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Organization Design
Definition of OD
Choosing and implementing structures that
Designing a Position
Identify:
Major responsibilities and roles
Skills and training necessary
To whom the person and work are
accountable
The relationship of other peer positions
Organizational Structure
It is the result of organisational design
The tasks that each of the unit
composing the organization must carry
out (roles)
The liasons established between such
units (hierarchies and coordination
mechanisms)
ORGANIZATIONAL
EFFECTIVENESS
HISTORICAL
OPINIONS
ABOUT
ORGANIZATIONAL EFFECTIVENESS
1. FREDERICK TAYLOR
2. HENRI FAYOL
3. ELTON MAYO
FREDERICK TAYLOR
HENRI FAYOL
EFFECTIVENESS IS A FUNCTION OF CLEAR
AUTHORITY AND DISCIPLINE WITHIN AN
ORGANIZATION
ELTON MAYO
EFFECTIVENESS IS A FUNCTION OF
PRODUCTIVITY RESULTING FROM
EMPLOYEE SATISFACTION
NEAR
FUTURE
TIME
DIMENSION
INTERMEDIATE
FUTURE
Approx.
1 year
DISTANT
FUTURE
Approx.
5 years
The organization
must be
1.
EFFECTIVENESS
CRITERIA
2.
3.
EFFECTIVE in
accomplishing its
purpose(s)
EFFICIENT in
the acquisition
and use of
scarce resources
A SOURCE OF
SATISFACTION
to its owners,
employees,
customers and
clients, and
society.
The organization
must be
The organization
ADAPTIVE to
new
must be
opportunities
6. CAPABLE OF
and obstacles
SURVIVAL in
5. CAPABLE OF
a world of
DEVELOPING
uncertainties.
the ability of its
members and
of itself
4.
ORGANIZATIONAL EFFECTIVENESS
APPROACHES TO MEASURING
ORGANIZATIONAL EFFECTIVENESS
Goal Approach: Effectiveness is the ability to
excel at one or more output goals.
Internal Process Approach: Effectiveness is the
ability to excel at internal efficiency, coordination,
motivation, and employee satisfaction.
System Resource Approach: Effectiveness is
the ability to acquire scarce and valued resources
from the environment.
Approaches to Measuring
Org. Effectiveness,
continued
INPUTS
TRANSFORMATION
OUTPUTS
GOAL APPROACH
INPUTS
TRANSFORMATION
OUTPUTS
INPUTS
TRANSFORMATION
OUTPUTS
INPUTS
TRANSFORMATION
OUTPUTS
Definition
An organization is effective
to the extent that:
Goal attainment
When Used
Preferred when:
a clear connection
measurable
System Resource
exists
constituencies have
influence on the
organization,
satisfied
must
respond to demands
Internal Processes
satisfaction
Typical Criteria
Dimensions of Effectiveness
Structure
Flexibility
II
Focus Internal
External
III
IV
Control
Competing Values
Four different opposing value sets within the
organization. Exist simultaneously, and the
right balance for the organization is subject
to managerial discretion.
Emphasis may change over time, especially as
The organization evolves through its life cycle.
Examples: hospitals, airlines
Dimensions of Organisations
These
dimensions
describe
organizations in much the same way
that personality and physical traits
describe people
Describe
characteristics
of
organisations
Dimensions of Organization
Design
1) Structural Dimensions
describe the internal characteristics of an
organization
2) Contextual Dimensions
describe everything that shapes the
structure of the organization
Structural Dimensions
1) Formalization
2) Complexity
3) Centralization
Structural Dimensions
1) Formalization:
- the amount of
written
documentation in the
organization
- Include procedures,
job descriptions,
regulations, and
policy manuals
FORMALIZATION
As the level of formalization increases, so does
the probability that:
1. The strategic decision process will be initiated only in
response to problems or crises that appear in variables
monitored by the formal system;
2. Decisions will be made to achieve precise, yet remedial,
goals, and means will displace ends;
3. Strategic action will be the result of standardized
organizational processes, and moves will be incremental;
and
FORMALIZATION, CONTD
Structural Dimensions
2) Centralization:
- refers to the
hierarchical level that
has authority to make
a decision
- Centralized decision
making (at top) gives
little discretion to
lower level employees
CENTRALIZATION
As the level of centralization increases, so does the
probability that:
1. The strategic decision process will be initiated only by
the dominant few, and it will be the result of proactive,
opportunity-seeking behavior;
2. The decision process will be oriented toward achieving
positive goals (i.e.- intended future domains) that will
persist in spite of significant changes in means;
3. Strategic action will be the result of intendedly rational
choices, and moves will be major departures from the
existing strategy; and
CENTRALIZATION, CONTD
4. Top managements cognitive limitations will be the
primary constraint on the comprehensiveness of the
strategic process. The integration of decisions will
be relatively high.
3. Complexity
Complexity is the degree of differentiation within the
organization
This can include differing tasks, locations of work, hierarchies
Complexity can be horizontal or vertical (or both)
A horizontally complex organization splits tasks up between individuals
Vertical complexity is the depth of a hierarchy
3. COMPLEXITY
As the level of complexity increases, so
does the probability that:
1. Members initially exposed to the decision stimulus
will not recognize it as being strategic or will ignore it
because of parochial preferences.
2. A decision must satisfy a large constraint set, which
decreases the likelihood that decisions will be made
to achieve organization-level goals;
3. Strategic action will be the result of an internal
process of political bargaining, and moves will be
incremental; and
COMPLEXITY, CONTD
4. Biases induced by members parochial
perceptions will be the primary constraint on the
comprehensiveness of the strategic decision
process. In general, the integration of decisions
will be low.
Contextual Dimensions
1) Size
2) Organizational
Technology
3) Environment
4) Strategy
5) Industry
Contextual Dimensions
1) Size:
- is the organizations
magnitude as
reflected in the
number of people in
the organization
- organization as a
social system
Contextual Dimensions
2) Organizational
Technology
- is the nature of the
production subsystem
that changes inputs
to outputs
- Includes assembly
lines, classrooms, oil
refineries, etc.
Contextual Dimensions
3) Environment:
- includes all elements
outside the
boundaries of the
organization
- Includes customers,
suppliers,
competitors,
government, etc.
Contextual Dimensions
4) Goals & Strategy:
- define the purpose
and competitive
techniques that set
one organization
apart from others
- Includes mission
statements and plans
of action
Contextual Dimensions
5) Culture:
- is the underlying set
of key values, beliefs,
understandings, and
norms shared by
employees
- May be observed in
stories, symbols,
ceremonies, etc.
From vertical to
horizontal structures
From routine tasks to
empowered tasks
From formal control to
shared information
From competitive to
collaborative strategy
From rigid to adaptive
control
Contingency Approaches
to Organization Design
Universal Approach
Prescriptions or propositions are designed to
work in any circumstance
Contingency Approach
Desired organization outcomes can be
achieved in several ways
Specific conditions (environment, technology,
workforce) determine the structure
STRATEGY AND
STRUCTURE
STRATEGY IMPERATIVE
1. The organization has a goal or
goals toward which it drives.
2. It moves toward its goals in a
rational manner.
3. The organization exists to transform
economic inputs to outputs.
4. The environment within which the
organization operates is a given.
STRATEGY-DEFINED
Strategy can be defined as the
determination of the basic long-term goals
and objectives of an enterprise, and the
adoption of courses of action and the
allocation of resources necessary for
carrying out these goals.
STRATEGY HISTORY
Early writers assumed that the Planning
Mode was the proper way in which to view
strategy. The broader Evolutionary Mode has
been gaining acceptance in recent years.
Due to the need to cope with both static and
dynamic strategies.
LEVELS OF STRATEGY
Environmental
Factors and
Organizational
Capabilities
STRATEGY
STRUCTURE
CHANDLER, CONTD
Concluded that organization
structures follow the growth
strategies of firms.
He also found that growth strategies
tended to follow certain patterns.
GROWTH STRATEGIES I
GROWTH STRATEGIES II
GROWTH STRATEGIES IV
GROWTH STRATEGIES V
CHANDLER, CONTD
As a firm moves through each stage, it must
change its organization structure in successive
steps through System 1 to System 4 (Likert)
structural types. The initial System 1 structure is
appropriate because volume expansion of a
single product or service in a single industry
stresses low unit cost (efficiency) and maximum
resource utilization (production), with relatively
low concern for response to change and
uncertainty.
CHANDLER, CONTD
The change to geographic expansion, and
ultimately, product diversification increases
the firms concern for adaptability and
flexibility in the face of diverse and
complex environments. Thus, the
organization structures of such firms are
characterized by product-based divisions
and departments, decentralized authority,
and relatively wide spans of control.
CHANDLER TIME-LINE
CHANDLER - PROGRESSION
TIME t
Simple Structure. Centralized.
CHANDLER PROGR. II
TIME t+1
As demand grows for products. Companies
expand. They increase product lines. Integrate
vertically to control sources of supply. Reducing
dependency on suppliers. To produce a greater
variety of products. They separate into product
groups within the organization.
t+1, continued
Strategies become more ambitious and
elaborate. Expand activities within their
same industry. Vertical integration requires
more complex coordination due to increased
interdependence between organizational
units. Accomplished by redesigning the
structure to form specialized units based on
functions performed.
(Moderate Centralization, Moderate
Formalization,
Moderate Complexity)
t+2, continued
A product-diversification strategy requires a
structural form that allows for the efficient allocation
of resources. Accountability for performance, and
coordination between units. This can best be achieved
through the creation of a multiple set of independent
divisions, each responsible for a specified product
line.
(High Complexity, Low Centralization, Moderate
Formalization)
DEFENDERS, CONTD
Defenders tend to ignore developments outside their
product line areas. They do little environmental
scanning and limit product development. There is
intensive planning towards cost and efficiency
issues.
Example Soft Soap
ANALYZERS CONTD
Analyzers seek both flexibility and stability. They develop
a structure made up of dual components. Parts have high
levels of standardization, routinization, and mechanization
for efficiency. Other parts are adaptive to maintain
flexibility.
Examples IBM, Catapillar, Digital Equipment Corp.
ENVIRONMENT STRATEGY
CONTINUUM
Little Change
and Uncertainty
Defender
Reactor
Rapid Change
& High Uncertainty
Analyzer
Prospector
TWO-VARIABLE ANALYSIS OF
INDUSTRIES
INDUSTRY-STRUCTURE II
TYPE B and D INDUSTRIES: Because of low capital
requirements. These industries tend to be made up of a large
number of small firms. Type D, however, will likely have
more division of labor and more formalization than Type Bs
because low innovation rates allow for greater standardization.
in the same way that capital requirements influence
organizational size and number of competitors. We should
expect high product-innovation rates to result in less
formalization and more decentralization of decision-making.
(3) Porters
Porters Generic
Generic Strategies
Strategies
(3)
Cost Advantage
Lower Cost
Differentiation
Broad
Target 1. Cost Leadership2. Differentiation
Competitive
Scope
LIMITATIONS, II
2. Another observation of theorists is that
when there is a major change in strategy
there is normally not any major change in
structure soon.
Some claim because of this that there is a
lag between changes in structure and
changes in strategy, or vice-versa. Some
feel that this is a cop-out.
Organizations that do not face stiff
competition are slower to change their
structures than others.
LIMITATIONS, III
3. A study of the upper half of the Fortune 500
firms found that structure influences and
constrains strategy, rather than the other way
around.
Strategy
Size
Technology
Organisational
Structure
Strategic
Choice
Environment
General Environment/macro
Sectors that might not have a direct impact on the
daily operations of a firm
Political: regulation
Economic
Sociocultural sector: the green movement
Economic conditions: global recession
Technology sector: massive and constant
changes
Ecological
International Environment
Can directly affect many organizations
Has grown in importance
Distinction between foreign and domestic
operations
All organizations face domestic and global
uncertainty
Organizational Domain
The domain of an organization is the claim it stakes
out for itself with respect to: (1) range of products
offered, (2) markets served, and (3) services rendered.
Domain is closely related to the task environment of the
organization.
DOMAIN CONSENSUS
Domain consensus is the extent that there is general
agreement on an organizations expectations both for
members of an organization and for others with whom
they interact, about what the organization will and will
not do.
Selection of a specific domain significantly influences
other choices that an organization must make (financing,
structure, personnel, etc.)
Organizations may have multiple domains.
DOMAIN CONFLICT
Domain conflict exists when there is a lack of
recognition or agreement about the organizations
role within its larger environment.
Establishment of a domain cannot be an arbitrary,
unilateral action.
Organizations must
cope with and manage
uncertainty to be
effective.
UNCERTAINTY IN THE
ENVIRONMENT
Simple
DEGREE OF
HOMOGENEITY
Small number of
external elements.
Elements remain the
same or change slowly
Small number of
external elements.
Elements are in
continuous change
Large number of
Large number of
external elements.
external elements.
Element remain the
Elements are in
same or change slowly continuous change.
Complex
Stable
Dynamic
DEGREE OF CHANGE
UNCERTAINTY IN THE
ENVIRONMENT
Simple
LEAST
UNCERTAINTY
MODERATE
UNCERTAINTY
DEGREE OF
HOMOGENEITY
MODERATE
UNCERTAINTY
MOST
UNCERTAINTY
Complex
Stable
Dynamic
DEGREE OF CHANGE
UNCERTAINTY IN THE
ENVIRONMENT
Simple
DEGREE OF
HOMOGENEITY
Personal computers,
fashion clothing,
music industry, toy
manufacturers
Universities, hospitals,
Insurance companies
American Airlines,
oil companies,
electronic firms,
aerospace firms
Complex
Stable
Dynamic
DEGREE OF CHANGE
ORGANIC ORGANIZATION
Organic organizations are relatively flexible and adaptable.
They rely on lateral communication rather than vertical
communication. Influence is based upon expertise and
knowledge rather than on authority of position.
Responsibilities are defined loosely rather than rigid job
definitions. Emphasis is on exchanging information rather
than on giving direction.
MECHANISTIC ORGANIZATION
MECHANISTIC ORGANIC
Task Definition
Rigid
Flexible
Communication
Vertical
Lateral
Formalization
High
Low
Control
Centralized
Diverse
Influence
Authority
Expertise
Strict hierarchy of
authority and control
2013 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Structure
Tasks/Roles
System Formality
Communication
Hierarchy versus Collaboration
2013 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
2013 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
2013 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Dependence on External
Resources
Resource-dependence perspective
means organizations depend on the
environment
Strive to acquire control over resources to
minimize dependence
Organizations are vulnerable if resources are
controlled by other organizations
Minimize vulnerabilities
Will team up with others when resources are
scarce
2013 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
2013 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
2013 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Environmental Characteristics
and
Organizational Actions
Design Essentials
Change and complexity have major implications for
organizations
Organizational environment differs regarding uncertainty
and resource dependence
The goal for organizations is managing efficiencies and
survival
Managers must understand how the environment
influences the structure of an organization
When risk is great, organizations can attempt to change
or influence the environment
Organizations can learn and adapt to the environment
Placid-randomized
Placid-clustered
Disturbed-reactive
Turbulent-field
PLACID-RANDOMIZED ENVIRONMENTS
This environment is relatively unchanging. Therefore,
environmental uncertainty is low. Environmental
demands are distributed randomly, and change slowly.
Managerial decision making does not give much
attention to the environment.
PLACID-CLUSTERED ENVIRONMENT
Environment changes slowly, but threats are clustered,
not random. The forces in the environment are linked,
and pose a higher threat than randomized changes.
These organizations use long-range planning and
forecasting to learn as much as possible about their
environments. Structures will tend to be centralized.
DISTURBED-REACTIVE ENVIRONMENTS
A more complex environment than either placid one.
Many similar organizations seeking similar ends. One
or more may be large and have ability to influence the
environment. Two or three large companies can
dominate an industry.
Organizations in this type of environment used planned
tactical initiatives, calculate reactions by other, and
develop counteractions. This requires flexibility and a
structure with some decentralization.
TURBULENT-FIELD ENVIRONMENTS
The most dynamic of the environments and has the
highest level of uncertainty associated with it.
Environmental elements are increasingly organized
and interrelated.
Major, dynamic shifts can occur in the environment as
one, or a small group of large companies change the
rules of competition. Thus, planning is not as useful
here.
STRUCTURAL IMPLICATIONS
Emery and Trist did not recommend specific structural
configurations associated with each environmental
type. However, the two placid environments should be
responded to with mechanistic structures, whereas the
disturbed and turbulent environments require more
organic structures. As the environment becomes more
volatile, increasing flexibility Is needed to cope with or
manage the uncertainty that increases.
INTERNAL STRATEGIES
BUFFERING
On the input side, buffering usually takes the form of
stockpiling critical resources whose supply is uncertain
or whose price fluctuates widely over time.
On the output side, buffering typically involves building
and keeping up warehouse and distribution inventories.
By buffering, environmental uncertainties are absorbed
because an organizations technical core produces at a
constant rate. Other methods of buffering might include
preventative maintenance and recruiting and training.
SMOOTHING (LEVELING)
Where buffering absorbs environmental uncertainties,
smoothing involves efforts to manage environmental
uncertainties. Smoothing attempts to protect the technical
core by reducing uncertainties associated with cyclical
variations in product or service demand.
Examples might include differential costs of long distance
telephone calls that are lower during non-peak times,
discount airline fares for off-time flights.
FORECASTING
When buffering and smoothing will not effectively protect
an organizations technical core, organizations can often
reduce uncertainty and behave in a logical, rational manner
by developing accurate forecasting capabilities. To the
degree that environmental fluctuations can be predicted,
they can be treated as constraints and adapted to.
RATIONING
Finally, when the organization finds that neither buffering,
smoothing, nor forecasting is sufficient to prevent
environmental penetration, organizations can turn to
rationing. The allocation or assignment of resources
according to established priorities can be seen in
restaurant reservations, reserved seats at theaters, etc.,
and rationing (such as gasoline rationing during the
oil embargo). In general, rationing is a less than
satisfactory solution, because it indicates that the
organization is not fully serving its task environment.
It can be costly in terms of lost revenue and customer
goodwill (Atari, Cabbage Patch dolls, etc.)
EXTERNAL STRATEGIES
Besides strategies for dealing with uncertainty in their
internal environments, organizations also have strategies
for dealing with uncertainty in their external (general)
environments.
The actual relations, or interactions, between organizations
are the responsibility of boundary personnel. The boundary
spanners or gatekeepers, are important because they mediate
the flow of information, products or services, and personnel
between organizations in its environment.
EXTERNAL STRATEGIES II
Thompson identified two direct strategies for managing
external dependencies such as suppliers, customers,
banks, etc.:
COMPETITIVE STRATEGIES
COOPERATIVE STRATEGIES
COMPETITION
Refers to rivalry between two or more organizations which
is mediated by a third party. In the case of a manufacturer,
the third party might be a customer, distributor, supplier or
potential employee. In each instance, the third party must
select among alternative courses of action (For example,
which of several competing products to purchase).
DEPARTMENTAL DIFFERENTIATION
BASED UPON SUBENVIRONMENT
CHARACTERISTICS
Strategy
Size
Technology
Organisational
Structure
Strategic
Choice
Environment
INDUSTRY-STRUCTURE
RELATIONSHIP
Industry
Strategy
Structure
Technology and
Organizational Structure
Borrows from the strategy imperative
Strategy is largely determined by
industry
Technology is seen an intervening
variable
Size is also seen as a contributing
variable in explaining the relationship
INDUSTRY-TECHNOLOGY-SIZESTRUCTURE IMPERATIVE
TECHNOLOGY INFLUENCES
ORGANIZATIONAL STRUCTURE
Defining TECHNOLOGY
we are referring either to a practical
application of science to address a particular
product or manufacturing need, or to an area of
specialized expertise the practical
application of science. (A.D. Little)
its a specific process that produces a specific
product a manufacturing process as a way
a company does business or attempts a task.
(McKinsey)
WHAT IS TECHNOLOGY?
COMPANY
(Robbins, 1990)
WHERE IS TECHNOLOGY?
INFRASTRUCTURE
HRM
R
MA
G IN
TECNOLOGY DEVELOPMENT
PRIMARY
INBOUND
OUTBOUND
MARKETING
LOGISTIC OPERATIONS LOGISTIC
& SALES
GIN
PROCUREMENT
SERVICES
MA
R
SUPPORT
WOODWARD
Problem
Analyzability
Ill defined
and
unanalyzable
Craft
Nonroutine
Well defined
and
analyzable
Routine
Engineering
PERROWS TECHNOLOGY-STRUCTURE
PREDICTIONS
Output
Sequential
interdependence
Client a
Transformation
Process
Client b
Pooled
interdependence
Resources
a
b
c
d
Inputs
Feedback
Transformation
Process
Output
Reciprocal
interdependence
Input
client
T.P.
Resources
a
b
c
d
client
Inputs
Feedback
Transformation
Process
Output
Output
Common elements
Routineness as common denominator
Complexity (-)
Formalization (+)
Centralization (+/-)
3 theoretical perspectives on
the relationship S-T
T is a vital part of the S
planning process
T as input to S (Resource
Based Strategy)
Technological Learning
Average
Unit Cost
(Dussauge 1992)
Markets
New but
familiar
Current
Technologies
Current
Markets
30%
New but
familiar
10%
40%
90%
30%
Current
Technologies
Current
Business
Exposure
Medium
Low
Technical Uncertainty
(A.D.Little, 1981)
Low
Medium
High
Potential
competitive
impact
Probability of Success
Strategic
Autonomy
Acquisition
External R&D
contracts
Joint Venture
Licences
Time
Markets
New but
familiar
Joint Venture
Internal Vent.
Educational
Acquisition
Spin off
Sell
I.D
Acquisition
I.D
Licensing
Acquisition
Educational
Acquisition
Internal
development
I.D
Licensing
Acquisition
Joint Venture
Internal Vent.
Current
Technologies
Current
3. Exploitation
Internal or External
External exploitation in case of:
protection (patent)
barriers to entry / exchange of technologies
imposition of it as a standard
Formulating a
technological strategy
Business growth
potential
Market position
Technological
capabilities
STAR
Maintain the
position
Business
Growth
$
Low
Low
CASH
COW
Exploit (deploy,
licence)
QUESTION
MARK
Invest heavily
or abandon
DOG
Abandon
Industries and
Investments in Technology
CAPACITY
driven
(textile, metals,
basic
chemicals,
paper)
PHYSICAL
CAPITAL
CUTOMER
driven
(households
durables,
food)
KNOWLEDGE
driven
(software,
electrical
equipment)
CUSTOMER
RELATIONSHIP
R&D
Size
Total number of employees in the
organization
Problem with part time and seasonal
workers
Size based on sector
Size mediated by efficiency
(3) Meyer
1. Did a causal, longitudinal study
2. Size caused structure not structure
causing size
3. When size is controlled the impact of
other variables disappeared
1.
2.
3.
4.
5.
1.
2.
3.
4.
Strategic Choice
Strategic Choice
Strategic Choice
Role of the manager
Evaluates the imperatives and organization strategy
Designs organization structure accordingly
17.5
17205
Figure 17-9
Environment
al
constraints
Strategic
decisions
made by
dominant
coalition
Organizational
Strategies
Organization
al structure
Target
markets
Capital
sources/uses
Decision
makers
personal
beliefs,
attitudes,
values, and
ethics
17-206
Human
resources
Technology
Total quality
management
Corrective action
Organization
al
effectiveness
Future Organisation
Structures
Influences on Future
Organization Designs
The Mission
Influences on Future
Organization Designs
Influences on Future
Organization Designs
Influences on Future
Organization Designs
The Future Environment
Changing reimbursement systems
Expanding private sector involvement
Involvement of trustees, physicians, and
other health professionals in strategic
planning
External standards for professional
conduct
Influences on Future
Organization Designs
The Future Environment
Demand for accountability and value
Focus on patient safety and quality of care
Rapidly developing medical technologies
Information demands
Development of information systems
Artificial intelligence
Influences on Future
Organization Designs
The Organization
Greater emphasis on teamwork
Social contract accountability for
governance
Corporatization of health services
organizations
Demands to improve the quality of care
Influences on Future
Organization Designs
The Organization
Demands to control costs, efficiency,
productivity, and value
Comprehensive and integrated clinical and
financial information systems
Constrained financial resources
Influences on Future
Organization Designs
The Organization
Changing working relationships
Increasing use of information technology
Increasing need to coordinate activities
internally
Influences on Future
Organization Designs
The Organization
Managing conflict creatively
Collaboration among public and private
organizations to address preventable
diseases
Influences on Future
Organization Designs
Culture
Influences on Future
Organization Designs
Culture
Influences on Future
Organization Designs
Culture
Influences on Future
Organization Designs
Culture
Influences on Future
Organization Designs
Human Resources
Acute shortage of nursing personnel
Emphasis on cross-training vs. traditional
professional training
Influences on Future
Organization Designs
Human Resources
Emphasis on horizontal teams and
collaborative practices
Pressure to substitute "cheaper" health
care workers for more expensive health
professionals
Influences on Future
Organization Designs
Human Resources
Influences on Future
Organization Designs
Human Resources
Influences on Future
Organization Designs
Human Resources
Influences on Future
Organization Designs
Human Resources
Influences on Future
Organization Designs
The Political Process
Informal leaders may be helpful
Better management to identify key players
in redesign process
Organization in Transition
Life Cycles
Four phases (Starkweather and Kisch):
Search
Success
Bureaucratic
Succession
Organization in Transition
Designs for Quality Improvement
Quality of care
Quality is an organizational problem
Emphasize:
Organizing work around patient
Reframing role of hospital in health
services system
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Benefits of Organizational
Design
Organizational design can help an
organization achieve increases in
efficiency, quality, innovation and creativity,
and responsiveness to customers.
Increasing efficiency is most closely
associated with a cost-leadership strategy.
Increases in quality, innovation, and
customer responsiveness are most closely
associated with a differentiation strategy.
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Increasing Efficiency
Designing structure
Keep the structure as flat as possible
Decentralize authority
Reevaluate form of differentiation
being used
Reevaluate integrating mechanisms
being used
Managing culture
Create a cost-cutting culture
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Increasing Quality
Designing structure
Keep the structure as flat as possible
Decentralize authority
Use cross-functional teams
Increase standardization
Managing culture
Create a quality-oriented culture
25
Increasing Innovation
Designing structure
Use a matrix structure
Use cross-functional teams
Managing culture
Create a creative and innovationoriented culture
Stress instrumental values of risk
taking and exploration
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Increasing Customer
Responsiveness
Designing structure
Employ a geographic structure
Employ a market structure
Managing culture
Create a quality-oriented culture
Promote instrumental values of caring
for customers, attentive service, and
speedy after-sales support
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Advice to Managers
Evaluate the way you are currently pursuing
your strategy, and decide how you might
improve efficiency, quality, innovation, or
customer responsiveness to increase
performance.
Consider implementing a T.Q.M. program to
discover ways to increase performance.
Evaluate how your organizations structure and
culture are helping or hurting organizational
performance, and implement any organizational
design changes that will help to increase your
competitive advantage.