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NUR 4590 – Deliverable 2 – Organizational Chart

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 activities of client contact. The micro-level nurse leaders maintain high quality and maintain patient safety. At the meso level, the nurse leaders formulate guidelines to enhance patient outcomes and patient safety (Serpa & Ferreira, 2019). They also delegate duties to the micro-level leaders to enhance health care delivery. These leaders take pressing issues to the macro level after the micro level presents them. The meso level act as a link between the micro-level and the macro levels. Last but not least, nurse leaders at the micro-level address care delivery goals by harmonizing the team toward achieving the organizational goals to improve patient outcomes.

Every nurse leader in the organization has a role in ensuring that their organization’s mission and vision to the organization to which they are assigned are met by assimilating with each other and motivating each other to improve outcomes (Benzer et al., 2017).

The nurse leaders encourage their nurses, empower, mentor, and strength. It always boosts creativity and mindfulness among the members. The nurse’s leaders also oversee all the organization’s services provided by all staff and report to the directors of their respective departments at the meso level. However, by doing this, the outcome in the organization will improve.

At the macro level, leaders in levels are mostly associated with administration, and they address larger scales of interactions with larger groups. These leaders represent a large group in any health organization. These nurse leaders oversee the processes of micro and meso levels. The nurse leaders at the meso level have limited control over the micro-level, unlike the macro level. However, these leaders coordinate similar micro-system levels of services. In a simple term, leaders at the meso level address the actions of services or individuals. At the micro-level, which has direct contact with the client, nurse leaders guide nurses in providing quality patient care (Serpa & Ferreira, 2019). Moreover, they address an issue impacting nurse-patient interaction and other barriers impacting patient safety and outcomes.

The three levels may integrate to improve patient outcomes. A health organization working together achieves goals easily because when an issue is identified, it is tackled easily. For example, nurse leaders may observe barriers to providing quality care at the micro-level and present them to the meso level. The meso level then presents the issues to the macro level when resources and interventions address them.

In conclusion, an organizational chart is as important as an earlier itemized one. It helps to show the reporting relationships and the chain of command within an organization (Wrazen & Soliman, 2017). Moreover, people understand various levels of organizations and what is expected at each level. For example, at Johns Hopkins Hospital, the organigram is well-defined. Each level has various roles and responsibilities that address healthcare delivery goals.


Benzer, J. K., Charns, M. P., Hamdan, S., & Afable, M. (2017). The role of organizational structure in readiness for change: A conceptual integration. Health services management research, 30(1), 34-46.

Dang, D., & Dearholt, S. (2018). Supplemental materials for Johns Hopkins Nursing Evidence-Based Practice: Guidelines and Model. Sigma Theta Tau International.

Serpa, S., & Ferreira, C. M. (2019). Macro, meso, and micro levels of social analysis. Int’l J. Soc. Sci. Stud., 7, 120.

Wrazen, R., & Soliman, S. (2017). Effective Hospital Leadership: Quality Performance Evaluation. In Why Hospitals Fail (pp. 81-93).


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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 collection of micro systems, such as a Surgical Services Department including multiple units. The meso level aims to group and coordinate similar micro system levels of service.

Macro system: This level is a larger scale of groups and departments, typically more so at the administration level.

  • Research a healthcare organization and include its mission statement, vision, or philosophy in your memo.
  • Describe how the organization’s mission, vision, and philosophy influence the expectations of leaders at the three system levels: micro, meso, and macro.
  • Describe how nursing leaders in each of these levels of the organization’s operations address healthcare delivery goals.
  • Describe nurse leaders at the micro, meso, and macro levels of the organization, including a discussion of how these three levels may integrate to improve outcomes.

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