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Published byMoses Higgins Modified over 9 years ago
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MANAGEMENT AND ORGANIZATIONAL DESIGN STRATEGIC MANAGEMENT IN HEALTHCARE 10 February 2009
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MANAGEMENT IT IS A PROCESS WORKS TOWARD OBJECTIVES USES RESOURCES OCCURS IN A FORMAL ORGANIZATIONAL SETTING
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MANAGEMENT FUNCTIONS DECISION MAKING –PLANNING - DECIDING IN ADVANCE –DIRECTING - INITIATING WORK –CONTROLLING - REGULATING ACTIVITIES –ORGANIZING - INTENTIONAL PATTERNS –STAFFING
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MANAGEMENT COMPETENCIES SKILLS KNOWLEDGE ABILITY NATIONAL CENTER FOR HEALTHCARE LEADERSHIP – page 250
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MANAGEMENT MEASURES STRUCTURAL - NUMBER OF BEDS PROCESS – PATIENT VISITS OUTCOME – READMISSIONS
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MANAGEMENT STYLES CLASSIC VS CONTEMPORARY HEIRARCHICAL VS COOPERATIVE LINEAR VS MULTITASKING FORMAL VS INFORMAL MALE VS FEMALE
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HEALTH CARE ORGANIZATIONS CONSTANT TENSION BETWEEN MANAGERS AND PROFESSIONAL OR TECHNICAL STAFF MANAGER’S JOB SHOULD BE TO SUPPORT PATIENT CARE
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WEBER’S BUREAUCRACY CLEAR DIVISION OF LABOR POSITIONS ARE ARRANGED IN A HEIRARCHY - CHAIN OF COMMAND FORMAL RULES AND REGULATIONS GUIDE EMPLOYEES IMPERSONAL RELATIONSHIPS EMPLOYMENT BASED ON TECHNICAL COMPETENCE
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JOBS OF A BUREAUCRAT COVER YOUR ASS CHECK YOUR STATUS
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CLASSIC CONCEPTS OF ORGANIZATION DESIGN DIVISION OF WORK AUTHORITY AND RESPONSIBILITY DEPARTMENTATION SPAN OF CONTROL COORDINATION
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DIVISION OF WORK
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ROLE OF THE INDIVIDUAL BALANCE OF GENERALIZATION AND SPECIALIZATION PEOPLE ARE NOT COMMODITIES
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GENERALIZATION EVERYONE DOES EVERYTHING WORK IS INTERESTING & VARIED PRIDE AND ACCOUNTABILITY THE ORGANIZATION IS FLEXIBLE JACK OF ALL TRADES, MASTER OF NONE
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SPECIALIZATION EVERYONE DOES ONE TASK HENRY FORD’S ASSEMBLY LINE TENDS TO BE BORING LITTLE INDIVIDUAL RESPONSIBILITY INFLEXIBLE - SLOW TO RESPOND REQUIRES MORE MANAGEMENT
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AUTHORITY AND RESPONSIBILITY
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AUTHORITY POWER DERIVED FROM ONE’S POSITION LINE AUTHORITY - CHAIN OF COMMAND STAFF AUTHORITY - ADVISORY
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RESPONSIBILITY OBLIGATIONS DERIVED FROM ONE’S POSITION TO PERFORM FUNCTIONS TO ACHIEVE OBJECTIVES THESE TWO OBLIGATIONS MAY CONFLICT
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DEPARTMENTALIZATION
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PURPOSE OF DEPARTMENTS DIVIDE WORK INTO MANAGEABLE UNITS COORDINATE WORK AMONG UNITS
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BASIS OF DIVISION KNOWLEDGE & SKILLS PROCESSES OR FUNCTIONS TIME OR PLACE OUTPUTS CLIENTS
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SPAN OF CONTROL
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CONTROL FLAT VS TALL EXECUTIVE VS OPERATIVE HOW MANY ARE SUPERVISED HOW TIGHT IS THE CONTROL
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COORDINATION
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STRUCTURAL ORGANIZATIONAL STRUCTURE SUPERVISION STANDARDIZATION
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LESS FORMAL ORGANIZATIONAL CULTURE - PATTERN OF SHARED BELIEFS INSTITUTIONAL MEMORY - LAST ONE STANDING
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