Assignment: Please read the discussion question below and provide a positive response (not feedback) to Rhonda discussion response. APA Format, original work, Minimum 275 words, provide 3 scholarly resources including the reference below:

Please use this as one of the scholarly resources:
Burns, L.R., Bradley, E.H., & Weiner, B.J. (2018). Shortell and Kaluzny’s health care management: Organization design & behavior (7th ed.). Clifton Park, NY: Delmar Cengage Learning. ISBN- 9781305951174.
Module 2 Discussion question
Discussion Question:
How can the hierarchal structure of a health care organization limit the coordination of services?
Rhonda Discussion Response: The hierarchal structure of a healthcare organization can limit the coordination of services in numerous of ways. Beginning with leadership, hierarchal leadership within a hierarchal structure can hinder care coordination simply due to limited acknowledgment of services needed and/or resources. As defined by Fernandopulle (2021), “Hierarchal leadership can be defined as a clearly delineated chain of command from the lowest to the highest levels within an organization” (p. 117). Therefore, the higher up the pyramid of leadership, the less is known and acknowledged regarding services needed. This inhibits an organizations capability in achieving effective care coordination. The inhibiting factors are communication barriers and lack of “frontline” acknowledgement. “Higher up on the pyramid, the number of managers at each level decreases and their responsibilities become less concerned with day to day operations” (Fernandopulle, 2021, p. 117).
The power of a hierarchal structure creates barriers in the communicable process of care coordination. For some, frontline employees find it difficult to voice their concerns in coordinating services for patients. The sense of hierarchy within a healthcare organization can easily hinder care coordination, as it limits the capability of encouraging multidisciplinary input in the ability of providing holistic and quality care (Noyes, 2021). Insufficient transfer of information, due to a perceived intimidating environment will have negative consequences regarding patient care, thus, an inclusive environment would achieve the opposite.
Another dilemma with a hierarchal structure that can limit the coordination of healthcare services, is the bureaucratic existence within a healthcare organization. This stems from the power given to providers that exhibit a paternalistic patient-provider relationship (Heath, 2018). With this view of care, care coordination can become limited simply due to the lack of autonomy obligated to the patient, thus, limiting the options of services available to the patients knowledge. The ability to share in the decision-making of care coordination of services is imperative, as mentioned by Health (2018), “This will include integrating the patient and family caregivers as members of the care team” (para. 11).
As noted above, a major factor that inhibits the coordination of services is communication within a hierarchal structure of a healthcare organization. Although it provides accountability, it creates a disconnection with several broken lines of communication (“Hospital Structure,” n.d.).

References
Fernandopulle, N. (2021). To what extent does hierarchical leadership affect health care outcomes? Medical Journal of the Islamic Republic of Iran, 35, p. 117. doi: 10.47176/mjiri.35.117
Heath, S. (2018). Understanding the Power Hierarchy in Patient-Provider Relationships. Patient Engagement HIT. Retrieved from https://patientengagementhit.com/news/understanding-the-power-hierarchy-in-patient-provider-relationships
Hospital Structure and Patient Care: How the Two Relate. (n.d.). General Medicine P.C. Retrieved from https://www.generalmedicine.com/hospital-structure-and-patient-care-how-the-two-relate/
Noyes, A. L. (2021). Navigating the Hierarchy: Communicating Power Relationships in Collaborative Health Care Groups. Management Communication Quarterly, 36(1), 62-91. Retrieved from https://journals.sagepub.com/doi/abs/10.1177/08933189211025737