Chap 4: Org'n Design & Mngmt Flashcards
Kast and Rosenzweig City every system is comprised of five subsystems, which are?
- Technical: production and delivery process, specialized knowledge and skills, types of equipment involved and layout
- Structural: The way an organization is divided
- Psychosocial: The psychological climate of the organization
- Managerial: sets the goals, operational plans, establishes eval & control processes.
- Organizational: links the values and goals of the members of the organization with that was a broader society. Social requirements.
What is Pasmore’s view of quality management as a sociotechnical enterprise?
He created a series of principles that looks similar to John Kotter’s. Address the whole job, provide autonomy, delegate authority, group rewards for team-based improvement, remove barriers, recognize the value of people, innovate, and recognize the quality is driven by internal and external factors
Ackoff defines a system as one satisfying following three conditions:
- Behavior each element affects the whole
- Behavior of the elements and their effects on the whole are interdependent
- Each element has an effect on the behavior of the whole and none has an independent effect on it
Is a rapid response team (RRT) a technical, structural, psychosocial, managerial or organizational subsystem?
Structural.
It comprises part of an implemented procedure to respond to declining pt status.
What are some core duties of the managerial subsystem?
Interpersonal, informational and decisional.
More recently, design, education and stewardship have also been viewed as core duties, including curriculum development and training new medical leaders.
What are the 5 responsibilities of a QI leader?
- Advocacy and spokesmanship (within the organization)
- Policy, planning and vision: incorporate QI into the corporate strategy discussions
- Delivery system decision support: Play a key role in redesign and re-engineering efforts, to keep them focused on quality and safety.
- Analysis and control of quality: ongoing quality analysis and continuous improvement.
- External liaison and representation.
To fulfill the five responsibilities of the QI leader, what skills must they have?
- Content experts in QI
- Educators in QU
- Process experts in the development and usage of a system of quality management
- Evaluators, constantly assessing the state of the quality management system.
What is the double track concept?
Since strategic decisions affect quality, QI leaders must have a voice in the direction of the enterprise (strategy) and execution of those strategies (operations).
Track 1: organization level, leaders make a public & strategic commitment to improve quality.
Track 2: the project or team level, and involves specific & operational problems to be solved.
What are the characteristics of high-performing teams?
Size and structure: 8-15 ppl
Shared vision: worked out for the entire group
Focused objectives: specific and near-term
Leadership: leader attends to both the task and group cohesion
Cohesion: all members of the group have concern for other members values imposition, and are in harmony with the task
Action: Group members see action to reinforce interest
Follow-up: review outcomes of interventions
Hoshin planning
What is Hoshin planning?
Intended to link strategic planning, high-level and long-term, with operational planning and implementation on the frontline.
What are the essential elements of Hoshin planning?
- Inclusive of staff at all levels
- Leadership must visibly buy into and support the planning
- Resources or substantial, and support significant training efforts at the start.
How is the Hoshin planning process achieved?
- Identify key strategic issues for the organization.
- Establish referral business goals
- Select strategies to address goals
- Defined specific objectives for each strategy
- Create measurement metrics to evaluate progress
- Identify key progress milestones to formally track progress
Who described the 7 key elements of a learning system, and when?
Nevis, Dibella and Gould in 1995
What are the seven elements of a learning system?
- Knowledge source: internal-external, learn from your organization and others
- Product-process focus: Focus on the process and outcomes
- Documentation mode: personal-public. Some information made available only to individuals, some transparent and public
- Dissemination mode: formal-informal. Formal credentialing and reviews versus informal interactions and role modeling
- Learning focus: incremental-transformative. Incremental or corrective learning versus transformative or radical learning
- Value-chain focus: design-deliver. Focuses on sales and service activities over more traditional production activities.
- Skill development focus: individual-group. Focuses on developing the team or group over developing individuals alone.
