Topic > Macro-Level Coordination Questions - 893

Macro-level coordination occurs when the focus of the study is on overall coordination needs and structural methods for meeting those needs. In the two-unit B unit story, communication among the entire hospital staff is frequent, timely, and accurate. While in Unit A there is a lack of communication between staff which causes chaos in the medical unit. Lack of communication and failure to use protocols correctly means departments such as Unit A function poorly and lack quality and access when it comes to patient needs. Unit B also conducts interdisciplinary visits on a daily basis, unlike Unit A. It is essential that all healthcare organizations conduct visits to ensure that all departments are running smoothly and review patient satisfaction. There are three types of interdependence that present increases in coordination costs for a unit. organization. In the “tale of two units” Unit A is closer to the task of Mutual Interdependence. Mutual departments are the most complex and difficult to manage. It is known that unit A is usually a chaotic medical unit. Unit A has specific time protocols and tasks to follow for patients with certain conditions, but sometimes these protocols and tasks are not followed. Mutually interdependent departments are managed through continuous information sharing and mutual adaptation. Unit B is more of a shared interdependence department. In this type of interdependence, each departmental organizational unit performs completely separate functions. While departments in the collective interdependence model may not interact directly or depend directly on each other, each contributes individual pieces to the same overall puzzle. A collective interdependence requires standards… half the paper… in every patient room. Nurses can write their name or, when their shift is about to end, the name of the next staff member, as well as a reminder of the next time their shifts will take place. This whiteboard could also help in communication between nurses and care coordination, which is another important element to implement in the Must Haves program. As patient safety has become an increasingly important issue in healthcare, the role of nurses in contributing to safety has also become more important. One initiative that would be helpful in measuring the success of the elements used to implement this Must Have program would be patient feedback. The organization could obtain this feedback by sending surveys or even calling patients to conduct telephone surveys. These surveys would be a way to get a general sense of the patient's stay and the quality of care provided.