Sinai revamps or eliminates six executive posts

June 30, 1994|By Patricia Meisol | Patricia Meisol,Sun Staff Writer

Signaling a major redesign in the way it provides medical care, Sinai Hospital in recent weeks has eliminated or revamped a half-dozen management positions, including three vice presidents' jobs.

The changes, described as a "modest restructuring" by a hospital spokesman, are the first to come from a 7-month-old project to redesign the way care is delivered throughout the hospital, and this week led to the resignation of the chief of nursing.

"We are one of hundreds of hospitals nationwide embarked on a program in which we look at who we care for and how we organize ourselves to provide care," said Lawrence R. Tarnoff, vice president for public relations and marketing.

Other hospitals, including the Greater Baltimore Medical Center, St. Agnes, and Johns Hopkins, have re-examined or are re-examining their organizations and in some cases have not filled vacancies to cut costs.

Mr. Tarnoff said Sinai's goal is twofold: to improve quality and to reduce cost.

For instance, if the hospital can develop a better way to collect information from patients' charts -- routine items such as temperature and blood pressure -- that now take up a significant amount of nurses' time, it could free up nurses to spend more time with patients, probably reduce the number needed and save money, he said.

The hospital expects more jobs to be eliminated or revamped. Most of the cuts will probably be through attrition, officials said. Mr. Tarnoff's own job has been revamped into a vice president for planning and marketing, and he said he elected not to take the new position and instead will look elsewhere for a job.

The hospital also eliminated a vice president-level job five weeks ago and reassigned oversight for its responsibilities, which include housekeeping, grounds and buildings.

This week, the vice president of nursing resigned and a new vice president for patient care will be appointed from within, Mr. Tarnoff said.

Three more middle managers' posts have been dropped -- the director of nursing and the director of the department of medicine, and a billing supervisor.

In addition, 14 clinical departments have been reduced to 10, and seven of the 14 people who managed areas such as rehabilitation, cardiac care and nursery, have been offered new positions as day-to-day heads of the new nursing units.

The remaining seven will be allowed to compete for other jobs in the hospital.

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