Ch. 10 Flashcards

Organizational Design

accountable care organization

A type of joint venture health care organization that accepts accountability for overall costs and quality of patient care

adhocracy

A structure of an organization created for a specific purpose; also called a self-directed team

affiliation

A type of partnership with its own governance structure that operates through voluntary collaboration rather than hierarchical control; also known as an alliance

alliance

An organizational structure where each entity maintains its own governance structure and financial independence

authority

The ability to compel workers to act

bureaucracy

Used to describe an organization that is arranged in a hierarchal fashion with formal lines of authority and responsibility

center of excellence

A type of organization that creates a one-stop center for treatment to patients with a common diagnosis

centralized

A type of organizational structure where a single hub location of high level managers make decisions for the subsidiary spokes of the organization

chain of command

A top-down hierarchical structure of reporting and decision making; also known as line of authority

continuum of care

The phrase used to define the full range of health and medical services across multiple services, places of care, settings, providers, and institutions

decentralized

A type of organizational structure that involves business units that follow corporate strategy but make decisions independently from the corporate headquarters

delegation

The assignment of responsibility by a person with authority to another person

departmentalization

A mechanism of assigning tasks to groups of people by specialization

division of labor

The delegation of tasks to separate persons or group of persons

divisional structure

A type of structure in which a separate business with its own hierarchical structure operates specific services or customer type

divisionalized

Creation of units or divisions within the organization, typically based on products, services, geographic regions, or markets, each of which operates as a separate entity with its own management and resources

dyad model

The type of organizational design where a business executive and physician executive share authority and responsibility for organizational decision making and performance

flat organizational structure

A type of organizational structure that has fewer layers of management and a wider span of control

fragmented care

A type of care where services are obtained across many providers who do not coordinate care

functional authority

Experts with the authority and responsibility to make decisions on how to perform certain tasks

functional structure

An organizational structure that departmentalizes tasks and groups of people by specialization

group purchasing organizations

Cooperatives consisting of many HCOs that negotiate and purchase supplies at discounted rates from manufacturers and distributors

integrated delivery systems

A collection of healthcare organizations, with at least one hospital and a group of physicians, who are connected through common ownership or joint management; also known as integrated delivery network

joint venture

A type of business arrangement in which two or more organizations create an entity with common ownership, collected resources, and combined governance and management structures

line of authority

A top-down hierarchical structure of reporting and decision making; also known as chain of command

line position

General managers who oversee the operating core and are responsible for the financial status of the business unit

machine bureaucracy

A concept from Henry Mintzberg's organizational theory that describes a type of organizational structure characterized by a high degree of standardization

matrix structure

A hybrid reporting structure where an employee reports to more than one boss

middle management

In Henry Mintzberg's organizational theory, the structure of the organization made up of managers who closely supervise the operating core

operating core

Used to describe front-line workers who deliver services of products to customers

organizational chart

A chart that shows the links between top managers, middle management, and staff

organizational design

The process of arranging people according to their work responsibilities, delegating decision-making authority, establishing workflow, and coordinating between units of the organization

outsource

An alternative form of organizational design in which managers purchase work from outside firms

outsourcing

The act of purchasing work from entities outside of the organization

professional bureaucracy

A concept from Henry Mintzberg's organizational theory that describes a type of organizational structure where frontline workers rely the profession s rules for directives rather than managers

reserved powers

The formal retaining of rights to make certain decisions, typically used to describe the authority hat certain governance structures retain

responsibility

A work commitment that a person is required or expected to do

service line

A type of structure that groups patients with similar medical needs together and coordinates care across multiple medical specialties in several care settings

span of control

The ratio of workers per manager.

specialization

Areas of expertise created by the assignment of similar tasks to one individual or position

staff position

A type of job in technostructure or administrative support staff that is responsible for extensive work processes that support frontline workers

standard operating procedure

The documentation of standardized work practices

standardized work

Breaking up work into discrete, repeatable tasks and subtasks

strategic apex

In Henry Mintzberg's organizational theory, the senior managers who have the authority and responsibility for making key decisions that affect the entire organization

strategic business unit

An independent form of division that focuses on a particular service and market and conducts different strategies than the corporation

support staff

In Henry Mintzberg's organizational theory, the term for part of the organization that provides services to the operating core who directly delivers products and services to customers

tall organizational structure

A type of hierarchal organizational structure that involves greater layers of management and a narrower span of control

technostructure

In Henry Mintzberg's organizational theory, the term for part of the organization consisting of technical experts who plan and control the functions of the operating core

unity of command

A simple reporting structure where all staff report to only one boss