The hierarchy of staff in a hospital typically follows a structured organizational

framework. The exact hierarchy can vary based on the hospital's size, type, and
specific organizational structure. Below is a generalized hierarchy commonly found in
hospitals:

1. Hospital Board of Directors/Trustees:

 Responsible for overseeing the hospital's overall management and
ensuring its strategic direction.
2. Chief Executive Officer (CEO) or President:
 Provides overall leadership and direction for the hospital, working
closely with the Board of Directors.
3. Chief Medical Officer (CMO):
 Responsible for medical policies, practices, and overall patient care
quality. Often works closely with the CEO.
4. Chief Nursing Officer (CNO):
 Oversees nursing staff, patient care, and nursing policies to ensure
high-quality patient care.
5. Chief Operating Officer (COO):
 Manages day-to-day operations, including administrative and support
services.
6. Chief Financial Officer (CFO):
 Manages the hospital's financial operations, including budgeting,
accounting, and financial planning.
7. Chief Information Officer (CIO):
 Oversees the hospital's information technology and data management.
8. Chief Human Resources Officer (CHRO):
 Manages human resources functions, including hiring, training, and
employee relations.
9. Medical Department:
 Chief Medical Officer (CMO): Leads the medical staff and represents
the medical perspective in the hospital's leadership team.
 Medical Directors/Specialists: Lead various medical departments (e.g.,
Surgery, Internal Medicine, Pediatrics).
10. Nursing Department:
 Chief Nursing Officer (CNO): Leads nursing staff and ensures the
quality of patient care.
 Nurse Managers/Supervisors: Oversee nursing units or departments.
 Registered Nurses (RNs): Provide direct patient care.
11. Clinical and Support Departments:
  Various departments such as Radiology, Laboratory, Pharmacy, Physical
Therapy, and Occupational Therapy, each with its own director or
manager.
12. Administrative and Support Services:
 Administrative Directors/Managers: Oversee areas such as Finance,
Human Resources, and Information Technology.
 Support Staff: Administrative assistants, receptionists, billing and
coding staff.
13. Emergency Department:
 Emergency Room Medical Director: Leads the medical staff in the
emergency department.
 Emergency Room Nurse Manager: Oversees nursing staff in the
emergency department.
14. Specialized Services:
 Department Heads/Specialists: Lead departments such as Cardiology,
Neurology, Obstetrics, and Psychiatry.
15. Quality Assurance and Compliance:
 Quality Improvement Specialists: Work to enhance patient care
quality.
 Compliance Officers: Ensure the hospital adheres to regulations and
standards.
16. Research and Education:
 Medical Researchers and Educators: Conduct medical research and
provide education for medical staff and students.
17. Support Services:
 Facilities Management: Oversee maintenance and housekeeping staff.
 Security Personnel: Ensure the safety and security of the hospital.
18. Volunteers:
 Volunteers may serve in various capacities, providing additional
support to different departments.