HH/docs/DEPARTMENT_STRUCTURE_UPDATE.md

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:

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

# 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