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Organizational Performance and Work Design
Galbraith and Lawler's book entitled Organizing for the Future captures the importance of organizational performance and work design and redesign: “organizations in the future will have to be able to innovate, to improve their processes, and to redesign themselves” (Galbraith & Lawler, 1993, p. 88).
Over the years, there has been an accumulation of tools and methods for innovation and improvement processes in organizations. In overview, these include the following:
- 1940s: Sensitivity training for the interaction of the person and the environment
- 1950s: Conflict resolution and team building
- 1960s: Intergroup development and open systems planning
- 1970s: Sociotechnical systems analysis and quality of work life
- 1980s: Organization transformation, total quality, largescale change with future search
- 1990s: Re-engineering, large-group intervention, transcultural planning, and transnational community building
Organizational efforts to improve work design operate out of a set of core values:
- Integration of individual and organization needs
- Choice, freedom, and responsibility
- Dignity, integrity, self-worth, and fundamental rights
- Cooperation and collaboration
- Authenticity and openness
- Effectiveness, efficiency, interdependence, and alignment
- Holistic, systemic vantage point and stakeholder orientation
- Participation, confrontation, and adaptability
Organization change has traditionally relied on the interpersonal strategy of normative re-education without giving attention to the economic, political, technological, legal, and ethical issues that affect the organization. Organizational performance improvement and work design and redesign efforts have been added to the tools and methods of innovation. When dealing with the organization as a whole, one must ask questions that in their simplicity usually generate profound answers.
- Where are we going? Develop goals for work, process, organization. (Goals)
- How shall we get there? Develop design for attaining them. (Processes)
- How will we know we've arrived? Develop management systems. (Feedback)
The primary question that encompasses the entire organization in its answer is, What intervention should we choose for organizational performance improvement and work design and redesign? There are three general categories of interventions that help improve organizational performance and work design and redesign, as follows.
Training Interventions
- Learner-controlled/self-paced instruction
- Instructor-led seminars, courses
- Experiential learning design
- Curriculum design
- Instructional design
- Evaluation design
- Computer-based training
- Health and wellness programs
- Employee assistance programs
- Networking systems
- Tuition reimbursement programs
- Scholarship programs
- Support for profession/civic activities
- Literacy programs
- Leadership and ethics development programs
- Team building
- Culture change programs
- Group dynamics
- Change management
- Value clarification
- Conflict management
- Organizational rites and rituals
Organizational Performance Improvement Interventions
Selection Systems Design
- Succession planning
- Personnel recruiting and hiring systems
- Leadership development programs
Information Systems Design
- Electronic performance support systems
- Expert systems
- Intranet delivery
- Internet delivery
- Interactive multimedia
- Online information/reference
- Prototyping
- Rapid application development
- On-the-job training
- Job aids
Career Development Design
- Internal recruitment systems
- Job rotation systems
- Work assignment rotation systems
- Cross-training
- Equal Employment Opportunity (EEO) programs
- Affirmative action programs
- Diversity programs
- Assessment centers
- Mentoring
- Coaching
- Loaned executive/job exchange
- Tuition reimbursement programs
- Scholarship programs
- Experiential learning
- Structured practices
Work Systems Design Interventions
Management Science
- Strategic planning
- Goal setting
- Visioning
- Supervision and management
- Marketing systems
- Public relations
- Financial systems
- Problem-solving and decision-making systems
- Performance management systems
Job and Workflow Design
- Workflow analysis
- Job classification
- Work schedule/shift programs
- Business process re-engineering
Communication Systems Design
- Electronic mail
- Voice messaging systems
- Computer networking
- Memo distribution systems
- Meeting planning
- Corporate/organizational
- Newsletters and bulletins
- Memo design/format systems
- Negotiation systems
Feedback Systems Design
- Performance appraisal systems
- Identification of performance indicators
- Performance information systems
- Customer/client feedback mechanisms
Resource Allocations Involved in Work Design
- FTE allocation plans and ceilings
- Budgeting
- Reward/recognition systems design
- Compensation systems
- Merit award systems
- Bonus systems
- Motivation programs
- Incentive and recognition programs
- Benefits programs
Documentation and Standards
- Policies
- Procedures
- Guidelines
- Reference manuals
- Quality assurance documents
- Bylaws
- Articles of incorporation
- Partnership agreements
- Contracts, letters of intent, and so forth
Human Factors Involved in Work Design
- Facilities design
- Technological advances
- Tools and equipment acquisitions
- Equal Employment Opportunity (EEO) compliance (handicapped access)
- Safety planning
Continuous Improvement of Work Design
- Quality circles
- Quality assurance programs
- Quality of work life programs
Innovations, process improvements, and better work designs and redesigns in the preceding categories of interventions bring about the following results. First, they provide opportunities for employees to function as human beings rather than as resources in the productivity process. Second, they provide opportunities for each organization member and the organization itself to develop to their fullest potential. Third, they increase an organization's effectiveness by helping it achieve its strategic business goals and objectives. Fourth, they help create an environment in which employees find exciting and challenging work. Fifth, improved organizational performance provides opportunities for employees and managers to influence the way in which they relate to work, the organization, and the work environment. Sixth, they enable every employee to be treated as a human being with a complex set of needs and values, all of which are important in his or her work and life.
...
- Accounting and Activity-Based Costing
- Accrual Based Accounting
- Accumulated Depreciation
- Activity Based Costing (ABC)
- Annual Percentage Rate
- Assets
- Average Collection Period
- Bad Debt Loss
- Balance Sheet
- Billing
- Book Value
- Breakeven Analysis
- Business Valuation
- Capital Asset Pricing Model
- Carve-outs
- Cash Basis of Accounting
- Compensating Differentials
- Compensation Systems
- Compound Growth Rate
- Contractual Adjustments
- Cost of Capital
- Cost-Based Reimbursement
- Credit Rating
- Days Cash on Hand
- Debt Service Coverage
- Deductible
- Depreciation
- Discounted Cash Flows
- Dividends
- Employee Compensation
- Equity
- Executive Compensation
- Factoring of Accounts Receivable
- Financial Performance Indicators (FPIs)
- Financial Statement
- Fixed Costs
- Fund Balance
- Generally Accepted Accounting Procedures
- Goodwill
- Income Statement
- Liability
- Line of Credit
- Net Present Value
- Net Working Capital
- Noncash Expense
- Operating Cash Flow
- Per Diem Payments
- Profits
- Ratio Analysis
- Return on Assets (ROA)
- Return on Owner's Equity
- Statement of Changes in Net Assets
- Throughput Accounting (TA)
- Time Value of Money
- Worker's Compensation Insurance
- Economics
- Aging Society
- Capacity and Capacity Utilization
- Comparative Statics
- Competitive Bidding
- Competitive Equilibrium
- Consumer Price Index (CPI)
- Cost Shifting
- Cost-Benefit Analysis (CBA)
- Demand
- Diffusion of Innovation
- Economic Order Quantity (EOQ)
- Economies of Scale
- Elasticity of Demand
- Full Price of Medical Care
- Gross Domestic Product
- Health Care
- Health Care as Luxury Goods
- Health Insurance
- Health Production Functions
- Labor Markets
- Monopoly
- Monopsony
- National Health Expenditures (NHEs)
- Opportunity Cost
- Phillips Curve
- Price Discrimination
- Price Sensitivity in Health Care Insurance
- Price Sensitivity in Health Care Services
- Production Possibilities Curve
- Productivity
- Public Goods
- Public Sector
- Rationing
- Self-Insurance
- Spending on Health Care
- Technology Assessment
- Technology Change
- Finance
- Activity-Based Costing (ABC)
- Annual Percentage Rate
- Asset
- Average Collection Period
- Bad Debt Loss
- Balance Sheet
- Balanced Scorecard
- Book Value
- Business Valuation
- Capital Asset Pricing Model
- Cash Basis of Accounting
- Compensation Systems
- Compound Growth Rate
- Consumer Price Index (CPI)
- Contractual Adjustment
- Cost of Capital
- Cost-Based Reimbursement
- Cost-Benefit Analysis (CBA)
- Credit Rating
- Days Cash on Hand
- Debt Service Coverage
- Deductible
- Depreciation
- Discounted Cash Flows
- Dividends
- Employee Compensation
- Equity
- Executive Compensation
- Expected Rate of Return
- Factoring of Accounts Receivable
- Fee-for-Service (FFS) Payment
- Financial Performance Indicators (FPIs)
- Financial Statement
- Fixed Costs
- Full Price of Medical Care
- Fund Balance
- Generally Accepted Accounting Procedures
- Goodwill
- Healthcare Financial Management Association (HFMA)
- Income Statement
- Initial Public Offering (IPO)
- Internal Rate of Return
- Investments
- Liability
- Line of Credit
- Long-Term Investments
- Net Present Value
- Net Working Capital
- Noncash Expense
- Operating Cash Flow
- Opportunity Cost
- Per Member Per Month (PMPM)
- Philanthropy in Health Care
- Profit Sharing
- Profits
- Prospective Payment System (PPS)
- Rate of Return
- Ratio Analysis
- Return on Assets
- Return on Owner's Equity
- Risk Adjustment
- Risk Selection
- Statement of Changes in Net Assets
- Time Value of Money
- Venture Capital Investment
- Workers' Compensation Insurance
- Health Policy
- Access
- Autonomous Health Care Plan/Structure
- Bed Occupancy
- Bioterrorism
- Case Mix
- Case Rate Reimbursement
- Chronic Disease
- Clinical Practice Guidelines/Pathways
- Community Health
- Community Health Status Indicators
- Competitive Bidding
- Continuity of Care
- Disenrollment
- Electrocardiogram (EKG or ECG)
- Emergency Room
- Enrollee
- Enrollment
- Entitlement Programs
- Environmental Health Science
- Episodes of Care and Disease
- Evidence-Based Medicine (EBM)
- Family-Oriented Care
- Feasibility Study
- Genomics
- Global Blood Safety Project
- Graduate Medical Education (GME)
- Health
- Health Care
- Health Care as Luxury Goods
- Health Care Provider
- Health Care Reform
- Health Care Services
- Health Care Utilization
- Health Insurance
- Health Officer and Health Commissioner
- Health Policy
- Health Status Indicators
- Healthy People 2010
- Hippocratic Oath
- Home Health Care
- Home Health Care Agencies
- Hospice
- Indigent Health Care
- Infant Mortality
- Inpatient Services
- Long-Term Care
- Mandated Coverage
- Maternal and Child Health (MCH)
- Medicaid
- Medical Appropriateness of Care
- Medical Savings Accounts (MSAs)
- Mobile Health Units
- Morbidity
- Mortality
- Neonatal Care
- Outcomes Research
- Philanthropy in Health Care
- Price Control in Pharmaceutical Industry
- Price Discrimination
- Primary Care
- Privilege
- Public Health
- Public Health Core Disciplines
- Referral
- Rehabilitation
- Release
- Residency Programs
- Risk Adjustment
- Risk Selection
- Safety-Net Providers
- Self-Insurance
- Self-Referral
- Subacute Care
- Tertiary Care
- Trauma
- U. S. Departmenf of Health and Human Services (DHHS)
- U. S. Health Care System
- Underserved Populations
- Uninsured Patients
- Human Resources
- Academic Degrees
- Affirmative Action in Employment
- Aging Society
- Benefit Package
- Collective Bargaining
- Compressed Workweeks
- Conflict Management
- Employee Absenteeism
- Employee Assistance Program (EAP)
- Employee Health
- Employee Orientation Programs
- Employee Recruitment
- Employee Stock Ownership Plan (ESOP)
- Employee Turnover
- Employment Interview
- Employment References
- Empowerment (Delegation of Authority)
- Equal Pay Act
- Flextime
- Full-Time Equivalent Employee
- Group Norms
- Group Performance
- Group Think
- Healthy People 2010
- Human Resource Planning
- Human Resources
- Improving Employee Productivity
- Incentive Pay
- Job Analysis
- Job Design
- Job Satisfaction
- Labor Markets
- Labor Unions
- Leaderless Group Discussion
- Leadership
- Management Development
- Measuring Training Outcomes
- Mentoring
- Negotiation
- Organizational Behavior Management
- Organizational Communication
- Organizational Performance and Work Design
- Performance Appraisal
- Performance Management
- Performance Rating Errors
- Physician Extender
- Power
- Profit Sharing
- Progressive Discipline System
- Psychological Contracts
- Succession Planning
- Task Forces
- Team Building
- Team-Based Compensation
- Team-Based Organization
- Teamwork
- Telecommuting
- U. S. Department of Labor (DOL)
- Information Technology
- Database
- E-Health
- Electronic Claims
- Electronic Commerce
- Electronic Data Interchange (EDI)
- Electronic Medical Record
- Encryption
- Hacker
- Health Information Portability & Accountability Act (HIPAA)
- Health Information Systems
- Health Plan and Employer Data and Info Set (HEDIS)
- Information Technology
- Networks
- Positron Emission Tomography (PET)
- Strategic Issue Diagnosis (SID)
- Telecommuting
- Telemedicine
- Virtual Private Network (VPN)
- Institutions and Organizations
- Academic Medical Center
- Administrative Service Only (ASO)
- American Board of Medical Specialties
- American Board of Preventive Medicine
- American College of Healthcare Execs (ACHE)
- American Dental Association (ADA)
- American Hospital Association (AHA)
- American Medical Association (AMA)
- American Nurses Association (ANA)
- American Public Health Association (APHA)
- American Red Cross (ARC)
- Birthing Centers
- Blue Cross and Blue Shield (BCBS)
- Boards of Directors
- Boards of Health
- Bureau of Labor Statistics (BLS)
- Center For Medicare & Medicaid Srvices (CMS)
- Chief Medical Officer/Medical Director
- Community Health
- Community-Based Hospital
- Contract Research Organization (CRO)
- Disproportionate Share Hospital (DSH)
- Equal Employment Opportunity Commission (EEOC)
- Exclusive Provider Organization (EPO)
- Food and Drug Administration (FDA)
- Genomics
- Health Insurance Purchasing Cooperative (HIPC)
- Health Maintenance Organizations (HMOs)
- Healthcare Financial Management Association (HFMA)
- Hospitals
- Institute of Medicine (IOM)
- Institutional Review Board (IRB)
- Integrated Delivery System
- Integrated Service Network (ISN)
- Intermediate Care Facility (ICF)
- Learning Organizations
- Limited Liability Company (LLC)
- Local Public Health Agencies (LPHAS)
- Managed Care Organizations (MCO)
- March of Dimes
- Medical Supply Organization (MSO)
- National Institutes of Health (NIH)
- National Labor Relations Board (NLRB)
- Not-for-Profit Organization
- Office For Human Research Protections (OHRP)
- Peer Review Organizations (PROs)
- Physician-Hospital Organizations (PHOs)
- Point-Of-Service Systems (POS)
- Preferred Provider Organizations (PPO)
- Professional Standards Review Orgs (PSRO)
- Provider
- Provider-Sponsored Organizations (PSO)
- Psychiatric Centers
- Public Hospital
- Residency Review Committee (RRC)
- Single-Specialty Group Practice
- Solo Practice
- Step-Down Facility
- Third-Party Administrators (TPA)
- U. S. Department of Health and Human Services (DHHS)
- U. S. Department of Labor (DOL)
- U.S. Agency for International Development (USAID)
- Visiting Nurses Association (VNA)
- World Health Organization (WHO)
- International Health Care Issues
- Legal and Regulatory Issues
- Qui Tam Actions
- Advance Health Care Directives
- Age Discrimination in Employment
- Aid To Families with Dependent Children (AFDC)
- Americans with Disabilities Act of 1990
- Assurance of Compliance (Federal Wide Assurance, FWA)
- Balanced Budget Act of 1997 (BBA)
- Civil Rights Acts of 1964 and 1991
- Claim
- Claims Management
- Code of Ethics
- Collective Bargaining
- Compliance
- Credentialing
- Durable Power of Attorney For Health Care (DPAHC)
- Employee Retirement Income Security Act (ERISA)
- Employee Rights
- Employee Selection and Hiring
- Employment Discrimination
- Employment Law
- Employment Testing and Evaluation
- Equal Pay Act
- Ethical Issues Faced by Managers
- Ethics Officer
- Excess Liability Coverage
- Executive Order 11246 on Affirmative Action
- Exposure
- Fair Employment and Public Policy
- Family and Medical Leave Act (FMLA)
- Federal Regulating Agencies
- Health Information Portability and Accountability Act (HIPAA)
- Immigration Reform and Control Act of 1986
- Incident
- Indemnification
- Individuals With Disabilities Education Act (IDEA)
- Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
- Judgment
- Kickbacks
- Limited Liability Corporation (LLC)
- Limited Liability Partnership (LLP)
- Living Wills
- Malpractice
- Medical Savings Accounts (MSAs)
- Medicare Risk Contract
- National Committee on Quality Assurance (NCQA)
- Negligence
- Noncompete Agreements
- Occupational Safety and Health Act (OSHA)
- Occurrence Coverage
- Occurrence Screening
- Premium
- Privacy Issues
- Professional Corporation
- Professional Standards Review Organizations
- Referral
- Rehabilitation Act of 1973
- Scope of Practice
- Self-Referral
- Sentinel Event
- Settlement
- Standard of Care
- Stark Law
- Statute of Limitations
- Structured Settlement
- Summons
- Tail Coverage
- Title VII of the Civil Rights Act of 1964
- Unanticipated Outcome Disclosure
- Vicarious Liability
- Women, Infants, and Children (WIC) Program
- Managed Care
- Ambulatory Care
- Carve-Out
- Compensating Differentials
- Enrollee
- Enrollment
- Evidence-Based Medicine
- Fee-for-Service
- Health Care Reform
- Health Maintenance Organizations (HMOs)
- Length of Stay
- Managed Care
- Managed Care Plans
- Mandated Coverage
- Medical Care
- Out-Of-Network Services
- Patterns of Care
- Per Diem Payments
- Per Member Per Month (PMPM)
- Prospective Payment System (PPS)
- Marketing and Customer Value
- Adopter Categories
- Advertising
- Ambulatory Care
- Comparative Advertising
- Complementary Products
- Customer
- Customer Relationship Management (CRM)
- Customer Satisfaction Research
- Customer Value
- Database Marketing
- Direct Marketing
- Environmental Scanning/Analysis
- Exclusive Distribution
- Expansion Strategies
- First-Mover Advantage
- Franchising
- Goods-Services Continuum
- Hypercompetition
- Integrated Marketing Communications
- Intensive Distribution
- Licensing
- Loyalty in Health Care Consumer
- Maintenance of Scope
- Market Entry Strategies
- Market Opportunity Analysis
- Market Segmentation
- Marketing Concept
- Marketing Mix
- Marketing Plan
- Marketing Research
- Marketing Value
- Mass Customization
- Mystery Shoppers
- Non Price Competition in Hospitals
- One-to-One Marketing
- Patient Expectations
- Perceptual Gaps in Services Quality
- Physician-Patient Relationship
- Press Releases
- Product
- Product Classes
- Product Life Cycle (PLC) Analysis
- Product Line Extensions
- Product Mix
- Public Relations
- Sales Forecasting
- Selective Distribution
- Service Area Competitor Analysis
- Service Quality
- Services
- Social Marketing
- Substitute Product
- Wellness
- Women as Major Health Care Consumers
- Operations and Decision Making
- Capacity and Capacity Utilization
- Clinical Decision Making
- Decentralization of Decision Making
- Decision
- Decision Support Systems
- Economic Order Quantity (EOQ)
- Empowerment (Delegation of Authority)
- Enterprise Resource Planning
- Excess Capacity
- Facilities Management
- Future Search
- Geographic Information System
- Health Care Service Operation
- Health Production Functions
- Just In Time and Health Care Management
- Mass Customization
- Nominal Group Technique (NGT)
- Operations Management
- Outsourcing
- Production Possibilities Curve
- Queuing
- Root Cause Analysis
- Sales Forecasting
- Service Operation
- Statement of Operations
- Supply Chain Management
- Technology Assessment
- Technology Change
- Theory of Constraints
- Utilization Review
- Value Chain for Health Care
- Waiting Time
- Pharmaceuticals and Clinical Trials
- Adverse Drug Reaction (ADR)
- Adverse Event (AE)
- Adverse Selection and Impact
- Alternative Medicine (Complementary Medicine, Integrative Medicine, Unconventional Medicine)
- Assurance
- Belmont Report
- Biotechnology
- Blinding
- Case Report Form (CRF)
- Clinical Research
- Clinical Trials
- Contract Research Organization (CRO)
- Control Group
- Critical Paths
- Data Management
- Declaration of Helsinki Laws
- Demographics
- Drug Coverage
- Effective Dose
- Efficacy
- Exclusion Criteria
- Food and Drug Administration (FDA)
- Formularies
- Generic Drug
- Good Clinical Practices (GCPs)
- In Vitro Testing
- In Vivo Testing
- Inclusion Criteria
- Informed Consent
- Investigational New Drug Application (IND)
- Investigator (Principal Investigator)
- Kefauver-Harris Amendments
- Longitudinal Study
- Medical Genetics
- MedWatch Program
- National Institutes of Health (NIH)
- New Drug Application (NDA)
- Off Label
- Open-Ended Study
- Open-Label Study
- Orphan Drug
- Out-of-Network Services
- Over-the-Counter (OTC)
- Phase I Study (Phase I Clinical Trial)
- Phase II Study
- Phase III Study
- Phase IV Study
- Pivotal Studies
- Placebo
- Preclinical Testing
- Premedicate (Premedication)
- Prescription
- Price Control in the Pharmaceutical Industry
- Protocol (Involving Human Subjects)
- Quality Assurance
- Randomization
- Recruitment
- Standard Operating Procedures (SOPs)
- Standard Treatment
- Study Arms
- Subinvestigator
- Subject, Human Research
- Vital Signs
- Vulnerable Research Subject Population
- Quality
- Academic Degrees
- Care Management
- Case Management
- Clinical Practice Guidelines/Pathways
- Common Cause Variation
- Continuous Quality Improvement (CQI)
- Control Chart
- Disease Management
- Electrocardigram (EKG or ECG)
- Flowchart
- Global Blood Safety Projects
- Health Status Indicators
- Hippocratic Oath
- Length of Stay
- Maternal and Child Health
- Medical Care
- Medical Errors
- Morbidity
- Mortality
- National Committee on Quality Assurance (NCQA)
- Outcomes Research
- Pareto Chart
- Patterns of Care
- Plan-Do-Study-Act Cycle
- Quality Assurance
- Quality Improvement Cycle
- Quality Management
- Root Cause Analysis
- Run Chart
- Service Quality
- Six-Sigma Program
- Special Cause Variation
- Statistical Process Control (SPC)
- Statistical Thinking
- Supply Chain Management (SCM)
- Utilization Review
- Wellness
- Zero Defects
- Statistics and Data Mining
- Strategy
- Alliances
- Authority
- Balanced Scorecard
- BCG Portfolio Analysis
- Boards of Directors
- Breakeven Analysis
- Business Plan
- Co-opetition
- Coalitions
- Collaborative Partnership
- Competitive Advantage
- Competitive Strategy and Groups
- Contraction Strategy
- Cooperation Strategies
- Critical Success Factors
- Culture and Culture Change
- Culture and Strategy
- Diversification Strategies
- Divestiture Strategies
- Emergent Strategy
- Environmental Analysis
- Expansion Strategies
- Generic Strategies
- Harvesting Strategies
- Horizontal Integration
- Industry Analysis
- Internal Environmental Analysis
- Long-Range Planning
- Managed Competition
- Managing Organizational Change
- Market Entry Strategies
- Merger and Acquisition
- Mission
- Networks
- Niche Strategies
- Nonprice Competition in Hospitals
- Objectives
- Organizational Change
- Organizational Design and Discontinuous Change
- Product Life Cycle Analysis
- Service Area Competitor Analysis
- Strategic Alternatives
- Strategic Assumptions
- Strategic Business Units (SBU)
- Strategic Change
- Strategic Control
- Strategic Decision
- Strategic Fit
- Strategic Group
- Strategic Issue Diagnosis (SID)
- Strategic Leadership
- Strategic Management
- Strategic Management Process
- Strategic Service Unit (SSU)
- Strategic Thinking
- Strategy
- Structure
- Subsidiary Corporations
- SWOT (Strength-Weakness-Opportunity-Threat) Analysis
- Synergy
- Value Chain for Health Care
- Values (Guiding Principles)
- Vertical Integration
- Vision
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