Hi Keri,
Working with a few different styles, it really comes down to who you have in the clinical leadership positions.
At your sites, what is the typical amount of staff?
I do recommend having your Clinic Manager be an RN as they can supervise both the back office and front office. Limiting to one Manager (rather than a clinical and office manager) also removes any difference in managerial personalities so that all staff receive the same type of leadership, support, and direction.
Do you have site Medical Directors who would work directly with your chosen manager position as a dyad relationship? SMD supervises the providers and the Clinic Manager supervises all others. I find this to be exceptionally successful as most providers do better with their managerial needs with another peer.
Let me know if I can provide any more insight, hope this helps start the conversation!
Sincerely,
Brianna
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Brianna Rivera, MSN, RN
Founder & CEO
Rivera Healthcare Consulting
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Original Message:
Sent: 10-01-2024 16:08
From: Keri Urquhart
Subject: Clinic Leadership Structure
Looking for some ideas on how other ambulatory clinics are structuring the leadership/oversight at the clinic level -- we are looking at how our clinics are "run" - we have multiple locations and have utilized different models and not felt like any of them were the right "fit" or maybe we have not had the right people... what positions do you have for oversight / accountability (clinic vs. office manager, medical director, etc) what type of qualifications - who reports to who ... just wondering what other clinics are doing and what is working well. if anyone has a basic org chart or model, they would be willing to share I would love to hear about what's worked for your sites. Thanks!!
For reference - we have providers, RNs, MAs, CHWs, FD and admin staff, care coordinators/referral.
Thanks in advance!
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Keri Urquhart MPH BSN RN
Covenant Community Care- FQHC
Detroit MI
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