class 3 (jan 15th)

Question 1

types of health care services

Answer 1

-primary
-secondary
-additional

Question 2

classifications of health care services

Answer 2

-public health/prevention
-community/mental health/rehab
-hospital care

Question 3

3 things organizational structure must include

Answer 3

-mission
-vision
-philosophy

Question 4

what is a mission statement

Answer 4

-the aim or function of an organization
-articulates an organization’s distinct and enduring purpose

Question 5

mission statement for NLHS

Answer 5

working together to improve health outcomes through an innovative, integrated and sustainable health system

Question 6

what is a vision statement

Answer 6

future-orientated purposeful statments designed to identify the desired future of an organizations

Question 7

vision statement of NLHS

Answer 7

health and well being. every person. every community.

Question 8

what are philosophy/values statement

Answer 8

written statement that articulates the values and beliefs held about the nature of the work required to accomplish the mission
-flows from the purpose of mission
-values and beliefs that guide all actions of the organization
-foundations that directs all further planning towards the mission

Question 9

values of NLHS

Answer 9

“ICARE”
innovation
compassion
accountability
respect
excellence

Question 10

what is organizational culture

Answer 10

knowledge or values and beliefs within the organization that reflect the norms and traditions of the organization
-a sum, total of values, language, past history, formal and informal communication networks, and the rituals of an organization
-differs from organizational CLIMATE

Question 11

characteristics of organizational structures

Answer 11

-scalar chain
-span of control
-centralization
-responsibility
-authority

Question 12

what is a scalar chain

Answer 12

-chain of command withing an organization representing the decision making heirarchy
-represented by an organizational chart

Question 13

what is an organizational chart

Answer 13

flow of command within nursing
chief nurse executive->nurse manager->staff nurse

Question 14

advantages of the organizational chart

Answer 14

1.maps line of decision-making authority
2.helps people understand their assignments and those of their coworkers
3.reveals to manager and new personnel how they fit into the organization
4.contributes to sound organizational structure
5.shows formal lines of communications

Question 15

disadvantages of the organization chart

Answer 15

1. does not show the informal structure of the organization
   2.does not always depict degree of authority of positions
   3.may show things as they are supposed to be or used to be rather than as they are
   4.possibility exists of confusing authority with status
   5.does not define accountability and responsibility

Question 16

what is span of control

Answer 16

-characterized by the number of people reporting to one manager
-suggested range: 3-50 employees
-should be the number that maximizes productivity and worker satisfaction

Question 17

what is decentralized decision-making

Answer 17

decision making is diffused throughout the organization

Question 18

what is centralized decision-making

Answer 18

decisions are made by a few manager at the top

Question 19

what is responsibility

Answer 19

responsibility is related to job assignment (the obligation to perform the task) and must be accompanied by enough authority to accomplish the assigned task

Question 20

what is authority

Answer 20

authority is the offical power/right to act and direct the work of others

Question 21

types of organizational structures

Answer 21

1.functional
2.service-line
3.matrix
4.flat
5.shared governance

Question 22

what is shared governance

Answer 22

-focus is on interpersonal relationships
-less rigid
-increase sense of autonomy and empowerment

Question 23

factors that impact organizational effectiveness

Answer 23

-clear definition of structure
-few levels of management
-short chain of command
-decision making at lowest possible level
-informal group meetings “group think”
-development of future leaders