for each Site with Pathology Services Reports to the Pathology Medical Director Site responsibilities: Liaison with site CMO Periodically attend RHA/Site MAC meetings Responsible for site schedules on-call, etc. Consultation with site Clinicians Site Pathology Medical Managers DSM Responsibilities: Implements clinical standards, policies, etc. at site Communicate with RHA/Site Manager Communicate hospital concerns/issues with DSM Two-way communication with Pathologists at site
