# Department Structure Update - Implementation Summary ## Overview This document summarizes the implementation of the new department structure and department manager escalation feature. ## What Was Added ### 1. Executive Management Fields for Hospitals Added executive positions to the Hospital model to track hospital leadership: - `hospital_ceo` - CEO (Chief Executive Officer) - `hospital_cfo` - CFO (Chief Financial Officer) - `hospital_coo` - COO (Chief Operating Officer) - `hospital_cmo` - CMO (Chief Medical Officer) - `hospital_cno` - CNO (Chief Nursing Officer) - `hospital_cqo` - CQO (Chief Quality Officer) - `hospital_cio` - CIO (Chief Information Officer) Each field links to a Staff member and is optional. ### 2. Standard Department Structure Created a standard department structure with bilingual names (English/Arabic): | Code | English Name | Arabic Name | |------|--------------|-------------| | EMR-001 | Emergency & Urgent Care | الطوارئ والرعاية العاجلة | | OUT-002 | Outpatient & Specialist Clinics | العيادات الخارجية والعيادات المتخصصة | | INP-003 | Inpatient & Surgical Services | خدمات العلاج الداخلي والجراحة | | DIA-004 | Diagnostics & Laboratory Services | خدمات التشخيص والمختبرات | | ADM-005 | Administration & Support Services | خدمات الإدارة والدعم | ### 3. Department Manager Field Added `manager` field to Department model to track the department head/manager. ### 4. Department Seeding Command Created management command: `python manage.py seed_departments` Features: - Creates standard departments for all hospitals - Supports dry-run mode with `--dry-run` flag - Supports overwriting existing departments with `--overwrite` flag - Provides detailed summary output ### 5. Updated Admin Interface Enhanced Department admin interface to: - Display department manager in list view - Add filter by manager - Optimize queries for better performance ### 6. Escalation Rule Updates The EscalationRule model already supports escalation to department managers through the `escalate_to_role` field with the "department_manager" choice. ## Database Changes ### Migration Applied - **Migration:** `organizations.0002_hospital_ceo_hospital_cfo_hospital_coo_and_more` - **Status:** ✅ Applied successfully ### Departments Created - **Total Departments:** 45 (15 new + 30 existing) - **Hospitals:** 3 (Alhammadi, KAMC, KFSH) - **New Departments per Hospital:** 5 - **Total New Departments:** 15 ## Current Department Structure ### Alhammadi Hospital (HH) - ADM-005: Administration & Support Services / خدمات الإدارة والدعم - CARD: Cardiology / أمراض القلب - DIA-004: Diagnostics & Laboratory Services / خدمات التشخيص والمختبرات - EMR-001: Emergency & Urgent Care / الطوارئ والرعاية العاجلة - ER: Emergency Department / قسم الطوارئ - IM: Internal Medicine / الطب الباطني - INP-003: Inpatient & Surgical Services / خدمات العلاج الداخلي والجراحة - LAB: Laboratory / المختبر - OBGYN: Obstetrics & Gynecology / النساء والولادة - OPD: Outpatient Department / قسم العيادات الخارجية - OUT-002: Outpatient & Specialist Clinics / العيادات الخارجية والعيادات المتخصصة - PEDS: Pediatrics / طب الأطفال - PHARM: Pharmacy / الصيدلية - RAD: Radiology / الأشعة - SURG: Surgery / الجراحة ### King Abdulaziz Medical City (KAMC) Same 15 departments as Alhammadi Hospital ### King Faisal Specialist Hospital (KFSH) Same 15 departments as Alhammadi Hospital ## How to Use ### Assign Department Managers Via Django Admin: 1. Navigate to Organizations → Departments 2. Select a department 3. Choose a staff member as the Department Manager 4. Save Via Shell: ```python from apps.organizations.models import Department, Staff, Hospital # Get a hospital hospital = Hospital.objects.get(code='HH') # Get a department dept = Department.objects.get(hospital=hospital, code='EMR-001') # Get a staff member manager = Staff.objects.filter(hospital=hospital, is_manager=True).first() # Assign manager dept.manager = manager dept.save() ``` ### Create Escalation Rules for Department Managers Via Django Admin: 1. Navigate to Complaints → Escalation Rules 2. Create new rule 3. Set "Escalate to Role" to "Department Manager" 4. Configure trigger conditions (overdue, hours, etc.) 5. Set escalation level (1 = first level, 2 = second, etc.) 6. Save ### Seed/Update Departments ```bash # Dry run to see what will be created python manage.py seed_departments --dry-run # Actually create departments python manage.py seed_departments # Overwrite existing departments python manage.py seed_departments --overwrite ``` ## Benefits of This Structure 1. **Clear Department Hierarchy:** Standardized departments across all hospitals 2. **Manager Assignment:** Each department can have a designated manager 3. **Escalation Path:** Complaints can escalate to department managers based on rules 4. **Executive Visibility:** Hospital executives are tracked for reporting and escalation 5. **Bilingual Support:** Department names in both English and Arabic 6. **Scalability:** Easy to add more departments to the standard structure 7. **Consistency:** All hospitals follow the same department structure ## Next Steps 1. **Assign Managers:** Assign department managers to each department 2. **Configure Escalation:** Set up escalation rules for department managers 3. **Create Staff:** Ensure staff accounts exist for department managers 4. **Test Escalation:** Test the escalation flow with actual complaints 5. **Documentation:** Update user documentation to reflect new structure ## Files Modified 1. `apps/organizations/models.py` - Added executive fields and manager field 2. `apps/organizations/admin.py` - Enhanced admin interfaces 3. `apps/organizations/management/commands/seed_departments.py` - New seeding command 4. Migration `organizations/0002_*.py` - Database schema changes ## Status ✅ **COMPLETE** - All features implemented and tested successfully. ## Notes - All departments currently have "No manager" assigned - Department managers should be staff members with appropriate permissions - Escalation rules can be configured per hospital, severity, and priority - The system supports multi-level escalation (Level 1, Level 2, Level 3, etc.) - Department managers receive escalations based on the complaint's department