Organization Theory and Health Services Management Chapter 1 Organization Theory and Health Services Management Chapter 1

Purpose and Overview Purpose To learn about the major influences affecting health care organizations Discussion of managerial perspectives Discussion of managerial theories Chapter 1

Purpose and Overview Overview The Changing Health Care System Ecology of Health Services Organizations Key Dimensions of Health Services Organizations Health Services Organizations as Systems Chapter 1

Purpose and Overview Overview Areas of Managerial Activity Major Perspectives on Health Services Organizations Metaphors of Health Services Organizations Chapter 1

The Changing Health Care System Chapter 1

The Changing Health Care System Chapter 1

The Changing Health Care System Chapter 1

The Changing Health Care System Chapter 1

The Changing Health Care System Chapter 1

The Changing Health Care System Chapter 1

The Changing Health Care System Chapter 1

The Changing Health Care System Chapter 1

Ecology of Health Services Organizations Chapter 1

Ecology of Health Services Organizations Are Health Services Organizations Unique? Defining and measuring output are difficult Work is variable and complex Work is usually nondeferrable Work is often performed under emergency conditions Chapter 1

Ecology of Health Services Organizations Are Health Services Organizations Unique? Work must be precise and errorless Services are interdependent and require coordination Require extreme degree of specialization Chapter 1

Ecology of Health Services Organizations Are Health Services Organizations Unique? Professionalized providers Lack of managerial control over group generating work and expenditures Dual lines of authority Bullet 3: Physicians Bullet 4: coordination and accountability problems and role confusion. Chapter 1

Key Dimensions of Health Services Organizations External Environment Vision Mission Goals Strategies Chapter 1

Key Dimensions of Health Services Organizations Differentiation Integration Centralization Change Innovation Chapter 1

Health Services Organizations as Systems Closed System Maximize internal efficiency, predictability, and order Open System Openness, adaptability, and innovation Chapter 1

Health Services Organizations as Systems Production Products or services at center of organizational activities Boundary Spanning Interface between organization and external environment Chapter 1

Health Services Organizations as Systems Maintenance Physical and human infrastructure Adaptation Innovation as tool for change Chapter 1

Health Services Organizations as Systems Management Organizes, directs, and oversees Governance Provides strategic direction and imposes accountability Chapter 1

Areas of Managerial Activity Organizational Behavior–Micro Approach Examines individuals within organizations Motivation Leadership Conflict management Chapter 1

Areas of Managerial Activity Organization Theory–Macro Approach Organization as social system Organizational design Interorganizational relationships Change and innovation Performance and strategy Chapter 1

Major Perspectives on Health Services Organizations Bureaucratic Theory Procedures for governing activities Hierarchical structure Lack of individual freedom Rigid behavior Chapter 1

Major Perspectives on Health Services Organizations Scientific Management School Span of control Unity of command Appropriate delegation of authority Departmentalization Work rules and methods to improve efficiency Chapter 1

Major Perspectives on Health Services Organizations Human Relations School Individual, group dynamics, and relationships Participatory decision making Self-actualizing aspects of work Chapter 1

Major Perspectives on Health Services Organizations Contingency Theory Organization is situational Continuum that moves toward organic from bureaucratic structure Chapter 1

Major Perspectives on Health Services Organizations Resource Dependence Theory Obtaining resources from environment Chapter 1

Major Perspectives on Health Services Organizations Strategic Management Perspective Positions organization to environment and competitors Chapter 1

Major Perspectives on Health Services Organizations Population Ecology Theory Environmental forces "select out" certain organizations for survival Minimizes role of managers Chapter 1

Major Perspectives on Health Services Organizations Institutional Theory Requires conformity to rules to receive legitimacy and support Chapter 1

Major Perspectives on Health Services Organizations Social Network Perspective Behavior is social in nature Successful organizations develop and use social networks Chapter 1

Major Perspectives on Health Services Organizations Complex Adaptive Systems Interdependent, embedded, and unpredictable Experimentation Application of simple rules Co-evolution of organization and environment Chapter 1

Major Perspectives on Health Services Organizations Chapter 1

Major Perspectives on Health Services Organizations Chapter 1

Major Perspectives on Health Services Organizations Chapter 1

Metaphors of Health Services Organizations Chapter 1