3. Hospital Mission
The hospital Mission Statement defines the purpose of the hospital’s existence and provides guidance in its community service.
All hospital staff are committed to accomplishment of the Mission.
Hospital directives and projects support the Mission.

4. Jackson Memorial Hospital Boca Raton Regional Hospital Broward Health
Go online and find the mission statement for our clinical sites. Share the statement with the class
Jackson Memorial Hospital
Sherlyne & Yuslena
Boca Raton Regional Hospital
Oscar & Parbatty
Broward Health
Louis, Alexia & Ariel

5. Healthcare Trends and Hospitals
Hospitals are more horizontal in organizational structure
Reimbursement shifts from inpatients to outpatients
Strong emphasis on use of services
Declining reimbursements from government programs
Much less “top-heavy” with high-level administration
Broader lines of authority
Radiology director may have responsibility for several departments, not necessarily in medical imaging

6. Organizational Structure
Governance of a hospital begins with the board of directors or governing board.
The President or Chief Executive Officer (CEO) is accountable to the hospital board.
The hospital divisions and departments are accountable to the CEO.

7. Radiology Organization
Varies depending on size and scope
Often consists of subdepartments
Requires support services
Led by Administrative Director
Oftentimes consists of subdepartments
General Radiology
Medical Sonography
Women’s Imaging
Interventional Imaging
CT Scanning
MRI Scanning
Nuclear Medicine and PET
Radiation Oncology/Therapy

8. Administrative Director of Radiology
Typically reports directly to upper hospital administration
Requires strong business management skills
Not necessarily a radiologic technologist
Works closely with Medical Director of Radiology

9. Medical Director Typically a physician
Principle responsibility is for overseeing the quality of patient care
Works closely with Administrative Director
May also serve as Department Chair

10. Create an organizational chart for a Radiology Department at the hospital
Make sure to include subdepartments

12. Changing Healthcare Trends Have Created Nontraditional Healthcare Settings
Clinics
Outpatient Imaging Centers
Freestanding Imaging Centers
Mobile Imaging Services
Outpatient Surgery Centers
Urgent Care Centers
Commercial Medical Facilities
Walk-in Clinics
Specialty Clinics
Physician’s Offices
Research Centers
Veterinary Medicine
Teleradiology Services

13. Process Improvement
Current trends emphasize the improvement of services as an ongoing process.
Referred to by different names
Continuous Quality Improvement (CQI)
Total Quality Management (TQM)
Customer service is the focus!
Doing the right things right the first time, and meeting and exceeding the customer’s expectations

14. Regulatory Activities
May be internal or external to the hospital organization
Often are performed by committees or governmental agencies
May be voluntary but closely tied to reimbursement for services, so involvement is an implied mandate

15. External Regulatory Agencies
The Joint Commission (TJC)
Regulates the quality and safety of care provided to patients and the way the organization is supervised and operated
Nuclear Regulatory Commission (NRC)
Regulates the use of ionizing radiation
May require licensure of radiologic technologists and equipment
Occupational Safety and Health Administration (OSHA)
Establishes standards for safety in the workplace

16. American College of Radiology (ACR)
Awards accreditation to facilities that demonstrate a high standard of practice through peer-reviewed submission of data from that modality
Medicare and other insurances require this accreditation for reimbursement
State Health Departments
Define rules to protect the health and safety of the patients

17. Internal Regulatory Groups
Typically committee based
Infection Control Committee
Regulated infection control policies
Radiation Safety Committee
Defines safe handling of radioactive materials and policies for patients and staff exposed to radiation
Safety Committee
Storage and removal of hazardous or contaminated materials
Special cleaning and emergency procedures
Risk Management/Corporate Compliance
Goal is to keep the organization, employees and patients free from any risks
Pharmacy and Therapeutics Committee
Review drugs used in imaging and their protocols for use
PACS Committee
Picture archive and communication systems
Acquires, archives and interpreting of digital images

18. Desirable Employee Characteristics
Strong technical skills
Excellent teamwork skills
Customer-service oriented
Good communication skills with patients, colleagues and physicians
Professional attitude
Good work ethic

19. Conclusion
Radiology administration is complex and demanding at many levels.
Hospitals and providers are very customer focused.
Professionals may work with external and internal regulatory agencies and committees.
Medical imaging employees need to be strong technically and have good teamwork skills.