HLST 2030 Lecture Notes - Lecture 1: Henri Fayol, Lean Manufacturing, Organizational Ecology
19 Sep 2017
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Document Summary
They are not socializing inside the organization: doctor has high power of autonomy, come with professional practices from their own. Organizational practices of known effectiveness are underutilized, from coordination, leadership development and organizational learning, Such basic features of organizing as clear communication, shared . Task environment: complex, ambiguous, dynamic, and local. Multiple external constituencies compete to influence how hospitals execute their missions, deliver patient care, and manage their workforce, including federal and state governments, professional associations. Doctors, nurses and managers as mostly socialized outside of the hospitals. Clinical practices are subject to simultaneous demands for standardization as well as flexibility. More use of clinical guidelines (but still low = 40%) Flexibility particularly in the face of variations in patient conditions, necessitates reliance on clinical judgement made on the scene to determine appropriate patient care. With growing specialization, care providers along the continuum of care are increasingly interdependent. As a result the capacity to communicate effectively through these multiple handoffs .
