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Organizations can be very complex entities. Some of the factors which have an impact on the degree of complexity include:

  • the number of distinct locations/facilities being operated
  • the distance between locations/facilities
  • the number of departments/services within the organization
  • the number of employees and executives in the organization

There a variety of documents which organizations develop in an effort to clearly communicate their organizational structure and purpose; among them are: Organizational Chart, Mission Statement, Objectives, and Philosophy.

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Part 1 – Create an Organizational Chart

Imagine you are employed in the HIM department of a large acute care facility. Your department manager has noticed that the current facility’s organizational chart is outdated and has asked you to develop a new one to distribute.

Use the departments and reporting lines outlined below to develop an organizational chart showing the spans of control.


Reporting lines

  • CEO/Administrator
  • CFO
  • CIO
  • CMO (chief medical officer)
  • HIM department
  • Nursing Department
  • Medical Services (such as cardiology, neurology, obstetrics)
  • Admissions
  • IT
  • Risk Management
  • Utilization Review
  • Billing Office
  • Human Resources
  • The CEO/Administrator oversees each department. The CFO, CIO, and CMO, Risk Management and Human Resources Director report directly to the CEO/Administrator.
  • The HIM Department, Admissions, and Billing Office report directly to the CFO.
  • The nursing department, medical services, and utilization review report to the CMO.
  • The IT Department reports directly to the CIO.

Part 2 – Review a Mission Statement and Write Supporting Goals

The hospital is undertaking a mission awareness initiative to involve employees in understanding how the work of the organization supports the mission. An organization’s goal and objectives drives the mission. All work performed in the organization should support the mission or be directly related to the mission. The CEO would like to gage employee understanding of measurable goals that support the mission and is asking employees to write 3 measurable goals that employees see as important to the mission.

Rasmussen Medical Center’s Mission

“Rasmussen Medical Center’s mission is to improve the health of the communities we serve. We commit our skills and resources to the benefit of the whole person by providing the finest in health care, while addressing the physical, emotional and spiritual needs of individuals and their families.”

  1. Review the mission statement above that depicts the purpose of the overall organization.
  2. Write 3 measurable goals that would aid the hospital in achieving its mission.