2. Organization Theory and Health Services Management
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Organization Theory and Health Services Management
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3. Purpose and Overview Purpose
To learn about the major influences affecting health care organizations
Discussion of managerial perspectives
Discussion of managerial theories
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4. 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
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5. Purpose and Overview Overview Areas of Managerial Activity
Major Perspectives on Health Services Organizations
Metaphors of Health Services Organizations
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6. The Changing Health Care System
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7. The Changing Health Care System
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8. The Changing Health Care System
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9. The Changing Health Care System
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10. The Changing Health Care System
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11. The Changing Health Care System
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12. The Changing Health Care System
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13. The Changing Health Care System
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14. Ecology of Health Services Organizations
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15. 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
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16. 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
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17. 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.
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18. Key Dimensions of Health Services Organizations
External Environment
Vision
Mission
Goals
Strategies
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19. Key Dimensions of Health Services Organizations
Differentiation
Integration
Centralization
Change
Innovation
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20. Health Services Organizations as Systems
Closed System
Maximize internal efficiency, predictability, and order
Open System
Openness, adaptability, and innovation
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21. Health Services Organizations as Systems
Production
Products or services at center of organizational activities
Boundary Spanning
Interface between organization and external environment
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22. Health Services Organizations as Systems
Maintenance
Physical and human infrastructure
Adaptation
Innovation as tool for change
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23. Health Services Organizations as Systems
Management
Organizes, directs, and oversees
Governance
Provides strategic direction and imposes accountability
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24. Areas of Managerial Activity
Organizational Behavior–Micro Approach
Examines individuals within organizations
Motivation
Leadership
Conflict management
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25. Areas of Managerial Activity
Organization Theory–Macro Approach
Organization as social system
Organizational design
Interorganizational relationships
Change and innovation
Performance and strategy
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26. Major Perspectives on Health Services Organizations
Bureaucratic Theory
Procedures for governing activities
Hierarchical structure
Lack of individual freedom
Rigid behavior
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27. 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
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28. Major Perspectives on Health Services Organizations
Human Relations School
Individual, group dynamics, and relationships
Participatory decision making
Self-actualizing aspects of work
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29. Major Perspectives on Health Services Organizations
Contingency Theory
Organization is situational
Continuum that moves toward organic from bureaucratic structure
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30. Major Perspectives on Health Services Organizations
Resource Dependence Theory
Obtaining resources from environment
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31. Major Perspectives on Health Services Organizations
Strategic Management Perspective
Positions organization to environment and competitors
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32. Major Perspectives on Health Services Organizations
Population Ecology Theory
Environmental forces "select out" certain organizations for survival
Minimizes role of managers
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33. Major Perspectives on Health Services Organizations
Institutional Theory
Requires conformity to rules to receive legitimacy and support
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34. Major Perspectives on Health Services Organizations
Social Network Perspective
Behavior is social in nature
Successful organizations develop and use social networks
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35. Major Perspectives on Health Services Organizations
Complex Adaptive Systems
Interdependent, embedded, and unpredictable
Experimentation
Application of simple rules
Co-evolution of organization and environment
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36. Major Perspectives on Health Services Organizations
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37. Major Perspectives on Health Services Organizations
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38. Major Perspectives on Health Services Organizations
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39. Metaphors of Health Services Organizations
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