Organizational Design

Question 1

Organization as a system - defined by

Answer 1

its legal documents, mission, goals, and strategies, and operating manuals

Question 2

Organization as a system - represented by

Answer 2

its organization charts, job descriptions, and marketing

Question 3

Organization as a system - maintained or controlled by

Answer 3

policies and procedures, budgets, info management system, quality management and performance review systems

Question 4

Organization as a system - impact you as PT

Answer 4

• Every part and piece of an organization will connect to you as a PT - understand that as a PT in an organization your actions will impact other people’s work and opportunity as well - need to work together as a team

Question 5

System purpose =

Answer 5

System purpose: the mission/vision of the organization

Why do you exist as part of an organization? And who do we exist for?

Question 6

Organizational design vs. structure - Design is what

Answer 6

A plan
the intended plan
think building design
What it says that it is on paper - how did we intend for it to function or perform
Process of integrating to achieve obectives

Question 7

Organizational design vs. structure - Structure is what

Answer 7

how it performs and who is in it and what they do - the roles and responsibilities
Who performs the various functions and tasks and how these people relate to one another
The org chart for ex - A skeleton of an organization

Question 8

Organizational Structure vs. Business Structure

Answer 8

Not always the same! Organization is more of the plan

Business is more of the legal aspect to things - what the court of law says that we are

Question 9

Business Structure - Sole proprietorship

Answer 9

Just one person who owns the business; a single entity; a single owner that runs the business

Question 10

Business Structure - Sole proprietorship Adv. and Disadv.

Answer 10

Adv - max freedom, easy to set up and form

Dis - nothing to fall back on, max liability, might be hard to get all expenses you need

Question 11

Business Structure - General Partnership

Answer 11

2 or more owners

They are in it together - everyone has a stake in it

Question 12

Business Structure - General Partnership - Adv and Disadv

Answer 12

Adv - still quite a bit of freedom, easy to form, spreads workload and duties
Disadv - divided authority, might not always agree, limited liability

Question 13

Business structure - Limited Partnership

Answer 13

2 or more

They come together but are not equal - one has more power than the other

Question 14

Business structure - Limited Partnership - Adv and Disadv

Answer 14

Adv - broader management with more managers

Disadv - Divided auth, more difficult to dissolve if you no longer want to be part of it

Question 15

Business structure - Joint ventures partnership

Answer 15

you are maybe partnering with another organization

Question 16

Business structure - Corporation Adv and Disadv

Answer 16

At least 1 owner
Adv - cover some liability, separate legal entity
Disadv - Not as much flexibility, more into business aspect, taxes

Question 17

Business structure - LLC adv and disadv

Answer 17

Adv - limited liability, protecting your personal assets, more freedom, easy to close and withdraw if you want
Disadv - most happen when there is more than 1 owner - taxes, withdrawal process

Question 18

Purpose of structures - why should you care as a PT

Answer 18

Important to know what your boss is when you go to work for someone because will give you insight into their connection the company and how much they care about you

Question 19

Purpose of organizational design

Answer 19

This is the plan part
Attain efficiency and effectiveness (quantity vs. quality)
Promote corporation and coordination
Arrange people and work into effective and efficient units

Question 20

Factors that affect relationship between design and structure

Answer 20

Organizational size
Organizational life cycle
Strategy
Environment
Technology

Question 21

Principles of organizational Design

Answer 21

1 - Human activity/labor
2 - Work coordination
3 - Authority and responsibility 
4 - Unity of command 
5 - Span of control
6 - Contingency factors

Question 22

Principles of organizational Design - Human activity - Division of labor

Answer 22

Basis by which jobs are grouped together
- based on type of personnel, clinical expertise, job types
Organized by disciplines

Question 23

Principles of organizational Design - Human activity - work coordination

Answer 23

Work standardization
Supervision
Mutual accommodation

Us being able to work across disciplines - ex: inpt rehab or long term care facilities

Question 24

Principles of organizational Design - Authority and Responsibility

Answer 24

Authority - rights to make decisions and/or give orders and expect them to be followed
Responsibility - obligation to perform assigned activities (accountability)

Question 25

Principles of organizational Design - Unity of command

Answer 25

One supervisor to whom a person directly reports | Chain of command

Question 26

Principles of organizational Design - Span of control

Answer 26

Narrow - supervision of a few people, keeping it centralized | Wide - supervision of many people, expansive, decentralized

Question 27

Principles of organizational Design - contingency factors

Answer 27

``` Mission - purpose, values Internal environment External environment Organization size Technology ```

Question 28

Organizational chart is what

Answer 28

Diagram that shows structure of an organization Shows the relationships and relative ranks of its positions Helps to organize the workplace

Question 29

Health care systems - integrated systems has what

Answer 29

network that coordinate care Can be be horizontal - single specialty (ortho) Can be vertical - full spectrum with more than one type (hospital) Virtually - IT, EMR infrastructure

Question 30

Mechanistic vs. Organic

Answer 30

Mechanical - more of the long standing, very structured, very sustained - more structure, more policies more set in their ways Organic - more in the beginning stages, learning how to form, more of the I will do it because I am around, everyone working as a team with all hands on deck

Question 31

Common forms of organizational structure

Answer 31

FUnctional Divisional Matrix

Question 32

Common forms of organizational structure - Functional

Answer 32

Group positions into work units based on similar activities, skills, expertise, and resources Ex - marketing, finance, human resources, rehab

Question 33

Common forms of organizational structure - Divisional

Answer 33

Grouped on the basis of geographic markets, customers served, common products Could be based on produce (specialization), geographic location, customer (specific needs) Geographic is a common one

Question 34

Common forms of organizational structure - Matrix

Answer 34

Tasks of organization are grouped along two dimensions | Product/service and geographic region

Question 35

Common forms of organizational structure - Matrix - Positives

Answer 35

give you more of a broad picture and see how you relate back to that systems piece, if it is a small division like home care you have the opportunity to share and work across the units is positive Sharing resources and capitalizing on someone else's expertise is a positive aspect

Question 36

Common forms of organizational structure - Matrix Adv

Answer 36

Adv: - If you have limited resources, you can share or capitalize or capture some expertise across units - Allocation of resources - Eliminates duplication Increases the accountability and some of the authority and responsibility things

Question 37

Common forms of organizational structure - Matrix Disadv

Answer 37

If you needed more specialized people, might increase the need for specialized - harder to implement and make happen If limited resources, is harder to implement

Question 38

Common forms of organizational structure - Divisional Adv

Answer 38

Location specific so you can tailor Narrow control Decentralized

Question 39

Common forms of organizational structure - Divsional Disadv

Answer 39

Inc duplication | If you are body of one - limited support or resources

Question 40

Common forms of organizational structure - Functional - adv

Answer 40

You can share and support and be more efficient

Question 41

Common forms of organizational structure - Functional Disadv

Answer 41

Limited support - if you are the only one out there, you will do it - that is your job

Question 42

Organizational Design - Reorganization - Reasons to reorganize

Answer 42

``` Failure to meet standards Merger CHanges in market place Demands for customers Regulatory changes New services New leadership ```

Question 43

Organizational Design - Reorganization - Functions affected by redesign

Answer 43

Employee relationships Employee skill needs Work division Work processes and coordination

Question 44

Patient centered medical home

Answer 44

``` Personal physician, directed team Person centered Care coordination Quality, safety , access Reduced cost ```

Question 45

Accountable care organization

Answer 45

Hospital at the foundation Performance and accountability Coordinated care Reduction in utilization and cost