HH/docs/DEPARTMENT_STRUCTURE_UPDATE.md

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# 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