Discuss the organizational structure that you, as the nurse administrator for SLMC, believe would be most appropriate. Use a specific organizational…
Question Answered step-by-step Discuss the organizational structure that you, as the nurse administratorfor SLMC, believe would be most appropriate. Use a specific organizational theory to support your decision and discuss how this structure may impact the organization’s outcomes. Background information to answer question: St. Louis Medical Center (SLMC)MissionSLMC is dedicated to providing access to quality healthcare in a supportive and caring environment with an unyielding devotion to excellence, safety and an unequaled passion and commitment to ensure outstanding healthcare that optimizes the quality of life for those we serve.VisionSLMC will be a national leader for excellence and innovation in developing and delivering the highest quality of the next generation of consumer-driven healthcare; focus on our patients as individuals and provide healthcare experiences that are tailored and personalized to meet their physical, psychosocial, emotional, and/or spiritual needs. NR531 Case Study Background InformationSt. Louis Medical Center (SLMC)St. Louis Medical Center (SLMC) has proudly served Summerville, Ironridge and the surrounding communities ofChamberlain County, South Carolina, for over 50 years. The organization has remained a key component inmaintaining the health of the community at large. SLMC has over 500 physicians, approximately 450 nurses,and is one of the largest employers of the Chamberlain County area. SLMC takes pride in its ability to remain aleader in the healthcare industry statewide. The hospital has a continuous commitment to delivering the highestquality care by addressing crucial issues, such as patient safety, technology, and expanding services to meetcommunity needs. SLMC has placed special emphasis on optimizing the quality of life of all those served by expanding beyond the traditional focus on medical needs to the needs of the whole person. SLMC has seen a sharp increase in the number of hospital admissions of elderly patients with heart failure andcardiovascular disease. Specifically, in the last 3 years, SLMC has had a 10% increase each year in the number ofheart failure hospital admissions, of which, most were readmissions in the same year. Even though there is anincreasing trend in the number of patients 65 years and older with heart failure on a national level, Summerville, inparticular, has had to treat explosive numbers of this vulnerable population. Market AnalysisSummerville, SC HistorySummerville is a city in South Carolina in the United States. It is bounded by Ironridge, SC, on the West, the Atlantic Ocean on the South and East, and Chamberlain 2 Island on the North. According to city records, the city has a total land area of 2.99 square miles. The city government consists of a Mayor, three township supervisors, and a solicitor. Summerville has its own police department. By 1790, Summerville had become a thriving village with business houses dispersed among the huts and log cabins. In 1817, a stage coach stop was added to this growing town. Harvey Summer, a successful logger, purchased a large parcel of ground and began to sell off lots. This brought more people to the town that was subsequently named after him. Summerville added a steel mill, and Mr. Summer’s logging company was relocated there. By 1940, Mr. Summer’s descendants opened an auction house after closing the logging company. This was a huge commercial attraction for the area and Summerville continued to grow. Other businesses moved to Summerville. This commercial core was the beginning of the Summerville we know today.Summerville has been thriving in this challenging economic time and has increased its population by 10% since 2010. This is an upscale community with modern, well-maintained homes. The SLMC is located within the Summerville city limits. There is also a city hall with a WIC office, movie theatre, shopping center, restaurants, grocery store, and several homes that line the Summerville streets. This is a suburban area with modern looking buildings and clean streets. There is a taxi service as well as a bus that transports people around Summerville and into Ironridge.Summerville, SC StatisticsPopulation in August, 2013: 16,599 SC: 4,625,364 (2010, 24th largest state)Females: 8,598 (51.8%) SC Females: 51.3%Males: 8,001 (48.2%) SC Males: 48.7% White: 60% SC White: 66.2% (2008, ranked 26th)Black: 23% SC Black: 27.9% (2008, ranked 14th)Hispanic: 9.5% SC Hispanic: 5.1% (2008, ranked 30th)Asian: 7.5% AgeMedian age: 64.3 years SC median age: 37.9 years Under 18: 18.7% Under 18: 23.7% (2009) Between 18-64: 62.8% Between 18-64: 62.6% (2009) 65 and older: 18.5% 65 and older: 13.7% (2009) EducationResidents 25-64 years old with high school diploma: 88.6%SC residents 25-64 years old with high school diploma: 86.4% (2008)Residents 25 years and older with associate degree or higher: 34.5% Associate degrees: 10.3% Baccalaureate degrees: 18.7% Master’s degrees: 4% Post Master’s: 1.5% SC Residents 25 years and older with associate degree or higher: 30.7% Income per capita: $74,900 SC income per capita: $33,884 (2010—ranked 45th in U.S.)Median household income: $68,594 SC median household income: $42,580 Health StatisticsBirths Live births: 124 Teen moms: 14 out of the 124White: 69 White: 4 Black: 41 Black: 4Hispanic: 11 Hispanic: 5Asian: 3 Asian: 1 Abortions: 12White: 4 Black: 2 Hispanic: 5 Asian: 1 Infant mortality: 7White: 2 Black: 2 Hispanic: 3Deaths: 79Death rate: 4.8 per 1,000Causes of Death White Black Hispanic Asian Heart disease 12 6 2 1 Malignant neoplasms 10 4 3 1 Accidents 3 3 2 2 Cerebrovascular accident 3 2 1 0 Chronic lower respiratory disease 2 1 1 0 Alzheimer’s disease 2 2 1 0 Diabetes 2 1 1 0 Pneumonia 2 2 2 0 Influenza 1 1 1 0 Kidney disease 0 1 1 0 Ironridge, SC HistoryIronridge is a city in South Carolina, in the United States. It is bounded by Summerville, SC, on the East, the Atlantic Ocean on the South and West, and Chamberlain Island on the North. According to city records, the city has a total land area of 2.95 square miles. The city government consists of a Mayor and City Council. The City Council has five members, including its president, secretary, solicitor, and treasurer. Ironridge has its own police department. Ironridge was founded in 1887 as a company town by J.J. Newberry Company as the site for its foundry. The foundry employed as many as 6,000 workers in its prime. In 1900, 20,966 people lived in Ironridge. In 1992, the J.J. Newberry Company went out of business and the foundry was closed. Ironridge has been hit hard by the economic decline of our time and is in a critical stage of urban decay or urban blight. It has lost more than 20% of its population from 2010 and continues to deal with a large number of homeless people, increased illegal drug use, and high crime rate. Ironridge has grungy and dilapidated buildings and homeless people clearly evident on the streets. The mental health clinic and in-patient facility located in Ironridge typically treats 40-60 patients every day. Ironridge is also home to an OB/GYN out-patient clinic. The industrial area near the bridge leading to Summerville has a disaster occurring. There is a taxi service as well as a bus that transports people around Ironridge and also into Summerville.Ironridge, SC StatisticsPopulation in August, 2013: 12,682 SC: 4,625,364 (2010, 24th largest state)Females: 6,899 (54.4%) SC Females: 51.3%Males: 5,783 (45.6%) SC Males: 48.7% Black: 48.7% SC Black: 27.9% (2008, ranked 14th)Hispanic: 32.3% SC Hispanic: 5.1% (2008, ranked 30th)White: 10.1% SC White: 66.2% (2008, ranked 26th)Asian: 8.9% AgeMedian age: 42.2 years SC median age: 37.9 years Under 18: 22.8% Under 18: 23.7% (2009) Between 18-64: 73.7% Between 18-64: 62.6% (2009) 65 and older: 3.5% 65 and older: 13.7% (2009) EducationResidents 25-64 years old with high school diploma: 44.5%SC residents 25-64 years old with high school diploma: 86.4% (2008)Residents 25 years and older with associate degree or higher: 19.3% Associate degrees: 14.1% Baccalaureate degrees: 4.2% Master’s degrees: 1% Post Master’s: 0 SC Residents 25 years and older with associate degree or higher: 30.7% Income per capita: $21,679 SC income per capita: $33,884 (2010—ranked 45th in U.S.)Median household income: $29,835 SC median household income: $42,580 Health StatisticsBirths Live births: 179 Teen moms: 42 out of the 179 Black: 86 Black: 22Hispanic: 74 Hispanic: 16White: 12 White: 3Asian: 7 Asian: 1 Abortions: 19Black: 10 Hispanic: 6 White: 2 Asian: 1 Infant mortality: 32 Black: 17 Hispanic: 12 White: 3Deaths: 118Death rate: 9.3 per 1,000Causes of Death Black Hispanic White AsianHomicide12861Heart disease10621Malignant neoplasms10431Accidents 9843Cerebrovascular accident 3210Chronic lower respiratory disease 2110Cancer 2210Diabetes 2110Pneumonia 2220Influenza 1110Kidney disease 0110 ReferencesSC Department of Health and Environmental Control (DHEC). Public health statistics and information services. Retrieved from https://www.scdhec.gov/co/phsis/biostatistics/index.asp?page=pubrepsSouth Carolina’s Information Highway (SCIWAY). (2013). South Carolina – Fast facts. Retrieved from http://www.sciway.net/facts/ Health Science Science Nursing NR 531 Share QuestionEmailCopy link Comments (0)
