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Governance: Chapter 2- Designing Organizations

Terms in this set (25)

Philosophy
written statement of values, vision, and mission
Vision statement
goal to which organization aspires
Mission
broad, general statement of the organization's reasons for existence
Goals
specific statements of outcomes to be achieved
Classical Theory
Division and specialization of labor
Chain of command
Organizational structure
Span of control
Humanistic Theory
Focuses on social aspects of organizational design
Views social relationships, group pressure, and search for personal fulfillment as motivators
Says formal authority only works with willing participants
Hawthorne effect
Systems Theory
A system is interrelated parts arranged in a unified whole.
Systems can be open or closed.
Organization is a recurrent cycle of input-throughput-output.
The manager is the catalyst for the process.
Throughput
moving patients throughout the system.
Employees
Patients
Materials
Money
Equipment
in Systems Theory, input includes: (5)
output
Within the organization energy and resources are utilized and transformed; work a process called throughput is performed to produce a product.
Contingency Theory
Performance is enhanced by matching the organization's structure to it's environment.
Environment includes people, objects, and ideas outside the organization that influence it.
Optimal form of the organization depends on the environment in which it operates.
Chaos Theory
Organizations are living, self-organizing systems that are complex and self-adaptive.
Creativity and flexibility are necessary to adapt to change.
The leader's role is to build resilience, maintain balance, and encourage creativity.
Complexity Theory
Random events interfere with expectations.
No linear cause and effect to explain outcomes.
The system interacts and adapts to change.
Managers must encourage the flow of information in all directions, not just top to bottom.
Long term care
Provide professional nursing care and rehabilitative services
May be freestanding or part of hospital
Limit length of stay
May be residential care facilities (nursing homes) where care is supervised by RNs and LPNs
Home Health Agencies
Provide intermittent, temporary health care in the home by skilled or unskilled providers
May offer services other than nursing such as physical therapy or medical equipment
May offer hospice care
Temporary service agencies
Provide nurses and other health care workers to hospitals
Provide private duty nurses to patients in the hospital or at home
Health care networks
Deliver a continuum of care
Provide geographic coverage for buyers of health care services
Accept risk in taking a fixed payment for providing health care for all persons in selected group
Horizontal integration
Organizations in a network provide the same or similar services; e.g., all hospitals provide comparable services
Vertical Integration
Dissimilar but related organizations in a network provide a continuum of services
Functional
Employees grouped in departments by specialty (e.g., all nursing tasks fall under nursing service); decision-making tends to be centralized
Hybrid
Contains both self-contained and functional units
Matrix
Integrates product and functional structures in one overlapping structure
Parallel
Unique to health care; involves two lines of authority—the authority of the organization and the authority of its medical staff
Redesign
Patient-centered care model
E.g., medical home
Focus on specific service lines
Lean thinking
Flat, decentralized organizational structure
communication; collaboration; staffing
Healthy Work Environment (6):
Skilled__
True __
Effective decision making
Appropriate __
Meaningful recognition
Authentic leadership
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