Organization Project Intermountain was started as a small healthcare nonprofit organization, situated in Salt Lake City. With its well-crafted mission, a clearly stated vision, patient's oriented philosophy and a strategy to manage the organization effectively; it was soon able to manage over 32,000 employees. Helping the acute healthcare needs of Southeastern Idaho and Utah's residents, Intermountain's well-managed system of about 23 hospitals, clinics, physicians and health strategies; deliver clinically exceptional medical care and at an affordable rate.

FORMAL MISSION:

Intermountain health care has a properly drafted and well-communicated mission. Intermountain understands that a mission lays the basis of an organization and is a pre-requisite for its ultimate success. It explains the reason of an organization and identifies the type of business that it intends to engage in. Understanding these basic requirements, Intermountain has setup a mission which promises:

"Excellence in the provision of healthcare services to communities in the Intermountain region."(Healthcare, 2012)

Following this formal mission, Intermountain intends to provide excellent services to its customers, physicians and its patients who are its most valuable asset. Intermountain also intends to provide its services with excellence and integrity. Intermountain's actions will improve its standing and strengthen the patient trust in the healthcare organization and would help it gain customer loyalty. Intermountain is committed to serve diverse population of Intermountain region, including the needs of the old and young, the poor and rich, and the inhabitants of rural and urban areas, by keeping into mind the differencing the culture. As intermountain claims "we understand the level of sensitivity to cultural differences." Intermountain also plans to reflect the noble and caring nature of its mission by their actions. As part of their mission, they claim:

"Our services must be high quality, cost-effective, and accessible, achieving a balance between community needs and available resources." (Healthcare, 2012)

Following the stated key objectives, Intermountain healthcare intend to be a model and an exemplary healthcare system. Intermountain understands the importance of capital and finance to manage an organization. They say:

"We will maintain the financial strength necessary to fulfill our mission."(Healthcare, 2012)

Goals:

Goals lay the foundation for further planning in an organization (Business, 2012). The goals should be attainable, for a specific period of time and must be revised and altered to meet organizational mission. The annual goals for Intermountain do exist. For example, the goals of the year 2007 aimed to:

Achieve patient satisfaction system for each Urban South healthcare department.

Develop and devise a plan for bringing in a change in Urban South Region nursing leadership and its organizational structure. It was intended to improve visibility and availability of Nursing and the leadership associated with it.

Achieve and maintain 'Magnet recognition' (Healthcare, Strategic Partnerships, 2012)for each and hospital in the region of Intermountain.

• Develop a course for Finance Department to obtain a nursing budgetary roll-up for the region and for every associated hospital and also to discuss issues monthly at the meeting of "Nursing Leadership Guidance Council." This goal was in collaboration to the mission statement, which intended to strengthen the financial backbone of Intermountain healthcare.

• Increase communication between Guidance Council and Regional Practice Council.

• Decrease the use of nursing staff by total of 15% for 2007 when compared to the year 2006. Again it was intended to reduce the expenses as per the organization's stated mission.

Ownership and Sponsorship of the organization:

Intermountain is a nonprofit organization and ensures effective healthcare delivery. Huntsman Cancer Institute at the University of Utah, has joined hands with Intermountain healthcare, to provide the patients a best possible chance of winning a tough fight against cancer. At most of the Intermountain hospitals, patients have an easy access to Intermountain's renowned best practices and Huntsman's outstanding research.

2-

Board of DirectorsORGANIZATIONAL STRUCTURE'S CHART:

C

hief medical officer

C

hief operations officer

Chief Nursing Executive

Administrative Department

Chief Financial Officer

Medical Examiner

G

eneral litigation counsel

Executive Department

Intermountain healthcare has a complex web of patient and deals with about 32,000 organizational staff....

Intermountain's organizational structure in healthcare is hierarchical as shown above and tends to focus on oversight and efficiency.
A board of directors is unvaryingly at the topmost position of Intermountain healthcare. At intermountain healthcare, it consists of more-tenured healthcare professionals like researchers and doctors, but do also contain legal advisers, entrepreneurs and politicians to help Intermountain gain a competitive edge in the industry and the strengthen its financial base.

Following the hierarchy, the 'Board of Directors' of Intermountain healthcare, has an administrative cabinet. This small squad of specialists, at Intermountain healthcare, contains a medical examiner, Chief Financial Officer and a carefully recruited general litigation counsel. These top managers at Intermountain healthcare do have a small staffs; such as an admission staff underneath a comptroller. The duties assigned to them in organizational structures at Intermountain healthcare are chiefly to serve the Board of Directors, and not to serve as the so-called 'direct patient care providers'.

Besides administrative and managerial leaders, there are other top executives at Intermountain healthcare organization, who are dedicated to day-to-day hospital operations and patient care. A Chief Operations Officer takes care of the departments not openly associated with patient care. A Chief Medical Officer provides leadership to those particular divisions that do deliver services to the patients. Intermountain healthcare has also assigned a Chief Nursing Executive. All of the other departmental leaders are organized under all or one of these three top and leading executives.

3- Nursing Organization and Supervision:

Nursing department at Intermountain healthcare is organized and supervised by the Chief Nursing Officer following a well-formulated nursing vision which states:

"Advance the art and science of professional nursing and providing extraordinary care through strategic leadership, innovative care delivery systems, and evidence-based nursing practice."(Healthcare, Vision and Mission, 2012)

The nursing department is organized and supervised to ensure:

Collaboration: The nurses at Intermountain are trained to build up a healthy relationship with other nurses, patients, clinicians and families. Nurses share knowledge of medicine, are provided specialized training and are told to follow social contract, body of knowledge and ethical codes. Nurses are supervised to become the coordinators of patient care and are successful by their expertise as they cooperate and collaborate with various healthcare disciplines.

Accountability: Nurses at Intermountain healthcare are organized and evaluated in such a manner that their practices are measured against set standards.

Innovation: Innovation is celebrated and delivered through all levels of the nursing organization. Nurses are considered as frontline change leaders and agents in process and practice improvement. Intermountain is committed to develop, implement, investigate and evaluate new methods of nurse training. Intermountain has partnered with institutes of higher learning to enhance the level of nursing education and continually elevate and evaluate their practices.

Nursing leadership: (Nancy A . Nowak, 2006) It ensures supervision of nurses at all levels in Intermountain healthcare. Nursing leadership is present and strong at all levels. Leader Nurses play an essential part to make decision and help set policies to guarantee patient care. Nursing leadership is the key at the hospital, department, and at organizational levels.

4- Organizational structure and Mission:

The hierarchical structure at Intermountain healthcare affirms that organizational mission is executed and with efficiency. The basic purpose of organizational hierarchy is to ensure that Dixie Regional satisfies Intermountain Healthcare's benevolent and charitable mission i.e.

"Excellence in the provision of healthcare services to communities in the Intermountain region." (Healthcare, Vision and Mission, 2012)

This contains a pledge to deliver care to those with an instant medical need, irrespective of their ability to pay. In a hierarchy the power and the orders follow from upper authorities towards the lower staff and the chain of commands is strong. Largely, organizations have formed their systems of institutes after vertical hierarchical structures. Intermountain healthcare follows a vertical structure because it can be efficient with ultimately only one point of authority to take decisions.

The Board of Directors at Intermountain healthcare helps make key decisions. They spend their valuable…