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Governance Structure

Organizational structure refers to the way that an organization arranges people and jobs so that its work can be performed, and its goals can be met. It is formal configuration between individuals and groups regarding the allocation of tasks, responsibilities, and authority within the organization. The organizational structure affects organizational action in two ways. First, it provides the foundation on which standard operating procedures and routines rest. Second, it determines which individuals get to participate in which decision- making processes, and thus to what extent their views shape the organization’s actions.

The organizational structure of the GARH is represented by the Medical Director also known as the Chief Executive Officer and Administrative Head responsible for the overall policy direction of the Hospital. He/she has overall corporate responsibility for the development of the hospital’s organizational strategy and the implementation of Ministry of Health /Ghana Health Service policies in the hospital. In the performance of his/her functions, the Medical Director is answerable to the Director General of Ghana Health Service, through the Regional Director of Health Services. The exercise of authority and responsibilities by the Medical Director is derived from and consistent with the GHS and Teaching

Hospital’s Act1996, Act 525 section 29 (1) as well as authority and responsibilities delegated by the immediate superiors.

Directly under the Head of the Medical Director are the Heads of the five main Divisions of the Hospital namely, Heads of Clinical Care, Nursing Services, Pharmaceutical Services, Administration & Support Services and Finance & Accounting Services. The Heads of these five Divisions act as the line managers, but with interlocking working relationships. Each Divisional Head reports directly to the Medical Director in his /her day-to-day administration of the Division. The Heads of the Divisions exercise authority as derived from and consistent with their responsibilities as well as authority delegated by their immediate superior (Medical Director of the Hospital). In effect, the Heads of the Divisions are directed, guided and accountable to the Medical Director of the Hospital.

The Heads of the five Divisions together with the Medical Director form the Core Hospital Management Committee (CHMC) and are responsible for the day-to-day administration of the respective Divisions, with the Medical Director exercising overall supervisory responsibility over the divisions of the Hospital.

A Department is the next level to the Division and a Unit is a section within a Department. Under the current arrangement in the Hospital, only one Division (Clinical Care Division) has both Departments and Units under it. The rest of the Divisions (Nursing & Midwifery Services, Pharmaceutical Services, Administration & Support Services, Finance & Accounting Services Divisions) have only Units under them.

Each Department under the Clinical Care Division is headed by a Departmental Head and reports directly to the Head of Clinical Care. Under the Departments are also Units. The Units have heads who are accountable and report directly to Department Heads. Apart from the Clinical Care Division, the rest of the Divisions, as earlier stated, have only Unit Heads and they report directly to the Divisional Heads.

The Internal Audit Unit is independent of the Administration, and it performs independent auditing functions. The Unit is directly responsible to the Hospital House Management Committee and indirectly to the Medical Director.