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Team-Based Organization
In a team-based organization the primary units consist of work teams, or interdependent collections of individual employees who share responsibility for specified outcomes in the organization. An example of a team-based organization is Florida's Cape Coral Hospital, which organized all of its employees into teams and held them accountable for defined results. Among several kinds of teams at Cape Coral, patient care teams delivered medical services to the hospital's patients, ordered supplies, maintained budgets, and handled patient logistics.
Today many enterprises incorporate team-based organizations, including private sector businesses such as automobile manufacturing, public sector institutions such as schools, and various health care organizations. Team-based organizations proliferated in the 1990s after widely publicized stories of dramatic improvements in performance, cost efficiency, and customer satisfaction.
Team-based organizations have their roots in the 1950s, when new technology in coal mining and textile mills clashed with traditional forms of organization. Advocates of the “sociotechnical systems” approach called for joint optimization of automated equipment and social relationships. They experimented with “semiautonomous work groups” with responsibility for scheduling their work, sharing tasks, assigning individual members to specific tasks, rotating jobs, and other duties formerly delegated only to supervisors. Early trials showed such success that many organizations were experimenting with work groups in the 1960s and 1970s. With the advent of total quality management in the 1980s, team-based organizations had gained widespread acceptance.
The hallmark of a team-based organization is a relatively flat structure, with few hierarchical levels and delegation of authority to employees who compose teams at the front line. Teams have responsibility for tasks once considered the exclusive province of supervisors, especially scheduling work, budgeting, cross-training, individual work assignments, conducting maintenance, quality checks, and evaluating members’ performance. The key feature of work teams is interdependence among individual members for a coordinated output.
Support System for Work Teams
Effective, team-based organizations provide nine kinds of support for work teams:
- Team roles. Each team in a team-based organization ideally has a well-defined role in relation to the orga-nization's mission and the other teams. Definition of teams’ roles include specification of primary counterparts (such as suppliers and customers), responsibilities, outputs, workflows, performance measures, and reporting relationships.
- Leaders’ roles. Managers have the responsibility of defining leadership roles for teams, including an internal role such as supervisor, and an external leadership role such as team manager or coordinator of several teams. Many team-based organizations elect team leaders who hold the same rank as other team members.
- Staffing. Well-managed systems for selecting and placing employees assure that teams have members with necessary knowledge, skills, abilities, and other attributes. As more organizations incorporate work teams, more employees acquire the needed teamwork skills.
- Training. Systems for employee education and development in team-based organizations often focus on both teamwork skills and coordination of technical skills. Most successful team-based organizations incorporate needs assessments and ongoing training of team members and managers.
- Measurement. Team measurement systems can objectively gauge team performance, including customer satisfaction, efficiency, and other key outcomes.
- Rewards. Team-based reward systems can provide extrinsic incentives and reinforcement for sustained, cooperative performance by teams.
- Information systems. Teams require up-to-date information systems to maintain data on work processes, supplies, customers, and their performance. The same computer-based systems provide information to managers and customers. As information systems become more central to teamwork, computer skills become more essential for team members.
- Communication technology. Many teams need specialized equipment beyond telephones, e-mail, and computers to communicate effectively. New technology promotes group interaction via teleconferencing, videoconferencing, and computer-supported collaboration.
- Facilities. The physical working environment may be as important as any other factor in supporting work teams. Layout of workstations promotes or inhibits face-to-face interaction, access to equipment, and the capacity to isolate or display work in progress, hold meetings, and move among work areas.
Type of Work Teams
Work teams take many forms. They can be self-manag-ing, virtual, permanent, or temporary. Six common types of work teams appear in team-based organizations, distinguished mainly by the kinds of work they
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- Accounting and Activity-Based Costing
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- Annual Percentage Rate
- Asset
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- Bad Debt Loss
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- 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
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- Factoring of Accounts Receivable
- Fee-for-Service (FFS) Payment
- Financial Performance Indicators (FPIs)
- Financial Statement
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- Fund Balance
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- Physician Extender
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- Progressive Discipline System
- Psychological Contracts
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- 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
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- Encryption
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- Information Technology
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- Telecommuting
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- Institutions and Organizations
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- American Board of Medical Specialties
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- Community Health
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- Disproportionate Share Hospital (DSH)
- Equal Employment Opportunity Commission (EEOC)
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- 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)
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- Integrated Delivery System
- Integrated Service Network (ISN)
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- March of Dimes
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- Peer Review Organizations (PROs)
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- Point-Of-Service Systems (POS)
- Preferred Provider Organizations (PPO)
- Professional Standards Review Orgs (PSRO)
- Provider
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- Psychiatric Centers
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- Residency Review Committee (RRC)
- Single-Specialty Group Practice
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- Step-Down Facility
- Third-Party Administrators (TPA)
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- Claim
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- Compliance
- Credentialing
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- Employee Retirement Income Security Act (ERISA)
- Employee Rights
- Employee Selection and Hiring
- Employment Discrimination
- Employment Law
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- 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
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- Judgment
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- Enrollee
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- Length of Stay
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- Patterns of Care
- Per Diem Payments
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- Prospective Payment System (PPS)
- Marketing and Customer Value
- Adopter Categories
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- Queuing
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- Protocol (Involving Human Subjects)
- Quality Assurance
- Randomization
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- Standard Treatment
- Study Arms
- Subinvestigator
- Subject, Human Research
- Vital Signs
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- Quality
- Academic Degrees
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- Common Cause Variation
- Continuous Quality Improvement (CQI)
- Control Chart
- Disease Management
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- Flowchart
- Global Blood Safety Projects
- Health Status Indicators
- Hippocratic Oath
- Length of Stay
- Maternal and Child Health
- Medical Care
- Medical Errors
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- National Committee on Quality Assurance (NCQA)
- Outcomes Research
- Pareto Chart
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- 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
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- Balanced Scorecard
- BCG Portfolio Analysis
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- Critical Success Factors
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- Generic Strategies
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- 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
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- Strategic Leadership
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- Strategic Service Unit (SSU)
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- Strategy
- Structure
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- SWOT (Strength-Weakness-Opportunity-Threat) Analysis
- Synergy
- Value Chain for Health Care
- Values (Guiding Principles)
- Vertical Integration
- Vision
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