Hospital Management Structure

[Guest guest]

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