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Corporate health care network. Diversification Diversification provides another strategy for survival in today’s economy. Diversification is the expansion of an organization into new arenas. Two types of diversification are common: concen- tric and conglomerate. Concentric diversification occurs when an organization complements its existing services by expanding into new markets or broadening the types of services […]

Horizontal integration. Acute care hospital Long-term care facility Home health agency Ambulatory care clinic Sports medicine clinic Hospice care Figure 2-7 • Vertical integration. Hospital Imaging center Home care services Medical group practice Skilled nursing facility Ambulatory surgical center Long-term care Corporate board   Place Your Order Here!

DESIGNING ORGANIZATIONS:stay is limited stay is limited. Residential care facilities, also known as nursing homes, are sheltered environ- ments in which long-term care is provided by nursing assistants with supervision from licensed professional or registered nurses. As the population ages and the frail elderly account for more and more of the nation’s citi- zens, care

PRIVATE (NON GOVERNMENT) OWNERSHIP Voluntary (not for profit) Roman Catholic, Salvation Army, Lutheran, Methodist, Baptist, Presbyterian, Latter-day Saints, Jewish Community Industrial (railroad, lumber, union) Kaiser-Permanente Plan Shriners hospitals Investor- owned (for profit) Individual owner partnership corporation Single hospital (Investor-owned hospitals) Sectarian Nonsectarian GOVERNMENT OWNERSHIP Federal State Long-term psychiatric, chronic, and other State university medical centers

  DESIGNING ORGANIZATIONS 19;whereas government organizations are operated by city, county, state, or federal entities, such as the Indian Health Service. Voluntary organizations are usually not for profit, meaning that surplus mon- ies are reinvested into the organization. whereas government organizations are operated by city, county, state, or federal entities, such as the Indian Health

UNDERSTANDING NURSING MANAGEMENT AND ORGANIZATIONS accountability are the basis for constructing a network of making nursing practice decisions in a decentralized environment. As a result, nurses gain significant control over their practice, ef- ficiency and accountability are improved, and feelings of powerlessness are mitigated. The ultimate outcome of shared governance is that nurses participate in

DESIGNING ORGANIZATIONS 17:Service-Line Structures More common in health care organizations today are service-line structures Service-Line Structures More common in health care organizations today are service-line structures (Nugent et al., 2008). Service-line structures also are called product-line or service-integrated structures. In a service-line structure, clinical services are organized around patients with specific conditions (Figure 2-3). Integrated

UNDERSTANDING NURSING MANAGEMENT AND ORGANIZATIONS:Functional Structure In functional structures, employees are grouped in departments by specialty, with similar tasks being performed by the same group, similar groups operating out of the same depart- ment, and similar departments reporting to the same manager. Functional Structure In functional structures, employees are grouped in departments by specialty, with

UNDERSTANDING NURSING MANAGEMENT AND ORGANIZATIONS Organizational theories suggest organizational structures. Traditional structures (described later in the chapter) operationalize the tenets of classical theory. Humanistic Theory Criticism of classical theory led to the development of humanistic theory, an approach identified with the human relations movement of the 1930s. A major assumption of this theory is that

DESIGNING ORGANIZATIONS 13 are offered, but responsibility for the work is assigned to others. In Figure 2-1, the relationships among the chief nurse executive, nurse manager, and staff nurse are examples of line authority. The relationship between the acute care nurse practitioner and the nurse manager illustrates staff authority. Neither the acute care nurse practitioner