Re: Hospital Management Structure

[Guest guest]

Do you have senior therapists?  leads?  disperse increased clinical leadership

to them.

Subject: Hospital Management Structure

To: " ptmanager " <ptmanager >

Date: Friday, November 11, 2011, 5:38 PM

 

Our department is currently going through leadership restructuring. This

week we were informed that our Inpatient Therapy Manager position is being

eliminated. My current role will be changing from Outpatient Therapy Manger

to the manager of all therapies. As a result of this change, I will have

approximately 98 reports in 6 different clinical sites including: Acute Care,

Inpatient Rehab Facility (the inpatient rehab facility does have a nurse

manager), three separate outpatient satellite clinics (including a pediatric

neurodevelopmental clinic) and an Adult Day Health clinic. So literally spanning

the entire continuum of care as well as spanning pediatrics to geriatrics. My

Director is responible for oversight of the Rehabilitation Department,

Departmetnt of Behavioral Health and the Social Work department at our facility.

His background is in behavioral health.

We are currently looking a leadership restructure within the therapy area to

support me in this new role. My questions for the group are:

For those of you working in hosptial based therapy services, are there any of

you that have a similar scope of respnsibility in a manager role? I.e. is this

trend of manager/director scope occuring in other areas?

And if so, what supporting positions have you developed to enable the effective

management of day to day operations so that energies towards program

development, strategic planning/future planning etc. can still be accomplished.

Thanks for your thoughts and input.

Mike Hampton PT, MPT

Manager-Rehab Medicine

PeaceHealth St. ph Medical Center

Bellingham, WA

[Guest guest]

Mike-

Congratulations (?) on your new job. We have experienced a similar compression

of our management tree over the past 3-5 years. Our Director of Therapies now

oversees an acute hospital ( PT, OT , ST and audiology) therapy department, an

inpatient rehabilitation hospital ( PT, OT, ST, Recreational) therapy

department, 5 outpatient therapy satellites with PT, OT, audiology and Speech)

, as well as an OP Chemical Dependency program for a total of 128 staff.

At both the acute hospital and the Rehabilitation hospital we have a therapy

manager who are each responsible for oversight of PT, OT and Speech (and Rec

Therapy on Rehab). The OP satellites each have single Therapy supervisors

responsible for PT, OT and Speech at those locations. There are no discipline

specific supervisors. We all report to the Director of Therapy and

Rehabilitation. She in turn reports to the VP of our hospital. The managers

of the acute hospital and the rehab hospital have the largest number of direct

reports (32 and 56, respectively)because they also oversee their prn and float

pools, but the OP sites are fairly manageable at 7-12.

We are blessed with a strong director who has empowered us to be responsible for

our " own book of business " and provides us with the tools to manage the day to

day business of our Teams. She also holds us accountable for that performance,

both clinically and financially. Our Director is stretched pretty thin , and so

are the hospital managers. The OP Supervisors have a more controlled setting

and pace. We all work collaboratively toward hospital system objectives. All

the managers and supervisors carry at least a partial caseload which keeps us

very much in touch with patients and staff but makes for very long days.

It was a rather challenging transition. However, generally , it works pretty

well now that we are there. I will say that I miss having discipline specific

supervisors or at least lead clinicians. I feel that the uniqueness of each of

those disciplines gets lost when there is not someone uniquely dedicated to the

" care and feeding " of OT and Speech especially, since all the supervisors and

managers are PTs. (That was not the intent, just who applied for the

leadership positions). We do have a staff person ( PT) who is responsible for

the orientation and professional development of all the therapy staff. We have

separate student program Center Coordinators for each of the professional

disciplines. On the flip side, we are a very cohesive rehabilitation group

including nursing p

We are striving in 2012 to re-institute our Clinical Ladders for both therapy

and nursing. One of the ongoing challenges we face is that there is little

opportunity for advancement currently and we have lost great staff to other

jobs because they wanted to move up.

I would be happy to email off line or speak directly with you if I can be of any

further assistance.

Best of luck!

Marcy Stalvey, PT, MS, NCS

Edwin Shaw Rehabilitation Institute

Cuyahoga Falls, OH 44221

marcy.stalvey@...

From: PTManager [mailto:PTManager ] On Behalf Of

Mike Hampton

Sent: Friday, November 11, 2011 12:38 PM

To: ptmanager

Subject: Hospital Management Structure

Our department is currently going through leadership restructuring. This week we

were informed that our Inpatient Therapy Manager position is being eliminated.

My current role will be changing from Outpatient Therapy Manger to the manager

of all therapies. As a result of this change, I will have approximately 98

reports in 6 different clinical sites including: Acute Care, Inpatient Rehab

Facility (the inpatient rehab facility does have a nurse manager), three

separate outpatient satellite clinics (including a pediatric neurodevelopmental

clinic) and an Adult Day Health clinic. So literally spanning the entire

continuum of care as well as spanning pediatrics to geriatrics. My Director is

responible for oversight of the Rehabilitation Department, Departmetnt of

Behavioral Health and the Social Work department at our facility. His background

is in behavioral health.

We are currently looking a leadership restructure within the therapy area to

support me in this new role. My questions for the group are:

For those of you working in hosptial based therapy services, are there any of

you that have a similar scope of respnsibility in a manager role? I.e. is this

trend of manager/director scope occuring in other areas?

And if so, what supporting positions have you developed to enable the effective

management of day to day operations so that energies towards program

development, strategic planning/future planning etc. can still be accomplished.

Thanks for your thoughts and input.

Mike Hampton PT, MPT

Manager-Rehab Medicine

PeaceHealth St. ph Medical Center

Bellingham, WA

[Guest guest]

Several hospital based systems I have heard of have split supervisory management

into “coaching†positions. Each coach, an experienced therapist looking for

more responsibility, is given a “team†of staff that they actively coach for

patient outcomes and overall performance. Sounds like it works well and

provides growth opportunities for wanna be managers!

The feedback from someone you work more closely with may be more accurate and

meaningful than if the feedback came from someone trying to collect performance

data on 98 staff, too!

Just one idea.

Dan , PT

PT Manager

Vernon Memorial Hospital

Viroqua, WI 54665

dnelson@...

From: PTManager [mailto:PTManager ] On Behalf Of

Alan Petrazzi

Sent: Friday, November 11, 2011 1:24 PM

To: ptmanager ; PTManager

Subject: Re: Hospital Management Structure

Do you have senior therapists? leads? disperse increased clinical leadership

to them.

From: Mike Hampton

<mikehampton12000@...<mailto:mikehampton12000%40yahoo.com>>

Subject: Hospital Management Structure

To: " ptmanager <mailto:ptmanager%40yahoogroups.com> "

<ptmanager <mailto:ptmanager%40yahoogroups.com>>

Date: Friday, November 11, 2011, 5:38 PM

Our department is currently going through leadership restructuring. This week we

were informed that our Inpatient Therapy Manager position is being eliminated.

My current role will be changing from Outpatient Therapy Manger to the manager

of all therapies. As a result of this change, I will have approximately 98

reports in 6 different clinical sites including: Acute Care, Inpatient Rehab

Facility (the inpatient rehab facility does have a nurse manager), three

separate outpatient satellite clinics (including a pediatric neurodevelopmental

clinic) and an Adult Day Health clinic. So literally spanning the entire

continuum of care as well as spanning pediatrics to geriatrics. My Director is

responible for oversight of the Rehabilitation Department, Departmetnt of

Behavioral Health and the Social Work department at our facility. His background

is in behavioral health.

We are currently looking a leadership restructure within the therapy area to

support me in this new role. My questions for the group are:

For those of you working in hosptial based therapy services, are there any of

you that have a similar scope of respnsibility in a manager role? I.e. is this

trend of manager/director scope occuring in other areas?

And if so, what supporting positions have you developed to enable the effective

management of day to day operations so that energies towards program

development, strategic planning/future planning etc. can still be accomplished.

Thanks for your thoughts and input.

Mike Hampton PT, MPT

Manager-Rehab Medicine

PeaceHealth St. ph Medical Center

Bellingham, WA