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NFS 5360 - MANAGEMENT FUNCTIONS, ORGANIZATIONAL STRUCTURE, and DELEGATION

Managing Within An Organization: Organizational Structure & Management Functions, Roles and Skills Mary E. Width, M.S, R.D. Wayne State University

The Controversy
• ENVIRONMENT It doesn’t matter how well it worked in a factory, it won’t work here - this is a hospital (or nursing home, urgent care center, etc.). • MANAGEMENT Good management is good management no matter where it’s practiced. What worked elsewhere will work in a health care organization as well.

The Controversy
• Vertical versus Horizontal views • Survival of the fittest

• Look not at what business we do, but how we do business

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NFS 5360 - MANAGEMENT FUNCTIONS, ORGANIZATIONAL STRUCTURE, and DELEGATION

Introduction to Management
• What is management?
– A process whereby unrelated resources are integrated into a total system for accomplishment of objectives – Working with and through individuals and groups to accomplish organizational goals – To control or guide; to have charge of; to direct; to succeed in accomplishing – The four basic elements of group effort in the management process are: toward objectives; through people; via techniques, in an organization

Management Defined
• From now on, management is defined as:
The effective use of resources to accomplish goals of the organization or in simpler terms getting things done through people

Organizational Structure
• “Organization is a deliberate arrangement of people to accomplish a specific purpose.” – People, structure, purpose

• Elements of formal structure
– – – – – Hierarchy Span of Control Line/Staff relationships Centralization/decentralization Departmentalization

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NFS 5360 - MANAGEMENT FUNCTIONS, ORGANIZATIONAL STRUCTURE, and DELEGATION

Hierarchy
• “Vertical relationships within an organization that define reporting relationships.” • Typical Managerial Levels – First-line or Frontline (Technical level) • production level where goods and services are produced – Middle Managers (Organizational level) • provides coordination & services for the technical operations & has responsibility for relating the technical & institutional levels – Top Managers (Institutional level) • policy-making level of the org and has primary responsibility for interaction with the environment and long-range planning

Organizational Hierarchy
Chief Executive Officer Chief Operating Officer VP for Support Services Director Food & Nutrition

Asst. Director Pt. Srvcs Clinical Nutrition Mgr. Dietetic Technician Foodservice Workers

Hierarchy: Depts. vs. Organization
Department
CEO
Officers: Medical, Financial, etc.

Organization
Top

Top Middle First-Line

Food Service Director Food Service Managers: Production, Pt. Services, Clinical, Retail/Catering Food Service Supervisors: Trayline, Production, Café, Sanitation

Middle

First-Line

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NFS 5360 - MANAGEMENT FUNCTIONS, ORGANIZATIONAL STRUCTURE, and DELEGATION

Hierarchy – Organizational Labels
• Supervisor versus Manager - Is there a difference?

• Organizational labels
– Not uniform in all organizations

The Supervisor’s Two Hats
• Functional Specialist
– Worker responsible for doing some of the basic work of the department – Registered nurse, laboratory or x-ray technician, dietetic technician, etc.

• Management Generalist
– Concerned with activities that are common to many departments and to most situations in which someone must guide and direct the work of others

As everyone knows, the supervisor has practically nothing to do except: 1. Decide what is to be done, and assign the task to someone. 2. Listen to all the reasons why it should not be done, why it should be done differently, or why someone else should do it. 3. Follow up to find out whether it has been done, and discover it has not been done. 4. Listen to excuses from the person who should have done it 5. Follow up again to determine if it has been...
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