Human Resources in Hospitals

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.... to execute strategiesthey consider organizational structure as they would any other resource and deploy it according to the strategic needs of the company. (ECG, 2006)

I. STRUCTURE, SYSTEMS, & MANAGEMENT

The structure of a hospital may choose either a centralized or decentralized manner of operation, depending on the size and complexity (Hospital Accreditation Standards, 2003) of the hospital. The centralized system of operation is one in which all human resource information is contained within and managed by one department. Generally, a centralized management system is larger and requires a human resources department with several staff members. The decentralized system of operation is generally a smaller hospital and oftentimes with the human resource management being assumed by the owner or manager of the hospital. In the management, system that is decentralized departmental heads manage human resources issues and retain appropriate documentation pertinent to their subordinates. (Hospital Accreditation Standards, 2003) The functionality of both centralized and the decentralized management system requires a coordinated effort to collect meaningful data (Hospital Accreditation Standards, 2003) The centralized management system is one in which a personnel file exists for each employee and is kept in the HR management office. This file contains all relevant personal

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